HomeMy WebLinkAbout1657 WP Ball BlvdCITY OF SANFORD PERMIT APPLICATION
Application 4: (Y1 307-1 - Submittal Date: _
Job Address: 1b 5-1 tom? 3A -ice_ �c-V� Value of Work: $
t. 1 DCS
Parcel ID: 3,2- 15 - --_� b - 50 3 - COL)o - 04>9e Zoning: Historic District: p q
Description of Work: Square Footage: 1`-�. 2 1
.....................................—...o...............................................................................
Permit Type: Building 2"'_ Electrical hd' Mechanical ❑ Plumbing ❑ Fire Sprinkler/Alarm ❑ Pool ❑ Sign ❑
Electrical: New Service - # of AMPS
Mechanical: Residential ❑ Non -Residential ❑
Plumbing/ New Commercial: # of Fixtures _
Plumbing/New Residential: # of Water Closets
Addition/Alteration ❑ Change of Service ❑ Temporary Pole ❑
Replacement ❑ New ❑ (Duct Layout.& Energy Calc. Required)
# of Water & Sewer Lines # of Gas Lines
Plumbing Repair -Residential ❑ Commercial ❑
Occupancy Type: Residential ❑ Commercial &9 ' Industrial ❑ Occupancy Use Group(s):
Construction Type: "I" "off of Stories: r # of Dwelling Units: Flood Zone: (FEMA form required )
......................................................................................................................
Property Owner: c1tt aotb �1 �i?�Ley t `��>; L'cContractor: C'tuu��T/// �t�i f 'Ct O
Address:2((>o Crit acL- 1P":&_Address: 2-68
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Phone:401-5,--3- 1t 31 E-mail:Phone: b$SR-53i`% State License Number: t50000424
Bonding Company: Mortgage Lender:
t -A
Address:
Address:
Architect/Engineer:i�Go} j2 -V t L��� ZS-� Phone: 42- i
Address: 2.2-`1 Z �ll)A:.0 i��A + �� .L��/i�2 li;:7�, Fax: 'b 1 CSS -9e'4
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Plan Review Contact Person:��-� LJ� 1u �o Phone: long -53i4ax:
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. 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 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 federal agencies.
Acceptance of permit is verification that I will notify the owner of the pr rty of the requirements of Florida Lien Law 713.
Signature of Owner/Agent Date Signature d t Date
Print Owner/Agent's Name pZConfor/Agent's Name
10 -�'o-1
Signature of Notary -State of Florida Date Signature of Notary -State of Florida Date
GEORGE R. CUNNINGHAM
MY COMMISSION # DD 339565
q•' EXPIRES: Jtfty 2 A08
t ®dnded Thm Newry 411a Whdorwrhin
Owner/Agent is _ Personally Known to Me or vn to Me or
Produced ID _ Produced IC'
APPROVALS: ZONING:
Special Conditions:
Rev 07.07
UTIL: FD
ENG:
BLDG:
Worldwide
Cragporate Identification
Sign Design
Sign Engineering
Site SL€€ ey
Permit: A,:Cxuisitioia
Pyon Signs
Niall Signs
Backlit Awnings I
Neon Man€ fad:w-<ng
Insti<(iatira�7 '.
Channel Letters
Vacwn-i Forming
Digital Sign Design ,
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Fors, color Process !
Established 1969
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October 11, 2007
To Whom It May Concern:
This letter will serve as authorization for a representative of:
Guy Wingo Signs, Inc, 2682 Pemberton Drive, Apopka, FL 32703, to act as
agent to obtain permits in their name and install signage for Thomas Sign
& Awning Company at the following location:
AT&T BSFLR3228
Market Place at Seminole Towne Center
1201 W.P. Ball Blvd, Suite 1657
Sa rd, FL 32771
�Glxx-
President
State of Florida
County of Pinellas
Sworn to and subscribed to before me on this day of
00-410 U , 2007 and being personally known to me.
Out Public
RY N
My commission expires:
SANDRA L. FORREST
* * MY COMMISSION # DD 411423
EXPIRES: July 24, 2009
Bonded Thru Budget Notary Services