HomeMy WebLinkAbout319 Elliot Ave (2)b2o-
Permit # :
Job Address: • 317 FU 10T 44
CITI' OF SANFORD PERMIT APPLICATION
Date: - z7i06
pDescriptionofWork: I\JW t tZX To(aI Square Footage
Historic District: Zoning: Value of Work:
Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool
Electrical: New Service - # of AMPS Addition/Alteration Change of Scrvice Temporary• Pole V
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
Dccupancy Type: Residential % Commercial Industrial
Construction Type: # of Stories: # of Dwelling Units: Flood "Lone: (FEMA form required
3waers Name & Address:
Phone:
contractor Name & Address: - wlAe bW40 14.CCI-414 PD"n'
24" ah t,/Ialm-Y Ad svr-,w /In 54yfo'-4l "• 72 7% I -Stale license Number: rZG
hone & Fax: % Z 1107 eypQ G-ie, Contact Person: tJ/a IA01 I%4u«1 Phone:Z-
3onding Company:
ddress:
Mortgage Lender.
ddress:
rchitect(Engineer:
ddress:
Phone:
Fax:
pplication 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
ssuance of a permit and drat all work will be performed to meet standards of all laws regulating construction in this jurisdiction. I understand that a separate
mmrit must be secored for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and
UR CONDITIONERS, etc.
WNER'S AFFIDAVIT: 1 certify that all of the foregoing information is accurate and drat all work will be done in compliance with all applicable laws regulating
orWruction and zoning. WARNING TO OWNER. YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
WICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
TTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. «
NOTICE: 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
his county, and there may be additional permits required from other governmental entities such as water management districts, state.agencies, or federal agencies.
cceptance of permit is verification that I will notify the owner of the property of the require en t Florida lien F 13.
Signature of Owner/Agent Date Signature of Contractor/Agent Date
Print Owner/Agent's Name
Signature of Notary -State of Florida Date
Owner/Agent is _ Personally Known to Me or
Produced ID
LPPROVALS: ZONING:
pecial Conditions:
ev 03/2006
UTIL: FD:
I Name
DEBBIE BLANTON
My COi'r MISSIOI d DD 16W1
EXP114ES: Fooruary 25, 2007
1 8W-3-N()Si.r Y Y7 F.ry il_000Ti Af90C. C.
COnlraCt - ^pCr50naf1 wn•to- / Jr` [%
Produced LD N(_ _ / r-V a
ENG: BLDG: