HomeMy WebLinkAbout202 W 18 St 03-1451 Siding1,
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Permit No.: d \
Job Address: A
Permit Type: l Bu' ding
Description. of Work:
CITY OF SANFOI 'iRAUT APPLICATION
DDate: '-
0
Electrical Mechanical Plumbi Fire Alarm/Sprinkler
Additional Information for Electrical & Plumbing Permits
Electrical: Addition/Alteration _Change of Service Temporary Pole _New AMP Service (# of AMPS )
Plumbing/Residential: Addition/Alteration New Construction (One Closet Plus _
Plumbing/Commercial: Number of Fixtures Number of Water & Sewer Drainage Lines
Additional)
Number of Gas Lines
Occupancy Type: esidential _Commercial _ Industrial Total Sq Ftg: Value iWork:_ $_
Type of Construction: Flood Zone: Number of Stories: Number of Dwelling Units:
Parcel No.:
Owner/Address/Phone:
Contractor/Address/Phone:
Contact Person:
Title:Holder (If other than Owner):
Address:
Bonding Company:
Address:
Mortgage Lender:
Address:
Architect/Engineer
Address:
Phone & Fax Number:
Attach Proof of Ownershi & Legal Description)
2 J-7 _5_z57S
State License Number:
No..
Application is hereby made to obtain a permit to do the work and inst la s indi I certify th-
commenced prior to the issuance of a permit and that all work will be p ed tom st dards of all
in this jurisdiction. I understand that a separate permit must be f r ELECTRIC ORK, PLL
POOLS, FURNACES, BOILERS, HEATERS, TANKS, and R IONERS, et.
OWNER'S AFFIDAVIT: I certify that all of the egoing inforrn[tion is acc aanat all work will
all applicable laws regulating construction and z ing. WA G TO OWNEFAILURE
COMMENCEMENT MAY RESULT IN YOUR CE FOR IMPROVEMENTS TO Y
INTEND TO OBTAIN FINANCING, CONSULT WITH LENDER OR AN ATTORNE F(
NOTICE OF COMMENCEMENT.
tallation has
g construction
JS, WELLS,
in compliance with
U) A NOTICE OF
RTY. IF YOU
ORDING YOUR
NOTICE: In addition to the \
state
is of 's pe 't, there maybe . ddit' nal restrictio p icable to thisproperty that may be
found in the public regords oco , an ere ay be oral its, re uired er governor tal entities such as
water. management districts, ci - , or fe agenci
e
Commission #DD163723
Expires: Dec 20, 2005
Bonded Thru
AflAflfie BObding Ee:; Inc.
Owner/Agent is -
roduced ID
Personally Known to Me or
the owner property o t eq ements of Florida Lien Law, FS 713.
Signature of Contractor/Agent Date
Print Contractor/Agent's Name
Signature of Notary -State of Florida Date
Contractor/Agent is Personally Known to Me or
Produced ID
APPLICATION APPROVED BY: _ `b Date:
Special Conditions:/ c-7 c/ `a ((% c^ / > e s cr` uJc c
CCIT_Y—OF-SANFONII_T_AP.PI7ICATION----N
pisPermitNo.: d Date:
Job Address:
Permit Type: Mj g Electric//al Mechanical Plumbin Fire Alarm/Sprinkler
Descri tion of Work:4 e G
Additional Information for Electrical & Plumbing Permits
Electrical: —Addition/Alteration _Change of Service Temporary Pole _New AMP Service (# of AMPS
Plumbing/Residential: Addition/Alteration New Construction (One Closet Plus Additional)
Plumbing/Commercial: Number of Fixtures Number of Water & Sewer Drainage Lines Number of Gas Lines
Occupancy Type: _ residential Commercial _ Industrial Total Sq Ftg:
Type of Construction:
Parcel No.:
Owner/Address/Phone:
Contractor/Address/Ph one:
Contact Person:
Title Holder Of other than Owner):
Address:
Bonding Company:
Address:
Mortgage Lender:_
Address:
Architect/Engineer
Address:
Flood Zone: Number of Stories
Phone & Fax Number:
Value o Work: S ' W
Number of Dwelling Units:
Attach Proof of Ownership& Legal Description)
2 h% -5-z5 5
State License Number:
Phone No.:
Fax No.:
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 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 permis verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713. Si
afore of Owner/Agent to Signature of Contractor/Agent Date Commission #
DD 163723 e
Expires: Dec 20, 2005 o. 9TFof
o?; Bonded Thru Atiltitie
Bbadint! Ea:; Inc. Owner/
Agent is _ oduced
ID Date
Personally
Known to Me or l
Print
Contractor/Agent's Name Signature
of Notary -State of Florida Date Contractor/
Agent is __ Personally Known to Me or Produced
ID APPLICATION
APPROVED BY: Special
Conditions: J % J nd Z, Date: -. ^
3 / — 3 131
CITY OF SANFORft?. PMT APPLICATION
Permit No.: \ Date: ?—
Job Address:
Permit Type: Buding Electrical Mechanical Plumbin Fire Alarm/Sprinkler Description
of Work: v G
Additional
Information for Electrical & Plumbing Permits Electrical: —
Addition/Alteration _Change of Service _Temporary Pole _New AMP Service (# of AMPS ) Plumbing/
Residential: Addition/Alteration New Construction (One Closet Plus Additional) Plumbing/
Commercial: Number of Fixtures Number of Water & Sewer Drainage Lines Number of Gas Lines Occupancy
Type: _ esidential _Commercial _ Industrial Total Sq Ftg: Type
of Construction: Parcel
No.: Owner/
Address/Phone: Contractor/
Address/Phone: Contact
Person: Title
Holder (If other than Owner): Address:
Bonding
Company: Address:
Mortgage
Lender: Address:
Architect/
Engineer Address:
Flood
Zone: Number of Stories Phone &
Fax Number: Value
otf Work: $ .00 Number
of Dwelling Units: Attach
Proof of Owner ship& Legal Description) State
License Number: Phone
No.: Fax
No.: 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 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 perm4 is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713. Si
ature of Owner/Agent to Signature of Contractor/Agent Date Commission #
DD 163723 Expires:
Dec 20, 2005 9re6i
i ' ,: Bonded Thru 1lldntie
Btihding Es:; Inc. Owner/
Agent is _ Vroduced
ID Date
Personally
Known to Me or l
Print
Contractor/Agent's Name APPLICATION
APPROVED BY: `b Signature
of Notary -State of Florida Date Contractor/
Agent is __ Personally Known to Me or Produced
ID Date: _: ^
3 / Special
Conditions: C)c_, it .^a K 6._)o r 0 - &,
CITY OF SANFORD
INSPECTION RECORD
PLEASE CALL 407-330-5659 TO REQUEST INSPECTIONS
PERMIT NUMBEROSDATE 4 41P 3 ip OBO ADDRESS
OWNER
DESCRIPTION
OF WORK BUILDING
ELECTRICAL MECIIANI MONOLITHIC
TEMPORARY POLE ROUGH IN R.I. UNDERGROUND FOUNDATION
R.I. UNDERGROUND R.I. CEILING R.LWALLS OR FLOORS SLAB
ROUGH IN - WALL HOOD SYSTEM TUB SET ROOF/
WALL SHEATHING ROUGH IN - CEILING SPRINKLER SYSTEM SEWER FRAME
POOL GROUND GAS PIPELINE GAS PIPELINE LINTEL/
TIE BEAM CHANGE OF SERVICE FINAL FINAL INSULATION
ALARM OTHER OTHER FIREWALL
PREPOWER FINAL
FINAL FIRE -
MISCELLANEOUS OTHER DRIVEWAY
OTHER
THIS
CARD IS TO DISPLAYED ON STREET SIDE OF THE LOT AND SHALL
NOT BE REMOVED UNTIL WORK IS COMPLETED. SANITARY
FACILITIES REQUIRED ON SITE 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. A
NOTICE
OF COMMEP BUILDING
OFFICIAL t4mfo*