HomeMy WebLinkAbout2130 thru 2140 Spinger Ln (a)0
permit # :
CITY OF SANFORD PERMIT APPLWAI•ION
Date:it
Job Address: / --4/ -,§K / `!'U--�,,r -"➢^✓� J C/`e 7'l.- _.
Description of Work: a-/l!,tdo 2'i'-'17t'".t� �G&SLQL r
Historic District: Zoning: Value ofVVorla S_ 10 a
Permit Type: Building L—Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool
Electrical: New Service -- # of AMPS Additiott/Alteration Change of Service Temporary Pole ,•__•,.,
Mechanical: Residential Non -Residential Replacement New (Duct Layout & Energy Calc. Required)
Plumbing/ New Commercial: # of Fixtures It of Water & Sewer Lines It of Gas Lines
Pitimbing/New Residential: # of Water Closets Plumbing Repair- Residential or Cotrunercial _
Occupancy Type: Residential Conuuercial Industrial Total Square footage:
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form requh•e(l ;For aiher than X)
Parcell{: (Attach P aotofownership &Legal Description)
Owners Nam_e�7&,��A/pdld�dress:
Contractor Name & Address: 14 i11 _
•- % _ p 'tate License Number:_..._.......
Phone & Fax: 1 0 �y%� ���7(��-�,t,c P"s�gn l �.q 1 � jt. Phone:Bonding Company: �� 4 d 1) A� tb. 1 t � z'�0
Address:
Mortgage Lender:
! 14 d l5
Address: .,�.
_ _—__...............a
_
1 I ..:a.. /r_l
Architect/Engin2er- / .:$• `"a-'"' .: ��e Phone:
Address: F '',., �it t Mrst+J e- 5 :`A� Fax:
-r ,, '�wP '� •�'� till tdt1 a �'.
Application is hereby made to obtain a permit}�ko do the wor aQ i istall0.t ons Its' d catc(ri, certify hat Twovk or installation has coiwneuccd pj l r to the
issuance of a permit and that all work will bq g(ifgSnyed to n c c staticard oiall I waEegulating c,onsticy,t to this jurisdiction. I understand that a ..cparate
permit must be secured for ELECTRICAL WORK, 11LUMOING, SIGNS, WELLS, POOLS, EUi� 30ILERS, HEATERS, TANKS, and
AIR CONDITIONERS, etc.
OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will be done in compliance with all applietd)lc- lw-vs rc•.gulatimg
construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RES U1:. ' IP: Y 1111!• 1, AY ING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY, IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR l.t?Nl?131."_ 01; AN
ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT,
NOTICE: In, addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the pu(tlil: rowords of
this county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or ti;dertl agencies.
Acceptance ofTem' fSverifrc dor— /I will notify the owner of the property of the requirements of ridT tent' "� w �S 713,
gnature of Ow—tier/AgentDate Si -aa re of 7vnfiont e odAfgent �+ L Vatu—
a
La (-ry
Y$%j t Own/gent's Nam Print CjSntra todAgent's Name
o , Si n tune of Notary -State of Florida Date Signature of N ol°lc_
Wei V uj ;:P: yh4fs I -I y NSHIP
Z-.'� k: � 'ake MY COMMISS(ON # DO 099284
,(fd V/ ;7,r•...,.•a���_.
EXPIRES: April le, 2006
.,9�r�;cBen T u N, t, C'r vnters
Cha m Owner/Agent is _Personally Known to Me or Contractor/Ag P'rsonfi
Uf Produced ID _ Produced [D
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/ 1,5 APPLICATION APPROVED BY; Bldg���Zoning: 9Y� "1• �,? • �,j Utilities: . �FD: 1
(Initial & Date) (initial &. Date) (Initia & ate) (Initial & D�te)r
Special Conditions: