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HomeMy WebLinkAbout610 Mexico CtRECEIVED NOV 8 20ff t BY: CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: 1 01, � "' � � Documented Construction Value: $ 3,600. Ol:� Job Address: Lo 10 `(Y —P4i CD C� . sOtn-6rA , �- 3a►. -4--P Historic District: Yes ❑ No ❑ Parcel ID: Description of Work: Plan Review Contact Person: Zoning: Title: Phone: LW1-ag l -I l.at-I%f Fax: 1-16"1-522-CH145 E-mail: t'1Pyrna.n Property Owner Information }nrU�ah a C - CAnn Name 1i%w'Tri !ps M 155►�l +Vw"s Phone: Street: 1011D WXX 1 W a • Resident of property? City, State Zip: 5'1'6 t FL Contractor Information Name i n: an iglr (.00 rf"l-Qn t r2SY Phone: LID -j - .';Lq (- j Uy Lj Street: �)L95 Star 4?A Fax: L4"- 5aa- ONy S ^^ City, State Zip: `l. d and L 3'2,bO `-) State License No.: Name: Street: City, St, Zip: Bonding Company: Address: Building Permit O Square Footage: _ Architect/Engineer Information Phone: Fax: E-mail: Mortgage Lender: Address: PERMIT INFORMATION Construction Type: No. of Dwelling Units: Flood Zone: Electrical O 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 perlormed 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 foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF 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: In addition to the requirements 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 districts, 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 reserve the right to calculate 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 Date 7; v1446, Print Owner/Agent's Name /L a Signature of Notary -State of Florida Date Owner/Agent is Personally Known to Me or Produced ID Type of ID Signature ofContractor/Agent Date �Y1ArnQ5 (llu©n Print Contractor/Agent's Name ok&W2�,- InDma:l - 111 1 tt Signature of Notary -State of Florida Date ........... CHRISTINA E. NEWMAN y. MY COMMISSION t DD 804130 :A EXPIRES: July 8 2012 Bonded Thnt Notary PUbk UWff* fters Contractor/Agent is Personally Known to Me or Produced ID Type of ID APPROVALS: ZONING: UTILITIES: WASTE WATER: ENGINEERING: FIRE: COMMENTS: Rev 11.08 BUILDING: LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: I hereby name and appoint: '9l U chg.!,- an agent of: (Name of Company) to be my lawfui attorney-in-fact to act for me to apply for; receipt for, sign for and do all things necessary to this appointment for (check only one option): W All permits and applications submitted by this contractor. Q The specific permit and application for work located at: (Street Address) Expiration Date for This Limited Power of Attorney: License Holder Name: ��O ffyw; 14(-y-1 State License Number: C,,O2�'i3Q3 Signature of License Holder. STATE OF FLORJDA COUNTY OF �rjjn_ The foregoing instrument was acknowledged before me this _'day of 200_0, by-TV\0n-,A<, Y1i xQ►-1 who isW personally known to me or o who has produced as identification and who did (did not) take an oath. Signature Upv GREGORY MEISENBURG Y PUBLIC I STAT FLORIDA Print or type name Comm# D00936897 Expires i 0129rU13 (Rev. 3/27/07) Notary Public - State of Commission No. My Commission Expires: