HomeMy WebLinkAbout2212 Mitch CtCITY OF SANFORD PERMIT APPLICATION
Permit # G o `3 31 l f Date. t z,l 5 Olo
Job Address:
Description of Work: KEYI 9c - %4n149E4 E(Et772rcji _ 1 •%/ Est rsn.v1 /r'll rcP/jr,0v 417464
i
Historic District: Zoning. Value of Work: S4 Soo
Permit Type: Building Electrical Mechanical Plumbing Fire SprinldedAlanu Pool
Electrical: New Service — # of AMPS Addition/Alteration Change of Service Temporary Pole _
Mechanical: Residential Nan -Residential Replacement New (Dud layout & Energy Cale. Required)
Plumbing/ New Commercial: # of Fixtures # of Water & Sewer lines # of Gras Lines
Plumbing/New Residential: # of Water Closets Plumbing Repair — Residential or Commercial
Occupancy Type: Residential _V/— Commercial Industrial Total Square Footage:
Construction Type: # of Stories: # of Dwelling Units. Food Zones (FEMA form required for other than X)
Parcel M c7 V I:z J 1
Owners Name & Address:
Bonding Company: /U ! Q
Address:
MortgageLender: N l h Address:
Architect/
Engineer: Address:
Attach
Proorof ownership & Legal Description) Phone..
Fax:
Application
is hereby made to obtain a permit to do the wort and installations as indicated. I canny that so 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. 1 understand that a separate permit
mast be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and AIR
CONDITIONERS, etc. OWNER'
S AFFIDAVIT: I catify that all of the foregoing information is soarate and that all wort will be done in compliance with all applicable laws regulating construction
and zmag. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE
FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU U47END TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE RECORDING YOUR NOTICE OF COMMENCE NOWT. NOTICE:
In addition to the requirements of this permit, Were may be addifioral matrictious applicable to this property that may be found in the public records of this
county, and there may be additional permits roquumd from other governments] m io sucL as water management districts, ate agencies, or federal agencies. Accept-
9
Owna/
Agent is _k'Pasoally known to Me or Prodacod
ID APPLICATION
APPROVED BY: Bldg N9z)7oaiag Iaaial &
Special
Conditions: RUTH
TOWERY E. Commission #
DD02ONTS = Enplres
4/1&M? or
N moa•• Boded through AC0.
432.4254) Florida Notary Assn.. Inc. N.
N.........N...NN.NN..NN..NN..N.NMM FS
713. Cantractur/
Aged is reraonally Produced
ID Initial &
Daft) Date
104
Me
or Utilities•
FD: Initial &
Date) (Initial & Date) 0.... .•.•.•••
TOWERYE. Y
Commission 0 D00203476 s moo. Erpes 4I1512007 S 90r4W >
i td'
7•
N••
llorAssn NNM M•..