HomeMy WebLinkAbout222 Towne Center Ciri
Permit #
.lob Address:
Description of Work:
Historic District:
RECEIVED
C T ?. � 7.00E
CITY OF SANFORD 1'Lfttrlfl' nl'1'L(Cn'l'ION
Date:
ah) h
Coning: __._�... Value of Work:
Permit 'Type: Building _ Electrical Mechanical I'lumbint Fire Sprinkler/Alarm _/ Pool A`
Electrical: New Service -- # of AMPS Addition/Alteration X Change of Service Temporary P010--
Mechanical:
oIC_Mechanical: Residential Non -Residential Replacement _— New (Duct Layout &Energy Calc. Required)
Plumbing/ New Commercial: # of Fixtures # or Water & Sewer Twines II of Gas Lines
Plumbing/New Residential: It of Water Closets Plumbing Repair -- Residential or Commercial
Occupancy Type: Residential Commercial Total Square Footage:
Construction Type: # of Stories: # of Dwelling Units: Flood Gone: (FEMA form required for other than X)
Parcel It:
Owners Name & Address:
Contractor Name & Address: -J'm Y�W/ 6 '/",
(Attach Proof of Ownership & Legal Description)
Phone:
State License Number: 610 r{7i9S'l/CJ�LU_C)%
Phone & Fa X. Contact Person: 7e–lel�-7 )�—/Ylh— Phone:
Bonding Company: _
Address:
Mortgage Lender:
Address:
Architect/Engineer.
Address:
Phone:
Fax:
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no wurk or installation has commenced prior to the
issuance of a permit and that all work will be performed to meet standards ofall laws regulating construction in this jurisdiction. I understand that a separate
pemrit trust be secured for ELEC'T'RICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and '
AIR CONDITIONERS, etc,
OWNER'S AFFIDAVIT: I certify that all of the foregoing infomtation 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 the requirements of this perrnit, there may be additional restrictions applicable to this property that may be found in the public records of
this county, and there may be additional pcmtits required from other governmental entities such as water manallemeat districts, state agencies, or federal agencies.
Acceptance of penuit is verification that l will notify the owner of the property of the requiXytnents..2f. Florida Lien Law,.F.,S 713.
Signature of Owner/Agent Date Suture ofCent Date
Print Owner/Agent's Name Print Cootr, t A$e 's� rn
Signature or Notary -Shite of Florida Date Signature or Notiiiry State of Florida Date
Owner/Agent is ------- Personally Known to Me or
Produced 1D _ �-- X41441
APPLICA HON APPROVED BY: Bldg: _ _ �T Zoning:
(Initial & E�a[e)
Special Conditions:
Contractor/A�ent is
Produced lD _
Utilities:
(Initial & Date)
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DATE:
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016-70M
99, 2006
k DRAWING NAME:
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v PERFUMANIA
SCALE
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PROJECT No. /PROMPT No.
3
FILE LOCATION. 3
SHEET: 1
of 1