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HomeMy WebLinkAbout2431 Cedar Ave (2)©�-- Permit # Job Address: 'T,3 I aia— 4 Description of Work: 07 Historic District: Zoning: CITY OF SANFORD PERMIT APPLICATION Date: Total Square Footage lWO Value of Work: $ 2-ooO.a0 Permit Type: Building V 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 Plumbing/New Residential: # of Water Closets Occupancy Type: Residential ✓ Commercial Construction Type: # of Stories: Owners Name & Address: L�v Contractor Name & Address: Phone & Fax: Bonding Company: Address: Mortgage Lender: Address: Architect/Engineer: Address: # of Water & Sewer Lines # of Gas Lines Plumbing Repair - Residential or Commercial Industrial # of Dwelling Units: Flood Zone: (FEMA form required ) Phone: 7U -f- — tO'Ito State License Number: Contact Person: kPy, VCL" LGL/k[s?6y&q _Phone: f %1��6 —52J-3— 14 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 may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. Acceptance of permit is verificatio that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713. Signature of Owner/A t Date Signature of Contractor/Agent 906 E P. 7 <z -N u Z'j Print er/ ge t' Name Print Contractor/Agent's Name 07 Si tum; °t044 •O•E',�°'' w Date Signature of Notary -State of Florida E�Ir+es ?127/2011 Date Date Owner/Ageiit1s'_�' Per;tihally Know"n°to'Me or Contractor/Agent is Personally Known to Me or Produced ID k -51b2 - 7 70 - S.1--& - d Produced ID 4ce4,7 Se- APPROVALS: G APPROVALS: ZONING: UTIL: FD: Special Conditions: Rev 03/2006 ENG: BLDG: $q3 POWER OF ATTORNEY Date: ,j/3/0-2 I, do herby authorize /`lit to pull the Y permit for 2 y 3 / Ce-,& p . Type of permit job address %igiature S N ary $ A FIced3 ft3ryAs-., E - Personally known to me or drivers license #,k5N-7%o -Ss'//0'y, State of Florida, County of 5p,,, , �� on / 3 day of /,[ 4 , 2007.