HomeMy WebLinkAbout207 Villa Dr (4)CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: a- - as Documented Construction Value: S
Job Address: V J k \ Qrlr Historic District: Yes ❑ No ❑
Parcel ID:
Description of Work: &"(.ten c i
Zoning:
Plan Review Contact Person: Title:
Phone:
Fax:
E-mail:
Property Owner Information
Name ),,,A n n V IV), I �G �/ ��5 Phone: 43�ii - 2-3 / 7
Street: 9-e.,i l/,'& Resident of property? : z
City, State Zip:
Name
Street:
City, State Zip:
Contractor Information
Phone:
Fax:
State License No.:
Architect/Engineer Information
Name: Phone:
Street: Fax:
City, St, Zip: E-mail:
Bonding Company:
Address:
Mortgage Lender:
Address:
PERMIT INFORMATION
Building Permit O
Square Footage: /- � 'o Sof=- Construction Type: 42
No. of Dwelling Units: Flood Zone:
Electrical O
New Service - No. of AMPS:
tN
Mechanical E3 (Duct layout required for new systems)
Plumbing D
No. of Stories:
New Construction - No. of Fixtures:
Fire Sprinkler/Alarm O No. of heads:
00,
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, beaters, 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
ipen-nit is rele ed.
C
//-3
of Own /Agent mate Signature of Contractor/Agent Date
Print Owner/Agent's Name
Signature of Notary -State of
••��a "�s•..
DEBBIE BLAN70N
;•_'� `� ; Notary Public -State of Florida
•: My Comm. Expires Feb 25. 2015
s'F- commission X EE 60182
°.°;W Bonded Through National Notary Assn.
Owner/Agent-1s__ Personally Known to Me o
Produced ID Type of ID�'1l fid"^ 8
APPROVALS: ZONING: eA lo• a• Il UTILITIES:
ENGINEERING:
COMMENTS: ora fir F !�r
Rev 11.08
FIRE:
Print Contractor/Agent's Name
Signature of Notary -State of Florida Date
Contractor/Agent is Personally Known to Me or
Produced ID Type of ID
WASTE WATER:
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PLAT OF SURVEY
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SURVEY NOTES:
1) The street address of the above descTihed propi-rf.y is ;?f)7 Vi 1 I.I F)I ivy'.
2) The above desribed property lir,_, in a Flood Lone C.
SURVEYOR'5 crRTIFICATE
his is to certify that I have made a Survey of the above desrrihed properly and that the plat hr_rron delineated
s an accurate reprpsrntation of the same. 1 further rr.rtify that this Stirvr-y meets t.hr. Minimi.im Technical
tandards set forth by the Florida Board of Land Surveyors, pur.uant to `'section 427.027 of the Florida Statutes.
REVISIONS: CERTTFTED CORRECT TO:
P—AV-4 Z/�— — JOHNNY M. DAVIS
KITNEN 51IRVFYINC., INC. MAP(.-,ArU'TI'N A
R. RLA1R KITNEI? - P.I_.S. NO. 3382 KAMPI' 1'I1L� ° (;I11�1�11P•IlY
post OfficR Onx 1323, Sanfnrd, Fl. 32.777--0023
(407) 322-2000
11FCT NO: 51.111KY DATE: 15 JUfyE 1912
•