HomeMy WebLinkAbout2000 Rosecliff Cir 06-2389 re-roof applicationCITY OF SANFORD PERMIT APPLICATION
Permit#: l/v 'a38 -_
Job Addreas: a 0 O D R o aE G L /,
Description of work:
Watoric District.
_F QOoj
Datr. 6 — I, _ G
CI JP. 19�'roil FL 3-1 773 CL✓6f1 D v ?�
sold sgaase IFootagc 6 (7
Permit Types Building Metrical MexMmid Plumbing Fre Sprinlder/Alarm Pool _
Electrical: New Service — # of AMIPS AdditionfAlteso ion Cbaogc of Service Temporary Polo _
Medu m al: Rcsdenwd ?(owResidat Uel RaO— mcdt New (Duct Layout & Clergy Cale. Required)
Phaobiod New Cummer vial: W of rudums # of Water & Sewer Lincs d of Gas Lines
Plumbircg/New Residm6aL• d of Water Closets Plt®bioy Repair— Residemtia! or Commercial _
Occq-wvType: Residential Commercial Industrial
Construction Types # of Storks X orDwelling fling Club: Flood Zone: (FEMA 6— required)
Owoersname& Address r7-*nKf1k 912.1F C L)1—F LIO
A -3? jzfwSr- STS 0 kis'Pn'�e.e X07 93 y
Coatrsder Ns�e &Address P
4A/Yio4 F <o•✓lTR�/�T/w•✓ L'rJ T^�C
163 7 err 11/Ne S T STF F %r fSS "ft Y 7 YState License Number: C 6C— 0 5-7
Pbone & Fax: /O 7 a 83 d Cutest Person:
aycP A/ Avdjcp——Pboor. Y 0 7 3 V f
Hooding Company:
Address:
mortgage Leader: .
Address:
Arebileel/ liner:
Address:
APP kdkn is busby madeto obtain a penmt to do ow work asst indsib ions sa indierced. I certify Ibat no work or installation has commenced prior to the
issuance ora permit and out all work will be performed to meet standards of all laws repkting 0110151=600 in this jus%die ion, 1 understand ibal a sepaaie
permit mist be sccared for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS. and
AIR CONDITIONERS, dc.
OW VER'S AFFIDA4Tf: I certify dot att of de finegrriag mfomutioo is accmaw and dot as weakwill bedpan in dswpliaooe with all applicable laws regdsting
construction and zoning, WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMII&ENCEMENr 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 COMMENCaiENT.
NOTICE: An addition to the sogoircmeds Of" permit, there nay be additional restrictions applicable to this property that maybe rowel in the public rocords of
This oounty, and there may be additional permits required 6om ember govommeabl eslitim such as water manse end district, state agencies, or federal agencies.
Acceptance or permit is vcri icstim that l will Notify de ownererf ore Property of the mqui emtats or Leo Law, FS 713.
K4,- QA�eou 01A106 4
Signature of Owner/Agml Dale Signabuo of CodradmlAgeal Date
KEW aux 0.I/ D010-1 �.oc✓�� �
Fu:
Print OwncdAgent s Name
BIER DANIFa,SjMON
MY COMMISSION N DD321132
�.+*y PErERDANIEL SIMON
MY COMMISSION M DDS21132
w is ✓1 Wauy wirfillRiilsiNNOISSIWWOOAN
OwaerlAgeMis P -weal err EXPIRES: May 8, 2010 m _
Produced ID Flertda Notary t voce.oera— ISI1t(dt7 aid
APPROVALS: IANWG: UTu: IU: MG: BLDG --
special
DG'special Conditions: '
Rev 03/1A06
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