HomeMy WebLinkAbout2714 Ridgewood Ave (4)CITY OF SANFORD PERMIT APPLICATION RECEIVED
Permit #
(F'�^ 3J C I Date: V06
: d`:�.P
Job Address: J Q o Q :4 J6. 54000-0,B, iT N 9 SU, s—�� � 1 2006
Description of Work: 964112 Fl Q E O A M A -66D SYST& M . Total Square Footage 4,4000
Historic District: Zoning: Value of Work: S _ 4-i Q 1 o o . o`a-
Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm _X Pool
Electrical: New Service — # of AMPS Addition/Alteration Change of Service Temporary Pole
Mechanical: Residential Non -Residential Replacement New (Duct Layout & Energy Calc. Requited)
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 Industrial
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required)
Owners Name & Address:
/� /1 O p� �_ Phone:
Contractor Name & Address: 41) ��(,i�` "Q� [ i1 (h f A 1 1 C�I.E'i & �.%ty J" S 4 1 Al (, •.
1019 U VbRf f l LVL r"t (, �nVi%� Q, 301 S,tattee��License Number: k -E O(% O 4' •_ 9
Phone & Fax: �n7 � �- 3 9 � ontactPerson: i�7600- /1i K t4PZ1A Phone: 40? - -/ c+7 -,7639
9
Bonding Company:
Address:
Mortgage Lender:
Address:
Architect/Eagineer: 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
permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, BEATERS, TANKS, and
AIR CONDITIONERS, etc.
OWNER'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
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 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 permits required from other governmental entities such as water management districts, state agencies, or federal agenc'
0
Acceptance of permit is verification that I will notify the owner of the property of the requirements orifi Lien FS 713.
X1—I 1 —0
Signature of Owner/Agent Date Signature of Contractor/Agent Date
a A
Print Owner/Agent's Name Print Contractor/Age Nam
Signature of Notary -State of Florida Date Signature of Notary -State of Florida e Q
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Owner/Agent is _ Personally Known to Me or C ntractor/Agent is Pe,,((ssoonally Known to Me or
_ Produced ID Produced ID� . l`�- 3- S - 3 (0 I - (o
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APPROVALS: ZONING: UTIL: FD: ) ENG: BLDG. gym,
Special Conditions:
Rev 03/2006
FACE
Sanford Fire Prev Div.
Date:
'j r- P 13 2006