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HomeMy WebLinkAbout105 Spanish Hill Ct© 9 CITY OF SANFORD PERMIT APPLICATION r It: : y CCnn Date: —J /__ e 7 b Address: ascription of Work: �lh3i— W �.'L nJto Total Square Footage istoric District: Zoning: Value of Work: S ©per.y—O .rmit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool ectrical: New Service — # of AMPS AdditionJAlteration Change of Service _ _ fernporary Pole echanical: Residential 1"'- Non -Residential Replacement New (Duct Layout & Energy Calc. Required) umbing/ New Commercial # of fixtures # of Water & Sewer Lines # of Gas Lines umbing/New Residential # of Water Closets ;cupancy Type: Residential Commercial Industrial instruction Type: Hof Stories: # of Dwelling Units: Plumbing Repair — Residential or Commercial Flood Zone: (FEMA form required) vuers Name & Address: Phone: _ ,retractor Name & Address: C��w✓y/.F rZ ftl sal Z 24 /j 7— -DEL Q - State License Number one & Far �'S7y-/s`J r�C Contact Person: 3� rr�•nr.s, �/ Q+L%___Phone ____ _ nding Company: (dress: rrtgage Lender: ',dress: chitect/Engineer: dress: Phone: Fax plication is hereby made to obtain a permit to do the work and installations as indicated I certify that no work or installation has commenced prior to the iarce of a permit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction t understand that a separate mit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS. POOLS, FURNACES, BOILERS, LIEATF.RS, TANKS, and Z CONDITIONERS, etc. JNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating istnrction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING !ICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT W (Tfl YOUR LENDER OR AN TORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT_ TICE: [a addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of ; county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. ;eptance of permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713. /A Signature of Owner/Agent Date Signature of Contractor/Agent Date Print Owner/Agent's Name Signature of Notary -State of Florida Date Owner/Agent is _ Personally Known to Me or Produced ID ?ROVALS: ZONWG: cial Conditions: 03/2006 UTIL: FD: pr gent's Name Signature of Date DEBBIE BLANTON MY COMMISSION # DO 188491 a EXPIRES: February 25, 2007 Contractor/ 1-"0'3-NOTPpVCsonall�yt'IQV0 -Eft . C Produced ID u ,. St— ENG: BLDG: