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HomeMy WebLinkAbout2921 Orlando Dr (41)4 `Permit # : o� - a asa Description of Work. t Historic District: Zoning: Building tX Electrical v Service — # of AMPS Mechanical: Residential Non -Residential Plumbing/ New Commercial: # of Fixtures Plumbing/New Residential: # of Water Closets Occupancy Type: Residential Commercial Go�nstr_uction Type: # of Stories: Parcel #: Li l— (j U Owners Name & Address: f_-, — X. 'r -- v 4 A Contractor Name & Address: Phone & Fax: Bonding Company: Address: Mortgage Lender: . Address: Architect/Engineer: Address: CITY OF SANFORD PERMIT APPLICATION 1 .a%►an11'�:�:::"-.�.t!urj',-.wlli�ys-mm .i1. Mechanical Plumbing Fire Sprinkler/Alarm Pool _ Addition/Alteration Change of Service Temporary Pole Replacement New (Duct Layout & Energy Calc. Required) # of Water & Sewer Lines # of Gas Lines Plumbing Repair — Residential or Commercial Industrial Total Square Footage: _ # of Dwelling Units: Flood Zone: (FEMA form required for other than X) 0-0 1 (Attach Proof of Ownership & Legal Description) 00 4 Q���. Phone: L4(:3IL C 1 ijF°S�w State License Number: Contact Person: Phone: 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 perms required from other governmental entities such as water management districts, state agencies, or federal agencies. Acceptance of permit is ver tcatton at I willnotify the owner of the property of the requirements of Florida Lien Law, FS 713. =o $_Signature of Owner/Ag lJ Date Signature of Contractor/Agent P gen a Print Contractor/Agent's Name _a X n � cu re of Notary -State of Florida V Signature of Notary -State of Florida CA _y rY p CD n r Y 0 2 0 �? ,� Owner/Agent is Personally Known to Me or Contractor/Agent is Produced ID Produced ID _ n O N APPLICATION APPROVED BY: Bldg. FfJV 6 23 - Zoning: Utilities: (Initial & Date) (Initial & datejI Special Conditions: i Date Date Personally Known to Me or FD: (initial & Date) (Initial & Date) "z �i;�J_ — ..c . � _— - . •i�.:� ;;!�� _ � ._ ►: ;'lei• � 2 t�� FT, .L2'L i � ©iz i PERMIT #Qj_:jasb ogjg COPY PLANS REVIEWED CITY OF SANFORD 06 10 uI�r) 12G- �� ,-- Q 2 S tCzr� T o S7 I 4J os Of C -1— r APDk ESS' 0 1 I KC Cl -r _-�) f 70 " 40-1-c(i9-`1\-(Z S (S.;�,f. I,A 7)