HomeMy WebLinkAbout2404 Cedar AveCITY OF SANFORD PERMIT APPLICATION
Permit ft
Job Address:
Description of Work:
Historic District
5 Y, Date: LC% — //—(g
Zoning:
3 15'0 Total Square Footage 8afl
Value of Work: $
Permit Type: Building Electrical Mechanical X Plumbing Fire Sprinkler/Alarm Pool
Electrical: New Service — H of AMPS Addition/Alteration Change of Scrvice Temporary Pole
Mechanical: Residential Non -Residential Replacement New (Duct Layout & Encrgy Ca1c. Required)
Plumbing/ New Commercial', # of fixtures P of Water & Sewer Lines N of Gas Lines
Plumbing/New Residential. H of Water Closets Plumbing Repair — Residential or Commercial
Decupancy Type: Residential Commercial Industrial
Construction Type: ,
I
q of Stories: '/' H%of Dwelling Units: Flood Zone: (FEMA form required)
r
Dwners Name & Address: N 1 I 11•QUM aholPhone. _ r
contractor Name &
Address: hone & Fax:
M 300ding Company:
ddress: Mortgage
Lender:
ddress: rchit"
VEngineer.
ddress: S
57q
oL Ysie. ,f
of L S-% % Contact
Person: State license
Number: Phone: Fax:
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33kit 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 prim to the ssuancc 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 mmrit must
be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and UR CONDITIONERS,
etc. OWNER'S
AFFIDAVIT: I certify that all of the foregoing information is accurate and Urat 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. TICE: 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. eeptance of
permit is verification that I will notify the owner of the property of the_requiregOnts of Flos* L!p4,aw,X713 Signature of
Owner/Agent Print Owner/
Agent's Name Signature of
Notary -State of Florida Owner/Agent
is _ Personally Known to Me or Produced ID
LPPROVALS: ZONING:
UTIL: pecial Conditions:
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Date Date
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ri 6 TignalvfeofContractor/Agent
k\ Print Con
actor/AgentName • s t} • nu ry
2 • (1 Signatw -State oaf
EFDj0*• DaR m • = o 29 Contractor/
Agent
is
Personal) v, ifl b
Produced
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