Loading...
HomeMy WebLinkAbout2400 French AveCITY OF SANFORD PERMIT APPLICATION (� Application ft: 0-_ 3I 4'2�- Submittal Date: Job Address: `IO� GING�t IgV-e Value of Work: Parcel ID: 3(. ` I q' 3©- J LA g r 1500 — O )1 (Zoning: Historic District: Description of Work: Cil &L)qe D O C 19 001 015-&0 /y /UC C -'t' Square Footage: ................................................................--------------`------- Permit Type: Building El Electrical or..Mechanical ❑ Plumbing ❑ Fire Sprinkler/Alarm ❑ Pool ❑ Sign ❑ Electrical: New Service # of AMPS Addition/Alteration f(d� 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 ❑ Commercial ❑ Occupancy Type: Residential ❑ Commercial ❑ Industrial ❑ Occupancy Use Group(s): Construction Type: N of Stories: # of Dwelling Units: Flood Zone: (FEMA form required .........................11.............1............................................. . _ •Property Owner: n) t G� A 2 l 13 4 5 t h n Contractor: se— Tie ey Address:�� J00— Cr o 0 a t7r Address: 3S 1 a C- m bi v S �, /7� 1 Uti 1, -..54 /o FN3 a I /� "1 -3 tZ3'1 Phone: Bonding Company: Address: Arch itect/Engineer: Address: E-mail: Plan Review Contact Person: Phone!{`/' -1' 11 -IAJ4State License Number: CCI U d Mortgage Lender: Address: Phone: Fax: Phone: Fax: E-mail: Application is hereby made to obtain a permit to do the work and installations as indicated. t 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 of the 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. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. 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 districts, state agencies, or federal agencies. Acceptance of permit is verification that I will notify the owner of the property requirements o •lorida Lien Law, FS 713. 7)v Signature of Owner/Agent Date Signature of Contractor/Agent Date Print Owner/Agent's Name Signature of Notary -State of Florida Date Owner/Agent is _ Produced ID APPROVALS: ZONING: _ Special Conditions: Rev 07.07 Personally Known to Me or UTIL: FD: Print ontractor/Agents-s N Si'gndure of Notary -State of Floridaate III�j/// T. ' oty ib ` Pte.°moi '= N Contractor/Agent is PeL5on�1y."own to Me Produced ID 7�.�" ENG: fOli1I10\0 `�; D, 0 U