HomeMy WebLinkAbout401 W Seminole Blvd (14)n I - _ e
Pec ived F _._•_ Se `15 2005"E - - AM Fa)( ation� ° Denman Uou ins..
Sep 15 05 09:08a
Permit III: _
.Iob Address: yb
Description of Work•
H'
Lexcor
CM'(IF SANFORD PERMIT APPLICATION
13u lcif) 5 /C Date:
D� 81 vd Sw-N.�n�
P-2
Isloric Drstnet Zoning: Value of Worst: S_ � 200p,04
Permit Type, Building Electrical Mechanical plumbing Fire Sprinkler/Alarm Pool
Electrical: New Scrvicc — # of AMPS Addition/Alterntion Change of Service Temporary ptxary Polc
Mechanical: Residential Non -Residential Replacement New
(Duct L.ayotit & Entxgy.Calc, Required)
Plumbivj New Commercial: # of Fixtures—K of Water do Sewer Lincs # of Gas Lines
PluFnbtng/Ne+w Residential tc 0 of WoterclosePlumping Repair— Rr:sidrntial or Commercial
Occupancy Type; Residc�aj Commercial Industrial Plumbing
Square Footage:
Construgioa Type # of Stories:# of tDwetling Units Flood Zone
Q �1 (FEMA form regalred for aearr than X)
Parrelsl: 5-� f `30`3001—OP07Q •--/70QV AtlachPrna/a[Owoer> d:[,eaalpescrlption)
Qa"Ilerr Nang & Addrestt I�C.I'Ft L rI lu_,4ti a—js�-E ,fin '�_ �r �.. t�/., n _ . % r i .-
1ys�( wf' 7ae(eYoO
Coatraelor Name Address; Phone:
Mate Uetnsc Number
Pboac &Far: Ca>,taH
Bonding Pf:rsoa-
Compaa): Plaae:
Address:
Mortgage Lender:
Address:
Arebired/Enpneer: G • �//j _//�f/�/ C
Aaa�_. /Pin \ �� A w. a L,. w 1 A 1. • I Phone: 17L_L V f 3✓ V-
- H Y-► -
Application is hereby trade to obtain a permit to d o the wnrit and installation as indicatai. l ocn,ry that no worts Or installation has colnmrntaod
issuance of a Permit and"all ri xk will W Perronmd to "Wk1 Standards of all lmws r< ufati prior to the
Pam" must be accused for ELECTRICAL WORM PLUMBING, SIGNS, WM_LS, POYOLS. FFURNACES BOILI?1tu sdkii L I � � a separate
AIR CONDITIONERS, ac.
2WNER•S AfF1DAYfT, 1 cenify hunt all of the k"going in&arootim is accaratcand" aIJ %,ori; Will be door in eompliancewim all applicable laws negulat6v
constmetionand W&60'
WARNING TO OWNER YOUR FAILURE TO RECORD A NOTICE OF COMMENCEty�(T MAY IteSULTlN YOUR PAYING
TtV10E FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOItE vj IN OR AN
ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
NOTICE: In addition to the "tdMmenee ofthispcnnk t
thisciximy, and them y be addltitmal nr rcgtrirctl
Acctptarkco,�""""` 9 `wirwation thayl wrl i6 dt,
uJ51UN # DD 465628
September 11, 2009
Notary PuWfc Underwriters
r odditinnol raaric!ont applicable to this property that Fray be found in the public remands of
Eorcrpllucatal emit its stx.-h as lancer managaacnt alistriels, stale agencies, or fedora) agchcirc,
ay of the requirenl is ornarid Law, FS
vs- , ,
APPLICATION APPROVED BY: Bldg: Zoning:
(laitial Dale) (tnitiu! &Date{
Spatial Coeditiotls:
RUDIA BAEZ —
""ON # DD 465628
September 11, 2009
0-14 hies• FD:
(Initial & pate) (Ioilial fi Ikfr�)
1 - e /
Regi ied_F� Sc 15 2065 8:]sAt^, Fax Sta.ibn �- Ce��inan Grou lnc:�- �3 _ °�
Sep 15 05 09:oea Lexeor P.3
AFFIDAVIT
REGARDING ROOF DRY -IN AND FLASI•IING INSPECTIONS
Company:y �License #:
213
`Tf4WOA Intl) 11 i 1,9 3
Project Information
Owncr: /,4�-x;V'
na[f1e �
y
address.
1*0M �-
Permit #:
Subdivision:
Lot #:
I' A 4*), affiant, hereby affirm that I am the duly licensed
contractor o record for -the above referenced permit, that all the foregoing information is true
and accurate, and that the dry -in, flashings at the above referenced address or lot has been
installed in accordance with the applicable codes and standards.
Contractor:
siSratuie
printed aamc
STATE OF FLORIDA `
COUNTY OF —6,,//f1 i'!l �l `'e
This instrument was acknowled before is /s
above referenced individual, , day °f . ?%by the
duly licensed contractor with who acla�a ledged that he/she is a
he/she was authorized to execu a this document. He/ a is ei -- ho acknowledged that
produced own to me or
as valid identification.
WITNESS my hand and seal this % day of /.allJS
=., Y C ISSION DD 465628
o E RES: September 11, 200911
Thru Notary Pic Underwriters