HomeMy WebLinkAbout2548 Park DrCITY OF SANFORD PERMrT APPLICATION
Submittal Date: CCl�q
Value of Work: $ %485^ - vU
A.plicaticva N: 01 — 2 (O I
JobAddress: 25(y$ f pQr-�C 0c.. S1Jnri1 r- r 1 �20 a -
Parcel ID: C7 (^ — — 51 _-rO�Dh - v3ya Zoning: Historic District:
Description of Work: �J + �.?r 1(� fL�r� 1�D� J r� �LJI[�[�rn� Square Footage: i�%
................ ............................... ...aa.................a..................i .................. .............
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
Occupancy Type: Residential ❑ Commercial ❑ Industrial ❑
Plumbing Repair —Residential ❑ Commercial ❑
Occupancy Use Group(s):
Construction Type: # of Stories: I_ # of Dwelling Units: Flood Zone: (FEMA form required)
........................................................................................................................
�1 r
Property Own�, : KY4sws'+� �:: �_rL � /� �'Ar51,Q ��- Contractor:
Address: 2SLi �, '?( � DR. C Address: ^C i
SaA1 fOX-b, EL 32'1'12 �agfz rd Pi � X77 3
PhYhe?_ 613(V E-mail: Phone: State License Number: CcC, / 3272
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: 1 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 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 r 'on tha�will otify the owner of the property of the requirements of Florida Lien Law, FS 713.
% i�C211iL-�o�
S-
Signature of er/+gent Sugnature of Contractor/Agent Date
l�I r- X215' Gt �J[L LO.0 C j P M L // OLL. 2U
Owner/Agenk's Name Print Contractor/Ag ' Name
ionsl 0) a')
Date Si of Notary -State of Florida ate
Notary Public - State of Fb ift
r Cavolsft E*= Jur► S, 20
Cottt 11 DD 580313
APPROVALS: ZONING:
Special Conditions:
Rev 02/2007
rn to Me or
• SG -S2S -O
UTIL: FD:
KAYDEE DODSON `?e r j, r r— 1 y 6otrv%
N*q lWc - State of Florida Q
Catnnbelon Ettp = JO 8.2010
CwmWs*n 8 DD 580313
ENG: BLDG:
Dove Builders of Central Florida, Inc.
Sanford, Fl 32773
Phone (407) 407-322-2777
To whom it may concern:
Effective immediately, and until further notice, this letter will stand as authorization for
to obtain permits and receive Certificates of
Occupancy in my name and license for the subdivision(s) and lot(s) specified below:
Job: L%O(\ oC- �u,[a6
Thomas R. Cason
CBC040673
State of Florida
County of 'e'-,naIt
Sworn to and subscribed before me the
Personally known to me
identification.
I }'h day of fTPV�A 20 U —7
or has produced
My commission expires:
Notary Pu is
Stamp:
KAY=
No" Pubs - sto of HOW
Cort�On ENS M 5.2010
Condon d DD SB�fi�
Bonded . Nslloot! Atm;
as
Superior Roofing Solutions, Inc.
1290 Tropic Park Drive
Sanford, F132773
Phone (407) 688-6600
To whom it may concern:
Effective immediately, and until further notice, this letter will stand as authorization for
L611_c► y- ('Y\ Cdt,Cs e -q to obtain permits and receive Certificates of
Occupancy in my name and license for the subdivision(s) and lot(s) specified below:
Job: D5 YE Ya rt 'PC - Sac!&)r P ( 3D%71
poacc e 1 AD- v 1-'aD -3v Soy-- 05-m -03 y e)
Thomas R. Cason
CCC1327027
State of Florida
County of &x-• C-16 �.
Sworn to and subscribed before me the 1 p 4� day of (A 20 �.
Personally known to me or has produced
My commission expires: Jr' Z 10
Notary Pub is : Kaydee Dodson
Stamp:
�,,.•���P.,, KAYOEE DWSON
` a ¢WAY PUM - State of Fbft
Ca M*W1 o E*m Jo 5, 2010
CAnsnbabn # W 580313
BWdW NO nil Asan. :
as identification.