HomeMy WebLinkAbout107 Wood Ridge Trl1
Permit # : C)*—1 - 26-W
Job Address: ID-7 1,4.0
CITY OF SANFORD PERMIT APPLICATION
Date:
Description of Work: C /CU 7/Ci LA-ya-r-- / / t2C-rf
Historic District: Zoning: Value of Work: S
1
Permit Type: Building Electrical Mechanical _ — Plumbing —Y-n- Fire Sprinkler/Alarm Pool
Electrical: New Service — # of AMPS Addition/Alteration . Change of Service Temporary Pole
Mechanical: Residential .,Non -Residential Replacement New (Duct Layout 8c Energy Calc' Required)
Plumbing/ New Commercial: # of Fixtures I # of Water & Sewer Lines q 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: #
d
off/ Dwelling Units: — Flood Zone: (FEMA form required for other than X)
Parcel #:- I q - 30 (Attach Proqaf OWnershin & It.e>!al Desaidiion)
Contractor Dame &
Phone & Fax: W-
Bonding, Company:
Address:
Mortgage Lender:
Address:
Architect/Engineer
Address:
I — — Phone:
r L State License Number
ontact Persow. .
r
Phone:
Fax:
Application is hereby made to obtain a permit to do the work and installations as indicated. 1 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, HEATERS, TANKS, and
AIR CONDITIONERS, etc.
OWNER'S AFFIDAVIT: 1 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 W YOUR PAYING
T'dVICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEIND 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 govemmental entities'such as water managemen t Tlistricts, slate agencies, or federal agencies
Acccpt3nce of permit is verification that I will notify the owner of the propeny of the regbireAr is of
Signature of Owner/Agent Date
Print Owncr/Agcnl's Name
Sign3111re UI Notary -Slate of Flonda --- - - iko'.
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