HomeMy WebLinkAbout2714 Ridgewood Ave Bld 8JAN 2 4 2012
CrTY FO SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: — I I 1 Documented Construction Value: $ (z � •
Job Address: X71%} . R.."Jas, 14kmd j4�!C d Historic District: Yes ❑ No LY
Parcel ED: fP Z • 2v 7j& — 3 D b , pq 14 d .. scan Zoning:
Description of Work: ly .4iL( Ale hioc y. aJA —LA ";m .Zene P�esd cL..D
Plan Review Contact Person: Title:
Phone:
Fax: E-mail:
Property Owner Information
Name �' �I.yS6-0-x'1 Phone: Y40—• Let—
Street: ( S �Qrr► yds �t_ Resident of property?
City, State Zip:
i
Contractor Information
Name TLT`tb1�7rN�trsr.�. CIw' acc�w,i / S✓4S Phone: AXI—n7-410080
Street: Z rl it yC%,e iet, .4w. Fax:
City, State Zip: 6AC..eO State License No.: EiQ &0 1413 yP
Architect/Engineer Information
Name:
Street'..,
• s ,
City, St, Zip:
Bonding Company:
Address:
Building Permit ❑
Square Footage:
No. of Dwelling Units:
Electrical 117
New Service — No. of AMPS:
Phone:
Fax:
E-mail:
Mortgage Lender:
Address:
PERMIT INFORMATION
Construction Type:
Flood Zone:
No. of Stories:
Plumbing ❑
New Construction - No. of Fixtures:
Mechanical 13 (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, beaters, tanks, and
air conditidners, etc.
OWNER'S AFFIDAVIT: I certify that all of the;foregoing informatjon is.accurate and thst all work will
be done in compliance with all applicable laws regulating construction and zoning.
WARNING TO OWt1VER YOUR FAILURE TO, REgORD,A, NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO •YOUV'P`ROPERTY. 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, thg,regttireiinents of this permit, there may be additional, restrictipns applicable rto 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, stake agencies; brTeddral agencies.
Acceptance of permit is verification that I will notify the owner of the property of thelrequirements of Florida
Lien Law, FS 713.
The City of Sanford requires payment of a plan review fee. Xcopy of the executed contract•is required in order
to calculate a plan review charge. If the executed contract is not submitted,'w� reseivte-the hght.to calculate the
-plan "1•eyigw 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
el 1 •Ly -I2..
azure of Contractor/Agent Date
Signature of Notary -State o§ aSC0rT•1,i,* Date
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ON EXP
2F Ne 20
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Contractor/Age n 1-4 *1 � `°`Known to Me or
Produced ID Pa
UBLIC. %
APPROVALS: ZONING: UTILITIES: WASTE WATER:
ENGINEERING:
COMMENTS:
Rev 11.08
FIRE:
BUILDING: