HomeMy WebLinkAbout1460 Rinehart RdPermit # : `✓ V __ �` J i
Job Address:/ �C%
Description of 1VorKMmme,
Historic District:
Zoning:
CITY OF SANFORD PE IRMIT AITLICATION
Date. _
xa
ty
lifi`'c�T V 1�'IC�/`✓Uti>c-�Ll �/�i %r'/ ��i//.J/,% C'�X�>!�c �.S
Value of Work:
L 5 .,.. Y, 4, .IFL �•i: N. N d 'dW ':..r OJh ll'�%)iI _lJ ._..
Permit T)1pe: Building Elcctrical �_-Mechanical Plumbing hire Shrinklel'/Alurtu Pool
Electrical: Nese Service - // cif ANII'S Addition/Alteration -_- Change Of Service Tcnlporury Pole __ _-_.
Ylixhanical: Residentiul _ Non -Residential Replatcelncnt _— New (Duet Layout & Energy Utile. Re(iuired)
Plumbing/ NQNN Commercial: I/ of Fixtures 8 of Water �"• Sewer Lines # of'Gas Lines
Plumbing/New Residential: /1 of Water Closets Plumbing Repair — Residential Or Commercial _
Occupancy "Type: Residential _ Commercial Industrial Total Square Footage: - ,
Colistruction •I•ype: _ ti of Stories: it of Dwelling Units: __ Flood Zone: (FERIA fort, required I'm - other (11:11, S)
Parcel N: _ (Attach Proolof' Ow'na-ship & Legal Description)
ON)ners Name l
CA ?r_ S%E� % c- /G.✓ <<y�? C, "[
Contractor Mame SAddress: />%` �' �j`'l7 /—
flAA S2 4,�leCiC Statc L I c e Ic Nun,hu
Phone \ Fax' Con,tact I'crwu: , /C' l 1'110m
Bonding
Address: ._._
Morigage Lender:_._... -
Address:
Architect/Engi
Address:
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no woik of installation has connnenccd prior to the
issuance of a permit and that all work will be performed to meet standards of all Iaws regulating consu-action in Ihisjuri Sdic(ion. I understand that a, SVI)mMe
permit must he Secured Rir ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, I IEATERS, TANKS. and
AIR CONDITIONERS, etc.
0WN)EI:'S"AITIDAVIT: I certify that all of' the foregoing ill 1,61 is accunttc and that all work will be done in compliance with all applicable laws rrgulnIing
cunsuun
ctioand zoning. WARNING TO OWN FK: YOUR FAILURE -1-0 REC•ORD A NOTICE OF COMML`.NCEiNIENT iMAY KESUL'I' IN YOUR PAYING;
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY, IF YOU INTEND'I.0 OBTAIN FINANCING, C'ONSUL'T' WITH YOUR LENULR OR AN'
AT'I ORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCLMIENI'.
, -ricF: In addition to the requilcluclits of this permit, there may be additional restrictions applicable to this propcily ,hat may be found in the public records of
this Gutty, and thea may be additional permits required from other govcnuucatal entities such as miler nmnugvmunt disu'icts, stale agencies, or federal agencies;.
Acceptance ol,pe tis verification that I will notify the owner ol'd ploperty of div requi int, ws > lurida L'ci
u U a i • f' mloc rrAecnt Dour
Sign, of Osvnu. Agent [ate Si,l tt ie t Cu
LL
PI nt CUnlrutorA e I s Name
Pi ill( nei!Ao''enI ale /
or
:-�'-`J— r'l j1�fl� Dut� / Si nature of Not Ir -State of Florida Date
,g, ry t�,Notai�-State bfbntP Y
r V h\Cfxy�n 'i1i)GCif1 r'-t,@ill S�1(w Gd r-Kxdn
t"om mj i tri [:�C7fd33�2
4'` ;ai a rI ,f}t) ITMI
0
vn� I�if�iiFtnt Is ti.,o5l,ir�y�tllvMh lU vl �r Conlnaclor /\�cnl is
�I+res�tttGed {fir; as-I'roduml I D
APPLICATION APPROVED BY: Bl(g: - l:yy ,•_- Lorin : LLLL .:-,�_Q� Utilities:
(Initial & Datc) (luitial & Data)
Special Conditions: -------.__.- f,, \------...-- ___--
k x D i;, 'a te.\ \ <'z) vJ l r\ Lti J
,f n °` MY CQfv1MISSION 9 CJD 166159
— Personally KI s`u 4�1f�s�r EXPIRES, 2
P ES. January 10, 007
lcVnoovrners
(Initial & Date) _ (Initial & Date)
U -&"
t , a
t L) ,
;.t g