HomeMy WebLinkAbout1141 W Airport Blvd(JSPmy
CITY OF SAMVRD TERMIT ATTLICATION
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Pernik # : EIVED � Date: � '" 1 -1 V �J��
.lab Addrem:wGv _ _ MAYgq
Deearipflm of Work: n r(Xh' 6 n -I o A -I S J `f )� M
Hiatork Diahict: Zones: Value Of W • S i�/
Permit Type: Building Electrical Mechanical Plumbing Fire SpnnWcr/Alarm Pool
>Electrlcal: New Service – # of AMPS Addition/Altecation Change of Service Temporary Pole
Meehan": Residential Non-Rcsidetttial . Replacement New (Duct Layout dt Energy Calc. Rcqu cd)
PlamN*W New ComrnereW. # of Fixtures _ # of Water & Sewea• Lines # of Gars Lines
Plambing/New ResidewW-. # of Water Closets Ptambiug Repair – Residential or C.orntnemial
Occupancy Type: Residential Commercial Industrial TOW Square Footage:
Conarmcdom Type:-�
# Of Stories:
# Of Dwenilog Uaka:
— Flood Zomw (FEMA soma mgwrirert for 0(her than X)
Tared #: ()�_ c:(o_.-
(Attact Proof of OwitenWp & LA -Cal Dacriptfo•)
Owaers Name & Addrea:
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CoNtracto�r-1Nas�e�do Addrrla•
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Cowtact Terww:
TGowe: L41 1 �
Inertias Carpary: � 1 i 1�1-
Addraa:
Mortgage Lewder:
Address:
Addum:
Fax:
Application is hereby made to obtain a permit to do the work and installations as indicat d. 1 certify that no work or installation has commenced prior to the
issuance of a permit and that all work will be perforated to mat standards of all laws regulating construction in this jurisdiction, 1 understand that a separme
permit trust be smutd for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILEItS, HEATERS, TANKS, and
AIR CONDITIONERS, etc.
OMMR'y AFFIDAM— I certify dw all of the foregoing infarnation is accurate and tut all wait will be done in compliance with all applicable Lam 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.
NQlIg: In OM600 to the Mquimnents of this pemrit, there may be additional restrictions applic" to this propnty that may W found m rho public records of
this cminty, and there may be additional permits requited frown other 90VO MMM entities such as water
management districts, a4wFJo ageuciea, or federal sgencia.
Acceptance of pemtit is verification that I will entity the owner of the property of the requirewnents QContro
;gr;
ta�iy, FS 713.
Signature of Owner/Agent Date Si Date
Print Owner/Agmt's Name
Signature of Notary -State of Florida Date
C� ,u -
�0–k�
cePri
Sagnstwi of Notey-Statc of Florida Date
Owna/Agem is — Personally Known to Me or Contractor/A gent is Pewrt
_
Produced 1D ooally Known to Me or
Proftoed 11)
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APPLICATION APPROVED BY: Bldg:
& zowm8= Utilities: FD t
Date) (Initial & Daae) (Initial &Date)Spocial C witions: ,
KAREN M, t31NNER
MY COMMISSION * pq 200860
EXPIRES: April 28, 2007
I.8co-a WTARY FL Notary Olscotnd Assoc. Ca.
SAX R3615
.31N, 81027
Fire Sprinkler Piping Plan 1/2" (5.6K)
-S/4" (8.2K>
155' QR
212' SR
RELIABLE " F1 FR"
1 P i Y
RELIABLE " G"
CHROME PEND
BRASS UPR
-,.-- }----- . NORTH SEMI-REC
NO ESC.
SCALE 3/16'=I'-0' --U-
-0-
STANDARD SPRAY
STANDARD SPRAY
CONTRACT # S0662
DRAWN : BDR
CHECKED : K.H.
DATE : 5-8-06
TOTAL HEADS ; 8
SCALE 1 AS NOTED