Loading...
HomeMy WebLinkAbout350 Persimmon AveCITY OF SANFORD PERMIT APPLICATION Permit #: -,- I_ �� Job Address: % r p�l M r0Ckj AU - F --IN Date: Description of Work: VVIr---rU- V -Au. Historic District: Zoning: Value of Work: S RECEIVED MAR 12006 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 (Duct Layout & Energy Calc. Required) Plumbing/ New Commercial: # of Fixtures _ # of Water & Sewer Lines # of Gas Lines Plumbing/New Residential: # of Water Closets V/ Plumbing Repair - Residential or Commercial Occupancy Type: Residential Commercial Industrial Total Square Footage: 32), = Construction Type: M& # of Stories: _I # of Dwelling Units: Flood Zone: (FEMA form required for other than X) Parcel #: 26 - 19 - $0- 30d - Ooq E — ccx>o Owners Name & Address: IVA 41 Ak"0 T DAC 1%5gCo WArTEe— W IT;4 V, rax Contractor Name & Address: STE,vl . Phone & Fax: Bonding Company: l -it - zS=993c� Address: Mortgage Lender: Address: IN (At(ach Proof of Ownership & Legal Description) Phone: Contact Person: Phone: q07 - q-Zz- %7,3 O Architect/Engineer: STt F-Qe, lt,lt;- • Phone: Address ,4,ME ISAMIF- As Fax: 5AME. 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 pen -nit 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 r anagement districts, state agencies, or federal agencies. Acceptance of permit is verification that I will notify the owner of thepropeny of the requirements of F ri L w, FS 71 /L.G S 3- l - a6 -- 1/,� Cv Signature of Owner/Agent Date Signature //f C//o--ntra r/Agent Da Ad.� ePVYI w �.JO�1!/I yr Wa,0S Print Owner./Agent's Name Signature of Notary -State of Florida Date Print Contractor/Agent's Name Signature of Notary -State of Florida Date Karin L. Stetson `Ot�Y'PGB�': JP"a, Karin L. Stetson = Commission #DD153254 o....,��, -N.e.:Ex ire Owner;'Agent is "� Personally Known ti��t�,, Commission #DD ] 53CS�ru.,ctor.4gem is _Personally Known izNdvje or.•o, Expires: NOV 22, 2006 Produced ID U Q Expires: Nov 22, 2Q9�Produccd ID L/CENl(e" 'TFC° Bonded Thru 'iOF F 1pP Bonded Thru Atlantic Bonding Co., Inc. Atlantic Bondi Co. Inc. APPLICATION APPROVED BY: Bldg: _ Zoni tilities: FD: (Initial &Date) uiu Ie (initial B Date) (Initial Dat,) Special Conditions: ©0 1� r)S ! C REAR LEFT � V RIGHT FRONT SHACE. A5 SHOWN ABOVE.. ADDING NEW HORN/STROBES AND STROBE ONLY DEVICES IN TENANT SPACE AS SHOWN ABOVE. I .0;- =3o rj 1 � � o 0 o c Lo w F cn i n Cn o C a `a. <1> O o - o L � .-� C a O ® Lr") g w C*4 C"***J QCMN 00 w331 ¢c LU L% w F- u � N N LU T coo U- Y �"Dn Q 191 W C� P9 Yi aw � Q � W w � W � w PM: Rff: C) I H m ham - QD Q Q � C N ,, _. - ......_- ------�_- _� . _ _ � - ----� - �_.:-z� _. _ ,. � :. .; . _ i