HomeMy WebLinkAbout3978 Aviation Lp 08-2185 Electricalkpplication M: v O�
Job Address: 7�' - Aom L,,) �
Parcel ID `.
CITY OF SANFORD PERMIT APPLICATION
Zoning:
Submittal Date.
Value of Work: S >I�` �
J
Historic District:
Description of Work - FIMP) / Square Footage:
Permit Type: Building ❑ Electrical 0 Mechanical ❑ Plumbing ❑ Fire Sprinkler /Alarm ❑ Pool ❑ Sign ❑
Electrical: New Service - # of AMPS 2-60 Addition/Alteration ❑ Change of Service ❑ Temporary Pole ❑
Mechanical: Residential ❑ Non - Residential ❑ Replacement ❑ New ❑ (Duct Layout & Energy Calc. Required)
Plumbing/ New Commercial: If of Fixtures tl of Water & Sewer Lines N of Gas Lines
PlumbinglNew Residential: 9 of Water Closes - Plumbing Repair - Residential ❑ Commercial ❑
Occupancy Type: Residential ❑ Commercial Industrial ❑ Occupancy Use Group(s):
construction Type: Y of Stories: N of Dwelling Units. Flood Zone: (FEMA form required)
.......................... .................... ........ .............................I.
. roperty Owner: c Vi &4f k JC -5 Q Contractor: t�/✓�C/�e r�'j � /Gc %C
tddress: Address:
'hone: E -mail: Phone: ib-7 q66 Wktate License Number:
3onding Company: Mortgage Lender:
tddress: Address:
%. rchitect/Engineer:
\ddress
'Ian Review Contact Person:
Phone: Fax:
Phone:
Fax:
E -mail:
1pplication 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, c(c.
)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
onstnrction and zoning..
YARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT M YOUR PAYING TWICE FOR
MPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE
IRST 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
-tis county, and Ihcrc 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 of quirements of Florida Lien Law, FS 713.
7 Q
Signature of Owncr /Agent Date Signature o ntractor/Agent Date
Print Owner /Agent's Name Pri onuwor/ ent's Name
$igaaturc of Notary-State of Florida Date Signature of Notary-State of Florida Date
DEBBIE T
BLANON
�o c 29096
MY coblmisslON l DD6201l
y ( � E;cPIRES: February
�FcF� N aryDiscow ASSOC- CO'
Owner/Agent is _ Personally Known to Me or Contractor /Agcrtt +sN�NOT�sooal�t�rlpwantbRvTc
Produced ID Produced IqD�.
PPROVALS: ZONING: UTIL: FD: ENG: BLDG:
pccial Conditions:-__..
_ev07.07 -