Loading...
HomeMy WebLinkAbout401 W Seminole Blvd (22)Ot 1- a II03 Receved.:Fax� '�it_a`�,_=_ Se `�15=°2005aiE�73AM�.-='� �Faii-iStafi"ons enn!an'dGrou Tnc°r �_`�� _..a.: '�•�.�2e°�W ��" 3,-sg Sep 15 05 09:09a Lexcar Permit V: ,lob Address: �©I_ Description of Wort, U. t rt of Cl70117SANFORD PERMIT APPLICATION lid T S& sed Pt, 3 p.2 is o c stricC Zoning. Value of Work: $ Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Poo! Electrical: New Servicc—# of AMPS Addition/Alteration Change ofSert/lte Temporary Pole Mechanical: Residential Non -Residential RePlacemenl New (bate Layout & Encrgyr.Calc. Required) PlumbiaW Nese Commercial: # of Fixtures # of Water & Scwcr Lrnes # of Gas Lines Plutrtbing/New Residential.— 4 of Watcr Closets Plumbing �tcpair— Residential or Commercial Occupanry Type; Residential Cantnercial Industrial Total Square Footage- Coastfrtttioa Type: # or stories: q of Dwelling Unitsc Flood 7iorre (FEMA farm required for other (baro; i) Parcel d: S -- 30 -300 10— 7 p -�QQ� Au�eh Prsa! aCOwo erdOip tc [,tial t}eseriptioq) Owners Nam, & Address Ind.(' j L v}�u�u e� L: �n 7'_ it �.. ej— n • J i - ••�• �[ wl- 7 et(t:Yo O Phone: Contraeror Name Add@ ; Phone & Fess• _ Bonding Company: Address: Nor/gagc Lender: . .address: .Mcbitcct/Eatincer. Slate License Number: Contact Person: Phone: Phone: !�6Q / —bY ) >Fax: -410 7— 6;F Appiketiaf is hereby made to obtain a permit to do the worst and installaiienS ag indicated. I eertity lhal no worts or irmallation has comrttenopd i"Inme of a permit wed qac all Moret will be pewunn��d 10 'MCI Staodards of all tam ragulating consbvct ion in this jtxisdiction 1 a; corn tared W a� (sep0 he arate pcnnii must be sceurtd for ELECTRICAL WORK. PLUM91NC, SIGNS, WELLS, POOLS. FURNACES, BOILFRS, HEATERS, ukatla,and AIR CONDITIONERS, ere. OWNER'S AFFIDAVIT, 1 certify that all of the foregoinE inliirrnatiorr is accnrau: and that all vroi will (rt dtrtte in compliancewith all applicable laws rcgtclatir►g c'%VIC FOR I d coning. WARNING TO O'wNER YOUR FAILURE 7p RECORD A NOTICE OF COMMENCEMENT MAY KESULTiN YOUR PAYING f tVICEFOR 1MPROVEINENTS TO YOUR PROPERTY. IF YOU INTENDTO OBTAIN FINANCING, CONSULT WITH YOUR LENDER tXt AN ATTORNEY BEFORE RECORDING, YOUR NOTICE OF COMMENCEMENT. chitau odd Iters ion to he be additional ofthis prnttit. t here may be addiriOrad roma ions applicabte to this property that may be round in the public ranids of Y Y prnrdu regtrin-d fmnr athcr Eovcrpmrntat ental is such as water t►rattaaerttmt rGstriets, sate caries, or federal a6 tigtncitc, Accteptanccof 't is vcdrt icy tt7dvpfthdy of the requirenr or Florida 7,_9a4FS 713. J�w Stena( rcafownedAgcnt Da1r Signal rcol' ractor/AFertt We laic Prim • /SDS"" d 1142 rsrc i a Date += S DD 465628 icy[ u ' Iry ate rFlorida (Ink :September 11, 2009 , S n;, P, n!f� rhm No!ary PuWlc Underwriters p CLAUDIA BAEJ APPLICATION APPROVED BY: Bldg: `� Zauin (Initial & Date) G Vtilitics: (Initial & Dtte1 Spi�ciol Co„diti«s: (Initial R Uatc) (Initial k i�te) � ra _Sep ,15 2: J05 9f°2S'RM Denmanroup Inc`. 8`17-7=88-8D88 p..2 _. Sep 15 05 09:08a Lexcor p.3 AFFIDAVIT REGARDING ROOF DRY -IN AND FLASMNG INSPECTIONS �4 Company: License #: a 13 13 4cP ® 441E Su%r�,z3 Project Information nernc � 4R ; " 41 D f k, e�,j fl— � ad&"s . qo-� --3z -z phom Subdivision: Lot M afEant, hereby af'firrn that I am the duly licensed contractor of ecord fnr*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: G gnaturs printed camp STATE OF FLORIDA COUNTY OF This instntment was acknowledgedhefore me t l da of above referenced individual, Y , 2Q by the who aclrnawl ged that he/she is a duly licensed contractor with o acknowledged that he/she was authorized to execute this document. He/spersona known to me or produceda tcation. WITNESS rriy hand and seal this day of Mr GUM SIGN t D 465628 EXPIR : Septe t i, 2009 Baled ru No6ry P Underwriters