109 Morrison Ave63.os
r/
CITY OF SANFORD
T BUILDING & FIRE PREVENTION
PERMIT APPLICATION
— oa
Application No: L9' Documented Construction Value: $ 5��
Job Address: 109 IAO (LQ,—tso n historic District: Yes ❑ No ❑
Parcel ID: -1 1�1 ` �� O `O� % Zoning:
Description of Work: d suxlki -4- 0 .d, I
Plan Review Contact Person: Title:
Phone: Fax: E-mail: •
D Property Owner Information
Name Phone:
StreetJ ( Resident of property?
City, State Zip• Y1 3--I -]
Contractor Information
Name AIR FLOW DESIGNS, Phone: 1/07— �3/-36,0 D
C
Street: t -Y& -,K- A49A2221 Fax: "/() 7 — d'3/ J S Y
P. O. BOX 180308 Cf�G/ 8/ Y1/d-3
City; State Zip: f-:� ��+��+r_ � �rJr_ �•ss��r ri 32718-9308
State License No.:
v�,
Arch itect/Engineer.lnformation
Phone:
Street: Fax:
City, St, Zip:
Bonding Company:
Address:
Building Permit
Square Footage: I'D
No. of Dwelling Units:
Electrical ❑
New Service – No. of AMPS:
E-mail:
Mortgage Lender:
Address:
PERMIT INFORMATION
Construction Type: ZW4--No. of Stories:
Flood Zone:
Plumbing ❑
New Construction - No. of Fixtures:
Mechanical ❑ (Duct layout required for new systems) Fire Sprinkler/Alarm 0 No. of heads:
9
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. A NOTICE
OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE
FIRST INSPECTION. 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.
Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida
Lien Law, FS 713.
The City of Sanford requires payment of a plan review fee. A copy of the executed contract is required in order
to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the
plan review fee based on past permit activity levels. Should calculated charges exceed the documented
construction value when the executed contract is submitted, credit will be applied to your permit fees when the
permit is released.
Signature of Owner/Agent Date
Print Owner/Agent's Name
Signature of Notary -State of Florida Date
Si na a tractor/Agent Date
Terry Burd
Pri tractor/Agent's Name
Signature of Notary -State oi�lori Date
tonna L. Thomason
4 Commission # DD604908
`';• Expires November 2, 2010
��Iii��`� 8onj•q Trn�Fm,H•IH6ufdH6B IfiG 800.985.7019
Owner/Agent is Personally Known to Me or Contractor/Agent is )C _ Iersonally Known to eery
Produced ID Type of ID Produced ID Type o�-I$—"'—
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
Rev 11.08
UTILITIES:
FIRE:
WASTE WATER:
BUILDING:
814423
A Lff
IlFi4TlN6 � AlACDNDIT/i?P!!1'l6
P.O. Box 180308
Casselberry, Florida 32718-0308
PHONE: (407) 831-3600
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Prepared_Eor:
Artisan Building Concepts,_Inc.:=
-6813-Lake"Carlisle Blvd.
Date: 6/30/10
Orlando, FI 32829 ; r
Ph:321-299-7662
Job: Blasing
Job Address:
109 Morrison Ave., Sanford
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' QIJANTIT,I( :� �i}� ';il
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'' DESCRIPTION ',q,: ,k
;11;”, ...m .. . k... .°' &
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HE UNITi;� �� � azu��
a
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- EXTENDED
1
Add supply and return for
room addition.
t .
REMARKS: Includes permit.
Extended Total
Sales Tax
TOTAL $565.00
TERMS: FREIGHT:
This quotation based on your/our take -off, includes only the quantities and products listed above.
SUBJECT TO ACCEPTANCE OF OUR CREDIT DEPARTMENT.
Quotation Prepared By:
Accepted By:
Joe Craft
Date: 6/30/10
Date:
G:\Contracts\Joe Craft\artisan blasing.doc
Page 1.of 1
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