HomeMy WebLinkAbout262 Town Center Cir3 CITY OF SANFORD PERb11T APPLICATION
mit H : 0,24 \__ Date: (I I1Jr1
Address: __ ST1z _i2' .CKS_ ,S�y`r�s rro\e� _T01Q
criptioo of 1Vork:F,A'.L_oJ� O -Z 5�Y V I ce- ____—_.—Total Square Footage
toric District
Zoning -
Value of Work: 5
mit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool
etrical: New Service H of AMPS 30 O Additiou/Atteration Change of Servicc ✓ fcrnporary Pole __
chauical: Residential Non -Residential Replacement Naw (Duct Layout &Energy Calc- Rcquired)
mbing/ New Commercial: N of Fixtures H of Water & Sewer Lines a of Gas Lines
mbing/New Residential: H of Water Closets Plumbing Repair - Residential or Commercial
:upancy Type: Residential Commercial _jw� Industrial
istruction Type: H of Stories: # of Dwelling Units: Flood Zone: (FEMA form required)
"ers Name & Address:
tractor Name & Address
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to & Fac:
Phone.
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State License Number.
Contact Person: :005 PV) ?O 2Ae.I r_\ Phone I S 1 IC - 32Z - Ag24 Io
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ress: �3'��S Sem��a�e l7� Ch>>aa Cik q\-1\0
tgagc Lender
ress: _
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ress:
Fax
ication 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
nce 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: [ certify that all of tht-forego a Information is accurate and drat 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 [MPROVEMENTS TO YOUR PROPERTY. 1F YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
DRNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT_
[CE: 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 water management districts, state agencies, or federal agencies.
ptance of permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713
Signature of Owner/Agent Date "azure of Co tractor/Agent Date
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Print Owner/Agent's Name Pri ontractor/Agent'sX:"�,
11116 1, 7
Signature of Notary -State of Florida Date Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or Contractor/Agent is Perso t)r, j
Produced ID — Produced tD
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:OVALS: ZONING: UT[L: FD: ENG:
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al Conditions: �_' ;yFa. ea,nJ"' • tr"�
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All Counties Electrical Contracting Corp
800 427-8124 Joe Portela direct 516 322 4486
7519 SE SR 26 Trenton FL 32693
October 24,2006
To Whom It May Concern:
Please allow Carlos Merced to utilize my Florida license to file a permit on
the Starbucks job in Sanford Florida.
Thank you for you attention in this matter,
Joseph Portela ��„t--4