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1505 W 25 St; 18-3796; ROOFCITY OF PFRMtIT APPLICATIONaRLDcF3 s-<`•• BUILDING DIVISION J Application No: 19 - 3 !7 96, ocumented Construction iiatue: $ %7T ; Job Address: 1509 I/JeK-' : Sr"%a4-b ; It- 372- Historic District: Yes No[] Parcel ID: ©Z- 20-30 •• 5bk - o4 - DCCD Residential Commercial Type of Work: New Addition Alteration Repair Demo Change of Use Move Description of Work: Plan Review Contact Person: Phone: Fag: Email: P-P Srroag-iL4-NG POi;u4r-, Property Owner Ildormation Title: Name Qtg R? ;;A -. -e Lif- Phone: Street: 3 3 A- Sr C- io2- ; Resident ofproperty? City, State Zip: Aie.Mr-w4# , lyye 109,Kz— Contractor Information Name o N Phone: J04 ?2aJ03-7- Street: 162fy Vpbez4-S (W-c s7,I,t4 Fax: City, State Zip: W W iCE, LL.. 34 Sr' State License No.: CCL B Zctf'i Oe Name: Street: City, St, Zip: Bonding Company: Address: Architect/Engineer Information Phone: Fag: E-mail: Mortgage Lender: Address: - - - WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAYRESULT 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 INSPECTIONS IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER ORAN ATTORNEY BEFORE RECORDING YOURNOTICE OF COMMENCEMENT Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work orinstallation has commenced prior to the issuance of a permit and that all work will be performed to meetstandards ofall 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. M FBC 105.3 Shallbe inscribed with the date of application andthe code in effectas ofthat date:6`s Edition (20I7) Florida Building Code NOTICE: Inaddition to the requirements ofthis permit, there may be additional restrictions applicable to this property that maybe found in thepublic 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 ofpermit is verification that I will notify the owner of the property of the requirements ofFlorida Lien Law, rS 713. The City of Sanford requires payment of a plan review fee at the time of perrait subnttal. A copy of the execute' con«act is required in order to calculate a plan reviewcharge and will be considered the estimated construction ,mlue ofthe job atthe time ofsubmittal. The actual construction value willbe figured based on the current ICC Valuation Table in effect at the time the permit is issued, in accordancevdth 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 A.FMAVIT. I certify that all of the foregoing information is accurate and that all work will be done in cAmpliance with all applicable laws regulating con:stru n ai- zoning. L ZDd fOwncr/ Agent // Date i0r' I/1/IDIt D Print Owner/Agent'sName O0 - to Signature of Notary -State of FloridaIK1r. ARYPU C Signature of State OF FLORIDA r„,,,,,•, I// MARCELLA SOARES FF975815 a sT r„s ommisston # FF 189633 3128/ 2020 •P,cMy Commission Expires Owner/ Agent is Personally Known o 1 e or Contractor/Agent i lose Mnit$'go by Produced ID Type of ID Produced ID Type of ID BELOW IS FOR OFFICE USE ONLY Permits Required: Building Electrical Mechanical Plumbing Gas Roof Construction Type: Occupancy Use: Total Sq Ft of Bldg: Min. Occupancy Load: Flood Zone: of Stories: New Construction: Electric - # of Amps Plumbing - 'of Fixtures Fire Sprinkler Perntait: Yes []No- # of Heads ____ __ _ . Fire Alarm Permit: Yes No -__ _._. _. _ APPROVALS: ZONING: COMMENTS: ENGINEERING: UTILITIES: WASTEWATER: BUILDING: