HomeMy WebLinkAbout309 Rachelle Ave (3)CTTV OF SANFORD PERMIT APPLICATION
ermit N: 6 1- 9 (P I ,
1
Date:
lob Address: 3dRg t 1 mil.', ,'l•e 15VI p1W—, 41 10 y escriptioa
of
Work 51 E Total Square Footage historic District:
11d Zoning: Ei:` Nb Value of Work- S -?5 • '? -) 000 ermit Type:
Building X Electrical electrical: New
Service — H of AMPS Mechanical: Residential
Non -Residential lumbing/ New
Commercial: # of Fixtures lumbing/New
Residential: 0 of Water Closets ccupancy Type:
Residential k Commercial onstructioa Type:
LWO H of Stories: 3 Mechanical Plumbing
Fire Sprinkler/Alarm Pool _ Addition/Alteration
Change of Service Temporary Pole _ Replacement Ncw (
Duct Layout & Energy Calc. Required) q of •
Water & Sewer Lines 0 of Gras Lines Plumbing Repair —
Residential or Commercial Industrial Y
of
Dwelling Units: 24 Flood Zone: tk) (FEMA form required ) Ill 66arn,
GetIC Qv-(.c WAw r R 3 -70 State License Number: 56C Hall 742- none & Fax:
I JrIDT
3&
5. 511. V Contact Person: -
hm J= t5y Phone: 407. 3b5.5144 londing Compauy:
lddress: dorigage
Leader.
PIN ddress: rehitect/
Engineer.
Phone: ddress: Fax:
application is
hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the nuance of
a permit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction. I understand data separate omit must
be seated for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and SIR 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 onstnrction and
zoning WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT. MAY RESULT IN YOUR PAYING VICE FOR
IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN LTfORNEY BEFORE
RECORDING YOUR NOTICE OF COMMENCEMENT. NOTICE: In
addition to the mquiraaents of Win permit, there may be additional restrictions applicable to this property that may be found in We public records of its county,
and these may be additional permits required from other governmental entities such as i districts, state agencies, or federal agencies. acceptance of
pama ' erif i Wert I will notify the owner of tlic property of the requi of Aids Law. FS 713. Signature of
Owau/Agent Date Signature of Co or/Agent Dau Print Owner/
Agent's Name nt ontractor/Agent's N e k-4.{-s-4Signatureof
Notary -State ofFlOrWa, Date n ure of otar - of Florida Date 7';r
IRENE FUENTES
Notary Public,
State of Texas Owns/AgaU
is _Pe sonally KnoI lq .` ` My Commission Ex ' 4mM Agent is ersonall Kn wa to Me or ' w + February
17, 201 Produced ID """ P ccd ID a. 7 y gQggMARV
MA15gNHOLDER
PPROVALS: ZONING:
UTIL: FD: ENG: A. %L i4nitMolic. Slate of ,Iorlda g commission9,
009 pecial Conditions:
My Comm. expires July 2. ev 03/
2006