HomeMy WebLinkAbout2714 Ridgewood Ave Bld 7REC,,� _ :I]EDJAN 2 4 20CITY OF SANFORD
BY:—__. _._DING & FIRE PREVENTION
PERMIT APPLICATION
Application No: Documented Construction Value: $ (OZ! • 104-
Job
vJob Address: Zj ILi kjVc e_j&*cA JAgt, fid 7 Historic District: Yes ❑ Nog'
Parcel ID: Off. ^ 7-0 -34 , 300 ^ cb W40- • o O 0 O Zoning:
Description of Work: Ty%t44It AfG Dict p" �[ce�.- ule,40_ 2,040��
Plan Review Contact Person: Title:
Phone: Fax: E-mail:
'� , n Property Owner Information
Name Yr c'�.-tt Phone: 14N- (ice(/ - OS O S
Street: 30t S. '4'44e- Resident of property? : oolt
City, State Zip: kt-ft- 3Z-2f1
Contractor Information
Name n r — CAeJ4,C&l 1; #t;g Phone:y0C9�r-
Street: 2C1/Z jjj e& . 46C - Fax:
City, State Zip: ��c191440 ?11,M State License No.:
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 Dwelling Units: Flood Zone:
Electrical mlr •• .
New Service - No. of AMPS:
Plumbing ❑
New Construction - No. of Fixtures:
Mechanical 13 (Duct layout required for new systems) Fire Sprinkler/Alarm ❑ 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 conditioners, etc.
OWNER'S AFFIDAVIT: I certify that all of the foregoing information js accpKpje aDd (hit all work will
be done in compliance with all applicable laws regulating construction and zoning. ,
WARNING TO, OWNER: YOUR FAILURI~ ;TO: REC ". A NOTICE QE. 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:.I,rr addition to,thie reg4ire1nents 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 districis,�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 reservd the right to calculate the
plan revievd 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: UTILITIES:
ENGINEERING:
COMMENTS:
Rev 11.08
FIRE:
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S44turic of Contractor/Agent Date
Pri Co tractor/Agent's Nam
f7h C.2w / /,�f�12
Signature of Notary -State of Florida Date
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Contractor/Ageri_[ Us�Pedb I own to Me or
Produced ID l"ype • a
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BUILDING: