HomeMy WebLinkAbout2556 Palmetto Avek,
CITY OF SANFORD PERMIT APPLICATION
Permit 1< : 07-87 Date: to/1-7 V
Job Address: */METTy iyt;
Description of Work: Merer- AQJC 0QWA.,--4L- Total Square Footage_
Historic District: 'Zoning: Value of Work: S lbl.1b V
Permit Type: Building Electrical _V" Mechanical Plumbing Fire Sprinkler/Alarm _ _ 1'vol
Electrical: New Service - q of AMPS /1D,0_ Addition/Alteration Change of Service Temporary Pole
Mechanical: Residential Non -Residential
Plumbing/ New Commercial: q of fixtures
Plumbing/New Residential: q of Water Closets _
Dccupancy Type: Residential Commercial
Construction Type: H of Stories:
Replacement New (Duct Layout & Energy Calc. Required)
N of Water & Sewer Lines H of Gas Lines
Plumbing Repair - Residential or Commercial _
Industrial
H of Dwelling Units: Flood "Zone: (FEMA form required)
waers Name & Address: AA;FJ6W GtW/ re _
Phone: Vo 2 8Z3 7XI7
onlractor Name & Address: fL!%7z-&c 4e— 4" j TAeL-
r
State License Number: C000 hone &
Fa::907,29!F]GU79721 v Coutaci Person: 2,;-IJQrj/) A" Phuric: Vol.29rWfo 3onding
Company: ddress:
40rigage
Lender: ddress:
rcbitecl/
Engineer. Phone. ddress:
Fa X: 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. 1 understand that a scpardle oemtit
must be segued for ELECTRICAL WORK, PLUMBING,.SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and UR
CONDITIONERS, etc. WNER'
S AFFIDAVIT: 1 certify that all of the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating onstruclion
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 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 then: may be additional permits required from other governmental entities such as management districts, state agencies, or federal agencies. cceptance
of permit is verification that I will notify the owner of the property of the requireme of F on a Lien law, F; N E T/ Signature
oflhma/Agent Date Signatu a of Conuactor/Agents \ voiy Pw-- •/ ifv•O
Print Owner/
Agent's Name Print Contractor/Agen 's Nar%r ate.` ti ' • 0 avwA
Signature
of
Notary -State of Florida Date Signature of Notary- ate of 7 • . { n,: ,h' r P - fl OwnedAgent
is _
Personally Known to Me or Produced ID
d'PROVALS:
ZONING: UTIL: FD: pecial Conditions:
cv 0312006
Contractor/Agent
isPersonally Known to Me or Produced 1D j-
L 1Y1S6e34,j, 53 • 0,71 — O LNG: BLDG: 1500C---,