Loading...
HomeMy WebLinkAbout141 Maritime Dr 04-1985 fire supression systemPermit # :_V—, Job Address Description of Work: �!_Nj")-j_AL-l-_ IJI Historic District: �_. Zoning: CITY OF SAf`NFORD PERMIT APPLICATION Date: ---AQjog Value of Work: yr eoortq Permit "Type: Building Flectrical Mechanical Plumbing Fire �yrr&iai�LS Pool Electrical: New Service - 9 of AMPS Addition/Alwration ,_— Change of Service _ Temporary Pole Mechanical: Residential Non -Residential Replacement New (Duct Layout & Energy Calc. Required) Plumbing/ New Commercial: # of Fixtures — # of Water & Sewer Lines 11 of Gas Lines Plunnbing/New Residential: It of Water Closets -_-_ Plumbing Repair - Residential or Commercial Occupanq Type: Residential Commercial Industrial Total Square Footage: Construction "Type: it of Stories: It of Dwelling Units: Flood Zone: _ (FEMA form required for other than X) Parcel ;q: rA% CJ — 19 — 30-_—SrNR — VW© - 00H ttach Proof ofrOwnership & Legal 1)ocriptiuu) r O} rim Name & AQd�drrcls: _ �(7//1 � �7[7LtE7J�7�t�� _(�I�1 Vt- /0'?� -- _3q G � ,y-Phone:— Contractor Name & Addr-. rra GHEN __c '%01 p _ ��p _o�/' ..e.wr a ,tea A� n s e mm p. `aCtr u icense N/u uber; Phone 3 Fax:lL`'%, �ls/�'_l�/�"xl.al �i (T.J..1,� F.•„i,.ru� k r,�„���-19f,i �'"RG 7 Phone: t5o rdi g-• Company: mw A �Iort6agc Lender: `:[._7;, Address: � ilt Archhi ci]Engineer: Phone: Ad(J^c, SS 'r 1 i Fax: - V a Application is hereby made to obtain a pertiut to du tln�e Gk a c47 ca l�a�ns�yi dycaced. I certify that no work or installation has commenced prior to uta ssuancc of a permit and that all work will b� performed to meet standards of all laws regulating oiistniction in this ju sdiction, l understand that a s'eparrtc 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 accurate and that all work will be done in compliance with all applicable laws tugulaung construction and zoning. WARNING TO OWNEK: YOUR FAILURE -1-0 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 YOURNOIICE OF COMMENCEMENT. NO f[CE: In addition to the requirumcnts 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 from other governmental entities such as water management districts, state agencies, or federal a,cnc!es. Accepianc- perin'i is verificati at I S r 0t�t vwn� f the property of the rcquiruments of Florida Acti Law, FS 717. °'gr turc off wrier/ en D,tc S naturc or Contract /Agent 014,1r� ( y Z [J�-l�L�vrr,1 —_ [?"a) 'A " t _ Prim Contructor/Agent's Name O'.vner/Agent is �1)111.11xKnown to Me or Produced ID APPLICATION APP My OOMMIS 1 niiaN 2 p07 special Conditi Zoning: gr otaryl�q�EF' TON Da e MY COMMISSION # DD WtA91 EXPIRES: February 25, 2007 14100-8-110rAfly FL NotaryUieountAssoc.Co. l iTr tihrTs^^Pur s lrra l o r !� / ^ U Produced IU\} C)U- O lfp (�'• (p U jU` k _ Utilities: [rU. __ (Initial & Date) (Initial &Date) (Initial d: Date) 1 ME, C-V/ t-A, T PC. tA I 17 Cop r K" E Ih V y W El )" \ a 'J D .`, SanfFire re en ord ion iy. Date. f: PLANS kEVIEWED fi G ~ %Q _ t COO,04 4 � fA, FFA r ,