HomeMy WebLinkAbout415 Poplar AveCITY OF SANFORD PERMIT APPLICATION
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RECEIVED
Pertnit # : 6 7 r L�Date:
Job Address: 1 1_ / �� YI -x" SEP.
Description of Work:,,;
Historic District: Zoning: Valu, of Work: $�
Permit Type: Building Electrical Mechanical . Plumbing . Fire Sprinkler/Alarm Pool
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 It of Gas Lines
Plumbing/New Residential: # of Water Closets Plutubing Repair — Residential or Commercial
Occupancy Type: Residential Commercial �� _ Industrial Total Square Footage:
Construction Type: # of Stories: # of Dwelling Units: Flood 'Lone: (FEMA forst required for other than X)
Parcel #: rAl 0 ""__D /A r — (IU—) Q (Attach P o of Owne ship & Le al Description
Owners Name & Address: f1�� tJJ ('
•"', J �j
Ph1 one: I `� I ! �C (�
Contractor Name & Adgess: V An.CQ/:�J 10 l :1 Vi) fX
State License Number:
Phone & Fax: lio4M114/
Contact Persona l R� u � 4 Phone:
Bonding Company; C
Address:
Mortgage Lender:
Address:
Architcct/Lngiuccr: Phone:
Address: Fax:
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.
Acceptant rnu verifi o tho61[ will notify e owner the perry of the requirements of Florida Lie w, FS 713,
7
Stgna rc of Owner/Atg�ent Date
Signature of Co ent n a Date
�,�1'��r,
Print Owner/Agent's Name (� PrintC no tractor/Agent's Name
gnaturi of Notary -State of Florida Dat, Signature of Notary -State of Florida Date
m DeWaie Diane Brown
j De to Diane Brown � My Commission DD35%&3
Ovine1'pe'So� 2l�t
019, zig t
OF "Produced l
APPLICATION APPROVED BY: Bldg: �� Zoning: •ilities: _ FD:
(Initial & Date) (initial & Date) (Initial &Date) (Initial & Date)
Special Conditions:
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DONALD C. BAUERLE, JR. II
Legal Da cription
The West 213 of Block 6, Tier 12, and the South 1/2 of Vacated St wt on North, FLORIDA LAND & COLONIZATION CO., LTD., E.R.
TRAFFORD'S MAP OF THE TOWN OF SANFORD, according to the Pkit thereof as recorded in Plat Book 1, Pages 54 through 64, of the Public
Records of Seminole County, Florida, LLl
SURVEY NOTES: ___1
1) The street address of the above-described property is Poplar Avenue. Q
2) The above described property lies in a Flood Zone X. U
3) No underground utilities or improvements were located by this survey. (�
4) This survey was completed on the ground on 28 August 2006.
SURVEYOR'S CERTIFICATE
This is to certify that the above-described property and the plat hereon delineated s an accurate representation of the same. I further certify that this survey meets
the Minimum Technical standards set forth by the Florida Board of Surveyors a A Mappers pursuant to Chapter 61G17-06 of the Florida Administrative Code
pursuant to Section 472.027 of the Florida Statutes. ?/1
KITNER SURVEYIN
R. BLAIR KITNER - P.S.M. No. 338
P. 0. Box 823 — Sanford, Flori Ja 32772 — (407) 322-2000
Not valid without rais�:d seal of Surveyor
4H S TREET
S 89'59 50 E 292.07
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VACANT LAND
2.0048± ACRES
OFFICE
PLANS REVIEWED
CITY OF SANFORD
rtRMIT
POPLAR ASE
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