HomeMy WebLinkAbout2440 S French Ave 03-2858 Sign cabinetCITY OF SANFORD PERMITAPPLICATION
�� Permit #: Date:
Job Address: 'o`H O 4i Fre nc-h i"ytSQ, _ 3 c ()
Description of Work: 3 f1...�..��. S`�`u-- � 1 � r'1 a a1 �L,d--bl.,, .......,._ .. ..
Historic District: Zoning: Value of Work: S e Vre)C44a 4Ccom ayl 00Ar
Permit Type: Building Electrical '� Mechanical Plumbing Fire Sprinkler/Alarm Pool
Electrical: New Service - # of AMPS Addition/Alteration _41V-1— Change of Service Temporary Pole___._
Mechanical: Residential Non -Residential Replacement New (Duct Layout & Energy Cale. Rcdtlired)
Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines
Plumbing/New Residential: # of Water Closets Plumbing Repair - Residential or Commercial_
Occupancy Type: Residential Commercial Industrial Total Square Footage:
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for a)tP.er ttaaaa X)
Parcel #: _ p (Attach Proof of Ownership & Legal Description)
Owners Name & Address: t? 3 6 f `I i J N ° , u ` l � 1 1- ,P — J- yam-
I t)goo G , rvI J*4 ` (u ,rg 1 �C nrye� (e' �;�t 3e; �f r� Phone:
Contractor Name & Address: s_)C1q CQ3
t ali W-YA !}e zi�jalEbI
Phone & Fax: (UP-1 l J��/ �J Contact Person: _I
Bonding Company: :✓/��
Address:
Mortgage Lender:
Address:
Architect/Engineer:
Address:
State License Number: Cat o,::: L
C'S1� C �f �Qir Phone: 1-1 _:�
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Phone: ?2�12 5'%Z� ✓��✓CC'�i
Fax:
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; law,; icg algJng
construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN `'OUR k'_"r'it'6`h1G
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR A.,11
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 Flori a- ien Law, FS 713.
Signature of Owner/Agent Date Signature rtontractor/Agent Date
Print Owner/Agent's Name Print C ntractor/A ent Laame
Signature of Notary -State of Florida Date Signature of Notary -State of Florida Date
q��g �,lNDA 0.a EwFlt�±NG
Owner/Agent is Personally Known to Me or Contractor/Agent i Personally Kn0' ' VIpy s Pate of Norida
Produced ID Produced ID r . exp, Jan. 27, 2007
LAP
/ Sce._ A C ri la No. DD 180505
APPLICATION APPROVED BY: Bldg:,l,d41�'t- 7_/ " Zoning: CA Q" 1'03 Utilities: FD:
(Initial & Date) (Initial & Date) (Initial & Date) (Initial & Date)
Special Conditions: /