HomeMy WebLinkAbout3703 S Orlando Dr 04-141 plumbingCITY OF SANFORD PERMIT APPLICATION %
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Permit # : 91/ / Date: / / v
Job Address:
Description of Work: j a IZGi Ka N fa / GA Si
Historic District: Zoning: Value of Work: $ 40 r-
Permit Type: 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 Calc. Required)
Plumbing/ New Commercial: # of Fixtures 9_ # 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 #:
Owners Name & Address:
Attach Proof ofOwners ip & Legal Description)
Phone:
Contractor Name & Address: ROBERT D READING — READING: PLAT INU S STEMS , 1NG 12 0- BQX 94 76
LONGWOOD, FT, 32791-647 6 State License Number: CFC — 041199
Phone & Fax: FAX 407-682-4489 Contact Person: ROCKY READING _Phone: 407-869-0023
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
restrictioVtSof
property t may be found in the public records of
this county, and there may be additional permits required from other governmental entitieagemen tstricts, state agencies, or federal agencies.
Acceptance of permit is verification that I will notify the owner of the property of the requien Law, FS 713.
Signature of Owner/Agent Date ctor gent Date
ROBERT D- READING
Print Owner/Agent's Name Print Contractor/Agent's Name
Signature of Notary -State of Florida Date <--'Signature of lorida - ate
Owner/Agent is -
Produced ID
Personally Known to Me or
APPLICATION APPROVED BY: Bldg:
Special Conditions:
9, Sohn VmAway
Contractor/Agent is Personallya or QRS t. 1Z
Produced [D / A orIlplf@9 AUpUet 00, 2007
Zoning: Utilities: FD:
Initial & Date) (Initial & Date) (Initial & Date) (Initial & Date)