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HomeMy WebLinkAbout347 Live Oak Blvd (2)CITY OF SANFORD PERMIT APPLICATION � k + Permit # : C� Glte: Job Address: % < < 4E 0 AZ --B C - -O . Description of Work: T•- /0' �1 2o' S TO ;2145 C7 S i �� ✓� Historic District: Zoning: Value of Work: $ Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool Electrical: New Service - # of ANUES-- Addition/Alteration Change of Service Temporary Pole Mechanical: Residential Non- esid ntial lacement New (Duct Layout & Energy Calc. Required) Plumbing/ New Commercial: # of Fixtures # a .Sewer Lines # of Gas Lines Plumbing/New Residential: # of Water Closets Plumbing Repair- Residential or Commercial Occupancy Type: Residential --y- Commercial Industrial Total Square Footage: 2 w Construction Type: t-tx-O # of Stories: ___L_ # of Dwelling Units: Flood Zone: (FEMA form required for other than X) Parcel #: (Attach Proof of Ownership & Legal Description) Owners Name & Atddress: �G�^' 7 C>A /6 l5 t "n. SR l� A'hnne� 44.2=- J a Contractor Name & Address: L -0`D LSo r -i &} c� 2 © �� 2 +~ PO 4;1P R 26 C /�. r�f� v �t3L I� l J� Z 7'� State License Phone & Fax: q'// > 2 3 2 2 - d.s % Contact: Ferso--SZ- Bonding Company: ,.. 17A17AM 74 PnpzTit Address: Mortgage Lender: r Address: > Architect/Engineer: G Ghon Address: O R /; -+ C C! �q Y f l- Fax: Application is hereby made to obtain a pernut 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 pemut 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 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 applicable to 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 as water management districts, p# agenciig, or federal agencies. Acceptance of lU .Print GerifIc tion that I wil tify the owner of the of Owner/Agent D� , 2 eq, Owner/Agent is _ Produced ID LINDA J.RENFRO i-ff::= MY COMMISSION # DD 031312 EXPIRES: June 10, 2005 pOw9 tq Ivle Oionded Thru Notary Public underwriters Date APPLICATION APPROVED BY: Bldg: 3 O SZonmg: (Initial & Date) (Initial & Date) Special Conditions: Agent's Name tate RMSWE BLANTON Date MY CoN?t,;OSION # DD 188491 �d EY.YIREZ-: February 25, 2007 1gent--.NoJTnRYPersanall, '`o " , r/1 c� ced ID zj— Utilities: ""V I ( z /OF? (Initial & Date) (Initial & Date) oS W