HomeMy WebLinkAbout2585 S Cameron AveI
!rmit H
2 S-
b Address:
-scription of Work:
CITY OF SANFORD PERMIT APPLICATION
Date: 2--z— 07
otal Square Footage
istoric District: Zoning: Value of 1Vork- S �s f70, PcJ
;rmit Type: Building Electrical Mechanical Plumbing ✓ Fire Sprinkler/Alarm Pool
I
ectrical: New Service - H of AMPS Addition/Alteration Change of Service _ Temporary Pole
echanical: Residential Non -Residential Replacement New (Duct Layout & Energy Calc. Required)
umbing/ New Commercial d of Fixtures _ 40' M of Water & Sewer Lines N of Gas Lines _
umbing/New Residential: t/ of Water Closets _ / _ Plumbing Repair - Residential or Commercial
,cupancyType_ Residential Commercial Industrial
ms&uction Type: Hof Stories: H of Dwelling Units: _ Flood Zone: (FEitiA form required )
vacrs Name & Address:
Phone
mtractor Name & Address:
State License Number: V ' 1 C 1-i b
iP one & Fal- °�(�� 3'J, '`{ r3 Contact Person:
I ndinQ Comoanv:
I
I (dress:
)rtgage Lender:
dress:
chitect/Engineer: Phone
dress: - ---_ Fax:'
plication 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
lance of a permit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction. t understand that a separate
mit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOI. S, FURNACES, BOILERS, HEATERS, TANKS, and
Z CONDITIONERS, etc.
✓NER'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
istruction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT M YOUR PAYING
!ICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
TORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
'TICE: 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
county, and there may be addition its required from other governmental entities such as water management districts, state agencies, or federal agencies-
addition
of is veri tion notify the owner of the property of the reyuiremen f Florida Lien w, FS 713.
ti
Signagtre of Own /A e Date Signature of C trac r/Agent Date
Print Owner/Agent's ame P r t Co trac Age s arne
Signature of Notary -State of Florida Date Sig ure of Notary -Stat Florida Date
Owner/Agent is _ Personally Known to Me or
Produced ID
'ROVALS: ZONING:
i tial Conditions:
03/2006
I
UTIL: FD:
Contractor/Age iPeGppr(m
629096
_Produced '�F _FJCPIRES F�3 25011
14W3 -NOTARY Ft. Notary Dii t Assoc Co
ENG: BLDG: