HomeMy WebLinkAbout309 Rachelle Ave (4)CITY OF SANFORD PERMIT APPLICATION
mit N: 6 r 1 O Date:
Address: *ii71 Rw- --• AMOVE i5oi L-Dyj(> (O
cription of Work: RLk,F 0VMr%51yt4 00W, 13ALC-ON i E5 Total Square Footage tonic
District: NO Zoning: cyls11JG Value of Work: S T 0 mil Type:
Building _-X-- Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool _ ctrial: New
Service - N of AMPS Addition/Alteration _ Change of Service Temporary Pole _ chanieal: Residential
Non -Residential Replacement New (Duct Layout & Energy Calc. Required I mbiag/ New
Commercial: N of Fixtures N of Water & Sewer Lines N of Gas Lines mbing/New
Residential: N of Water Closets Plumbing Repair - Residential or Commercial _ upancy Type:
Residential Y Commercial Industrial tstruction Type:
kXO D N of stories: N of Dwelling Units: Flood Zone: NID (FERIA form required) rers Name &
Address: LWk,6 't Dom iy lbn Fee—lf!l 'L t,—r 1C Odd See%
VP, 239,l Phone: Eso 35d-3932 _ tractor Name &
Address: Al ivn GL n U.0 1 I
vt/crr (ter"8 tC H LL : "v IF% I v 1[4J" - T L Slate License Number: ne & Fax:
407` (6$ 327Contact Person: f1.M``r ding Company: N %
A ress: tgagc Leader.
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I P ress: ritccUEngiaccr. DF .
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WG • Phonc: 40, 37k S aa ress: 3071 W •
LAbV- CSwo SLIITC 13L Fax: 407- -b uiTJ L-P't-
c Mom; t V 3Z74-to 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 trice of a
permit and drat all work will be performed to mect standards of all laws regulating construction in this jurisdiction. I understand that a separate tit must be
seated for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS. POOLS, FURNACES, BOILERS, HEATERS, TANKS, and CONDITIONERS, etc. 9ER'
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 truction 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. ICE: In addition
to the requirements of this permit, there nay be additional restrictions applicable to this property that may be found in the public records of xwmty, and Utee
may be additional permits required from other governmental entities such as^lq management districts, state agencies, or federal agencies. ptance of Il
notify the owner of the property of the requir is of on Li Lien Law, FS713, l \\\11111111111/I//
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PpMEN A H/VF i,i S of
Owner/
Agent Datc Signature ofC ntaactor/Agenl pate Print Owner/AName
e':;°"c f ANNA
MARTINO Srg,tadtn DMIXF10, 2010
Datc Bo wTMuBudpet Sat* _
Owner/
Agmt is Personally
Known to Meer Produced ID kOVALS: ZONING:
ial Conditions.
3/2006
UTIL: FD:
nt Contrac(
or/Agent'
s N • • I IV . . _ Awl #DD159717 of
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