HomeMy WebLinkAbout108 London Fog WayCITY OF SANFORD PERMIT APPLICATION
Permit # : 1) 5. 4 13 I
Job Address: 108 london fog way
Date: SEPTEMBER 13, 2005
Description of World-, ,c0_g] a,l r -i .i-ri c water heater replacement p
Historic District: Zoning: Value of Work: S
Permit Type: Building Electrical Mechanical Plumbing XX Fire Sprinkler/Alarm Pool
Electrical: New Service— # of AMPS Addition/Alteration Change of Service Temporhry 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 #: - 33-19-30-513-0000-0290 (Attach Proof of Ownership & Legal Description)
Owners Name& Address: thomas lewis 108 london fog way
sanford,fl 32771
Phone: 407-302-9333
Contractor Name & Address: f_lIILL(la delta mechanical
7237 bryan dairy rd largo , florida State License Number: cfc 1425917
Phone SFax:7_2 -545=7_957 _Contact Person: michelle/ decemb(plXone:7 -�-57957
Bonding Company:
Address:
Mortgage Lender:
Address:
Architect/Engineer:
Address
Phone
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 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.
O\\T'EA'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 PAWNG
TWiCE FOR IMPROVEMENTS TO YOUR PROPERTY. iF YOU INTEND TO OBTAIN FINANCING, CONSULT WiTII 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.
N Ocvkprance of perp t is erificatio t sill nonfy th tuner i the propern' of the requirementsof Florida Lien Lasw. FS 713.
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