HomeMy WebLinkAbout107 Garden CtPermit #: 0 _1� ^ C +
Job Address: ' �� G
Description of Work:
Historic District:
CITY OF SANFORD PERMIT APPLICATION
Permit Type: Building Electrical
Mechanical _ Plumbing Fire Sprinkler/Alarm Pool
Electrical: New Service — # of AMPS
Addition/Alteration Change of Service Temporary Pole
Mechanical: Residential X 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:
1X__
i
Flood Zone: form for X)
Construction Type: _�% # of Stories:
# of Dwelling Units: (FEMA required other than
Parcel #: j (Attach Proof of Ownership & Legal Description)
Owners Name & Address: /
V
/ 1 % / Phone:
ontra or ame Addr ss'�� �1 1 `�—C_ �(G�trl1T �-�377r3
State License Number: /�
Phone &Fax:Ca Contact Person: iy W «-�77-D Phone.-- SQ -70
Bonding Company:
Address:
Mortgage Lender:
Address:
Architect/Engineer:
Address:
Phone:
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 req r ments of 1rid Law, FS 713.
S/
a3�G�
Signature of Owner/Agent Date Signature of. ontractor/Agent 1 Date
Print Owner/Agent's Name Pri t tractor/Agent's e
tv))AA
023 v�
Signature of Notary -State of Florida Date Signa re of Nota e orid Dart
. raa j
es
My Comm'DD327559
o, R /Eupiroa June 09, 2008
Owner/Agent is _ Personally Known to Me or Contractor/Agent is ✓_ Personally Known to Me or
Produced ID Produced ID
APPLICATION APPROVED BY: Bld 1' 1 Iy'� EO�ing: Utilities:
(initial & Date) (Initial & Date)
Special Conditions:
E ID3�
FD:
(Initial & Date) (Initial & Date)