HomeMy WebLinkAbout1157 Rinehart Rd 06-1331 (fire alarm)CITY OF SANFORD PERP:JIT APPLICATION RECEIVED
Permit # : 0(0 — I a, 3 J Date: v to FEB 1 0 2006
Job Address: 1157 0---j NAZE
Description of Work: I ALLA p
Historic District: Zoning: Value of Work: $ c;-kD(
Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkl r/Alarm Pool
Electrical: New Service - # of AMPS Addition/Alteration Change of Service Temporary Pole
Mechanical: Residential Non -Residential Replacement New
Plumbing/ New Commercial: # of Fixtures
Duct Layout & Energy Calc. Required)
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 A)
Parcel #:
Attach Proof of Ownership & Legal Description)
Owners Name &Address: L-y
Phone:
Contractor Name & Address: r\
r`N Irin ec,p;jj: C- A State License Number: ('f t-
Phone & Fax: L4a 2)$/t/- C_-) /Tw-ma Contact Person:i ram12'/ A/area Phone: _(q '/l-j
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 theissuanceofapermitandthatallworkwillbeperformedtomeetstandardsofalllawsregulatingconstructioninthisjurisdiction. I understand that a separatepermitmustbesecuredforELECTRICALWORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, andAIRCONDITIONERS, etc.
OWNER'S AFFIDAVIT: 1 certify that all of the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulatingconstructionandzoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYINGTWICEFORIMPROVEMENTSTOYOURPROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR ANATTORNEYBEFORERECORDINGYOURNOTICEOFCOMMENCEMENT.
NOTICE: In addition to the requirements of this pennit, there may be additional restrictions applicable to this property that may be found in the public records ofthiscounty, 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 1 will notify the owner of the property of the requirem t f Flori Lien La FS 713.
C, li 2 - ` ,06StgnatureofOwner/Agent Date Si ature of contractor gent Date
u T. Co/ST19n rPrintOwner/Agent's Name
Int Contractor/Agent's Name
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Signature of Notary -State of Florida Date Stg ature Notary -State of Florida Date
Owner/Agent is _ Personally Known to Me or
Produced [D
APPLICATION APPROVED BY
Special Conditions:
Bldg: Zoning:
Initial & Date)
copy no
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mission DD152558ExpiresOctober25, 2006
Utilities:
Initial & Date) Initial & Date)
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