HomeMy WebLinkAbout24-27 Lake Monroe TerCITY OF SANFORD PERMIT APPLICATION
Permit # : Date: February 3. 2004
Job Address: 24,25,26.&27 Lake Monroe Terrace
Description of Work: Buildin 8 Re -Roof
Historic District: Zoning: MR-3 Value of Work: $ 8,100.00
Permit Type: Building _X_ 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 _ X-- Commercial Industrial Total Square Footage: 2820
Construction Type: Brick/Wood Framing # of Stories: 1 # of Dwelling Units: 4 Flood Zone : X_ (FEMA form required for other than X)
Parcel #: 25-19-30-SAG-0516-0000 Attach Proof of Ownership & Legal Description)
Owners Name & Address: Housin¢ Authority of the City of Sanford
94 Castle Brewer Court. Sanford, Florida 32772 Phone: (407) 323-3150
Contractor Name & Address: Alan's Roofine Inc.
329 West Jefferson Street 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: Turner and Associates Architects and Planners. Inc. Phone: (407) 648-2755
Address: 100 East Pine Street. Suite 605 Orlando. Florida 32801 Fax: (407) 648-5944
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. 1 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: 1 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 foun ' he public records of
this county, and there may be additional permits required from other governmental entities such as water managem4distristate en res, or federal agencies.
Accepts c permit is verification that will notify the owner ofthe property ofthe requirements ofFlo Lic
tgnature of Owner/Agent Date Signatu Contractor/Agent Date
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Print Owner/Agent's Name Print Contractor/Agent's Name
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Signa a of Notary -State of Florida Date Sig Notary -State of Florida Date
Owncr/Agent is ZPcrsonally Known to Me or
Produced ID
APPLICATION APPROVED BY: Bldg: Zoning:
Initial & Date)
Special Conditions:
v, RFGINA B.
SANDEJAun. Notary Public - SIYto of
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Commission 0 D012
Bonded By Net;onal Notary
Contractor/Agent is Personally Known to Me or
Produced ID
Utilities:
Initial & Date)
FD:
initial & Date) (initial & Date)
REGINA A. SANDERS
Notary Public • Slots of Florida
My corrtrnboW Esptvs Jun 25, 2006
commission # DD128994
p,.q:•' Bonded By Nsbmal Notary Assn.