HomeMy WebLinkAbout314 Rochelle Ave (2)CI Y OFSANFORD PERM[F AI 'LIC: HON
Permit N : U Date: —-----_—_ __--
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Job Address: 3 �'� Ot✓HI.Yy PtV�-_--�LDI- (U
Description of Work: ----------Cota1 Square Footage -
-_--
Itistoric District: _-_ ( d"l.,onino; Eic\`''iy4d, Valuc of Work: S S_ Q 0
Permit Type: Building —>< facctrical N"tecbanirtl —_ III untbing Fire Sprink9ed:11urn, fool — __-
Electrical: New Service - H of AMPS -- �_-__-- Addition/Alteration Change of -Sen ice ----_--- I enlporary Pole ------ .
Mechanical: Residential — Non -Residential - Replacement — - N(:%v - (DUCT I.avout R Flier- (":,IC. Rcquircd)
Plumbing/ New Commercial: it of Mixtures a of Water Sewer Lincs ol'(ias Linc;
Plumbing/New Residential: tl of Water Closets I'lumbing Repair -- Rcsidcntial or Couunercial
Occupancy Type: Residential X Commercial _ Industrial - ___
Construction Type:p it of Stories: 3 N of Dwelling Units: ` flood -hone: _ (vENf:k form required )
Owners Name & Address:
" e'_ Sfylult------fi7tt--
Contractor Name & Address:-
�l l GiAarrti, %("!4 CN k-1 f } j'At9f'5Ptl,,(' 1 �'/�%(�. Stale License Number: -- G��• {Cd 1 74 ,---.--
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1'huue l Faa: ���' 3�'�• � � �'---11----- ___-- Contact 1'crsou:�--
Bonding Company: _—
Address: --_—_-- -_
Mortgage Lender:
Address.
ArchiteeVEngincer"
Address: _.__ Fax. —
Application is hereby made to obtain a permit to do the work and installations m indicated. I certify that no work or installation has commenced prior to the
issuance of a pcnnit and that all work will be performed to meet standards of all laws regulating consuuction in this jurisdiction. I undcrstu,d that a scpartte
permit roust be secured for ELECTRICAL. WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, I iEATERS, "I'ANKS, and
AIR CONDITIONERS, etc.
OR,'NI3R_S AFFIDAVIT: I certify that all of the loregoing intomtation is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. WARNING TO OW'NI:.R: YOUR FAILURE TO RECORD A NOI ICI'. Of CON dti11.:NCEMENT NL4Y RESULT W Y01 -W PAYING
TWICE FOR IMPROVI.-MI NI:S TO YOUR PROPERI Y IF YOU IN-1TEND TOOBTAiN FINANCING, CONSUI:1 W1 YOUR LENDER OR M4
A"I"'TORNEY BEFORE RECORDING YOUR NOTICE i.)I COMMf":NCEVt[NT.
NOTICE: In addition to die requirements of this pennit, there may be additional restrictions appficab this property that may he found in the public records of
this county, and tltere may he additional permits required Crorn other governmental entities such . ate m utagentent districts, state agencies, or federal agencies.
Acccpt:utce of pernit " verlficatiom Aar I will nouty the owner of the property of the requir nems of lori(!jf1cn Law, I S
—--- 9'29" o;o
SignaturcofOwncr/Agent Date Si,nano,: ofCimtractitr/Agcnt-------- -(>atc
— U�n✓CL(_.�'S _ 1, . P�iu�n',' _�___ �tv1� x _-t-oo t-l'�'� .__ _ __- -
Priut Owner/Agent's Name Print ' xtiractor;;lgcnt'-1 N:un '/�0 h
Signature of Notar}' State of f°tvn - -- Date Signature of Nouuy-State of Florida —..- Date
T-e2C _CARII�ENRIVERA
IRENE FUENTES ��{ Notary Public, StateofFMda
P a $ DD619763
Notary Public, State of exas Commisslorl�
,' My COIYtrY11991tJn Expires trait /Agent i>,-' Pcrsi"nally na, o c a M comm. expires Feb. 21, 2011
Owner/Ascot is V Personally Kt g�u.l �@�i
--- ��� February 17, 2016
Produced ID
�a 7- —
13LDG'-----
APPROVALS: "ZONING: —__ UlIt,
Special Conditions:
Rev 03/2006