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Home My WebLink About1104 S Magnolia Aveermit # CITY OF SANFORD PERMIT APPLICATION i o '�1VX : I i 1 a 1� i I ob Address: ` t l �� Date: ,escription of Work: Gstoric District: Zoning: Value of Work: S ermit Type: Building Electrical Mechanical Plumbing Fue SprirtUevAlamt Pool lectrical: New Service — # of AMPS Addition/Altemtion Change of Service Temporary Pole lechanical: Residential Non -Residential Replacement New (Duct Layout & Energy Cale. Required) lambing/New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines lambing/New Residential: # of Water Closets Plumbing Repair — Residential or Commercial 'ccupancy Type: Residential Commercial Industrial Total Square Footage: onstructtiioonn Type:: # of Stto1ries: # of Dwelling Units: Flood Zone: (FEMA form required for otber than 7i) ircet #: Ol J ' l A G 2 -� Dv a. © (At ch Pr of of Ownership & Legal Desc •ptio w•ne Name & ddres --- t ' Phone: X �ntractoi Name & Address: �i C '� �Yl I ►lex L{150 5. "• ' "' y ' •••�a� � � State License NrumbeNumber:CFC OS�/ I ��' tone Fax 3pp�q' 5 ( 3 a ContactPerson;.�u�SQhUS+rOff) c Phone:_ �t0.153 a173 )nding Company: ]dress: ortgage Lender: ]dress: -chitect/Engineec Phone: ]dress: Fay: )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 a)ance of a permit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction. I understand that a separate rmit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURZNACES, BOILERS, HEATERS, TANKS, and R CONDITIONERS. etc. N1ER'S AFFIDAVIT: I ccnify that all of the foregoing information is accurate and that all �york \� ill be done in compliance with all applicable laws regulating ristmction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEisIENT MAY RESULT IN YOUR PAYING k10E FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER ORAN FTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. )TICE: In addition to the requirements of this permit; there maybe additional restrictions applicable to this properry that may be found in the public records of s count-, and there may be additional permits required from other governmemal entities such as water ma agement districts, state agencies, or federal agencies. ceptance of permit is verification that I will notiN the owner of the property of the require , nu of FloridaL n Law. FS 713. Auva IJIku Signature of Owncr/Agent Date Sinamrc of tractor/Auent Date Print Owner/Agent's Nmne Signature of Notary -State of Florida Date Owner/Agent is _ Personally Known to Me or _ Produced ID PLICATION APPROVED BY: Bldg: (Initial & Date) ecial Conditions: Zoning: SianatcFudq6WWX�NOTA�N�rC EBBIE BLANTON OMMISSION # DD 188491 Comr acPrrt (L-mial & Date) L tilitics: FD: (Initial & Date) (Initial & Date)