HomeMy WebLinkAbout911 Rosecliff Cir (2)CITY OF SANFORD PTRNtIT APPLICATION
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11Permit#: _0(a- d q0
Jeb Add>rem . &a 8"a 4 o ,)
Dam: 6 - /a a
sq�s-ter P F� 3a 73 131-001
Description of Werk R C QO o Jr- Total square
boric Ditttri� &/lt✓}�lFi�� jvahwofwark: S
Permit Type Building Electrical
Mexhartical Plumbing
Fre Spri tiWedAlarm Pool
Electrical: New Service - g of AMPS
AdditioorAlteration
Clamp of Service TemporaryPolo
Medtattieal: Residential NowResideot let
RaoIaocuieat New
(Duct Layout & Energy Calo, Required)
PlumbbW New Commeno"al: ii of Pirdwcs
4 of Water At Sewer Lines
it of Gas Lines
Plumbittely0 er Redds6al: ii of Water CIONIS
Plumbita6 Repair- Residential a Commercial
Occupancy Type: Residential Commercial
industrial
Construction Type. # of Storks
x of Dwelling ti sits:
Flood Zone: VISNIA forth requiral y
7 C i—I hf LIO
Owners Nape & Address o�1jeK14/
ss r/Y//JrC f/ 93
Contractor Name & Address: I
/63 7 e, d//✓e S r s
Pbone& Faa:7
Bonding Company:
Address:
MortgailvLander: _
Address:
Areldlec MStgineer:
Address:
sr STS � k Ise oL I
Ae",v :C <va/lTR%/cT/w.✓ CJ T^fC p.
h /SS ,.h ^r cc -A- Y 7 Yate License Number: C 6Z 05-
Y11-7
s
8 d CootaA Pasoo: ii �/C "/ y o% 3 y I
Phone:
Fax:
Apptia►ion is lvueby mad c to obtsirn s petait to do tlw work and iadsllatioas es indicated. I ovdify that so work or installation has commenced prior to the
issuance of a permit and Out all wod will be pafomtod to meet standards of all laws regulating construction in Oris jurisdiction- 1 mrderstaad tlut a separate
permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and
AIR CONDITIONERS, etc.
OWVER'S AFFIDA47T: I eatify dW all of me fballumg mfomratiea is aeewft sad mat aU wart will bedooa m mopliaane with all Wfiesi le lawn regulating
construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEh9ENTS TO YOUR PROPERTY. IF YOU INITE 1D TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCE 1ENT.
NOTICE: la addition to the reegouemmts of This permit, Owe essay be additional worietiom applicable to this properly that may be fond m this public records of
Ibis comfy, and them may be additional permit required hum oma gummmenlal —tit" sucA as water monagt mart districts, state agencies, ur federal agenic.
Aeceptnce of permit t vaificatim tbd I will notify be owner of the property Ords'roqui esnents of F rete I ion Law, FS 713. — D
r7•+,. .�,(�n � Oto (}� _/Il..
Signature of 0wnerl 1 Date Signature of Conhad dAge t Date
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Print thvacdAge�l s Name T'1 S C I r Print C,♦gplrrct Agent'3 Napes / L
sigb�ucoI ur14raara r'°Pi1LIRDANIELSMON -- �Vsr p -
/ w MY COMMISSION # DD524132 ,A ^� MEiER DANIEL SIA40N
7
EXPIRES: May 8, 2010 aiflOiN �COMMISSIONNDDS24132
3M*163 FWda Novy SwvW com CaolractorlA�t is p�wn m'1v "S: MaY 8, 2010
ownerlAgeat
Produced ID _ Proehrxd m Swlos.00m
APMOV US: ZONING, tTfn: Iro: P1:G: BLDG--
Special
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Special Coad
Rev 03rMN