HomeMy WebLinkAbout2515 W 25 StPermit # :'� �q q
Job Address: ZS I .S 00 . 7_(1A Sa'
Description of Work: S I h
Historic District: Zoning:
RECEIVED
CITY OF SANFORD PERMIT APPLICATION JUL
Date: ( I
-Z!� -)-I:l t 1i
Value of Work: S i
Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool
Electrical: New Service — # of AMPS
Mechanical: Residential Non -Residential
Plumbing/ New Commercial: # of Fixtures
Plumbing/New Residential: # of Water Closets
Occupancy Type: Residential Commercial
Construction Type: # of Stories:
Parcel #:
'Owners Name & Address:
Contractor Name & Address:
Phone & Fax:
Bonding Company:
Address:
Mortgage Lender: _
Address:
Architect/Engineer:
Address:
v Fie v
Addition/AIteration
Change of Service Temporary Pole
Replacement
New (Duct Layout & Energy Calc. Required)
# of Water & Sewer Lines
# of Gas Lines
Plumbing Repair — Residential or Commercial
Industrial
Total Square Footage:
# of Dwelling Units:
Flood Zone: (FEMA form required for other than X)
Proof of Ownership & Legal Description)
H05,0,4 -I"1 L L C-
Phone: `'1i— 0J r Vi
State License Number:
Contact Person: Phone:
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.
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. 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 ermit Js veri eQtX"',
at I will notify the owner of the property of the requirements of Florida Lien Law, FS 713.
-7,[IO a`o-S
Si nature of caner/Agent ate Signature of Contractor/Agent
Pr w er/Agent's NatVe Print Contractor/Agent's Name
r � �
ignature of Notary -State of Florida Date Signature of Notary -State of Florida
Owner/Agent is _ Personally Known to Me or
Produced ID
Date
Date
Contractor/Agent is Personally Known to Me or
Produced ID
APPLICATION APPROVED BY: Bld` Zoning: h i PL e�� Utilities:
(Initial &Date) (Initial & Date)
Special Conditions:
FD:
(Initial & Date) (Initial & Date)
S
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DETAIL S..i-ET,_ � � II .._I ----• �--- \� --..._ �-- � I�.._.��- - H�ule.•,3 c
RIGHT OF WAY MAP
SEA INDLE COUNTY ENGINEERING DEPARTMENT
L RfGHT OF WAY MAPPING - - - - - - - - -- -
11
5 feet
IDR, WESLEYBORGMAN
eet
5 lines of
changeable copy here
Concrete
Contractor:
Sign*A*Rama
Suite 111
3801 West Lake Mary Blvd.
Lake Mary, FL 32746
Sign Face is 50 ft.'
Sign is 2 sided
3 MM Dibond Substrate
Graphics made with Vinyl
Mounted to 15 foot 4"x4"
treated posts and held with
Quick Setting Cement