HomeMy WebLinkAbout1117 W 11 StPermit #
Job Addi
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CITY OF SANFORD PERMIT APPLICATION
Date:
Description of Work: D!t,= J S FR Total Square Footage 1000
Historic District: Zoning: Value of Work- S 1000
Permit Type: Building Electrical
Electrical: New Service — # of AMPS
Mechanical: Residential Non -Residential
Plumbing/ New Commercial: # of Fixtures _
Plumbing/New Residential: # of Water Closets
Mechanical Plumbing Fire Sprinkler/Alum Pool
Addition/Alteration Change of Scrvice 'femporary Pole
Replacement New (Duct layout & Energy Calc. Required)
of Water & Sewer Lines # of Gas Lines
Plumbing Repair — Residential or Commercial
Dccupancy Type: Residential Commercial Industrial
Construction Type: hr N of Stories: # of Dwelling Units: _L_ Flood 'Lone: (FEMA form required)
waers Name & Address: A)W I'11'. Cr I C11 M )"5510n MrCk J IV1 (A) , ii Sr
contractor Name & Address: _(:n 1.00 l oe t^101 h4l in ¢ (Zec e l n(I gy 0 E 6 k SSZ(' 4.2 Or IA_ JDm FC 3o1 J5/
y
State license Number:
hone & Fax: O !ryt/..f y760 y%7,?d r c,-P& _ Contact Person: Phone: g117
Bonding Company:
ddress:
Mortgage Leader:
ddress:
rchitect/Engineer: Phone.
ddress: _-- -- Fax:
pplication 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
ssuance of a permit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction. 1 understand that a separate
hermit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS. POOLS, FURNACES, BOILERS, HEATERS, TANKS, and
UR CONDITIONERS, etc.
WNER'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
onstruction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
WICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
1TTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
JOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this ptopeny that may be found in the public records of
his county, and these may be additi i uired from other governmental entities such as water management districts, state agencies, or federal agencies. ZIIPC—
cceptance of permit is at I 1 nolify the owner of a roperty of the requirements of Florida Licn Law, FS 713.
IN ht
Sign O /Agent Pit. Signature of Contractor/Agent Date
Print Owner/Agent's Name
y
Print Contractor/Agent's Name
atr of.Notary-State of Flor Date
w
Signature of Notary -Slate of Florida Date
O ANh M, jOH" Ml
MY COMMISSIM i DD 28 M
IPA `
o EXPIRES: March 23, 2ooe
Mooted Thmu sudm Nolarry S"Im
Owner/Agent is Parsony own to Me or Contractor/Agent is _ Personally Known to Me or rodhhced
iD Z • 1l'$ • 7 3. 414T •0 _ Produced ID PROVALS:
ZONING: pecial
Conditions: cv
03/2006 UTIL-
FD: ENG: BLDG: OII
aN
BP006UO2 CITY OF.SANFORD 11/17/06
Edit Narrative 16:47:55
Application number, type . . .
Property address . . . . . . .
Type information, press Enter.
07 00000349 DEMOLITION - SINGLE FAMILY
1117 W 11TH
DEMO Sign OFF:
P&Z: LR 11.06.06
Uti : SB 11.17.06
Police: Lt Del Russo 11.06.06
PW: BI 11.08.06
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