HomeMy WebLinkAbout133 N White Cedar Rd 09-640Chit OF SANFORD PERMir APPLICATION
Application F, :- __0_- 0 04D Submittal Bate: #a
Job Address-J3 6 ) • 0c &;;Q r 71 d .
�'atuc of l� "nrk: S 33 •�U T
Parcel ID: �"�i'�q^��'�rJ��i? "' �Q�q " A30 "Coning:_ __- ItistaricDistrict
Description of Work- Square Footage::
Permit Typin Building ❑ Electrical ❑ Mechanical ❑ Plumbing ❑ Fire Sgrinklcr!Alarm ❑- Pouf ❑ Sign
Electrical: New Service - # of At4IPS AdditionfAltcmtion 0 Change of Service a Temporar Pole 0
1%keltsnieal: Residential ❑ Non - Residential ❑ Replacement 13 New ❑ (Duct Layout d Energy Cale. Required)
p[untbing/ New Commercial: 4 of Fixtures n of Water & Sewer Lints 9 of Gas Liars
Plumbing/ttiety Residential: R of Water Closets
Occupancy Type: Residential 13 Commercial CI industrial 13
Plumbing Repair - Residential ❑ Cottuncrcial ❑
Occupancy Else Group(s):
Construction Type: 11 ofStories: 8 of Dwelling flails: Flood Zone: — .___ tFEIiA forth required I
•PropertyOw)ner:'e�F LWW 1T c�t�.gsrrr�s, CQRt. 'w'. '.imge._'�_: ......................_._.,..
Address. �f���iniar -� " I o53 Mh1'fLAtYD 1' Address: Al. ifEZ4r 7. 31� sLtt �aP V
Phone: Phoam %b7%61taQ0 State License Number_
Bonding Company: NIA - Mortgage Lender: W1 A-.
Address:
ArchircctlEngineer:
Address: u. �u3
Address:
Phone:
Fax:
Plan Review Contact person: aym tail Phnom IF= E-mail:
Applicattun is hetmby made to obtmn a permit to do the work and ittstalla[iotts as indicuctl. I ecairy tl[at no stork ar installation Iws cortnncoced prior in the
issuance of a pcmtit and that all work will bcpertorated to meet standards ofall laws rtgtdatingconstruction in this jurisdiction. I understand that a xparttc
permit must be secured fibrELECTRIC -AL WOIM I'LUNIHING, SIGNS. WELLS. POOLS. FURNACES. ROILURS. IWATERS. FANKS, and
AIR CON1N 1*10NERS. etc.
OWNER'-%; AFFIDAVIT- I ecnity Ilia[ Ziff of time foregoing inrorntation is accurate and that all work %till be done In compliance tt'IIh all applicable Tams ragularing
c,utstrucrton and zoning.
%-'.ARNINCr fO OWNER-, YOUR FAILURE rO RLCOkD A NOTICE OF COh1MENCEME11I' NiAY RESULT IN YOUR PAYING 17WICE FOR
MIPROV EXTENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE ItECZRDED AND POSTED ON THE IOB SITE IIEFORF. THE
FIRST INSPFL'TION. IF YOU INTEND TO OBTAIN FINANCING. CONSUL`r Wffli YOUR LENDEIC OR AN ATTORNrY BEFORE RECORDING YOUR
NOTICE OF CONIM[NCEN1ENT.
NOTICE: in addition to the requirements ofthis permit, them maybe additional restrictions applicable to dais pruperzy Char ntay be fnutul in the public records of
this county. aqd ifteru may be additional permits required Cram othargoc er mcritai entities such as water management districts, state agencie;, ar lWeral egcrtcics.
cce�i%'zoo tt v ti ton 112at l will notify lit /eawncrofthe
aIOwTter/Agcnt Datc I
tat
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MY COMMISSION # DD561217
EXPIRES: July 30, 2010
366-0153 Florida Notary Setvice.com
OnmrWAgent is V Personally Known to btc or
— I'mduced ail
APPROVALS: ZONING: UTIL: FD:
Spectal Conditions:
Rev 07.07
Lien-Law. F.S 713.
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Date
S1i�71Ature Oql a1�cY � °a 2 _
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Comm/o- l)D0604973
Expires 10/15/2010
FI da Notary Assn., Inc
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