HomeMy WebLinkAbout4405 St Jones Park WaySO - — Permit #
Cffl' OF SANFORD PERMIT APPLICATION
Dale:
a 410,57 OeL-e- P*,/G V-1 ZfobAddress: 72
Description of Work: ,4 ROAAdV i 4C16S Total Squar Footage
Historic District: Zoning: Value of Work: S i 7 s
Permit Type: Building -Iectri Mechanical Plumbing Fire Sprinkler/Alarm Pool
Electrical: New Service - # of AMPS Addition/Alteration Change of Service femporary P e
Mechanical: Residential Non -Residential Replacement New (Duct Layout & L-•nergy 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 mmerci Industrial
Construction Type: # of Stories. of Dwelling Units: Flood Zone: (FEMA form required)
3woers Name & Address:
Phone:
47 ootraclor Name.& Address: y S G / C JGQS.q 7- 6
6 116Z4 -C& ; ??_- 2 ^_ `State License Number: 5 i OU 2_0 Z z
y
tent & Fa:: 40)- . kd -h Told Contact Person: ___ 1f / L.s i A Phone: 4o/ - esa ! 3onding
Company: 4
ddrtss:
Nortgagt
Lender: ddress:
rchilect/
Eagincer: ddrtss:
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 ssuanee
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 w4mit
must be secured 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 artd that all work will be done in compliance with all applicable laws regulating instruction
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. eceptance
of permit is verification that I will notify the owner of the property of the requirements of Florida nl3. Signature
of Owner/Agent Datc Signature of Contract cat Date Print
Owner/Agent's Name Signature
of Notary -State of Florida Date Owner/
Agent is _ Produced
ID LPPROVALS:
ZONING: pecial
Conditions: ev
03/2006 Personally
Known to Me or UTIL:
FD: b
Signature
of Nota>-r i f Florida iv Vie Contractor/
Agent is c gaily ovC b loL -f t 8 _ ProducedID7- lllll
l lll1 ENG:
BLDG: 30.
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