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HomeMy WebLinkAbout81-84 Lake Monroe TerCITY OF SANFORD PERMIT APPLICATION Permit# : 0 < G (. — Date: February 3, 2004 Job Address: 81,82,83.&84 Lake_Monroe_Terrace Description of Work: Building 25_Re-Roof Historic District: Zoning: MR-3 Value of Work: S 8,100.00 Permit Type: Building _X_ Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool _ r 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 _ J. Commercial Industrial Total Square Footage: 2820 Construction Type: Brick/Wood FramingN of Stories: I # of Dwelling Units: 4 Flood Zone A (FEMA form required for other than X) Parcel M 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: (4071 323-3150 Contractor Name & Address: Alan's_Roolintt, Inc. 329 West Jefferson Street Brooksville, Florida 34601 State License Number: CCCO46942 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. 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 i e public records of this county, and there may be additional permits required from other governmental entities such as water management distri state a ci , or federal agencies. Accep cc o permit is verification that 1 ill notify the o ner of the property of the requirements of o icn ignaturc of Owner/Agent i000, Date Signa rc of Contractor/Agent Date lAlkes w . Print Owner/Agent's Name xrunt`Li q . S Signathie of Notary -State of Florida Date Owner/Agent is —t- Pcrsonally Known to Me or Produced ID APPLICATION APPROVED BY: Bldg: Initial & Date) Special Conditions: f , REGINA R. SANDEINotaryPublic - Stahl ofSAY137w' oift Etvhn Jun Commlaalen R DD12BondedByNationalNolat Zoning: CLAN Fi Zb Pri Contractor/Agent's Name Signal of Notary -State of Florida Date Contractor/Agent is Personally Known to Me or Produced ID Utilities: FD: Initial & Date) (Initial & Date) (Initial & Date) R£GtNA B. SA: NDRSSONotaryPublic - Sti tFloridaRtyCotmtlaaionF C++Inn25,:008Commlaalon 819.14Bonded ByNationalryAssn. ,