108 Hidden Arbor Ct - E18-003046 - PANELCITY OF
JUL 11 iota
PERMIT APPLICATIONSkNFORD`Y-
BUILDING DIVISION
Application No: P
Documented Construction Value: $ 102 '
Job Address: IN 44iddfn Arb*r CA. Historic District: Yes No
Parcel ID: I V- 2D'*5V' 5 2)- MCC) - g 01 G Residential Commercial
Type of Work: New Addition Alteration Repair 0 Demo Change of Use Move
Description of Work: gdl am -6ishria i nside. h ilz Pff li tt .
Plan Review Contact Person: 14 dy huLI z Title: y
Phone(!
Jb-1)`4JJ D 10 - Fax: Email: i)A 1 xAt y4c,y roue •uo Property
Owner Information Name
nlichael _t PjArbam Phone: ,1
Street:
ug 11 iMtrI A ( bur aResident of property?: '1'l'Dw D1N xws. City,
State Zip: 'E rA" 01-4. P 1 • 32-1-13 Contractor Information
Name Wel-
bom S iryite, GDrp. Street: 14\
1 S • bro n4G 61mso m 'Trl . City, State
Zip: O < < ang o ' I. 3'2_7DS Name: Street: City,
St,
Zip:
Bonding Company: Address:
Phone: Fax:
State
License
No.:
EC l30" D-1 Architect/Engineer Information
Phone: Fax: E-
mail:
Mortgage
e Address:
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 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. Revised- June,
2018
Permit Application
FBC 105.3 Shall be inscribed with the date ofapplication and the code in effect as ofthat date: 61 Edition (2017) Florida Buildifig Code'
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 thejob 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 construction and zoning.
X
Signature of Owner/Agent Date
X
Print Owner/Agent's Name
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
Signature of Contractor/Agent Date
Print Contractor/Agent's Name
Signature of Notary -State of Florida Date
Contractor/Agent is 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: Occupancy Use: Flood Zone:
Total Sq Ft of Bldg: Min. Occupancy Load: of Stories:
New Construction: Electric - # of Amps Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes No # of Heads
APPROVALS: ZONING:
COMMENTS:
UTILITIES:
ENGINEERING:. FIRE:
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
Revised: June, 2018 Permit Application
t
FBC 10S3 SW be hualbed wltb the date ofsppllestioa sod thecode to effect so of ibai data 6* uttlon min norms oaDdlns Code
h1o'nCE In atiditios a the requtremrM ofthbperm4d maybe dditinnal reslrlcnom pplksbk tothllproprnydut troyk foondln thepublk
accords ofthb eoastr. and Owre may k additional permits tequW (tons other gmmnmenW entttln such u wales aueseemeM dlurhts. State
aQenefts, a kdera! trQeoein.
Aeee4snee of permit to /trif"tim that 1 wJl notifytheowner of the prntwtyofthr rrqulrcmrnts ofnntlJa Urn Lr, rS 71).
The City of Serhod rMutrn pa)"01 D(s ylanreslew ke at the Ow ofpermit Submittal. A cepy of the eaecolcrl contract to MvIred InordertoCalculatearlanrmewcharvarowillkeomWRWOwWimalcdcomtnrconnvalueortheplbstthelimeorsulorthtsl. 7l1a1Uuleoattructlonvalue
Will b<Ilgund batedoa tlw evmm110td CLWJ IMaw11toNlrythealoto cd11will bbt sr4W ttn
o Quapamll (noAm heePP"Ou s bttsl
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urDea riborcd sittenneeutedconttsel OWN
S AFFIDAVIT: l certify that all of the foregoing Information is accurate and that all work will be l
done
in eompllance with all aPPllcable laws regulating construction and zoning. t
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pertonally own to Mre r Contractor/Ageat It_ PersonallyKnown to Me or l Produced ID Type
of
ID r l tL1 fIM- Produced
ID
Type of ID 3F,i y iS
FOROFFICH USE ONLY Permits Required: Building Electrical
Mechanical Plumbing Gas Roof Construction Type: Occupancy Usa
Flood Zone. Total Sq Ft of
Bldg• Mtn. Occupancy Load: r of Stories: New Construction: Electric - r
of AMP. Plumbing - r ofFialura FlreSprinklefPermtl: Yes0No roftleads-___. Fire
Alarm Permit: Yes[] NO[) APPROVALS: ZONING UTILITICS:---WASUWATER:
FNGINEERING:FIRE: BUILDING: COMMENTS:
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POWER OF ATTORNEY
Site Address: iQ O "1A(kC,n pwar c • Slh:V(-A r1PA- '2>
Street City State Zip
Description of work: D -f r ica.1
Contractor: F—rl L AYt rq License M ECOOD-1 (D
Print Name of License Holder)
Phone #0V-1w41-33117
As contractor for the above referenced permit, I hereby
thor'ze
rs I 1 9ALV01 to sign documents related to the above mentioned address.
Print Na e)
Signature of License H
State of A DVid4- County of rAn t -
The foregoing instrument was acknowledged be ore"me this th
day offal year 2918 , by G A'4 C {
11WhoXispersonallyknowntomeorhas produced
as identification, and did take an oath
did not take an oath.
Print name:
Notary signatur
seal)
J,r
JACK MURRAY
NoUry Pu011e •State of FloridaCommissionIFF205413
My Comm. Expires Mar 3, 2019nBoldedfHoughNafkW "Aso.
407) 841-3310 1 FAX (407) 425-9934 I www.westbrookfI.com 1 1411 S. ORANGE BLOSS044 TRAIL ORLANDO, FLORIDA 32805