HomeMy WebLinkAbout820 Celery Ave (2)X
P?tnit # :
Job Addrt
Descriptic
Historic District: Zoning: ` Value of Work: S 3s0•'
Permit Type: Building GElectrical Mechanical Plumbing Fire Sprinkler/Alarm PoQ1- .
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Electrical: New Service — # of AMPS Addition/Alteration Change of Service Tempot*y Pole
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Mechanical: Residential Non -Residential Replacement New (Duct Layout & Bnergy ChIl. Required)
Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines
Plumbing/New Residential: # of Water Closets
Occupancy Type: Residential Commercial Industrial
Construction Tyne: l # of Stories: / # of Dwelling Units:
Parcel #:
Bonding Company: &!
Address:
Mortgage Lender:
Address:
Plumbing Repair— Residential or Commercial
Total Square Footage:
Flood Zone: (FEMA form required for other than X)
Attach Proof of Ownership & Legal Description)
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 performed to meet standards of all laws regulating construction in this jurisdiction. 1 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. = ,.,, v,
Acceptance of ermit is verification that 1 w 11 notify the owner of the property of the requirements of Florida Lien Law, FS 713. N o
Signature of Owner/Agent— Date S atu f Contractor/Agent Date
CA y p m
GZ eS a rCi Ast Esc/ ,= •E . m° .s
Pri er/Agent's Name Print ntractor. .gent' Name o X
of lv_Ofl Z /,y
U m a
tgn f Notary-It1,A AWMABpi SON Date Siena ry- late of rich ate t_
Notory Publ w PCt of Floddcl
My Cotrmbt lon Explres Jon A, 2007
Commisslon i DD156630
AITLICATION APPROVED BY: Bldg:
Specia! C'unjitions:
Initial & Date)
Zoning:
Contractor/Ai:;-.: is _ 1'ersonai;%- Known to Me or
Pnxlucrc : )
Initial & Dale)
FD:
Initial & Date) (Imnal & Data
AllTnQl Aoof)nq
ALLMAN ROOFING
1215 Wynn Street
Sanford, FI 32 773
Phone (407) 322-1926
Fax (407) 322-914 7
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