HomeMy WebLinkAbout2219 S Magnolia Ave (4)CITY OF SANFORD PERMIT APPLICATION
Permit It : d ! 6 3 Date: IO 18 e 6
Job Address: /%%aa/ d,' A AVG
Description o(Werk: t Alet,/ 4C -AhV SySte& Total Square Footage
Historic District: "Zoning: Value of Work: S Y00
Permit Type: Building Electrical X Mechanical Plumbing Firc Sprinkler/Aiarnt Pool
Electrical: New Service - H of AMPS Addition/Alteration Change of Service Temporary Pole _
Mechanical: Residential Non -Residential Replacement New (Duct Layout & Energy Calc. Requiredl
Plumbing/ New Commercial: # of Fixtures H of Water & Scwer Lines of Gas Lines
Plumbing/New Residential: k of Water Closets Plumbing Repair - Residential or Commercial _
Dccupancy Type: Residential Commercial Industrial
Construction Type: R N of Stories: —1— 0 of Dwelling Units: Flood "Zone: (FEMA form required
3woers Name & Address:
contractor Name &
hone & Fax: —
3ondiag Company:
ddress:
Phone.
ei'%D3 State License N um bJer: C / a7
Contact Person: /.a/ 'ti%t Phone: Y07-509 —
Mortgage Lender.
ddress:
rehitect/Eagineer: Phone:
ddress: Fax:
pplication is hereby made to obtain a permit to do the work and installations as indicated. 1 certify that no wort: or installation has commenced prior to the
ssuanee of a permit and dial all work will be performed to meet standards of all laws regulating construction in this jurisdiction. I understand that a separate
wrmit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS. TANKS, and
UR CONDITIONERS, etc.
WNER'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
onstruction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
WICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
TfORNEY 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.
cceptance of permit is verification that 1 will ratify the owner of the property of the requirements f Florida lien Law, FS 713.
O /b/,e
Signature of Owner/Agent Date Signature of Contractor/Agent ate
Print Owner/Agent's Name
Signature of Notary -State of Florida Date
OwnedAgent is _ Personally Known to Me or
Produced ID
LPPROVALS: ZONING: r UTIL:
pecial Conditions:
cv 03/2006
A4cfaJ (1%r.'le
Prim-ContractodAeent's Name
Signature of
DEBBIE BLANTON
MY COMMISSION # DD 18MI
EXPIRES: February 25, 2007
r-0W 1-WTARY FL
Contractor/ Personally
Produced ID _ L_ "f
FD: ENG: BLDG:
CITY OF SANFORD PERMIT APPLICATION
Permit A : 0 Date: J 0 - /at - 42066,
JvbAddress: .?:119 S. IYlwgr ov6
A
ue, lt trroot 3 ii TI
Description of Work: AC EQntp mfwy CRAW016 00*t Total Square Footage / ee 0 0
Historic District: "Zoning: Value of Work: S 41. OOt
Permit Type: Building Electrical Mechanical *_ Plumbing Fire Sprinkler/Alarm Pool
Electrical: New Service - # of AMPS Addition/Alteration
f
Change of Scrvice Temporary• Pole
Mechanical: Residential )e Non -Residential Replacement Y New (Duct Layout & Energy Cale. Required)
Plumbing/ New Commercial: k of Fixtures P of Water & Sewer Lines 0 of Gas Lines
Plumbing/New Residential: N of Water Closets Plumbing Repair - Residential or Commercial _
Dccupancy Type: Residential _V __ Commercial Industrial
Construction Type: q of Stories: Hpof Dwelling Units: Flood Zone: (FEMA form required)
wacrs Name & Address' l vt a. B&A W b4l be , Pstry A -5,; nn*-kL 7a..
Po. Sox love rfiwdot P1 328oZ Cart: Gm 14#y :LI Phone: 40- 449- SL3S
oatraclor Name & Address:
hone & Faxr4n 93- i98s
3ouding Company.
ddress:
Nortgagc Leader:
ddress:
rchilect(Ftrgineer:
ddress:
Rfa Slate License Number: CAC* 41 %a)
Contact Person: ai xy SAN kS Phonc:407- 0.9 3 - 198 2
Phone:
Fax:
pplication is hereby made to obtain a permit to do the work and installations as indicated. 1 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
permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and
UR CONDITIONERS, etc.
WNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and drat 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 COMMENCEMENT MAY RESULT IN YOUR PAYING
WICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
TfORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
J T E: 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.
cceptance of permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713,
Signature of Owner/Agent Date
Print Owner/Agent's Name
Signature of Notary -State of Florida Date
Owner/Agent is _ Personally Known to Me or
Produced ID
dPPROVALS: ZONING:
pecial Conditions:
ev 03/2w
UTIL:
Signature o Conuactur/Agent N\ p .
i/ 4 IL 0,4A.S Pry 7c, F CWf
Pri t Contractor/Agent's Name
in
Signature of Notary -State of Florida i.(• r 3, 19 9 mo
TEr OQ Q\ 11111\\
Contractor/
Agent is Personally Kno to Me or Produced
ID . L. • s m 4 1 FD:
ENG: BLDG: