HomeMy WebLinkAbout9-11 Lake Monroe Terli
Permit # :
0
i+—C 8 l
Job Address: 9, 10, `& 11 Lal
Description of Work:
Historic District:
CITY OF SANFORD PERMIT APPLICATION
Date: February 3. 2004
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 TemporaryPole 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: 4365 Construction
Type: Brick/Wood Framing # of Stories: 2/1 # of Dwelling Units: 3 Flood Zone: X (FEMA form required for other than X) Parcel
N: 25-19-30-5AG-0516-0000 (Attach Proof of Ownership & Legal Description) Owners
Name & Address: Housin¢ 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:
Mortgage
Lender: Address:
Architect/
Engineer: Turner and—AssociatesArchitects and Planners, Inc. PhoXe:' x r/ (407) 648-2755 Address:
100 East Pine Street Suite 605 Orlando Florida 32 01 a• ' := Fax: (407) 648-5944 Application
is hereby made to obtain a permit to do the work and insta'datioris as indicated. I certify that no work or initaAistio_nrhas commenced prior to the issuance
of a permit and that all work will be performed to meet standerdi of all la re uI ting construction in this jurisdiction:",1'undersiand that a separate permit
must be secured for ELECTRICAL WORK, PLUMBING, SIdNSj WELL E LERS, HEATERS, TANKS, and AIR
CONDITIONERS, etc. OWNER'
S AFFIDAVIT: I certify that all of the foregoing information is accurate an i b e compliance with all applicable laws regulating construction
and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO CEMENT 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, state agencies, or federal agencies. Acce
ante permit is verification that I will notify th wner of the property of the requirciricntsSM Lie F 13. igna
re of Owner/Agent Date ignaturc of Contractor/Agent Datc a.
A A AJ ri e/-b Print
Owner/Agent's Name Print Contractor/Agent's Name co(.
t,(,o a 3 al! u. cc .te .3log/ SignatuW
of Notary -State of Florida Date Sign tur f Notary -State of Florida Date Owner/
Agent is Personally Known to Me or Produced
ID APPLICATION
APPROVED BY: Bldg: Zoning: Initial &
Date) Special
Conditions: REOINA
8. SANDERS s
Notary Public; - Stato of Florida E
MY Cttntmlas m E*hu Jun 25, 2008 a
tr Commtastd an 0012PS94P.;„bY'" •
Bonde:f By Notional Notary rlsyn. Contractor/Agent
is --k Personally Known to Me or Produced ID
Utilities: FD:
Initial & Date) (
Initial & Date) (Initial & Date) A.rl4,
R£GINA
B. SANDERS ter NotaryPublic -
State of Florida Nh Ccmmissim
Ejq)hsJun 25, 2W5 ry 11,,,•
Commission 9
DD128994 S Bonded
By National Nott y Assn.