18500 Stonebrook Dr 01-2096 - ELECTRICAL (ADDITIONAL GATE)CITY OF SANFORD, FLORIDA
APPLICATION FOR BUILDING PERMIT
PERMIT NUMBER ,:'
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PERMIT >ADDRESS
Total Contract Price of Job:
Describe Work: i t, 4-*3 rv°
Type of Construction:
Change of Use From:
Number of Stories:
Occupancy: Residential
LEGAL DESCRIPTION:
TAX I.D. NUMBER:
OWNER
ADDRESS'
CITY 1,
CONTRACTOR
ADDRESS
CITY i,
ARCHITECT
ADDRESS _
CITY ki/A, STATE
Total Sq. Ft.
Flood Prone: (YES) (NO)
Change of Use To:
Number of Dwellings: Zoning:
Commercial Industrial
lease attach printout from Seminole Count,
r, PHONE NUMBER:
STATE ° t-L Z
PHONE NUMBER:
STATE ZIP nJ LICENSE NO.
ZIP
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SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, MECHANICAL, REMOVAL OR THE
RELOCATION OF TREES AND ADVERTISING SIGNS.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED
WITHIN 1$0 DAYS OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF
180 DAYS AT ANYTIME AFTER THE WORK IS COMMENCED.
ALL PLANS FOR THE BUILDING WHICH ARE REQUIRED TO BE SIGNED AND SEALED BY THE ARCHITECT
OR ENGINEER OF RECORD SHALL CONTAIN A STATEMENT THAT, TO THE BEST OF THE ARCHITECT'S
OR ENGINEER'S KNOWLEDGE, THE PLANS AND SPEC'S COMPLY WITH THE APPLICABLE MINIMUM
BUILDING CODES.
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.
If applicable, check with your homeowner's association prior to applying for a permit.
The named Contractor/Owner Builder to whom the permit is issued shall have the
responsibility for supervision, direction, management, and control of the
construction activities on the project for which the building permit was issued.
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SIGNATUW OF C NTRACTOR' SIGNATURE OF OWNER
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DATE' DATE
APPLICATION APPROVED BY: X /,5 DATE: ' "'" I -> - 61
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FEES: Building - g Radon Police Fire
Open Space Road Impact Application
Other
PERMIT VALIDATION: CHECK CASH DATE lM BY "w"
THIS APPLICATION USED FOR WORK VALUED UNDER $,2500.00.
ORIGINAL (BUILDING) YELLOW (CUSTOMER) PINK (COUNTY TAX OFFICE) GOLD (COUNTY ADMIN.)
CITY OF SANFORD FIRE DEPARTMENT
FEES FOR SERVICES
PHONE # 407-302-1091 FAX #: 407-330-5677
DATE:_.-) b V -- PERMIT 4:--.,C/
BUSINESS NAME PROJECT 57-,
ADDRESS:
PHONE NO.: V4,:1 "? - el / -'...-FAX NO.:
CONST. INSP. [ I C /0 INSP.:[ ] RI---`INSPEC-I-lON [ ] PLANS REVIEW [ ]
F. A. [ ] F.S. [ I HOOD I PAINT BOOTH BURN PERMIT
TENT PERMIT TANK PERMIT OTHER
TOTAL FEES: $- PER UNIT SEE BELOW)
COMMENTS: Fftr,r TP A Li rj- h ILi")
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Address / Bldg. # / Unit # Square Footage Fees 12er Bldg. / Unit
1.
2.
3.
4.
5.
6.
7.
8.
9,
10.
11.
12.
13,
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20.
Fees must be paid to Sanford Building Department, 300 N. Park Ave.. Sanford, FI. 32771 Phone 4 -407-
330-5656. Proof of Payment must be made to Fire Prevention division before any further services can take
place. I certify that the above is true and correct and that I
will comply with all applicable codes and ordinances
oftl City of Sanford, Florida.
01SanfordFireI Applicant's Signa Lire'
t-LJHIf UL ILLH 41JIY tD4':j t-. ul:
LUX R QAllL QMMY
Date:
I hereby name and appoint —L I j (2 L)2 E 1044 A
nf 7-pobub) qiz'S to be my lawful attorney
infact to ad for me and apply to the Building
Department fora for
work to be perfonned at a location describ d)as: Section _
Township Range Lot Subdivision
and
to sign job)
Owner
of Property and MOM$) and
do all things necessary to this appointment. Type
or M
lu
Y I of
CertijUd ContriMor and License #) IF ,
Jnafure of Certified ton'tracter) en
Theforegoingiwas acknowledged before me this Z,2 day of 20
By
Who
is rsonall who produces &L4LOc As
identifications and who did not take oath. My
Commission Expires; Notary
Public, State of Florida County
of C J"_4k, VIRGINIA A, WALLACE MYCOMMISSION#
CC980112 M07EXPIRES: Jan g 2005 Sol)
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Gate hinged t(
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4" x 4' Gate Post
6 ft.
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TITLE
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GATE POST DRAWINGS
DESCRIPTION FILENAME
FOOTER DETAIL FOR GATE POST GATEVSDACT.1:7
DRAWN BY DATE REVISED
S2 Miles Bassin 6/15/00