HomeMy WebLinkAbout1460 Rinehart Rd 06-455 SignPermit # : `✓ V __ �` J i
Job Address:/ �C%
Description of 1VorKMmme,
Historic District:
Zoning:
CITY OF SANFORD PE IRMIT AITLICATION
Date. _
xa
ty
lifi`'c�T V 1�'IC�/`✓Uti>c-�Ll �/�i %r'/ ��i//.J/,% C'�X�>!�c �.S
Value of Work:
L 5 .,.. Y, 4, .IFL �•i: N. N d 'dW ':..r OJh ll'�%)iI _lJ ._..
Permit T)1pe: Building Elcctrical �_-Mechanical Plumbing hire Shrinklel'/Alurtu Pool
Electrical: New Service - // cif ANII'S Addition/Alteration -_- Change Of Service Tcniporury Pole __ _-_.
Ylixhanical: Residential _ Non -Residential Replatcelncnt _— New (Duet Layout & Energy C'tilc. Re(iuired)
Plumbing/ NQNN Commercial: I/ of Fixtures # Of Water �"• Sewer Lines # of'Gas Lines
Plumbing/New Residential: /1 of Water Closets Plumbing Repair — Residential Or Commercial _
Occupancy "Type: Residential _ Commercial Industrial Total Square Footage: - ,
Colistruction •I•ype: _ ti of Stories: it of Dwelling Units: __ Flood Zone: (IMA form required I'm - other (h:ut S)
Parcel N: _ (Attach Proolof' Ow'na-ship & Legal Description)
ON)ners Name l
CA ?r_ S%E� % c- /G.✓ <<y�? C, "[
Contractor Nano S Address: />%` �' �j`'l7 /—
flAA S2 4,�leCiC Statc L I c e Ise Nunibu
Phone \ Fax' Contact I'crwu: , , /C' l 1,110m
Bonding
Address: ._._
Mortgage Lender:_._... -
Address:
Architect/Engi
Address:
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no woik of installation has connnenccd prior to the
issuance of a permit and that all work will be performed to meet standards of all laws regulating consu-action in Ihisjuri Sdic(ion. I understand that at SVI)mMe
permit must he Secured Rir ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, I IEATERS, TANKS. and
AIR CONDITIONERS, etc.
0WN)EI:'S"AITIDAVIT: I certify that all of' the foregoing inlCmrtation is accunttc and that all work will be done in compliance with all applicable laws rrgulnIing
ccutsuun ctioand zoning. WARNING TO OWNFK: YOUR FAILURE -1-0 RECORD A NOTICE OF COMML`.NCEiNIENT iMAY KESUL'I' IN YOUR PAYING;
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY, IF YOU INTEND'I.0 OBTAIN FINANCING, CONSULT WITH YOUR LENULR OR AN'
AT'I ORNEY BEFORE RECORDING YOUR NOTICLOF COMMENCLMIENI'.
, -ricF: In addition to the requilcluclits of this permit, there Ilmy be additional restrictions applicable to this propcily that stay be found in the public reconls of
this Gutty, and thcrr may be additional permits required from other govcnuacatal entities such as miler nmnugvmunt disu'icts, stale agencies, or federal agencies.
Acceptance ol,pe t is verification that I will notify the owner ol'd ptoperty of die requi Ant, ws > lurida L'ci
u U a i f' mloc rrAecnt Dour
Sign, of Osvnu. Agent [ate Si,l tt ie t Cu
LL
PI at CUnlrutorA e I s Name
Print C nei!Ao''enI ale /
or
":-�'-`J— r'l j1�fl� Dut/ / Si nature of Not tr -State of Florida Date
Igi ry t�,Notai�-State b fbntP y
r V h\Cfxy�n 'ili)GCif1 r'-is@ill S�11w Gd r-Kxdn
om11mji t ri [:�C7fd33�2
t"
4'` ;ai a rI ,f}t) ITMI
0
mnc I�1)"�tnt Is ti.,o5l,ir�y�IllvMh lU vl �r Conlniclor /\�cnl is
�I+res�tttGed {fir; as-I'roduml I D
APPLICATION APPROVED BY: Bldg: - l:yy ,•_- Lunin LLLL .:-,�_Q� Utilities:
(Initial & Datc) (luitial & Data)
Special Conditions: -------.__.- f,, \------...-- ___--
k X D i;, 'a te.\ \ <'z) vJ l r\ Lti J
,f n °` MY CQfv1MISSION 9 DO 166159
— Personally KI sou�lf�"sir EXPIRES, 2 P ES. January 10, 00/
lcVnoovrners
(Initial & Date) _ (Initial & Date)
n
t , a
t L) ,
;.t g