HomeMy WebLinkAbout120 Lunetta CoveRECEIVED
NOV 1 0 7006
I - ( ,
CIT Y OF SANFORD PERMIT APPLICATION
Perini[ #: ` _
0 -1( e' 0. "`•
Date: _
Job A dress: 1 :— _ _ - 13.: t> - a _r..... C—i - -Z L-:;
Permit Type: Building `-( Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool wo1n'
U tGifL Electrical:
New Service — # of AMPS Addition/Alteration Change of Service Temporary Pole 0
0 f. Mechanical:
Residential 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 _ o
rillZ 13 \
64Z 1 L) e 0L-ti-- 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#:
o7-_ 20-- 3 I - 3DU 0h 0— 00d d (Attach Proof of Ownership & Legal Description) Owners
Name & Address: tluE WV-:sT- L-l_ C I O 1 5?£ 2-00 vmin
it11%etd0 1't- SZ7S( Phone: Y477-tc9sZ-e'LY_L.._-.. Contractor
Name & Address: JPm •n e I P_ e C C
State
License Number: Phone &
Fax: 1 9 (- Zy Y j / 7 Contact Person: e Y ,1 C Phone: ve / 6J - JYU Bonding
Company: _J//`} Address:
Mortgage
Lender:j- Address:
Architect!
tamer1iJ,/te `J „ ,+'f,P j Phone: er-fcl /TW7---- Addresr. --- -- --- `
t
Fax:
X 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 pennit 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: l 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 RESUT.T 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 manageme}r l,drs ts, state agencies, or federal agencies. Acceptar
per it is rificati t ill tify the owner of [h pro rry of the requirements of ten Law, F Signature
of Owner/Agent ate SignatureofCont:]WDate Fra-
t 0\0, Y\ J -ryc,.,- s r,,
ner/ gent's me P t ontrac[or/Agent's N mee.
ofNotary•State of Florida Date Signpire of Notary -State of Florida Owner/
Agent is rerso Produced
ID APPLICATION
APPROVED BY: Bldg: Special
Conditions. SI r
CorttnW DD041no Me
orE)or" 41gral e 6atded
thru (e00)4" WOO
NH...... j n Ilk
LonlngCj! Initial
A Date) C r.
A A tS f C Unlities:
Initial &
ate JESSI(
I '-,ANTOMNUKU NotaryPuDW `;
tale of Florida n k ,
t• .s Apr 29, 2005 n ¢IPf75
BondedQom13yNallon5lAssn. FD:
Initial &
Date) (
Initial & Date)