HomeMy WebLinkAbout3838 S Orlando Ave5-12-203 9=5dAM FROM
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CITY -OF SANFORD PERMIT APPLICATION
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Permit # ��Date: '111 20 01
doh Address: 3 t3 3 $ S. Qr- i a }d A vo c__–te r. (in tri ma )
Description of Work: r
Historic District: n a Zoning: Value of Work: S 60500.00
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Permit Type: Auilding Electric a1 Mechanical XX Plumbing Fire Sprinkler/Alarm Poo1
FJectricol: New Service – 4 of AMPS A(idition/Alteration Cbange of Service Temporary Pole
Mcchanical: Residential Non-Rcsidattial _y) , Replacement Newt'_ (Duct Layout & Ertetgy Calc. Required)
Plumbing/ New Commercial: # of Fixtures # of Water & Sewa Lines # of Gas Lbws
Plumbing/New Residential: # of Water Closets plumbing Repair – Residential or Commercial
Occupancy Type:Residmfiai CorrtmtKialX_ industrial Total'SquareFootage:
Construction Type: # of Stories: # of Dwelling Units: Flood Zane (FEMA form required for other cissa X)
Pnreci a:1 -. Q., 3Q.: �..5Sa.2 = .R.D.s 0.7,.•0.Q -U __ _ .. (Attach Proof of Ownership tit Legal Descriptida)
owners Nam# & Address;
54 W 3Ath Rt r NPw Ynrk '1\1 V 1 n -n-1 R Pbone:
Contractor Name & Addre t j67 )
zn A C'nmmarra i rr 1 in T r-.agwood, Fes—= State LkeaseNumber: �J �_ ji �� –
Phoae & Fax: 407-331 – 81 8 8 _ Contact Penna: M i k a 7 n h n G n n Phone: –
BoodingCompany: 407-331-3117
Address:
Mortsltge Leader. ,
Address:
ArchirectfEagineer:
Address:
Phone:
Fax:
Application is hereby made to obtain a permit to do the work end installations as indicated.• 1 certify that no work or installation has eomow* l6 print to the
issummee of s permit and that no work will be performed to meet staudw& of ell laws regulating onnatrmtatmn is dhia junadietion. l understand that a separate
permit must•bc secured for ELECTRICAL WORK, PLUMBING. SIGNS. WELLS. POOLS, FURNACES, BOILERS, HEATERS, TANKS, and .
AIR C:ONVIl-IONERSr etc.
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OWNER'S APFIDAVIT:1•eertify that all of the foregoing inform mon is seatrm and that all work will be dote in eomplistue with All applicable laws reguluting
constnvetim and mnint. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT M
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING. CONSULT WITH OU E�1� OI)JOMTHAN A. BECKER
ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. k Notary Public, State of Florida
�y i s Nov. O6, 2003
140 IC. : In addition to the requirements of this permit. there may be atiditionel restrictions applicable to this property tut may f tlr ptm��884559
this county, and there may be additional Poulin; nogoired from other govcmnmmt entities such as water mansgement districts, to agencies, r federal a
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Acceptance Of permit is verification tjf i will notify the Owner o�the p�opefty of the requgett6nta q� Flort�/,!, i 3
Signaturvof0-mIAg t "tans oft�ot cosclAgrni / Dam
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of Notary -State of Florid" Date
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11* 16 Mate of Florida
A , JONATHAN A. BECKER $N!"v. 0V-3
l� Contray�er/A Yhit ;s y!- rcrSo o Me or' "
Ow /Agent is; P } Florida �/Produeod iD .,E-4( / /(��
produced I Ov. 06, 2003
No; 6C864666 � -� 7
APPLICATION APPROV Utilities: __ ,_ FU:
(Initial tit Date) (Initial & Date) (Initial & Gate) r (Initial ai Date) ® �
Jp"ial comlitium:
FA
is
I ti Ul, APPROVED 3M FIRE BARRIER
cr r WRAP CMAMIC FIBER 'MAPPING
STAINLESS •,TEEL BACKSPLASN
PROVIDES t TO 2'HOi1R RATING.
CONTINUE WRAP FROM HOOD COLLAR
f0 ME TOP OF THE ROOF CURB:
DUCT CGNIINM., 10 NCUD COLLAR
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YIELDED 1-104110 TIGHT,
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SI.: N'LlY
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