HomeMy WebLinkAbout2700 W 25 StCITY OF SANFORD PERMIT APPLICATION
Application # : 0 T— �U�1Y/ Submittal Date: �.,Gi_J-1 t (J -t
Job Address. l�' () 1 �) ��1't � '� h < f t f P_P� Value of Work: $ t S CiA-> ..UO
Parcel ID: 13 I_ 19 '�M '- U���'. cc_CO 'Louinf Er? t uric District:—
Description
istrict:_Description of Work: r )mns '£ m C' i���r, tfi quare I' Dotage: `(
.....................:............................ :.................................................................
Permit Type: Building IY Electrical I Mechanical ❑ Plumbing ❑ Fire Spriukler/Alarm ❑ Pool ❑ Sign ❑
Electrical: New Service - # of AMPS Addition/Alteration ❑ Change of Service ❑ Temporary Pole ❑
Mechanical: Residential ❑ Non -Residential ❑ Replacement ❑ Now ❑ (Duct Layout 8c Energy Calc. Re(tuired)
Plumbing/ New Commercial: It of Fixtures It of Water & Sewer Lines
Plumbing/New Residential: # of Water Closets
Occupancy Type: Residential ❑ Commercial Ell" Industrial ❑
# of Gas Lines
Pluntbiug Repair - Residential ❑ Commercial ❑
Occupancy Use Group(s):
Construction 'Type: # of Stories: # of Dwelling Units: Flood 'Lone: (FEMA forst required )
...............................................................................`..........................................
Property Owner: r1' E J u )C� n T(�C'_ Contractor: V CAA AM
Address: l? �? IPC-' '�lr� t�� Address: ILAQ 6
oda mp FL r)l r) �l,
cY� i-11 ���fYl
Phone: �r�- ��09IIVJ E-mail: Phone- - r� State License Number:r�occ -D
Bonding Company:
Address:
Mortgage Lender:
Address:
Architect/Engineer: (K=f�2n�rf �� [�r� t�)lr� iP ( 'a.9JL i� har\&�'( Phone:
Address: Fax: _
Plan Review Contact Person:
Phone: Fax:
E-mail:
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 it separate
permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and
AIR CONDITIONERS, etc.
OWNER'S AFFIDAW : 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 COMMENCENIENI' 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 CONINIENCEMEN'T.
NOTICE: In addition to the requirements oC this permit, there may be additional restrictions applicable to (his property that may be Ibund in the public records or
this county, and there may be additional permits required from other governmental entities such as water management districts, stale agencies, or federal agencies.
Acceptance o�permit is ver'tication that I(%wiillt notify lite owner of the property of the rep ements q Florida Lien Law, FS 713.
Signature u OA mit Da urate SignF o t •actor/Agent Date
47
Print Ow•-n-eedger is Name Print Contractor/Agent's Name
`/�� � .tom _P_ 1 _eQ`Y v � �;C'�r 4 ,Q��CShll�Dl.:l�`•� 1
Sinature of Notary -State of Florida Date
v NoPry Public State of Florida
N" talie L S le -Torres
Ow erh rs' �/V i��ie o
roacw �"—€xpires�21011200
APPROVALS: ZONING: iN 1'1 b� U'I'IL: FD:
Sigaturi3 of Notary -State of Florida Dade
a
�. P , Notary Public State of Florida
Nolie Lee Steele: ones
my
Contract r/ • Za i` t�Yr�'diS,IV Y ` M or
Pru t Expires IVY
BLDG:�Q�
Special Conditions:
Rev 07.07 �q CCin ove r -;-V0'0 k'qs-\- C4,,' CC. -071 tln cl rf rtl ova a" d ne (A C. t. e.; iqc a fi Pt, 10 a
A'13•ov
NAME: OUTSIDE LIGHT ---QUAD
DESC: OUTSIDE QUADRUPLE LIGHT POLE
y NAME: OUTSIDE LIGHT—TPL
DESC; OUTSIDE TRIPLE LIGHT POLE
1710 NAME: OUTSIDE
LIGHT—D
DESC: OUTSIDE DOUBLE BLIGHT POLE T
Q NAME: OUTSIDE LIGHT—SGL
❑ \V DESC: OUTSIDE SINGLE LIGHT POLE
NAME: PWR POLE
DESC: OUTSIDE POWER POLE FOR POWER WIRES
NAME: MAN HOLE COVER
_DESC: COVER FOR MAN HOLES ON PREMISSES
---NAME: VENT RISERS ^
DESC: GAS VENT RISERS FOR VENTILATION OF TANKS
O NAME: STOP SIGN
DESC: STOP SIGN
\4/ 1j/\1/ 14/\V � NAME: TRAFFIC SIGN
DESC: TRIANGULAR TRAFFIC SIGN
\ �V NAME: DIRECTION SIGN ^.
DESC: RECTANGULAR DIRECTIONAL SIGN
NAMEFAUCET
DESC: OUTSIDE FAUCET FOR STORE
_ NAME. FIRE HYDRANT
DESC: FIRE HYDRANT
NAME: GAS SHUT OFF
DESC: EMERGENCY GAS SHUT OFF SWITCH
NAE; HANDICAP
DESC: HANDICAP PARKIING SYMBOL
NAME: AIR & VAC
DESC: OU Z)IDE VACUUM AND AIR MODULE
NAME: TRASH CAN
DESC: OUTSIDE CONCRETE TRASH_ CAN
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STORE # LIGHT
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DISCLAIMER
THIS IN NOT A LEGAL DOCUMENT.
INTENT IS TO ESTIMATE SITE
DIMENSIONS BASED ON VISIBLE �V
PHYSICAL IMPROVEMENTS USING A
MEASURING WHEEL.
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Revisions
Drawn
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Scale
1 "_15)
—0
"
Date
09/17/2002
Sheet
1
of
2
L�l[:] R00 yV0Hnu
Drawing
Number
2 5 8
8 25 P
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