HomeMy WebLinkAbout1001-1009 Gemstone CtPermit # :
CITY OF SANFORD PERMIT APPLICATION
06-1398 Date: 3/29/2006
Job Address: 1001-1009 Gemstone CL Building 28 Lots 140-144
Description of Work: New Home Electric
Historic District: Zoning: Value of Work: S
Permit Type: Building Electrical x Mechanical Plumbing Fire Sprinkler/Alarm Pool
Electrical: Newv Senrice-# of AMPS 5 r, 150amps Addition/Alteration Chance of Service 'temporary Pole
Mechanical: Residential Non -Residential Replacement Nemv (Duct Layout& Energy Calc. Required)
Plumbing/New Commerical: # of Fixtures # of Water & Se\Ner Lines # of Gas Lines
Plumbing/New Residential: # of Water Closets Plumbing Repair- Residential or Commerical
Occupancy Type: Residential x Commerical hidustrial Total Square Footage:
Construction Type: I of Stories # of Dwelling Units 5 Flood Zone: (FE MA form required for other than X)
Parcel # : (Attach Proof of Ownership & Legal Description)
Otwters Name & Address: Morrison Homes 151 Southhall Lane, Suite 200 Maitland. F] 32751
Contractor Name & Address: D & E Electrical Systems, bic. P.O. Box 520898
Lon_wood, FL 3275240898 State License Number: EC0003096
Phone & Fox: Ph. 407-260-2062 Fax: 407-260-2221 Contact Person: Rebecca Lopez Phone: 407-260-2062
Bonding Compay:
Address:
lurtgaec Lender:
Address:
Architect/ Engineer:
Address:
Application is herby made to obtain a permit to do the work and installations as indicated. 1 certify that no work or installation has commeced prior to the
Issuance ofa Ih'nmt and 1hal all work sill be performed to meet standard% of all laws regulating construction in ibis jurisdiction. I understand that a separate
pcnnit must be secured for ELECTRICAL WORE, PLUMBING, SIGNS, WELLS, POOLS,FURNACES, BROILERS, HEATERS, TANKS, and
AIR CONDITIONERS. eel.
Owners Affidavit: 1 certify that all of the foregoing information is accuante and that all work will be done in compiance with all applicable laws regulating
construction and zoing. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING. CONSULT WITH YOUR LENDER OR AN
A'I-fORNIiY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
NOTICE: In addition to the requirements of this permit, there may ge additional neslrictions applicabel to this property that may be found in the public records of
this county, and there may be additional permits required front other govenmtennal entities such as water management districts, state agencies, or federal agencies
Acceptace of permit is verification that will notify the owner of the property of the requirements ofAlorida S. 713
Signature of Owner/Agent Date Signature of Contractor/Agent Date
Print Owner/Agent's Name
Signature of Notary -State of Florida Date
Owner/Agent is _
Produced ID
APPLICATION APPROVED BY: Bldg:
Special Conditions:
Personally Known to me or
Scott E. Easterbrook
Contractor Agent is
Produced ID
rr+ a cca Loppez
Commission#DD330760
Expires: Jun 2008
1:
it ' a 1r Atlantic Bonding Co- I =
x Personally KnovAi to me or
Zoning Utilities: FD:
Initial & Date) (Initial & Date) (Initial & Date) (Initial & Date)