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HomeMy WebLinkAbout2540 Jewett Ln (2)' CITY OF SANFORD PERMIT APPLICATION Application # : - ©� � S3%%ZSubmittal Date: Job Address: J P_(,t.- P,'1 4— �- H 4v►.�v d [� 7� / Value of Work: $ � 5� DQ C3, o 0 Parcel ID: -/ 9 - 3Q_ -5,4i - &W Q, (2 (3 n Zoning: Historic District: / ',J f1' e /ass pio dc�� /�h ,�ool�" ,:a Svc) Description of Work: �_5A(Z/'0:lo H Pow asp ,��o� � r,r F Sq re Footage: .............. ........... ..r................. V.... ...•............................................................... .}. 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 CIosets 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: ; "06 %- . X ] Ccz cl/c ✓ S Contractor: ��1C ..Se Address: a2 5 o_ t Address: /5 ' �� � 42 r- _�., 400 - d rr _-� '� 7 7 � - SQh 'w Y2'-7 / Phone:'Y07-=-.W°Ozs E-mail: Phone: State License Number:/" 4 0 1 Bonding Company: Address: Architect/Engineer: Address: Plan Review Contact Person: Mortgage Lender: ' 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. 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. eptce of mut is verification thpt I will notify the owner of the property o he requirements ori to La� FS 713. Si r f Owner/Agent Date �` / Sign e of Contractor/Agent / Date Printn /Age am ePri t Contractor/Agent's Name K.. Sigrure of Notary -State of F i Date Signature of Notary -State of Florida Date 7 Y A Natty PUblic 80 MRALDINE L TEGM * 811 k40'Fr, MYCOMMISSION 4 DD Row Owner/Agetft is Perso lv �/ EXPIRES:Got W23,2DO9 �j �?�"' Contractor/Agent is Personally KnrProduced I1 '? ,� > ProdcedID Th,84d 1U<;,' —�1zG10 APPROVALS: ZONING: UfIL: FD: ENG: BLDG: Special Conditions: Rev 07.07 O9 — �•xtruders . Internatifff"Jnc. QFFICE I;_a C Code violations found during inspection Air balance test required: Air distribution are required to be corrected. systems exceeding 65,000 Btu/h shall be tested, Plan/permit issuance does not grant adjusted, and balanced by a licensed mechanical approval of a code violation. 2004 contractor (max. 15 tons), engineer, or a company or individual certified from a recognizec 109.1 testing and balancing organization. 2004 FBC 13-410.1.ABC.4.1 I Intl it Lit H 111111118 111 la 11111 IN 1113 111 101 I i lit 011111111 NRRYANNE MORSE, CLERK OF CIRCUIT COURT RECORDING DATA Etc 06734 P4 1318,- (1P9) CLERVIS 2007091510 REC1ORi D 06/W207 207 03:14147 PN REMIRDIN6 FEES 10.0 ��py REr�RDED BY T Seth ��R11F1ED MORSE CpUF �ARYpN�E pF CIRCUIT CIER IySY; c MIN NOTICE OF COMMENCEMENT C ERK o p THE UNDERSIGNED HEREBY GIVES NOTICE THAT IMPROVEMENTS WILL BE MADE TO CERTAIN REAL PROPERTY, AND , IN ACCORDANCE WITH SECTION 713.13 OF THE FLORIDA STATUTES, THE FOLLOWING INFORMATION IS PROVIDED IN THIS NOTICE OF COMMENCEMENT. ETURN TO: TWC SERVICES DDRESS 150 MARITIME DRIVE SANFORD, FLORIDA 32771 THIS INSTRUMENT PREPARED BY: TWC SERVICES/JOHN NICKERSON ADDRESS: 150 MARITIME DRIVE SANFORD, FL 32771 PROPERTY APPRAISER'S 26-19-30-SAE-80OG-0000 IDENTIFICATION NUMBER PERMIT NUMBER (S) STATE OF FLORIDA SEMINOLE COUNTY OF: LEGAL LEG S 307 FT OF E 1/2 OF BLK 80 MM SMITHS SUBD PB 1 PG 55 DESCRIPTION OF PROPERTY GENERAL DESCRIPTION INSTALLATION AIR CONDITIONING EQUIPMENT OF IMPROVEMENTS OWNER: FLORIDA EXTRUDERS 2540 JEWETT LANE SANFORD FL 32771 ADDRESS: WO# OWNER'S INTEREST IN GLASS EQUIPMENT IMPROVEMENT SITE OF IMPROVMENT FEE SIMPLE TITLE HOLDER NONE (IF OTHER THAN OWNER) ADDRESS: CONTRACTOR: TWC SERVICES ADDRESS: 150 MARITIME DRIVE SANFORD, FL 32771 PH: 407-695-6700 FAX: 407-330-7451 LICENSE NUMBER CAC045894 ANY PERSON MAKING A LOAN FOR THE CONSTRUCTION OF IMPROVMENTS . / ADDRESS: PERSON WITHIN THE STATE OF EDWARD W. GRESH FLORIDA DESIGNATED BY OWNER UPON WHOM NOTICES OR OTHER DOCUMENTS MAY BE SERVED AS PROVIDED BY SECTION 713.1.3(I)(A) 7, FLORIDA STATUTES. EXPIRATION DATE OF NOTICE OF I YEAR COMMENCEMENT( I YEAR FROM DATE SIGNED UNLESS NOTED). SIGNAT( i E OF OWNER/REPRESENTATIVE PRINTED NAME OF OWNER/REPRESENTATIVE NOTARY RUBBER STAMP SEAL SWORN AND SUBSCRIBED BEFORE ME THIS— --- DAY OF ` 419��. (CHECK ONE:) [ FIANT IS PERSONALLY KNOWN TO ME, P&, NoWy Public &A of R tll [ I AFFIANT PROVIDED THE FOLLOWING TYPE OF IDENTIFICATION: - O01,Y 40 Warren David ^ My CommiWon Do 402 r® M B#res1 NOTAR SIGNATURE \�'� � rft" v, � � �� > PRINTED NAME