HomeMy WebLinkAbout310 Reid Ct (2)CITY OF SANFORD PERMIT APPLICATION
Permit N: 0 ( a CP (.0 : Date: LQY–I Litz
Job Address:"l, ;Q Cf" &LAIC ~%%3
Description of Work: t FYP 01AAG9II &O SiKI/�+ Total Square Footage aM
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Historic District. Zoning: Value of Work: $
Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool
Electrical: New Service – # of AMPS Addition/Alteration Change of Service Temporary Pole
Mechanical: Residential Non -Residential Replacement 4New (Duct Layout & Energy Calc. Required)
Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines
Plumbing/New Residential: # of Water Closets Plumbing Repair – Residential or Commercial
Occupancy Type: Residential –77—' Commercial Industrial
Construction Type: QIP N of Stories: / # of Dwelling Units: Flood Zone: (FEMA form required) n
Owners Name & Address` Eila4,44 6A&A9&a 310 S Ai to r — 17 , !
Contractor Name & Address:
Phone & Fax: :��
Bonding Company:
Address:
Mortgage Leader: _
Address:
Architeet/Engineer:
Address:
Phone:
State License Number:
Contact Person: ' _i_0Phone: Sbo�f
Phone:
Fax:
Application is hereby made to obtain a permit to do the work and installations as indicated. 1 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. 1 understand that a separate
permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and
AIR CONDITIONERS, etc.
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 M 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 property that may be found in the public records of
this county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies.
Acceptance of permit is verification that 1 will notify the owner of the property of the requirements of Florida Lien Law, FS 713.
Signature of Owner/Agent Date Signmre o ntractor/Agent Date
Print Owner/Agent's Name P ' ntr to gent' Name
Signature of Notary -State of Florida Date
Owner/Agent is _ Personally Known to Me or
Produced ID
APPROVALS: ZONING:
Special Conditions:
Rev 03/2006
UTIL: FD:
Signature of N wide IE MAO"
DEEB # DD Iwo,
MY COMM - Febf 25 2007
p(p1RES: Fetxuary
TAP'Y FL'SOt°ry �xO
Contractor/Ag d ally*nown to Me or
Produced 1
ENG: BLDG:
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