HomeMy WebLinkAbout2714 Ridgewood Ave Bld 6! I � LEMN
4CITY OF SANFORD
BEIRE Rt= NTION
PERMIT APPLICATION
Application No: "1 Documented Construction Value: $
Job Address: _T1 n _moo, wei JS+W-,��r� �� Historic District: Yes ❑ No U/
Parcel 1D: OZ — 2d + 3 O + 3613 —•D 4440 — DOoo Zoning:
Description of Work:—XA&4*11 .414. Aid= I.lcAe p_
Plan Review Contact Person: Title:
Phone: Fax: E-mail:
Property Owner Information
Name d i' SSO.FI u Phone: 70% D S OS
Street: ! S . AACw gook X'f_ Resident of property?
City, State Zip: 37—
Contractor Information
Name &4+cd-_w_4:qL_fiVCsS Phone: 140oSe
Street: Z Y t Z 44 Gi►e.yA.. ' Fax:
City, State Zip: t>Aaylr l'D f State License No.: 1:50 f 3 4,6?
1
Architect/Engineer Information
Name: Phone:
Street, � � Fax:
City, St, Zip: E-mail:
Bonding Company: Mortgage Lender:
Address: Address:
PERMIT INFORMATION
Building Permit ❑
Square Footage: Construction Type: No. of Stories:
No. of Dwellin Units: Flood Zone:
ctrical V
ElePlumbing ❑
New Service — No. of AMPS: New Construction - No. of Fixtures:
Mechanical ❑ (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 fQregoing.information is accurate apd, that all work will
be done in compliance with all applicable laws regulating construction and zoning.
WARNING. TO ,OWNER;; YOUR FAILURE .T.O RECOOME
RD A NOTICE OF C• MMENCENT MAY
RESULT IN YOUR PAYING TWICE FOR IMMPR'OVEMEIVTS Ti 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 requires ents of this permit, there may be additional•restrictigns 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,'sfate ageriele?, 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 requirediii order
to calculate a plan review charge. If the executed contract is not submittdd, we reseNe-the•'right to calculate the
plan reviow 'fee• bagecl. 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:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
0.8.14uref Contractor/Agent Date
14 1-, %C
P t ontractor/Agent's N7
12hr���
Signature of Notary -State o lorida Date
Contractor/Agent is
Produced ID
V
Rev 11.08 ./