HomeMy WebLinkAbout511 Rosecliff CirCITY OF SANFORD PERMIT APPLICATION
Permit #: CNS ' �I��
XJ I. -LAW"" R bE G L /,
Date:
c/� sq-yc� Fe- 3.1773 13L,005'
ate:
Description of Work: F QV o Total Square Foota► -
iRstoric District: Zor,mg/r✓}r�6R� Valaeof work: s OyV
S
permit Type: Building FJectrical Mechaninl Plumbing Fre ppbcVAltum Pool _
Electrical: New Service - 0 of AMPS Addition/Allerauon Change of Service Temporary No _
Medumical: Residential ?lao-iteridontial Rcoa=n n New (Duct Layout & Energy Cala. Required)
Plumbing/ New Commerd2L' # of rilduros is of Water & Sewer Lincs d of Gas lanes
Plmnbbgffiew Reddm6aL # of Wcter Cbscls Plumbing Repair -Residential or Cotnmett int _
Occeponcy Type: Residential Commercial Industrial
Canstrndpn Type # of SOariw x of Dwding tints: Flood Zone: (N +LMA fora' regoi vd )
Owoersname&Addresco-n jeK1•t/ 7CC_)1=F
,/ I.✓E .5-r s r x ee V-7 t 3► -,.0', y
Contrador Name & Address:
P QA.>�oa F �o.drra��ri�.✓ � roc.
7 el v//✓e .s T ,i%c F /SS r �s. ns c e- JFL Y 7 YState Lignac Nmnbrr: 6 C� S %
Q Pierson:
0�✓G�s- _J+twoe: Y o 7 _ 3 y l Q% S 3' t7
Phone& xu: / % � � a 83 b Cootad P
Hooding Company:
Address:
Mortgage Lender:
Address:
Arebttect/Engineer:
Address:
Pbooc
Fax:
Appl"Wvk is lvaeby made to obtain a pcstait to do the work grid indallatious as indicated. I ochry Got no work or installation bas conmamcd prior to the
issuapermiteat tof a eswmad for ELECTRICAL WORKll wolk will be �PLUMBINGto meet SIGNS ofWE] I S• POOIS' FEJRNACFS, BO LEES, HEATERS TTAANNK& and tand that. a separate
AIR CONDITIONERS. etc.
OW VF7t'S AFFIDAVTT: I catifydnt aU of the f0rWWg information a aaearsme and did wak wig be done m a� w� ag apptiobk lava regulating
condmclion CE OF
TWICE FOR IMPROVEMENd zoning. A TS TO YOUR PROPERTY. IFG TO OWNER.- YOUR AYOU (INTEND TO OBTAIURE TO RECORD A N FINANCING, CU1d�T %VM YOUR MA LENDER OR ANIN YOUR PAYING
ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT -
NOTICE: In addition to the mgafiemenls of" pomiy there maybe add'dional reshietiom applicable to this property West may be found in the public records of
this shanty, and there may be additional permits required bom other goreon>eatal enlitirs such as water management districts, state agencies, or federal aganckr.
Aaxptanca ofupenarit u vsvinficalioo that 1 will edify &e area of tlne property of the rogouammis of Law, F�713.� C—
A?isy V/�h / //1 /1(,
�d'G�o
Signalum of Owner/Agent ale Signature of ContractodAga t Oates
KE IV q/, o r✓ o.✓
11
Print Owncr/ s Name r Print dere ent' ameIle D 60to'K�—Yjv" Ile
is
APPROVALS: WbWG:
Spacial conditions:
Rev 03f1IlOG
PETER DANIELSIMON I- -
MY COMMISSION # DD57A132 4pt( PETER DANIEL SIMON
EXPIRES: May g, 2010 my MY COMMISSION * DD524132
jki I . a 'dna ftjA0W SWVIM an _ C-urc�toi/ .N Y- - UY Pll*IRI allay g 2010
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