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Job Address:
Description of Work:
CITY OF SANFORD PERMIT APPLICATION
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Date: i - /y a s
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Historic District: Zoning: Value of Work: S
Permit Type: Building V" Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool
Electrical: New Service — # of AMPS Addition/Altcration Change of Service Temporary Pole _
Mechanical: Residential Non-Rcsidcnlial Replacement New (Duct Layout & Energy Calc. Required)
Plumbing/ New Commercial: # of Fixtures 11 of Water & Sower 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: blood Zone: (FEMA form required for other than X)
1111111
Parcel 8: ZS q _3 — rJ c' — 0 2 000 (Attach Proof of Omrnership& Legs I Description)
Owners Name & Address: S
G3• ' R Gr nC.L t—,n r _11z 8\m.a 13`'r Lt it: X0— Z Contractor
Name& Address: Q_QL.1/" CID NC_Tt2UCTt 0_I\l_ _ CmRP. , S'7oL ire Z Pr. e k 1.
iZr)2 Stale License Number: C GC O S9 O 4 S Phone & Fax:
O - i Fox y& 6 Contact Person: S U Swn nC LJ : \ &AP. r Phone: Sip 1 —C7W {D% 3Q 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 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,
cic. OWNER'S
AFFIDAVIT- I cerify 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 permi44'Nuircd from other governmental entities such as water management districts, state agencies, or federal agencies. Owner/Agent
is I'craonally Known to Me or Produced ID
APPLICATION APPROVED
BY: Bldg: 4 Special
Conditions:
Initial & Date)
of the
requirements I=Y cn Law, FS 713. Signatu# df
Cdntraetor/Agent Dale v C11ntractor/
Agrnl'
s
N c of
Notary -Stale of Florida Datc roe";.°0ai
FLORENCE A. DE GRAVE MY COMMISSION #
DD 16428Q Con t
iiXPIRE Nove er 12, 2006 ID gat
di s QWfp{o Mc or Zoning: Utilitica:
Initial & Date)
Initial & Date) (Initial & Date)
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P W\••,• Ras NM
Rolyn Constitution Corporation
6104 Twain Strect
Unit 101
Orlando, FL 32855
800) 808 -1553
Room: Building 1806 LxWxH 58'6" x 56'0" x 8'0"
1,832.00 SF Walls
5,108.00 SF Walls & Ceiling
364.00 SYFlooring
468.00 SF Long Wall
229.00 LF Ceil. Perimeter
Subroom 1: Offset 1
4%.00 SF Walls
730.00 SF Walls & Ceiling
26.00 SYFlooring
144.00 SF Long Wall
62.00 LF Ccil. Perimeter
Subruom 2: Offset 2
536.00 SF Walls
813.50 SF Walls & Ceiling
30.83 SYFlooring
148.00 SF Long Wall
67.00 LF Ccil. Perimeter
3,276.00 SF Ceiling
3,276.00 SF Floor
229.00 LF Floor Perimeter
448.00 SF Short Wall
LxWxH 18'0" x 13'0" x 8'0"
234.00 SF Ceiling
234.00 SF Floor
62.00 LF Fbor Pcrinwtcr
104.00 SF Short Wall
LxWxH 18'6" x 1.5'0" x 8'0"
277.50 Sl' Cciling
277.50 SF Floor
67.00 LF Floor Perimeter
120.00 SF Short Wall
1. R&R 3 tab - 25 yr. - comp. shingle rfg - incl. felt 42.00 SQ 235.00 9,970.00
2. Ridge cap - composition shingles 20.00 LF included
3. R&R Drip edge 329.00 LF included
4. R&R Flashing, 14" wide 35.00 LF included
5. R&R Continuous ridge vent - aluminwn 40.00 LF included
6. Painting - Minimum charge -Drip edge. 1.00 E4 135.00 135.00
l w8.4 iVNa13. 17411V/IIb IOVV 10,00500
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