HomeMy WebLinkAbout717 Locust Ave 06-821 Repairs sheetrock, W_D interiorPermit # : oo —
Job Address:
Description of Work:
Historic District:
UCITY Oh' SANFORD PERMAT APPLICATION
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Zoning:
Value of Work: $ —, ", VaU
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Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool
Electrical: New Service -- # of AMPS Addition/Alteration Change of Service Temporary Foie NN �2 1
Mechanical: Residential Non -Residential Replacement New (Duct Layout & Energy Cale. Required)
Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines It of Gas Lincs
Plumbing/New Residential: # of Water Closets Plumbing Repair- Residential or Commercial
Occupancy Type: Residential —,>�— Commercial Industrial Total Square Footage:
Construction Type: # of Stories: 1/ of Dwelling Units: Flood Zone: (FENIA form required for other than X)
Parcel #: a , � Zp— 36 — 3 // - - /0 E-��L/�/ (Attach Prvvf of Ownership S Legal Descriptive)
Owners Name & Address: _ �i G Lt `�S _6- 4:—v- ,,-
Contractor
�Name & A I
dress: _jffL,�� r"
7,06
Phone & Fax: !G'�
Bonding Company:
Address:
Mortgage Lender:
Address: '
Architect/Engineer:
Address:
9 f Y,��,/ 1
Phone: 0�90,
rm C' /�t�iri( SState�License � G� Numhcr45e
Contact Person: /IIL f's 4k".C- - 4'L Phone:
Phone:
Fax:
Application is hereby made to obtain a permit to do the work and installations as indicated. I certily that no work or installatiun has commenced prior to the
issuance of a permit and that all work will be perlbmrcd to meet standards of all laws regulating construction ill this,jurisdictiuu. I underst;md that a separate
permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, I1EATERS, TANKS, and
AIR CONDITIONERS, etc.
OWNER'S AFFIDAVIT: I certily that all of the Ibrcgoing inlbnnation is aecmrac and that all work will be done, ill compliance with all applicable laws regulating
constnrction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE•' FOR 1MPIZOVL•MEN'IS'f0 YOUR PttOPER"fY. 11: YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
ATTORNEY BEFORE. RECORDING YOUR NOTICE OF COMMENCEMENT,
I
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 Born other governmcldal entities such as water mauagemcnt districts, slate agencies, or federal agencies.
Acceptance of permit is verification that I will notify the owner of the propeearty of the requirements of Florida Lien Law, FS 713.
21-0
Sr nature nfS;tGnedA Ucnt Date Si nature of Contractor/A gent /` I—),
N,v C)
Print Owner/Agent's ame Print Contractor/Agent's Name
.M iRACIE A. MARSHALL
Notary Public - State of Florida
11 .i r'nrnmicj6n Exiles Feb 1 b, 2007
ml
National Notary Assn.
APPLICATION APPROVED BY: Bldg:
(Initial & Date)
Special Conditions:
Ma
Dale t ature of NolartSi;�e of Floi is )ate
MY COMMM-V.)N P QD 285622
EXPIR 5: Match 23, 2008
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Zoning: Utilities: FD:
(Initial & Date) (Initial & Dale) (Initial & Date)
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34
Nodrical PIa
--`�..,,..-_.• 1 TP1i^ n :_1.:
10V 110V JUNCTION BOX
zzov
220V JUNCTION E30X
CEILING FAN
EXHAUST FAN
♦ PHONE JACK
O SMOKE DETECTOR
$ 3-WAY SWITCH
3
$ SWITCH
1-2 DUPLEX RECPT.
220V RECPT.
DUPLEX RECPT,
C GFI-DUPLEX RECPT,
WP-GFI DUPLEX RECPT.
2 X 4 FLUORESCENT LIGHTING
CEILING LIGHT
EMERGENCY LIGHT
a RECESSED CAN LIGHT
RECESSED VAPOR PROOF LIGHT
asaaa VANITY LIGHT
I WALL MOUNT LIGHT
EXTERIOR FLOOD LIGHT
DRAWING NUMBER
DR-DEK-00004
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