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319 Elliott Ave 07-675 (plumbing)
Jan -17 2007 3:16PM HP LRSERJET FAX CfTY OF SANFORD PERMIT APPLICATION �] Permit 0: � � �P � Date:/ - O� � ©-7 Lob Address: -S - i L �. / Description of Work: - TotJa�lgSgaarc Footage Historic Mft*r Zoning: Value of Work: S Permit Type Building Electrical Mechanical Plumbing -x Fire Spria Mer/Abwmi Pool — ElectiieaL: NeW Scrviee - t Of AMIPS Addifton/Alteration Change of Service Temporary Pok _ %tedtaaia& Residential 109t Noe -Residential Replacement New (Duct Layout & Energy Calc_ Required) Pimmbing/ New Commercial: t of fixtures N of Water & Sewtr Lines '6- # of Gas Lincs -496"'PhuwbiagMew Residential: C of W r Closets Plumbing .Repair - Residential or Commercial _ Occupancy Type: Residential Comr8=121 Industrial Contraction Type: �� 0 of Stories: . 6 of Dwelling. Ueits: Flood Zone: (FEMA torn required Jwaera Name &Address: o. PzCr c,. 'e -Sl "l I. I LL-/ a'r� lhle • 111 ;-y Phone: :batracior Name & Address: -T 6r, Lll�\Scram BVI uw.6; :c. - 305 �e e,� cs+ v\ State "Cease Number. Cr -r— 0 5�9 8 S nwwe & Falc S 7 X37 Cautaet Person:-jr— LA%Z o-� Phene' Z$� S�l'�Zse{ Goading C—pasy: _ 'Lddrem: ►tortgte uDder ►caress: \rebiteedRagiaeer 1%vac. Uldrew. Far: \pplica mn a hetaby awAa m obtain a peata to do tie we* and mstalkaom as indicated I caUfy Mat no work or installation has com a a:ed prior to the ssmmuce of a peamitand that all wo& will be porfonnod m meet standards of all -laws regulatuts earsmiction in this jurisdictiaa. I w WavmW that a separate manit rust besecoad for ELECTRICAL WORK, PLUM8114Q SIGNS, WELLS. POOLS. FURNACES. BOILIMS. HEATERS. TANKS, and UR CONDiTMERS, ale )WNBVS AFF1pAVEC: i aetify that ail of the foregoing information is accurate and that all work will be dont iu cowplm= witb all applicable laws reg -onsbaction and aouiri& WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MA Y RESULT IN Yom PA 'WICE FOR DAMVEMEIM TO YOUR PROPERTY. 1F YOU INTEND TO OBTAIN FINANCING. CONSULT w'iTH YOU OR OR AN ITTORNE:l( BEFORE RF X)RDWG YOUR NOTICE OF IOTICE: to addition no the tom of alis permit, doze may be additional cauki ions applicable to &a bis aonot7; acrd d -e rmay be additional pa -ft -qukal Emau othu Smciuumental cofitm such as watts roan %ceeplanw of potmit a ra66CE600 6d t will notify the owner of the property of tits Sigpam otOwttnedAgeat pate I" OmWAgonfs Narwe sign o m omotary-Srate of Florida Datc OwnedAgOat is _ Pcmmwdly Kumm to Mew Prodaced ff) &PROYALS: Z:ON04G: UTIL FD_ Decid :CV 03r"W :ity twad m due prfilie r000tds agcaacs. or kdcral agcm FS 71 ]. 'x'07kt-K Dam Namc T DEBBIE BLANTON MY COMMISSION # DO 188491 PIRES: February 25, 2007 ENG: BLD("r. P.1