HomeMy WebLinkAbout182 Edgewater Cir (2)=BY:_
s OCT CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: a S 3 Documented Construction Value: $ / 7 8
Job Address: )Fro) �EdaytU.Y.i.1-c r C (6LZ_ Historic District: Yes ❑ No I
Parcel ID: Zoning:
Description of Work: I Y64-411 00' W00d P n 6k
Plan Review Contact Person: I �� �OP���� ; q�Tide:
Phone: Fax: E-mail:
// Property Owner Information
Name I LD Y) &- Phone: Ll b% - 9/ to -
Street: d y=1j ),Ak y- On -a _ Resident of property?
City, state zip: �a y4ye' d , FZ_ 3x-77 3
Contractor Information
Name M vrs'S -G ri �—
Street 07 yS U S i2 01
city, State zip: Sb r(Y5M'P 4
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Building Permit
Square Footage:
Phone. asp-- 73 s -�/no
Fax: -CRI y -)?J_ ~
State License No.:
Archkoct/Engineer Informatlon
Phone.
Fax:
E-mail:
Mortgage Lender.
Address:
PERMIT INFORMATION
Construction Type: n6C- No. of Stories:
No. of Dwelling Units: Flood Zone:
Electrical 0 Plumbing O
New Service - No. of AMPS: New Construction - No. of Fixtures:
Mechanical 0 (Duct layout required for now systems)
• 3e
Fire Sprinkler/Alarm 0 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 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. 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.
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.
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 right to calculate the
plan review fee based on past permit activity levels. Should calculated charges exceed the documented
construction value when the executed contract is submitted, credit will be applied to your permit fees when the
permit is released.
$rgmWm of CXvnedAgerd Date
Prim Owner/Agent's Name
Signature of Notary -Starve of Florida aft
�y 1
��/ �JfL/�.i/� •-. s.r o—
S�°an°°O Xa�°f DEBBIE BLANTON
Notary Public . State of Florida
My Comm. Expires Feb 25, 2015
•� Commission 0 EE 60182
8011611 Through National Notuy Assn.
Owner/Agent is Personally Known to Me or Contractor/Agent is Personal gown to � 1 L
Ty
Produced ID Type of ID Produced ID pe of ID
APPROVALS: ZONING: ifM I°dS•It UTILITIES: WASTE WATER:
ENGINEERING: FIRE: BUILDING:
COMMENTS:
Rev 11.08
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: I U'a1(-( �
hereby name and appoint: T)yw O( '.ri'�Rm
an agent of -
at .rcl(--
(Name
to be my lawful attorney-in-fact to act for me to apply for, receipt for, sign for and do all things
necessary to this appointment for:
The specific permit and application for work located at:
(Street Address)
Expiration Date for This Limited Power of Attorney:
License Holder Name .-EY ata ( Sa ride Y3
State License Number:
Signature of License Holder:
STATE OF FLORIDA
COUNTY OF
The foregoinument was acknowledged before me this Ajday of O ,
200 , byinstra O4 �V�'�''�il•'� who is i-persTnally known
to me or o who has produced
identification and who did (did not) t ke an oath.
na re
(Notary Seal)
�' ' LEWIS ARCH
Notary Public • State o1 F:arida
y ' My Comm. Expires Jan 7, 2014
%',�e�a� Commission # DD 950414
( Rev. 3/27/07)
Print or type name
Notary Public - State of _
Commission No.
My Commission Expires:
as
BOUNDARY SURVEY
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PLAT BOOK .78, PAGE(S) 77-78. OF 711£ PUBLIC RECORDS OF SEM/NOLE COUNTY. FLORIDA.
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CITY OF SANFORD " BUILDING PIAN REVIEW
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CURVE TABLE UQ �• \i
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Purchaser agrees that final price will be date. Ined by total footage installed, and may be different than estimated. Purchase
also agrees that all products delivered and Installed remain the property of Mossy Oak Fence until full payment is made.
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TERMS: RALANCE DUE ON COMPLEnON
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Purchaser agrees that final price will be date. Ined by total footage installed, and may be different than estimated. Purchase
also agrees that all products delivered and Installed remain the property of Mossy Oak Fence until full payment is made.