HomeMy WebLinkAbout2000 Rosecliff Cir 07-646 fenceRECEIVED
Permit # : 0_71 — QG
Job Address: Z= S`
Description of Work: e%;r I SJ52&4+j
Historic District: Zoning:
CITY OF SANFORD PERMIT APPLICATION
NU V 1 9 2006t _
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Date:/(,j(e
b S ea 21 e'ii
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Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool
Electrical: New Service — # of AMPS Addition/Alteration Change of Service 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
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 #:
Owners Name & Address:
Contractor Name & Address:
Phone & Fax: 1Q
Bonding Company:
Address:
Mortgage Lender:
Address:
Architect/Engineer:
Address:
Attacb Proof of Ownership & Legal
Phone: .36 / — GUC_ "
Contact Person: ?thA Pboue:*'?- Z FY- //mt exr. /Q .
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 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
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. 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 may be additional restrictions applicable to this property that may be found in the public records of
this coumty, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies.
Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713.
Signature of ncr/Agcnl Date Signature of Con for/Agent Date
Print Owner/Agcni'g Name
atgnature-or Notary-POIPFW BOBBIE PONES Signature of Notary-Stafa'of FloridaJown(
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Q MY COtdRil5S10N+9 DD493171 , ,c MY COhIMISSIONM DD493171 pFoEXPIRES: Nw.21.2009?pF
ooQ EXPIRES: Nw.21,2009 Owner/
Agent is P ( t63
Florida Notary Sarvlp.eom Contractor/
Agent is Personally Florida Notary Sw;ce.con, Produced
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v G 17- at, APPLICATION
APPROVED BY: Bldg: Zoning: Utilities: FD: Ini
al & Date) (Initial & Date) (initial & Date) (initial & Date) Special
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