HomeMy WebLinkAbout2501 McCracken Rd 07-1550 FenceCITY OF SANFORD PERMIT APPLICATION
Application#:�
Job Address: 2501 McCracken Road. Sanford, Florida 32771
Submittal Date: 3/19/2007
Valuc of Work: S 1.000.00
Parcel 1D: 29-19-30-5AE-7800-0000 Zoning:
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Description of Work: install fence + Q l.t.) j r a Square Footage:
Historic District:
Permit Type: Building ❑ Electrical ❑ Mechanical ❑ Plumbing ❑ Fire Sprinkler/Alarm ❑ Pool ❑ Sign ❑
Electrical: New Service — # of AMPS Add ition/fllteration ❑ Change of Service ❑ Temporary Pole ❑
Mechanical: Residential ❑ Non -Residential ❑ Replacement ❑ New ❑ (Duct Layout & Energy Cale. Required)
Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines
Plumbing/New Residential: # of Water Closets
Occupancy Type: Residential ❑ Commercial x Industrial ❑
Plumbing Repair —Residential ❑ Commercial ❑
Occupancy Use Group(s):
Construction Type: it of Stories: # of Dwelling Units: Flood Zone: (FEMA form required)
...............................................................................................I........................
Property Owner: David Russell, Sr.
Address: 2501 McCracken Road
Sanford. Florida 32771
Phone: 407-302-4041 E-mail:
Bonding Company:
Address:
Architect/Engineer:
Address:
Plan Review Contact Person:
Contractor:
Address:
Phone:
Mortgage Lender:
Address:
Phone: Fax:
State License Number:
Phone:
Fax:
E-mail:
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 tor 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 properly 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, stale agencies, or federal agencies.
Acceptance of pit is verific t I will notify dre ovvner of the property of the requirements of Florida Lien Law, PS 713.
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-��grrature of Oevner/Agent Date Signature of Contractor/Agent
Print Owner/Agent's Name Print Contractor/Agent's Name
nature of Notary -State of - rida Date Signature or Notary -State or Florida Date
.JOHNSON
* MY COMMISSION 9 DD 285822
EXPIRES: March 23, 2003
Bonded Thru Budget Notary Services
Owner/Agent is Perso tally Known to Me or Contractor/Agent is _ Personally known to Me or
Produced It L-_—_ _ Produced 1D
APPROVALS: ZONI�'f/��/C7 TIL: FD: ENG:
Special Conditions:
Rev 02/2007
Date
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