HomeMy WebLinkAbout500 Maple Ave - BR08-000686 (PLUMBING) DOCUMENTSCITY OF SANFORD PERMIT APPLICATION
Application #: Submittal Date:
s MA RR Ii Job Address: \ C Value of Work: $ `
Parcel ID: ` Zoning: Historic District:
Description of Work: \n P wr Q\J _ b y t'tMa Square Footage:
Permit Type: Building Electrical Mechanical PlumbingX Fire Sprinkler/Alarm Pool Sign
Electrical: New Service — # of AMPS Addition/Alteration Change of Service Temporary Pole
f Mechanical: Residential Non -Residential Replacement New (Duct Layout & Energy Calc. Required)
Plumbing/ New Commercial: # of Fixtures z # of Water & Sewer Lines # of Gas Lines
Plumbing/New Residential: # of Water Closets Plumbing Repair —Residential Commercial
Occupancy Type: Residential Commercial X Industrial Occupancy Use Group(s):
Construction Type:, # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required)
PropertyOwner: L*` Contractor: •(y Address:
Address: k 7 Phone:
mail _ Phone:%S1 M" '1'1State License Number: Bonding
Comp ny. Mortgage Lender: Address:
Address: Arch
itect/Engin ee : Phone: Address:
Fax: Plan
Review Contact Person: 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 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 agencies. Acceptance
of permit is verification that I will notify the owner of the property off rZq(77a-Lien
Law, FS 713. Signature
of Owner/Agent Date S Print
Owner/Agent's Name Signature
of Notary -State of Florida Date Owner/
Agent is _ Personally Known to Me or Produced
ID APPROVALS:
ZONING: UTIL: FD: Special
Conditions: Rev
07.07 Date
Date
fAaen
is 10' OPersonalli' MI&E to BLDG:
53-
o"',