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HomeMy WebLinkAbout2804 S Park Ave (4)CITY OF SANFORD PERMIT APPLICATION Application Submittal Date: S — J / O 1 Job Address: S _ ` J Value of Work, S a S _ ©� Parcel [D: Description of Work: Zoning: Historic District: Square Footage: \ 5 (f0 ..... ....... ........ .....f....................................................................................... Permit Type: Building ❑v Electrical ❑ Mechanical ❑ Plumbing ❑ Fire Sprinkler/Alarm ❑ Pool ❑ Sign ❑ Electrical: New Service — # of AMPS Addition/Alteration ❑ Change of Service ❑ Temporary Pole ❑ Mechanical: Residential ❑ Non -Residential 0 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 4 Commercial ❑ Industrial ❑ Occupancy Use Group(s): Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required) ........................................................................................................................ Property Owner: G a Contractor: Address: a z of :E�. 0aC \L Ay Address: S�n�oc& 'K-- L Phone. -V6'7 3$3-70GS E-mail: _!A�_Dt c�� •0(_ j 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 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 verific 'on that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713. 5-A 14-0 1 Signature of Owner/Agent Date Signature of Contractor/Agent Date Print er/Agent' arae Print Contractor/Agent's Name Sign Notary -State of Florida Date Signature of Notary -State of Florida Date Owner/Agent is _ Produced ID APPROVALS: ZONING: Special Conditions: Rev 02/2007 Personally Known to Me or UTIL: FD: Contractor/Agent is _ Personally Known to a or � ry Produced ID 6-1','(,lJ ENG: BLDG: Jl`-NQW Lw;0,-,\)oWS CD LJ S 5 /tj a\ O'\ W` � G Q\N SIX- d\OC\ Florida Building Code Online Page 1 of 2 7 U IPItrOMP+tUNIXY t?LA�. NNING i HOUSIPlG S COMMUNITY i9EVEL0PMENT M M E ► NEIGE of TWE SECRETARY y BCIS Home I Log In I Hot Topics I Submit Surcharge I Stats & Facts Publications f FBC Staff BCIS Site Map I Links ( Search -, ur Product Approval [, USER: Public User Product Approval Menu > Product or Application Search > Application List Search Criteria Refine Search Code Version 2004 FL# 8177 Application Type New Product Manufacturer General Aluminum Company Category Windows Subcategory Single Hung Application Status ALL Compliance Method ALL Search Results - Applications FL# T�rpe Manufacturer Validated By Status FL8177 New General Aluminum Company Approved Category: Windows Subcategory: Single Hung DCA Administration Department of Community Affairs Florida Building Code Online Codes and Standards 2555 Shumard Oak Boulevard Tallahassee, Florida 3239 9-21 00 (850) 487-1824, Suncom 277-1824, Fax (850) 414-8436 http://www.floridabuilding.org/pr/pr_app_lst.aspx 5/24/2007