HomeMy WebLinkAbout3350 Beardall Ave (2)RECEIVED
CITY OF SANFORD PERMIT APPLICATION
Permit#:_ - Date:— 9 104 SEP -• 7 2006
Job Address: 33`SU // Ava S,. 0 fL Z 77
Description of Work:
Historic District: Zoning: Value of Work: S
Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool TRRi Iv t
Electrical: New Service - # of AMPS Addition/Alteration Change of Service Temporary Pole —
Mechanical: Residential Non -Residential Replacement New (Duct Layout & Energy Calc. Required)
Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines
Plumbing(New Residential: # of Water Closets Plumbing Repair - Residential or Commercial _
Occupancy Type: Residential Commercial industrial Total Square Footage:
Construction Type: # of Stories: # of Dwelling Units: Flood Zone'. (FEMA form required for other than X)
Parcel N:
Address:
Mortgage Leader:
N
Address:
Architect/Engineer, Phone "'"''_ .___ _.•
Address: Fare:
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 theissuanceofapermitandthatallworkwillbeperformedtomeetstandardsofalllawsregulatingconstructioninthisjurisdiction. 1 understand that a separate
permit must be secured for ELECTRICAL WORK. PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and
AIR CONDITIONERS, etc.
OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will be done in compliance with all applicable. !.^.:vs rr•Rulatingconstructionandzoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESUI:'I I h; 'r'! 1 t P; Y ING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENI)hk lil', AN
ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
NOTICE: In addition to the requirements of this permit. there may be additional restrictions applicabl is may be found in the public records ofthiscounty, and there may tional permits required from other governmental entities such as districts, state agencies, or federal agencies.
Acceptance of s ficati I the of the property of the require m Flo Law, FS 713.
S' of Owner/Agen Date Signaawre of C -iactor/Agee Data
4QIS) ` I"dt, ic- ..7 2
r - •6- • Narge
9 GM73 ff
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V
Signature of Notary -State of Florida Date Signature of Nottso ur of Florida D
r'' •`•. HOLLY R. BLANKENSHIP ` IS t. GIBBON
Owner/Agent is eSION D0477598 Contractor/Agent is Personal Ermoi tp9vle o COMMISSION # OD 525101 '
rExPIRE$: Produced ID OCT 02, 2009CK Produced (D April 17. 1010
Tlirur'uD1¢ UMerwnters
AS e InsuranceAPPLICATIONAPPROVEDBY: ni UpGties: FD:
Initi&Date) ` Initial dr p11 ) /o`
Initial & Date) (Initial & Date)
Special,Conditions: