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HomeMy WebLinkAbout2725 S Orlando BlvdCITY OF SANFORD PERMIIT APPLICATION Application 4: ©*9-J/7' )— Submittal Date: % � �C't�;�'� 0d.1)klJU I GOA x1yj �R/t��d�u{ R 3z?23 Value of Work: $ 200 Job Address: /ti c� Parcel ID' Zoning: Histo .c Distri _ 1 ti Description of Work:.)....„. . .......... .... t k......... �h .. fl �quare•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 ❑ Industrial ❑ Occupancy Use Group(s): Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required I ..............................................................................,.�j.......................................... Property Owner: actor: 2wh t e_ Cun);'%Qucfijc.✓ Conti -actor: jp Address: Address: , G. fn f �" r ✓� u'' l iZ ni- e , %,/�' �� �S� J Phone: E-mail: Phone: G''/ -3%2_",,d 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: 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: to 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 l will notify the owner of the qoperty of t equirements offlprida Lien Law, FS 713. r 7-07 Signature of Owner/Agent Date tigg-atu f Contrac or gent Date Z k Print Owner/Agent's Name Pri t Con�eto g ne stne st Name Signature of Notary -State of Florida Date ignature of Nota - tate of Florida Date ti'sD� BJ , It �� MY COMMISSION # DD62909c. OF EXPIRES: Februa: y 25, 201 i 1.800.7 -NOTARY Ft. Not Di, yw pax, r•o Owner/Agent is _ Personally Known to Me or Contractor/Agent is _ Personally Known toor'! ,. Produced ID q Produced ID APPROVALS: ZONIN : / % UTIL: FD: ENG: BLDG: Special Conditions: Rev 07.07�j 00 3 3 S� lwsar- co�' R = 5614.65' f f s L=117.30 FT CH = N 21021140" E CL= 117.30' --y CONTRACTOR COORDINATEf WITH CRY OF FORD y ES CATION TI EEXAOf / >j u WA SERVICE �,�. I METER f °-,!TOF 1 v T F f `d `SEN MARK 46' BEND WCFH THRUST BLOCK J r OONTRACTOR TOCOORDkNAiE WRH LOCAL GAS COMPANY FOR LOCATION 671E-tN OF PROPOSED 1S" c GAS SERVICE f; `. NEW 6906' jj : f• ' F J •;...., •-. / c CONCRETE TRANSFORMER PAD 111 SUNG BO HEET D FQRDET d, j / J slpj W agtr. C°� If f f n`p � Avg C.O. f OF CULVLR7'O2e,ZS�p�j�S I t• v B j O.O O d l ' GREASE TRAP ^y. �. I[TRAFFIC RATED LID) tt INV OUT =49.39 r„ cvRB i CF 2 3 4. 5. TOP - 02D "•.��_-_ cvu R'r =;a.xz to°s� c TOr a,�'5 9NV aa.3Z :{it, OF (AIRS 1 ?. nP Ds c�� A8 91 CONTRACTOR TO PROVIDE; MIN OF 1 FOOT CLEARANCE FORSEWERLATERAL CROSSING IN THIS AREA P O: � t:UMi CONTRACTOR TO FIELDVERIFY Y � yQ, LOCATION OF EXISTING SEWER • SERVICE FOR EXACT TIE4N,,, OF PROPOSED SEWER SERVICE CONTRACTOR TOCOORDINATE WITH CITY OFSANFOR % 6 SEWER UTMIES FOR EXACT a TION 671E -IN 4F PROPOSED DUMP OR S T PAD FR WAY \CON CTOR TO SLOPE AVOIDARAINWAATER FROM ENTERING SANITARY M) SYSTE I�� Ej'9• �OfSa, �PeF tra `e qQpZ TO- OF CARR �9.g2 prillimom - T03" OF CURB 1/\) - - _ _ ., __ „... .....,,.,owwaw / »D.Oa- •.ems '• I, aL6OerAx. TAX PARCEL NO. 11-20-30-5QU—ODOO-0020 I IUMCO OF MERRRi?i ISLAND INC. r IAT 2 OF PB 82, PC 38-40 %�rTtPS)F'cx3s 4F. f8