HomeMy WebLinkAbout401 W Seminole Blvd (17)fit➢ 1- o EtIE
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Sep 15 05 09:09a
Permit #
,1obAddress•. __'�
Description oat Work
Lexcor
CITY OF SANFORD PERMIT APPLICATION
Date:
77 /
p.2
Htstorlc District Zoning. Value of Work: S_ 41_ ovF
Permit Type. Building Electrical Mechanical plumbing Fire Sprinkler/Alarm Ptml
Electrical: New Service— # of AMPS Addition/Altemlion Change of Service Temporary Pole
Mechanical: Residential Pion -Residential KePla"Mcnl New(Duct �' out & En
cW.Calc. Required)
Pluu'binSJ Nen Ct►rnr'tereial: # oFFxturrs # of Water & Scwcr Lincs # of Gas Lines
PlumbinglNew Residential 9 of Water Closets Plumbing Repair— Rcsidcntial orCamtnerciat
Occupancy Type: RcsidcrWal commerchd Industrial Total S
quare Footage-
Coastrr(ctiva Type # ofStories: q of Dwelling Unit$` Flood Zone
L (FEMA formga
retred for ot6rr'ha>. Xj
Parcel N: S—19`30-300-pp7p -°-D0 d2 AttachProa(ofOwserZWp It gat Description)
Orracrs Nntrtg &Address �C.11—! L M t'4 - U e. % L i 4n �_ je �., CU„ n
Coatratlor Name rfc Addren:
Phone & Fax: _
bonding Compao):
Address:
(►lorlgage Lender. .
.address:
Artlaum aginm-
Pjwmt-
S ate License Nurreber:
Cwrtatt Person- Plane.
Phase:
Fax: ?D ? - 6 -S - X5
Application is hereby made to obtain a pramir to d n the war1C and installations as indicated. I etrtily Ibat act work irtstapasion has commenced
isswinee o! a pennk and Neat all work will be ptAonnod to mesh SUttdards of all lao tha
ws regulatiap cortsUvcr ton is this jtxisrliclioo. 1 oadtrstartd IAarp a� Iscparate
Permit must be secured far ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, pOOLS, FURNACES, BOILERS, HEATERS, TATJ"Il
AIR CONDITIONERS, etc,
0—R'0—Y-NER'5 AFFIDAVEr, t certiry tilt all of the forgoing inlrrrnntiom is ttetttrme and that all wort: wiU be dont in eompllance with allGcablc ]awe PAY
constluctionand •mniag, WARNING TO OWNER YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESU TIN YOUR PAYING
-nV10E 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 ragtaremeltt-t orchis pct lk''here may be add;tionol 1-trietiom applkabtr to Ibis PrOMMY alai byfO1t�
thisctwnty, asad,{hsye may be additional rdtc nqc„R_d fmm other oremmrntal p is of
`/ \1 6 cntiti�s such as water matugantcm d:�riets, mtc agencies, or federr) a�erncirs.
it retiricatio that wal not' - to owl artho p-peny or the requp
)rytM
ISSION DD 465628
S: Sept er 11, 2009
ThN N
pill'
e .
orFlornda LA41AN, FS 713.
Cct ts Name
4BondedJOru
SION# DD465628
eptember 11, 2009tary Public Underwriters
APPLICATION APPROVED BY: Bldg: tonin
(Initial tat Date) S- Lhilitics
(I1ni6n1 & Datcl
Spacial Conditims: Y
19-
D�xe
—FD:
(Initial A C?rtc) (Iniru-d at Dar;)
s 1_7:1:
Sep 15 05 09:08a •
AFFIDAVIT
REGARDING ROOF DRY -IN AND FLASWNG INSPECTIONS
Company-JfiGk V✓ flr
_._ License #:C ��j��]��d _
}�j /
Project Information
Owner: /�HLi t"/ G �' ` zIrle 1, ez_
mtt #:
name �
Subdivision:
addmss
C _3 Z z Lot M
ahMe
ant, hereby affirm that I am the duly licensed
contractor of record fbi the above referenced permit, that all the foregoing information is true
and accurate, and that the dry -inn, flashings at the above referenced address or lot has been
installed in accordance with the applicable codes and standards.
Contractor:
STATE OF FLORMA
COUNTY OF L_Vd�
This instrument was acknowledged before me is r day °f c
above referenced individual Q� • a0 by the
duly licensed contractor with
—777b /-- /'fir , who aclazawledged that he/she is a
si -
he/she was authorized to execute this document. He/she is eith ersonal who ac edged that
produced P tom or
as valid idea i cation. •
WITNESS my hand and seal this S� day of 20 l�
A BAEZ
)N # DD 465628
imber 11, 2009
Public Undenniters