HomeMy WebLinkAbout28-31 Lake Monroe TerD Y CITY OF SANFORD PERMIT APPLICATION
Permit#: ( Date: February 3. 2004
Job Address: 28.29.30.&31 Lake Monroe_ Terrace
Description of Work: Buildin 9 Re -Roof
Historic District: Zoning: MR-3 Value of Work: S &I00.00
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 #: 25-19-30-5AG-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 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. 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 found in the public records of
this county, and there may be additional permits required from other governmental entities such as water management districts, sta agcncie federal agencies.
APr
f permit is verification that I will notify t owner of the property of the requirements of Florid icn Law, F
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wner/Agent Date Signature of ontractor/Agent * Date
s W. be r't lul4l by AI- A A) Fl,t Lb
Print Owner/Agent's Name
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ontractor/Agent's Name
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Signs of Notary -State of Florida Date of Notary -State of Florida Date
Owncr/Agent is Personally Known to Me or
Produced ID
APPLICATION APPROVED BY: Bldg:
Initial & Date)
Special Conditions:
REGINA B. SANDERS
Notary Public - Stats of Florido
My Contt:>sscn Exphe Jun 25. 2006
A. Commission S RD128994
p;,„ti.•• Bonded By N13Vona1 Notary Assn.
Zoning:
Contractor/Agent is Personally Known to Me or
Produced ID
Initial & Date)
Utilities: FD:
Initial & Date) (initial & Date)
w., REGINA B. SANDERS
Notary Public - State of Florida
M1 CommissionExpYeai Jun 25' 2008
Commission 4 DD128994
Bonded By National Notary Assn.