HomeMy WebLinkAbout4405 Saint Johns PkwyRECEIVED
1 2006
Permit #
Job Addr
Description of Work: MY n 1 SYI 1 1 r klbllk I 1 +1 lr[ _ 1 I " .,, Total Square Footege,
Historic District: Zoning. Value of Work: S IZ/2( 1.
Permit Type: Building Electrical Mechanical Plumbing —)L Pool '
Electrical: Nea' Service — = of AMPS Addition Alteration Change of Sen-ice Temporary Pole _
Mechanical: Residential Non -Residential Replacement Nei' ID uct Layout & Energy Cale. Required)
Plumbing/ Nei ' Commercial: = of Fixtures = of Water &. Sewer Lines = of Gas Lines
Pluntbing/Nea' Residential: = of Water Closets Plumbing Repair — Residential or Commercial _
Occupancy Type: Residential Commercial —)L— Indus1rial
Construction Type: # of Stories: = of Dwelling Units: Flood Zone: IFEMa form required)
L"l i iC.7 .. ilia: Ir ': • .
Bonding Company:
Address:
Mortgage Lender.
Address:
ArchiteWEngineer. nmar.. LRYi lc- e 1) Aw
Address:9-401 S. 6rl Aaj,- 1 _ 30 Iaxjdb -(- 32,91a Fay: 4M c7710 02413
Application is hereby made to obtain a permit to do the work and insWIstioos as iDdicated I catify that ao wart or installation has commenced prior to the
issuanoe of a permit and dm d aD work wiD be pafamod to red stmdu* of all laws rgpdatkg eaostructim m this jw6dictieo. 1 understand that a separate
permit must be secured for ELECTRICAL WORK, PLUNUUNG, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and
AIR CONDITIONERS, eta
OWNER'S AFFIDAVIT: I eeAify"all of tie foregoing information is aocarste and that all wort will be doao in compWttce wkb all applicable laws regulating
construction and zoning. WARNING TO OWNER YOUR FAILURE TO RECORD A NOTICE OF CON04ENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR DAPROV EhIENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
ATTORNEY BEFORE RECORDING YOUR NOTICE OF CONAENCENIENT.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applirabie to dais property that may be found in the public records of
this county, and there may be additional permits rogaued from aWQ governmental entities sacb as watr maoageseat districts, state agencies, or federal agencies.
Acceptance of permit is verification that 1 will notify the owner of the property of the requirements of Florida Lies Las , 13.
Signature of Owner/Agent Dole ignshoe of Date
Print OwnedAgent's Name
Signature of Notary -State of Florida Date
OwoedAVmt is _
Ptoduced ID
APPROVALS: ZONING:
Spacial Conditions:
Rev 03/2006
ti
Personally Known to Me or
17nll h benn-1 rd .11-
Print Agent' Name
r
S apse of
ATE OF FLOR
Nicole K, Hopkins
L i commission # DD478067
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