170 Pinecrest Dr 07-2245 Carport/"10 —
Permit # : C./
Job Address: - - % / f) (i" r /V
Description of Work:
Historic District:
CITY OF SANFORD PERMIT' APPLICATION �j CEIV
�- { Date: ! S .-z.3 02
C. 2 C- �..i 5.7— r' t t. , ,r Z e3 2On7
/l 26 F,3�
Zoning:
A"_'P"2%
Value of Work:
C'
Permit Type: Building K+ Electrical Mechanical — Plumbing Fire Sprinkler/Alarm Pool
Electrical: New Service - # of AMPS "'� �� _ Addition/Alteration Change of Service 'Temporary Pole
Mechanical: Residential Non -Residential �41kcplacement New (Duct Layout & Energy Cate. Required)
Plumbing/ New Commercial: f# of Fixtures 14-11W of Water & Sewer Lines (P of Gas Lines
Plumbing/New Residential: # of Water Closets A -MIL- Plumbing Repair- Residential or Commercial
Occupancy Type: Residential Commercial Industrial 'Total Square Footage: .280
Construction Type: # of Stories I # of Dwelling Units: Flood "Gone: (FEMA form required for other than X)
Parcel ,2o 3 U C) 'DC)o - 02- G O (Attach Proof of Ownership & Legal Description)
Owners Name & Address:
E1a3
c ro"'21 o-r D e Phone: ��r �4� v� /_7 , i" f, L?7J7 %� J�
Contractor Name&Address: 041_D
y�,��}% try✓�rt/��O.V /l lie, A i/,t F( Z 7 / State License Number:
Phone & Fax: -S .% % c6 -5 ^ A 1 8 2-- Contact Person: G O 4,1C)'�
��� �%� Phone:_ ��' y
""'r-) 4-,-) �
Bonding Company:
Address:
Mortgage Lender.,
Address:
Architect(Engineer: _ �7(�l�/i�/ /�U�G�s( [' Phone:
Address: _/y % D v �V.� % 2; F'..� /y 7Z /4, e- f iT'/�. Fax:
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, TANICS, and
AIR CONDffIONERS, 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 FAILURETO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER ORAN
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 iequired from other governmental entities such as water management districts, state agencies, or federal agent;
Acceptance of pe verification that I will notify the owner of the property of the requirements of Flo •d Lien La F�_
SidEtaturc of Owner/Agent Date Signat zf ct6r/Agent
Printt O' /Agent's Name S / Print Co a r/Agent's Name
Signature of Notary -State of Florida ^' ate Signature of -,We Rq "'N.,
syy,
Owner/Agent is � Personplly Known to Me or Contract /Agent is '01 , L'
Produced Ill Pro ced„W
APPLICATION APPROVED BY: Bldg: l A S o ! zoning: • Utilities:
(In' ial & Date) (Initial & Date) (Initial & Datel
i!
Mary Public - State of Florida
'ommission Expires Feb 26, 2011
Commission # DD 644013
did Through National Notary Assn.
FD:
(Initial & D.tf-1
a
inspection
'ons found during � ..
deviolations Co
e vi,
ct ,
are required to be corrected - -
Plan/permit issuance does not grant
approval of a code violation. 2004 Structural plan review is limited to a
FBC109.1 general survey for code compliance. No
review is implied nor was taken to
�, ,, i structural ade uacy
.1
ver q
r ...
_ N
II
OWN
It:
ly
_Q ..........
I e
A"% WAM C
vFF1 h
3
0 rlq LEs
C-
._
'�► � b.CL. j �1:� .2 i 5( F/2 (-� ti^f ; iN Gj t.� a o .fJGj � �9 i a . __ .. __ � rs D
_._. p1 Ci4
P� PLANSKEVI
RD"'
h
I "Y OF SAN
ENCLOS E6 ---
_. FIRo r(.T. . U IE k✓. :_ ---
S � Q t v ► � w
1 l ES '1 L Aj4S .0 �rl F7o,2/YS
_. _._ _...; ��►i CoE__.A2 ��.A-ATE... ...._ or_ o i.......:._ ..:
_ EE.� QR Yis
�.a�..bo...E.,..:IN•��s_r2� �a � . D�?�� � _. o�� rrG t . �,i 1Y.., .!`-�...__.3Z 7�-�....._:.....
SCALE: %,t'< / �p APPROVED BY: DRAWN BY 1:).
DATE: s/p7 REVISED
:.:.itirl O ILS - 17d Tji4
__..24 4-3v P°.iE.. _57Q�cTu.2E
_
AW NG R I NUMBER
R
D
3..Ij/1/1_
_p.8_.3..:.:_...;.. Q
- f� FTE2-N sin .1���
_....._;...._ ..�oaF_--i��.�?�✓►�rl __ ..--�As��' w�ri�� _SPtt'o ClID- L
C._o�1�A�2:!f3�-_. [.�_ii-� - --- - ___- 1 ..---- _� No f� i2 ,-I FC�GioZ .... _ . ___. 1..SYP Co. �JA�.,..7»:.C�_L?y:.i"ZFJFr2 _ram'.. �✓ ��� S0it_-Care_
T—G'om.P d CIAnDirt� �2s/•5�.^:34!2,., _
2 ..
PLANS"' REMEWED
k,,I*TY OF SANFORD
ES C