HomeMy WebLinkAbout3815 S Orlando DrU' - �, �� rJ w' CITY OF SANFORD PERMIT APPLICATION
Application # : Submittal Date: _ �V1ryY 0
Job Address:_:3915- -5, Value of Work:L- 7uu?yl
Parcel ID: /z/- 2-0 - 30 SUi ^ dDOD (-)oze-) Zoning: •x S Historic District:
Description of Work: -e-,41 ,e P_ Y-Yr15nu-rld 51. z,)"4A iQ&610nS Square Footage: 3/0
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Permit Type: Building ❑ Electrical ❑ Mechanical ❑ Plumbing ❑ Fire Sprinkler/Alarm ❑ Pool ❑ Sign ❑-"
Electrical: New Service - # of AMPS Addition/Alteration U"- 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
Occupancy Type: Residential ❑ Commercial ❑ Industrial ❑
Plumbing Repair- Residential ❑ Commercial ❑
Occupancy Use Group(s):
Construction 'Type: # of Stories: /1 of Dwelling Units: Flood Zone; (FEMA form required )
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Property Owner: Kec 'elwk Contractor: 1V/C. 5)gn.S:
Address: 250 Iq
/P-A'kLycc7 Address: %13-S %rho"'tc15s(i/rl
IrY�ingJjArY__ �7T_ �� 35 y(19i1 l�cli�r-l.
Phone: E-mail: _ I'll otic: 3yG. X75;? -2771 State License Number: C -S /2 Lcyy?`,(
Bonding Company:
Address:
Mortgage Lender:
Address:
Architect/Engineer: b"k 'il) ill ee'-) n� .CL r. Phone: 06 J-- S3C/- z/UG l
Address: ;905-1 C'.Prurlir,'- %lkp- & 1'delbylrtl% . ::5/7t/, Fax: ?4-V - S,3 9 - 08S l
I'lan Review Contact Person: 7)>7Of EL4 A/V Phone: •3yG'•S'/"/• 01-0Fax: Jhf6-a- Y2 . SOL', E-mail: V9 5 1 (,•V5 „ a//Svv-rr , /16-9—
Application is hereby made to'oblain a permit to do the work and installations urs indicated. l certity that no work or installation has commenced prior to the
issuance of a permit and that all work will beperi-ormed to meet standards of all laws regulating construction in this jurisdiction. I understand that a separate 1
permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and
AIR CONDITIONERS, eta
OWNER'S AFFIDAVI'f: l certify that all of the foregoing infortnation is accurate and that all work will be done in compliance with all applicable lawsi regulating
construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMF,NCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING; CONSULT Wall YOUR LENDER OR AN
AT l'ORNL:Y 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 t'edcral agencies,
Acceptance of permit is verilication that I will notify the owner of the proUerty of therequirements of Florida Lien Law, FS 713.
os -/ 07%6
Signature of Owncr/Agent - Date Signature of Contr,Kictoor/Agent Date
Print Owner/Agent's Name
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID
APPROVALS: ZONING: Z(6 `7 'J,'°-7 UTIL: FD:
rint C mractor/Agent" anie
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Signature of Notary -Stale of Florida Date
DAVID WILLIAM CLARK
* * MY COMMISSION # 00 271586
EXPIRES: December 2, 2007
�r'rEOF f�, 4' Banded lhru Budget Notary Services
Contractor/Agent isKnown,to Me or
Produced ID
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INTERpLAN
ARCHITECTURE
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INTERIOR DESIGN
PROJECT MANAGEMENT
AA 003420
CA 8660
933 LEE ROAD, FIRST FLOOR
ORLANDO, FLORIDA 32810
PH 407.645.5008
FX 407.629,9124
SEAL:
ROBERT ZIEGENFUSS, P.E.
FL. REG. #56752
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BR.FL.C.DNA
3815 ORLANDO DR.
SANFORD, FL
COPYRIGHT @ 2003
INTERPLAN LLC RESERVES
COPYRIGHT & OTHER RIGHTS
RESTRICTING THESE DOCUMENTS
TO THE ORIGINAL SITE OR
PURPOSE FOR WHICH THEY WERE
PREPARED. REPRODUCTIONS,
CHANGES OR ASSIGNMENTS ARE
PROHIBITED.
IPROJECT NO; 2002.0721
DATE: 5-07-03
1) � I.- C21 Oto
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NORTH
CHECKED:
MODIFIED: 01/27;04 11:44:17 J:\A--J\AMSOUTH\2002.0721\02721C1.DWG 1"-20' CIAASF