HomeMy WebLinkAbout273 Town Center CirPermit #: tJ
Job Address: 27 3 —%/J()h l_t
Description of Work: d— Al"&G
Historic District: Zoning:
CITY OF SANFORD FERMIT APPLICATION '%
Date: / "— 4G
Ci r,
Value of Work:
RECEIVED
J U L 1 8 2006
Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool
Electrical: New Service — # of AMPS Addition/Alteration Change of Service Temporary Pole
Mechanical: Residential Non -Residential Replacement New (Duct Layout & Energy Calc. Required)
Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines
Plumbing/New Residential: # of Water Closets Plumbing Repair — Residential or Commercial
Occupancy Type: Residential Commercial —Z-- Industrial Total Square Footage:
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X)
Parcel #:
Owners Name & Address:
(Attach Proof of Ownership & Legal Description)
n Phone:
Contractor Name &Address: �C �i ✓ I�Q r)� hyo t)Z Jd�
/, State License N ber: G �fX.11 l ZC.
Phone & Fax: Yo�� Z3 S '�lw 707 -Z s /�� Contact Person: Phone: '�167— Z 3 S 1/460
Bonding Company:
Address:
Mortgage Lender:
Address:
Architect/Engineer:
Address:
Phone:
Fax:
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 1 will notify the owner of the property of the rregyireraaFlorida Lien Law, FS 713. / /^
Signature of Owner/Agent Date �nanre Co tractor/Agent Date
Print Owner/Agent's Name Prin, Co tract gent's a
Signature of Notary -State of Florida Date Signature of Nota -Stat o Florida bate
Owner/Agent is _
Produced ID
Personally Known to Me or
APPLICATION APPROVED BY: Bldg: nim V Zoning:
(Initial & Dat
Special Conditions:
Contractor/Agent isX Personally Known to
Produced ID
Utilities:
(Initial & Date)
'1-,) 0 1. oo
I ko
(Initial & Date)
FD:_
CommK DD0291408
IN E)Oree 2118/2008
per= Bonded It u (800)432.421
pF Fow !!platy AYn., bu
Ny��W�M
& Date)
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. - "NOTICE: This drawing and the data thereon shall not be duplicotad, used, or disclosed to others for
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permission of SimplsxG6ru ell. All reproductions shall bear this notice.
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LEGEND
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EXISTING 1" OUTLETS
1/2
1/4
1" PLUGS
3/4
1/4
RELOCATED 1/2" 155' PENDENTS
17
NEW, TY—FRB 1/" 155' CHR PENDENTS
2
TOTAL
19
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EXISTING PIPE —�- _�- -- --
1/2
NEW PIPE
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PIPE SIZE
(IN)
D SIZE
(IN) ..
M
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1/2
1/4
0
3/4
1/4
8
1/2
2
�g
p
1/2
3
3%8
12
4
1/2 '
14
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DATE:
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DRAWING NAME:
SCALE:
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I FILE LOCATION:._
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SHEET: 1 Qf
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