HomeMy WebLinkAbout1011 Rosecliff CirCITY OF SANFORD PERMIT APPLICATION
rcrmit # : b -U -a N jD
/v l Sob Adams Q'B" R an Joy' G L /f< G/
Duh L10
(.
sq->�or o f -4.-3a773 g �,o Pt /%:;o
Descripdon of Work: R C QO O F Tonal Square
FSstoric District: Zoning
PdmitTypc Building Electrical Mecbanitml Plumbing FireSprinldcVAlmm Pool
Electrical: New Service - N of AMPS Addition'Aitamooa Cbaogc of Service Tomportuy Polo
Medmrtical: Rtmilcotial NowRaideatual nulla New (Duct Layout dt Coergy Cola. Required)
PltmsbhW New CommerdaL• # of Firttures # of Water & Sewer Liw3 # of Gas Lincs
Pltmrbig*Vew Ilesiidmtaad;- # of Wats CIVAS Pitmlbitag Repair- Rssideatial orCommettanl
Occupancy Type: Residential commercial Industrial
Construction Type # of Stories: x of Duelling Crdb. Flood Zone: (F +LMqsA loran reTrod )
Uwaes Named& Address:
C L.l l✓f L!'o
P
Contractor Name & Addrac
Q fi M o 4 F e*a 44rrq v e- r-1 o .✓ CrJ I^�C
F A 15.(ca JCL Y 7 V4.41.Liomae Nambar
� � a 83C2 Cootace Persoo: Oy'/� •✓ 6 °til c• l Phone. Y o 7 3 y l S 3 0
Yheae& Faa: ( %
Hooding Company:.
Address:
Mortgage !.ender:
Address:
ArchilKWhagineer: Fbomr
Fax:
Address:
Aprliestioa is aacby sande to obtain a Venvit to Ao dw work mid installations as indicated. I acr ify dud no work or installation baa commonced prior to the
issuance of a permit and Mat all wod wip be performed to nasi standards of ailbuss regulating Construction in Otis jurrcdiefum 1 nndestand that a sep pale
permit must be secured ror HLECIRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and
AIR CONDITIONERS, dc.
OV VER'S AFFIDA'-v2 I aerlify tltst all of me tbr�iog mfomu0m b aerials and oM all wart willbedoos in aompliaaoe wilb all applicable laws regulating
construction and zoning. WARNING TO OWNER YOUR FAILURE TO RECORD A NOTICE OF CONVAENCEMENT 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 COMMENCEWNT.
NOTICE: In addition to the require-- Of" permit, thea may be additional nal restrictions applicable to this property ilial may be fowl in the public records of
alis camuty, and Wee may be additional permits required "m odor govoomental entities such as water managemad districts, state abrneiss, Of federal agencies.
Acceptance of permit is vtuiTiWioo that 1 will notify Ore..am of the properly of the requc ocolspLFTnrida Lieo Law, FS 713.
�, 6�i�/o 6 V0!L A `L_6 - /a - 0 6
Signalnrc of Owner1Ag 21c Signature of ContrarJm/Agrnl Date
KE 1\01 art o.✓ D�r��-�-���� �--
Print Owner'n airs won-
/
e Sign of Na Date /
Si ftp LAU
P ER DANIELSIMONPETER D
Im MY COMMISSION # DD524132 ANIEL SIMON
o w
#/la EXPIRES: May g, 2010 ? R � MY COMMISSION # DD524132
Ownal ( I Kowcom Coouactor/ J1 Kno oMay g. 2010
PtodaProduced ID - a�Ogn
APPROVALS: ZDbWG: UTar F7): EKG: BLDG,
Special Conditions:
Rev 03rM
to L>
X59