HomeMy WebLinkAbout111-134 Rosecliff Cir (2)CITY OF SANFORD PERMIT APPLICATION
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Description of Work: F �O 0,F Total Sgoare Fooew Go
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PertaitT,vpr Building Electrical Mechanical Plumbing FireSprinidedAlarm Pool
Electrical: New Servicc — g of AMPS AdditimiAltmatiou Change of Service Temporary Polo
Mechanical: Residential 'HawR=dcs%tial RcOmmmeffi New (Duct Layout & Energy Cala Required)
PhmsbinW New Cemmesval: i€ of Pixbm k of Water & Sewer Lintas d of Cas Lines
PltmsbbogRiew Reddm6al: d of Wan Cbsctr Pltttabing; Repair— Residcatial or Commercial
Ot capartcv Type: Residential Commercial industrial
Construction Type. d of Stains: x of Dwelling Unna: Flood Zasse: (MEDIA form required)
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Owners Name & Address: _
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Gmtraeder Name& Address:
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Phone& liar: 07
Bonding Company:
Address:
Mortgage Lander:
Address:
ArebAeeVEngineer:
Address:
ppplicasipn is bweby asadeto otwin a pearml to b the work and mRalWions as irrdieatod. I certify Wal no wale of installation has comma wAd prior to the
issuance ora permit and that all wosk will be performed to meet aLmdards of a0 laws n gdat6ng construction in Wis juradidum 1 understand that a ceimaie
permit must be seemed for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS. POOLS, FURNACES, BOILERS, HEATERS, TANKS, and
AIR CONDITIONERS, dc.
OW VFR'S AFFIDA4IT: I ceRify dnt all of the foregoing mfamudan is aaeoole and thiol a0 wartwiY be dopa is compliance with all appliabk Isws regdauog
comWction 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 COMMENCElt1L•NT.
NOTICE: 10 addition to We sogeme meds otthn permit, there may be addiliooal n sbidert icoa applicable to this property Wmay be found in the public records of
this eomrty, and there maybe additional permits required from other goveromaalal emtrties such as wale management distsids. state agencies, or federal agencies.
Aampla m of permit is verification Watt will notify We mrner of thio property of the requirements of Flarida Lien Law, FS 713.
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Signature of Owner/Age nt Dal Signature of Contractor/Agent Duk
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APPROVALS: ZON NG: _
Special Condition:
Rev 03/7006
jf N PETER DANIEL SIMON
MY COMMISSION M DDn4I32
OF IiXPIR58: May8.2010
Me &W" WAN OwAmccrnAp l is _ Per'
Date
PETER DANIEL SIMON
MY COMMISSION it DD524132
�'kOTEXPIRES: MayS,2010
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