HomeMy WebLinkAbout308 Rochelle AveI
-b Address: —308; izoat'l e—i
scription of Work: 13
Q,�/ Ar -p-1
istoric District: "Leming:
CITY OF SANFORD FERMI U APPLICATION
Date.:
Jr/.
_Total Squar
e Footage _
value of Work: $ Z
:Unlit Type: Iluildiag _(� Gl ctrical - Mechanical Plumbing - Fire Sprinkler/Alarm 1'001
ectrical. New Service - 4 of AM1'S �1'1 Addition/Alteration — Change of Service Temporary Pole
echanical: Residential K/A Noun -Residential Replacement __ New (Duct Layout & Energy Calc. Reeluired)
umbing/ New Couunercial # of"Uixtures N 1A 11 of Water & Scwcr LincsH of Gas I,.ines
umbing/New Residential: # of" ! !atct Closets �/� -- 1'tuaibing Repair - Residential or Commercial
r
ccupancyType: Residential �'_ Commercial Industrial
instruction TYPeWO-O_Q_ It a;f Stories: _3 1! of Dwelling Units: `- flood Lone_ (FE NIA Corrin required )
�It.�
vners Name & Address:
e.1% . 1
P
urtractur Name & Address: - W�;t 5_Yft.I--R�C_Oal S7I VGTtan __1 V1G
e p,�I� Q b_ SL'Ue license Nlumber:v�1_�/ •t-
�7 %
qO� d'� -I-L i' IV r_V_-tJ�Z�2 .7'onUcl Person: 13.11 CA./1�%� _ _Phone -i / �/�
one & Fa 1: • /
9
riding Company: - "—-------- --- ------ ---- ---- --- - —
Idress: ---- -- --- -- -- -
rrtgagc tender:-_--
I
dress: -- --- --- — - ----- ---- --
chilcct/Engit ecr
. dress: ---- ---- I :n z ------ -
°plicaton is hereby made to obtain a permit to do the work and installations as indicated- I ccnify that no wort ur installation has commenced prior to the
iancc of a'permit and that all work wifll be performed to meet standards of all laws regulating construction in this jurisdiction. I understand that a separate
mit mast be secured for ELECI'RfCA;rL WORK, PLUMBING, SIGNS, WELLS. 1'OOLS'pi URNACES, 130I1_:1:RS, I1EAT06, TANKS, and
Z CONDITIONERS, etc.
dNER'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
istnrction and zoning. WARNING P-) OWNER: YOUR FAILURE TO RECORD A NOTICF OF COMMENCEMEN'l MAY RESULT IN YOUR PAYING
!ICE FOR IMPROVEMEN"FS TO Y(i)UR PROPERTY. IF YOU INTEND 1-0 013 -FAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
TORNEY BEFORE RECORDING Y';OUR NOTICE OF COMMENCEMENT.
TICE: In additi
the realm
coanty, and a
ay b
xtitance of It
v rif
Signature; of
�Print
Si;r rc otary-State of Florida ((Da`��\cR.YF9so,,���
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siena-u-re o
Owner/Agent is " P
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this permit, there may be additional restrictions applicable to this property that may be Lound in the public records of
nits required from other governmental entities such as water management districts, state agencies, or Iedcral agencies.
hat will notify the owner of the property of the r uirenmen(s of Florida Licn I_aw, FS 713.
7. 107
t Date
Signature ofConliactor/Agent Date
dik—
re
fulfil ' ntr' -tor/A.gent's Name
of llorida S�y
Si;r rc otary-State of Florida ((Da`��\cR.YF9so,,���
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onilly Know44e or #DD 418176
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Contractor/Agent is Personally Known to MGorr : '• i C
—'' ��i�f • ;°C� �ndedmN ��_-_Produced
Wim 9/p ;�WicUnder: ��`��a
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'ROVALS: ZONING: U1IL._Foil 11111t14\\kFD: ENG:_ _ f31..lXi: ��[[ r/��TA� x
cial Conditions:
03/21W