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HomeMy WebLinkAbout151 E 24th St 09-60 thru 09-67 Plumbing 9 units% 00 Submittal OF SANFORD PERMIT APPLICATION Application #: / C/ / 't _ Submittal Date: Job Address: 1. L/ 5 �L , Value of Work: S 5t too Q 0 7 /, — D Parcel ID: J 6 —1 % — .3 0 � V -7 " 0 0 0 0 ' ZoninnAO g: Historic District: Description of Work: e eY_n Q 1J'e °� ��S G aril n t rS Square Footage: .......................................................................................... ............................... Permit Type: Building ❑ Electrical ❑ Mechanical ❑ Plumbing Gr Fire Sprinkler /Alarm ❑ Pool ❑ Sign ❑ Electrical: New Service — # of AMPS Addition/Alteration ❑ Change of Service ❑ Temporary Pole ❑ Mechanical: Residential ❑ Non - Residential ❑ Replacement ❑ Plumbing/ New Commercial: # of Fixtures L/ # of Water & Sewer Lines Plumbing/New Residential: # of Water Closets Occupancy Type: Residential ❑ Commercial ❑ Industrial ❑ New ❑ (Duct Layout & Energy Calc. Required) # of Gas Lines Plumbing Repair — Residential ❑ Commercial ❑ Occupancy Use Group(s): Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required ) .......................................................................................... ............................... Property Owner: Contractor: C� s-eK bt D01,17 064 Address: Address: 5-&5-(j "X j L S7 Pon of coL �L 32 0 01 RZPhone: E -mail: Phone: OyState License Number: Bonding Company: Mortgage Lender: Address: Architect/Engineer: Address: Plan Review Contact Person: Address: Phone: Fax: 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 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 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 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 lorid Lien Law, FS 713. SignatureofOwner /Agent Date Si tureofContractor /Agent Date 5Ac�k Rio c ki'bc k Print Owner /Agent's Name Pn Contra``ctor Agent's Name J Signature of Notary-State of Florida Date Owner /Agent is _ Personally Known to Me or Produced ID APPROVALS: ZONING: Special Conditions: Rev 07.07 UTIL: FD: Date MY COMMISSION # DD629096 EXPIRES: February 25, 2011 y Fl. Notary Discocnt Assoc. Co. Contractor /Agent is Personally Known to Me or F Produced ID =( �--- e W I l I O /C) ENG: BLDG: CITY OF SANFORD PERMIT APPLICATION Application # jj�� 4 Submittal Date: `o Job Address: �� 5 �a �C- , \0 Value of Work: S 5-40 � 0 0 7 Dn Parcel ID: J �(z) ^ 1 q -, 3 0 - S V'7 0 0 ' ZoniA nog: Historic District: Description of Work: eV_ r D J-e 4 (� e S e7' 1 - C4 pi TS Square Footage: ......................................................................./.................. ............................... Permit Type: Building ❑ Electrical ❑ Mechanical ❑ Plumbing Q Fire Sprinkler /Alarm ❑ Pool ❑ Sign ❑ Electrical: New Service - # of AMPS Addition/Alteration ❑ Change of Service ❑ Temporary Pole ❑ Mechanical: Residential ❑ Non - Residential ❑ Replacement ❑ New ❑ (Duct Layout & Energy Cale. Required) Plumbing/ New Commercial: # of Fixtures V/ # 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: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required) .......................................................................................... ............................... Property Owner: Contractor: C L g Address: Address: la "X 1 L 5-7 olceL - �'L Phone: E -mail: Phone: State License Number: Bonding Company: Mortgage Lender: Address: Architect/ Engineer: Address: Plan Review Contact Person: Address: Phone: Fax: 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 priorto the issuance of a permit and that all work will he performed to meet standards of alt laws regulating construction in this jurisdiction. I understand that a separate 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 applicaSe.jw 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 VIRST INSPI ?(°PION, IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENTl•. 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 �uaw7, matuitatasl�u-ed from other covenuttental 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 Vion Lien aw, FS 713. _ G � (� - - - -- Al ,f1" w _ vi _ .... ,t' �;rt+{ � l �yrL Jrt42fi' t'(�•° ��..�. . ... _... .. 5� \7i�T•��..xx�� -te�yW�SA.T+.'Y.i1Y01' Hn l�yw� 1 (� 7 CITY OF SANFORD PERMIT APPLICATION Date: Application # : Submittal Job Address: �� 5 �a _ ` �C , 0 Value of Work: S 71 Parcel ID: J t9 ^ ^ .� — V7 DOAD " 0 0 0 i� Historic District: Description of Work: G e ✓r) to �-e 4 �r;Zoning: (Z P_S e-r' "1 ' 14 ✓1 r� Square Footage: .......................................................................................... Permit Type: Building ❑ Electrical ❑ Mechanical ❑ Plumbing Q ............................... Fire Sprinkler /Alarm ❑ Pool ❑ Sign ❑ Electrical: New Service — # of AMPS Addition/Alteration ❑ Mechanical: Residential ❑ Non - Residential ❑ Replacement ❑ Plumbing/ New Commercial: # of Fixtures V # of Water & Sewer Lines Plumbing/New Residential: # of Water Closets Occupancy Type: Residential ❑ Commercial ❑ Industrial ❑ Change of Service ❑ Temporary Pole ❑ New ❑ (Duct Layout & Energy Calc. Required) # of Gas Lines Plumbing Repair— Residential ❑ Commercial ❑ Occupancy Use Group(s): Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required ) .......................................................................................... ............................... Property Owner: Contractor: C U OIZ Address: Address: L ST coL Phone: E -mail: Phone: gestate License Number: 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 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 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 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 • lori Lie/Law, FS 713. / -(' ,C� SignatureofOwner /Agent Date Si [ureofContractor /Agents Date c k 610 c4k/U6- GC Print Owner /Agent's Name Pri cC tractor Agent's Name �I\1 " :1'n' /U Signature of Notary-State of Florida Date Owner /Agent is _ Personally Known to Me or _ Produced ID APPROVALS: ZONING: UTIL: FD: Special Conditions: Rev 07.07 Date MY COMMISSION a DD629096 EXPIRES: February 25, 2011 e Fl. Notary Discount As c . Co. .J ;.Jt�•�,,v�pa /Vi=1= uV4FNSAPaf:.�'. %ter Contractor /Agent is _ Pers pally Known to Me or r F Q Produced ID ENG: BLDG: Electrical: New Service — # of AIMPS Mechanical: Residential ❑ Non - Residential ❑ Plumbing/ New Commercial: # of Fixtures V/ Addition/Alteration ❑ Change of Service ❑ Temporary Pole ❑ Replacement ❑ New ❑ (Duct Layout & Energy Calc. Required) # of Water & Sewer Lines Plumbing/New Residential: # of Water Closets Occupancy Type: Residential ❑ Commercial ❑ Industrial ❑ # of Gas Lines Plumbing Repair— Residential ❑ Commercial ❑ Occupancy Use Group(s): Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FENIA form required ) .......................................................................................... ............................... Property Owner: Contractor: C) t a Address Phone: Address: 6 "X l L ae SST PC n cc L =L 3 2�-0 E -mail: Phone: a3dystate License Number: Bonding Company: Mortgage Lender: Address: Architect/Engineer: Address: Plan Review Contact Person: Address: Phone: Fax: 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 permit and that all work will be performed to meet standards ofall laws regulating construction in this jurisdiction. I understand that a separate 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 govemmental 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 lori Lie aw, FS 713. SignatureofOwner /Agent Date i Ju1r�eofContrator /Agent Date ct Lk 10 ckgo& k Print Owner /Agent's Name Pri Contra�ctor /Agent's Name Signature of Notary-State of Florida Date Owner /Agent is _ Personally Known to Me or Produced ID APPROVALS: ZONING: Special Conditions: Rev 07.07 UTIL: FD: Date MY COMMISSION n DD629096 3 EXPIRES: February 25, 2011 ?j for n.� 141 M .3- NOTARY t'1. Nowy Disco"t ♦1.4m C� a3 Contractor /Agent is _ Pers pally Known to ,M.�e or r Q Produced ID E r-- e `J� , L/ /v / ENG: BLDG: c,, CITY OF SANFORD PERMIT APPLICATION /� 6 Application #: ^ \A Submittal Date: Job Address: _ Value of Work: S �(�(' 0 0 71 Parcel ID: J t0 ^ -30 — S C17- c� U A 0 0 0 0 0 ' Zoning: Historic District: Description of Work: e I'Y1 0 J e 4 / IL QS (:� `7 - L! ✓1 Square Footage: .......................................................................................... Permit Type: Building ❑ Electrical ❑ Mechanical ❑ Plumbing Q ............................... Fire Sprinkler /Alarm ❑ Pool ❑ Sign ❑ Electrical: New Service — # of AIMPS Mechanical: Residential ❑ Non - Residential ❑ Plumbing/ New Commercial: # of Fixtures V/ Addition/Alteration ❑ Change of Service ❑ Temporary Pole ❑ Replacement ❑ New ❑ (Duct Layout & Energy Calc. Required) # of Water & Sewer Lines Plumbing/New Residential: # of Water Closets Occupancy Type: Residential ❑ Commercial ❑ Industrial ❑ # of Gas Lines Plumbing Repair— Residential ❑ Commercial ❑ Occupancy Use Group(s): Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FENIA form required ) .......................................................................................... ............................... Property Owner: Contractor: C) t a Address Phone: Address: 6 "X l L ae SST PC n cc L =L 3 2�-0 E -mail: Phone: a3dystate License Number: Bonding Company: Mortgage Lender: Address: Architect/Engineer: Address: Plan Review Contact Person: Address: Phone: Fax: 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 permit and that all work will be performed to meet standards ofall laws regulating construction in this jurisdiction. I understand that a separate 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 govemmental 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 lori Lie aw, FS 713. SignatureofOwner /Agent Date i Ju1r�eofContrator /Agent Date ct Lk 10 ckgo& k Print Owner /Agent's Name Pri Contra�ctor /Agent's Name Signature of Notary-State of Florida Date Owner /Agent is _ Personally Known to Me or Produced ID APPROVALS: ZONING: Special Conditions: Rev 07.07 UTIL: FD: Date MY COMMISSION n DD629096 3 EXPIRES: February 25, 2011 ?j for n.� 141 M .3- NOTARY t'1. Nowy Disco"t ♦1.4m C� a3 Contractor /Agent is _ Pers pally Known to ,M.�e or r Q Produced ID E r-- e `J� , L/ /v / ENG: BLDG: Application # Job Address: I 1 7 Parcel ID' J to Description of Work: e e ono 1-e ......... ............................... Permit Type: Building ❑ Electrical ❑ CITY OF SANFORD ®P7RMIT APPLICATION / ,p � Submittal Date: / V Value of Work: S �!� ©� 0 dn60 7" 0 0 n d "�r;Zoning: Historic District: �QS t°.� `7 " t4 ice! r� Square Footage: ................................................. ............................... Mechanical ❑ Plumbing 13 Fire Sprinkler /Alarm ❑ Pool ❑ Sign ❑ Electrical: New Service — # of AMPS Addition/Alteration ❑ Mechanical: Residential ❑ Non-Residential ❑ Replacement ❑ Plumbing/ New Commercial: # of Fixtures t/ # of Water & Sewer Lines Plumbing/New Residential: # of Water Closets Occupancy Type: Residential ❑ Commercial ❑ Industrial ❑ Construction Type: # of Stories: # of Dwelling Units: Change of Service ❑ Temporary Pole ❑ New ❑ (Duct Layout & Energy Calc. Required) # of Gas Lines Plumbing Repair — Residential ❑ Commercial ❑ Occupancy Use Group(s): Flood Zone: (FEMA form required ) .......................................................................................... ............................... Property Owner: Contractor: C )qSe h�G MO,17 064 Address: Phone: Address: G 5- d "X 0 L ae ST of co Lo =L 25-0 E -mail: Phone: 0state License Number: 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 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 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 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 Vlorig Lien/Law, FS 713. SignatureofOwner /Agent Date Si tureofContractor /Agent Date Print Owner /Agent's Name Pri ContractorkAgent's Name - /U'(o, U Signature of Notary-State of Florida Date Owner /Agent is _ Personally Known to Me or _ Produced ID APPROVALS: ZONING: UTIL: FD: Special Conditions Rev 07.07 Date MY COMMISSION # DD629096 EXPIRES: February 25, 2011 y Fl. Notary Disaa:nt A—. Ca Contractor /Agent is _ Pers nally Known to Me or r F C� Produced ID �-- e W s , / / U /c / ENG: BLDG: Electrical: New Service - # of AMPS Mechanical: Residential ❑ Non - Residential ❑ Plumbing/ New Commercial: # of Fixtures lI/ Addition/Alteration ❑ Change of Service ❑ Temporary Pole ❑ Replacement ❑ New ❑ (Duct Layout & Energy Cale. Required) # of Water & Sewer Lines Plumbing/New Residential: # of Water Closets Occupancy Type: Residential ❑ Commercial ❑ Industrial ❑ # of Gas Lines Plumbing Repair - Residential ❑ Commercial ❑ Occupancy Use Group(s): Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required ) .......................................................................................... ............................... Property Owner: Contractor: C e C a,17 004 Address: Address: 6 "X % L ST coo =L 2�-0 Phone: E -mail: Phone: State License Number: Bonding Company: Mortgage Lender: Address: Architect/ Engineer: Address: Plan Review Contact Person: Address: Phone: Fax: 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 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 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 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 lori Lie /Law, FS 713. Signature of Owner /Agent Date Si ture of Contractor /Agent Date -<A k ��a �110 Print Owner /Agent's Name Pi Contractor Name �am „ -�� /0- Signature of Notary-State of Florida Owner /Agent is _ Produced ID APPROVALS: ZONING: Special Conditions: Rev 07.07 Personally Known to Me or UTIL: Date Signature of Nota =S �OFI I RW-7 Contractor /Agent is _ Produced ID FD: ENG Date MY COMMISSION # DD629096 EXPIRES: February 25, 2011 y Fl. Notary Disc=t As . Co. Known to Me or BLDG: / v �> CITY OF SANFORD PERMIT APPLICATION Application # : o Submittal Date: Job Address: �� 5 -fa _ 1L , �f Value of Work: S 0 7 Parcel ID: J 6-101 0 V7 Dt�AO — 0 0 0 0 "+;Zoning: Historic District: Description of Work: e e r-n 0 'l-e 4 (�QS e� �! - %1 4 -, T � Square Footage: .......................................................................................... Permit Type: Building ❑ Electrical ❑ Mechanical ❑ Plumbing Q ............................... Fire Sprinkler /Alarm ❑ Pool ❑ Sign ❑ Electrical: New Service - # of AMPS Mechanical: Residential ❑ Non - Residential ❑ Plumbing/ New Commercial: # of Fixtures lI/ Addition/Alteration ❑ Change of Service ❑ Temporary Pole ❑ Replacement ❑ New ❑ (Duct Layout & Energy Cale. Required) # of Water & Sewer Lines Plumbing/New Residential: # of Water Closets Occupancy Type: Residential ❑ Commercial ❑ Industrial ❑ # of Gas Lines Plumbing Repair - Residential ❑ Commercial ❑ Occupancy Use Group(s): Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required ) .......................................................................................... ............................... Property Owner: Contractor: C e C a,17 004 Address: Address: 6 "X % L ST coo =L 2�-0 Phone: E -mail: Phone: State License Number: Bonding Company: Mortgage Lender: Address: Architect/ Engineer: Address: Plan Review Contact Person: Address: Phone: Fax: 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 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 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 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 lori Lie /Law, FS 713. Signature of Owner /Agent Date Si ture of Contractor /Agent Date -<A k ��a �110 Print Owner /Agent's Name Pi Contractor Name �am „ -�� /0- Signature of Notary-State of Florida Owner /Agent is _ Produced ID APPROVALS: ZONING: Special Conditions: Rev 07.07 Personally Known to Me or UTIL: Date Signature of Nota =S �OFI I RW-7 Contractor /Agent is _ Produced ID FD: ENG Date MY COMMISSION # DD629096 EXPIRES: February 25, 2011 y Fl. Notary Disc=t As . Co. Known to Me or BLDG: CITY OF SANFORD PERMIT APPLICATION Application # : Submittal Date: Job Address: Value of Work: S ff%� ? ooA0 J ( Parcel ID: O C1 S V7' d - vzomng: Historic District: Description of Work: e le r-n 0 J "! 'e 4 2 eS e7' - L4 r7 rS Square Footage: Permit Type: Building ❑ Electrical ❑ Mechanical ❑ Plumbing Eg Fire Sprinkler /Alarm ❑ Pool ❑ Sign ❑ Electrical: New Service - # 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 ❑ Industrial ❑ Occupancy Use Group(s): Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required) .......................................................................................... ............................... Property Owner: Contractor: C1 e 16-MaI7 004 Address: Address: 6 "X!L S7 co L L 2�0 Phone: E -mail: Phone: yyState License Number: Bonding Company: Mortgage Lender: Address: Architect/Engineer: Address: Plan Review Contact Person: Address: Phone: Fax: 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 ofa permit and that all work will be performed to meet standards ofall laws regulating construction in this jurisdiction. I understand that a separate 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 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 Vloriq LierVLaw, FS 713. � /-(, ,C) P SignatureofOwner /Agent Date Si Jn tureofContractor /Agent Date -_­��14jck (310 Gk� c k Print Owner /Agent's Name Pr Con tractor Agent's Name Signature of Notary-State of Florida Date Svignature of Nota !State of Florida Date MY COMMISSION # DD629096 OF EXPIRES: February 25, 2011 1_BNO. NOTARY Fl. Notary Discount Assoc. Co. E Owner /Agent is _ Personally Known to Me or Contractor /Agent is _ Pers nally Known to Me or ` Produced ID _ Produced ID 5L lqn , — °� . , / / a /o l APPROVALS: ZONING: Special Conditions: Rev 07.07 UTIL: FD: ENG: BLDG: Application # : 9 /j CITY OF SANFORD PERMIT APPLICATION Submittal Date: Job Address: / 5 �a �L � Value of York: S ? Parcel ID: J tI o ^ I q 3 Q — S' '17 — 0 0 0 Q'- "OzoninnAO g: Historic District: Description of Work: e e m o u-e 4 (Z eS t°7� "1 - t4 ✓1 I r�/ Square Footage: •Permit Type: Building 11 • • • • • Electrical •❑ • • • • Mechanical •❑ • • • • •Plumbing C3 • • •Fire Sprinkler /Alarm ❑ • • • • Pool • ❑ Electrical: New Service - # of AMPS Mechanical: Residential ❑ Non - Residential ❑ Plumbing/ New Commercial: # of Fixtures Addition/Alteration ❑ Change of Service ❑ Temporary Pole ❑ Replacement ❑ New ❑ (Duct Layout & Energy Cale. Required) # of Water & Sewer Lines Plumbing/Nery Residential: # of Water Closets Occupancy Type: Residential ❑ Commercial ❑ Industrial ❑ # of Gas Lines Plumbing Repair - Residential ❑ Commercial ❑ Occupancy Use Group(s): Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required ) Sign ❑ ........................................................................................... ............................... C Property Owner: Contractor: 6I' IMqI7 Address: Address: 5-65- Phone: E -mail: Phone: State License Number: Bonding Company: Mortgage Lender: Address: Architect/Engineer: Address: Plan Review Contact Person: Address: Phone: Fax: 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 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 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 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 lorid gLicaw, FS 713. SignatureofOwner /Agent Date Si tureofContmctor /Agent Date -5,Ack 610 ck,10" Gk Print Owner /Agent's Name Pri Contra�ctor�Agent's Name j% Signature of Notary-State of Florida Date Owner /Agent is _ Personally Known to Me or Produced ID APPROVALS: ZONING: Special Conditions: Rev 07.07 UTIL: FD: Date MY COMMISSION # DD629096 P EXPIRES: February 25, 2011 �0, �d fl. No I -WO-NOTARY Lary Disco=t A=.. Co. fi ^ "� ;•�+.'�nf�f� /VV'LJ1Ns9H/SJEf>,Y R.7Fd�, Contractor /Agent is _ Per pally Known to Me or _Produced ID ENG: BLDG: 0 (.) I l(/ „, CITY OF SANFORD PERMIT APPLICATION . l i J Application It: I Submittal Date: Job Address: ` 5 �a �L Value of Work: S 7 /; Parcel ID: J � ^ % .3 — 117 — coo 0-020J on0 g: Historic District: Description of Work: 4 (�QS 0-7' 1 - Ll n t rs Square Footage: Permit Type: Building ❑ Electrical ❑ Mechanical ❑ Plumbing II Fire Sprinkler /Alarm ❑ Pool ❑ Sign ❑ Electrical: New Service - # 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 ❑ Industrial ❑ Occupancy Use Group(s): Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required ) .......................................................................................... ............................... Property Owner: Contractor: C e A Address: Address: 6 5, d 0 "X) L s% of co L Phone: E -mail: Phone: ty State License Number: Bonding Company: Mortgage Lender: Address: Architect/Engineer: Address: Plan Review Contact Person: Address: Phone: Fax: 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 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 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 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 lorid Lie/Law, FS 713. Signature of Owner /Agent Date Si tureofConrmctor /Agent Date � nc.k (�10 CAI�740( Print Owner /Agent's Name Pri Contractor Agent's Name Signature of Notary-State of Florida Date Owner /Agent is_ Personally Known to Me or Produced ID APPROVALS: ZONING: UTIL: FD: Special Conditions Rev 07.07 Date p, MY COMMISSION;; DD629096 EXPIRES: February 25, 2011 of FIVI FI. No 1- Fq4)- NOTnRV Lary llisctwnt Assoc. Co. tY n �� .-+ �t,' � .rvu!/�IVVt.1ATiAJLItPfR.Rh.:�• Contractor /Agent is _ Personally Known to Me or r F Q Produced ID — e- W , ENG: BLDG: Fm6 L& c, ; � F, c -{ o ,5-, ,1n r &K Q LIMITED POWER OF ATTORNEY Altamonte Springs, Casselber ry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: 10 °a -Of I hereby name acid appoint: -3 v, - '16LPtcv-s°r tie v- an agent o f: C A5 e A ? "r►,R 1 K Co L. (Name afcompanY) to be my lawful attomey-in -fact to act for me to apply for, receipt for, sign for and do all thi>ags )necessary to this appointment for (check o»iY one option): Be"' All permits grad applications submitted by this contractor. ❑ The specific pennit aaad application for work located at: (Street p ddreg ) Expiration. Date for This Limited wer of ,A.ttomey: 1 �/� Licc>nsc Holder Name: Z6yl' lr v` State License Number: Signature of Licerise H STATE OF FLORIDA COUNTY OF ES C 14MT -ZA t The foregoing instrument was acknowledged before acne this 2 day of 04- , 200$, by G"E y Nyt"A f-k who is D p ortally iCx�o to me or ❑ who has produced identification and who did (did not) take an oath.. Sign tare a'rv' erf,2F �a e'• #DD 435998 " (Rov. 3/2.7,107) LI Lv-e&k FOk NABi,L- l?a: nt or type name; Notary Public - State of r- L Co issiola No- OID 4354 9 8 My Commission Expires: t O - Q t - CR U