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HomeMy WebLinkAbout814 Catalina Dr (2)� � ^ ^ CITY OF SANFORD PERMIT APPLICATION Permit # : , I /! J j� Date: �� I Job Address: I `l r� � I'M Fi, Lf- t �a o Gir-A FL. _� ?_T 1 Description of Work: tz(:P) PE Historic District: Zoning:, Value of Work: S T Permit Type: Building Electrical Mechanical Plumbing X Fire Sprinkler/Alarm Pool Electrical: New Service — # of AMPS Addition/Alteration 4__ Change of Service Temporary Pole Mechanical: Residential I_ Non -Residential Replacement New (Duct Layout & Energy Calc. Required) Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines `A r Plumbing/New Residential: # of Water Closets � Plumbing Repair — Residential or Commercial / Occupancy Type: Residential i� Commercial Industrial Total Square Footage: Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X) Parcel #: — f —jV U u — �) �t(Attaach Pjroof of Ownership & Legal(�Descri ti H) Owners Name & Address: `D C,1 1 ( ( C 1 0 00A � i W l Ci�-7 Q IIP R- () 1 '30 1) t �7 _! _ L, 3 Z') - Contractor Name & Address: 1 n I 1' I m 1 0 tAQ (L C, 32 90 State License Number: Phone & Fax: (� " V V t{ Dn'3$'D Contact Person: Pig ( Phone: 6 G I U v Bonding Company: Address: Mortgage Lender: Address: 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. 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 lawrei ikating 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 th may e additional permits r d from other governmental entities such as water management districts, state agencies, or federal agencies. Acceptance f permit i ri at I ori th er of the property of the require m%e� of Florida Lien L S 713. _ Signature ofOw . gen Date Signature of Contractor/Agent Date Print Owner/Agent's Name Signature of Notary -State of Florida_..., Date y)OGCl6Cm"1Mr4fPII0pRR'J OrGAg:'ett is _ Personally Krim to Ivt or P 0 u&ki ID _ APPLICATION APPROVED BY: Bldg' Zoning: riltial & Da (Initial & Date) Special Conditions: Print Contracto A ent' ame i Signature of Not tate ofFloride Date R. CRAIG PARKS y Notary Public, State of Florida Contractor/Agent isMT&ft�[tq}yq,to �lg,p� sr 2008 Produced ID �'�•�,17 GQAA�N D– omm. o. 4597 of �aS Utilities: FD: (Initial & Date) (Initial & Date) ti POWER OF ATTORNEY Date 9-3)-os- I hereby name and appoint ,jjj_) �qr--1 ruu 1 of Qjjy(� (�g P 14rnWoc-to be my lawful attorney in fact to acT fUeJMe and apply to the (';r1c� (—(�CX()-P(�©i Building Department for a building permit for work to be permed dt a location described as: Section Township Range Lot Block Subdivision . ;5j— r1-3l—S)2-600o IW c7 i VI (-'(.t-01 ( (") Pr 0�t- 60jVO4 4 -3 z � I (A pre s of Jobb V OW 10 (Owner of Property and -Address) and to sign my name and do all things necessary to this appointment. Type or print name of Registered Contractor IN, ignature of Regisfered Contractor The foreoing instrument was acknoledged before me this _day of tib by CnU(- Pcal'0,21 C who is personally known to me/wh produced as identification and who did not take an oath. State of Florida County of Commission # F_ ... y Commission e5Zpires: MY `'1111"• VAP. /Aug. t), zuud )� 0-7 -z- 16