HomeMy WebLinkAbout911 Rosecliff Cir1P3it u :
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CrrY OF SANFORD PIRMI T APPLICATION
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Description of work: R F QO o lr— Toad Sgoaae Footge Ea t1)
Ilstwk Distr:d: zorrory /H✓#'r M'n It value of works 6/2001)
PtxmitTypc Building Electrical Mechanid Plumbing Fire Spriakler/Alarm Pool
Electrical: New Service — 0 of AMPS Addition'Altuation Cbeogc of Service Tompomsy Folo
Medumical: R.csidatual ?IowRaidat ud Reglaeemcnt New (DVA Layout & Eoorgy Calc. Required)
Pl mbioe New Cammerdai• W of Tirdurcx k of Wats & Sewer Lincs 0 of Cas Lincs
Plumbi gfflew Reddmtiak' d of Water Cbseis fluta6irty Repair—Residential or Commercial
puuponcy Type: Ratidential Commercial industrial
Construction Ty d of SOae w x of Dwemng Cnift: Flood Zorse: (FI+.MA form regoirod )
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OwswsName&Address~
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Couotaador Nasse & Address
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State Lkmw Number
Plroae & Fat: / 0 7 � I a9 d ceatad Person: 1% �/� ^� L 0'✓c•1 e 5/ 0 7 3 y l S 3 0
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App kakn is baby made a obtain a person to do dw work and installations as nwlieated. l oeAi(Y tbt m work a irnstailation hes oommuaxod puler b the
Issuance ora permit and Usat all work will be performed to meet alandanh of all laws regulating cantrudics in this jutriadiction. 1 mnderauad flat a sepmate
permit must be soc,aed for ELECTRICAL WORK, PLUMBING, SIGNS, WEDS, POOLS, FURNACES, BOILERS, HEATERS, TANKS. and
AIR CONDITIONERS. etc.
OW VER'S AFFIDAIaT: I cedify drat aU of the finegomg mfomu000 is aeesmae and &st A wwk will bedosa is complimm war an applicable lawn regobtmg
constmelion and main& 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 sagoaea Caft of" permit, dmc maybe sdditiowl resbidiow spplicsbk b Shia property khat maybe Imoid is the public records of
this county, and them may be aNdiooal permits n9ubed fim o16e govesrseatal cations such as water mw&V=eni distsicb, stats agcnciw, w federal apncie.
Acceptance or permit is vaificatim that l wiU edify the owner of the property of the ngoiaormis of F19gds Lien Law, F
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/ 6 Fpatue of Codractw/Aged Dam
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Arid Ownct/AgcnC Namc Print Cad^raetw7 _TVt I
siglf uC of r' w' — PETER DANIEL SIMON
/ �o% N PETER DANIEL SIMON
w MY COMMISSION N DD524132
MY COMMISSION * DD524132 QwF EXPIRES: May 8, 2010
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EXPIRES: May 8, 2010b
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