HomeMy WebLinkAbout1108 S Myrtle Ave - P08-001604 (Replumb Upstairs) DocumentsCITY OF SANFORD PERMIT APPLICATION
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Application # : ` 1- pp ' 11D0 . Submittal Date:
Job Address: , 5 1' \1A E _4
0,iz,
e .
Value of Work:
Parcel ID: Zoning: Historic District:
Description of Work: Ceps^' v'S l,i w Square Footage:
Permit Type: Building Electrical , Mechanical Plumbing 4 Fire Sprinkler/Alarm Pool Sign
Electrical: New Service — # of AMPS Addition/Alteration 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 # of Gas Lines
Plumbing/New Residential: # of Water Closets Plumbing Repair —Residential ee Commercial
Occupancy Type: Residential 01, Commercial Industrial Occupancy Use Group(s):
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required )
Property Owner: S e,\a`!_,,) Contractor:
Address: %k S Address: ` ,a.' ,
IF —
Phone: "W34 A 35`3 i E-mail: Phone:v Ibb -1\A State License Number:
Bonding Company:
Address:
Architect/Engineer:
Address:
Plan Review Contact Person:
Mortgage Lender:
Address:
Phone: Fax:
Phone:
Fax:
E-mail:
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. I understand that a separate
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 regulating
construction and zoning.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR -PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE
FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR
NOTICE OF COMMENCEMENT.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that ma ound in the public records of
this county, and there may be additional permits required from other govemmental entities such as water management dis5jK, state agencies, or federal agencies.
Acceptance of permit is verification that I will notify the owner of the
Signature of ;Owner/Agent
Print Owner/Agent's Name
Date
Signature of Notary -State of Florida Date
Owner/Agent is _ Personally Known to Me or
Produced ID
APPROVALS: ZONING:
Special Conditions:
Rev 07.07
UTIL: FD:
e quire of Flen Law, FS 713. of
Contract Ren Date M_ ,
Qct 5 1]2.169of
Notary -State of Florida Date Contractor/
Agent is Personally Known to M r Produced
ID ENG:
BLDG:
Estimate Tech: Jason
Estimate Ticket #: 40
Customer Name: Harold Spaulding
Customer Address: 1108 S Myrtle
Sanford, FL
http://mal)yahoo.com
Customer Phone # 1 407-243-3538
Customer Phone # 2 407-718-3369
Estimate Description:
Referred by:
Estimate Price:
Down Payment:
Additional Comments:
Additional Work:
Acceptance of Proposed Work: x
Date:
Date Called:
Time called:
Date Scheduled:
Called by:
Harold work
cell (Dee Spaulding)