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HomeMy WebLinkAbout1505 Palmeto Ave (2)J 1+ CITY OF SANFORD PERNUT APPLICATION Permit No.: ©` ` 7 Date: 2,3 _0 Job Address: l SD S PA-(— t rro A-1ILL A t1 FUti' h Permit Type: Building Electrical Mechanical Plumbing Fire Alarm/Sprinkler Description of Work: 2S -74 SLO-12 -fi C S' LE4 Additional Information for Electrical & Plumbing Permits Electrical: _Addition/Alteration _Change of Service Temporary Pole New AMP Service (# of AMPS ) Plumbing/Residential: Addition/Alteration New Construction (One Closet Plus Additional) Plumbing/Commercial: Number of Fixtures Number of Water & Sewer Drainage Lines Number of Gas Lines Occupancy Type: Residential Commercial _ Industrial Type of Construction: Flood Zone: Total Sq Ftg: Value of Work: S 0 -4 t] Number of Stories: Number of Dwelling Units: Parcel No.: (Attach Proof of Ownership & Legal Description) Owner/Address/Phone: I 3O S- ezal !K W2 A ALE 76vt MAO F C,+ 3 2 27 1 Contractor/Address/Phone: 0-41,•h c_5Z IZ S "j'y 2 C nr-'sT 2/,t C 1 -nOh 35`25+ I/ 11Cy l{-W G VL t2Tbh PLA 3273 R State License Number: <R-C-0 ,5 00 Contact Person: `1 Phone & Fax Number: f 7 3 Z2 S 18' 2 d- Title Holder (If other than Owner): Address: Bonding Company: Address: Mortgage Lender; Address: Architect/Engineer Address: Phone No.: Fax No.: 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 propfy of the Signature of Owner/Agent Date Print Owner/Agent's Name Signature of Notary -State of Florida Date Owner/Agent is _ Produced ID Personally Known to Me or is of Florida Lien Law, FS 713. l v of Contract6r/Agent Date Print Contractor/Agent's Name S' afore of Notary -State Florida Date 44 4 AN M. JOHNSON MY COMMISSION # CC 921W8 EXP ;4ES: March 23, 200q BonJetl7nruBudpolMOW ry Service, Contr#ctor/Agent is' Per 6wn to Me or Produced ID rc_ l [ _ 1?O ` - SD J- t 7 2-O APPLICATION APPROVED BY: Date: 1 ^ Z —0 Z i Special Conditions: i5'05' PA-t.M+71) S T 5-,4fn FMO J.J.R. Construction PLANS REVIEWED CITY OF SANFORD l'T # 01 s87 J.J.R. CONSTRUCTION 3525 Vineyard Circle DCUMOL, FL 32738 407-322-5182 S H-EAD Ct Lo, loaf q 5 Q L- A.". . _ JJR CONSTRUCTION Certified Residential Contractor Builder License #CRC052300 3525 Vineyard Circle Deltona, FL 32738 Name / Address Eric 8t Philis Redman 1505 Palmato St Sanford Fla 32771 407 322-3148 CONTRACT Date Estimate # 1/17/2002 28 Project Description oty Rate Total Scope of work: 500.00 500.00 Build W storage shed. All pt lumber T 141 siding Metal roof AC TANCE OF P OSAL Date Thank you for your business. Tota 500.00