HomeMy WebLinkAbout3798 Orlando Dr 05-323 CVS remodeli;
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.lob Address:
Description of Work_- _
CITY OF SANFORD PERMIT APPLICATION
Date'.
Historic District: L° Zoning: Value of Work: C
Permit'1'ype: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool
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 _ # of Water & Sewer Lines # of Gas Lilies
Plumbing/New Residential: # of Water Closets Plumbing Repair — Residential or Commercial
Occupancy Type: Residential Commercial Industrial Total Square Footage:
Construction 'Type: # of Stories: _ # of Duelling Units: flood "Gone: (FEMA form required for other than _x)
Parcel
(Attach Proof of Ownership & Legal Description)
Owners Name & Address:
Phone:.
ontractor Name & Address: C� n
-Phone & s 9A
Bonding Company:
Address: ti
Mortgage Lender:
Address: =
Architect/Engineer.Address`i/J19.r t.. �.H /1r?1 s✓A �'e
Application is hereby made to obtain a permit to do the work and instal -btions as int
issuance of a pert -tin and that all work will be performed to meet standardsrof all lau
permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS,
AIR CONDITIONERS, etc. � •. — -
State License
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6trrtoiwgork pr }stallation has commenced prior to the
gttetign tn:this jurisdiction. I understand. that a_separate
CES, BOILERS, HEATERS-_S-,-TANKS, and
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 M AY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCiNt;, CONSULT v'v ITiI YOUR RESULT
OR R P 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 b ia}alicu,f
this comity, and there may be additional permits required from other goverrunental entities such as water management districts, sta� r oror fede �
RADO
Acceptance of permit is verification that i will notify the owner of the property of the requirements of Flo a : FS 713. t * i Nl OMMISSION # DD 223796
:XPIRES: June 18 2007
!3ondod Thru Notary Public Underwriters
Signature of Owner/Agent Date Sigma ue of Contractor/Agent �Dat ` —
Print Owner/Agent's Name 6 W/fi L
1 P rt Contractor/Agent , lri re
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Signature of Notary -State of Florida Date iguature of Notary tat of Florida Date
Owner/Agent is Personally Known to Me or Contractor/Agent is k Personally Known to Me or
— Produced ID Produced ID
APPLICATION APPROVED BY: Bldra%F,, �j Zoning
FD:
: l sip UdA Utilities:
Initia & Date}
(nitil & Date) (Initial & Date) tial& Date)
Special Conditions (Ia(Ini
o5Inow^ On t���c r � �O've a,.. C\ ma' s ���;�C_
�f CC',S 4tw C S "r �!,-$ �S �/ � f-C rate: � A �f i C. � I �citL C14 C ,�
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