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HomeMy WebLinkAbout141 Maritime DrPermit # :_V—, Job Address Description of Work: �!_Nj")-j_AL- I- IJI Historic District: �_. Zoning: CI'T'Y OF SAf`NFORD PERMIT APPLICATION Date: ---AQjog Value of Work: yr eoortq Permit "Type: Building Flectrical Mecinanical Plumbing Fire �yrr&iai�LS Pool Electrical: New Service - 9 of AMPS Addition/Alwration ,_— 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 11 of Gas Lincs Plunnbing/New Residential: It of Water Closets -_-_ Plumbing Repair - Residential or Commercial Occupanq Type: Residential Commercial Industrial Total Square Footage: Construction "Type: it of Stories: It of Dwelling Units: Flood Zone: _ (FEMA forst required for other than X) Parcel ;q: rA% CJ — 19 — 30-_—SrNR — VW© - 00H ttach Proof ofrOwnership & Legal 1)ocriptiuu) r O} rim Name & AQd�drrcls: _ �(7//1 � �7[7LtE7J�7�t�� _(�I�1 Vt- /0'?� -- _3q G � ,y-Phone:— Contractor Name & Addr-. rra GHEN —a'701 p _ ��p _��/' ..e.wr a ,tea A� n s e mm p. `aCtr u icense N/u uber; Phone 3 0'7 0-o �"xl.al �i (T.J..1,� F.•„i,.ru� k r,�„���-19f�i �'"RG 7 Phone: t5o rdi g-• Company: mw A �Iort6agc Lender: `:[._7;, Address: � ilt Archhi ci]Engineer: Phone: Ad(J^c, SS 'r 1 i Fax: - V a Application is hereby made to obtain a perA"it to du tln�e Gk a c47 ca l�a�ns�yi dycaced. I eertit that no work or installation has commenced prior to tna tssuancc of a permit and that all work will b� ycrfbnmed to meet standards of all laws regulacing oiistniction in this ju sdiction, l understand that a s'cparrtc permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and AIR C'ONDI'TIONERS, 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 tugulaung construction and zoning. WARNING TO OWNEK: YOUR FAILURE "1-0 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 YOURNOIICE OF COMMENCEMENT. NO f[CE: In addition to the requirumcnts 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 a,cnc!es. Accepianc- perin'i is verificati at I S r 0t�t vwn� f the property of the rcquiruments of Florida .icn Law, FS 717. °' gr turc off wrier/ en D,tc St naturc or Contract /Agent 014,1r� ( y Z [J�-l�L�vrr,1 —_ [?"a) 'At _ Print Contractor/Agent's Name O'.vner/Agent is �1)111.11xKnown to Me or Produced ID APPLICATION APP Luk, tiUE> ) My OOMMIS 1 niiaN 2 007 special Conditi Zoning: gr otaryl�q�EF' TON Da e MY COMMISSION # DD WtA91 EXPIRES: February 25, 2007 14100-8-110rAfly FL NotaryUieountAssoc.Co. L iTr tihrTs^^Pur s lyra l o r !� / ^ U Produced IU\} C)U- O lfp (�'• (p U jU` k Utilities: _I'U. __ (Initial & Date) (Initial &Date) (Initial d. Date) 1 ME, C -V/ t -A, T PC. tA I 17 Cop r K" E Ih V y .W El )" \ a 'J D .`, SanfFire re en ord ion iy. Date. f: PLANS kEVIEWED fi G ~ %Q _ t COO,� 4 � 04 fA, FFA r ,