HomeMy WebLinkAbout401 W Seminole Blvd (15)P.u.P,eceived Far Se 15 2005 8:73AM Fzx Station Denman Grou Tnc. _ 2
Sep 15 o5 09:OBa Lexcar
Permit if :
.1*Addnss-_70
Descriplitut of Work:
H'
CITY OF SANFORD PERMIT APPLICATION
�lr��"riV Date:
lc ✓ S -N-rne-d P t . 3 ;t 77
P.2
iSlone DestricC -Zoning. Value of Work:
- MINIMUM!
Permit Type. Building --V—," Electrical Mechanical Plumbing Fire Sprinkler/Alarm PW
Electrical.• New Servicc-# of AMPS AdditiowAltemlion Change of Service Temporary Pole
Mechanical: Residential Non -Residential RePlacerornl New
Plntnb!Wj Nen, Cominereial: # of Fixtures K of Water do Scwcr Lhres # o Gag lino & Enagy.Calc Required)
Piumbing/New Residential*a of Water ClosM,a Plumbing Repair - Residential orCotnmerdal
Occupancy Type, Residential Commercial Industrial Total S
quare Footage:
Counrygion Type: # of Stories: H of Dwelling Units` Flood Zone,
( FEMA form required for othrr Chau X)
Parcel N: S — / 9 — 3a —3C7D — 007Q 0QQ (Attach Proof 0f owoersid do IAgal Description)
Orrtxrs ►ams & Address I�L'.i'('l L i�i�uNtt. w_ 1 L: L.t 7`'_ ,r r7. n�_ .. _ . • 1
Contraelar Name J Address;
Pboae & Fax:
Sanding CompsOy.
Address:
Mortgage Lender:
Address:
ArebReelagglneer.
Phone:
Slate License Number:
Contact PeriOA: P1hoAe'
Phone: 4%U / —(0yL> —
-- .? y v f fv 7 r 4 y _
Application is hereby mode a Obtain a )x'rmil to do the work and installations as indicated. I certify drat no wtsrk or
instapndan has cotnnhcnepd
issuance of a permit and tihat all vvrn(c will be perlonn�d no AteeI stattdar� of all taws regukrtiag etxhstnner ion in this jtAstalt do 1 tenon me d that 1separate
txttnil Must be secured for ELE[TRICAL WORK PLUMBING, SIGNS, WCLe,S, POOLS, FURNACES, BOILERS, BEATERS, TANKS, and
AIR CONDITIONERS, ac,
.OWNER'S AFFIOAVfT: 1 emifx flint allot' rho foregoing iarnnnation is acctttatcand that all —fi will be done in emloil neewith all upplicabk laws rcgtdatir�
construc"Onand coning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESUL ica YOUR rcg d tiT
ATTORNEY
FOR IMPROVEMENTS TO YOUR PROPERTY, IF YOU INTEND TO OBTAIN FINANCING, CONSULT' wfiTi YOUR LENDER OR AN
ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
NOTIC srtd thus iOA t0 The rna bCCEltdirciimore s ofthis pcmit. there achy be additional a=tria (ons applicahtc to this property that maybe found in the pub( maedis of
y Y permits required famh other Eovcnamrntal cntit its sutih as watcY
ttFinaaaahcnt disuiels, stale agencies, or federal agencies.
Aat'ptanccofpcpolt is vcrificatien Jt rrat.Q.:, .ha
AWSKr Of the[[Property of hC
_ Pmduccd
APPLICATION APPROVED BY: Bldg: Zoning;
flnitial S. Date) (Initial & Datel
Spatial Cond-aioas:
of Florida r . FS 7U.
or todAgwt !J .n Dcxc
I -
Name
# DD 465628
ber 11, 2009
Utilities- FD:
(Initial R pate) (Inikcd at: ice)
p. 151 e0 0- . IIs:jo
Rece��ed Fav .' - _ Sc 1�'2G05 8:]3Ata Fax-Sta:ion�: Denman -Grog Inc.` := i 3; _ __ -
Sep 15 05 09:oea Lekcorr
p.3
AFFIDAVIT
REGARDING ROOF DRY -IN AND FLASMNG INSPECTIONS
Company= k U T L.l License #: �7
>g WIpA f j Add. f -9-;t&07
jest Information
Owner:
\
nemc Permit #:
<��
address .
Subdivision:
Lot M
v
, affiant, hereby affirm UW I am the duly licensed
contractor record fbr 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:.
printed game
STATE OF FLORIDA
COUNTY OF
This instrument was acknowledg before me i %s '
above referenced individual, �Y of , 2D(9 by the
duly licensed contractor with o ac
ledged that he/she is a
he/she was authorized to execu a this document. Ho/ a is eitherpersonal knownn cknto l prd that
produced _
WETNESS my hand and seal this day of 20 d
MY COMMISSI D
EXPIRES tember 11