HomeMy WebLinkAbout223 Loch Low DrPermit #: o ^
Job Address: 2 G-3- Loch Loo
Description of Work: REMOVE & Rl
Historic District: Zoning:
PLEASE CALL NAN @ 407-468-1010 WHEN READY.—THANKS
CITY OF SANFORD PERMIT APPLICATION V
Date:
Value of Work: S�Q
Permit Type: Building XX Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool
Electrical: New Service — # of AMPS Addition/Alteration Change of Service Temporary Pole
Mechanical: Residential Non -Residential Replacement New (Duct Layout & Energy 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 Commercial Industrial Total Square Footage:
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X)
Parcel #: ��U V (iAttach Proof of Ownership & Legal Description)
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Owners Name & Address: k)utl-rr-i Ted Tt�nnPr► Ji�7l-�hll IL.
Phone: t --IC.,) / —01" - I U Z -7
Contractor Name&Address: LOWE'S Peter Anothy CafaroIII 4948 Tellson Place .
ORLANDO, FL 32822 `Steze.t.icaPseNutnber: CGC 1508417
Phone &Fax4 07-467-2643/407-327-0910 Contact Person`: MINDY HOLMES Phone:407 468-1011
Bonding Company: NA
Address:
Mortgage Lender: NA
Address:
Architect/Engineer. NA Phone:
Address: Fax:
Application 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
issuance 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
permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and
AIR CONDITIONERS, etc.
OWNER'S AFFIDAVIT: I certify that all ofthe foregoing information is accurate and that all work will be done in compliance with all applicable laws 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. IF YOU INTEND 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 di ' is, state agencies, or federal agencies.
Acceptance of permit is verification that I will notify the owner of the property of the require is Florida L' FS 1
5 �o
Signature of Owner/Agent Date Signature of Contracto Agent Date
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Print Owner/Agent's Name Print Contractor/Agent's Name
5 i o ^7
Signature of Notary -State of Florida Date 4gnature ota-State of Florida Date
a'�nr_�V�1q 1iV'b'0�
DEBBIE �.
Owner/Agent is _ Personally Known to Me or Contractor/Age Mrs 9"W-1909966
Produced ID Produced °rr` February25, 2011
— 0 try iscount Assoc. Co.
APPLICATION APPROVED BY: Bldg Zoning: Utilities: FD:
(Initial . Date) (Initial & Date) (Initial & Date) (Initial & Date)
Special Conditions: