HomeMy WebLinkAbout312 Rachelle Ave (3)mites: bq - egg
CITY OF SANFORD PERMIT APPLICATION
Date:
Address: 312 ,QGIA i'"4v 11LLI`N 5V 1uD G ir1 cription
of Work: 1 yW-- l DN 0VF—K ML-<'-ON 1 a 5 Total Square Footage tonic
District: KO Zoning: klsZl JG Value of Work- S O C mit
Type: Building_ Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool _ ctrical:
New Service — # of AMPS Addition/Alteration Change of Service Temporary Pole _ chanical.
Residential Non -Residential Replacement New (Duct Layout & Energy Calc. Required) mbing/
New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas lines mbing/
New Residential: # of Water Closets Plumbing Repair — Residential or Commercial _ upancy
Type: Residential Y Commercial Industrial estruction
Type: kAott;D H of Stories: # of Dwelling Units: Flood Zone: NO (FETiA form required) rers
Name & Address: Un 1zci /M i nlbYj {@4 i y C 40d
s / VP, 2 3 zt Phone: sl) tractor
Name & Address: ice GG ( 4" e "'1 _ t l
lterrh t r 11,-, Gre:t _ Lrtt'f I V Q!5,{-1,:4S fL State U,eulst Number: ne&
Fax: 407, Nfi.5162 32700 contact Person. fl•M ding
company: N %A rests:
tgage
Lender. 0 I P ress:
4177.
M.s14,6 iitect/
Engineer: Phone: 407 rests:
3 0 1 W • LA k-V_ h%,z>{ 13 W O S t1lT•c 13 L Fax: 40-7. 31,1. r.99 `7 3z74
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 tact
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 secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS. FURNACES, BOILERS, HEATERS, TANKS, and CONDITIONERS,
etc. NER'
S AFFIDAVIT. I certify that all of the foregoing infornmion is accurate and drat 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 may be additional restrictions applicable to this property that may be found in the public records of ounty,
and there may be additional permits required Uom other governmental entities such as er anagcmc ni districts, state agencies, or federal agencies. prance
of perrni v ' nalion drat I will notify the owner of the property of the require is of on ica Law, FS 713, Si0'
61ureW'0vNftdAgCnt Date Signature of Contractor/Agent Datc GCv-
77iud17/y X. aaunllllf/,,
Print
Own T/A s Name nt Contraaor/Agenmly ANNAMAR'T1MD / 7/ fA• MYCOMM
I #DD i b o Sign
4WWIQ&6r 10, 2010 Date Signature of Notary —SF& FI "der.,w' • IPS Fa
n Iiertded i1w liudpel Nofary Seevkes z p ; #DD 15971 q/
Owner/
Agent it _ Personally Known to Me or L /
Agent
i Produced
ID Produced W CkOVALS:
ZONING: UTIL: FD. ial
Conditions: 3M06
ENG:
BLDG: