HomeMy WebLinkAbout302 Rochelle Ave (2)CITY OF SANFORD PERMIT APPLICATION
mil 0 : 0 I ^ Date:
Address. ::)02 R or," rilkjL 4&iF-r/VE. 1501t.014& 7i
cription of Work: RwF 1WtVS I art OVF-K Ml-coti 1 s5 Total Square Footage
toric District: NO Zoning: r-)(ieP JG Value of Work: S .a t4, v 3
mit Type: Building __X_ Electrical
ctrieal: New Service - N of AMPS
chanical: Residential Non -Residential
tubing/ New Commercial: N of Fixtures
mbing/New Residential: N of Water Closet _
upancy Type: Residential Y Commercial
Mechanical Plumbing Fire Sprinkler/Alarm Pool
AdditiordAlteration Change of Service Temporary Pole
Replacement New (Duct Layout & Energy Ca1c. Required)
9 of Water & Sewer Lines N of Gas Lines
Plumbing Repair - Kesidcntial or Commercial _
Industrial
hstructioa Type: jL N of Stories: k of Dwelling Units: Flood Zone: No (FEMA form required)
J,-1}ed bwlinlbR neuel . revsName &Address: ( 'tne okVA
23 2,19 Phone: tractor Name &
Address: it I (..
ltcrr t-.".Z,V- L4'V,l tv v-4A-2:475 T L- {,State license Number: ne & Fax:
407• • b 327r 8 Coot el Perron: ! t.M Y ding Company:
N lA ress: lgagc
Lender.
0 1 P ress: iitecUEngineer:
DF
EJJ6J JIX ekill& l--PJ4C- • Phone: 407, rew. 307`
t W' Wt'V- Mazy 13wD Sort 13Z Fax: 40-7- LA1r rL
Nth ; t rL. n7 Q-lo lication 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 uce 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 tit must
be seared for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and CONDITIONERS, etc.
NER'S
AFFIDAVff: l certify drat all of the foregoing information is accurate and drat all work will be done in compliance with all applicable laws regulating tnrction and
zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING CE FOR
IMPROVEMENT'S TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ORNEY BEFORE
RECORDING YOUR NOTICE OF COMMENCEMENT. ICE: In
addition to the roquirt meats of this permit, there may be additional restrictions applicable to this property that may be found in the public records of Aunty, and
dwm may be additional permits required from other governmental entities such management districts, state agencies, or federal agencies. ptance of
permit is f ion that I will notify the owner of the property of the requi ents R ' a Lica Law, FS 713. 010 av
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of /A Date hgnature o Contractor/Agent \\111111/////'/ U0 0As,&.
Ave %%ld%hY X. 77J!%fy ._.a:.. .... H Print Owner/
jfci4's Name i AlA
a W4i ------ i .. Srgnatu -St
I: l as, -
10,
U
Dale -Signalure of Notary -Stare of 40,M1d
iMu ButOtt It ry Owna/Agent
is _ Personally Known to Me or Cone /Agent is Produced ID
V Produced ID IOVALS: ZONING:
ial Coadilions:
312006 UTIL:
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ENG: IF' i
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159717 :
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