HomeMy WebLinkAbout135 Mayfair CtPermit #
oI- ay k a.
Job Address:
Description of
Historic Distr
CITY OF SANFORD PERMIT APPLICATION
Date: "//6-703
Permit Type: Building Electrical Mechanical _to," Plumbing Fire Sprinkler/Alarm Pool _
Electrical: New Service - # of AMPS Addition/AIteration Change of Service Temporary Pole _
Mechanical: Residential t/ Non -Residential Replacement 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 V' Commercial Industrial Total Square Footage:
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than x)
Parcel #:
State License Number: L ire-t'LYG a
Phone & Fax: o1 -3Z Z- 5 - Contact Person: Phone: ?0 ?_321 S5_
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. 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. 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 distric , state agencies, or federal agencies.
Acceptance of permit is verification that 1 will notify the owner of the property of the requireme orida en FS 713.
Signature of Owner/Agent Dater Lure ontra for/Agent Date
Print Owner/Agent's Name intractor/Agen 's N n�t.,
7�n � l
Signature of Notary -Stare of Florida Date t Signat*po ota Date
so : ��� GRAVE
* 4280
MY COMMISSION I DD 18
Owner/Agent is _ Personally Know a Cont ( nt EXP -IBES: November 12, 2006
to Me or
Produced I D
iQ- Produced I D _
APPLICATION APPROVED BY: Bld Zoning:
(lnitia & Date)
Special Conditions:
(Initial & Date)
Utilities:
FD:
(Initial & Date) (Initial & Date)