HomeMy WebLinkAbout227 S Aberdeen Cir (3)RECEIVED
CITY OF SANFORU PERMIT APPLICATION
G
MAR =- 8 2006
Permit # (-/" ' 1 _YS Datc:
%�
job Address:? �% r�. s%`�!'�%'t"'M' /
Description of Work:_—
Ilistdric District: 'Zoning: V:rltic of Work: $_�2�12
permit Type: Building V Electrical
Electrical: New Service— U of AMPS
Mechanical: Residential Non -Residential
Plumbing/ New Commercial: # of Fixtures __
Plumbing/New Residential: # of yrVMet- Closets
Mechanical Plat rg _ Fire Sprinkler/Alarm Pool
Addition/Alteration Change of Service Temporary -Pole _
_ Replacement New (Duct Layout & Energy Calc. Require(l)
# of Water & Sewer Lines # of Gas Lines
Plumbing Repair — Residential or Commercial
Occupancy Type: Residential _ _ Commercial �' Industrial Total Square Footage: _
Construction Type: 0,0,H of Stories: i # of Dwelling Units: Flood Zone-. (FEMA form required for other than X)
Parcel #:
Owners Name & Address: _
Contractor Narne & Address:
Phone & Fax_
Bonding Company:
Address,-
Mortgage
ddress:Mortgage Lender: -----_--_--
Address:
Architect/Engineer:
Address:
Contact Person:
(Attach Proof of Ownership & Legal Description)
phone:
State LiCVFV a Number:
Phone:
Fax:
hone:
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no worm or installation has commenced prior to lit(;
issuance of a permit and that all work will be performed to meet standards of all laws regulating constriction in thus jurisdictivn- I understand that it separate
pemnit must be seemed for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and
AIR CONDITIONERS, etc.
OWNER'S AFFIDAVIT: 1 certify that iil1 of the Ioregoing inf7nmation 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 INIPROVE•MENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMNIENCEMENI'.
NOTICE: In addition to the requirements of this pcni it, thus may be additional ic-suictions applicable to this property that may be found in the public records of
this county, and there may be additional permits required from other govemmentai entities such as water management districts, state agencies, or fedenil agencies_
Acceptance of pe it is verifition that wll notthe vwncrof the property oC the reyuircments of Florida Lien l aw, FS 713.
_ �'3 -�-
S gm rebf Owncr/Agcut Date Signature of Contrrclor/Agent
Print Owne yen , Name Print Contractoi/Agent's Name
_ r
Si'd'ta,� re of Notary -State of Honda Date Signature of Notary -State of Florida
rt '�^ atxr-
y, t :14 hipGQ>�i14i65!QA1 DrJ lt' 2 J
-nISI ` JrI,innilro r Ilf„
Date
Date
a:;, n 3.
'er en s . � a xy u1 1. 'r cry it to Me or Contractor/Agent rs _Personally Known to Me or
muduce( _ - �a ^U " _ Produced It)
APPLICATION APPROVED BY
Special Conditions:
Bldg: —_
(hnitia[ & Date)
Utilities:
(Initial & Date)
FD:
(initial & Date) (Initial & Date)
-"- H�Et'1.u.lL_HiAC�_n3_n _n
F,_ HEPT 1_C�'•r�•( PAGE 1 -116/06 ` , ].JJ%•M
i
i
ti