HomeMy WebLinkAbout1751 E Airport - P06-000039 (ORLANDO SANFORD AIRPORT AUTHORITY) DOCUMENTSPERMIT ADDRESS
CONTRACTOR
ADDRESS
PHONE NUMBER _
PROPERTY OWNER
ADDRESS
PHONE NUMBER
SUBDIVISION S IAr4704
ELECTRICAL CONTRACTOR
MECHANICAL CONTRACTO
PLUMBING CONTRACTOR
MISCELLANEOUS CONTRACTOR
PERMIT NUMBER FEE
MISCELLANEOUS CONTRACTOR
PERMIT NUMBER FEE
PERMIT # X!J___DATE
PERMIT DESCRIPTION
PERMIT VALUATION
SQUARE FOOTAGE
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CITY OF SANFORD PzRmT APPLICATION
C `r
Permit #
Date:
Job Address: 1 tY w fit
Description of Work,
Historic District: Zon g: Value of Work: S I k r u00
Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool
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 LD # of Water & Sewer Lines # of Gas Lines 0
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 #:
Owoers Name & Address: _
Contractor Name & Address:
Phone & Fa::
Attach Proof of Ownership & Legal Description)
Phone:
State License Number:
Contact Person: Phone:
Bonding Company:
Address:
Mortgage Lender:
Address:
Architect/Engineer:
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. I understand that a separatepermitmustbesecuredforELECTRICALWORK, 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 regulatingconstructionandzoning• WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYINGTWICEFORIMPROVEMENTSTOYOURPROPERTY. 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 may be found in the public records ofthiscounty, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies.
Acceptance of permit is verification that i will notify the owner of the property of the
Signature of Owner/Agent Date
Print owner/Agent's Name
Signature of Notary -State of Florida Date
Owncr/Agent is _ Personally Known to Me or
Produced ID
APPLICATION APPROVED BY: Bldg:
Special Conditions:
initial & Date)
Zoning:
Lien 1AW, S 713.
Date
c
iM
Contractor/Agent is _ o Me or
Produced ID
Initial & Date)
Utilities: FD:
initial & Date) (initial & Date)