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107 Sophia Marie Ct 03-2930 back porch remodelPermit # Job Address: Description of Work: Historic District: 3o Zoning: CITY OF SANFORD PERMIT APPLICATION Value of Work: Date: Permit Type: Building Electrical . Mechanical Plumbing Fire Sprinkler/Alarm Pool Electrical: New Service - # of AMPS Addition/Alteration --I/— 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 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 other than X) Parcel #: (Attach Proof of Ownership & Legal Description) Owners Name & Address: SfAS o-rnayE. %1S (C'TI nr-i AiC)I l/J ST S4rNf: 2DIFl- 32 1-1 t Phone: (4c)D) 75 3103 Contractor Name & Address: KI GN L©w 'ELSC—TRkC 303 5. LC kkr-C l N V`t'_ . Zo.,,-DM:k 3-17-1 i State License Number: E C-0 oo 2 C ( 1 Phone &Fax-41DFl.3-L$._]..J(, 40.328.11gZ Contact Person: )1°M\ Phone:1i0.3.12I(p Bonding Company: Address: Mortgage Lender: Address: Architect/Engineer: Phone: Address: 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 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. 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 ' pr perty at may be found in the public records of I his county, and there c:ay be additional permits required from other governmental entities such as wit ana _ men districts, state agencies, or federal agencies. Acceptance of permit is verification that I will notify the owner of the property of the requiremen s 1 lorid ie aw, FS 713. Signature of Owner/Agent Date Signature f 'o . ctor/Agent D to 1 ni ?—o Print Owner/Agent's Name Print C actor/Agent's Na QRo, 1\.1 txo /© 3 Signature of Notary -State of Florida Date Signature of Not -State SSdChery L Smith Date My Commission D024=0 cr „d Expires August 20, 200% Owner/Agent is _ Personally Known to Me or Contractor/Agent is Personally Known to Me or Produced ID Produced ID APPLICATION APPROVED BY: Bldg: Zoning: Utilities: FD: Initial &Date) ( Initial. &Date) (Initial &Date) (Initial &Date) Special Conditions: