HomeMy WebLinkAbout505 W 11 St (7)CITY OF SANFORD PERMIT APPLICATION •. '` '
Permit
Date
Job Address:
Description of Work:
Historic District: r
tZoning: Value of Work: S
Permit Type: Building J-- Electrical Mechanicalal Plumbing Fire Sprinkler/Alarm Pool
Electrical: New Service — # of AMPS Addition/Altemtion Change of Service Temporary Pole
Mechanical: Residential Non -Residential Replacement New (Duct Layout '& Energy Cal
Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines
1\ZOPlumbing/New Residential; Water Closets Plumbing Real ltesiden ' 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 #•
Owners Name &
Phone & Fax:
Bonding Company:
Address•
Mortgage Leader:
Address:
Architect/Engineer:
Address:
Attach Proof of Ownership & Legal Description)
Phone: L Cal
State License Number:
Contact Person --Phone-
Phone:
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 theissuanceofapermitandthatallworkwillbeperformedtomeetstandardsofalllawsregulatingconstructioninthisjurisdiction. 1 understand that a separatepermitmustbesecuredforELECTRICALWORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, andAIRCONDITIONERS, etc.
OWNER'S AFFIDAVIT:1 certify that all of the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulatingconstructionandzoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOPAYING URTWICEFORIMPROVEMENTSTOYOURPROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR R
ATTORNEY
BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.AN IpProduced
ID APPLICATION APPROVED
BY: Bldg: Initial & Date)
Special Conditions:
tl restrictions
nw entitiesls
of the
mq+merk of Flo1ij,ien Law, FS 713. of NotagKState
of to this
property that may be found in the public records of 1t"emeat
districts, scare agencies, or federal ageaeieL 71 0, -
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R Contractor/
Agent
is _ Personally Known to Me or Produced ID
Zoning: Utilities:
FD: Initial & Date) (
Initial & Date) (Initial & Date) Z!;—*O