HomeMy WebLinkAbout4649 W 1st St 08-2130 HVACG CITY OF SANFORD P£RMri APPLICATION /
kpplication # : Qq ` C4' � Submittal Date: —7
Job Address: '4% `! l 6U • 1 S� �f� Cc 7' Value of Work: S !' e ,7�/' GU
Parcel ID:' Zoning: Historic District:
Description of Work:e�l'��L I✓ 1 cl AL Square Footage:
Permit Type: Building ❑ Electrical ❑ Mechanical ��-►" l Plumbing ❑ Fire Sprinkler /Alarm ❑ Pool ❑ Sign ❑
Electrical: New Service — N of AMPS Addition/Alteration ❑ Change of Service ❑ Temporary Pole ❑
Mechanical: Residential ❑ Non- Residential ❑ Replacement New ❑ (Duct Layout & Energy Calc. 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 ql�( Industrial ❑ Occupancy Use Group(s):
g
Zonstruction Type. _ # of Stories: ( # of Dwelling Units: Flood Zone: (FEMA form required)
............................................................................. .............I................. ........
'ropertyOwner: Contractor. /t�A St e�O/�S%'cJe/Zci�il�✓1
kddress: Address: ! G )�Z O�IG� ee— 4 6/L t
�� �� ,����C 3Z -5Zo
'hone: E -mail: Phone: -3Z -7301 'rotate License Number C,PC o 5;7 5'z�
3onding Company:
iLddress:
Mortgage Lender:
Address:
krchitect/Engineer: Phone:
\ddress: _ _ Fax:
'Ian 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
ssuance 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
crmit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and
SIR CONDITIONERS, etc.
)WNER'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
onstruction and zoning.
VARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR
MPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE
JRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR
IOTICE OF COMMENCEMENT.
IOTICE: 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
its county, and there may be additional 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 oft a require /nts of Flo Ida en Law, FS 713.
�7 ��-��
Signature of Owner /Agent Date Si ature of Contractor /Agent Date
6 �- Le e. t,J 1, 140
Print Owner /Agent's Name Print Contractor /Agent's Name
b�4,� rho /0
Signature of Notary-State of Florida Date Signature of Notary-State of Florida Dat
cot's "� DBI`.I ANrP
wt. my CON1691SSION g DD629096
t ; e ExpIRES: February 25, 2011
OF rti °Q Fl. Notz'Y Discount Assoc. Co.
1-21M! ;. �0 ?ARY\j= ��vaFa6ilObi�'tS+iPeq�
Owner /Agent is _ Personally Known to Me or Contractor /Agen is' �"`" "Personally Known to M- ypr j
Produced ID _ Produced ID T I L. e ' y 1 Z 1 o
TPROVALS: ZONING: UTIL: FD: ENG: BLDG:
pecial Conditions:
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06/17/2008 15:55 4673670 CONSTRUCTION
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