HomeMy WebLinkAbout401 W Seminole Blvd (21)1'5:t,'2005 `'94:25 AM w Der 'man '.Gri up I ri'c` 8'17 788 8'0'88 :p. 3
Sep 15 05 09:OBa
Permit li : /
.IobAddress:
Description of work-. _
Historic District:
Lexcor
CCCY OF SANFORD PERMIT APPLICATION
Date:
3;t 7
P-2
Zoning. Value of Work: s— •')r /UU do —
Permit Type: Bulldog Electrical Mechanical —Plumbing Fire Sprinkler/Alarm Pool
Electrical. New Servicc — # of AMPS Addition/Alterntion Change of Service Temporary Pole
Mechanical; Residential Non -Residential Replacement New
(Duct Layout & Ent:rgy.Calc Required)
PlambiaW New Commercial. # of Fixtures Il of Water do Sewer Lines # of Gas Lines
Pltunblag/New Residential: a of Water Closets Plumbing Repair — Residential orCtsmtneraat
Occupancy Type; ResiJctttial Comincrcial Industrial Total Square Footage:
Construction Type # orStories: H of Dwelling Unity Flood 7.onr
Q /� (FEMA form regatred for other than X]
Parrel d: 6 � � I ` �� " 00 — 7Q oQD Anach Praaf of Owoerdai do [,eEal Descriprioa)
OwRom Naml & Addretc -_�C 1'1'f L i�tj.�u d L: �n "l -_ r1 �.. L>/.. ►r _ r i
Codtraelar Name & Address;
Phoned Fax:
69ndiag Company:
Addrest:
Martme Lender:
Address:
Arebircct/EaRincer
Piwne
State License Nuarber-
CoNtaer,
Person: hPtaAe:
Phone: !!J�QJ( —(O r.>
Fax: -CAO-1- 6g -
Application is hereby made to obtain a peril to d o Ike warts and installations as indicated. l etatir• llrat no woien,ftrk or, iastaRation has commenced
issu7ncc ora permit and Uaat all aaorfc will be Pee to Mg j standards ofall taws r< hall y prior to !hc
pamil must be sccurod for ELECTRICAL WORK. PLUMBING. SIGNS. WELLS. POOLS. _ NAC BOILERS. NEAToERIS,�>ta AM a separate
AIR CONDITIONERS, ere,
OWNER'S AFFIOAV fT: 1 eeniry that all orthe kwegoinE inrocrnalim is acenrmearrd that all wart will be done in oonrpllatreewhil 011 applicable laws regulating
eonstruciio»aitd 201660. WARNING TO OWNER YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY IKESULTiN YOUR PAYING
'r%VICEFOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTENDTO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
NOcoon In addition w the a additional' en -is permit. I herr nay be additinrwl resat"'« ions applieabte to this property that nay W round in The public ree rds of
Lha ctwrgy, and thrix may be additional pen -is n rind r1mro ether govcranxvdal mal its such as water management districts, state agmeics, or federal agencies.
:ay of rhe r
-GS�-
APPLICATION APPROVED BY: Bldg;
(Initial & Date) (Initial &Dater
Special Coaditiau:
713.
WlMMI SION # Ob 485028
September 11, 2009
Thru ftury PUDW LindeMrhdrs
Pnxluced ID
axe
Dale
or
Utilities: FD:
(laitial & Conte) (Initial A Rat)
°2D05-'9:25"`nm "" DerSmaei` Gr 'p Inc 817-788=8.088 p. 2 "'
Sep 15 05 09:08a Lexcor
p.3
AFFIDAVIT
REGARDING ROOF DRY -IN AND FI.ASIIING INSPECTIONS
Company: ~ c�
P Y �L° k � (J 1?,T 4f/G Ajll l License #: L'( `� C'� j 7 P !.p
13m10.4v,J& -
µ, r/0eid,4 334oq
-I
Project Information
Owner:( fi/L ��rlGl �� _ ea Permit #f:
naffic
(f3 �� &') -. .
Subdivision:
»tet;
/off/
Lot M
affiant, herebyaffirm that I h
atm the duly licensed
contractor o 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.
STATE OF FLORIDA /
COYJNTY OF2>YlQ
This instrument was acknowledg efore me s da of
above referenced individual, y. ? l)by the
licensed contractor with who 4Med—
duly that he/she is a
he/she was authorized to execute this document. He/she i either personall oc� acme knowledged that
produced as vah t a ca on.
WITNESS my hand and seal this %J44 day of��L 20�L5�
IA BAEZ
OMMI ION # DD 465628
PI September 11, 2009
,i c�d:`� Bonded Thru Notary Public Underwriters