HomeMy WebLinkAbout3705 Santa John PlL CITY OF SANFORD PERMIT APPLICATION /
Permit # : �n '- � � 1 �_Q n •Date: 1-0h
_
Job Address:
Description of Work:
Historic District: _
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Zoning:
Value of Work:
Permit Type: Building Electrical_ Mechanical Plumbing Fire Sprinkler/Alarm Pool
Electrical: New Service – # of AMPS 3 0 Addition/AlterationK,__ Change of Service Temporary Pole _
Mechanical: Residential Non -Residential Replacement New (Duct Layout & )energy Calc. Required)
Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines
Plumbing/New Residential: # of Water Closets Plumbing Repair – Residential or Commercial
Occupancy Type: Residential Commercial V/ Industrial Total Square Footage:
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for otber than X)
36
Parcel #: "� ... ( ( ( 2-0 D Mb (Attach Proof of Ownership & Legal Description)
Owners Name & Address: ���-- ��'e►
5C Phone:
& Address:
Phone & Fax:
Bonding Company:
Address:
Mortgage Lender:
Address:
Architect/Engineer:
Address:
// St --ate License Number: :�-7c 9025 10 c _b_._..__ ........
Person: 1 4-7 Phone:
Phone:
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
issuance 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
permit trust be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and
AIR CONDITIONERS, etc.
OWNER'S AF,FIQ ViT: I certify that all of the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
NOTICE: In addition to a requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of
this county, artrttiere mdl& additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies.
Acceptance ofzrm = is
C6�G
I will notify the owner
Prir/Agent's N C. -I /
property of the
0
Signature of Not* -State of Florida Date
Robin Firmell
• My Commiss DD32e=
Owner/Agent is /Persona nAW 2008
Produced ID
r
APPLICATION APPROVED BY: Bldg: Zoning:
(Initial & Date)
Special Conditions:
FS 713.
Date
ctor/A nt's I ame
§ignature ofKotary-State of Florida Date
Robin FMrrrell
MY Comnmission DD32M9
Contractor/Agent is �rsonKnox o '511 108F 2WO
Produced ID
Utilities: FD:
(Initial & Date) (initial & Date) (Initial & Date,
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