HomeMy WebLinkAbout1321 Elliot St 06-3335 (electrical)r r
CITY OF SANFORD PERMIT APPLICATION
Permit # : Q-33 S / " Date: o
fob Address: ILa'}L 5 % nS,i¢N r'J1Z d. ST F=C 3 'Z- -
Description of Work: T ' C /r
f /
c-c — l e-n-A-Irmk otal Square Footage
i
Historic District: Zoning: Value of Work: S Oa0 P
Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool
Electrical`. New Service - of AMPS Addition/Alteration Change of Scrvice Temporary Pole _
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
Decupancy Type: Residential Commercial Industrial
Construction Type: /N of Stories: // # of Dwelling Units: Flood Zone: (FENIA form required)
3wners Name & Address: Zpo%% a Ae n!
T-
Phone.
contractor Name & Address: ( l %g "a M •
State License Number:
hone & Fax:
aonding Company:
ddress: _9
Kortgage Linder.
ddress:
rchitect/Fugincer.
ddress:
Col
S•• Z/LT Ler A-i
t P rson: Phone:
Phone:
Fa r:
pplication 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
ssuance 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
wAmit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and
UR CONDITIONERS, etc.
WNER'S AFFIDAVIT: 1 certify that all of the foregoing information is accurate and dial 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
TTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
40TICE: In addition to the requiremcats of this permit, there may be additional restrictions applicable to this property that may be found in tfiyy fecords of
his county, and these may be additional permits required from other governmental entities such as water management districts, state WQA ft. &46r:ies
cceptance of permit is verification that 1 will notify the owner of the property of the
Signature of Owner/Agent Date
Print Owner/Agent's Name
Signature of Notary -State of Florida Date
Owner/Agent is
Produced ID
iPPROVALS: ZONING: _
pe cial Conditions:
a v 0312006
d
Personally Known to Me or
UTIL: FD:
lire is of Florida Lic w, FS 713.
L 04`
Sifnifiure of Contractor/Agent
Print Contractor/Agem'Vanre
Signature of Notary -State of Florida
Contractor/Agent i Pe pall Known to Me o
Produced ID, L. X 3162- D13-s9'i7l L
ENG: BLDG:J v'' - :2
13040.0
ABRAMS TOWN & COUNTRY
200 S. MYRTLE AVE, SUITE 204
SANFORD, FL 32772
JOSEPH ABRAMS, P.E.
EC 0000148
407/947-8482
ORANGE COUNTY BUILDING DEPARTMENT
PLEASE ACCEPT THIS LETTER AS AUTHORIZATION FOR 14/1/(o ,6 Ile,
TO PULL AN ELECTRICAL PERMIT ON MY BEHALF.
6// "o T S T 54I- r 4, 'FG
SIGNATURE JOSEPH L. ABRAMS
STATE CERTIFICATION #EC00001 48
SWORN AND SUBSCRIBED BEFORE ME THIS DAY OF
MONTH YEAR IN
JOSEPH ABRAMS IS PERSONALLY KNOWN TO ME.
RE/NOTARY
ness
TE OF FLORIDA
K U K Fay
W Cavw*Wm DD0311501
a EVko APA 20. 2009