HomeMy WebLinkAbout300 Rochelle Ave (2)p
CITY OF SANFORD PERMIT APPLICATION
JOmitN : ( Date:
Address: -3co (OGV1'- A'V5J (3l)IL,PN6
criptioa of
trrk:
RCC 0V LPJStDf`I OVAOALccNIF-5 Total Square
FootagetonicDistriNOZoning. u(I`P-R`/6 Value of Work: S_A V3
mit Type: Building J— Electrical Mechanical Plumbing. Fire Sprinkler/Alarm Pool
ctrical: New Service - N of AMPS Addition/Alteration Change of Service 'temporay Pole
chanical: Residential Non -Residential Replacement New (Duct Layout & Energy Calc. Required)
mbiag/ New Commercial: N of fixtures N of Water & Sewer Lines N of Gas Lines
mbiag/New Residential: N of Water Closets Plumbing Repair - Residential or Commercial
upancy Type: Residential Y Commercial Industrial
tstruction Type: N of Stories: N of Dwelling Units: Flood Zone: 140 (FEMA form required)
nersName&Address: IJ 4--4 vwit'"ibh Ree-tf!j ':r G
400 S ere+ IZl!k.r o A, 232t Phone: l)) 35d"3`l31 _
tractor Name & Address: i,.'ce- 6T"rl -t UZ,
1t"i (-AvCrTal (,,•,.e GrL•: (c.nrly h rrrLL {,State License Number: Q
ne &
Fax: 407, • y 6 327 Contact Pe" rson: 1 tO g' Y Phone: i' a.7 • 5/ t-6 ding
Company: ress:
Ygagc
Leader. t`j' P ress:
iitect/
Engineer: D9- . SJJ6NT -¢1`1C7 t Phone: 467. --3M: rm'.
3071 W- LAbrr- Nlyz-- t3wo Sort 13Z Fax: 40I•59ft`l L-
Plti Mom; c N, -3z7+(, licationisherebymadetoobtainapermittodothework and installations as indicated. 1 certify that no work or installation has commenced prior to the owe
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 separate tit
must be seamed for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and CONDITIONERS,
etc. JER'
S AFFIDAVIT: I certify drat all of the foregoing information is accurate and drat all work will be done in compliance with all applicable laws regulating ruction
and zoning WARNING TO OWNER YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING CE
FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING. CONSULT WITH YOUR LENDER OR AN ORNEY
BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. Z:
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 ounty,
and there be additional permits required from other governmental entities such management districts, state agencies, or federal agencies. glance
of fication that 1 will notify the owner of the property of the requ' ens o orid Lien Law, FS 713. Illlll
eofOwnar
gent / ate SignaturcofC ntractor/Agent PQ' ••••A l/j 1 tea
2 cP • T?I4-.- a2 7%•/O/71j' j(- !f1' `A•y k
OE
Print
OwacdAgeh s Name inn Contractor/Agent's N 1FpY
P / 11,104 OJ 0Srghathue
o Stay f Date Signature of Notary -State -oFlorihaIDDOW EXPIRES.
October 10, 2010 0 ` Ow=
dAgent is Personally Known to Me or Con or/Agent is Personal! 'own to c Produced
ID Produced ID 6 20VALS:
ZONING: UT1L: FD. ENG: BLDG: ial
Conditions: 3/
2006 O