HomeMy WebLinkAbout207 Melonville Aver CITY OF SAWORD PIMIT APPLICATION
Permit # : 0 ( _ '
Date: a ~ L oZ OO'f'
Job Address• __o aZ M \ o,, y. 1 i L Ay !-
Description of Work. -
Historic District: Zoning: Value of Work: S / O O
e
Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/A)amt Pool
Electrical: New Service - # of AMPS Addition/Alteration Change of Service Temporary Pole
Mechanical: Residential Non -Residential Replacement New (Duct Layout *& Energy Cale. Required)
Plumbing/ New Commercial: # of Fixtures of Water & Sewer Lines # of Gas Lines
Plumbing/New Residential: # of Water Closets Plumbing Repair - Residential or Commercial
Occupancy Type: Residential Commercial Industrial Total Square Footage:
Construction Type: # of Stories: of Dwelling Units: Flood Zone: (FEMA form required for other than X)
Parcel #:
Attach Proof of Ownersbl & Legal Descrh tlPp
Owners Name & Address: S c .i I a n G r' e v
on/
a. i
J 1
Phone.
Contractor Name & Address: R e ; n d 1,..., •„
State License Number. I 001 Sb 1P!
Phone &Fax N O i : go 7 >$Gieontact Person: Germ i 4- Phone: f 0 • per- q oty
Bonding Company.
Address:
Mortgage Lender:
Address:
Architect/Engineer:
Phone:
Address:
Fax:
Application is bcmby made to obtain a permit to do the work and installations as indicated. 1 certify that no work or installation has commenced prior to theissuanceofapermitandthatallworkwillbeperformedtomeetstandardsofalllawsregulatingconstructioninthisjurisdiction. I understand that a separatepermitmustbe -secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, andAIRCONDITIONERS, etc.
OWNER'S AFFIDAVIT: I certify that all ofthe foregoing information is accurate and that all work will be done in compliance with all applicable laws regttlatiagconstructionandtoning. WARNING TO OWNER YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYINGTWICEFORIMPROVEMENTSTOYOURPROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR ANATTORNEYBEFORERECORDINGYOURNOTICEOFCOMMENCEMENT.
TICE: In addition to the requirements of this permit, them may be additional restrictions applicable to this property that may be found in the public records ofthiscounty, and then: may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies.
Acceptance of permit is verification that 1 will notify the owner of the property of the requirements of Florida Lien Law, FS 713.
Signature of Owner/Agent Date
Print Owner/Agent's Name
Signature of Notary -State of Florida Date
Owner/Agent is _ Personally Known to Me or
Produced ID
APPLICATION APPROVED BY: Bldg: Zoning:
Initial & Date)
Special Conditions:
Signature of Contractor/Agent Date
C
Print Co ent' ame
Z 3 i
Signature of Notary -State o Florida Date
Contractor/Agent is P rsonally Known to Me or
4ProducedlD 4C
Initial & Date)
Utilities: FD:
initial & Date) (Initial & Date)
Date V E L I, , 2bp -I
I hereby name and
Of RAIN be my lawful attorney in fact
to act for me and apply to the ' ± Building Department for
a plumbing permit for work to be perf rmed at a location described as:
Sections Township_1_9__ Ranged Lot g Oq Block D
Subdivision
Address of Job)
2 ,*11e- AVe--&440E4P)
Owner of Property and Address)
and to sign my name and do all things necessary to this appointment.
P,qU' L ---R A 1,.q 0 4
Type or print name of Registered Contractor
f
Signature of Registered Contractor
The foregoing instrument was acknowledged before me this /3day
of Fc L..,d.., c by F6.-I ?%; , _J 1; who is personally known
to me/who produced as identification and who did not take an oath.
State of Florida County of
Commission #
Notary)
My Commission expires:
om m ta+Wp ODOIiO
E Ires 711=0
NOW 6ondse ftclo
F1o11d Nolary AWL. M4
6111 Old Cheney Highway
Orlando, Florida 32807
State Reg. Master Plumber
RF 0038681
March 1, 2004
City of Sanford
300 North Park Avenue
Sanford, Florida 32771
J
PluniaJxlng
i Telephone: (407) 282-2900
2 Facsimile: (407) 380-7780 `
rF0 ' Same Day Service
BOND,O Since 1974 -
Rainaldi Plumbing is requesting your assistance in the transfer of per BPo4-1070 to Michael's
Plumbing. Thank you for your help in this matter.
Sincerel
Paul Rainaldi
RF0038681
The foregoing instrument was acknowledged before me this /5m- day of P(4,eeg , abv
byfe,,L- J?Ajp4.z i who is personally known to me/who
produced as identification and who did not take an oath.
State of Florida County of eM*,;6r
Commission Number Offir4ml seal
NotaryR. CRAIG PARKS j
o ary Public, Sof Florida ! My
Commission expires: tate
5t
s, 2004 a I
CommNo. CC957402 • Issue Date 8/6/00 COMPLETE
PLUMBING SERVICE • REPIPING • SEWER & DRAIN CLEANING • RESIDENTIAL & COMMERCIAL