HomeMy WebLinkAbout3401 Jewett Ln (2)C
CITY OF SANFORD PERNIIT APPLICATION !
Permit No.: l / 2-- ]
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h
Date:
Job Address: .3L41)1 c a- F-n' Yt. 0 t'
Permit Type: J/— Building Electrical Mechanical Plumbing Fire Alarm/Sprinkler
Description of Work:
11 a --iyr sa ' - 1 < AI UYT71'Yl IJ m e 4fQ IZ 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 Total Sq Ftg: 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: ice Fa C t' M i Contracto /
Address/Phone: enc e t'S oYt Q ( Vv1 t n o lf
o ,e yl pe I a State License Number: Contact
Person: A Title
der (If other than Owner): Ad
s: Bon '
g Company: Ad
s. Mo
ge Lender: Ad#:
Architect/
Engineer Address:
Phone &
Fax Number: LV
n C1 L Phone No.: 06 . -
45 (' Fax No.: o---
7151 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. 0MLa
t17---zk2- " rLA-' /"/" SirpaturWof
Owner/Agent bate Signatur o ContraeDate ctoor/A ntea. Plt
i(ks 1 z 62 n eia Mt) 1) ns 1 zz 6z Print er/Agent'
s Name Print Con ctor/Agent's Name 1yVo r-- Cam- /
12-Z .. r' j/z Z% Signature ofNotary-State
of Florida Date Signature of Notary -State of Florida Date M ' Melissa Cameron
01 pYpp i Melissa Cameron A pU'i 32° , _Commission DD079918 _Commission # DDM18 . ca i'pites
Der-Zlt, 2005 ' a Upires Dec. 20, 2M F r<Q` Bonded Thm Bonded Thm pm%% Atlantic Bonding
co., Inc. ,q p o;`,, Atlandc BOIIdIn$ CO., InC» Owner/Agent is
OK -Personally Known to Me or Produced ID APPLICATION
APPROVED BY:
i 6 /c!5, Special Conditions: Contractor/
Agent is <
Personally Known to Me or Produced ID Date: / ---
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TAIL BELOW
SAWORD
C 7109.2312
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bh 19 UNICELL PAPER MILLS, Inc. 44.
2„
returns
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3/8" all thread -fn,rJ
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3875
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UNICELL PAPER MILLS, Inc.,
Janua-.— ,: 9. 2.002 3401 Jewett Lane, Sanford, 32771. USA.
Phone: + 1 407 330 9696; Fax: + 1 407 330 9631
To the City of Sanford:
To whom it may concern:
Please allow Seminole Signs and lighting to pall a permit for our signage.
If you need any further assistance in this -matter, please feel free to contact me at the
above address.
Sincerely Yours,
Unicell Paper Mills, Inc.
a. Sharma. Groin Compa4i y
To w k T+- R e6r ce Y-n
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J 4NISONGC921808Pa" ( PflF1t`
23, 2004
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