HomeMy WebLinkAbout3107 Rudder CirCITY OF SANFORD PERMIT APPLICATION
Application #: _ Submittal Date:
Job Address: 3107 Rudder Circle Sanford FL 32773 Value of Work: $
Parcel ID: 06-20-31-300-0010-298A Zoning: RI -1 Historic District:
Description of Work: Installation of replacement windows Square Footage: 1,780
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Permit Type: Building X Electrical ❑ Mechanical ❑ Plumbing ❑ Fire Sprinkler/Alarm ❑ Pool ❑ Sign ❑
Electrical: New Service — # of AMPS Addition/Alteration ❑ Change of Service ❑ Temporary Pole ❑
Mechanical: Residential ❑ Non -Residential ❑ Replacement ❑ New ❑ (Duct Layout & Energy Calc. Required)
Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines
Plumbing/New Residential: # of Water Closets Plumbing Repair —Residential ❑ Commercial ❑
Occupancy Type: Residential ❑ Commercial ❑ Industrial ❑ Occupancy Use Group(s):
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required)
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Property Owner: Sanford Airport Authority
Address: 1200 Red Cleveland Blvd
Sanford FL 32773
Phone: 407/585-4010 E-mail: dcrewsgosaa.net
Bonding Company:
Address:
Architect/Engineer:
Address:
Contractor:
Address:
Phone:
Mortgage Lender:
Address:
State License Number:
Phone:
Fax:
Plan Review Contact Person: Diane Crews Phone: 407/585-4010 Fax: 407/585-4045 E-mail: dcrews@osaa.net_
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the
issuance of a permit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction. I understand that a separate
permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and
AIR CONDITIONERS, etc.
OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING; CONSULT WITH YOUR LENDER OR AN
ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of
this county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies.
Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713.
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Signature of Owner/Agent Date Signature of Contractor/Agent
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Print%ner/A 3en�t''ss N-a�m J Ad,�lti s.� rod 1 Print Contractor/Agent's Name
Signature of Notary -State of Florida Date Signature of NotaryState of Florida
PHYLLIS I. GIBSON
MY COMMISSION #DD477598
r I E (��RES: OCT 02, 2009
Owner/Agent is _Pers Bonded through 1 st State Insurance
Produced IDa
APPROVALS: ZONING:
Special Conditions:
Rev 02/2007
UTIL: FD:
Date
Date
Contractor/Agent is _ Personally Known to Me or
Produced ID
ENG:
BLDG: