HomeMy WebLinkAbout1201 W 6 Stj'� CITY OF SANFORD PERMIT APPLICATION
Application #: y �r(� Submittal Date:
Job Address: 14 0 -,C_- L 4K Value of Work: $
Parcel ID: -19 -LO-641 - (SS-OcAao Zoning: Historic District:
Description of Work: --r r ��-r:;X _7P `6� d',419110 � �1 t.. k�e�tce L I a' Square Footage:
.......................:1:.:�.Z:19�.��L;;a.° :1. R(W4x.............................. ......................................
Permit Type: Building fid Electrical ❑ Mechanical ❑ Plumbing ❑ Fire Sprinkler/Alarm ❑ Pool ❑ Sign ❑
Electrical: New Service - # of AMPS Addition/Alteration ❑ Change of Service ❑ Temporary Pole ❑
Mechanical: Residential ❑ Non -Residential 0 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: # of Dwelling Units: Flood Zone: (FEMA form required)
...................+..........................................................................................
Property Owner: COr it rim t"�t• �`d2rS �nC Contractor- ?Int' rCPd -FerY,--
Address: 'Po
eAddress:'Po e ' cIS'bP'sb Address: '_�Uy % w 5A 14(p
Phone:
mail. I orie Z;c) -OZ63 State License Number:
Bonding Company:
Address:
Architect/Engineer:
Address:
Mortgage Lender:
Address:
Phone:
Fax:
Plan Review Contact Person:0 Ina nIsrs --,M-Z- Phone: 2i21-23`i'G2G3Fax:401 (aT7'87-BS E-mail:
Application is hereby made to obtain a permit to do the work and installations as indicated. 1 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 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 th be found in the public records of
this county, and there may be additional permits required from other governmental entities such er in
state agencies, or federal agencies.
Acceptance of permit is verification that I will notify the owner of the property of the requi ents no t S713.
Signature of Owner/Agent Date Si ie f n actor/Agent Date
1
Print Owner/Agent's Name Print Contract r/Agent's Name
Signature of NotaryState of Florida Date u, ature of NotState of Florida Date
JAMA E. HERRERA
Notary Public, State of Florida
�;;_ My Comm. Expires March 25,2011
Comm. No. DD 647700
Owner/Agent is _ Personally Known to Me or Contractor/Agent is &---P-ersonally Known to Me or
Produced ID _ Produced ID
APPROVALS: ZONING:
Special Conditions:
Rev 0712007
UTIL: FD:
ENG:
BLDG:
LIMITED. POWER OF ATTORNEY
Date:
I hereby name and appointacJ))Mb� "LL y'bf COS to be
my lawful attorney in fact to act for me and app`Iy tom for
a P i/1C-F permit for work to be performed at a location described as:
Section Township Range
Lot Block Subdivision
(Address of Job)
(Owner of Property and Address)
and to sign my name and do all things necessary to this appointment.
(Printed name of Co ctor and License Number)
(Signature of Ce ' led Contractor)
STATE OFCT
COUNTY OF��1 � / j (�
The foregoing instrument was acknowledged this day of
2 by
Cv� G [ who personally
appeared before me and acknowledged that -he/she signed the instrument
voluntarily for the purpose expressed in it
R Personally Known
❑ Produced Identification
Type of Identification
(�:Signature of Notary Public, State of Florida
Print or Type Name of Notary Public
(SEAL)
•; " P
JAMA E. HERRERA
Notary Public, State of Florida
A:very
My Comm. Expires march 25, 2011
Comm. No. 00 647700
FROM :Corinthian Builders Inc FAX NO. :4073228641 Jun. 11 2007 12:31PM P2
06/08/2007 11:19 IMAX 4073231545 PREFERRED FI NCR 1a002
Lpa�fMn; Office 407-323-1123
3442 Went' S.R. 46
• � 386 -86a -a 119.
Sanford,. P1. 32779 Fora 407-323-154S,
PVC . A/uminum - Chain Link • Wood
/I 847b CONTRACT
Date Co
Is.O.NOW
Addtear gD
HEIGHT
chy
COLOR
Stste
❑ PVC
Job ata
Si'iZEt Tr
❑ Aluminum
❑ Tan ❑ &own
r-cc-irm;Aj IUNs
AN work to be pGoarmer
HEIGHT
TYPE
COLOR
❑ PVC
EjWh4te Ll Green
❑ a
❑ Aluminum
❑ Tan ❑ &own
d 6
i..- ' haln Link
❑ black ❑ Bronze
❑ 0'
o Wood
❑ Other—
STYLE TEAR DOWN & HAUL AWAY
D Yes ❑ No Footage
DFRC_RIPTIrMU
In a
r� Pnuna
C911 Phone sal 1 -0
PaxNvmber 4Nr7- q%%- Ae'4•1
n8�iannOr and In eacor0linae WO standard pnWice
POST SPACING -GATE SPECS
138 r
a e' •
OTMi R 8PECIFICATIONS
136 'cam. k 1,
, ..�
LUMP SUM TV I AL 3 l Tp 1NffIAL_ We ,are not liable for sprinkler heads and lines.
LESS DEPOSIT,,
BALANCE DUE splasman S3gnatt re �l2UC Z
7
Buyer's 9ignswre -� - Date
FOR Y0 PROTECTION We dor mommy grdar pBYstle la o nvwy n ahmn u i the lnp of ft Bales agwftnt
i
In a
r� Pnuna
C911 Phone sal 1 -0
PaxNvmber 4Nr7- q%%- Ae'4•1
n8�iannOr and In eacor0linae WO standard pnWice
POST SPACING -GATE SPECS
138 r
a e' •
OTMi R 8PECIFICATIONS
136 'cam. k 1,
, ..�
LUMP SUM TV I AL 3 l Tp 1NffIAL_ We ,are not liable for sprinkler heads and lines.
LESS DEPOSIT,,
BALANCE DUE splasman S3gnatt re �l2UC Z
7
Buyer's 9ignswre -� - Date
FOR Y0 PROTECTION We dor mommy grdar pBYstle la o nvwy n ahmn u i the lnp of ft Bales agwftnt
R _ —
PLAT OF BOUNDARY SURVEY
for
CORINTHIAN BUILDERS, INC.
Legal Description
LOT 6, BLOCK 8, TIER 15, SEMINOLE PARK, according to the Plat thereof as recorded in Plat gook 2,
Page 75, of the Public Records of Seminole County, Florida.
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CAP (#32
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CAP (#331
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ROU (NO #) I
RAILROAD R/W
SCALE: 1"=20'
SURVEY NOTES:
1) The street address of the above-described property is WEST 6"' STREET.
2) The above-described property lies in a Flood Zone X.
7
SURVEYOR'S CERTIFICATE
its is to certify that I have made a Survey of the above described property and that the plat hereon delineated
s an accurate representation of the same. I further certify that this Survey meets the Minimum Technical
.andards set forth by the Florida Board of Land Surveyors pursuant to Section 427.027 of the Florida Statutes.
REVISIONS:
'07ECT NO: 0G_ I7G
K TNER SURVEYING, INC.
R. BLAIR KITNER - D.L.S. NO. 3382
Post Office Box 823, Sanford, F1. 32772-0823
(407) 322-2000
SURVEY DATE: 3 ,APRIL 2000
CERTIFIED CORRECT TO:
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