HomeMy WebLinkAbout2421 Maple Ave (6)R
Permit #
Job Address: L i
Description of Work: ��
Historic District:
CITY OF SANFORD PERMIT APPLICATION
Q� J O I
J'[ Value of Work:
Date: S44eK er 7, �7,00g
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Permit Type: Building
—Z 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 (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: /Sa S
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X)
Parcel #: 3p P? — jo " 5-3 — Is-oo --Qo /A (Attach Proof of Ownership &Legal Description)
Owners Name((& Address: O �� n . � ' iJ2i QMD. A t,[ aZ � Me t� �
50LVI. 0✓G0 Lr%77dI Phone:
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Contractor Name & Address: J I /� Q 3801 I�e%4 1.4 tee Alatd MA SIJ
/-4Ke i/�6 y IrGC Ge a 7,41 / State License Number:
Phone &Fax: 0 �(�- 115 r�(p �s%L3 0 [ ct Person: t�! {yt C[ /l f% Phone: 'IVI `330- 760
Bonding Company: 0 o ' ` 4
Address:
Mortgage Lender:
Address: n�F n
Architect/Engineer: / nE� (-n ZU®� Phone:
Address: ((`� R� Fax:
Application is hereby made to obtain a permit to do the work and installafIonss 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 additioLpe required from other governmental entities such as water management districts, state agencies, or federal agencies.
Acceptance ofpermit i eritic n ot' the owner
oof the property of the requir�er*iss of Florida Lien Law, FS 713.
Stgnat e of Owner/Agent Date Sin ture of Contractor/nt Date
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c,.e's /� •S'i' .• .�i.� 7` Ana ,� N,�r V ' K4� ��� .
Prt Owner/Agent's Name Pri t Contractor/Agent's Na e
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igna re, -State of i16%aRIA BURKE Da Sig atureofNotary-State of Florida Date
_Notary Public - State of Florida
MYCa ExpimNov 29.2MU 6282 ::::J::
ry, DO 0Q�7
Own /AgC'n 18�/IJ� t�>ki&91j Aaut. o a T r/ et
ed Iju 18003-NOTFlR FL Notary
APPLICATION APPROVED BY: Bldg:` Y e J 2 -d ( Zoning�E N )O A o`I Utilities: ~ C d
(Initial &Date) (Initial &Date) (Initial & Date) (Initial & Date) 10�1
Special Conditions:
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PRACTICE OF GENERAL DENTISTRY
Sign Panel to be made of 1/4 inch thick alumalite CPA core. Posts are 5"x5 x74" and made of
PVC fence stock. The posts will be placed 30" into the ground. Other trim materials will be made
of PVC. Landscaping (not shown) to cover 4 feet on either side of the sign.
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Sign Location
2421 Maple Ave.
Total Building frontage is 60 feet.
There is a wall sign that measures
12"x69" (5.75 ft. 2)
y' lands�js�
sc46acr io be
Nulj#+UrA 61
W. 24th PL
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PLANS REVIEWED
CITY OF SANFORD