The URL can be used to link to this page

Home My WebLink About2585 Mellonville AveCITY OF SANFORD PERMIT APPLICATION Application # : C)1 J Submittal Date: �0 7' ' Job Address: 25,q5 MP 1 1 onv i 1 1 e Ave i Value of Work: $ 3 5, 1 5 9. 0 0 � D Parcel ID: Zoning:2007 Historic District: AUG;QUG 1 Description of Work: Inside Pirt- Snri nkl pr yatem Square Footage: ...................................... Permit Type: Building ❑ Electrical ❑ Mechanical ❑ Plumbing ❑ Fire Sprinkler/Alarm R Pool ❑ Sign ❑ Electrical' New Service - # of AMPS Addition/Alteration ❑ Changc of Service ❑ Temporary Pole ❑ Mechanical: Residential ❑ Non-Residetit.ial ❑ 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 25 Industrial ❑ Occupancy Use Group(s): Construction Type: # of Stories: 1 # of Dwelling Units: 1 Flood Zone: (FENIA form required ) ..................................,.................................................. Property Owner: Sanfnrr7 Arnr•t A I ith I r; i -y Ranfor(antractor:Southern Fire Protection Address: 1 RPr-1 ('1 PVP1 anr1 R1 Vri 5qt-1X00 Address: _3801 F. _ S R A SAnfnrdf FT, -42773 Phone: E-mail: Bonding Company: Address: Architect/Engineer: �anfnrr�, FT 3 771 Phone40�X420 State License 99(11 Mortgage Lender: Address: Phone: Address: Fax: Plan Review Contact Person:siffan)Z Kirk Phone: 323-4200 Fax:328-8931 E-mail:tiffany@southern fire. 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 net 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 dome 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 he additional restrictions applicable to this property that ma% be found in the public records of this counh. and there may he 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 property of the requirements ofTlorida Lien I,aw, FS 713. tiignalure of (honer/AgentDate Signature o .. r Dale Robert H. -Cal dw-e1_1Jr Print Owner/Agent's Name - Print Cot trt wr//\gem's true Signature of Notary -State of'Florida Date `i gnmr) -.ur IJu t `;laic of l'lurida -- - Date TIFFANY KIRK St to of Floc' j Owner/AL,cni is Personalk, Known to Me or Produced If) ,11'1'ROVAI.S ZONING Ufll. Slnxi;tl Conditions: Notary Hui co a Contractor/,Agcm is tel1'ers„nalk f:nown iMycgpmm. exp. Oct. 29, 2010 _— Produced ID - --_—.. Comm. No. DD 609621 I, FN1C': CITY OF SANFORD PERMIT APPLICATION Application #: Submittal Date: R—c)—f)7 r JobAddress:2585 Mellonville Ave ValueofWork:$10 978 00 Parcel TD: Zoning:' Historic District: Description of Work:Ingf al 1 at i on of 11jC' Fi rrP Ma` nO 11-011 Orr A.F.F. 1 ® L007 Square Footage: ....................................... Permit Type: Building ❑ Electrical ❑ Mechanical ❑ Plumbing ❑ Fire Sprinkler- 4 4pw 4 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 )d Industrial ❑ Occupancy Use Group(s): Construction Type: # of Stories: 1 # of Dwelling Units: 1 Flood Zone: (FEMA form required ) ..............................................I.................... Property Owner. Sanford Arnrt Auth7C'ity SAnfordontr•actor: Southern Fire Protection Address: 1 - =2ed C1 dwel anal Blvd- St -e. 1200 Address: 3801 E. S.R. 46 S-Anfor-d, rte, 'j277'1 Sanford, FL 32771 Phone: E-mail: PdrQe7 3 9-1-42o tl State License Number:7 4 0 7 2 3 0 0 01 1 9 9 0 Bonding Company: Mortgage Lender: Address: Architect/Engineer: Address: Address: Phone: Fax: Plan Review Contact Person:r�,} f f� —K____ Phone: 323-4200 Fax: 328-8931 E-mailtif fany@Southern Application is hereby made to obtain a pen -nit to do the work and installations as indicated. I cerlifr, that no work or installation has commenced prior to the fire. issuance of a pen -nit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction. I understand that a separate net permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS. POOLS, FURNACES, BOILERS, HEATFRS. 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. 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 he found in the public records of this counh'. 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 property of the requirements of Florida Lien I,a+v. FS 713. Signature of Owner/Agent D.We . Igneturc ol .. -- 7.)aaI % _Robert H Caldwell Jr. L_._.�..._-_._-.. Print U+vncr/.Agent's Name frim Comm 'to lAecnt annc Signature ol'Notary-State of Florida ---'— Date Signature c Nc t Stair of I lurida — D'-• Date TIFFANY KIRK Notary public, State of Florida My comm. exp. Oct. 29, 2010 ()+vncr/Agent i:;_ Personally Known to Me or Contractor/.Agent is X11% F.C'mm( vIc DD 609621 or _ Produced I[) ---.---_ Produced 11) tilu�cial Conditions: kcc ri7.07