HomeMy WebLinkAbout2440 French Ave 06-1906 Fire sprinklers(�r`- A0Q)
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Permit #:
Job Address: +G: 44o 6ze
Description of Work:
Historic District: __---
CITY OF SANFORD PERMIT APPLICATION
Zoning: Value of Work:
Fool
Permit Type: Building Electrical
Mechanical Plumbing
-- Fire Sprink r/Alarrn
Electrical: New Service -- # of AMPS
Addition/Alteration
Change of Service Temporary Pole
Mechanical: Residential Non -Residential
Replacement
New -- ([duct Layout & Energy Odc, Required)
Plumbing/ New Commercial: # of Fixtures
# of Water & Sewer Lines
# of Gas Lines
Plumbing/New Residential: # of Water Closets
'
Plumbing Repair — Residential or Commercial
Occupancy Type: Residential Commercial
Industrial
Total Square Footage:
Construction Type: # of Stories:
# of Dwelling Units:
Flood Zone: (FEMA form required for other than X)
Parcel #: so 5 7' 4 L (600 00lam%
(Attach Proof of Ownership & Legal Description)
Owners Name & Address: 1'LoR 1 :;,A 11Za
Ta&i L
A. L i :M
Contractor �Name & Address: -WfG+>�°iSiY_.J i9 E PAt ,C T-FeI U 4 -Z'LOLD P LAX& tit�
4-rQtAp6a l? rt '$,zry'l) State License Number: 48 11 S Soodi {p+
Phone & Fax: 1 (A ' 1�)4'01 Contact Person: W)"IA 11 11A ir�i��.Phone:461 -(aPA— ! 47
Bonding Company:
Address: _
Mortgage Lender: _
Address:
Architect/Engincer: Phone:
Address: Fax:
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. ( understand that as eparate
permit most be secured for FLF.CTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, I -WATERS, 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 CONINIENCENIENT MAY RESULT IN YOUR PAYING
TWICE FOR fMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. y „
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to tt3ispi6'perty that may be found to the public reedrds of
this county, and there may be additional permits required from other governmental entities such us water n anagement districts, state agencies, or federal a cricks,
Acceptance of permit is verification that I will notify the owner of the property of the requYemenls of Florida Lien Law, FS 713.
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SignatureofOwner/Agent Date Date'
_ _ � {�I�► L.T � � hI , f�A�� Td ira �
Print Owner/Agent's Name Pr ht Contractor/Agent's Name
Signature of Notary -State of Florida Date 1';'; iSignature of Notary -State of Florida Date
Owner/Agent is_ Personally Known to Me or
Produced ID
actor/Agent is _ Personally Known to Me or
Produced ID
APPLICATION APPROVED BY: Bldg: �J' 1 Zoning`. 'a Utilities; FD77
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(Initial' I a e) (Initial & Date) (Initial & Date) ,+: '(1 itialj e
Special Conditions:
FIRE P.R.O TEC
SCALE` 118" = 1'-0"