HomeMy WebLinkAbout2714 Ridgewood Ave Bld 1REC..-- {
JAN 2 4 2012i CITY OF SANFORD
BUILDING & FIRE PREVENTION
BY: ; PERMIT APPLICATION
Application No: Q Documented Construction Value: $ (z) . �
Job Address: _ n 1 w k ?CA hG WooeA 4!1- 31d 1 Historic District: Yes ❑ No IIS
Parcel ID: d Z• Le —30 -• 300 o&4 L10 • oovo Zoning:
Description of Work: =v%6"11 A4 D cera -Hlab. ,Jens- �evKe"s c!
Plan Review Contact Person: Title:
Phone: Fax: E-mail:
Property Owner Information
Name 01d + —My�. Phone:
Street: 3D 1 .5. A'14j Vonk lt44-- Resident of property? : D
City, State Zip: W• P 45/ 3 L7 V OI
Contractor Information
Name OyV, E11edkn tift[ SvC&Phone: U1-377,,t{00S-
Street: Vim QtrL .4,,%4- Fax:
City, State Zip: Or►14h do IzEng?y State License No.: CA 136 tV3 K T
Name:
City, St, Zip:
Bonding Company:
Address:
Building Permit D
Square Footage:
Architect/Engineer Information
Phone:
Fax:
E-mail:
Mortgage Lender:
Address:
PERMIT INFORMATION
Construction Type:
No. of Dwelling Units: Flood Zone:
Electrical D
New Service — No. of AMPS:
Mechanical ❑ (Duct layout required for new systems)
No. of Stories:
Plumbing O
New Construction - No. of Fixtures:
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, beaters, tanks, and
air conditiorners, etc. .
OWNER'S:AFFIDAVIT: I certify that all of the.-Cuegoinganformation•is accutate aho:that all work will
be done in compliance with all applicable laws regulating copstruction ani toning. .
WARNING TQ OWNER:-YOU12.FAILU A;TO.AECORD-A NOTICE O�:.CON�VIENCEMENT 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,'tle•regdirements of this permit, there may be additional,restrictlgns_appl-icab•1e to this
property that.may be found in the public records of this county, and there miy•be•additional. permits required
from other governmental entities such as water management districts, state igencies, of 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 reseive the-right-to•calculate the
plan 3eview. 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
Print Owner/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:
COMMENTS:
Rev 11.08
Signature of Contractor/Agent Date
Aew'A PH Ire l - :;r-
tractor/Agent's Name
Print
tg aturc o Notary -State or Florida Date
El
Contractor/q9 v"."" 'T ;�}I?' Known to Me or
Produced IDs "� �= ti T ` � !%C.
UTILITIES:
-'Ld' •'••.....••.tee
ENGINEERING: FIRE: DING: