HomeMy WebLinkAbout401 W Seminole Blvd (20)®- o
t0 �:
P.eceived Fax a Se lb '2005 E:13AM Fax --Station : ` Denman,6rou Inc.'2
Sep 15 05 09:0Ba Lexcor
Permit if:__ � 0 1
Job Address
Description of work:
CITY F ((/t:_k/S,AIVPO� PERMIT APPIJGTION
ij Date:
�G ✓ EA-,Pj.1--nt2d P1 . 3;t-7-7/
Historic District -Zoning: Value of Work; S_ IV -760- 0"
P-2
Permit Type•. Suildng t/*� Electrical Mechanical �_ Plumbing Fire Spdnkla/Alarm poi
Electrical: New Service - # of AMPS Addition/Altermtion Change of Servioe Temporary Pole
Mechaoieal: Residential Non-Residettaiai Replacement New
(Duct Layout & Enag)r.Calc, Required)
Pluanbiaw Neto Commercial: # of Fixtures x of Water do Scwcr Lincs # of C38S lines
Plumbing/New Residential. 0 of WaterClosctc Plumbing Repair- Residential orCommerciat
Oceupaney Type: Residential Commercial Industrial Total Square FootaCe•
Coastruttica Type: # of St"'es: q of Dwelling U" 1W Flood Zorn
(FEMA farm required for athrr IhaA X)
Contractor Name .r Address;
Phone& Fax: _
Botdiag Cotttpan):
Address:
Mag%%ze Lender:
Address:
.MchilMffaelneer:
Sutc License Number_
ccnstaet Person- Phone
M -.•i.crt•�..�<s��i.J►�%I/.ilk
i
Application is hcre6y made to obtain a Penn it to d °the work and installations asiudicarcd
r . 1 eatify that no wo►it er installation has commenood
'—"—Ora petmletd t
ruaint all work will be perf'onned to rrxtY tsaedds of all taws rekill tenor m the
fmmii must be secured for ELECTRICAL WORK, PLUMBING. SIGNS. WCL1 S, °L conAtruetttxl m tluslurasrLcttttn I trndctstartd Iliac a separate
AI$ CONDITIONERS, at. POOLS. FURNACES. BOILERS, IW-ATERS. TANKS,ond
nV✓yUR'S AFFIOAVIT; 1 artily Ilett all forcToiUS inlilnnation is tccn ate and that all work will be dwte in compliancewiih all opplicable Laws rcgulat
constructio»aad [oniag. WARNING TO OWNER. YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY REBULTiN YOUR PAYING
'nVICEFOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTENDTOOBTAIN FW ANCING,C�ONSULT WITH YOUR LENDER OR AN
ATTORNEY BEFORE RECOtt'DtNG YOUR NOTICE OF C�OMMENCpNENT.
In addition to the tsquimmetcr ofthis pc nk- Ihere awry be additiatal restrietions applicahtc to this propetty that may W found in the public rteords of
this etwrny, and thus may be au43ititxtal prnnilc ►equir d fmm other governmental tribes such as waist manageatcnt tGstriels, SUM aRenClcs. or federal �..,.. :
A
lotto! is Ymirtcatian t
1 w i'
s of AfCrtt
Print A a c
64!
-Ok1MISS10
#DD 465628
;;.• � : '> F HS: Sept mber 11, 2009
owner
the psopcny of t - requirenrrnts
Date e: ,
15 -
APPLICATION
APPLICATION APPROVED BY: Bldg:
Vtilitics:
(
flnkfill S. Dale) FD: Inireul & )}este) (Initial & Date) rinircJ A. ra.,.a
Spatial C—ditiom:
"SeF 15 :2005 9c"25RM :Den'man"Grou'p Inc. 8`17-;788=8088
Sep 15 05 09:OBa Lexcor p.3
AFFIDAVIT
REGARDING ROOF DRY -IN AND FLASIITING INSPECTIONS
f
Company: �JALIC%Aytf Pr' -S License #:
S ��ac�- ci k6
Project Information
Owner: e /` 6 % Z &.1 -
Permit #:
08[I1C �
adercss Subdivision:
Lot #: -
I6 ma'4 %�rJ
' fbr th, affiant, hereby aPfinn that I am the duly licensed
contractor of r cord e above referenced permit, that all the foregoing information is true
and accurate, and that the dry -in, flashings at the above refemneed address or lot has been
installed in accordance with the applicable codes and standards.
Contractor:
Nre � )
printed name
STATE OF FLORIDA
COUNTY OF Ile
This instrument was acknowledged- before
above C �J
above referenced individual, day of , � by the
duly licensed contractor with who acknowledged that he/she is a
0 acknowledged that
he/she was authorized to execute this document. He/she���on.
own to me or
as produced
WITNESS my hand and sealthis /S day of _�1���
MY COM ON # D 465628
EXPI : epte 11, 2009