HomeMy WebLinkAbout3801 Mellonville Avejur —002 z22 111;,38 . a , GC Industries 407 251' j 101 p.2
'dorm Wtrrks Architect 407 422 SS4S 06/02/03 09r02am P. 002
Permit# D tpJ C�
Job Address:
CITY OF SANF',)RD PE.101IT APPLICATION
Date:
Description of Work: / V tAa V"
ifisbric District: Zoning:
Permit Type: Building-_-____ Electrical---- Mechanical Plumbing Firc Sprinkler/Alarm Pool
Electrical: New Service – tl of AMPS Addition/Alteration Change of Service T•etnpormy Pole
Mechanical: Residential •_ Non Reaidoraial _ Replacetneat —_— New __–_ (Duct Layout &Energy Calc, Required
Plumbing! New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lints
Plumbiug/New Residential: # of Water Closets Plumbing Repair – Residential or Commercial
Occupancy Type: Residential Commercial Industria! Total Square Footage:
Construction Type. 0 of Stories: k of Dwelling Units: Flood Zone: — (FEMA farm required for atherihen X)
Parcel 6: l J:. rJl C I
Owners Name & Address: —J .k k
l___Af. Mn•+1._r,
Contractor Name & Address:
-0.60�t 51�;0/93
Phoac & Fart: -O8 /
Bonding Company
Address:
Mortgage Lender: At�wt
Address
ArchitectlEagiaeer Y •
Address: _-- Dw4n m,
(Attach Proof of Ownership & Legal Bescrlption)
46A.oa,''�-,P,3yr State License Nandw: C4 CO -5z—,rj-
0 9a7 Contact Penon: C14►V1<, 4LIRi , Phone: �FT7 0�1
Application is htxeby trade to obtain a permit to do the worst and installations aw indicaled. 1 certify that no work or installation has commenced prior to the
issuance of a permit and that all wotic will be performed M meet standards of all laws rogulaling consuu jou is )hla jurisdiLtiou. 1 nnde stand ik t a separate
petwil must be seem -ad for UFI-- RICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, 1.IANACES, BOILIMS, HEATERS, TANKS, and
AIR CONWIONERS, etc.
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OWNER'S AP iGPMII': I certify that all ofthc foregoing information is accurate and that all work will be done in wntpiiaace with all applicable laws regulating
cumntntction trod xm iog. WARNING TO OWNER: YOUR FARUn TO RECORD A NOTICE 017COMMENCEMENT MAY RF.SUL'1-1N YOUR PAYING
'1'WICI FOR IMPROVEMENTS TO YouR PROPPRTY.' 1F YOU INTEND TO OIi'1'AIN FINANCING, CONSULT WITH YOUR LENDER OR. AN
ATTORNEY BEFORE RECORDING, YOUR NOTICE OF COMMENCEMENT.
C : In addition to the requitements of this permit, [lucre may be additional restrictions applicable to this property that may be found in ftte public records of
skis county, and thew may he additional permits mquimd firm other govemmetgef enlitios such as water management diistrkts, state ageacits, of floss ag=ics.
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Acceptance o it is beat tI' 11 notify the owner of the property of tI regwr t ?10da 1 _. w 713.a o a t pate / p -t of Conactorf N Da
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1'r' nes(Agettt'vNante �! print onnaetorfAgent'sName
yt,�6111 (v glee 5
lure of o pjjeseuos,ad I i
a igitatute of @btary State of Ft«ids Date SANDRA K. LUDWi[#'
'Notary Public, State of Florida
IE£LLO CIO ON Feb.S00*63Z/6/ZL '3 tuw0 j ,M At My COMM. �. ebC M4
Duper/Ay Nerlt ylMluivrl blNC�'w. Conractor/Agent is ✓_Personally KnowtrtoMe or Comm. No. CC907821
Produced iU--
APPLICATION APP'ROVF.D BY: Bldg: • Zoning: Utilities: Fp: —
(Initial & Date) (hritial & Dare) (initial & Oak) (Initial & Late)
Special Conditions: