HomeMy WebLinkAbout505 W 11 St (8)t' CITY OF SANFORD PERMIT APPLICATION
Permit # :—
Job Address:
Description of Work:
Historic District Zoning:
a
Value of Work:
Date: `
Permit Type: Building _4.Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool
Electrical: New Service — # of AMPS Addition/Alteration Change of Service Temporary PoleMechanical: 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
Occupancy Type:
Plumbing Repair— Residential or CommercialResidentialCommercialIndustrialTotalSquareFootage:
Construction Type: # of Stories: of Dwelling Units: Flood Zone; (FEMA form required for other than X)
Parcel #:
Attaeb Proof of Ownership & Legal Description) Owners Name & Address: i L
Phone.• 2
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State License Number,
Phone & Fax:
Contact Person: bone:
Bondiag Co 4rPan3^
Address:
Mortgage Lender:
Address:
Architect/Engincer.
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 theissuanceofapermitandthatallworkwillbeperformedtomeetstandardsofalllawsregulatingconstructioninthisjurisdiction. I understand that a separatePermitmustbesecuredforELECTRICALWORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, andAIRCONDITIONERS, 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 regulatingconstructionandzoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYINGTWICEFORIMPROVEMENTSTOYOURPROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT W[TH YOUR LENDER OR AN
r
ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
TICE. 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 ofthiscounty, and there may be additional permits required from other governmental entities such as water management districts, state agencies, g es, or federal agencies.
Acceptance it ' on that 1 willll uodqthe own f oof the fthepropertyroquirem o Flo ien Law, FS 713 r
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Bldg: (Zonin Initial & Date) g
Special Conditions:
Initial &
Date) Utilities:
Initial & Date)
FD:
Initial & Date)
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