HomeMy WebLinkAbout226 N Scott AveCIT%' OF SANFORD PERbtIT APPLICATION
O 2^7 +� I Date: _ / - ` 7 - d 7
cription of Work: S' ��_ Ty £ r- M o ° i j /o ✓ 6 '� Total Square Footage ,-87
ttrr+e-E)estrptt: ��/L/�✓� ((�L�tl�{ititi Q �I p£a/Ti PNaiue of %York: 3-__ __-_
mit Type: Building _CX Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool
etrical: New Service - It of AMPS Add 1tiort/Alteration Change of Service _ Temporary Pok
chanical: Residential Non -Residential Replacement New (Duct Layout & Energy Calc_ Required)
robing/ New Commercial: /t of Fixtures h of Water & Sewer Lines N of Gas Lines
mbing/New Residential: It of Water Closets Plumbing Repair -Residential r Commercial
:upancy Type: Residential Commercial Industrial
istruction Type:C±6 ye of Stories: # of Dwelling Units: Flood Zone: (FEMA form required )
aers Name & Address: %4 /K £ L
a.V A),� S Go TT°2J1 Phone `(d�9 - /� - 7/0 7- 699- 1�7�r7
tractor Name & Address: G> `� R b a �.�pnZ £ S J
0 'A'j'- 5 -y� / - N £ /�� 3 3 j3 3/X State License Number C 156
/—
Ic & Far: �� 3 `y ! 7 DO / F �` 3 ii.3 c/ ' Vo"tact Person: lr E.4 �c.S at i r Ra /J _ -Phone: l - yo 7 6 6
Jing Company: `J _lT�� _
rens:
tgagc Lender:
ress:
aitect/Engincer.
Fess:
Phone.
Fax
ication is hereby made to obtain a permit to do the work and installations as indicated. I certify that no wort: or installation has commenced prior to the
nee 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
it must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and
CONDITIONERS, etc.
IER'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
ruction and zoning WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
-E FOR IMPROVEMENTS TO YOUR PROPERTY_ IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
DRNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
ICE: 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
ounty, and there may be additional permits required from other governmental entities such as w anagement districts, state agencies, or federal agencies.
ptance of permit is verification that I will notify the owner of the property of the
Signature of Owner/Agent
Print Owner/Agent's Name
Date
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID
:OVALS: ZONING: UTIL:
lorida Lien Law, FS 713.
7
-of ContractorlAg"t /1 Date
Print Contractor/Agen Name
Signature of Notary -State of Florida Date
Contractor/Agent is Personally Known to ' e or
Produced ID
A0
FD: ENG: BLDG: i
all Conditions:
3/2006