HomeMy WebLinkAbout3822 Orlando Drµ
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CITY OF SANFORD PERMIT APPLICATION 4. i rw • ':. j t t ra n YI
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Description of Work: ` U�& C> l fhb ! / ' �ZC -t
Historic District: Zoning: Value of Work.-$. �?E60. MT ---
Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm V", PoQI
Electrical: New Service — # of AMPS Addition/Alteration Change of Service' Tempotgry Pole
Mechanical: Residential Non -Residential Replacement New(Duct Layout & Energy C81 Required)
Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines
Plumbing/New Residential: # of Water Closets Plumbing Repair— Residential or Commercial r. _
Occupancy Type: Residential Commercial Industrial Total Square Footage:
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA forth required for other than X)
Parcel #: �- "Lim Attach ProoCof Ownershll &
( p Legal Description)
Owners Name & Address:
o Phone:
Contractor Name &Address:
�L State License Number:
Phone & Fax: (% 3 �T C 4 Maj Phone: _ (p
a rson:
Bonding Company:
Address:
Mortgage Lender:
Address:
Arch itect/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.
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 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 requirements of Florida LLien , FS 713.
Signature of Owner/Agent Date Signature of Contractor/Agent Date
lD6-t,C::t,I r -Y)
Print Owner/Agent's Name Print Con ctorAg me
Signature of Notary -State of Florida Date Signature of FI Date
Owner/Agent is Personally Knoiiri to Me or
_ Produced ID
Contractor/Ace-: is 1/ iPersonally
Produce, -:D
APPLICATION APPROVED BY: Bldg?-- Zoning:
(Initial & Date) (Initial & Date)
Special Conditions:
(Initial & Date)
SUE E. SAY
o Me or Notary Public, State of Honda
My comm expires Jan 12.2006
No DD82629
lltiiiOd thru Asf ,Atlency. nc (8001451-4854
I
(Initial & Dare 01�16X—
DQck)
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PERMIT #353"
PLANS REVIEWED
CITY OF SANFORD
OFFICE