HomeMy WebLinkAbout268 Towne Center Cir (2)t RECEIVED
CITY OF SANFORPERMITAPPLICATION //a���, � �,r ;y 2006
Permit f1 .� PERMIT Date:
Job Address: W_.. <t 0 iS.._.JEP,
Description oflVork: . 11 Cf- ��� 1( ( //E-- -3,)✓1kyR/-, l�� ..�/ Qtr% -
Historic District: coning: _,�•_� Value of
Permit Type: Building _ (Electrical • Mechanical ____ Plumbing Fire Sprinkler/Alarm Pool
Electrical: New Service - # Of AM I'S Addition/Alturation /t 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: It of Water Closets Plumbing Repair - Residential or Commercial
Occupancy Type: Residential _ Commercial X Industrial_— Total Square Footage;
-7--
Construction Type; ___ — # of Stories: -- # of Dwelling Units: —•,__-_ Flood Zone: (FEMA form required for other than X)
Parcel M: �•, (Attach Proof of Ownership & Legal Description)
Owners Name & Address:
Contractor Name & Address: 07Vi /11/1 of . f d tu'l Abo?q 11
Ct State License Nut ger.
Phone & Fax: L167` �� 5 %/oD Contact Person: [ 1-"I/yl -' Phone:
Bonding Company: -
Address:
Mortgage Lender: v
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 ofall laws regulating construction in this jurisdiction. I understand that a separate
permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and
AIR CONDITIONERS, etc.
OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all wutk will be done in compliance with all applicable laws regulating
constructiun 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 pertnit, 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 pcmuits required from other guvcrunental entities such as water management districts, state agencies, or federal agencies,
Acceptance of periuit is verification that I will notify tire owner of the property ofthe r q remeuts of lotida Lien Law, FS 713:
Q Z•
Signature of Owncr/Agent Date SigCulture of outrtutt /Agent Date
Print Owner/Agent's Name Print Co
Signature of Notary -State of Florida Date
of
Owner/Agent is __ Personally Known to Me or\\V
� Cuntractor/Agant is
Produced ID \ ♦ _4___ Produced ID
AI'PLICA FION APPROVED BY: Bldg: Zoning: Utilities: _AFD;
(Init� ��� ial &�FU`-1_(Initial & Date) (Initial & Date) (Ir
Known to
Special Conditions:
X Commtlt DOM1404
a Expires 2/16/2000
1'df° Bonded thru (800)432-42
.,.....a
Florida Notary As :; .
t .;fie4
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t
PIPE SIZE
(IN)
ROD SIZE
(IN)
MAX SPACE
(FT)
1/2
1/4
5
3/4
1/4
6
1-1/2
1/4
1„ PLUGS
O
9
2
3/8
10
-1/2
3/8
3
3/8
12
4
1/2
14
{
LEGEND
EXISTING PENDENTS TO RE'wilAIN
EXISTING UPRIGHTS TO REItir AIN
O
EXISTING 1" OUTLETS
0
1„ PLUGS
O
NEW TYCO 1/2" 1550 TY -FRB UPRIGHTS
7.
O
NEW TYCO �/ 155° RFII -CONCEALED PEND
6
TOTAL
13
EXISTING PIPE
NEW PIPE
w
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W � i
O _
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iOFFIC-
cn
W F €
REVIEWED
41 DRAWN BY: f
By:
� ,
�it� t NECKED BY:Sonford
-1, a ~�
C /
DATE:
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d
r (01690M 23, 2006 1