HomeMy WebLinkAbout1151 Rinehart RdCITY OF SANFORD PERMIT APPLICATION
Permit #: Date: ()r•tphar 1 , 2004
JobAdd-ress: Rinehart Rd Sanford Florida
Description of Work: Steel Building Retail Construction
Historic District:
Zoning:
Permit Type: Building X Electrical
Electrical: New Service - # of AMPS
Mechanical: Residential Non -Residential
Plumbing/ New Commercial: # of Fixtures
Plumbing/New Residential: # of Water Closets _
Occupancy Type: Residential Commercial
Value of Work:
Mechanical Plumbing Fire Sprinkler/Alarm Pool
Addition/Alteration Change of Service Temporary Pole
X Replacement New (Duct Layout & Energy Calc. Required)
# of Water & Sewer Lines # of Gas Lines
Plumbing Repair - Residential or Commercial _
X Industrial Total Square Footage:
Construction Type- * # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X)
Parcel#: 32-19-30-502-0000-0020
(Attach Proof of Ownership & Legal Description)
Owners Name & Address: Deno P Di kPnu
502 North Hwy. 17-92, Ste. 200 Longwood, FLPhone: 407-830-4888
Contractor Name & Address: (`PN ('nnc t r1hTt9Fh rr r r'
500 W. Fulton St., Sanford, FL 32771 State License Number: _f Cro]-0771
ur..,....a�..... Af17_R77_ARA1 F' 1--r 1'-- L Phone- 407-322-6841
Bonding Company:
Address:
Mortgage Lender:
Address:
Architect/Engineer: --CPH Engimeers_,Iac �,. Phone: 407-322-6941
Address:_ -5U0_ of_ Flllttin St- San fOrd3. -F.13-32771 Fax:___ 407n330-06-39-
Application
07-330-06.32
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 countya]re
may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies.
Acceptancis verifli i hat I will notify the owner of the property of the requirements of Florida Lien Law, FS 713.
f' 10/5/04 £�•�iP,,y. ►c�6�ay-
f Owner/Aeent '° Date Signature of Contractor/Agent Date
Deho P. Dikeou
Print Owner/Agent's Name
ign tune of otary-State ofFioM2o Pav 4akt, NMCYftbENFIELD
* MY COMMISSION # DD 322421
* EXPIRES: September 23, 2008
Owner/Agent is V Personally If1btfe "0 T ell Notary Smites
_ Produced ID
APPLICATION APPROVED BY: Bldg:
(Initial & Date)
Special Conditions:
* Construction Trailer
6►�1• sAtni EL—BEt�t�-� CQ� c��'ruc.��LI.0
Print Contractor/Agent's N
f O
Signature of No ry-Stae�i �rid$ifnb9rley S Mel to
�P Y+ My Commmion DDOW31
PerExpkea February 04, 2008
Contractor/Agent is'_ sonally Known to Me or
Produced ID
Zoning: Utilities: FD:
(Initial & Date) (Initial & Date) (Initial & Date)
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