HomeMy WebLinkAbout228 E 1 StCITY OF SANFORD PERIVHT APPLICATION
Permit No.:r
TL O Date:
Job Address: c! /T . il' I i X,2 6)
Permit Type: _ Buildi
Description of Worlq
Electrical — Mechanical
Additioual Information for Electrical & Plu
Plumbing Fire Ala
g Permits
rinkler
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 Total Sq Ftg: e&6 Value of Work: S
Type of Construction: Flood Zone: Number of Stories:_ Number of Dwelling Units:
Parcel No.: _ (Attach Proof of Ownership & Legal Description)
Owner/Address/Phone:_ ,jA/7A —7g— eoti35oi
Contractor/Address/Phone:
State License Number:
Contact Person: Phone & Fax Number: _ _Q J%
Title Holder (If other than Owner):
Address:
Bonding Company:
Address:
Mortgage Lender:
Address:
Arch itect/En gin eer
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 property of the requirements of Florida Lien Law, FS 713.
Produced ID
44K r za-tn.ejoe -
Signature of Co actor/A ent Date
Print Contractor/Agent's Name
Signature of Notary -State of Florida Date
Contractor/Agent is Personally Known to Me or
Produced ID
APPLICATION APPROVED BY:
Special Conditions: rtw?-0,K— C
Date: — ,.2 % Z
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Agent:
Address:
CITY OF SANFORD
TORIC PRESERVATION BOARD
APPLICATION FOR A
CATE OF APPROPRIATENESS
O. BOX 1788. Sanford, FL 32772-1788
me: 407 330-5672 Fax: 407 330-5679
Property Address:
Phone Number:
Fax Number:
Phone Number: Q
Fax Number:
7/
Downtown Commercial Historic District: ®Residential Historic District:
Describe all changes in material, color or location to the exterior of the building and property:
Applicant's
Owners' Signature
OFFICIAL USE ONLY
Historic Preservation Board Meeting Date:
Date: 7,4;/
Date:
Staff Review Date:
or cat on as Approved Approved with Conditions
Conditions:
Denied