HomeMy WebLinkAbout107 Winding Ridge Dr (2)RECEIVED
Permit # : 0 -7r L 5 Job
Address: i G7 U)1 r-1 Cll r-,C Description
of Work: C Historic
District: Zoning: CITY
OF SANFORD PERMIT APPLICATION O C T 2 0 2006 Date:
Cl
q t? 7Y S r-n7tr7cx cl p l^ a-1-73 cn /97P -
a10 Z>Uc¢ [,jcet Value of
Work: $ /, fs S3 . o a Permit Type:
Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool Electrical: New
Service - # of AMPS Addition/Alteration Change of Service Temporary Pole Mechanical: Residential
J Non -Residential Replacement New (Duct Layout & Energy Calc. Required) 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 Total Square Footage: Construction Type: #
of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X) Parcel a: (
G - ZG -,30 -5b e -0 OrGO -6 Cj 7 G Owners Name &
Address: Ll_C,e -Cl Ch C., 11-es i - I c-
7L) I r vrl i r-,C A7_ i C r P T,/ z- r. CQotr cto
No e & Address: CC;;t.,'
lroi Phone& Fax:
L0 Bonding Company:
Address: Mortgage
Lender:
Address: Architect/
Eogineer:
Address: Attach
Proof
of Ownership & Legal Description) Phone: L4Cl7 -
3 30 - 3-7-7'-1 C 110-
1 ct Qo44-crl 0- 3
7S State License Number: C f9-C 0Lc /? &&19 Contact Person:
G Phone: 407 -(PLl —U CO C Phone: 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 ofapermitandthatallworkwillbeperformedtomeetstandardsofalllawsregulatingconstructioninthisjurisdiction. 1 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 work will be done in compliance with all applicable laws regulating construction andzoning. 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 BEFORERECORDINGYOURNOTICEOFCOMMENCEMENT. 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 agencies. Acceptance of
permit is verification that 1 will notify the owner of the property of the requi t (/Y
0 Florida
Lien Law, FS-713. Signature of
Owner/Agent Date SignTIc of
Contractor/Agent Date n to
rcJ^S Print Owner/
Agent's Name Signature of
Notary -State of Florida Date Owner/Agent
is _ Personally Known to Me or Produced ID
APPLICATION APPROVED
BY: Bldg: Zoning: Initial & Date)
Special Conditions:
Initial & Date)
Contractor/Agent'
s p!y°
ql, REBECCA A. PERKINS MY COMMISSION
4 DD554219 ae d
t is E:%W&ally3 2l.2010o Me PrdW4i9W53 Florida
NOtary Somca.com Utilities: FD:
Initial & Date) (
Initial & Date) 5 - , O
0