HomeMy WebLinkAbout202 Sanford AveCITY OF SANFORD PERMIT APPLICATION
q /,!! Permit N: U(' -;U( Datc:®6
lob Address: zaz
Description of Work: STALL 4!'XIT S! y.% Total Square Footage A&C"ti0 0-
Historic District: Zoning: Value of Work: S ^5MD . !
Permit Type: Building Electrical --k Mechanical Plumbing Fire Sprinkler/Alarrrr Pool
Electrical: New Service - N of AMPS Addition/Alteration Change of Service Temporary Pole _
Mechanical: Residential Non -Residential Replacement New (Duct Layout & Energy Ca1c. Required)
Plumbing/ New Commercial: N of Fixtures N of Water & Sewer Lines _ Hof Gas Lines
Plumbing/New Residential: q of Water Closets Plumbing Repair - Residential or Commercial
Dccupancy Type: Residential Commercial k Industrial
Construction Type: N of Stories: N of Dwelling Units: Flood Zone: (FEMA foray required )
owners Name & Address: 4// //ACC -S T4-t/C J r. /J. /Sp,k
c 7 a.F iC -3 7 Z Phone. C462)
contractor Name & Address: AJ67 ' a tooe &GffG-7--<-- G c2 —IrFwW 0 /.t7e-
Slate License Number: 95 fC;570
hone &Fax /if%%"3 -•.hX7 jZd-2fS1/Contacl Person: C /„ i4.ti i.e/ Phone: 46, %/r-
3onding Company:
ddress:
Mortgage lender.
ddress:
rchilecl/F.ngiacer:
Wdress:
Phoac,
Fax:
pplication 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
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
wmrit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, ItEATERS, TANKS, and
UR CONDITIONERS, ctc.
WNER'S AFFIDAVIT: 1 certify that all of the foregoing information is accurate and dim 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 COMMENCEMENTMAY RESULT IN YOUR PAYING WICE
FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITtt YOUR LENDER OR AN TTORNEY
BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. 40TICE:
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 his
county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. ceeptance
of permit is verification that I will notify the owner of the property of the requirement§ oJ7lodWbWn,l,aw FS 341. Signature
of Ownec/Agent Print
Owner/Agent's Name Signature
of Notary -State of Florida Owner/
Agent is _ Personally Known to Me or Produced
ID PPROVALS:
ZONING: UTIL: pecial
Conditions: ev
03/2006 Mix
PCr
wok 6cc"
c V " Date
Print
Contfactor/Agent's Name Date
Signature of of a of Fl-,;A, VEBBIE
B TON MY
COMMISSION Ar DO t88081 EXPIRES:
February 25, 20W 1400.
7- TARv Ft Notwy Dls AMC. Co. Contractor/
Agent is Person ly no t Produced
ID Q
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ENG: BLDG: Ls
r`1t5s t-t5G tr deY-' l`i cXe c t dc)r-tp
Exp i res Sept. 30, 2006 SEMINOLE COUNTY OCCUPATIONAL LICENSE
Account: 069321 STATE OF FLORIDA
RAY VALDES, TAX COLLECTOR
LICENSE TO ENGAGE IN BUSINESS.
BUSINESS NETWORK ELECTRICAL SYSTEMS INC
ADDRESS 835 CR 15
SANFORD, FL 32747-
MICHAEL D MOYNIHAN (PRES)
MAILING . NETWORK ELECTRICAL SYSTEMS INC
ADDRESS PO BOX 471314
LAKE MONROE, FL 32747-
I III I II III II I III III
Amount Paid: $ 45.00
A
REGULATED
State Lic.0 - EC 0003138
Qualifier- MICHAEL D MAYNIHAN
OLHS2005082502946
AC# ; 2 6 4 7 9 3 2 STATE qF; FLORIDA"
t DEPARTMENT OF BUSINESS, AND PROFESSIONAL REGULATION._:
s r , BLECTRI.%! COI TR1 iC''ORS ',I+ICENSINdi BOARD j'' $EQ#L0607080154:0
a07..:08 zC2006060609214 00011,
LThe•ELECTRICAL CONTRACTOR, " , ` .. Named beloar<ISCERTIF IED ''-' Under the provisions of Chapter
Expiration date: AUO 31,.20 8.
y
JMOYNIBAN .NICBAEL DENNIS
NETWOR&"ELECTRICAL SYSTEMS INC. ;
5080 HAWKS BANNIOCK WAY
SANFORD, FL 32771mIrA ai
r
k° T
s Z_; r`;. '° SIMONE MARSTILLERJEB:-. BUSS ,,I,_.;<I,., .:. SECRETARYGOVERNOR.. , DISPLAY AS REQUIRED BY LAW
G'
DATE:—
POWER OF ATTORNEY
I Zg
I HEREBY NAME AND APPOINT RVAoo MD yA WAA)
OF A)e j-, )p,4 k EIC C, ', f/ h ( TO BE MY LAWFUL ATTORNEY IN
FACT TO ACT FOR ME AND APPLY TO THE f 0 1 RD
BUILDING DEPARTMENT FOR A 6/ EGA• eA,1(, PERMIT
FOR WORK TO BE PERFORMED AT A LOCATION DESCRIBES AS:
SECTION TOWNSHIP E LOT_____ BLOCK
SUBDIVISION _ J- ,4&D IfWr
ADDg ! O F JOB)5.z 7%
OWNER OF PROPERTY AND ADDRESS)
AND TO SIGN MY NAME AND DO ALL THINGS NECESSARY TO THIS
APPOINTMENT.
Al 4 Aae/ .A - _A
OR MINT NAME
wd.
CERTIFIED CONTRACTOR
SIGTURB OF CERWFISD CONTRACTOR
THE FOREGOING INSTRUMENT WAS ACKNOWLEDGE BEFORE ME THIS --?12l/ d 6 BY
o WHO
IS PERSONALLY KNOWN TO ME/WHO PRODUCED AS
IDENTIFICATION AND WHO DID NOT TAKE OATH. / STATE
OF FLORIDA COUNTY OF COMMISSION #
MY
COMMISSION EXP 1/
92 ROBERT
A. BRIANTE NOTARY
PUBLIC - STATE OF FLOPJDA COMMISSION #
DD170731 EXPIRES
12/10/2006 BONDED
TNRU /-856NOTARYI