HomeMy WebLinkAbout262 Towne Center Cir-0�_/]II
Pertttit # :—a i'L_�._
Job Address:
Description of Work: 14JA
historic District: _. Zoning: _
Permit Type: Building _ Electrical—
Electrical;
lectrical_Electrical; New Service —it of Alvll'S
Mechanical: Residential Non -Residential
+ C 0 5 X006
CITY OF SANFORG PERIIMIT APPLICATION
Date:
Lapoy .
Mechanical Plumbing Fire Sprinkler/Alarm � fool
_ Addition/Alteration Change of Service _-_ Temporary Polo
_ Replacement New (Duct Layout & Energy Cala Required)
Plumbing/ New Commercial: # of Fixtures ______ I/ of Water & Sewer Litres it of Gas Lines
t'lumbing/New Residential: I/ of Water Closets— Plumbing Repair— Residential or Commercial
Occupancy Type: Residential Commercial _ Industrial Total Stluare Footage:
Construction Type: # of Stories: # of Dwelling Units: Flood Zone; (FEhfA form required for other than X)
Parcel #: _--
Owners Name & Address:
(Attach Proof of Ownership & Legal Description)
Phone:
Contractor N:uuc &Address: � r:r1 n e_L 9701 N' � _�_.�Q.t2L1 t`7 Y Q✓(Gn��� L_3 s�V
__ SGtteLicense uturbcr; CoO�7CvSQuo/z00/�
Phone & Fax: �V ��'�/�y7`�� Contact Person: u /` Phone: I— Z�2115(�
Itonding Coulpany:
Address:
Mortgage Lender:
Address:
Architect/Engineer: Phone:
Address: 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
pennit must be secured for ELEC'T'RICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and
AIR CONDf1-IONERS, etc.
OWNER'S AFFIDAVIT: f 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 NO'T'ICE OF COMM ENCFMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMEN'T'S 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 permit, 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 pemtits required front other governmental entities such as water management districts, state agencies, or federal agencies.
Acceptance of permit is verification that 1 will notify the owner of the property of the requtreu of Florida Lien Law, FS 713.
Signature orowncr/Agent Date Si n' lure o Co tractor/Agant� Date
Print Owner/Agent's Name print gel s N, me
Signature or Notary -State of Florida Date Signature of N airy -State of Florida Date
Owner/Agent is _ Personally Known to Me or
Produced ID It
APPLICATION APPROVED BY: Bldg: Coning:
(Initial I Dale)
Special Conditions:
MISAEL ALICEA 3
Contractor/Agent is - ersonally l town e2�Wra� ,, Comrn# ODp2g�gt>8
Produced ID _ hisE4^(ms 2/16/2tM8
VI;,,( d Bondud thru (800)432-42541
nu; ia"
Florida Notary Assn„ Inc }�
_ Utilities: FD:_
(Initial & Date)(Initial & Date) i (Innual L Clue) i
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REVIEWED
FEASTING PENDENTS TO REMAIN
NEW PfPF_
DRAWN BY:
CHECKED BY:/
DATE:
DRAWING NAME:
STARBUCKS
SCALE:
PROJECT No. / PROMPT No.
FILE LOCATION:
SHEET: 1 ®f 1
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DRAWN BY:
CHECKED BY:/
DATE:
DRAWING NAME:
STARBUCKS
SCALE:
PROJECT No. / PROMPT No.
FILE LOCATION:
SHEET: 1 ®f 1