HomeMy WebLinkAbout151 Edgewater CirCITY OF SANFORD, FLORIDA
PERMIT NO 7= DATE
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO INSTALL THE FOL.
LOWING H.A.R.V. MECHANICAL EQUIPMENT:
OWNER'S
ADDRESS OF
MECHANICAL CONT
RESIDENTI
I
COMMERCIA
Subject to rules and regulations of Sanford mechanical code.
NATURE OF WORK
Number 11 AMOUNT
FUEL
MOTOR H.P.
INPUT_ _OUTPUT
VALUATION VALUATION
NOTE: MINIMUM PERMIT FEE 11.60 TOTAL II ri*z 16V
COMPETENCY CARD NO
AIR CONDITIONING and HEATING SPECIALISTS
DATE:
PERMIT AUTHORIZATION
I 1 C1e'Y J eMaS hereby authorize
N-X* eW4 5 to obtain a permit
in my behalf under my State Certification # o b Z
for the job site described below:
TYPE PERMIT
H.A. R.V.
Electrical
U-2 G"l l/n
print, type or stamVOR
me of Notary Pul)"
Personally known Produced I. D.
Type and number of 1. D. produced,
WITNESSES:
DESCRIPTION:
Owner: Ji
Address:
S";'nFVa
Lot Block Parcel
Sec. Twp. Rge.
Signature of Certificate Hldr.)
Date:
PAULA MCKINNON
Notary Public, State of Florida
My COMM. expires Oct. 28, 2003
Bonded thru Ashton Agency, Inr. No. CC883785
800)451.4854
STATE OF FLORIDA: COUNTY OF ()Mnce
Sworn and subscribed to before me this - day of ,20 R
Notary Public
436 North Westmoreland Drivv. 9 nrlandn. Flnricla 37Rns • (4n7) 475.1471 9 I_Rn0_44')_24')z