HomeMy WebLinkAbout1371 Rinehart Rd (2)04/25/2007 13:59 IFAX faxmanager@cproperties.com
Rpr 25 07 04:00p Mark Vick
-4 CPCI Fax Manager 1a002/002
4073240929 p RECEIVED
-7 CITY OF SANFORD PERMIT APPLICATION ,MAY 2 2007
Application # : 0 Submittal Date: 4/2 5/O -7
Job Address: 371 R wENA2T,OfiD _ Value orWork: S (0 d
Parcel ED:
Description of Work:
Zoning: Historic District:
Square Footage:
Permit Type: Building ❑ Electrical ❑ Mechanical ❑ ' Plumbing ❑ Fire Sprinkler/Alarm ❑ Pool ❑ Sign ❑
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 _(�i`_ # of Water & Sewer Lines C'7 # of Gras Lines 0
Plumbing/New Residential: # of Water Closets O Plumbing Repair - Residential 13 Commercial ❑
Occupancy Type. Residential ❑ Commercial ❑ Industrial ❑ Occupancy Use Group(s):
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required)
................................................................................/.......j...................................
PropertyOwner: C0NT*Nv6-r ' Ae- 204 Fund) Z -L -G Contractor: RQ Rc CvE tS e0N.$TI�'1XT70, J
Address: i1 14>134 N SG75 EXEeLir a PARKk)4 Address: 2 3 4 ^ D9_- j wESrAloiu r� i7t?/4� , �20�
N+E,-�rnoA)Ez Fqu s w�r 53oS/- 3314 &:TA��'on ,SPRINGS, >~L
Phone: 2�2-5�Z-SSPE-maii: cl�9T�e@SPTP�&%•40APhone:'¢'67-3.314"StateLicenseNumber: CGCo¢s¢�4
Bonding Company: 1u7.,I Mortgage Lender: Nba�
Address: Address:
Architect/Engineer: NONE
Address:
Plan Review Contact Person: Joy �QAi Phone:40'7-339-1k',0YFax.. 9D7-339-491/ E-mail: j ro - nw 6 rata $,cotA
Phone:
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 maybe additional permits required from other governmental entities such as water management districts, state age ies, or federal agenci .
Acceptance ofp it is verif tin that I will notify a owner of th prope of the requiremen f lorida Lien Law 713.
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Signature of Owncr/A ent Date Sign of Contractor/A t Date i
'.0 OwrP�/Agent's Tt a Print Contra r� �nt's Name
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i —\ �� . "Fy.O3�gnature, otary-Stateof��ridSi ure of Not State of •4M1SSI0N
14,,00
y f. #DD 543233 : Q
Owner/Agent is Personally Known to Me or Cont p°oduced 1D ent s Personally Known to .�i'9A.�•yp brceU de ;:e••• �Q\
Produced ID �9i�el/C
APPROVALS: ZONao UTIL: FD: ENG: BLDG: /flIIt111I1N���`
Special Conditions:
Rev 02/2007
Apr 25 07 11:34a
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4073240929 p.4
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With a branch network of 85
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local market responsiveness
with national scale and
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our solutions — from mobile
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Apr 25 07 11:34a Mark Vick 4073240929 p.5
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