3300 Sanford Ave - BC08-001650 (ROOF) DOCUMENTSCITY OF SANFORD PERMIT APPLICATION
Application #: V
30I
I t
Job
Address: 3O San -Ford Ayem&e Parcel
ID: @ - a0 ' 30 - 503 - 010p - 0010 Zoning: Submittal
Date: Value
of Work: $ o%Lloopo _ Historic
District: Description
of Work: Tear off .5k - Jes DAa !:,g,2 L e w ' Pc ggkf , uare Footage: 7 0 S Permit
Type: Building X Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool Sign Electrical:
New Service — # of AMPS Addition/AIteration Change of Service Temporary Pole Mechanical:
Residential Non -Residential Replacement New (Duct Layout & Energy Cale. Required) Plumbing/
New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines Plumbing/
New Residential: # of Water Closets Plumbing Repair — Residential Commercial Occupancy
Type: Residential Commercial Industrial Occupancy Use Group(s): Construction
Type: Rerca # of Stories: # of Dwelling Units: Food Zone: (FEMA form required) PropertyOwner:
bovda Chundul o1 F Tara Co -Trs Contractor: pCo h is ROn't0 Z'n C Address: I431 HCK.
Lr\d3la C lb.,r Address: U OJ5 Co cneree W" W +er Rtrh
FL 3a74a 32t - -onawood FL
3a7Z
Phone: E-mail:
Phone: yN l -.2300 State License Number: _ CC'cOJ$oaa Bonding Company: Mortgage
Lender: Address: Address: Architect/
Engineer: Phone:
Address: Fax: Plan
Review Contact
Person: Phone: Fax: E-mail: 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
pennit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction. 1 understand that a separate 4' permit must
be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and AIR CONDITIONERS, etc.
OWNER'S AFFIDAVIT:
I certify that all of the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning.
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 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 govermnental entities such as water management districts, state agencies, or federal agencies. Acceptance of pe
it is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713. Cl Jim q
5 l3.08 ignature of 6wner/
AgVH te Signature of ntractor/ gent Date UQI OlS l.(
y, kLf- rint Own /Age
N e Print Contractor/ gent's Name Signa o o
eo Flori ate WSSiigpnaturceoof NAOTtC S }
lorida Date q........... 11 .....'... . 1
fV'
1
a7 o a G
e9 a;Ga'arfa;
COmm# DD0751560 RITA GONZALEZ > f
12 3: "` lx`ltDa3I16f20MYCOMMISSION #DD662464 :
n? Con&gg?/ gp
Assn.. Inc a
is ntMeor '%o ,`° ....F nsonally Known to Me or FXPIR 9?'1',PN' y{ .... cb jy..............aa'
T"01yuced ID APPROVALS: ZONING: UTIL:
FD: Y ENG: BLDG:
Special
Conditions: 10
Rev 07.
07
2 2008 3:55PM HP LASERJET FAX p.1
a.
City of Sanford
BUILDING DIVISION --
RE: Permit # V - Gto
Inspection Affidavit
licensed as a(n) Contractor /Engineer/Architect
please print name d circle Lie. Type) S Buildin Inspector* g P
License #;Q C_0SaM2., -
On or. about :S"1d5 /D x Z 1 3-0 P, ry , I did personally inspect the 00
Date & lime)
deck nailing andlor secondary water barrie work at ?aM 50j-Kf'D,
c^,(_
ci_rc le
ones) (
Job Site Address)
Based upon that examination 1 have determined the installation was done according. to the
Hurricane Mitigation Retrofit Manual (Basedon553.844 F_S.) 0
Signature
STATE
OF FLORIDA COUNTY
OFY`l1\ Swom
to and subscribed before me this day of .2008 By.
y ' Notary
Public, State of Florida mmaaa+
am++ecm+mm+ad min •a+e Wino sa ma+m-auuumme ',., - WENDY
STAATS Commit
D. 0751WO Expires
399612012 print, type or s mp name) F'
Florida NotaryAssn„:Inc t Pamm+•
aa++m+amamu+¢ac+mammm6mw++omuamo+u+d+ Commission
No.: Personally
known >,/, or Produced
Identification Type
of identification produced;-- General,
Building, Residential, or Roofing Contractor or any individual certified under 468 F.S, to make such an inspection.
include photographs of each plane of the roof with the permit it or address # clearly shown marked on die deck
for each inspection, j