HomeMy WebLinkAbout500 W Airport Blvd (9)-t)\ag I _U
CITY OF SANFORD PERMIT APPLICATION
Permit #: 0(o— :;.�-7(6C) Date: 7/.26 /OV
Job Address: �ak--> \a)P Sa- (al t Ot�R"�t' L�UC� cUl l)i&t ra * Ito
Description of Work: r --e- Tota quare Footage 12`' S",00'�
Historic District: r1 0 Zoning: Value o ork: $ VC1
Permit Type: Building Electrical
Electrical: New Service - # of AMPS
Mechanical: Residential Non -Residential
Plumbing/ New Commercial: # of Fixtures_
Plumbing/New Residential: # of Water Closets_
Mechanical Plumbing Fire Sprinkler/Alarm Pool
Addition/Alteration Change of Service Temporary Pole _
_ Replacement New (Duct Layout & Energy Calc. Required)
# of Water & Sewer Lines # of Gas Lines
Plumbing Repair - Residential or Commercial _
Occupancy Type: Residential Commercial Industrial
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required)
Owners Name & Addy
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Contractor Name & Address:
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Phone & Fax: 3S?-. 3SS-4-1'/24 3gS- V 011 Contact Person: Phone: 3SZ. 514 - 02-S(Q
Bonding Company: N ipr
Address:
Mortgage Lender: N I pr
Address:
Architect/Eagineer: N Phone:
Address:
Fax:
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. 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 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 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 p it is verification that 1 will notify the owner f the property of the requirements of
lana re wner/A¢ent Date Sian
)MMISSION EXPIRES
Jure 2Z, 2010
APPROVALS: ZONING: UTIL: FD:
Special Conditions:
Rev 03/2006
Lien Law, FS 713.
/�
:tor/A¢ent Date
Comma D00449077
�F Exp;r. s 7/10/2009
Bond thru (600)472.4254'
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