Loading...
HomeMy WebLinkAbout300 Lakewood Dr (2):: Permit # Job Address: 0� -- 2019 Description of Work: IPU I Historic District: CITY OF SANFORD PERMIT APPLICATION Date: Permit Type: Building Electrical 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: of Work: $ r ,,T 3 5-0, C© Mechanical Plumbing Fire Sprinkler/Alarm Pool _ Addition/Alteration 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) Parcel #: 33 / �� �® ��t/� `f Y/ y --k(Attach Proof of Owneershhip &) Legal Owners Name &jAddiiess: �n %�rIP/)`/K b /�G/I% L/P e r- 30© A--hw Name & Address: Phone & Fax: k7 -3,U -25-F-3 Contact Person: f1d3AE�/-'� (/i %p(,�� rPhone: �7 323-7;':> ( 0Z Bonding Company: Address: Mortgage Lender: Address: Architect/Engineer: Phone: Address: 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 a to this property that ay ound in the public records of this county, and there may be additional permits required from other governmental entities s ch as w er geme i i to agencies, or federal agencies. 190%31 a of permit isverifi io* that I will oti the owner the property of the requirN ent fFI rid Lie F tSignature of Owner/Agent Date 44 Signature of Contractor/Agent Date � I LL i Am S • 13 a L.� ' - CPrin ner/Agent's Name Pr' t Contractor/Agent's &,yag'. E ))04 Signature of Nota tate o Io a Date Sig ature of Notary -State of Florida Date U O ner/Agent is Pe�r-s�onta�tltyI Know to Me or i Produced IDC►'Ir. ` (Cef1 S G TION APPROVED BY: Bldg: Special Conditions: "Zoning: Contra to t DEBBI�E�t �BLANTON P t Oelr ito'SIt�hW`l9btgMM, t-8003NOTkV, FL N 'sco t oc. Co. I I s: FD: (Initial & Date) (Initial & Date) (Initial & Date) (Initial & Date)