HomeMy WebLinkAbout506 Sanford Ave:rmit H : / ol
-b Address: , Q& JCA1 fi)—a
-scription of Work: Et%��1t'r;lC/9L
istoric District: Zoning:
CITY OF SANFORD PERMIT APPLICATION
Date: 111,0107
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L� Total Square Footage
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Value of Work: S 2,a'y
:rmit Type: Building Electrical ( Mechanical Plumbing Fire Sprinkler/Alarm fool
_
ectrical: New Service — H of AMPS-7,47Additiott/Alteration Change of Service � Tcmporary Pole
echanical: Residential N sidential Replacement Nese(Duct Layout &Energy Calc. Required)
umbing/ New Commercial: # of Fixtures _ H of Water & Sewer Lines # of Gas Lines
umbing/New Residential: # of Water Closets Plumbing Repair — Residential or Commercial
, cupancy Type: Residential Commercial Industrial
instruction Type: Hof Stories: # of Dwelling Units: _ Flood Zone: (FEMA form required )
vuers Name & Address:
-retractor Name & Address: V A L / / PL US L L(?Z7%Ll c, -94--M //JeZ/4 QL VD
CAS.S" .2 70 7 State License Number LC- Dego Z(" Q� _
one & Far Contact Person: Phone:
ndiug Company:
(dress:
)rtgage Lender:
.dress:
chitect/Engineer
dress:
Phone:
Fax
plication 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
rance 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
mit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and
2 CONDITIONERS, etc.
JNL'-R'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
istruction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
!ICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
TORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT -
NICE: 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
county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies.
xptance of permit is verification that I will notify the owner of the property of the requireme F n Lien 13.
�07
Signature of Owner/Agent Date Signature of Contra o gent Dat
4&124te- TFC
Print Owner/Agent's Name PruV.C<ontrapApr/AWVt's Name
Signature of Notary -State of Florida Date S
�-coo-a-n!
Owner/Agent is _ Personally Known to Me or Contrac
Produced ID Produced ID
'ROVALS: ZONING:
cial Conditions
03/2006
UTIL: FD:
ENG:
Date
DEBBIE BLANTON
My COMMISSION # DD 186491
EXPIRES: February 25,2o07
BLDG: