HomeMy WebLinkAbout4405 St John Py (2)It
CITV OF SANFORD PERMIT APPLICATION !)
Permit II
n :
t/ // Date:
fob Address: 4'7 /
Description of Work: r-, L/ 6 otal qua e Footage —
If is(oric District: Zoning: Value of Work: S S 2 0 00,0 +
Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm 11001
Electrical: New Service -Hof AMPS Addition/Alteration Change of Service TemporaryPole Mechanical:
Residential Non -Residential Replacement New (Duct Layout & Energy Calc. Required) Plumbing/
New Commercial: H of Fixtures H of Water & Sewer Lines H of Gas Lines Plumbing/
New Residential. H of Water Closets Plumbing Repair - Residential or Commercial _ Dccupancy
Type: Residential Commercial, Industrial Construction
Type: III of Stories: H of Dwelling Units: Flood Zone: (FEMA form required) 3weers
Name & Address: / " OV ' t I*- PE outraclor
Name & Address: hone &
Fax: Q0 )" - 3onding
Company: FnIK v ddress:
Mortgage
Lender: ddress:
rchilect/
Engineer: ddress:
T/
771-
c C d . t-Ca`2 T I Slat
License Number: O
Contact Person. '^r / GS Phone: 74 o
V 9,0? 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 that all work will be performed to meet standards of all laws regulating construction in this jurisdiction. I understand that a separate wrmit
must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and UR
CONDITIONERS, ctc. I I
WNER'
S AFFIDAVIT: J 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 TFORNEY
BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. 1
I E: 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 managemcnt districts, state agencies, or fcdcral agencies. cccptancc
of permit is verification that I will notify the owner of the property of the requiremen Flor n Law, FS 713. Signature
of Owner/Agent Date Sign u ntractor/Agent Date Print
Owner/Agent's Name Print ontractw/A is Name Signature
of Notary -State of Florida Date Signature of Not at da DEBBIE BOWTON MY
COMMISSION N DO ISMI EXPIRES:
February 25, 2007 t
490-9,{r TINY '-.. 60!ati amount nssx. Co. OwnedAgent
is _ Personally Known to Me or Contractor/Agcnt is Personally Known to Me or \/ Produced
ID _ Produced ID LPPROVALS:
ZONING: UTIL: FD: ENG: BLDG: pecial
Conditions: cv
0312006 9y-
4 I p. DU R