HomeMy WebLinkAbout100 Aero Ln (3)Permit N :SC
Job Address:
6-3Z0
CM OF SANFORD PERNAT APPLICATION
Date: 9/I: -Loo
Deaer4tion of Works L 12 ) rju -r I ayW1, Total Square Fiotnaa,
a
Hidurie District: Zoning: value of wort: S--Z.Q D o
Permit Type: Building Electrical Mechanical Plumbing — Fins Sprinkler/Alarm Pool
MPglectrieai: Now Service — # of AS AddhiontAkeration V Changa of So -Act Temporary Pole
Medmicel: Residential Non -Residential Replacemmt New (Dud Layout & Energy Calc. Required)
Plumbing/ new Commercial: # of Fixtures # of Water do Sewer Liras # of Gras Lines
PlembingMew Raldential: # of Water Closets Plumbing Repair— Residential or Coeuneatcial _
Occupancy Type: Residential Cormercial Industrial
Construction Type: # of Storks: # of Dwelling Units: Flood Zone (FEMA form required)
Owners Naar dt Address:
1p e,- I
Contractor Name A A#dr
1k
Mwae di Fa::C D7
Bondi Company: ____-
Address:
Moripge Leader.
Addrew
ArebINWEagiaesr: Pbone:
Address: Fax
Application is bereby made to obtain a permit to do the wok and i netallatiars as indicated. 1 cw* than no work or installation has eommmoed prior to the
issumwe of a permit and that all wort• will be pa'fotmed to meet standards of dl laws regulating consuvok n in this jurisdiction. I understand diet a ee*ww
permh mast be scoured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES. BOILERS, HEATERS, TANKS, and
AIR CONDITIONERS, etc. I A
OWNER'S AFFIDAVIT: I artily and all oftbe bglu rag Wk mdioa is name and that alli rork will be done in compliance with an applicable Iswa regulati $ contouctioa
and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCFMFsNT MAY RESULT IN YOUR PAYITN +. TWICE
FOR DWOPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT Wr M YOUR LENDER OR AN ATTORNEY
BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. W NOTIC :
In addition to the nquiremads of this permit, lbere maybe additional restrictiora appliceble to this property that may be found m the public roads 04 °ggC dds
may, and there may be additional permits required 6000 other govemmUMI entities such a water otanagO Mnt districts, suite age a federal axpocia. D uxeptance
of peewit is verification that I wRI notify the owner of the property of Ors requi Fl Ida 713. qL Si
of Ownw/Agent Dade Signaaue of CamactodA tlIl
rrQv'- * ° Print
Owner/ASM's Name Print Cootraetor/ s Name / Sigrubwe
of Notary -Stale of Florlda Date Sirmue omwaryAhft of Fww Date OwadAgad
n _Personally Known to Me or Cororactar/Agent o v P Mlilly Koot n to Me OF o Prodrreed
ID Pmduoed 1D g
LL APPROVALS:
ZONING: UT IL: FD: ENG: BLAG:---------------------------- Special
Conditions: ' Rev
0302006 6tv
C-30,00 T•
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