HomeMy WebLinkAbout115 W First St' , CITY OF SANFORD PERMIT APPLICATION RECEIVED
Permit # : 0 Date: tv
Job Address: J J5 iJ�-S 7 Fres r SST 4-f JAN 2 0 2007
Description of Work: l\ ff rA D pal .'j 0µi (()I VA .!:AiS IAAr .4 ^ u i t
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Historic District: C60A) i OWW Zoning: 00 iz Value of Work: S
Permit Type: Building _Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool
Electrical: New Service - # of AMPS Addition/Alteration Change of Service Temporary Pole
Mechanical: Residential Non -Residential Replacement New (Duct Layout & Energy Calc. Required)
Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines
Plumbing/New Residential: # of Water Closets Plumbing Repair - Residential or Commercial
Occupancy Type: Residential Commercial Y Industrial Total Square Footage: --,5--/07C,,
Construction Type:_ # of Stories: —0�__ # of Dwelling Units: Flood Zone: (FEMA form required for other than X)
Parcel it: ' —3Q J A G " 03044— oo" (Attach Proof of Ownership & Legal Description)
Owners Name
' I& Address: 115 JA 4 57 O LS V L A e -
S,2 2. W .sig q (p 4 •3 0 5- Phone: go r %`%►lam
Contractor Name & Address
Phone & Fax: �
Bonding Company:
Address:
Mortgage Lender:
Address:
Architect/Engineer: s'
Address: /i�i)1ttt�
�.Sjyn/ iso R
G.
62.. State License Number: /2315,169
Contact Person: f Phone: /401-11V
Phone:y
Fax:
Application 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
issuance 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
permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and
AIR CONDITIONERS, etc.
OWNER'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
construction and zoning. 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 requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of
this county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies.
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o My comm. expires Aug. 14, 2009
e No. DD 452477
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APPLICATION APPROVED BY: Bldg: ouo7 Zoning:
(Initial & Date)
Special Conditions:
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Connector/Agent's Name
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My comm. expires Aug. 14, 2009 _
No. DD 452477
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