HomeMy WebLinkAbout2335 W Seminole BlvdCITY OFSANFORD PERINI I FAITLICA I ION
Job Address: 5LVD
Description of Work: Sqijare Footage.
Historic District: tao Value ofNVork:S,3-5/--0-0 z O�
Permit Type: Building
Electrical Mechanical llfurrtbimg Firc Sprinkler/Alarm Pool
Electrical: New Service - i; of Addition(Alteration --l- - Change of, ticnicc -.- - -- I elrlporary Pole
Mechanical: Residential Non -Residential Replacement Nc%c (DUCI 1-.a%70LjL& I*,',j,-.r,,); Calc. Rcquircd)
Plumbing/ New Commercial: # of Fixtures P of Water & Sewer Lincs
1-nics
Plumbing/New Residential: 11 of Water Closcts Plumbing Repair -- Residential or Commercial
f
ccupancy Type: Residential — X Commercial industrial -
Construction Type: 1AXD BofStories: L Hof Dwelling (Jitits: blood Lone: JTNIA form required)
ONvuers Name &- Address:
4W E&,-� 64,,
Contractor Name & Address
111 6(%&fN CIC4L
Phone & Fax- -TW I.
Bonding Company:
7-'10-11 ---vilone,
M,
Ve WeA-Z.1 15P1-Vj'< , 5t �7-W Slate License Numb,,- 1-1 -
CPerson:
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on tact Perso Iv: fie: +P-3/.5,5(44
Address:
Mortgage Lender: ----- - ---
Address
Archilectfrngincer:
Address -
Fax
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work of installation has commenced prior to the
issuance of permit and that all work will be pciforincii In meet standards of laws regulating construction in this jurisdiction. I understwid that a separate
pernin must be secured for EL ECI-RICAL WORK, PLUMBING, SIGNS, WELLS- POOLS, FURNACES, 13011 -FRS, HL'A I RS, TANKS, and
AIR CONDI FIONENS, etc.
OWNI'R'S AFFIDAVFI': I certify that all ofthe foregoing inforniation is accurate and that all work ,will be done in compliance with all applicable laws regulating
con,strt . ictionarid caning. WARNING 10 OWNER: YOUR FAILURE 1"0 RECORD A NO F[CF 01: RFSLJL F IN )'(XflR PAYIN(3
TWICE FOR IMPROVt-IM-91's TO YOUR PROPERTY. IF YOU INFIEND'I'O OBTAIN FINANCING, CONSUI X\VI ]'I I YOUR LENDER OR AN
ATTORNEY BF--'i-ORE RECORDING YOUR NOTICE OF C0MN4I--.NCI---AfI2N'F.
NGHCE' In addition to the requirements of this permit, there inay be additional restrictions applicable to this property drat may be fund in die public record; of
this county, and there may tie additional pcniiiLs required from other governmental entities such as water management districts, .,title agencies, or fiAcial agencies.
Acv ptance of permit . Uvert -ation that will notify [tie ownet-ofthe property ofthe require Ills)
.Signature of0wirer/Agent Date SiLna(ur-
I " ot )n faclor/Agent Date
dam465
C-6Atrw-- -MAOT
Print , wner/Agent's Name Print( t i,t- I it's N -un
te
RMEN RIVERA
Signature of Notary-Statc
of-r-tor+4a. Date
Te Yc 15
I
Notary P011% State of FRodda
]2011
)D619763
CommissloO DD619763
IRENE FUENTES
My comm. expires Feb. 21, oil
Notary Public, State of Texas
Ox,ncrlAgemi is1,1/p.11.1-Ily Known 0,gyWCOmmission t.Ro[f6�1or/A [it Is pelsolialk, Known
D
to of
"o
Produced IL
February 17, 201-0 1'� od "I -e -
W
APPROVALS' ZONING: If HL: FD:
Special Conditions:
Rev 03/2006
ENG: NG: - --- BLDG: