341 Red Rose Ln 17-2072 Elec - W/drawni.:, isn
CITY OF SANFORD
BUILDING & FIRE PREVENTION
JUL 11 2011 PERMIT APPLICATION
By
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tocum Application No:
ented Construction Value: $ 5'3I • $ o
Job Address: 3y 1 Red H
Parcel ID• - 57T- 0= - O 3 3
Type of Work: New Addition Alteration JN
Description of Work: 0SQ ZOO 4 Plan
Review Contact Person: - 1 i Phone:
3$ (p G (0g Q I ( ( Fax: _ Name
Street:
City,
State Zip: Name
ISC Street:
5y (p City,
State Zip: _ Name:
i Street:
City,
St, Zip: Bonding
Address:
ri
har Red
Rose.' orb
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I
istorlc District: Yes No Ae
idential W Commercial e
it De of Change of Use Move C
60 1 above rovnd +onk Pr __
Title:
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Email: 1,` cLFQ D5COL )fR(OCxAneinc•ccm, Information
Phone: (
4o1) 0y b —o- / a-7 Resident
of property?: vc s r
Contractor Information 7 •
MC Phone: 3$( (QIOQj C i I I Fax: %
o U(a16 ?6-7-7 A
a-)13 State License No.: 0 y 17 Z. Architect/
Engineer Information Phnnn•_ _ _ _ _
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Mortga
Address _
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WARNING
T OWNER: YOUR FAILURE TO RECORD A NOTICE OF PAYING
T 10E FOR IMPROVEMENTS TO YOUR PROPERTY. A RECORDED
AND POSTED ON THE JOB SITE BEFORE THE FIRST i FINANCING,
CONSULT WITH YOUR LENDER OR AN ATTORNEY COMMENCEMENT.
Application
is hereby made to obtain a permit to do the work and installations a: commenced
prior to the issuance of a permit and that all work will be performed 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. FBC
105.3 Shall be inscribed with the date of application and the code in effect as of that date: 5" Edition (2014) Florida Building Code Revised:
June 30, 2015 Permit Application
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 at the time of permit submittal. A copy of the executed contract is required
in order to calculate a plan review charge and will be considered the estimated construction value of the job at the time of submittal.
The actual construction value will be figured based on the current ICC Valuation Table in effect at the time the permit is issued, in
accordance with local ordinance. Should calculated charges figured off the executed contract exceed the actual construction value,
credit will be applied to your permit fees when the permit is issued.
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 constructiopAnd zoning.
Signature of Owner/Agent Date Si a e o tract /Agen ate
Poo la Purl k a r
Signature of N tary-State of Florida Date
urrsrso+
t Ya FLORA B.SWEAT
A 7'_. Commission # FF 966301
Expires April 1.2020
Bonded Thru Troy Fein insurance 800.3M7019
Owner/Agent is[,, e or
Produced ID Type of ID
c,o
Name
tayry'-State of FlA-- aYipikpZp, Date
p p J Ca / i2,OSpHV FUO(,,, I ll4A MR'd. F HE 1 i
f MY COt1iP 1SSl06. FF1 0057
rF o? EXPIRES September 21, 2018
407) 398-0153 FlorldallotarvService.com
Contractor/Agent is A. Personally Known to Me or
Produced ID Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building Electrical Mechanical Plumbing Gas Roof
Construction Type:
Total Sq Ft of Bldg:
Occupancy Use:
Min. Occupancy Load:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes No
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
Flood Zone:
of Stories:
Plumbing - # of Fixtures.
of Heads Fire Alarm Permit: Yes No
UTILITIES: WASTE WATER:
BUILDING:
Revised: June 30, 2015 Permit Application