HomeMy WebLinkAbout2714 Ridgewood Ave Bld 2l r
IV
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JAN 2 4 2012
11,14111,141D 113y:=RDRD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: -715 Documented Construction Value: $ &11- m
Job Address: _�.Z l�{ 2•�Iac�c�cQ l4+�¢. Blt� Z Historic District: Yes ❑ No V
Parcel ID: 87. -?,C)- 30. -400— 044140 - eamoo Zoning:
Description of Work: Tnb4-a I Ali. j) j .& W e
Plan Review Contact Person: Title:
Phone:
Fax:
E-mail:
Property Owner Information
Name (old w Tky6ae✓1 Phone:gt)7- 0 1.064-6_
Street: X&C V rk '�"=- Resident of property?
City, State Zip: to.A • R_ 3274 4
Contractor Information
Name Aer4er-vvtp.n ce- i!) rte Cl�it,��Q.� ✓ts
Street: 2.412. Ad-ert +4.
City, State Zip: Od C04Ac3 F'/ 3ZSC64f
Name:
Strget:
City, St, Zip:
Bonding Company:
Address:
Building Permit O
Square Footage:
Phone: 3Z) • �; t -loot
Fax:
State License No.: C2 (3 0 (4 3 4S
Architect/Engineer Information
Phone:
Fax:
E-mail:
Mortgage Lender:
Address:
PERMIT INFORMATION
Construction Type:
No. of Dwelling Units: Flood Zone:
Electrical Plumbing O
New Service - No. of AMPS:
No. of Stories:
New Construction - No. of Fixtures:
Mechanical 13 (Duct layout required for new systems) Fire Sprinkler/Alarm 0 No. of beads:
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 fo_>regoing information is accur,4tg aqd that all work will
be done in compliance with all applicable laws regulating construction andl•zdning. r . ,
WARNING TO OWNER YO,UR.FAILURF, TO REC�ORD� �► �NOTIU OF .COMiVIENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TU 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 additibn.tq the
!requir;oments of this permit, there may be additional restriet'ions.applicabletto this
property that may be found in the public records of this county, and there may be additional Tonal permits required
from other govdnimental entities such as water management districts; Rate agencies? or •federai agencies' -
Acceptance of permit is verification that I will notify the owner bf 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 requiredin order
to calculate a plan review charge. If the executed contract is not submitted, we'ieserve.the'nght to daloulate 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
Print Owner/Agent's Name
Date ofirnature of Contractor/Agent Date
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
APPROVALS: ZONING: UTILITIES:
ENGINEERING:
COMMENTS:
Rev 11.08
u, & 4,1 mom, 3: t= -
Print tractor/Agent's Name
_4W Ai
Signature of Notary -State of Florida Date
PIM U�y •���� n to Me or
Contractor/Agent is lid t9yl
Produced ID :y. S ID •
W&7t
FIRE: