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1505 W 25 St; 18-3802; ROOFb +'' CITY OF e t'` • BUILDING DIVISION 00EP p 5 2018 PEII1b1 IT APPLICATION f., ApplicationNo: 31" P ocumenied Construction Value: Job Address: 1909 tniEsi' 37-gq 1 Historic District: Yes No Parcel ID: ©Z- ;?0-3o • &-b4 - oqw - Dce-p Residential [] Commercial Type of Work: New D Addition Alteration D Repair - Demo[] Change of UseQ Move Description of Work: iZG Plan Review Contact Person: Phone: Fag: Email: Title: p PSroag-"-DqG Poixr& i-6Property Owner Information Name A&' 5•ti7.d n cl R;i,trg t_i C.- Phone: Street: 343 A- Rcon Si SfC ioz ; Resident of property? City, State Zip:Z- Contractor Information Name rlL\I &4Ar Phone: J ZZJ03 t- Street: / 62fo Pobez4I City, State Zip: _ X) w r , Lt- 3'? 2-"SG State License No.: 6CC— (3 Z1i'14O6 Architect/ Engmeer Information Name: Phone: Street: Fax: City, St, Zip: E-mail: Bonding Company: Address: Mortgage Lender: Address: WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAYRFSULT 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 certifythat no work or installationhas commenced prior to the issuance of apermit 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, .sells, pools, furnaces, boilers, heaters, tanks, and air conditioners, etc FBC 105.3 Shallbe inscribed with the date ofapplication and the code in effectas ofthat date: 6`b Edition (2017) Florida Building Code NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that maybe 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 ofpermit is verification that I will notify, the owner of the property of the requirements ofFlorida Lien Latiy, 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 reviewcharge and will be considered theestimated construction valueofthejob at the time ofsubmittal. The actualconstruction value will be figured based on the current ICC Valuation Table in effect atthe time the permit is issued, in accordance«ith 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 rnpliance with all applicable laws regulating cow siru n zoning. 5 Z l fOwncr/Agent Date Sign atureot ontnctor/ Agent Date Print Owner/Agent's Name a-. 0" oO -i Signature of Notary -State of Florida ' p t Signature of A'gtary-State NOTARYPUBLICI(/ ,,,. rOFFLORIDA MARCELLA SOARES FF9T5815 ommisston k FF 189633 1d - 3/28/2020 vy, 'P.ZMy Commission Expires Owner/Agent is Personally ZCnown o 1 e or Contractor/Agent i itCtlt l @ b4 Produced ID Type of ID Q1- 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 A.;tatps Plumbing #'of Fixtures Fire Sprinkler Permit:- Yes ENO n- # of Hearts Fare Alarm Permit:. Yes 0 No - APPROVALS: ZONING: ENGINEERING: COMMENTS: UTILITIES: WASTE WATER: BUILDING