HomeMy WebLinkAbout1137 W Airport BlvdPermit #'r'ej
Job Address:
Description a
Historic Dista
CITY OF SANFORD PERMIT APPLICATION
Permit Type: Bttilding Electrical Mechanical Plumbing Fire Sprinkler/Alatm Pool
Electrical: New Service — # of AMPS Addition/Alteration Change of Service Temporary Pole
Meehan": Residential Non -Residential . Replacement Ncw (Duct Layout Bt Energy Cale. Roquared)
Plambiag/ New Commmwcid: # of Fi:ttutcs # of Water & Sewer Inness # of Gas Unca
Plumbing/New Residential: # of Water Closets Plumbing Repair — Residential or Commercial
Occupancy Type: Residential Commercial Industrial Total Square Footage:
Construction [— Type": � # of Starks: # of Dwdling Units: Flood Zoow (FEMA forma rcquiked for */Year tlwa X)
Parcel #: I / �� ' �b , 2C J (—1 lft M(-)('�ali (AU=b Proof of Ownership & Legal Description)
Owners Name & Address: f"c 1 A r'
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Contractor Norse & AddrM-. FrP C�C`a (� V;V-f r1 -h" (-)n 7n1C�
0 U'n -A-r(n .I VCS r C�C�y)r ' Sr) -n 6C6 'F—(_ State License Number: e� r=� l 0 (Y J � Cif '
Pboae& F. r �1 1�, -m !a Contact Person: �(;t.� i�.i�i PYoae:
Boadiag Company.
Address:
Mortgage Leader:
Address:
ArcYitect/I?nghsoer: �� �i _, _ Pho+te:
Addrem: Fax:
Application is hereby made to obtain a permit to do the work and installations as indicated. t certify that no work or installation has cwtmoeaced prior to the
issuance of a pamit and that all work will be performed to meet standards of all laws regulating construction in this jurisdidion. 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 infonmtion is socurate 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.
ATL �>+: In addition to the mquiranents of this pemtit, 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 requited from other govertm ental entities such as water managentwnt districts, state agencies, or federal agaicies.
Acceptance of permit is verification that I will notify the owner of the property of the rcquimw cats o Flora Licn , �S 713.
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Signature of Owner/Agent Date Sig of Contw-"/A t Date
Ft---(- d I ,t .nom
Print Owner/Agent's Name Print,Coo ctor/Agent'sN/
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Sigoattrte of Notary -State of Florida Date S gars o Notary -State 1of Florida Date
Owner/Agent is T Personally Known to Me or Contractor/Agent is �hraatally Known to Me or
_ Produced ID Produced ID
a
APPLICATION APPROVED BY. Bldg: Zoning: Utilities: FD;
(Initial & Date) (Initial do Date) (Initial & Due) w, (lt d YJabe)
Special Conditions:
KAREN M. BINNER
MY COMMISSION # UD 205668
'L (�% ' x ? `` EXPIRE$: Aptil20, 2007
C jk� 9 f1 t-aoo-rir wY FL P(tary 0*00 rt Assoc. Co.
y
CONTRACT # S0662
DRAWN ; BDR
CHECKED K.H.
DATE : 5-8-06
TOTAL HEADS : 7
SCALE : AS N❑TED