HomeMy WebLinkAbout324 Springveiw DrPermit # :
Job Address:
Description of Work:
Historic District:
CITY OF SANFORD PERMIT APPLICATION
Date:
,Q
Zoning:
Value
Value of Work: S
Permit Type: Building electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool .
Electrical: New Service — # of AMPS 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 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 #:
Owners Name &
Phone & Fax: _-
Bonding Company:
Address:
Mortgage Lender:
Address: .
Architect/Engineer
Address: _
(Attach Proof of Ownership & Legal Description)
7
—
� �y 11) (" State License Number:
�2r� L,� 3- l s 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 rcrulating
construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT M1 YOUR I'A.YING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDI-1 0R. 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 is vert tion t I will notify the owner of)he property of there ine of Flo a ien �1F 1 .
S' nature of Owner/ gent Dat ignature of Contractor/Agen -., Date
ri Own r/A Z
ent's Na P Contractor/Agents Na
ca 1'2
;azure of , ' ;of FI rid Dat Sig alar aof State t6ErFlpB CANTON Date
MY COMMISSION # DD 208255
;• EXPIRES: May 1, 2007 MY Cb',fl,%,€3EtON # DD 188491
Rf^r B-WThruNobgPublic Undewhrs EXPA 3: February 25,2007
Agentr a Contrac rlAge WLARY Pers&aW own o a Co.
Produced ID
_ D.
APPLICATION APPROVED BY: B �te'
ming: nlities:
mu(Initial & Date) U
Special Conditions:
FD:
(Initial & Date) (Initial & Date)