HomeMy WebLinkAbout4405 St John PyI
CI'fl' PERMITSANFORDPERfC APPLICATION /)
Permit ti : — 6 • Date: I J'//" 6
Job Address: :s S / n
41
C7—
Description of Work: /6 Total Syuaare Footage
Historic District: Zoning. Value of Work: S •V o0
Permit Type: Building llectrical t Mechanical Plumbing Fire Sprinkler/Alarm Pool
Electrical: New Service — H of ANWS Z— &AW A Addition/Alteration Change of Service Temporary Pole
Mechanical: Residential Non -Residential Replacement New (Duct Layout & Energy Ca1c. Required)
Plumbing/ New Commercial: 0 of Fixtures 11 of Water & Sewer Lines # of Gas Lines
Plumbing/New Residential: k of Water Closets Plumbing Repair — Residential or Commercial _
Dccupancy Type: Residential Commercialy Industrial Construction
Type: Jwoers
Name & q
of Stories: N of Dwelling Units: Flood "Lone: FEMA form required) State
license Number: " J
hone &
Fax: ro 39 Contact Person: kVM-5 t,L, / A -Phone: BYO%' LRF" 6 flo aomding
Company: CFL do 2— 687— 5P'1570ddress:
Mortgage
Leader. ddress:
rchitect/
Engineer: Wdress:
Phone:
Fax:
pplication
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 the ssuance
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 mimit
must be sacred 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 that all work will be done in compliance with all applicable laws regulating onstruction
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. 40TICE:
In addition to the roquiranentc 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 1 will notify the owner of the property of the requirements Q;1orfd.J.gL-a-,FS713. 06
Signature
of Owner/Agent Date Signat rc ractor/Agent Date iLSo
t. %A 6A11-S Print
Owner/Agent's Name Print Contrayor/Agcg1's Name Signature
of Notary -Stale of Florida Date Owner/
Agent is _ Personally Known to Me or Produced
ID LPPROVALS:
ZONING: UTIL: FD: pecial
Conditions: cv
03/2006 Signature
of No—t 3tatc of Florida Date DEBBIE
BLANTON MYCOMMISSION # nn , ENG:
BLDG: to
l-0 to