HomeMy WebLinkAbout417 and 419 Sanford Ave (2)r
CITY OF SANFORD PERMIT APPLICATION
Permit # : U 10
Job Address: ql r74 A-W, -ace-R,4 r'L
Date: 10 — 16 —06
Description of Work: U44ZA ,a C. - Total Square Footage
Historic District: Zoning: Value of Work: $ It 13M. 00
Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool _
i9P 10—
Electrical: New Service — # of AMPS 00 Addition/Alteration Change of Service ' Temporary Pole
Mechanical: Residential Non -Residential Replacement New (Duct Layout & Energy Calc. Required)
Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines
Plumbing/New Residential: # of Water Closets Plumbing Repair — Residential or Commercial _
Occupancy Type: Residential Commercial Industrial
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required)
Owners Name & Address: _
PO 00 )6
Contractor Name & Address:
Pbooe & Fa::
Bonding Company:
Address:
Mortgage Lender.
Address:
Arebitect/Engineer.
Address:
Pbone:
State License Number:
Contact Person: Pbooe:
Pbooe:
Fa::
7V-71
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. 1 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. 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 requi mennfFlorida Lien La%y, F5 713.
Signature of Owner/Agent Date SignaTure of Contractor/_A.Mt Date
Print Owner/Agent's Name Prig %tractor/Agent's Name_
O\ 1-1 f
Signature of Notary -State of Florida Date Signature o- o T-15ite of Florida IclMVJar A. Ic
No" Pak - so at Aoft
CH Il loltEVWJNS1.s0
COR1110110 5 DD 512M
Owner/Agent is _ Personally Known to Me or Contractor/Agent is Personally or ttbtl w &I FAM
Produced ID _ Produced ID
APPROVALS: ZONING:
Special Conditions:
Rev 03/2006
UTIL: FD: ENG: BLDG:
r.
D Tl,1JAL
POWER OF ATTORNEY
Date: Oct 16 2006
I hereby name an appoint Mark C Bolton
Of Optimal EHA to be my lawful attorney
In fact to act for me and apply to the City of Sanford
Building Department for a electrical permit
For work to be performed at a location described as:
Section Township Range Lot Block
Location: Stokes Fish Market 417,419 Sanford Ave. Sanford_
Landmark Building & Construction PO Box 4657 Winter Park FL
Owner of Property and Address)
And sign my name and do all things necessary to this appointment.
Floyd D Smothers EC0002772
Type or Print name o;,,Register of Certified Contractor and Contractor's License Number
or Certified Contractor
The foregoing instrument was acknowledged before me this 1 day of Do of 2006,
By
Who is personallynown to me/who produced As
identification and who did not take oath. State
of Florida County
o It; Mee, Notary
Public 2499
OLD LAKE MARY ROAD, STE. 116, SANFORD FL 32771 PH: (
407) 3230377 FAX: (407) 323 3766 EMAIL: optimalhtgandair@bellsouth.net EC0002772
CAC043970