HomeMy WebLinkAbout1214 S Oak AveF w.
CITY OF SANFORD PERMIT APPLICATION
Permit #: of I d- Date:^(-D
Job Address: Sot /N Da ( ,
Description of Work:
Historic District: Zoning: Value of Work:
Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool
Electrical: New Service - # of AMPS 200 Addition/AIteration Change of Service L"- Temporary Pole
Mechanical: Residential Non -Residential Replacement New (Duct Layout & Energy Calc. Required)
Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines
Plumbing/New Residential: # of Water Closets Plumbing Repair - Residential or Commercial
Occupancy Type: Residential / Commercial Industrial Total Square Footage:
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X)
Parcel #: Z15- R 5L A ` if. ` (Attach Proof of Ownership & Legal Description)
Owners Name & Address: -C J6_o Zdk o.vNb I r_bry- 19C At-ro 12- 04 J CAA rHOC 5Af"
FoIZ R 3a:)-)t Phone: 1407-8,3a-/SQR Contractor
Name & Address: P11 Mr r E 1 eCi f L 8- : '1 C1[_
CSni,' A tJC ( 1) T n" P
k + State License Number: FC tea Phone.&
Fax:Contact Person:mig_ -1 Phone:401-A8b-8Z9.2x77t Bonding
Company: PA Address:
A Mortgage
Lender: Address:
Architect/
Engineer: Phone: Address:
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. l 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: 1 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, state agencies, or federal agencies. Acceptance
i
Signature
of Notary -State of will
ndtlfv the owner of Owner/
Agent is _ Pers II K to Me or Produced
ID he
property of the req u
Date
r
Date
APPLICATION
APPROVED BY: BIB/ I /AI I Zoning: tv// ' (
I m ial & Date) Spccial
Conditions: Contractor/
Agent is Personally Kn n to Me or Produced
ID Initial &
Date) Utilities:
Initial &
Date) FD:
Initial &
Date) 3
aP
Ptf Dyana M Alexander My
Commission D0139525 for
Expires August 05, 2006
Feb 02 05 12:49p City of Sanford Building 407 3a8 3859 p.l
Permit #:
Job Address:
Description of Work.
CITY OF SANFORD PERMIT APPLICATION
Date:
S ewT d ap drysfef WAIA Ncsd
Historic District. V rs _ Zoning: Value of Work: S &7040. Oa
Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool
Electiical: New Service — # of AMPS Addition/Alteration Change of Service Temporary Pole
Mech ttical: Residential &*' Non -Residential Replacement New (Duct Layout &Energy Cale. Required)
Plumbing/New Commercial: k of Fixtures # of Water & Sewer Lines # of Gas Lines
Plumbing/New Residential: # of Water Closets Plumbing Repair — Residential or Commercial
Occupancy Type. Residential _tom Commercial Industrial Total Square Footage:
Construction Type: # of Stories: / # of Dwelling units: Flood Zone: (FEMA form required for other than X)
Parcel 8:
Owners Name &
Contractor NaMP & Address:
Phone & Fax: W.
Bonding Company:
Address:
Mortgage Leader:
Address:
Attacb Proof of Ownership & Legal Description)
Phone:
j9 mat: c State License Number.
Contact Person: +f1'/l ta It Y Phone: j O
Architect/Englaeer:
Phone:
Address:
Fax:
Application is hereby made to obtain a permit to do the work and installations as indicated. 1 certify that no work or installation has commenced prior to theissuanceofapermitandthatallworkwillbeperformedtomeetstandardsofalllawsregulatingconstructioninthisjurisdiction. I understand that a separatepermitmustbesecuredforELECTRICALWORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, andAIRCONDITIONERS, 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 regulatingconstructionandzoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYINGTWICEFORIMPROVEMENTSTOYOURPROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR ANATTORNEYBEFORERECORDINGYOURNOTICEOFCOMMENCEMENT.
T_ 'OTTCF.: 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 ofthiscounty, and there may be additional permits required from other governmental entities such as water management districts, stare agencies, or federal agencies. w
Acceptance
ofNotarv-State
i,X Personally
Produced 10 _
notify the owner of the property of the requirements of Florida Lien Law, S 713.
Date Signature of Contractor/Ageot Date
Rohei. f C' I-10je ie r
Prin Coatractor/Agent's Name
O- 3-
vaoe • •••••••s...vvyi wlureof y_ of Florida Date
Cormlisaion # DD3W787
D__
DEBBIE BLANTON
Ettp = Dec mbw 20, 2 = MY COMMISSION # DD 1 BM1
ieorTtorFeit•pstwnoaaue.envactnr:d .... _EP!VS_Febrggry25,20D7
OVED BY: BIF)d h 13 D
e • a3
APPLICATION APPRZonin6 Utilities: FD: Initial & Dare) jnttial & to (Initial & Date) (Initial & Date) Special
Conditions: Ts
4-
o
i