HomeMy WebLinkAbout148 Woodridge Trl (3)S�t:uF'Sltiyt^hM`�',c
` CITY OF SANFORD PERMIT APPLICATION
Permit # • _0 Date:
Job Address: 0.60 ID QI 067E - L Tr cSA-NF02D 3Z,-771
Description of Work: /S X a aLIJ 1 MVAi n7G Poo (, V4 sPA
Historic District: Zoning: Value of Work: $ 4-2 1'900
Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool
Electrical: New Service - # of AMPS
Mechanical: Residential Non -Residential
Plumbing/ New Commercial: # of Fixtures
Plumbing/New Residential: # of Water Closets _
Occupancy Type: Residential Commercial
Addition/Alteration Change of Service Temporary Pole _
_ Replacement New (Duct Layout & Energy Calc. Required)
# of Water & Sewer Lines # of Gas Lines
Plumbing Repair - Residential or Commercial _
Industrial Total Square Footage:
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X)
Parcel #:
(Attach Proof of Ownership & Legal Description)
Owners Name & Address: 17+0 l -'S �_ 19EWN V COeL E-
(g9(A00 Q.tMC SPvr-�9002-9 5-Z-7-71 Phone: 4M
Contractor Name & Address: 17CULE0 0 V T I AJ
2-7(o'A W F"U-b 1,1 C_ti2 • ;bE -W N A R-_ 3213ff State License Number:
�'F-�Al -{(o
Phone&Fax:b`5�4'I�t�
Bonding Company
Address:
Mortgage Lender: -- -
Address: JAN ?T 4--.. -- — -
Architect/Engineer: �' Phone:
Address: ? Fax:
Y;x,
Application is hereby made to obtain a pen -nit to $ohe wor ins 11 ons d. I ceRiy tfiaf no work or installation has commenced. prior to the
issuance of a permit and that all work will be pterfbnr ed to meet s d 11ting dojstni'eiion in this jurisdiction. I understand that a. separate
permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, P S, 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 all applicable laws regulating
construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN 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.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions apply le this property that may be found in the public records of
this county, and there may be additional permits required from other governmental entities such water anagemen>� cies, or federal agencies.
Acceptance of p /verifi5ad334 that I will notify the owner of the property of the requiremej its of Fl da Lien w, FS 7
J
PO -
Signature of O t Date Signa re of Contractor/Agent Date
U TN
ISI 1 tt kAU-K
rin weer/Agent's Name K;nr-intntractor/Agent' N�—
aa1 � �Q5 ab)Signa ure of Notary -State of Florida Date re of Notary -State of Florida Date
Owner/Agent is Personally Known to e orQ
D
Produced I�0�ti�' ��c•
�N pN�BptiNS�Qp
APPLICATION APPROVED„1�,X;: Bl y I Zoning:
ig+lye
.46
r;r'\` ®�d al &Date)
s:
Special Conditions:
Contractor/Agent r Persona=Kn..
Produced ID
Utilities:
FD:
(Initial & Date) (Initial & Date) (Initial &0e)
Kama 0
��ant�5
Out, lix.
custom, ?�ools & spas
396-571-1675
0 c 1456 19
1-Y
MAP TO JOB SITE
OWNER: ADDRESS: 114
DATE:
PHONE.
COLOR SELECTIONS
POOL TILE: 7) SUPPLIER:
STEP TILE:
SUPPLIER: 7ac, .� Sjw
DECK COLOR: BAND COLOR:
POOL INTERIOR: SCREEN COLOR: 7'_ 1 ' �
ROOF: -'1-4,
POOL SPECIFICATIONS
SIZE: tiX DEPTH:
POOLAREA: LItW_ DECK AREA: <`
FILTER:
SIZE:-.
PUMP: SIZE:
RETURN LINES: PLUMBING SIZE:
SPA SPECIFICATONS
SIZE: (n - THERAPY JETS:
DAM WALL: BLOWER:
HEATER SIZE: ... ... LIP GAS V --NATURAL GAS -
GENERAL SPECIFICATIONS
CHLORINATOR: - ,- z,? � DECK TYPE:
UNDERWATER LIGHT. DECO DRAIN:
POOL CLEANER: ELEVATION: ff0
POOL HEATER: RETENTION WALL:
RAISED TILE WORK
TOTAL LF, HEIGHT:- -)-- DECK STEPS WITH TILE:
JOB SITE CONDITIONS
ACCESS:Wr- -
OVER DRIVEWAY.
SMALL EQUIPMENT...L'-
DIG & DROP:
FENCE REMOVAL: CONCRETE REMOVAL: (zt�
STUMP REMOVAL: `')
TREE REMOVAL: I
SPECIAL CONSTRUCTION NOTES
_EAT
/ CD
77 " :qpmv
-7 mi
j
Pel I=
, k---_-l- 1
THIS DESIGN IS THE PROPERTY OF DECKED OUT, INC., AND SHALL NOT BE REPRODUCED WITHOUT THE WRITTEN CONSENT OF DECKED OUT, INC.