HomeMy WebLinkAbout89-92 Lake Monroe TerO9
CITY OF SANFORD PERMIT APPLICATION
Permit # : Date: Febru ary 3. 2004
Job Address: 89.90.91.&92_Lake_Monroe _Terrace
Description of Work: Buildin27_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 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 _ JCommercial Industrial Total Square Footage: 2820 Construction Type:
Brick/Wood Framingf of Stories: I # of Dwelling Units: 4 Flood Zone % (FEMA form required for other than X) Parcel q:
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 Field Phone: (352)-279-7156 Bonding Company:
N/A Address: N/
A Mortgage Lender:
N/A Address: N/
A Architect/Engineer:
Turner and Associates Arch itects_and_Planncrs. Inc. Phone: (407) 648-2755 Address: 100
East Pine Strcct. 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,
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 property that may ound in thc_polic records of this county,
and there may be additional permits required from other governmental entities such as water management distric , st a agen ' , o ederal agencies. Acceptant f
omit is verification that 1 wI notify the owner of the property of the requirements of Flo ' icn La , gn=—-I er/
Agent Date Signs c of Contractor go Date s ki. %eAovi47
y pi_AA) FItLD Prig wner/Agent'
s Name Print Contractor/Agent's Name a, Q.'5ax_
dx o a4 oy r4v - a _ (,' • "; v ' eto a 3/0y Signature of Notary -
State of Florida Date Signat of Notary -State of Florida Date Owner/Agent is -
Produced ID Personally
Known to
Me or APPLICATION APPROVED BY:
Bldg: Initial & Date) Special
Conditions: REGINA
B. SANDERS
7 a Notary
pudlir -
State of Florida MY Cotr rnbsion
F Yaa Jt n 25, Z0G8 Commission S DD126994
Bonded By National
Notary Assn. Zoning: Contractor/Agent
isPersonally
Known to Me or Produced ID Initial &
Date) Utilities:
FD: Initial &
Date) (Initial &
Date) REGINA B. SANDERS
Notary Public - State
of Florida My CotnmIs&w
Expsas Jun 25, 2= Commission of D0128994
Bonded By National
Notary Assn.