HomeMy WebLinkAbout618 E 10 StCrrY OF SANFORD PERMIT APPLICATION
Pt s halt Date # Dat
Job Address: ItM F:--A5-r
Descriptiou of work. -LU-0it-m- -141). llalo---Pnv�iLL C 8--n- iqCIE—a
Hi Zoning: Value of Work; S --6
PeruIRType: Building Electrical 1vtvhanical Plumbing Fire Sprinklor/Alarm -y-L PM1
Floctrical. New Service - it ot'AAI PS --- Addition/Alteration,--— Chauge of Service --- "Temporary Poll-, ---
rVItchanical: Re,5ilevtial Replacement.__ New (Duct Layout & Energy Cal-- Required)
# ofWater & Sewer Cines— Uot'Gas Lines -
Plumbing/New residential: 4 of Water Closets . ...... __ Pluinblug Itepair - Residential or Commercial
Occupancy Type: Resid,!ntial _ Commercial --- Industirial-, Total Square Footage:
Construction Type: --.- 4 of Stories: # of Dwelling Units: — Flood Zone:. (FEMA form required for other than X)
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6) (Altatli Proof of Ownership &Legal Dtscrlption)
Owners Nstat & Atitimsc-7,
L/O 91
Contractor Nattle & Addresc AJ
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-tTl State Lice"je Numb?r: —F( -iQ�ILS
Phooe&FR%:3A 75-9/ 13a 94 -77S= C/'/,,
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Contact Person: A�Qkll-
notidirtgCorupaoy: 10
Address:
Mortgage Lextdcr:
Address.,
Arc likett,`E rigi neer; Pliant:
Fax:
Application is hcpeby made to obtain ,3 permit to 40 the work mid installations as indicated. I certify that no work or installation has conittivaix(I prior to the
i6suair':,, of a Ivurtit and that ail work will be pettibrIncd to meet standards Of all laws regulating construction in this jurisdiction. I understand that a separate
Pturrit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and
AIR CONDITIONERS, etc.
Q3��R S I ctttify that all of the foregoing information is accurate and that all work will be dope in compliance with all applicable laws repla"i
t;onstimdon and zoning. WARNING TO OWNER: YOUR FAILOR.F. TO RECORD A NOTICE Of-'COMMENCLMENT MAY H1S(JL:l'lNYOUR PAYING
TWICE FOR IM?ROVEMENTS TO YOUR PROPFRTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR UNDER OR AN
A it 0KNEY REFORE RECQR()4,(G YOUR NOTICE OF COMMENCEMENT.
VIOTL 9-11: In additiin to the rquireincrit.5 of this permit, there may be additional restrictions ariplicabic to this property that may be found in the potdic records of
this county, and ai6r* may bc additional pennits reqtkifeIrl from other goverruncti-ai entitits such As Nvatcr management districts, mate agencies, or federal agent!".
.,men s iFloridat ita La 713.
Act;cptazne� e it is verift ionIt- offy W Owner of tho4crt t, tic rcquit I f
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p t Owntr/Agent's Name Print Contractor/Agent's Nam,,
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Signature of tvtar��w, of Florida Date Sign -a ure Q I' otar�-State of Florida
PATRICIA DED03E MARY FRANCES KING
MMIS$IQN 11 CC 982956 NOTARY PUBLIC - STATE 01 FLORIDA
Cotittactur/A s,,c tit k Personally Kaowri t0,,CfPyMISSI0N # DD237574
Prod EXPIRES 8/3/2007
ProducefflD -TIOVIDED THRV 1-888-NOTARYI
APPLICATION APPROVED BY: Bldg: zoning: Utilitics: FD;
(initiat & Date) (Innial & Date) (Initial & Date) (Initial & Date)
Special Conditions:
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FACP FIRE ALARM CONTROL PANEL
p❑ MANUAL PULL STATION
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