HomeMy WebLinkAbout711 Rosecliff CirCITY OF SANFORD PERMIT APPLICATION
Permit#: C* �tf0 1
Joh A,wr�Q P49 -V— R o be C L
Datr: l: BL v w7
�V Fc- 3-177
Description of Work: R F Qo Tow die Feotsge
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Permit Type: Building Electrical M_banid / Plumbing Fre SprintledAltam Pool
Ek is ieal: New Service — # of AMPS AdditioolAkoatioa Change of Service Temporary Polo
Viedumiral: Residential N—Residmudt Rlepiaexmoat New (Duel Layout & Energy Calc. Required)
Ph,mbbW Now Cmmerdal: ii of rirdures 4 of water & Sawcr Lincs d of Gas Lines
PlumbhsgRiew Re ddmtiak # of Watax Cbsots Plttmbiag Repro— Residential a Commerdal
Occupancy Type: Residential Commercial Industrial
Construction Type # of Stories: # of Dwelling knits: Flood Zone: (FEMA form required)
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Contrader Name& Address: 1
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Phaoe & Fax: 7 v
Hooding Company:
Address:
Marlgage Leader: _
Address:
ArcLgect/Utgineer:
Address:
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itf /SS ir, ire ec- %�'L Y 7 YSiite Liens, Nombre: e 6 L s
Contact Parsoo: YO -7 3 V r ) V 3 0
Pbouc
Fax:
Appliedion is Vmcby mode to obtain a pmmt to do the work and installations as indieatod. I acnify that no work a irsbllstioa baa commenced prior to the
issuance of a permit and that all work will be parfamed to meal311041 6 of all laws regnlalmg mmtrudim in Oris Jur"crion. 1 midastaud ttut a sepmatc
permit mist be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS. POOLS, FURNACES, BOILERS, HEATERS, TANKS, and
AIR CONDITIONERS, dc.
OW VER'S AFF[DA47T: I cer* that all of Otn finegniog mfomution b aamae and mat all wort will be dopa o campliaaae with an app'"" Caws regulating
construction and zonin& WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. ff YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMSN utIENT.
NOTICE: In addition to me requirements of this permit, duaa may be additional rmbidions applie" to this property mat may be fond io the public records of
oris county, and mere may be addilional permits required bum olbrr gaverommlal -titins such as water manaV=cnt districts, state agoiicio, or federal agencies.
Acceptance of permit is vcri'WAtioo that l will mrtifj me annex of tba property of me requirements of Florida Lim Law, FS�3• / e„/ol _ O /
SignAme of Owner/Agent �b�ie /� SIV atne of ContractodAgo i Dak
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Print I) e' �G6 c:. ,anis.. Stale m;da Data ' ��6
+pr PETER DANIEL SIMON
w MY COMMISSION* DD524132
Wi.___ � EXPIRES: MsY8,2010
APPROVALS: ZONING,
Special Condidom:
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