3609 S Orlando Dr - BC01-002017 (ROSS) (FIRE SPRINKLER MODIFICATION) DOCUMENTSCITY qF SANF,(JRD, FLORIDA -7
Aft APPLICATION FOR BUILDING PERMIT
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q 0 nnCIO PtL, CiZ.oS3= PERMIT NUMBER %>-7
Total Contract Price of ,Job` 11. (1'(p ' Total Sq. Ft. Solt q
Describe work . S nc J(4$-.e*t
Type of ConstructionAILP AC CIE 5',v Flood Prone (YES) (NO) NuOccupancy:,
er,of,StorRes' `" Number of Dwellings ;_ Zoning Residential
Commercial 'Industrial LEGAL
DESCRIPTION (please attach printout from Seminole County) TAX
I.D. NUMBER OWNER., . `{
111M,0 } - - - - - PHONE NUMBER ('4®1) 3oz- /i(o-0 ADDRESS
j • CITY
TITLE
HOLDER (IF OTHER THAN OWNER) ADDRESS
STATE
ZIP 52'7? CITY
STATE ZIP MORTGAGE
LENDER ADDRESS
CITY
r STATE ZIP ' CONTRACTOR
r OsJT 5 1 PHONE NUMBER ADDRESS
Wl RJi^ (u,J{ : ST. LICENSE NUMBER .i ?pS/ 7 (' CITY '
SA py 'STATE BIP Application
is hereby ma de,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,NOTIC-E 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 beadditional permits required from 'other governmental entities such
as water management districts, state agencies, or federal agencies'. ACCEPTANCE OF
PERMIT IS VERIFICATION,'THAT I WILL NOTIFY THE OWNER OF THE PROPERTY OF THE REQUIREMENTS,
OF FLORIDA LIEN LAW; FS713. ro Z
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Sign. ure ,
of Owner ge & Date Signature/ of Contractor & /Date 'f y` ro a 1< TAP)4
orPrint.Owner/ ge Name Type.or Print Contractor's Name 0 Q
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o otary & Date" CS ig a e Notary & Date o ~' p(Official
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wr Application Approved BY:
Date: C FEES: Building " Radon
Police Fire Open Space Road
Impact r— Applications .* PERMIT VALIDATION:.• CHECK
CASH DATE BY , ORIGINAL ,(BUILDING) YELLOW. (
CUSTOMER); PINK-(COUNTY'TAX OFFICE) GOL (CO. ADMIN) THIS APPLICATION USED
FOR WORK VALUED $2500.00 OR MORr O Z ro
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CITY OF SANFORD FIRE DEPARTMENT
FEES FOR SERVICES
PHONE # 407-302-1091 * FAX #: 407-330-5677 —
7
DATE: 4 4, 1PERM/IT #:
BUSINESS NAME / PROJECT: K i w Co CR as S
ADDRESS: 3 6 b / S tJ » % t t% • S ! o
PHONE NO.: L-1-b- - G P8 ` / 9 i/ FAX NO.:
CONST. INSP. [ ] C INSP.:[] REINSPECTION [ ] PLANS REVIEW [ J
F. A. [ ] F.S. [ HOOD [ ] PAINT BOOTH [ J BURN PERMIT [ ]
TENT PERMIT [ ] TANK PERMIT [ ] OTHER [ ]
TOTAL FEES: $ 's—b (PER UNIT SEE BELOW)
COMMENTS: h o 4 /¢ 1"1 d, ki T—
Address / Bldg. # / Unit # Square Footage Fees per Bldg / Unit
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Fees must be paid to Sanford Building Department, 300 N. Park Ave., Sanford, FI. 32771 Phone # -407-
330-5656. Proof of Payment must be made to Fire Prevention division before any further services can take
place. I certify that the above is true and correct and that I
will comply with all applicable codes and ordinances
of the City of Sanford, Florida.
Sanford Fire Prevention Division Applic I is Signature
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