HomeMy WebLinkAbout2418 S French AvePermit # : 0 -7
Job Address: -?5119
Description of Work:
CITY OF SANFORD PERMIT APPLICATION
Date: 7 -X - U?
11--Jora/ re 3P-771
Ar (7) ae avot r
Historic District: Zoning: Value of Work: S
Permit Type: Building_ Electrical X Mechanical Plumbing Fire Sprinkler/Alarm —Pool
Electrical: New Service — # of MAPS — 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 r 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 #: (Attach�FWf of Ownership & Legal Description)
r
Owners Name & Address: A3;// -J (?jj I.C^C� Ih-e
—5044W`t(Ft 32771 Phone:
Contractor Name & Address: /1 Phone:
664,; ^% a �!s aa 100A11 -;X A.- —,
— SattY'00( ;Wn State License Number: 6Ct1fVC1
'hone u<,Fax: Contacr Person: �hofle:
Bonding Company:
Address:
Mortgage Lender:
Address:
4114 hont-:
C711. yi�:%
issuance wru 7,=i; .-no mat an mrK Ge pe,-! . OnTieu laws rcquianrn: -onstrucL:on in :,.suer;; anu mm L -epamie
ZUR� -S
-ermu rnusr. ot secured for EL-=ICAL �VORK. LUIAB(NG. HEA A
IGNIS. JELLS, POOLS, SACC
3011 ZRS'. RS. TANKS. ana
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 PAY
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 districts, state agencies, or federal a�genciies.!
Acceptance of permit is verification that I will notify the. owner. of the property of the requi of Florida Lien L
t' -7- zo --e 7
2' t
Signature. of Owner/Agent Date Si tare Contractor/Agent' Date
Print Owner/Agent's Namezr--
Print CQntractor/AgenE's N-1
Signature of Notary -State of Florida
Owner/Agent is _Personally Known to.Me or
Produced ID
APPLICATION APPROVED BY: Bldg:,
Special Conditions: .6LQ. 6
Date
:)7.
Zoning:
f (Initial.&
Signature of Notary -State of Florida
Date
Contractor/Agent is — Personally Known to Me or
Produced ID
Utilities:
FD:
(initial & Date), (Initial & Date)
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