Loading...
HomeMy WebLinkAbout311 Rochelle Ave (2)CITY OF SANFORD PERMIT APPLICATION 'ermit # : /A 19 Date: lob Address: 3� 1 1�'i'VTL 1"s� U`IV iTi< <--d ll`� # S 3escription of Work: Total Square Footage 4istoric District: tZoning: E?{tgS12�6 Value of Work: $� O a ©. 3 'ermit Type: Building _e, Electrical electrical: New Service - # of AMPS 4echanical: Residential Non -Residential Numbing/ New Commercial: # of Fixtures 'lumbing/New Residential: # of Water Closets _ Mechanical Plumbing Fire Sprinkler/Alarm Pool Addition/Alteration Change of Service Temporary Pole _ Replacement New (Duct Layout & Energy Calc. Required) # of Water & Sewer Lines # of Gas Lines Plumbing Repair - Residential or Commercial 3ecupancy Type: Residential k Commercial Industrial -onstruction Type: LJOCV— # of Stories: 3 # of Dwelling Units: 2-+_ Flood Zone: NO (FENIA form required) )wners Name & Address: 'ontractor Name & Address: Ili Glnarrt,, G'e is 'hone &Fax: -T"t• . ionding Company: 14 7-1,L' 11 Phone: (_ d It ft�l�dl��r �Prt�`1fJ �Q 31'7ald)l,{Staate License Number:C-6c (S 747- 1 t 1} Contact Person: 1' t R 5y Phone: 4 -0'7 -?165;,51/1? lddrus: ✓lortgage Lender 0 ►ddress: trehitect/Engineer. _jT� Phone: Lddress: 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 ;suance 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 ermit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and dR CONDITIONERS, etc. )WNER'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 onstruction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING WICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN .TTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. IOT[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 tis county, and there may be additional permits required from other governmental entities such as management districts, state agencies, or federal agencies. cceptance of permit ven ratio 4haat [ will notify the owner of the property of the require is of ori Lien Lau•, FS 713. �6�� i%1 Signature of Owner/Agent Date Signature of C wractor/Agent 64"-wDate Print Owner/Agent's Name Pp't Contractor/Agent's Nat Signature of Notary -State of` midi- Date Signature of Notary -State of Florida D 7'e 7C4 5 ------- CAR4�9�N RIdERA + Notary Publie, State of Florida t'pY PGg �i, IRENE FUENTES Notary Public, State of Texas X9783 € DU8 My Commission Expires Comms 21 20f f �.nt�Comm. expires Feb. Owner/Agent is ✓ Personal! Known [ ix o° February 17, tWractor/ I is _ Personally o to a r� _ Produced ID ed ID /ag JC �f _ .PPROVALS: ZONING: UTIL: FD: pecial Conditions: ev 03/2006 ENG: BLDG: