HomeMy WebLinkAbout76 Lake Monroe Terj
CITY OF SANFORD PERMIT APPLICATION
Permit # :
i
i Date: February 3. 2004
Job Address: 76 Lake Monroe Terrace
Description of Work: Building 23 Re -Roof
Historic District: Zoning: MR-3 Value of Work: S 4,725.00
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 Ca1c. 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: 1200
Construction Type: Brick/Wood Framing'F of Stories: I # of Dwelling Units: I 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: Housine Authority of the City of Sanford
94_ Castle Brewer Court. Sanford, Florida 32772 Phone: (407) 323-3150
Contractor Name & Address: Alan's Roofmp. 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, 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, etc.
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 prop/
dist
be found i c public records of
this county, and there may be additional permits required from other governmental entities such as water managemstate a ci s, or federal agencies.
Accepta ce of rmit is verification that 1 will noti the owner of a property of the requirements of ida Lien
i.j. ?- q'Oej
atu of Owncr/Agent ate Signa c of Contractor/Agent Date
G.), f% Crt///9 L R N r) ELD
Print Owner/Agent's Name Print Contractor/Agent's Name
400 6; , ga,nd= 2-1 a)oy
SignattA of Notary -State of Florida Date
Owncr/Agent is Personally Known to Me or
Produced ID
APPLICATION APPROVED BY: Bldg:
Initial & Date)
Special Conditions:
4•","••.,, REGINA S. SANDERS
Notary Public - State of Florida
My Co nnlcaion E piras Jun 25. 2008
Commission 0 D0128994
r;,:i. Bonded By National Notary Assn.
Zoning:
a. .Sa ccG-ca a Slay
Signatur f Notary -State of Florida Date'
M
Contractor/Agent is '/ Personally Known to Me or
Produced ID
Utilities: FD:
Initial & Date) (Initial & Date) (Initial & Date)
ii'r""'•.,, REGINA B. SANDERS
i. Notary Public - Steto of Florida
My Cwmis(;Jort E Who Jt:n 2a, 2X6
Commission # DD126984
Bonded By National No ry Assn.