HomeMy WebLinkAbout215 S Sanford Ave (3)CITY OF SANFORD PERMIT APPLICATION
Application # : - (.as: Submittal Date:
Job Address: AAd e Value of Work: $ OJ
Parcel ID:
Zoning:
Historic District:
Description of Work: �.1/1%ee Square Footage:
Permit Type: Building ❑ Electrical ❑ 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 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 GI Industrial ❑ Occupancy Use Group(s):
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required)
..................:y................................................................................................
Property Owner, ���I.fJ �/�r1�0�• Contractor:
Address: & Ak, 44:�PI23 Address:
327 v
Pho 07 E-mail: UP >µr �SPA"'I" Phone: State License Number:
Bonding Company: Mortgage Lender:
Address:
Architect/Engineer:
Address:
Plan Review Contact Person:
Address:
Phone: Fax:
Phone:
Fax:
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 uirements of this permit there may be additional restrictions applicable to this property that may be found in the public records of
this county, and th may additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies.
Acceptanc�permite 'ficati�tlotify the owner of the property of the requirements of Florida Lien Law, FS 713.
Signature of tner/Age& Date Signature of Contractor/Agent Date
Print Owner/Agent's Name
L .O.fi�'f t.t�l
LAY5�
Signature of Notary -State of Florida Date
o°wggBJc 'DEBBIE +N
,y» MY COMMISSION # DD629096
EXPIRES: February, 201l
;.,_,���, FI. Notary Discount Assoc. Co.
Owner/Agent is _ Pers na ly Known to Me
or,
_ Produced ID FF�j I —E'
APPROVALS:
Special Conditions:
Rev 02/2007
UTIL: FD:
Print Contractor/Agent's Name
Signature of Notary -State of Florida Date
Contractor/Agent is _ Personally Known to Me or
Produced ID
ENG:
BLDG-
0
LDG:
.1
PLHT OF SURVEY
DESCRIPTION LOT ,-0 HNO TUC NORTH 53.5 OF L07 3
BLOCK 9 ALSO THE SOUTH 36.5 FEET OF LOT_3 BLOCK 9
CHRPMHN BIVO TUCKERS HOVITION
BS RECORDED IN PLHT BOOK 1 PHCECSI P9 OF
THE PUBLIC RECORDS Of SEI1INOL E COUNT Y, FL ORIOH
lz co
a
T
�o
I
I
118
-- ----=---------------
3PD STREET ( 50' PiW ) PAVED
CERTIFIED TO
DANTEJOE, LLC
GEORGE B. WALLACE, ESO., P.A.
CHICAGO TITLE INSURANCE COMPANY
AMERICANFIRST BANK. ITS ASSESSORS
AND OR THEIR ASSIONS
LEEEID
ELEY • ELEVATION N4D - NAIL AND DON IRK -!LOCK
FD •FOUND POR - PONi OF REOIRIIND MT • EASE1
ESMT - EASEMENT POC • PONT OF COMMeKWI P . ROM PPE
5TT - OT -Y W - CMORO BEARINGA - RADU2
(- CENTEKLAE R/1 . m'T OF WA'
• - DELTA
K -K -K - FENCE PL PROPERTY LNE C CHORD
AE] - PEIDEN" PC - IOM OF CMtVE L LWo�rt
&m • Im". CONC . CONCPETE 1 -PLAT
VD FNM- WOOD FIAME MON - M�T - R
UTt - UTLRY M • ROAD .
- FO AE1AA • 0 - SEI RESM -2251 30 fD CONC nON _ 1 C CONC MON .Ssso
T/M - TENORY II —
N.O. NATLIAL DIIOUO FF - FMINI cL00A 011 - 1EMw 4A.
M. EDWARD GORDON SURVE/YjING
TERED L"
PO Bax 1"7 $Lf� ma300 WEST e TH S FL��OR
772 'N'" 321 1720rRFZi PD , Fl -
NOTES,
I NOT VALID WITHOUT THE SIGNATURE AND THE ORIGINAL RAISED SEAL
OF A FLORIDA LICENSED SURVEYOR AND MAPPER
2 Th IIS SURVEY WAS PREPARED FROM TITLE INFORMATION FURNISIED TO
THE SURVEYOR. THERE MAY BE OTHER RESTRICTIONS OR UNRECORDED
EASEMENTS THAT EFFECT THIS PROPERTY.
NO UNDER GROUND IMPROVEMENTS HAVE BEEN LOCATED UNLESS OTHER VISE
SHOWN
A DIMENSIONSSHOWN FOR THE LOCATION OF iMPROVEMEN75 HEREON SHOULD
BE USED TO RECONSTRUCT BOUNDARY LINES.
S BEARINGS ARE BASED ON ASSUMED DATUM ANU ON THE LINE SHOWN AS
BASE BEARING IB.B.1.
0 VERTICAL CONTROL [NATIONAL GEODETIC VERTICAL DATUM )"a)
TYPE StQVEY BOUNDARYI DATE 210312005 I
I XACE I" = 30' I I
6 m 20305 1 9-a-7 I p- I