HomeMy WebLinkAbout2008 Hibiscus Ct (2)r.
Permit
Job Address: nll)l
Description of Work:
Ilistoric District: Zoning:
CITY OF SANFORD PERMIT APPLICATION
Date: I V - 19 -0G
Value of Work: S - 10 7 OU
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Permit Type: Building Electrical, __ Mechanic Plwnbing fire Sprinkler/Alarm foul
Electrical: New Service - # of AMPS Addition/Alteration Change of Service Temporary Pole —
Mechanical• Ecntial Non -Residential Replacement New (Duct Layout & Energy Calc. Required)
Plumbing/ New Commercial: # ol- fixtures # of Water & Sewer Lines It of Gas Lines
Plumbing/New Reside ff#otf..Wwatcr Closets Plumbing Repair - Residential or Commercial
Occupancy Typ ResiCommercial Industrial Total Square Footage:
Construction Type: of Stories: # of Dwelling Units: Flood Zone: (FENIA form required for other than x)
Parcel #: (Attach Proof of OwnershipC& L,egaal Description)
Owners Name & Address: ()n , f NnjQ.A\ oiG O t t li I,>C_U`7 LT • `7 C--U^•)1-C.rt'1
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1 Phone: O)7' Jco - (n%, /)
k Contractor Name & Address: F'c 1 IL L.)I_'YY rx YC R— 1
J[7-lr)Sc> State License Number:
Phone & Fax:
Bonding Company:
Address:
Mortgage Lender:
Address:
ArchitecVEngineer:
Address:
Contact Person: Phone:
Phone:
Fax:
Application is hereby made to obtain a permit to do the work anJ installations as indicated. I certify that no work or installation has commenced prior w 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. WARNINGTo 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 Wffli YOUR LENDER Olt AN ATTORNEY
BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. N
TI E: In addition to the requirements of this permit, there may be additional restrictions appliZINthat <11oue public r Y ords of this
county, and there may beadditional pcmtiu required from otherguvcmmcntal entities such adistrior federal acncics. n......
n.o.nn.n....uAcceptanee
ofpcitisverificationthatIwillnotifytheowneroflivepropertyofthercquircnn:nw, FN MEGAN L. HOWARD ded
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o Ow •r/Agent Date ignat re of Contractor/Ag • n `Wa n by (800M32 4254 p
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Fr^.nda Notary Assn. Inc Print
Ow cr/ gent's Name Print Contractor/Agent s Nantc 0
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of No -Sea c of Florida Date nature )A otary- c of Florida Daic Owner/
Agent is _ Personally Known to Me or Produced
ID Contracto /
Agent is _ crsonally Known t roduced ID
APPLICATION APPROVED
BY: Old&: Zoning: Utilities: Fl): Initial & Date) (
Initial & Date) (initial & Date) (Initial & bate) Special Conditions:
111897
LE%=D POWER OF ATTORNEY
I hereby name and appoint
Of
Date:
o
to be my lawU attorney
f OILin &a to act for me and apply to for
a permit fbr work to be performed
at a location described as: Section
Lot Block
Township _ Range
Subdivision
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1"of Job)
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and to sign my name and doall things
fIMm or
Acknowladged:
n to this appoiaeat
I jq- 7 PO
Co and License
e of Certified C mnamr)
Sworn to and subscnbed before me this
3 Day of ,--„A bt4 A.D. aua
MEGM L. HOWARD
Notary Public, Stm of Florida `"+ Comma OD053t387
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