HomeMy WebLinkAbout711 French AveCITY OF SANFORD PERMIT APPLICATION
Permit #: L J
J \
Date:
Job Address: %/i S /4t N rr FiIL d Fl
Description of Work: oaf ie e. 16 "0i/J, A3 li ,N /< 1-e )- c-
Historic District: Zoning: - =value of Work; $ y % 7. m
Permit Type: Building +! Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool
Electrical: New Service - # of AMPS Addition/Alteration Change of Service 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 #: d5
Owners Name & Address:
Proof of Ownership & Legal Description)
Af* `. \X J-k 1aSPhone
Contractor Name & Address:
R
la,>t1' -e u c c Go Q ANY 13 1G,i U IY41-0/j/-t 3 A 7 3,9
State License Number:
Phone & Fax: 319% - 1 Zed Contact Person: P,9A el Phone: Sifr Z
Bonding Company: _
Address:
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. 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 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 of permit is verification that I will notify the owner of the property of the requirements 4ondsLiep Law, FS 713.
Signature of Owner/Agent Date Signature o Contractor/Agent Date
k _ -; X DA-11L vim. / //0eC1-1-E^1
P ' er/Agenus Name P ' t ontractor/Agent's Name
ao—tc-•DJ' -LZ- E7S
Signature of otary-State of Florida Lrate Sig dtmC>s o on a ate
CHARLES ABELL
MY COMMISSION # DD 111830
EXPIRES: April 25, 2006
Owner/Agent is _
Produced ID
Personally Known to Meter
APPLICATION APPROVED BY: Bldg: Zonin • t jUtilities:
Initial & Date) (h&ial & a )
Special Conditions:
FD:
Initial & Date) (Initial & Date)
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FLORIDA LAND AND COLONIZATIONS COMPANY LIMITED
E.R. TRAFF RD'S MAP OF THE TOWN OF SANFORD
PARCEL ID: 25-19-30-5AG-0908-0090
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FLORIDA LAND AND COLONIZATIONS COMPANY LIMITED
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PARCEL ID: 25-19-30-5AG-0908-0090
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