HomeMy WebLinkAbout102 Red Cedar DrCITY OF SANFORD PERMIT APPLICATION
Permit #
Job Address: /Ut
Description of Work:
Historic District: Zoning:
a e. i i-,% IU
Value of Work- S r
Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool
Electrical: New Service — # of AMPS Addition/Alteration Change of Service Tempot*y Pole
Mechanical: Residential Non -Residential _
Plumbing/ New Commercial: # of Fixtures
Plumbing/New Residential: # of Water Closets
Occupancy Type: Residential — Commercial
Replacement New (Duct Layout & Energy Calc. Required)
of Water & Sewer Lines # of Gas Lines
Plumbing Repair Residential r Commercial
Industrial Total Square Footage:
Construction Type: #{o/f'Storiies:
9 j/#
of Dwelling Units: — Flood Zone: (FEMA form required for other than X)
Parcel #: L[CZO -30 —O / — (l(i—(y0 ' O8 (Attach Proof of Ownership & Legal Description)
Owners Name & Address: / nay / / /0 nT
Contractor Nam Address:
Phone & jaj:
Bonding ompany:
Address:
Mortgage Lender:
Address:
Contact
Phone: 4407 _
Architect/Engineer: Phone:
Address: Fax:
Application is hereby made to obtain a permit to do the work and installations as indicated. 1 certify that no work or installation has commenced prior to the
issuance of a permit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction. I understand that a separate
permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and
AIR CONDITIONERS, etc.
OWNER'S AFFIDAVIT: I certify that all of the foregoing information 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 IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of
this county, and there tray be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies.
Acceptance of permit is verification that I will notify the owner of the proper of the requirements f Fl ride Uc a 713.
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Signature of Owner/Agent Date O cc 0, tur of Contractor Agent bate
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Print O\wter/Agent's N3mc -- — ---- a,a ' Contimigeni's
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Signature Of Notary -Slate of Florida Ihtr Q a mature ,ii N0I;try-SI31C of Flnrid3 I to
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Date) 111Mu:tl ,\ Daw;