HomeMy WebLinkAbout2320 Cordova Dr 03-2908 Electrical UpgradePermit # :0
Job Address:
Description of Work: Gi'1 N
Historic District:
CITY OF SANFORD PERMIT APPLICATION
Date:
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Zoning: _ _ Value of Work: 0 U, v p
Permit Type: Building Electrical Mechanical _ Plumbing ____ Fire Sprinkler/Alarm Pool_
Electrical: New Service --# of AMPS _ _ Addition•/AIteration 4-*'- Chan of Servicee _ Temporary Pole
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Mechanical: Residential Non -Residential Replacement ____ New __ ( ct 1a'yGui Energy Cale. Reg4ired)
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 41 Commercial - - Industrial ____ Total Square Footage:
Construction Type: # of Stories: ,_,_,_ # of Dwelling Units: Flood Zone: _ (FEMA. form required for other than K)
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Parcel #: Attach Proof of Ownership & Legal Description)
Owners Name & Address:-
i i"rd DI/ Fi,___ _ Phone; / d — 32 I - 17
Contractor Name & Address: ill G1C' C, F L L Lr LI `__ _ —
State License Number: r_- DGv
Phone & Fax: 7 - - t t 1 7I Contact Person: 01 t L So hy l f 2 Phone: q 7 , 32 (` i -7-;? 3 Bonding
Company: Address:
Mortgage
Lender: Address:
Architect/
Engineer: Address:
Phone:
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, 1. 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 pennits 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 o on Lien Law, FS J Signature
of Owner/Agent Date Si nahrre of Contractor/Age.nt Date Print
Owner/Agent's Name t Co or/Agent' e 2
d3 Signature
of Notary -State of Florida Date nature of Notary -State of Florida Da e Owner/
Agent is ___ Personally Known to Me or Produced
II) _,-----_--_----__--- APPLICATION
APPROVED BY: Bldg: initial &
Date) Special
Conditions: Zoning:
Contractor/
Agent is P rs 1-11jjKnown to Me., LX Produced
Initial & Date)
Utilities: FD:
initial & Date) (
Initial & Date)
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