912 Maple Ave - BR18-004474 - DEMO OF EXSISTING SFHCITY OF
ZANk"ORD
BUILDING DIVISION
PERMIT APPLICATIONA
Application No:-
Documented Construction Va.liie: S 5,000.00
Job Address: 912 Maple Ave. Sanford, FI. 32771 Historic District: Yes NA
Parcel ID-1 25-19-30-512-1110-0050 Reside.utial 0 Conrl.nercial
Type of Work: New Addition Alteration Repair DelnoO Change of Use movie
Description ofworlc: Demolition of existing single family home.
Plan Review Contact Person: Glen Holt
phone; (352) 267-6395 Fax:
Title: General Contractor
Email: holtaluminum teaol.com
ProperhOwner Information Name
Mrs. Charleen Brinson Phone: (407) 936-5300 Street:
912 Maple Ave. Resident of property?: city,
state Zip: Sanford;'FI. 32771 contractor
Information Yes
Name
Glen Holt Aluminum LLC. Phone: (352) 267-6395 Street:
4044 Williams Street Fax: City,
state Zip: Fruitland Park, FI.34731 State License No.: CGC1521327 Architect/
Engineer Information Nana;:
WA Street:
City,
St, Zip: _ Bonding
Company: WA Address:
Phone:
WA Fax:
E-
mail: Mortgage
Lender: WA Address:
WARNING
TO OlVNF.R: YOUR FAILURETO RECORD A NOTICE OF CO.MIENCEMENT MAY RESULT IN YOUR PAYING TWICE
FOIL 1111'ItOVhl'lEN'.I'S '1'0 YOUR PROPF.R'TY. A NOTICE OF CONIMENCEtYIE.NT MUST BE RECORDED AND POSTED
ON TIIF JOB SITE BE.FO.RE'1 HE FIRST INSPECTION. 1F YOLT INTEND 1'0 OBTAIN FINANCING, CONSULT WITH
YOUR LENDER OR AN A170RNI Y-BEFORE IO'C7RDING YOUR NOTICE 01: (:OMMENCEINIENT Application
is h:rrhq made Io obmin a permit to do the wnrk and installalions its indicalcd. I certili• that no work or insialialiun has tUmmCnCCd prior to
the issuance of a permit and that all %cork will be pert -rnwd to iu:: t standards of ail laws r:gulaiin :un<truaion in this jurisdiction. I understand that
a separate permit must he secured for electrical u-nrk. Plumbing, signs, wells, pools, furnaces. boilers, heaters, tanks, and air conditioners, IC.
MC 1053 Shall be inscribed-trith the date ofapplication and the code in effect asof that date bt° Edition (2017) Florida BtuIlding Code
M'YI'!CIL- In addition to therealtti_vnwnU ofthis per -nut, therenmy beadditional mitricIionc applicable to thi; property that ntay be found in the publicrecurkofthiscounty, and there mar be additional permits required from other governmciiial entitic5 such as %vah-r n,a,,-,-&-ment district+, scat:
at, or lcIderal agencics.
lcceplanic of pcna»l is > crificatuna that i will notify the owner of the property oftlu r quirenwitis of Florida lien law. l :S 713.
The Uty ofSanford rNuires paeweni ofa plan review fee at the time of permit whnaival _1 rnpy of the rxeeuteai c»tatract iS required in order to
calculate a plant rtyiehv charge and will be c der ed the csfmated cowtructii)n slue of the job at the time of submittal• 'i'heactual construction value
aril] be!%weed baiLd on the current lCt: Valuation -I able ineffect at the tines the permit itis;ucd, inaccor •dame withlocal ord-utauce- Should c--hitlatctt
charges figured off the executed contract exceed the actual construction value. credit .rill be applied to .our pennit fe" when the nermil is i-csuel-
O"V'trNEWS AFFIDAVIT: I certify that all of the foregoing information is accurate and that all uork zvM be
done in compliance u-ith all applicable laws regulating construction and zones.
Si,*ttatnre ofth%mr. 4gent
Print Ih:vcr: GenfsName
Date
Sieoature of Notary -State ofigorida !)etc
Sit,*nature of Cont:amir. _mint Date
ffa l
I' tlontstitoca mt`s aatc _
patnrtnsstan # GG 119175
ec xpit lAastli 15,20 80Si- ureof\atarc-StatcofFlu ddpt ilte7toYFea
Ow merf Agent is Personally Known to die or ConiractorlAgent .isv Personal KnioMeor
Produced ID 1ITe of ID Produced Ill
ll -
r -pe ofID
BROW IS FOR OFFICE USE ONLY
Permits Required-- Building Electrical Mechanical Plumbing Gas Rod--
Construction T)-pea oc"Pancy Use
Total Sq Ft ofBldg: Min. Occupancy Load:
Flood Zone:
of Stories
New Construction: Electric - x of Amps Plumbing - # of .Fixtures
Fire Spriulder Permit: Yes No
APPROVALS: ZONING:
COMMENTS-
of Heads Fire Alarm Permit: Yes No
11-12AUTILITIES: 11ASTE NVATER-
ENGINEERING: FIRE: BUILDING: