HomeMy WebLinkAbout159 Towne Center CirPermit #
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Job Address: _ J _•[ / C) � k
Description of Work: ,4 4, 4•- j e (ej_,
Historic District: Zoning:
RECE:I ED
CITY OF SANFORD PERMIT APPLICATION
gate: �L — -(-0 —?JUN 2 1 2007
Value of Work.-
Permit
ork:
Permit Type: Building _ Electrical . Mechanical __ Plumbing fire Sprinkler/Alarm Pool
Electrical: New Service # of AMPS _______ Addition/Alteration __,_ Change of Service Temporary Pole_ mm_
Mechanical: Residential Non -Residential Replacement . New (Duct Layout & Energy Calc. Required)
Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Litres # of Gas Lines
Plumbing/Flew Residential: # of Water Closets Plumbing Repair-- Residential or Commercial
Occupancy Type: Residential __ Commercial _/�_ Industrial _•__ Total Square Footage: _��
Construction 'type: # of Stories: # of Dwelling Units: _ Flood Zone: —•. (FENIA form required for other than X)
Parcel #:
Owners Name & Address:
(Attach Proof of Ownership & Legal Description)
Phone:
Contractor Name & Address: t/1�� ,n �Q L)AAte,y�� CAV1601_�ir
State License NN?.4
Number: (� t9 041_0 I_
Phone&Fax: y4�` � �/0�� tQ� 23� �1 Contact Person: , jzT C4 '9.) yl K Phone:
Bonding Company:
Address:
Mortgage Lender:
Address;
Architect/Engineer': _ Phone;
Address: _ Fax:
Application 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
issuance ora permit and that all work will be performed to meet standards ofall laws regulating construction in tbis jurisdiction. I understand that a scpamto
permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HIEATERS, TANKS, and
AIR CONDITIONERS, etc.
OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will be clone, in compliance with all applicable laws regulating
construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OFCOMMENCEMENT MAY RESULT IN YOUR PAYING
TWICU FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INT$ND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
ATTORNEY 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
this county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies.
Acceptance of permit is verifleation that I will notify the owner cif the property of the r\ f Florida Licn Ln` tT
77
Signature of Owncr/Agent Date Sigt^'at ,ot aclarfAgtit[ �Gte !�
Print Owner/Agent's Name
Signature of Notary -State of Florida
OwnerlAgent is.
___- Produced ID
Personally Known to Me or
A['PLICAT(ON APPROVED BY: Bldg:
(Initial & Date)
Special Conditions:
f' Ca tt/r�ctur/Agtnt's Nanre r
Date Signature of Notary -State of' Florida / n
Coutractur/Agent is.� Personalty Known to M
Produced ID _ =I
Zoning: _ Utilities_� [ D;
(Initial & Date) (Initial & Date) i ,• `'
.y� e
(�R , S'IAHL' OF FLORIDA
�,.ti)J.(: [,I. NI, Fh-iley
` Commission :' DD584641
,,,• ExPiles: SEP 24, 2010
)ED'rililt AfhM41IC BONDING CO., INC.
;C!
nal Date
..........
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LEGEND
Loft
EXISTING 1
OUTLETS
.1" PLUGS
w >
RELOCATED
1/2" 155*.,
PENDENTS
T -
83
-NEW TYCO
1/2" 155c
TY—FRB PENDENTS
NEW TYCO
1/2" 1550
RFII CONCEALED PEND
34
2,
NEW TYCO 1/2" 200" TY—FRB PENDENTS
TOTAL
128
NEW PIPE
-EXISTING PIPE
Loft
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