HomeMy WebLinkAbout112 Woodfield CtCITY OF SANFORD PERMIT APPLICATION
Aliplication N : D ;- _46 Submittal pate. � —
Job Address:. 7 I t rte'- s _ t C� L �L_._:. Value of Work:
parcel 11): -! �C '� 2�`�� �t�L_ Zoning Historic District:
Square Footage: t
De,.riptlon of Work.: � ,r�'�tl�r�G�0`�(,t.��` ....... ..... I. .. �...... •�
... .1..... ........ .... ............ ...... ... .. .
Perrnit;fype: Building' 1 Electrical ❑ Mechrtnical ❑ Plumbing ❑ Firc Sprinkler/Alarm ❑ Pool ❑ Sign ❑
Electrical: New Service - 11 Of Avll'S Addition/Alicration ❑ Chamge of Service ❑ 'fctnporary POlc ❑
Mechanical: Residential ❑ Non-Residdltial ❑ Replucemcnl ❑ Ncw ❑ (Duct Layout (", Energy Calc: Required)
Plumbing/ New Commercial: t/ Of Fixtttres !! of Water & Sewer Lincs i! of Gas I.,ires
Plumbing/New Residential: !! of Water Closets Plumbing Repair - Residential ❑ Commercial ❑
Ocetipancy Type; Residential ❑ Commercial ❑ Industrial ❑ Occupancy Use Group(s):
Construction Type: _ Itof Stories. _ 1/ of Dwelling Units: - Flood Zone: (FENIA forut required )
•property Owner' ' C'U )m, l l'� J -. tc....................Conti........... .........
• •�—• 1 Y�-elp•
Address:I j r� - Q��I Address:
d...L1f�'i i� r`(� :Jri ) �— C1. (?'� )'7► ra �.� IS���
Phone: VO E-n)ail:' Phone:' % t State `_iceuseNumber:=_)CC%'/
Bonding Company: ) Mortgage Lender:
Address: �� �- -- Address: /
Architect/Engineer: L.!�L;rl= � t7S� �T Phone: j �) 7Cc� A--'=-� l
Address: Ro. ,n clR-7 I ttx ?
L1j-c��e� /0 7— !4�e 1
Plan Review Contact Person. Phone: r " ( hax: c1 I I;
-mail:
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Application is hereby made to obtuirr a pemlit to do -the work and installations as indicated. I certify that nu work or installation has commenced prior to the
issuance of a permit and that all work will be performed to rireet standards ofall laws regulating construction in this jurisdiction. I understand that it separate
permit must be secured for ELECTRICAL WORK, PLU1VIt31NG, SIGNS, WELI..S, IIOOf.S, FURNACES, BOILERS, I IEA URS, TANKS, and
AIR CONDITIONERS, etc.
OWNER'S AFFIDAVIT: I certify that all of the foregoing iutorrnation is accurate and that all work will be done in cormplianccwith all applicable lam regulating
construction and zoning
WARNING TO, OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT
MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE
FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITI I YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR
NOTICE OF COMMENCEMENT.
NCS 1'IC:_F.: In addition to the requircmcnis of this permit, there may be additional rcwictions
applicablc'to this property that may be found in the public records of
this county, and there may be additional renttiis required from other governmental entities
such as water management districts, state agencies, or federal agencies.
Acceptance of permit is verification that I will roti y the owner of the property or the requirements uf*FI-ULLQa Licit Law, FS 71:3.
St�f rt<Ilt�r <rf (s mer ent Dale
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Si nature of C ntracto kn ".ent
S v f Date
rintrint Oti�nt's Na tte�
Print C'ontr fur/Ager 's Name
ignaturc of otary-, tate u F or< t�� r
NOTARY PUBLIC -STA, FLORIDA
Signature of Notary -State of I load t.`i0I'ARY PURL I'TATE OF FLORIDA
. Matre-Harrison
Susan L,
Susan L, Matre-Harrison
z CtnInisiim x DD680567
i7t1 # DD680567
Con1111SS
Expires:cc011
cxpl es; JULY 12, 2011
BONDEDtHRULBQNDINC. C), INC
Owner/Agent is_
BONDED xuvrlormu�ca, INC.
eisonally Knc wr to Me or
_ ,pro-duccd IU (/vaj!)r
Contractor/Agent is E'ersonally Known to Me or
Produced ID
APPROVALS: ZONING; l/1 �I h UfIL: _ _ FD:
W, _ ENG: BLDG:_
Special Conditions:
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