HomeMy WebLinkAbout1311 Rosecliff CirCITY OF SANmm PERAW APPLICATION
4—P-0 6
Permit # : 00- a (411Date
LO -013
13 jobAddreas: R ') G L /fL /'e,
DnCription or Work: R %�O 0'f'- Toted Square Fouftp.
Zorrmg/„✓&7,fif0'11t�ivakwo[Warl s 0
Historic Dishid: _ ,
permit Tvpw Building Electrical Mechanical Plumbing Fite Sprinkler/Alarm Pool
Elechiall: New Scrvice — g of AMPS AdditioulAhmtion Change of Savice Temporary Polo
Mechanbta♦: Rcmdenual NvD_RcxWkm ial Replwement New (Duct Layout & Energy Cala. Required)
Plumbine New CommeraaL• # of fixtures q of Wader & Sewer Lines ii of Gas Imes
Plumbb*New Reside liaL d of Water Closets Pluiobiag Repair– Rcsideaaal or Commeteinl
Occupancy Type: Residential Commercial Industrial
Construedon Type # or Stories: X or Dwdling Cnib: flood Zone: (YmA term requvad )
CL,N LIO
Owners Name & Addras ^� �!-I�Ki-t/C
-7 93 1 -Z.o - y
o , - - o.✓ � roc
Coatraeter Name lk Addrers
X63 7 �r v//1/E S T ST�' F f(/SS ��+• Ce /�L YStste Lkeax Number G 6 �+ 05-7
yo d Cmtad Person: ii FiCP L mac.,_Phone: Y o 7 39`1 a%9 -3c'
phone & Mas:
Bonding Company:
Address:
Mortgage Lender: .
Address:
Arcbiteet/Maigineer:
Address:
0.pp4icstion is lvavby mlda to obtain • Permit W do the work and installations a indicated. I act% that no wort a installation bas communcad prior to the
issuance of a permit and" all work-- will be performed to meet standards of all laws regulating casbuctim in Oris juriadiction 1 understand tlut a stporatc
permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS. POOLS, FURNACES, BOILERS, HEATERS, TANKS, and
AIR CONDITIONERS, ctc.
OWNER'S AFFIDA4TT: I certify deal an of gc foregoing mfo>w4m is aetmato and dart all wart will be done is aompliaoae with all applicable Ion regablm8
construction and zoning WARNING TO OWNER. YOUR FAILURE TO RECORD A N0710E 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 adilitim to the mqubemeots Of" Permit' Owe may be additional restrictions applicable to this property dal may be fond in the public records of
this camty, and that may be additional pezaits squired tom oilier governmental auas saeb as water management districts, state agencies, Of federal agemm-
Aerxptance or permit is vaifiealiao that I will rosily The area of Ura pmperty of Ibe reger
aasenls of Florida Lea Law, FS 713.
4f 0 6 C/ 1— 2 L� 6-.,d - 0 6
S' - of OwncdAgcnl Dal Signature of Contraclor/Aged Date
ICE IV 01K o.✓ .Fin•✓ L,oa ez 1.1
Print Owns/Agent's Name (hint Codracl 's N
19 d06
igrratrrrc of Notaryjola or Flaids I me of Dalc
7AW9
PETER D'g1VIEl. SIMON
IMON i �o MY COMMI = a DDS24132
Ds2ol32 Cootractod la I j93 yk2010
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APPROVALS: ZONING: UTI: FD: ENG: BLDG:
Fbooe:
Max:
Special Conditions:
Rev 03RAOG