HomeMy WebLinkAbout73-75 Lake Monroe TerCITY OF SANFORD PERMIT APPLICATION
Permit # : o 4 4 qi" Date: February 3, 2004
Job Address: 73.74,&75 Lake Monroe Terrace
Description of Work: Building 22 Re -Roof
Historic District: Zoning: MR-3 Value of Work: S 8,775.00
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 Cale. 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: 3645
Construction Type: Brick/Wood FraminpV of Stories: 1/2 # of Dwelling Units: 3 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: CCCO46942
Phone & Fax: (352) 754-8880 Fax:(352) 797-9285 Contact Person: Alan Ficld 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 Pinc 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. 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, etc.
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 rcgulating
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 ma be found i c public records of
this county, and there may be additional permits required from other governmental entities such as water management dis i talc a c' s, or federal agencies.
AcPji.'n=aturc
nee permit is verification that will notify the owner of the property of the requirements of FI d Licn
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wner/AgentSignatu f Contractor/ gent Date
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Print Owner/Agent's Name Print Contractor/Agent's Name
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Signatdr6 of Notary -State of Florida Date Signatur f Notary -State of Florida Date
Owner/Agent is Personally Known to Me or Contractor/Agent is -Personally Known to Me or
Produced 1D _ Produced ID
APPLICATION APPROVED BY: Bldg:
Initial & Date)
Special Conditions:
y+ ItEIOINA 5. SANDERS
Notary Public - SWID of Fiorido
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Danded By National Notary Aun.
Zoning:
Initial & Date)
Utilities: FD:
Initial & Date) (Initial & Date)
REGINA B. SANDERS
Notary Public - State of Florida
µU Comm* Sion E*V= Jun 25, 2M6
E9 Commission 0 DD125994
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