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HomeMy WebLinkAbout15, 16 Lake Monroe TerCITY OF SANFORD PERMIT APPLICATION Permit # : O Date: February 3. 2004 Job Address: 15, &16 Lake Monroe Terrace Description of Work: Building 5_Re-Roof Historic District: Zoning: MR-3 Value of Work: S 2.700.00 Permit Type: Building _X_ Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool _ Electrical: New Service ā€” # 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 ā€” Residential or Commercial _ Occupancy Type: Residential _X_ Commercial Industrial Total Square Footage: 2100 Construction Type: Brick/Wood Framing # of Stories: 2 # of Dwelling Units: 2 Flood Zone: x (FEMA form required for other than X) Parcel #: 25-19-30-5AG-0516-0000 (Attach Proof of Ownership & Legal Description) Owners Name & Address: Housing Authority of the City of Sanford 94 Castle Brewer Court. Sanford, Florida 32772 Phone: (407) 323-3150 Contractor Name & Address: Alan's Roofing. Inc. 329 West Jefferson Strect Brooksville. Florida 34601 State License Number: CCC046942 Phone & Fax:(352) 754-8880 Fax:(352) 797-9285 Contact Person: Alan Field Phone: (352)-279-7156 Bonding Company: N/A Address: N/A Mortgage Lender: N/A Address: N/A Architect/Engineer: Tumcr and Associates Architects_ and Planners. Inc. Phone: (407) 648-2755 Address: 100 East Pine Street. Suite 605 Orlando. Florida32801 Fax: (407) 648-5944 Application is hereby made to obtain a permit to do the work and installations as indicated. 1 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, ctc. 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 fou public records of this county, and there may be additional permits required from other governmental entities such as water management dā€¢ srsi agencic , or federal agencies. Accept o omit is verification that 1 will notify the owner of the property of the requiremen f lorida L y_. y 9Jr4^1fe05w1 cr/Agent Date ignaturc of Co ractor/Agcnt Date W , FI6e.Kw,3r AL A AJ QF4-D Print Owner/Agent's Name Print Contractor/Agent's Name wxsi2, y - h oy a. o a , 3/o1/ Signatur f Notary -State of Florida Date Sig atu f Notary -State of Florida Date Owncr/ Agent is `/Personally Known to Me or Produced ID APPLICATION APPROVED BY: Bldg: Initial & Date) Special Conditions: Zoning: s' >; REGINA S. SANDERS Ntitaly Public - State of Florida MY C,ortml5a M EmAx AM a.2OW Commission 0 DD128894 Bonded By NaUonsl NaLity Assn, Contractor/ Agent is Personally Known to Mc or Produced ID Utilities: Initial & Date) FD: Initial & Date) (Initial & Date) w,,ā€¢ REGINA B. SANDERS Notary Public - State of Florida p My Cominesrxt Expires Jun 25. 200 Commlaalon 2 00128894 P,;,,; tY`'-- Ann.Bondc4ByNationalNotaryAn.