HomeMy WebLinkAbout161 Bristol Forest Trl (3)CITY OF SANFORD PERMIT
Permit # : U (i -
Job Address:
Descri a of Work: rric District: Zoning: Value of
3c? 77
Permit Type: Building Electrical _k Mechanical Plumbing Fire Sprinkler/Alarm Pool
Electrical: New Servicece # of MPS Addition/Alteration Change of Service Temporary Pole
Mechanical: Resid Qel-Residential Replacement New (Duct Layout & Energy Calc. Required)
Plumbiug/ New Couneedai:_# of Fixtures # of Water & Sewer Lines # of Gas Lines
Plumbing/New Residential: # of W ter Closets Plumbing Repair — Residential or Commercial
Occupancy Type: Residential Commercial Industrial Total Square Footage:
Construction Type: ?
T V#
of Storks: # of^^D welling Units: Flood Zone: (FEMA form required for other than X)
Parcel #: 30 0cce UtJ 1Hach
Proofof neship& Leg:lT escr Owners Name &
Address: f r _-, nr .>j'_, /A 'Ll - -, I"— A . Y plUn) A .., _.
J _% Address: Pho"& Fax:
Z
Bonding Company: Address:
Mortgage Leader:
Address:
Archked/Engineer:
Address:
14 Phone:
S(
13—6 /3 — U O. Box aS
C/ 00(v
30 State License errNumttb''w--:'.'' :: ++ ed
Person:;
A Al ! &
1 f F 1C /V Phone: c( —(a 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 of a permitandthatallworkwillbeperformedtomeetstandardsofalllawsregulatingconstructioninthisjurisdiction. 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: 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 and zoning. WARNINGTOOWNER: 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 BEFORE RECORDING YOUR
NOTICE OF COMMENCEMENT. NOTICE: In addition to
the requirements of this permit, them may be additional restrictions app this county, and them
may be additional permits required from other governmental entities such Acceptance of permit is
verification that I will notify thu uwner of the property of the requirem/ Signature of Owner/Agent
Data Print Owner/Agent's
Name Signature of Notary -State
of Florida Date Owner/Agent is _ Personally
Known to Me or Produced ID a o
this property
that may be found in the public records of a management districts, aatto
agencies, or federal agencies s u jorida Lien
Law, FS 7/3. e of Contractor/Agent
Date ntraclur/Ag nt'r
Name / e of ptary-Sp
of Florida Date Contractor/Agent is _ Il
Known to or Produced ID APPLICATION APPROVED
BY: Bldg:
Zoning: initial & Date) (Initial & Date)
Special Conditions: Utilities: FD:
Initial & Date) (
Initial & Date)
r„ b dAGMELYN HOBACK
MY COMMISSION # DD SM159
EXPIRES: Mauch 14, 2010
kndW fit Noisy N*
Undaw hrs
OCT-10-2006(TUE) 14:53
P. 001 /001
WRITE ALUMINUM PRODUCTS, INC.
2302 Mercator Dr, #101
Orlando, FL 32807
407) 681-8823
407) 678-4404 fax
Date:. 'ir)10nln_ of Pages Inc.
Cover Sheet To:
Company
Name: - 1 Attention:
Ste' ( et. Fax
No: 40] From:
or ri Subject: —
rh 1n Comments:
ESSIM