HomeMy WebLinkAbout700 S Magnolia Ave (3)CITY OF SANFORD PERMIT APPLICATION
Permit # : o
Job Address: 70D S . k4 A-C'vNZr -a
Date: 2
Z6
Description of Work: AAld /1419?dR B AIf d g/A104 ftle OVA"
Historic District: Zoning: Value of Work: S ZS.. 60
Permit Type: Building Electrical IeLIL Mechanical Plumbing Fire Sprinkler/Alarm Pool
Electrical: New Service — # of AMPS 10V A Addition/Alteration Change of Service Temporary Pole
Mechanical: Residential Non -Residential Replacemenv New (Duct Layout & Energy Calc. 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 k-1— Industrial Total Square Footage:
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X)
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State License LNumber: L''DODZd$7
Phone & Fax: 407-06 ZS3/ OY 7a4' fllContact Person GIG.. ia/ phone: % oZ 96' Bonding
Company: Address:
Mortgage
Lender: Address:
Architect/
Engineer: Address:
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 the issuance
of a permit and that all work will be performed 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: 1 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 1 will notify the owner of the property of the 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 Lien
Law, FS 713. Name
P.
MILLER MY
CO AM11. ION g CC 945J85 loridat
EXPIRES: June 14, 2004 tBwWW
Thru Noury Pubk Urra.r rkm Contractor/
Agent is _ Personally Known to Me or Produced
ID L6+
APPLICATIONAPPROVEDBY: Bldg: 1'i'i11 Zoning: Utilities: Initial &
daN (Initial & Date) Special
Conditions: Initial &
Date) FD:
Initial &
Date)
I
Limited Power of Attorney
Date_02/12/20004
I hereby authorize Ronnie Lawrence
of Heron Electric. Inc.
to sign his/her name on my behalf in order to apply for an Electrical permit
for the work to be performed at:
Lot 25-19-30-5AG-09030010 Subdivision
Address 700 S.Magnolia Ave Sanford Florida 32771-2681
Heron Electric, Inc. EC-0002687
Type'or n me of company and License # of Contractor
Signature of Licensed Contractor
If applicable only!
Type or Print of Owner.
Signature of Owner
STATE OF FLORIDA ORANGE COUNTY
The foretgoinjinstrument
of Notary Public -State of Florida)
Print, Type or Stamp Commissioned
Personally known I
OR
Type of identification produced
day of r wce.
erson acknowledging).
P. MILLER
MY COMMISSION t CC 9Ijj
EXPIRES: June 14,2OBo-4WThru No" Public UnG
cation t...-mil. - V 4 U%0 -1 let - LO
RAINTITE
600 AMP MAX.
120/240 VA.C. 10 3 WIRE
SURASIE " USE Al Sm a COUIYM@!T
USE LN@CO TYPE OC. C21 CAT 140,
02120 OR ROC CMCUIT SNEAKERS.
iCONNECTORS A-@-M SURARIE FOR TIIM
400-500 MCM AK CU-AL CONDUCTORS.
E-21683 JO
STRIP WIRE FOR FEED THRU CORRECTORS ON
S US CENTERS AND 3/4 OF AN MCN T/KIE.
EACH PART OF METER SOCKET@, I NEUTRAL TERMINAL STM@OLS
RATED AT LOO AMPERES (100 HIRE SIZE RANGE
ANWERES EACH SOCKET). } WASLE FOR 4-1 AO@ Cl-ALS1KTA@LEFOR1-'@300 MCI AOS DUAL
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