HomeMy WebLinkAbout2564 Park DrCE
IVED
TD, NOV 17 2011 CITY OF SANFORD
BY: BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: Documented Construction Value: $
Job Address: 2S_&Y joar K fir, Historic District: Yes ❑ No JR1
Parcel ID:
�M 0 e l shw �
Description of Work:,sce-lla.yee
Plan Review Contact Person:
Zoning:
Title:
Phone: Fax:
E-mail:
Property Owner Information
Name J eror'�P_ A/(Joke c• Phone: VV3 - 4/ -?3" Z06 yp
Street: Resident of property?
City, State Zip:
Contractor Information
Name ALZn•!t 706JA/ t adUAIA14e &Zee,
Street: leo ,QOx 20/c/
City, State Zip: /QTcTq .Q .127o!4
Phone: X107- Q97- SiTz
Fax:
State License No.: EC-oDa�/yam
Architect/Engineer Information
Name: Phone:
Street:
Fax:
City, St, Zip: E-mail:
Bonding Company:
Address:
Mortgage Lender:
Address:
,P�;E,RMI INFORMATION
Building Permi D;i ,'''
��. v '
Square Footage: Construction Type:
No. of Dwelling Units:
Electrical 13
New Service - No. of AMPS:
Flood Zone:
Plumbing E3
No. of Stories:
New Construction - No. of Fixtures:
Mechanical O (Duct layout required for new systems) 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.
Signature of Owner/Agent Date Si re of Contractor/Agent
Print Owner/Agent's Name Print Contractor/Agent's Name
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
APPROVALS: ZONING: UTILITIES:
COMMENTS:
Rev 11.08
DEBBIE BLANTON
Notary Public - Slate of Florida
My Comm. Expires Feb 25. 2015
Commission I EE 60182
Bonded Through National Notary Man.
Contractor/Agent is Personally Known to Me or
Produced ID Type of ID
WASTE WATER:
ENGINEERING: FIRE: BUILDING:
ABRAMS - TOWN & COUNTRY ELECTRIC
PO Box 2014
Apopka FL 32704
Please refer all calls to:
Joe -Abrams Phone 407-847-8482
To'Whom It May Concern:
Please accept this letter as my authorization for the following individual:
(Print Name)
To acquire an Electric Permit in my behalf for the
being constructed at
Street Address: 2-6-6q f 4r e bt p
Lot *
Subdivision:
Property Owner: Al I ogle r
_de�ze
Signa / Joseph L. Abrams
State Certification #EC0000148
Sworn and subscribed before me this /V ^ Day of
/1"c' (Month) Z44/ 4/ (Year) — -
In 6 'R,4 Aj c County Florida -
Signature / Notary Public Stitie of Florida
My Commission E) ices:
ID Presented: Florida DL #A165492242150
JENNA L HARGER
-Co_mm# DD0793960
FbrWa NotaryA=rL. tno