300 Old England Loop - BC01-000125 (STRATFORD PT APTS) (WOOD FRAME) DOCUMENTS300 Dd Encd..land Loop e)) d *3
SUBDIVISION: ll c T D Py n }
ZONE DATE
CONTRACTOR Picerne Construction Corp.
247 N. Westmonte Drive
ADDRESS _ Altamonte Springs, FL 32714
407) 772-0200 / CGC038733
PHONE #
LOCATION
OWNER _ Stratford Point LTD Partnership
247 N. Westmonte Drive
ADDRESS Altamonte Springs, FL 32714
PHONE # _ (
407) 772-0200
PLUMBING CONTRACTOR
ADDRESS
PHONE #
ELECTRICAL CONTRACTOR f T
ADDRESS
PHONE #
MECHANICAL CONTRACTOR Fe/-tC!jy3
ADDRESS
PHONE #
MISCELLANEOUS CONTRACTOR
ADDRESS
SEPTIC TANK PERMIT NO.
SOIL TEST REQUIREMENTS (
FINISHED FLOOR
ELEVATION REQUIREMENTS
ARCHITECTURAL APPROVAL DATE:
PERMIT # 01-1.;s
JOB `3 bw, a q U n A.7
COSTS G LL '. )
LOT NO.
BLOCK:
SECTION:
SQUARE FEET:
FEE $ MODEL:
STATE NO.
FEE $
FEE $
FEE S
OCCUPANCY CLASS:
INSPECTIONS
TYPE DATE OK REJECT BY
FEE $ ENERGY SECT. EPI:
CERTIFICATE OF OCCUPANCY
ISSUED #
FINAL DATE
DATE: - _
PERMIT
CITY OF SANFORD, FLORIDA
PPLICATIO FOR UI DING PERMIT
3 0)o old ffn icnc LID
ADDRESS_ CI
Total Contract Price of Job -7to z , J I
Describe Work C3'Alpll
Type of Construction VAI
Number of Stories
Occupancy: Residential 1/
Sarra4 INk's ,
PERMIT NUMBER 0 1—I-As
of Dwellings a L Zoningyt) Ord, Commercial
Industrial LEGAL
DESCRIPTION (please attach printout from Seminole County) TAX
I. D..N.UMBER (Q` u 1_
O
OWNER
J 1 (-(it'Ti)C Po'\ : -wrrl c i O'C T1(iQ6 %%PHONE NUMBEF( ADDRESS
CITY
C TITLE
HOLDER ADDRESS
CITY
IF
OTHER THAN OWNER) BONDING
COMPANY ADDRESS
CITY
ARCH]
ADDRE
CITY
MORT(
ADDRE
CITY
STATE
STATE
ZIP
ZIP
CONTRACTOR
C^CPHONE NUMBE gU ADDRESS a
A 'J- ", rj y'1( f p_ ST. LICENSE NUM ER C b ,r t:" CITY STATE
c-r G _. ZIP a. 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,
PLUMBING, MECHANICAL, SIGNS, POOLS, ETC. OWNER'S
AFFIDAVIT: I certify that all the foregoing information is accurate and that all work
will be done in compliance with all applicable laws regulating Construction and zoning.
A COPY OF THE RECORDED COPY OF THE NOTICE OF COMMENCEMENT WILL BE POSTED ON THE
JOB SITE WITH PERMITS NO LATER THAN SEVEN (7) DAYS AFTER THE PERMIT HAS BEEN ISSUED. FAILURE
TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOU PAYING TWICE FOR THE IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER
OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. 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. A T
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Za.F
L CCEPTANCE
OF
PERMIT IS VERIFICATION THAT I WILL NOTIFY THE OWNER OF THE PROPERTY OF HE REQUIREMENTS
OF FLORIDA LIEN LAW, FS713. _ Tgnature —of
Contractor & Date pe r
Print ontr ctor's Name c -1)
4100 Si nature
of Notary & Oate Official Seal)
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Signat
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of Owner/Agent & Date Type or
Print Owner/Agent Name Arim ( Cb
S gnature
of Notary Date Official Seal)
e°gN
Marcia A Vargas My Commission
CC879312 1N" q
Expires October 13, 2003 Marcia A
Vargas My Commission
CC879312 aFo,Y
Expires October 13, 2003 Application Approved
BY: Date:11 g
S -
0C) FEES: Building
3o n .c Radon Police ,c(i(p,, Fire Open Space
Road Impact Application f , C) PERMIT VALIDATION:
CHECK CASH DATE ,3J2AJt& BY - ORIGINAL (BUILDING)
YELLOW (CUSTOMER) PINK (COUNTY TAX OFFICE) GOLD (CO. ADMIN) THIS APPLICATION
USED FOR WORK VALUED $2500.00 OR MORE It H
0
9i
Ic
FEMA REC'D /
SLAB REC'd
INSPECTOR
REQUEST =0R FINAL INSPECTION
CERTIFICATE OF OCCUPANCY/COMPLETION
MULTI -FAMILY APARTMENT BUILDING""
DATE 10 10 ID I
PERMIT # d Z
ADDRESS Id L,nd&A_&
Pj i_V+
CONTRACTOR Pi. !
The Building Division has received a request for a final inspection and a
Certificate of Occupancy for the above referenced address. We would appreciate
a final inspection of the site by your department. Approval by your department
would result in a granting a C.O. for the address. If you have any issues that the
contractor will need to address, please submit a statement for denial of C.O. or a
conditional agreement to be attached to the C.O.
Thank you for your cooperation.
Engineeri
Public Works Zoninq
Utilities Licensing
Conditions: (to be completed only if approval is conditional)
FEMA REC'D
SLAB REC'd
INSPECTOR_
REQUEST FOR FINAL INSPECTION
CERTIFICATE OF OCCUPANCY/COMPLETION
MULTI -FAMILY APARTMENT BUILDING****
DATE 12 I0 ID i
PERMIT # D 1 v I Z-5
ADDRESS 3M blop
PROJ ECT_21J QQ+-R d PKn
CONTRACTOR PJ QL
The Building Division has received a request for a final inspection and a
Certificate of Occupancy for the above referenced address. We would appreciate
a final inspection of the site by your department. Approval by your department
would result in a granting a C.O. for the address. If you have any issues that the
contractor will need to address, please submit a statement for denial of C.O. or a
conditional agreement to be attached to the C.O.
Thank you for your cooperation.
Engineering
Public W Zo
Utilities Licensinq
Conditions: (to be completed only if approval is conditional)
FEMA REC'D
SLAB REC'd
INSPECTOR
REQUEST.FOR FINAL INSPECTION
CERTIFICATE OF OCCUPANCY/COMPLETION
MULTI -FAMILY APARTMENT BUILDING""
DATE 10 I 1 `1 k i
PERMIT # d 1 I Z-.5
ADDRESS &nd&ru& LOOP
PRO6i CONTRACTOR—
P The
Building Division has received a request for a final inspection and a Certificate
of Occupancy for the above referenced address. We would appreciate a
final inspection of the site by your department. Approval by your department would
result in a granting a C.O. for the address. If you have any issues that the contractor
will need to address, please submit a statement for denial of C.O. or a conditional
agreement to be attached to the C.O. Thank
you for your cooperation. Engineering
Fire Public
Works 8
tL - Utilities
2 26%NZL' censinq Conditions: (
to be completed only if approval is conditional)
i L4 J L'. 1_.
BUILDING PERMITS 24 HOUR NOTICE, REQUIRED
iZK ,,AV FOR ALL T NSPEGT r;ONS
x SANrO iD, FL 32771 PHONE { 407 j 330 65
Application Number ---.------ 0--00000125 - - rate 1/ 14/0'u
Property Address _ _ - 300 OLD ENGLAND LOOP
Parcel Number . . . . . . . 16. l9 . 30. 5AC--00(( ,0- 0860.-
Application description NEW 5 & MORE i+'?,°T F3Ji DiilC;S J ddQ
division Name
Property Use tiUL FAM \`2
Property Zoning . . .
A>pl_.ication valuation 967315
no
P I CERNE CONSTRUCTION ,ORP r)
Ii2i•?SS ANN IN_ iiHATli:AN
0g FLOFrI ) 3/CTt R`i' FIRST NATIONAL BANK,
G,47 N Wr _ ONE E R
3B N WESTMONTr, DRIV`: S'] 280 S;mr,
ALTAMON'T'E SPR NGS F 2 1zi
AL T'At;ONr1`'E SPR-I.N:aS FL '3'? 1.I -
Structure information 3 S.TORY - 24 UIIIT AP i BLD' ---
Construction 'ry,-.)e . . FRAME
r
Occ_iy;ancy i.yFe RESIDENNT! A
r, Type FIBERGLASS IDEINGLIE'oRoofoo- - - . - - o
Flood 'one NONE
Fence Type . . . . . . . CHAINLINI; FENCE
G11er s ruct info - - - ERROR* 00 NUMBER
OF STORIES ERROR*
0 T
25t 00 ' SQUAREi0OI'A 7L' `'" ERROR*
00 NUMBER
OF' UNITS 24.00 BUILDING
PERMIT - NEW/F.TF:h Additional
desc J.
OU Fee36a
7 . 0) .. lain Check Fee Permit
F E _
9625I DatIssue
e . - . . 3/i 0/01. Va1.ua.t i.on Expiration Date 9/
16/01 Qty Unit Charge
Per Extension BASE FEE
r
T, PERMIT -
3 i385,E 100 963. 00 4 .
OQ00 THOU BL%,,_j P E ORD 23-6 , .0'/ ----- --, -- Special Notes and
Comments ELEC: 24 UNITS
PLUS 1 HOUSE METER WHICH INCLUDES 8 STREET
LIGHTS PREPOWER LETTER ON
FILE her Fees - - - - - - - - 01--
APPLCTN FEE-ELEC'T'RIC 01-'APPLC'TN
FEE -BUILDING 10.00 O1.-APPLCTN FEE -
MECHANIC 10.00 01 -APPLCTN F'
EE rLULMBING 1.0 .00 01-_PREPOWER AGREEMENT
60.00 01--FIRE IMPACT -
RESIDENT 1422.48 O=FIRE INSPEc;
T--NEW CONST 565.08 FAILURE TO COMPLY
WITH MECHANIC'S LEIN LAW CAN RESULT IN THE PROPERTY OWNER PAYING
TWICE FOR BUILDING IMPROVEMENTS. NOTE: ALL FEES
MUST BE PAID PRIOR TO C.O. B''Ti`lG ISSUED. n NOTE: PLEASE
BE
ADVISED ALI, PERMITS MUSTINSi'r_:CLF;D-
B1_1i*r NG PERiiIi'S`
300 N PARK AV
SANFORD, FL 32771
24 HOUR NOTICE REQ'J I RED _
v
FOR Af, INSPECTIONS PHONE (
407) 330-5659 Page
2 Application
Number . . . 01.--000001.25 Date 1/14/02 Other
Fee: . _ . . . . . . . 01-OPEN SPACE 6710.64 01-
POLICE IMPAC`i - RESID 2206.32 01-
RADON GAS TAX FEE 141-27 01-
REINSPECTION-BUILDING 15.00 01-
RECOVERY FD/CERT. PGM. 141.27 WD
IMPACT:MULTI FAMILY 13000.00 SD
IMPACT:MULTI FAMILY 34000.00 Fee
summary Permit:
Fee Total Plan
Check Total Other
Fee Total Grand
Total Charged
Paid 3887-
00 3887.00 00 _
00 58302.
06 11302.06 62189.
06 16189.06 Credited
Due 00 _
00 00 .
00 00 "
47000-00 FAILURE
TO COMPLY WITH. MECHANIC'S LEIN LAW CAN RESTJL'i.' I''v' THE PROPERTY
OWNER PAYING TWICE; FOR BUILDING IMP OVE,M.ENTS NOTE,:
ALL FEES 1 ST BE `AID t? I OR TO C; . O . Bh7'el(1 S-^k, +,f _ > . ,. , a,aN,. NOTE:
PLEASE BE ADVISED ALL PER1,1I TS MUST BE , tI:N:SPECTED .
FEMA REC'D
SLAB REC'd
INSPECTOR
REQUEST FOR FINAL INSPECTION
CERTIFICATE OF OCCUPANCY/COMPLETION
MULTI -FAMILY APARTMENT BUILDING****
DATE 1 `1
PERMIT # I
ADDRESS 3 . ) l 'az / )
f
PROJECT22+ +ftyd PCl-Cn
CONTRACTOR_-P') CQ 1'V- -- QN4t-
The Building Division has received a request for a final inspection and a
Certificate of Occupancy for the above referenced address. We would appreciate
a final inspection of the site by your department. Approval by your department
would result in a granting a C.O. for the address. If you have any issues that the
contractor will need to address, please submit a statement for denial of C.O. or a
conditional agreement to be attached to the C.O.
Thank you for your cooperation.
Engineering re
Public Works Zoning
Utilities Licensing
Conditions: (to be completed only if approval is conditional)
FEMA REC'D
SLAB REC'd
INSPECTOR
REQUEST -FOR FINAL INSPECTION
CERTIFICATE OF OCCUPANCY/COMPLETION
MULTI -FAMILY APARTMENT BUILDING****
DATE 1.0 1 n ID I
PERMIT # d Y Z
ADDRESS C-11610
PROJECT,7W!`'OYC1
4
CONTRACTOR P)
The Building Division has received a request for a final inspection and a
Certificate of Occupancy for the above referenced address. We would appreciate
a final inspection of the site by your department. Approval by your department
would result in a granting a C.O. for the address. If you have any issues that the
contractor will need to address, please submit a statement for denial of C.O. or a
conditional agreement to be attached to the C.O.
Thank you for your cooperation.
Engineering
Public Works
Utilities
Conditions: (to be completed only if approval is conditional)
rra
censina
ALTAMONTE SURVEYING
AND PLATTING, INC.
445 DOUGLAS AVE. ° SUITE 1455
ALTAMONTE SPRINGS, FL 32714
January 17, 2002
City of Sanford
P.O. Box 1788
Sanford FL 32772-1788
Fax 407-772-0220
RE: Lots 88 and 95, 300 Old English Loop, Sanford, Florida
To whom it may concern:
The Finish Floor Elevation of the structure located at 300 Old English Loop, Sanford Florida, Lots
88 and 95, Florida Land Colonization Company Limited, Plat Book 1, Page 114, Seminole County,
Florida meet or exceeds the requirements set forth on the approved plans.
Sincerely,
r
Michael Solitro
President #LS4458
407) 862-7555 • (407) 862-6229 FAX
FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077
NATIONAL FLOOD INSURANCE PROGRAM
Expires July 31, 2002
ELEVATION CERTIFICATE
Important Read the instructions on pages 1 - 7.
SECTION A - PROPERTY OWNER INFORMATION For Insurance Comparry Use:
BUILDING NM R' NAME Policy Number
Stratford point Apartments (Building 3)
BUILDING STREET ADDRESS (including Apt, Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIC Number
300 Old English Loop
CITY STATE ZIP CODE
Sanford Florida
P TY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc)
Lots 88 & 95, Florida Land Colonization Limited PB 1 PG 114
BUILDING U (e.g., Residential, Non-residential, Addition, Accessory; etc. Use Comments section if necessary.)
Residential I
LATITUDElLONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE. LJ GPS (Type): i
or NAD 1927 LJ NAD 1983 U USGS Quad Map LJ Other.
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
31. NFIP COMMUNITY NAME & COMMUNITY NUMBER 62. COUNTY NAME 83. STATE
Ci.t Of Sanford 120.294 Seminole Florida
B4. MAP AND PANEL B5. SUFFIX B6. FIRM INDEX 87. FIRM PANEL B8. FLOOD B9. BASE FLOOD ELEVATION(S)
NUMBER DATE : , EFFECTIVE/REMSED DATE ZONE(S) Zone AO, use depth of flooding)
120294,0040&4 E 4/17/95 N/A X N/A'
bl U. Indicate the source of the Base Flood Elevation (BFE) data or base flood depthenteredin B9.- FIS
Profile IX I FIRM 1.1 Community Determined I Other Describe 611.
Indicate the elevation datum used for the 8FE in 69:I1I NGVD 1929 1_1 NAVD 1988 I_j Other (Describe). 812.
Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)?, 1_1 Yes IX I No Designation
Date: SECTION-
C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1.
Building elevations are based on: I_IConstruction Drawings' I_IBuilding Under Construction' QK_IFinished Construction> A
new Elevation Certificate will be required when construction of the building is complete. C2.
Building Diagram Number 1 (Select the building diagram most similar to the building for which this certificate is being completed- see pages
6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) C3.
Elevations - Zones Al-A30, AE, AH, A (with BFE), VE, V1-V30, V (with BFE), AR, AR/A, ARiAE, AR/A1-A30, AR/AH, AR/AO Complete
items C3a-i below according to the building diagram specified in Item C2:_ State the datum used. If the datum is different from the
datum used for the BFE in Section B;. convertthe datum to that used for the BFE. Show field measurements and datum;conversion_ calculation.
Use the space provided or the' Comments area of Section or Section G, as appropriate, to document the datum conversion. Datum
NGVD 1 9 2 9 Conversion/Comments Elevation
reference mark used County Bench Does the elevabon reference mark used appear on the FIRM? 1_`j"fes lxl No a)
Top of bottom floor (including basement or enclosure) 28 5 ft.(m) 1 v
b)
Top of next higher floor 38 6 ft:(m)`" o c).
Bottom of lowest horizontal structural member (V zones only) N f A ft.(m) d)
Attached garage (top of slab) N/A ft.(m) E a e)
Lowest elevation of machinery and/or equipment w m
servicing
the building. 28 2_ft.(m) E 0
Lowest adjacent grade (LAG) 27 7 ft.(m) z c, g)
Highest adjacent grade (HAG) 27 8_ ft.(m) h)
No. of permanent openings (flood vents) within 1 ft. above adjacent grade N/A i)
Total area of all permanent openings (flood vents) in C3h NSA sq. in. (sq. cm) SECTION
D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION - This
certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. 1
certify that the information in Sections A, 8, and C on this certificate represents my best.efforts to interpret the data available. I
understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. RT1I
IER,3 NAME LICENSE NUMBER Michael
W_ Solitro #LS4458 TITLE
COMPANYNAME President
Altamonte Surveyingand Platting, Inc AMn= -- 445
Dou
1 s Ave.11r S ite 1505 Altamonte Springs SIG NAURE
DAfE 10 17
01 c=neA
c — PI-11 Al ir; od ccc pGvc4cc cinc cnA rnniTirui iATinni Fl. 32714
pCDi Arcc
Ai i p Vlnl IC cnlTli"1AIC
IMPORTANT: In these spares, copy_the corresponding information from Section A. For Insurance Company Use.
BUILDING STREET ADDRESS (Including Apt, Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO.
300 Old English Loop
Policy Number _.
CITY STATE ZIP CODE
Sanford Florida
Company IVJU, Number
SECTION D -SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED)
Copy both sides of this Elevation Certificate for community official, (2) insurance agent/company, and (3) building owner.
COMMENTS
i
i
Check here if attachments
SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WTHOUT BFE)
For Zone AO and Zone A (without BFE), complete Items E1 through E4. if the Elevation Certificate is intended for use as supporting
information for a LOMA or LOMR-F, Section C must be completed.
El. Building Diagram Number (Select the building diagram most similar to the building for which this certificate is being completed -
see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.)
E2. The top of the bottom floor (including basement or enclosure) of the building is 1_I_I ft.(m) 1_1_1in.(cm) 1_1 above or 1_1 below
check one) the highest adjacent grade.
E3. For Building Diagrams 6-8 with openings (see page 7), the next higher floor or elevated floor (elevation. b) of the building is
1_I_1 ft.(m) 1_1_lin.(cm) above the highest adjacent grade. I
E4. For Zone AO only. If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's I
floodplain management ordinance? 1 I Yes 1 I No 1 1 Unknown. The local official must certify this information' in Section G. I
SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION
The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA-issued or
i
1
1 community -issued BFE) or Zone AO must sign here. I
9
r
PROPERTY OWNER'S OR OWNER AUTHORIZED RPRE NATIVE' NAME I ADDRESS
CITY STATE ZIP ODE i a
I
I
SIGNATURE DATE TELEPHONE COMMENTS
jJ
Check here if attachments 1
1
SECTION G -COMMUNITY INFORMATION (OPTIONAL) The
local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections
A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. G1.
1_ The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer,
or architect who is authorized by state or local law to certify elevation information. (Indicate the source and date of the elevation
data in the Comments area below.) G2.
1_1 A community official completed Section E for a building located in Zone A (without a FEMA-issued or community -issued BFE) or I
Zone
AO. I
G3. 1_1 The following information (Items G4-G9) is provided for community floodplain management purposes. G4.
PERMIT NUMBER. G5. DA PERMIT ISSUED. G6. DATE CERTIFICATE OF COMPLIANCPEMCCUPANCY ISSUED
G7.
This permit has'been issued for: 1_1 New Construction 1_1 Substantial Improvement G8.
Elevation of as -built lowest floor (including basement) of the building is: _ —ft.(m) Datum: G9.
BFE or (in Zone AO) depth of flooding at the building site, is.- _ ft.(m) Datum: LOCAL
OFFICIAL'S NAME TITLE COMMUNITY
NAME TELEPHONE SIGNATURE
DATE COMMENTS
1
j Check here if attachments C\
AD Germ A1_'11 01I!'300 - - DCDI pr`CC 61 I DD.C\!I(11IC Gr iTlrl IC
CITY OF SANFORD MECHANICAL PERMIT APPLICATION
Permit Number: Date: b o I
The undersigned hereby applies fora permit to install the following equipment:
Owner's Name: LnM C) U is t D i tin
Address of Job:
Mechanical Contractor:_A— i/"—
Residential \ Non -Residential
Amount
Nature of Work: `o3:;\
r 4'l l Zt
Job Valuation:
Application Fee: $10.00
TOTAL DUE:
By signing this application, I am stating that I am in com Hance with City of Sanford
Mechanical Code.
Applicant Signature
Ci9 _ c(D S g21.T
State License Number
CITY OF SANFORD PLUMBING APPLICATION
PERMIT NO. o/ - /;,57 DATE '/" S 0 J
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT
TO INSTALL THE FOLLOWING PLUMBING:
OWNER'S NAME:
ADDRESS OF JOB: ---WU UILL 42,172 i0cA
Cp.Se #yrfAh f f
PLUMBING CONTRACTOR RES. _NON-RES.
Subject to rules and regulations of Sanford Plumbing Code
Plumbing Code.
pplicant Slignaturre
State License#
h_-
CITY OF SANFORD ELECTRICAL PERMIT APPLICATION
Permit Number: r1 — ,— Date:
The undersigned hereby applies fora permit to install the following plumbing:
Owner's Name:
Address of Job:
Electrical Contr,
Residential: Non -Residential:
Number Amount
Addition, Alteration, Repair Residential & Non -Residential
New Residential:
AMP Service
New Commercial:
AMP Service xe3 7 7/7-3- SZ'rOQ
Change of Service:
From AMP Service to AMP Service
Manufactured Building
Other:
Description of Work:
C,
Application Fee: 10.00
TOTAL DUE:
By Signing this application I am stating that I am in compliance with City of Sanford Electrical Code.
Applicant's Signature
State License Number
bq.
BP200IO3 CITY OF SANFORD
Application Inquiry - Fees
t
Application nbr 01 00000125
Property • • • • 300 OLD ENGLAND LOOP
Fee
3/20/01
10:07:17
Class/Type/Description Trans amt Amt due Struct Permit Insp
A AF 01-APPLCTN FEE -BUILDING 10.00 10.00
A FR 01-FIRE IMPACT - RESIDENT 1422.48 1422.48
A F1 01-FIRE INSPECT -NEW CONST 565.08 565.08
A OS 01-OPEN SPACE 6710.64 6710.64
P PF 01-PERMIT FEES 3887.00 3887.00 000000 BLCA00
A PR 01-POLICE IMPACT - RESID 2206.32 2206.32
A RA 01-RADON GAS TAX FEE 141.27 141.27
A SC 01-RECOVERY FD/CERT• PGM• 141.27 141.27
A U2 WD IMPACT:MULTI FAMILY 13000.00 13000.00-'
A U5 SD IMPACT:MULTI FAMILY 34000.00 34000.00
Total due : L2084.06
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