HomeMy WebLinkAbout618 E 10 St 04-2233CITY OF SANFORD PERMIT AI�P),,ICATION
'd Pei�mlt N D�A We:
30 Address: , G) 12 EAST- 0'rfL3,'1R&8-r, &jqF
L I 1__�a) J
PertnitType: _-_B�Ildfng Electrical Mechanical Plumbing Fire Alarm/Sprinider
Description otWork:-T e-E AADQ &G7?--/y1 OaT
AdditionRI Information for Electrical & Plumbing Permits
Electrical: Addition/ Alteration Chang,,- of Servico 'Fell porary Pole ...... _Now AMP Service (# o1'.AMPS ---
Plum bing/Reside n tial: Addition/Alteration 1-1—Ne", Construction
ristruction (One Closet plus Additional)
PhImbiqg/Cornmercial. Num tx:r of Fixtures Number of Water& Sewer Drainage Lines— Number of Gas Lines
Occupancy Type: _Resideritial —Con-Amercial — Industrial Total Sq Ft'g: Value of Work:$ ?510 0
Type of Construction: Flood Zone: Number of Stories: Number of Dwelling Units;
Parcel No,:
C CO--2 0, (Attach Proof UfOwners ship & Legal Description)
Owner/Address/Phone, 6 ?o 64 b, 5 V
W ). EL 32
Contractor/Address/Phone:
ri bf,-U-Ws ME, Qp- '111w kL E
oa'7 Si�jte License Number: FO(:)()02&3
hS '2
contactPerson:OIK&JEI1��-77-- m�L ILL )s-- C % /1—&& ,
Title Holder (If other than Owned):
-Bonding
Address:
Mortgage
Address:
Architect/Epgineer MAY 0 1 Z004
Address:
r
a d fft Jrnl a] at 8 CpFtrfy,-that no work 6r installaton has
a �h ct�c
commenc e'�'p'kior to"the' is`suan(,'eo'f a p
that �IIVVork wit r standards dfall laws regulating conaruction
Appli,miion is hereby made to 6btain pel-mit t6 an
er 't t in i �i�id ha st
X,�V vtlw
in this jurisdiction. I tmderstarid that a sepaiatu perrwl-,Must be secured for ELECTRICAL WORK'-,PLUMI3IN0, SIGNS, WELLS,
POOLS, FURNACES, BOILERS, KEA TAERS, TAN' KS,'and,,AJR. C(JNDITIONERS, etc.
Q-W--N-ER'S AFFIDAVIT: I -.ediP/ that all of the foregoing information is accurate and that all work will be done in compliance with
all applicable laws regulating constniction and zoning., WARNINGTOOWNER: YOUR FAILURE TO RECORD A NOTICE OF
COININffiNCEIMENT MAY USULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY, IF YOU
INTEND. TO OBTAFN FINANCING, CONSULT WITH YC)UR, LENDER. OR AN ATTOF.NEY BEFORE RECORDING YOUR
NOTICE OF CONINfENCEIMENT.
NMIM, In ddition to the requIrernents of this permit, therz may be additional restriotions applicable to this property that may be
,fo und'in.the public, mcords of this qourlty,�y�j tlzere ma , be additional permin'requived from other governmtotal entities such as
Z
water management distridi s"A'tai'a',a,gen0es, or federal agencies.
Acceptance of Perin it,i,.s verifilclatio.n.,that I will notify the o�raer of the property of the, eequhementsoffloid L Li I aw, FS 713.
-Z"74
Sigrl
All"
S e rit ate
kw� of 0 w-ner/A ent ure,of Con t0614
A
Plint
-Olff ner/Agent's Name
"t.0
Signature ofNotary-State of Florida
PAM
TRICIA DEBOSE
M COMMISSION 0
1$5 N # (;C 98
MY # (;C 98,W
EXPIRES:
- Mal 19 2005
XPIRES: March 19,
11 Y12. N"F61, Bonded rhm Notary Public Underwriters
Owner/Agent is 'I Personally Kno,,Nm to Me or
Produced
-71
specs. on itions:
Print Contr,aotor/Agent'a Natue.11,
Signatur
e of otar State 0 , or] af I'l Uate
MARY FRANCES KING U
NOTARY PUBLIC - STATE OF FLORIDA
COqMISS ON # DD237574
EXPIRES 8/3/2007
SONOEU THRIJ 1 -888-NOTARY I
Coutractor/Aigent is Personally Known to Me or
ID
Date:
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FACP FIRE ALARM CONTROL PANEL
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MAY 0 4 2004
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By:,
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Date:
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