HomeMy WebLinkAbout209 Tech DrPermit #
Job Address: .Qioa T1101
Descriptt�on of Work.f�Q JL4
Historic District:
CITY OF SANFORD PERMIT APPLICATION
Dale;
1 CPO I — ,c (� 4, S
I r1G S2X U I Co —i J7 Total Square portage
Zoning: Value of Work: S l 5'D l)
Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool
Electricr+l:.New Sen -ice — = of AMPS AN —3 46 AdditionAlteration .. )— Change of Service Temlx)rnr• Poke
Alechanical: Residential Nun -Residential Replacement New (Duct Lavout & Energy Calc. Required)
Plumbing/ New Commercial: 0of Fixtures = of Water & Sewer Lines t of Gas Lines
Pltunbing/New Residential: * of Water Closets r Plumbing Repair— Residential or Commercial
Occupanc�_TypK. Residential Commercial Industrial
Construction Tne: _� # of Stories: = of Dwelling Units: Flood Zone: (FEAIA form required)
Bonding Company:
Address:
1"'%1[L
Mortgage Lender: N P"
Address:
Arch iteet/Engineer. N �I-f Phone:
Address: Fa::
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.
M
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 county, and there may be additional permits required from other governmental entities such as water
Acceptance of it i verification that I will notify the owner of the property of the
Gam/ 9/0�
S a Owner/Agent Date 4
Prink / ent' me
S• ire of Notary- ale of Florida Dale
Owner/Agent is Personally Known to Mew
Paadueed-N)
APPROVALS: ZONING:
Special Conditions:
Rev 03/2006
UTIL: FD:
•.................................................
RUTH E. TOWERY
�.=
Commission N 000203476
ErOms 4/15/2007
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Bonded through
a..1,
F(orWe Notary Assn., Inc.
(1tQ0 432 254) Flor(da Notary Assn., Inr-
M.........N.........N.N.N................NNNa
of
that may be found in the public records of
districts, state agencies, or federal agencies.
w, FS 713.
/O�
Date
Contractor/Agent Zonally Known to Me r
ENG: BLDG:
.................... ...RUTHE TOWERY.. go.'
=Kis
Commission # 000203476
Expires 4/15/2007
t" OF
Bonded through
(E04�32-4254)
F(orWe Notary Assn., Inc.
M ...................... ......... ......N............
r EMPIRE ELECTRICAL SERVICES, INC.
dba Central Fla. Electrical Services
PO Box 181183
Casselberry, FL 32718
Phone: 407-830-1010
Fax: 407-339-1603
EC #0000833
City of Sanford
Building Department
P.O. Box 1788
Sanford, FL 32772 '
Dear Sirs,
Please accept this letter as your authority to allow Mr. James Padgett to apply for the following
described permits on my behalf:
Greg Bond Residence 209 Tech Drive Sanford, FL 32771
Thank you for your assistance.
S' cerely,
1.
e odges
EC0000833
Acknowledged before me this / 9 day of by Jeffery
Hodges who is personally known to me and did not a an oath.
.....`...., .....................................M.=
RUTH E. TOWERY
Commission N DD0203476
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E�sIHY2007
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i O CUPATIQNAL LICENSE
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Location adder: 4.h ,' J kNCHOR IR #1 Z09
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P 0 BOX :181111163.,.—,
CASSELBFRRY FL' 142"71,
IMPORTANT: THIS LICENSE MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS. PENALTY; FOR FAILURE TG DO SO-