Loading...
HomeMy WebLinkAbout1503 S Sanford Ave - M05-003499 (HVAC) DOCUMENTSPermit # : r Job Address: CITY OF SANFORD PERMIT APPLICATION Description of Work: ?&-i:?la6e- Historic District: Zoning: _ Value of Work: Date: 7 -/15 --as Permit Type: Building Electrical Mechanical V Plumbing Fire Sprinkler/Alarm Pool Electrical: New Service - # of AMPS Addition/Alteration Change of Service Temporary Pole Mechanical: Residential —V—/ 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 Occupancy Type: Residential Commercial Industrial Construction Type: # of Stories: # of Dwelling Units Parcel #: 6$1 — l 7 — c -I/ _ c7 [J I� Owners Name $[y�dd rens: lAlte— Name & Address: Phone & Fax: Wb Bonding Company: Address: Mortgage Lender: Address: Architect/Engineer Address: Plumbing Repair — Residential or Commercial Total Square Footage: Flood Zone: (FEMA form required for other than X) U )C>A 1 _ Attach Rrooltpf Ownership & Legal Description) Phone: U / Phone: Fax: Application is hereby made to obtain a permit to do the work and installations as indicated. 1 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 COMMENCEMENTMAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. 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, andth may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. Ae�tance o permit s veri ation th I will's I owner of the property of the requirements of F en Law, FS 713. .9 — 0 �;^ MyS natur of Owner Agei Date /ontractor/Agent ,,// Date p Owner/Agent's arae Print Contractor/Agent's Name v Signafure of Notary -State of Florida Date Sig hue of Notary -State of Florida Date Owner/Agent is Personally Known to Me or Produced ID�j•�LMI ZZe aP � nnul � APPLICATION APPROVED BY: Bldg: Zoning: (Initial & Da ) Special Conditions: Contractor/Agent is Personally Known to Me or Produced IDEr�/OI,t//1 Utilities: FD: (Initial & Date) (Initial & Date) (Initial & Date) Permit # : Job Address: 1(00--5 S. apt( Description of Work: W 1 1^e.c{ l o CITY OF SANFORD PERMIT APPLICATION Date: -71A5 for, Historic District: Zoning: Value of Work: S 2, q `J V'— Permit Type: Building Electrical X 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 # 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. R,0 # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X) Parcel # Owners Name & Address: Contractor Name & Address: Z(eV - Phone & Fax: Bonding Company: .address: Ntortgage Lender: Address: Proof of Ownership & Legal Description) Phone: S ex. b (. Ro 6C, �a— State License Number: © l Contact Person: Phone: 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 separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and AIR CONDITIONERS, etc. `? Y G d 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. 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 maybe additional permits required from other governmental entities such as water management districts, state ag cies, or federal agencies. :acceptance of permit is verification that I will notify the owner of the property of the requireme&fFlorida ien La , FS 71 . Signature of Owner/Agent Date Signature of Contractor/Agent Date Print Owner/Agent's Name Print(/Q Coontraactoor//AAgee/n.�t'slName Signature of Notary -State of FloridaDate Signature of Notary- to of FloridV Date Owner/Agent is _ Personalh Known to Me or Produced [D \I'I'I_ICAI ION APPROVED BY: Bldg:~:Alb, Zoning: (Initial & ) -:) ci.:' Conditions: Y Contractor/AQent is _ Personally Known to Me or Produced ID (Initial & Date) Utilities: FD: (Initial & Date) (Initial & Date) +�S �o �~ 7 rC O 0 41 m< o: 2 m W 5 tn� sa z � � o N R