HomeMy WebLinkAbout147 Wheatfield CirApplication No:
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CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Documented Construction Value: $ a,3 L
Job Address: W1 WftWCtke\d Of. c\aMo VL 3X111 Historic District: Yes ❑ No ❑
Parcel ID: 3a - 19 - 31- 5 \6 - OooO- 61W Zoning:
Description of Work: '1 k'z. f- Q \h h� 1 vJ) \ U ott �o
Plan Review Contact Person:
Phone:
Fax:
E-mail:
Property Owner Information
Name bannY 4 0 Jn+"
street. ky1
City, State Zip: �C&* f A .
Title:
Phone: LMI - 4kk -1-1 �3
Resident of property?:
Contractor Information
Name MOSS�I 0014 V -p -me,
Street: hi mc"O rn Tr a. l
City, State Zip: 0 V I 0;\a
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Building Permit ml*,
Square Footage:
Phone:
Phone: 401- ftt)
Fax: 99V- SIA ' a'T5s5
State License No.:
Architect/Engineer Information
Phone:
Fax:
E-mail:
Mortgage Lender:
Address:
PERMIT INFORMATION
Construction Type: No. of Stories:
No. of Dwelling Units: Flood Zone:
Electrical 0 Plumbing D
New Service — No. of AMPS: New Construction - No. of Fixtures:
Mechanical 0 (Dud layout required for new systems)
Fire Sprinkler/Alarm E3 No. of heads:
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no
work or instalJalion has commenced prior to the issuance of a permit and that all work will be performed to
meet standwds of all laws regulating construction in this junsdiction. 1 understand that a separate permit
must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boders, heaters, taoks. 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 constructioo and zoning.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE
OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE
FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
NO" 'E: In addition to the requirements of dtis 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 1 will notify the owner of the property of the requirements of Florida
Lien Low. FS 713.
The City of Sanford requires payment of a plan review fee. A copy of the executed contract is required in order
to calculate a plan review charge. If the executed contract is not submitted, we reserve the rigbt to calculate the
plan review fee based on past permit activity levels. Should calculated cbarges exceed the documented
construction value when the executed contract is submitted, credit will be applied to your permit fees when the
't' rc eased.
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Owner/Agent is _ Personally Known to Me or
Produced IU Type of tD
Contractor/Agent is _ Person le v L own to Me or
Produced ID Type of ID
APPROVALS: ZONING: 41AI IRs• S•I3.UTILITIES: WASTE WATER:
ENGINEERING: FIRE:
COMMENTS: 09 :or G' %/- hall lit.rct.
Rev 11.08
BU1LI)MG:
(114'..LEWIS ARCH
Notary Public -State of F:orldaMy Comm. Explres Jan 7, 2014Commission f 00 950414
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APPRUIED
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APPRUIED
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24540 SR 46 r Sorrento FL 32776
(888) 44-MSSY UI Fax: j888) $64-2785
www .mossymidlences corn
FENCE PROPOSAL
1. of —(76 n4erA
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= 6tlA"jFFD (1 ) DAY �1.1iNr��-I-l4N
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Purchaser agrees that final price will be determined by total footage installed, and may be different than estimated Purchaser
also agrees that all products de ivered and installed remain the property of Mossy Oak Fence until full payment is made.
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HOME PHONE ,
NAMEDAUlk h ls
STREET �_-
WORK PHONE
CITY Q , 32-7-71FAX
r (A3*M►D rD OW S I-1-
)UB NAME
CELL O _ L _
CONTACT
EMAIL. A
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Purchaser agrees that final price will be determined by total footage installed, and may be different than estimated Purchaser
also agrees that all products de ivered and installed remain the property of Mossy Oak Fence until full payment is made.
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FOOTAGE TYPE OF FENCE (UST EACH)
HEIWfT
(06� VINYL ?01 cY fi�MCi
1,
r (A3*M►D rD OW S I-1-
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3 y
TAX
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TOTAL
23yy
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DEPOSIT
+
S! u/:" 9- oti)
BALANCE
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GATES
TERMS: BALANCE DUE ON COMPLETION
TYPE OF GATE
OTY
SIZE
12-19—II
I
5'
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fh.��Uvr�t
JEL4 CLQSNI , PW6 S
SR.E CIUSI N\.
OBSTRUCTIONS (Y J AL ItC�j Fi;
REMOVAL BY
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= 6tlA"jFFD (1 ) DAY �1.1iNr��-I-l4N
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Purchaser agrees that final price will be determined by total footage installed, and may be different than estimated Purchaser
also agrees that all products de ivered and installed remain the property of Mossy Oak Fence until full payment is made.
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PRICE
�1
3 y
TAX
—
TOTAL
23yy
DEPOSIT
+
BALANCE
TERMS: BALANCE DUE ON COMPLETION
ESTIMATOR
rs
DATE
12-19—II
ACCEPTED BY P RCHASER
DATE
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- CIS
= 6tlA"jFFD (1 ) DAY �1.1iNr��-I-l4N
V�t'olY�,►i - w nflos/ GF-I:�
Purchaser agrees that final price will be determined by total footage installed, and may be different than estimated Purchaser
also agrees that all products de ivered and installed remain the property of Mossy Oak Fence until full payment is made.
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