HomeMy WebLinkAbout200 Towne Center Cir (7)CITY OF SANFORD PERMIT APPLICATION
Permit #: Vl. 3Z18 Date: % d— ZS O(o
Job Address: ZD'-' -MW AD ee.vnn
Y- Cppr % s9.V tts-cij -'L 3 Z'2-7 C SAACe A— Of.
Description of Work:/paCoc•07 Total Square Footage
Historic District: Zoning: Value of Work: S /d O 0O-eo
Permit Type: Building Electrical Mechanical - Plumbing Fire Sprinkler/Alarm Pool _
Electrical: New Service - # of AMPS Addition/AIteration Change of Service Temporary Pole
t
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
Occupancy Type: Residential Commercial Y" Industrial
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required)
O l eers Name & Address: 7' r N S L r ^" /7 w Z 00 -/Wwy C. Cr A- Bonding
Company: Address:
Mortgage
Leader: Address:
Architect/
Engineer: Phone: O
Address:
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 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 AI
i
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. WARNING TO OWNER: 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, there maybe additional restrictions applicable to this property that may be found in the public records of this
c ty, and there may be additional perm ' quired from other governmental entities such as water management districts, state agencies, or federal agencies. indp
of permit is Owner/
Agent is _ Produced
ID APPROVALS:
ZONING: Special
Conditions: Rev
03/2006 Y +
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Known to a or of
the property of the requirements of Florida Lien Law, FS 713. Z7-
of. Signature
of Contractor/Agent Date Print
Contractor/Agent's Name lob
UTIL:
FD: Signature
of Notary -State of Florida Date Contractor/
Agent is _ Personally Known to Me or Produced
ID ENG:
BLDG: