HomeMy WebLinkAbout818 Valencia StSe -p 27 05 02:46p Tropical Air of Central F 407-884-6051 p.3
Permit #:
G
'1 Job Address:
Description of Work: 111 I
Historic District: Zoning:
CITY OF SANFORD PERMIT APPLICATION
Date:
Value of Work:
Permit Type: Building Electrical Mechanical 1LI_ Plumbing Fire Sprinkler/Alarm Pool
Electrical- New Service —# of AMPS Addition/Alteration Change of Service Temporary Pole
Mechanical: Residential jam_ Non -Residential Replacement New (Duct Layout & Energy Calc. Required)
Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lincs # of Gas Lines
Plumbing/New Residential: # of Water Closets Plumbing Repair — Residential or Commercial
Occupancy Type: Residential __k/_ Commercial Industrial Total Square Fdotage:
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEh1A form required for other than X)
Parcel ' 'SOS—(�)"' Ooo (D (Attach Proof of Ownership & Lcgat Description)
Owners Namc &Address:
Contractor Name & Address: }h��V't% ADpI �y rL G
Phone & Fax: tel;
Bonding Company:
Address:
Mortgage Lender:
Address:
Architect/Engineer:
Address:
State License Number:`y'J��Z
Person: Phone: I tJ7^ 9.fq'—
Phone:
Fax:
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the
issuance of a permit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction. I understand that a separate
permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and
AIR CONDITIONERS, etc.
OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work Will be done in compliance with at[ applicable laws regulating
construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT M YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. /1 (/
NOTICE: In addition to the requirements of this permit, there may be additional restrictions api
this county, and there tray be additional permits required from other governmental entities such
Acceptance of it is verifecation that 1 will notify the owner of the property of the
lo_ �q-os
Si tore of OwncdAgent Date
Print Own cnt's N
Signature of Notary -State of Florida Date
Owner/Agent is Perso aIt own to M or
Produced ID ) �t
APPLICATION APPROVED BY: Bldg:
(Initial & Date)
Special Conditions:
Received on 9/27/2005 2:45:44 PM
o this property that m' • be found in the public records of
..er management dii state agencies, or federal agencies.
Florida Lien/4,;,771'3.
of
1d/S11oS
Zoning: Utilities: FD:
(Initial & Date) (Initial & Date) ([nitial & Date)
\ NOMM PUBLIC -STATE OF FTLC;i� A
6U *Shaun Roy
Commission # 0423564
Expires: APR. 27, 2009
Bonded Thru Atlantic Bonding Co., Inc;.
February 25, 2007
-' y Discount Assoc. Co.
Contractor/Agent is—
Personally Known to Me or
Produced ID
r 1
Zoning: Utilities: FD:
(Initial & Date) (Initial & Date) ([nitial & Date)
\ NOMM PUBLIC -STATE OF FTLC;i� A
6U *Shaun Roy
Commission # 0423564
Expires: APR. 27, 2009
Bonded Thru Atlantic Bonding Co., Inc;.
LIMITED POWER OF ATTORNEY
Date* 10— 22L�`�
I hereby name and appoint
Un to be my
of
lawful attorney. in facto to act for me and apply to City of Sah�cord for a
permit for work to be
performed at a location described as:
Section: 3 , Township:
Range: 3 Lot: 1 �l
Block: Subdivision: Sa✓� ��-^�`� �'"� Sec
44 FY 3 2 771
(Address of .fob)
7,71
Owner of Property and Address)
and to sign my name and do all things necessary -to this appointment.
_ 7-'�51�-tN 5.'1,zC&d CAS- )S(Lf1 j
(Type or Print name of Certified Contractor and License #)
(Signatifke of Certified Contractor
le� PZ.
Acknowledged."
g �
Sworn to and subscribed before me this R' Day -of
�r- A.D. f.
Notary Public, State of Florida
(Seal)
Ayp° j, DIANA RENEE RANG EL
� r MY COMMISSION * DD45S993
a ,OlL' EXPIRES: Aug. _7, 2009
(407) 398.0153 Florida Notary.Servlcccom
Y
M Commission Expires: - Qcqx