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HomeMy WebLinkAbout308 N Entrance Rd 07-2083 (tents for health event)Permit JT Addr.gss: -3p Description of Work: Historic District: CITY OF SANFORD rr:Rml l AYPL1LA 11Vr4 Date: Zoning: Value of Work: $_ S-•tU 0 Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool Electrical: New Service – # of AMPS Addition/Alteration Change of Service Temporary Pole Mechanical: Residential Non -Residential Replacement New 1. (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 or Commercial Occupancy Type: Residential Commercial Industrial Total Square Footage: Construction Type: + # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X) Parcel #: a. ( -17 - 30 S C, Lo " O I ISO —Q(JU O Owners Name & Address: (Attach Proof of Ownership & Legal Description) be— Phone: Contractor Name & Address: Rlr-s!f at 41L 'N Aryv`.t 5 R.,� State License Number: O©OZ5 Phone & Fax: -1 — 106 L Contact Person: - ph.... Bonding Company: Address: Mortgage Lender: Address: Architect/Engineer: Address: Phone: Fax: 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 pric; 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. Acceptanceture 'tfica ' �'ill oti;wner of the property of the requirements of Florida Lien Law, FS 7 13. Siner/Agent Date —7 Signature of Contractor/Agent Date l� %,orJ a r �iP R�'yice,y c,-� Print Owner/Agent's Name Print trac gent's Name ofNotary-State of F rida D to (b7— Signature Signature of Notary -State of Florida Date S;kyP� Shandra Ky Murphy Commission DD221307 Owner/Agent is Personally Known o[ Me or tiJ �� Expires: At�r3Act3p9�ent is Personally Known to Me o Produced [D '9�F' 'o�� Bonded Tht'produced lD ., orlr Atlantic Bonding Efi:; Inc. APPLICATION APPROVED BY: Bldg: (Initial & Date) Special Conditions: Zoning: (initial & Date) Utilities: FD: (Initial & Date) (Initial.&.Date) CITY OF SANFORD FIRE DEPARTMENT FEES FOR SERVICES PHONE # 407-302-2516 • FAX # 407-302-2526 DATE: 0! �16q fi)-j PERMIT #: 0 - ?083 BUSINESS NAME / PROJECT:_ _ &46:1 ""r�LS -:pi UWL� Leh � ADDRESS: 6 h1a`tG, Epj(-e LQ; PHONE NO.: 40-7-1-2.Z- 1W I FAX NO CONST. INSP. [ ] C / O INSP.:[ ] REINSPECTION [ ] PLANS REVIEW [ ] F. A. [ ] F. S. [ ] HOOD (] PAINT BOOTH [ ] BURN PERMIT [ ] TENT PERMIT TANK PERMIT [ ] OTHER TOTAL FEES: $ ft -5: oo (PER UNIT SEE BELOW) COMMENTS: Address / Blde. # / Unit # 2. 3. 4. 5. 6. 7. 8. 9. 10. 12. 13. 14. 15. 16. 17. 18. 19. 20. n U) ti 0th 5/j/ Square Footage Fees per Bldg. / Unit Fees must be paid to Sanford Building Department, 300 N. Park Ave., Sanford, Fl. 32771 Phone # -407- 330-5656. Proof of Payment must be made to Fire Prevention division before any further services can take place. I certify that the above is true and correct and that will comply with all applicable codes and ordinances of the City of Sanford, Florida. Sanford Fire Prevention Division Applicant's Signature