HomeMy WebLinkAbout1209 W 6 StCITY OF SANFORD PERMIT APPLICATION
Application #: 6 f5d� Submittal Date:
Job Address Value of Work: $�QCie7• 3
Parcel ID: ICI - 2& 5,41 nwi�C� ;—{ Zoning: Historic District:
Description of Work: 7L o �n '2f o' d 0/l iAr (�n�o���nl l Ak &_ ✓tc� lit is Ck_A_ Square Footage:
........................�.............. .....................
Permit Type: Building 6T' 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 Plumbing Repair —Residential ❑ Commercial ❑
Occupancy Type: Residential ❑ Commercial ❑ Industrial ❑ Occupancy Use Group(s):
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required )
...............:........................................................................................................
Property Owner: CO'(` a1 hir��� ` `eYS 10- Contractor:� Y P Y a PC1 -FQi Y
Address:'Po e'x �ISD�SD Address: �qq
01 Wa r 13'1 " So nS�nrA�I X71
Phone:
mail: Aorie•2-39 -OZ&S State License Number:
Bonding Company:
Address:
Architect/Engineer:
Address:
Mortgage Lender:
Address:
Phone:
Fax:
Plan Review Contact Person: 0 10Q'i LnM7- Phone: �32-1-'Z `1-0263F= 407-0_7-87-6.S 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 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
this county, and there may be additional permits required from other governmental entities s
Acceptance of permit is verification that I will notify the owner of the property of the requip
Signature of Owner/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:
Special Conditions:
Rev 02/2007
UTIL: FD:
this property that may
Print Contror/Agent's Name
713.
in the public records of
:ies, or federal agencies.
of Notary -State of Florida Date
JAMA E. MERRERA
�pe Notary public, State of Florida
•' = My gomrrl. Expires March 25, 2011
t tractor/Ag@00 771. NaAWAQ17PUown to Me or
Produced ID
ENG:
BLDG:
LIMITED POWER OF ATTORNEY
Date: 1 Q'/q-6-7
I hereby name and appoint (, � n (y c�tL�r�if C�S
)� to be
my lawful attorney in fact to act for me and app` y to T— , < � for
a permit for work to be performed at a location described as:
Section Township Range
Lot Block Subdivision
C-' ,
(Address of Job)
(Owner of Property and Address)
and to sign my name and do all things necessary to this appointment.
(Printed name of Contra for and License Number)
(Signature of Certified C tractor)
STATE OFCTJ— C' r�r clcl—
r.
COUNTY OF
The foregoing instrument was acknowledged this _ l 1 day of
200-7 by
�r'(�C e Gwi� G J U 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
Si ature of Notary Public, -State of Florida
Print or Type Name of Notary Public
®i
(SEAL)
""p'''•. JAMA E. HERRERA
o ; (Votary Public, State of Florida
My Comm. Expires March 25,2011
Comm. No, Did 647700
FROM :Corinthian Builders Inc FAX NO. :4073228641
06/08/2007 11:19 FAX 4073231545 PREFERRED F6 NCt.
Jun. 11 2007 12:31PM P2
Z 002
LocafMn;
Office 407.323-1125
3442 Wean S.R. 48 3A6 -860-a 119.
Sanford'. F1. 32771 J I himma�X
Fax 407-323-1 54.3,
PVC -Aluminum • Chain Link • DVood
0476 CONTRACT
Date CO
Namelun: .5 O t� %i
7'
Addn►rr
'10 t�8 +[' anon
Cw stateJ rTt Pnono
Job $no f2._, S '� a �� �- I [Cali Pnone �
— T) —D all
pax Number
SPECIFICAT IDNS e� ....,.a «., ►,., �..,.... �, h ., ,.u,.,, .,�- -----� - __ -
HEIGHT
a
❑ 6
❑ 0, ,
'f'YPE
0 PVC
17 Aluminum
k Elthaln Link
1J Woo!
COLOR
❑ Wh4te O Green
❑ 7an ❑ Brown
❑ Black ❑ Bronze
❑ Other
POST SPACING
06..
❑ e
vo<
L7
:GATE ,SPECS
`4 0
" G • j
� 1 � •� I
STYLE
WAR
TEAR
OYes
DOWN HAUL AWAY
❑No Footage
OTHIER 8PECIFICATIONS
-5 L_ -1yl� 54s
'' trto,,.naJ3' .
LUMP SUM TOTAL 3 ;�
LSSS DEPOSIT.
RTN:-Z-104;1
INITIAL_ We are not liable for sprinkler hands and lines. .
BALANCE DUE $ Salesman Slgnata re .ZF- C .
Buyer's Sighirture — Daae
FOAL YOU PROrTECTiON w1 bus uae drok or mnt,ey aamsr psy9ble to comDary ow ahonn an tlm lip Ot tMa sales eQroertrant
1 1
r • t. M.
1 ,
" G • j
� 1 � •� I
J III
WAR
•11
001=1O
LUMP SUM TOTAL 3 ;�
LSSS DEPOSIT.
RTN:-Z-104;1
INITIAL_ We are not liable for sprinkler hands and lines. .
BALANCE DUE $ Salesman Slgnata re .ZF- C .
Buyer's Sighirture — Daae
FOAL YOU PROrTECTiON w1 bus uae drok or mnt,ey aamsr psy9ble to comDary ow ahonn an tlm lip Ot tMa sales eQroertrant
y y PLAT OF BOUNDARY SURVEY p
for
CORINTHIAN BUILDERS, INC.
Legal Description
LOT 4, BLOCK 8, TIER 15, SEMINOLE PARK, according to the Plat thereof as recorded in Plat Book 2,
Page 75, of the Public Records of Seminole County, Florida.
wood
0_�p;nIErjL
------------- �-W-----6`R'--S-TREET -----------
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SET IRON &
CAP (//3382
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SET IRON &
CAP (#3382
----------------
RAILROAD R/W
SCALE: 1 "= 20'
'ET IRON &
,AP (#3382)
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ET IRON &
AP (/}3382)
---------------
SURVEY NOTES:
1) The street address of the above-described property is WEST 6"i STREET.
2) The above-described property lies in a Flood Zone X.
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SURVEYOR'S CERTIFICATE
This is to certify that I have made a Survey of the above described property and that the plat hereon delineated
is an accurate representation of the same. I further certify that this Survey meets the Minimum Technical
Standards set forth by the Florida Board of Land Surveyors pursuant to Section 427.027 of the Florida Statutes.
REV
'R07ECT NO: O(o • 17e
KIINER SURVEYING, INC.
R. BLAIR KITNER - P.L.S. NO. 3382
Post Office Box 023, Sanford, F1. 32772-0823
( 4177 ) 322-2000
SURVEY DATE: 3 APRIL MG
CERTIFIED CORRECT TO:
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41
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Swale =-T- - 4 Swale - _ �S4 Swwale 2.77), Swale 74.03
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Proposed
p d Fence
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BLOCKr8 BLOCK 8 BL;�O�: 8 BL0��1�. � BLO�� � � O - �
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