HomeMy WebLinkAbout137 Magnolia Park Trl (3)5-06-203 7:09AM FROM
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Permit ss :_ s S �t
Job Address: A
Description of work: e,(%— —1` t C a
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CRY OF SANFORD PERMIT APPLICATION
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Date: 2-1-0,3,
V
yaluc of Work: f
P. I
Permlt Typc: Buildinil_ Eleunical _ V-"Mhani
Mechanical— Plumbing FimySprinkler/Alarm Pool �`
Electrical: New Service -17 of AMPS _. __ Addition/Alteration Change of Service __ Temporary Pole (
r i I Replacement New (Duct Layout &Energy CDIc. Requited) +
Mechanical: Residential Non -Resident a D
Plumbing/ New Commercial: a of Fixtures # of water & Sewer Lincs a of Gas lines _„ _
Plumbing/New Residential: k of Water Closets.- Plumbing, Repair - Residential or Commercial
Occupancy Type: Residential V� Commercial Industrial Total Square Footage: _
Construction Type: p of Stories: p of Dwelling Units: Flood Zone: (FEMA form required for other than X)
Parcel s<: (Attach Proof of Ownership a Legal vescnpuon) r
,.� t ► l _ ,,,, c -47t-11 �In m00% �-iyrn n&+ C
Owners Name & Address: ,1_ ' ' — -
_ Fr Phone: 4_07 - 9:5 7 - /
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Contractor �er�re� �6c ,A,ddress: �fiQ�s G. i t _ r.1��tC— • L� � • � `t � (�[_� �.
1. Z7 �%1 MState License Number, DO) 5' ��aQ_ L,
Phone &Fax: 7 ..>3 a l ' ti 4 4 •.- Contact Person: t r lLl C ► Q _ _ Pbonc: �3 T
Bonding Company: ....— __.
Address _ --
Mortgage Lender: -
Address: - — -
Archilect/Engineer:
Addrras:
Phone:
Fax:
Application is hereby made to obtain a permit to do the work and installations as indicated. 1 certify that no wtwk or installation has convnenctd prior to the
issuance ora permit and that all work will be performed to meet standards of all laws regulating canumction in this jurisdiction. 1 understand that is separate
permit must be secured for ELECTRICAL WORK. PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS. HEATERS, TANKS, and
AIR CONDITIONERS. ctc.
OWNER'S AFF1DAv IT: 1 tertily that an of the foregoing infomtation is accurate and that all welt will be done in compliance wilt all applicable laws regulating
Construction
WICE FOR MPROVEM5WTSITo YOUG TO R P PROPERTY, IF YOU INTEND O TAM FINANCING, CONSULT WITH YOUR LENDER OR ANSR: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR AYfNG
ATTORNEY BEFORU REC:ORDINO YOUR NOTICE OF COMMENCEMENT.
NOTICE: In addition to the requirements of this parni4 there may he additional resmcdons applicable to this property that nvy 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, sate agencies, or federal agencies.
Acceptance of permit is verification than I will notify the owner ol'the property of the require rtten of Flori 1 haw 5 71)•
Signature of Owncv/Agent Vale Sian re of Contraernr/Arcus Date
Prior Owner/Agent's Name j0THnt Cuntruwr/Agenl's raxay'{�arurcof Nvlary•Starr.Flnritlo Date G lure of N $tire of Florldfi Uute
0wACr/A.qCnt is.. YotiunPtty Knmvn tai Mo ur
APPLICATIONAlrl'I(OV ED 11y: 111dg:
(Iniw,il S 1)3tu)
�pcci:d C'onditiroi:: _-•_
e••urnraetnr/A;cnt IS _ Nrr:6n3ily Known to Me ur
Lenin`:.... _ , ._ 1 ailinc>: --_-'• •. F I). _. .—
(Initial 8; Date) (1111611 & I)atc) (Drtial S I>�tc
MARIE A. ZETTLEMOYER
MY COMMISSION N CC $33100
�gjri0 EXPIRES: Jul 15,2M
I�pSNpTIIgY Fier Nona s era. a swam co: