HomeMy WebLinkAbout1151 Rinehart Rd 05-2554 Fire Alarmc APR 2 Q Z00
CITY OF SANFORD PERMIT APPLICATION
Permit #
y -
P Date:
Job Address:
Description of Work: ti t r`Mi - a tct g 1 cel `lZ
t
Historic District: Zoning: Value of Work: $ 1 @'
Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm k. 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 # of Water & Sewer Line
Plumbing/New Residential: # of Water Closets
Lines
Occupancy Type: Residential Commercial Industrial
Construction Type: # of Stories: # of Dwelling Units:
of Gas Lines
Plumbing Repair — Residential or Commercial
Total Square Footage:
Flood Zone: (FEMA form required for other than X)
Parcel #: " 1'1 - 5 0 Q0C'C) • CX'ZC_) Attach Proof of Ownership & Legal Description)
Owners Name & Address:
U
LQ • k
el
1 —7 Z Lc i =C c. 1 J Phone
Contractor Name&Address:
State License Number:
Phone & Fax: 4- , 7`) slq 02 1i 1 ` i ; M l Contact Person: 1=[ ,' _[`4t_t t's aPhone:1 71 /y 02T
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 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 permit is verification that I will notify the owner of the property of the require its of Flo ' a Lie , FS 713.
cU
Z/r L 6nf
Signature of Owner/Agent Date A a& Con etor/Agent Date
Print Owner/Agent's Name
Signature of Notary -State of Florida Date
Owner/Agent is _ Personally Known to Me or
Produced ID
APPLICATION APPROVED BY: Bldg:
C/ r Zoning:
Initial & Date)
Special Conditions:
Print Contractor/Agent's Name -
Signature of
Contractor/Agent is _ Personally Known to Me or
Produced ID
Utilities: FD. 5
Initial & Date) (Initial & Date) (Initial & Date)
J
WIRING LEGEND
SYMBOL WIRE TYPE USED ON
A i PAIR #14 THHN STRANDED
1 YELLOW DATA CIRCUIT
1 BLUE
2 COND, #12 AWG
SOLID THHN 120 VAC CIRCUIT
7T GROUND WIRE)
PM:
REF -
CD
R
00 m
csS
LO
CC)
e6
H