Loading...
HomeMy WebLinkAbout315 S French Ave (5)CITY OF SANFORD PERMIT'APPLICATION' , ' I — U Permit #: © / Date: I _, / Job Address: Description of Work:==' , i IZ' l T Lt 1 >( t tk44 Cam'% 9, r'Y' ,,,9 ,4C LL411:5 Historic District: Zoning: Value of Work: S O. 00 Permit•Typc-Building- k/,' Electrical Mechanical Plumbing Fire Sprinkler/Alarm 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) C Parcel M ' - 3 00 — 5114G ` Q J wrig $ — 0010 Attach Proof of Ownership & Legal Description) Owners Name & Address: V 4 15 Ur, Phone: ( Y7) f /erg t 9 Contractor Name & Address: j 4 4oA W • J Q *Of-J -1 a7 State License Number: Phon 01.7) 3a3 - li as 3a3-/'5VK Contact Person: 61rUce Son LA Phone: YO 3-23-//ZS Bonding Company: Address: Mortgage Lender: Address: Architect/ Engineer: Phone: Address: Fax: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be perforated 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 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 I will notify the owner of the property of the requiremen of Florida Lien Law, FS 713. / U7 Signature of Owner/Agent Date Sipaturelef Contac r/Agent' Date Oct 11 Cc , M. San g Print Owner/Agent's Name Print Contractor/Agent's Name Signature of Notary -State of Florida Date Owner/ Agent is _ Personally Known to Me or Contractot/ Produced ID _ Produ APPLICATION APPROVED BY: Bid I I CJ 1 I 61 nin ZC1 I , Initial & Date) (Initial & Date) Special Conditions: to 0f691ME BLANTON Date MY COMMISSION # DD lON91 EXPIRES: February 25, 2007 FD: Initial & Date) (Initial & Date) g. 3qo0