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HomeMy WebLinkAbout1100 Scott Ave (2)B-12-203 11:56AM FROM r CITY OF SANFORD PERMIT APPLICATION Permit #:--03-5145 i a�' / Job Address: -1100 .9C-0�7 A -V4 bate: (D 1 j .�.�d.3 Description of Work: %Z(�jverr[(�ih,��(ti�� t– Historic District: Zoning; Value of Wnrk: $ Permit Type: BuildingElectrical Mechanical Plumbing Hire 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) P. 1 Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines Plumbing/New Residential: # of Water Closets Plumbing Repair – Residential or Commercial Occupancy T�,pe: Residential Commercial Industrial Total Square Footage; Construction Type: # of Stories: 11 of Dwelling Units: Flood Zone; (FEMA form required for other than X) Parcel #: (Attach Proof of Ownership & Legal Description) Owners Name & Address: - i✓f-4Ron 4101c Ge— i 1 u © sto-W hyz( SEMI tZ� 32.77 1 Phone: qt)7- 3Zi - �+ Contractor Name & Address: F&W1 SEA RV CC _I;-'(. -1— GOnTi2 .530 ��-icy tau TEL' StateLicenseNumber: G �-G -0-5-770(2 Phone & Fax:4 - 2-2-3-Zl *7 t-Rk=OQ(o 1 Contact Person: _ 4Ye%{ I I't' SA Phone: "(©7-- E -� Bonding Company: Address: Mortgage Lender: Address: Architect/Engincer. Phone: Address; Faa; Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or imtallatioo has commenced prior to the issuance of a permit and that all work will be performed to moct 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. OWNF.F'C AFFIDA VLT ,; I certify that all of the foregoing informdtion is accurate and that all work will be done in compliance with sll applicable laws reSulating construction and zoning. WARNING TO OWNER: YOUR FAILURE'rO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT W17711 YOUR LENDER:OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. f' 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 dittricts, state aag tic , or f cral agencies. / 2 Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713 / - �rG�� (� /�r�✓ Signature of Uwncr/Agent Date Signature of Contractor/Agent _ Dat °).s 4,, 11 G1�uin-'ct�y�y CAC-c.e,_ :�Tt-! e__ ro .� Print Owncr/Agent's Narrne - Print C or A e Name �9 Signature of Notary -Start of Florida Date urc of Notary -State of Florida v ate i. CC, j3 OwncdAgcnt is _ Produced ID Personally known to Me or APPLICA ['ION APPROVED BY: Bldg: (Initial & Date) Special Conditions: Zoning: Contractor/Agent is-�/ Persona Iy,Know to Me or Produced ID M g � l (Initial & Date) Utilities: FD, (Initial & Date) (Initial & Datc) FERRAN SERVICES& CONTRACTINGS INC. 530 GRAND STREET ORLANDO, FL 32805-4795 (407) 422-3551 FAX # (407) 648-0961 City of Sanford Building Inspection Department Dear Sir or Madam: ACCOUNTING FAX # (407) 872-1445 June 13, POWER OF ATTORNEY I hereby name and appoint Tb.ri Franklin AIR CONDITIONING • CAC 010842 PLUMBING • CFC 050579 ELECTRIC • EC 0001804 400 CARSWELL AVENUE DAYTONA BEACH, FL 3 2117-4418 (386) 252-1528 2003 FAX # (386) 257-2653 of Ferran Services & Contracting, Inc., to be my lawful attorney in fact to act for me and apply for a plumbing permit at: 1100 Scott Avenue and to sign my name and do all things necessary to this appointment. Michael L. Caron CFC057906 STATE OF FLORIDA COUNTY OF ORANGE Michael L. Caron is personally known to me and has sworn to and subscribed before me the foregoing instrument. June 13, WITNESS MY HAND AND SEAL 2003 :ot►0ftel�, Pamela Page Stone My Commission DD014386 / � o, V Expires May 02. 2005