3130 Retreat View Cir - M18-004662 - HVACOMSVV1510N
job Addkessi,21
Parcel ID 3D-
Type of Work: ,New E] Addition
Description of Work:
PERMIT APPLIOMON
Application No:c c a.
Documented Construction Value:,
Historic Dis7&
IYeD N
7b -O)ub Residential Commercial Lj
011, 1 1
Alteration'[] Repair 0 Eyem.00 Change of Use n move F]
Plan Review ,Co'ntact Person: Title:
APho e: Fax-., Email:
Name-
Street:
Qty"-st, Zip:
Boriding Company:
Address:,
Architect/Engineer Information
Phone -
Pax:
E-mail:
Mortgage Lender:
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
W_jTHYO'UR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT
Appli6ation ishereby made to obtain permit to do the work and installations as indicated. ' I certify that no Work or installation has commenced prior
to the issuance ofa permit and that all work will'be pe rformed.to, meet standards ofI
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:
9t
FBC 105.3 Shall be inscribed with the date ofapplication and the-code,in effect, as of that dato:61kEdition (2017) Florida Building Code
NOTICE: In additioato.the requirements of this there maybe additional restrictions applicable to this property that maybe found in the public
records of this county, and there may be additional permits mquired fromuther1goytrnmental entities such as water management districts, state agencies,.
or federal agencies. Acceptance
of permit is verification that'l 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 , , r - d the estimated cons tructi6n, value. of the job at the time ofsubmittal. The'actual construction value will
be figuredbased on the currentICC Vdluation-Table ,in effect -at the time the permit isissued, in'accordance withlocalordinance. Should calculated charges figured
off the executed contract exceed the actual coristr0tion, value, qreditwillbe applied to your permit fees when the,permit is issued., OWNER'SI
AFFIDAVIT: I
certify
that all of the foregoing information is accurate and that ,all work will be done in compliance
with all applicableI laws regulating construction and zoning. signature 'of,Owh
ertAgen tDate Print OvineriAgenCs Name
Signature of Notary -'
State of Florida Date Owner/Agent is.
Personally Known, to Me or Produced ID Type
of ID Cofitractot/Agent is _
Fersoqquy.&nown to Me or. JENNIFER 60WERS, Ndtary
Public -Stato;&'
Flori& Commission # GIG 244455
1 BELOW IS FOR
OFFICE USE, ONLY1 y6mrn. ifxplres N6v 30, 2022, sanded through Natibna! Notary Assn. y Assn. PermitsRequired: Building
R Electrical R Mechanical R Plumbing F] Gas E] 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 Fire Alarm Permit:, Yes n,No El APPROVALS: ZONING: COMMENTS:
ENGINEERING: UTILITIES:
WASTE
WATER:
FIRE: BUILDING -
4A,
PERMIT AUTHORIZATION
1, DAVID HILL hereby authorize
License Holder) (Authorized erlsloii)
To obtain a permit in my behalf under my license # CAC 1816634
To the?,-cr Building department for the
Job described beloW:
License Hoider Si-gna
Date I I / 3ej b
State ofFlorida
countyof vn-w-slQ
Affjp6ed and subscribed before me on this all day of
2V Jby DAVID HILL who is personally known to JOD
Klotary.
P bi; -5 wnf.FW& COM
mion!i GGI15095 My
Comm 'EzPlrOs Jul 24,2021 Print,
Type or Stamp Name of Notary