HomeMy WebLinkAbout2524 Park DrPermit #
Job Address: (, 24
Description of Work:
Historic District:
eK V
Zoning:
CITY OF SANFORD PERMIT APPLICATION
Date: _
411
Value of Work: $ % N
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 Plumbing Repair - Residential or Commercial
Occupancy Type: Residential Commercial Industrial Total Square Footage:
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X)
Parcel #: (Attach Proof of Ownership & Legal Description)
Owners Name & Address: jLUr I f(1 1 1 r l-i- to VlLQ.til ki
Phone:
Contractor Name & Address:C-
State License Number:
f
Phone& Fax: O%' 3Z"L -4 aj Contact Person: pwj/Phone:
Bonding Company: ne
Address:
Mortgage Lender:
Address:
Architect/Engineer: Phone:
Address: 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, etc.
OWNER'S AFFIDAVIT: 1 certily that all of the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and coning. 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.
NOTI : 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 maybe additional permits required from other governmental entities such as water management districts, state agencies, or eral agencies.
Acceptance of permit is verification that I will notify the owner of the property of the ents of Florida Lien Law, F 713/%/%
1 1 /
Signature of Owner/Agent
Print Owner/Agents Name
Date
Signature of Notary -State of Florida Date
Owner/Agent is _
Produced ID
Personally Known to Me or
APPLICATION APPROVED BY: Bldg:
Initial & Date)
Special
1Condit
ions:
t
Print Contractor/Agent's Name
Signature of Notary -State of Florida Date
Contractor/Agent is
Produced ID _
Personally Known to Me or
Zoning:;3 r-t • ( O(C Utilities: FD:
Initial & Date) (Initial & Date) (Initial & Date)
POINT OF REMNINC
NW CORNER LOT 2
roan rE" rONLagig" W 39.38'
LIF
CAP
23.00' ...•
EAST
SCALE_ 1 "= 4 0'
SURVEY NOTES
G
4, i
y
1
XROUND 5/b* PON
OD (Non
1) The street address of Lhe above described pro rty is 2524 PARK DRIVE.
2) The above described property lies in a flood Zone X
SURVEYOR'S CERTIFICATE
Thin is to certify that I have i ede a Survey of the above described prv"rty and that the plat heroin dnItrimet
is an accurate repreasontetlon of the sire. I further oertif that this Survey mmte the RinDa-m Technic
LardStandardssetforthbytheFloridaBoard.. of Surveyors pur to Section 427.027 of the Floride Statute
CERTIFIED LQfkLT TOr