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HomeMy WebLinkAbout110 Towne Center Cir (a) (2)x0P C2(2 I J -29v Job Address: Description of Work,+:, /L l /7VlJG( Vr- Ilistoric District: &0 Zoning: RECEIVED Gfl'Y OF SANFORD PLRNIF1 An't,WX 'ION A)a(e:- _ •-00 JUN - 5 2000 r ; /1/ ;, _ )AI t! .nA/) A 'I51 7 --. Value of Work: Permit Type: Building Electrical-- Mechanical. Plumbing Fire Sprinkler/Alarm Pool Electrical: New Service — # of AMPN%l/U C- ddition/Alteration Change oi'Service Temporary Pule Mechanical: Kesidcntial Non -Residential y' Replacement Ncw (Duel Layout & Energy Calc. Ke(luirCd) Plumbing/ New Commercial: # of FixturesC(/// r # of Water & Sewcr I,inc,,(d# of (ias Lines a— / Plumbing/New Residential: # of Water Closets Plumbing Repair — Residcntia ll or Commercial V Occupancy'hype: Keesiiddential Commercial Industrial _- — Total square Footage: 1/©! Construction hype l V-0 10, # of Stories: # of Dwelling Units: _ -, Flood "Lone: &V (FENIA form required for other than X ) Parcel #. // ) y ) ( Attach Proof of Ownership & Legat Description) Owners Name & A Id ss:) ,1 NJKp P 1 { . V f l i A], I '' t2 Z. (i2 E G lLb'I Y1.pr"1 Qom• at7 State I.iceuse N mhcr: r ,C7 -t i U l3onding Cornpan} Address: NIortgage Lender': 7V ddress: I F /V • D ! Fax: l 1" Application is hereby made to obtain a permit to du tttc work and instullatiuns as indicated. I (;ertiI) that no work or installation has commenced prior to the issuance of a permit and that al I work will be performed to meet standards of all laws regulating construction in this juris(liction, I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS. WELLS, POOLS, FURNACES, 1301LERS, I IF.ATER.5. TANKS. and AIR CONDITIONERS. etc. OWNERS AFFIDAVIT: I certify that all of the foregoing, information is accurate and that all work will be (tune in compliance with all applicable laws regulating construction and zoning. WARNING TO OWNER: YOUR FAILURE.TO RECORD A NOTICI:OF C'OMMENCEMENI' MAY RESU1,T IN YOUR PAYING fWICL FOR IMPROVEMENTSTO YOUR PROPERTY. IF YOU INTEND TOOL31'AIN FINANCING, CONSULT WITII YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMM ENCEMI::N . N()' I'ICTi: to addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be (mind in the public records of this county, and (here may be additional permits required from other governmental enlilies such as water inamnement districts, slate agencio, or federal agencies. Acceptance of permit is verification that I will notify he owner of the property of the requirements of Florida Lien Law/IFS713. azure of O.wncrrAgent Date Signature of Contrtetor/Agent Daic zo rint Omvner. ge are Pk Print (, OnmctorlAgent S Namme Signature o Notary-Stat' orida Dale i ature of Vbrhtry-S Pv late of FI idn Dale HY 6W1 Ua a<. 0. R. SHOOK, J . , n JO ANN hi. F,o% MY COMMISSION # DD 1704MY 9 pp 96vgQ2 Owner/Agent is 'ersunalty Known fo r EXPIRES: December28 QR ia f, pads p rstYue (,lpra3$yv^(p Me or Produced ID -- - _ lr!FoFFco BondedihruBudgetNOWY$er i Pro dir c`d'D` r td'tt S APPLICATION APPROVED 13Y: L3Id6Zoning: Utilities.. J` Initial & Date) (Initial & Date) (Initial & Data) (Initm Yc Date) Special Conditions: q' S r ` f Coo w ' 1r