HomeMy WebLinkAbout1137 W Airport Blvd 06-2280 SprinklerCITY OF SANFORD PERMIT APPLICATION
Permit #'r'ej
Job Address:
Description a
Historic Distil
Permit Type: Bttilding Electrical Mechanical Plumbing Fire Sprinkler/Alatm Pool
Electrical: New Service — # of AMPS Addition/Alteration Change of Service Temporary Pole
Mechanical: Residential Non -Residential . Replacement Ncw (Duct Layout Bt Energy Cale. Roquared)
Plambiag/ New Comm welml: # of Fi:ttutcs # of Water & Sewer Lanes # of Gas Bans
Plumbing/New Residential: # of Water Closets Plumbing Repair — Residential or Commercial
Occupancy Type: Residential Commercial Industrial Total Square Footage:
Construction [— Type": � # of Starks: # of Dwdling Units: Flood Zoow (FEMA forma t"uiked for */Year tlwa X)
Parcel #: I / �� ' �b , 2C J (—1 lft M(-)('�ali (AU=b Proof of Ownership & Legal Description)
Owners Name & Addrem; f"c 1 A rcr 1
1 r) ) hc- nn16; d r `101 c) 14
Contractor Norse & AddrM-. FrP C�C`a (� V; V-f r1 I-h" (-)n 7n1C�
0 U'n -A-r(n .I VCR r C�C�y)r ' Sr)-n 6C6 'F—(_ State License Number: e� r=� l 0 (Y J � Cif '
Pboae& F. r �1 1�, -m !a Contact Person: �(;t.� i�.i�i PYoae:
Boadiag Company.
Address:
Mortgage Leader:
Address:
ArcYitect/I?nghsoer: �� �i _, _ Pho+te:
Addrem: 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 cotameaced prior to the
issuance of a pamit and that all work will be performed to meet standards of all laws regulating construction in this jurisdidion. 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 socurate 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.
�TL �> : In addition to the mquiranents of this pemtit, 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 requited from other govertm renal entities such as water managertwnt districts, state agencies, or federal agaicies.
Acceptance of permit is verification that I will notify the owner of the property of the rcquimw cats o Flora Licn , �S 713.
� /��
Signature of Owner/Agent Date Sig of Contr -"/A t Date
Ft---(- d I ,t .n
Print Owner/Agent's Name Print,Coo ctor/Agent's N�' b
Sigoattrte of Notary -State of Florida Date S gars o Notary -State 1of Florida Date
Owner/Agent is T Personally Known to Me or Contractor/Agent is �hraotally Known to Me or
_ Produced ID Produced ID
a
APPLICATION APPROVED BY. Bldg: Zoning: Utilities: FD;
(Initial & Date) (Initial do Date) (Initial & Due) w, (lt l YJabe)
Special Conditions:
KAREN M. BINNER
MY COMMISSION # UD 205668
'L (�% ' x ? `` EXPIRE$: Aptil20, 2007
C jk� 9 f1 t-aoo-rir wY FL P(tary 0*00 rt Assoc. Co.
y
C❑NTRACT # S0662
DRAWN ; BDR
CHECKED K.H.
DATE : 5-8-06
T❑TAL HEADS : 7
SCALE : AS N❑TED