HomeMy WebLinkAbout611 Rosecliff CirCITY OF SANFORD PERMIT APPLICATION
61amit#:
Job Address: nasngw- R o JC,
Description or Work:
historic District: _
E 'roup
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Work: S
Permit Type: Building Electrical mmimnid Plumbing Fre SprinkledAlarso Pool _
Electrical: New Service - # of AMPS AdditioclAWration Cbamge of Service Temporary Polo _
Mechanical: Residmud Nor}Rosdenud Rgiacemeal New(Duct Layout & Energy Cole. Required)
Plumbing/ New Causmeraal: # of Mdores g of Water & Sewer Lias ii of Cas Lines
Plumbbgffi w Residential: it of Wats Ckrsets Plttmbitrg Repair- Resideatial or Cotnrarcial
_
occupancy Type: Residential Commensal Industrial
Construction Type # of SEuriw
S of DwcEng Units:
Flood Zone:
(VMA form required)
OwoersName&Address 0'-'n jeKI�
X63 ? Iz/,vE
CmatrsderName& Add.=s: P
X63 % �r //✓� s T sif F_ h SSS r r+• ^ cc- JL'L Y 7 YStste Lie mse Number.
Ylrome& Ya:: j/07 a 83 d Contact Parson: pycp w L�a1e' S_
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_Phon.-Yo-7 3 V / � 93 c'
Bonding Company:
Addras:
Mortgage Linder:
Address:
Archneet/Naginver: Phone:
Na::
Address:
Applietlion is lwceby osadeto obtain s perrml to b tlue work and imstallatioms r irudicatod. 001* "DO work a installation bas commenced prior to the
issuance "a permit and MA a0 work- will be performed to meet alandads of all laws regdaI4 a mbudmm in bis jcvsdiction. 1 undersand thin a sepmaae
permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and
AIR CONDITIONERS, etc.
O�PVER'S AFFDDA4Tf: I certify do, all ergo faegpimg mf natioa is aoemmte amd bat an work wilt be done in ompfomae win all applic" Laws «Emlating
Y RESULT IN YOUR
WARNING TO OWNER. YOUR
O RECORD A
CE OF
TSN E FOR IN"O &VEMENTS TO YOUR PROPERTY. IF YOU R TINTEND TO OBTAIN FINANCIN` G, CONSULT WITH YOUR LENDER O PAYING
ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMWENCE1tENT.
NOTICE: In addition to the reguircuMb of the permit, Were may be ndd'diaul rabidions spplicslrle to this property that may be found la the public swords of
this county, and Were may be adddimW permits rcqukW fi mr other govt mn=bl r9"'" such ss water management districts, stater agareim, or federal agencies.
Aec epbace of permit is Mifreantiom that 1 wig mtify 6e owneref the properly or the mquuememb of FW& Lim Law, FS 1 } _6
tfO iAgcnI /_//a/lp V-w=ff`C000W=ctm/Agc.1 \v/Date
Sigruataro of OwnedAgent
1V on/
» a�� r-........r..as�..�u •. Name A -e
Prink Owner
I AO
yr
7
Owav Apaw
APPROVALS: ZONING:,
Specw Caudibunr
Rev 03RAOG
r
PETER DANIEL SIMON
MY COMMISSION N DD524132
EXPIRES: May 8, 2010
Ur1I: FD:
O6
PETER DAMEL SIMON
W COMMISSION N DD94132
M1 G: BLDG--
Date.
DG: