HomeMy WebLinkAbout2939 S Orlando DrCITY OF SANFORD PERMIT APPLICATION
Application # : 1 f �J r Submittal Date:
rr��-� ` �1 t T" •f a,
Job Address: ��'-'I5� , OL I(n,, -) itt 1 ��llC_1 Value of Work: S r�GV `I`/A �1
Parcel lD: l]' `�(�)' te7� t)"� ULA ' �2�( _ Toning. _ Historic District: _
C' i �ctC�
Description of Work: _fit —t cy7uare Footage:____
............................................................................................. ........................
1,ermitType: Building El Electrical 1, Mechanical ❑ Plumbing ❑ Fire Sprinkler/Alarm ❑ Pool ❑ Sign ❑
Electrical: New Service —# of AMPS Addition/Alteration ❑ Change of Service ❑ Temporary Pole ❑
Mechanical: Residential ❑ Non -Residential ❑ Replacement ❑ New ❑ (Duct Layout & Energy Cale. Required)
Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # of Cas Lines
Plumbing/New Residential: # of Water Closets Plumbing Repair —Residential ❑ Commercial ❑
Occupancy Type: Residential ❑ Commercial 19 Industrial ❑ Occupancy Use Group(s):
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA Form required)
.........................................................................................................................
�1� k )Pn . n Contractor: kX m Am .9HCln`')
Property Owner: i�� 1n \ `
Address:le'�'(� n \(--e- ~����C._� Address: \1 tr-t
nonndn n,,
Phone:(-.�-('7� - '��Mu E-mail: Plwue: —F}-r)a5tate License Number;psc�.�
Bonding Company:
Address:
Architect/Engineer:
Address:
Plan Review Contact Person:
Mortgage Lender:
Address:
VA 0'n(74 ! . • Phone:
Fax:
Phone: Fax:
E-niail:
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 ora 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, 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 NO'T'ICE 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 Tound 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
lnnotify the owner of the property
-o�fthee re tnirem�ents�of lotida Lien Law, FS 713.
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Signahirao weer /Agent Date Signaf4Lv—oP outractor/Agent ata
Print0 ll s Name Print Contractor Agent's Name
Sig re of Notary -State of Florida Dale
,�f P Notary Public State of Florida
Natalie Lee Steele -Torres
My Commission DD495642
orExpires 12/01/2009
Owner/ en
Produced ID
APPROVALS: ZONING: -'1.1 7 ' % •° -1 UTIL: FD:
Special Conditions:
Rev 07.07
of Notary -Stale of Florida Date
Notary Public State of Florida
Natalie Lee Steele -Torres
1 My Coission DD495642
of ry / rmnExpires 12/01/200
Produced ID
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NAME: OUTSIDE LIGHT—QUAD
DESC: OUTSIDE QUADRUPLE LIGHT POLE
NAME: OUTSIDE LIGHT—TPL
DESC: OUTSIDE TRIPLE LIGHT POLE
^�Q NAME: OUTSIDE LIGHT—DBL —
�J DESC: OUTSIDE DOUBLE LIGHT POLE
NAME: OUTSIDE LIGHT—SGL
DESC: OUTSIDE SINGLE LIGHT POLE
NAME: PWR POLE
DESC: OUTSIDE POWER POLE FOR POWER WIRES
NAME: _._ MAN HOLEM COVER
DESC: COVER FOR MAN HOLES ON PREMISSES
NAME: VENT RISERS
DESC: GAS VENT RISERS FOR VENTILATION OF TANKS
—
o NAME: STOP SIGN
�J DESC: STOP SIGN
NAME: TRAFFIC SIGN
0 ❑ DESC: TRIANGULAR TRAFFIC SIGN
NAME:: DIRECTION SIGN
/,\V 41 \,V AV ❑ DESC: RECTANGULAR DIRECTIONAL SIGN
BLDG NAME: FAUCET
�V �V LIGHT, DESC: OUTSIDE FAUCET FOR STORE
-- NAME: FIRE HYDRANT
_ DESC: FIRE HYDRANT
NAME: GAS SHUT OFF
DESC: EMERGENCY GAS SHUT OFF SWITCH
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7 -ELEVEN B DG LIGHT NAME: HANDICAP PARKING
DESC: HANDICAP PARKING SYMBOL
�-% IS T ❑ R E # NAME: AIR & VAC
IGAS PUMP GAS PUMP I \� 10 DESC: -OUTSIDE VACUUM AND AIR MODULE
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32869 Q NAME: TRASH CAN
DESC: OUTSIDE CONCRETE TRASH CAN
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DISCLAIMER
THIS IN NOT A LEGAL DOCUMENT.
INTENT IS TO ESTIMATE SITE
DIMENSIONS BASED ON VISIBLE
PHYSICAL IMPROVEMENTS USING A
MEASURING WHEEL.
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Revisions
Verify By
MKH
Drawn
DJH
Scale
Date
9/16/2002
Sheet
1
of
2
Drawing
Number
32869SP