HomeMy WebLinkAbout3767 Orlando Dr (4)Permit #:
Job Address: 3�i�Z V `- CA
Description of Work:
Historic District:
Zoning:
CITY OF SANFORD PERMIT APPLICATION
Date:
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Value of Work: S 5-0
Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool
Electrical: New Service — # of AMPS Addition/Alteration Change of Service Temporary Pole
Mechanical: Residential Non -Residential _
Plumbing/ New Commercial: # of Fixtures
Plumbing/New Residential: # of Water Closets
Occupancy Type: Residential Commercial
_ Replacement New (Duct Layout & Energy Calc. Required)
# of Water & Sewer Lines # of Gas Lines
Plumbing Repair — Residential or Commercial
Industrial Total Square Footage:
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X)
Parcel #:
Owners Name & Address:
(Attach Proof of Ownership & Legal Description)
Phone:
Contractor Name & Address: Irl A'=V f ti
15ZA� p ir115S t nVA 01rkCky1(.kC> "t- • 32-x% State License Number: et 000 Z% 4 z -
Phone & Fax: 1 )1 yb7 Sz� -91&--V R'Y0% -�XZ t333Contact Person: 11 T `^ &-"") ) C y- Phone: S UL
Bonding Company.
Address:
Mortgage Lender:
Address:
Architect/Engineer:
Phone:
Address: 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 tot is 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)�fgement districts, state agencies, or federal agencies.
Acceptance of permit is verification that 1 will notify the owner of the property of the requireme o I a Lien Law, FS 713.
Signature of Owner/Agent Date
S' r Contractor/Agent
ate
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Print Owner/Agent's Name
Print C nt's Name
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Signature of Notary -State of Florida Date
Signature of Notary -State of Florida
Date
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Owner/Agent is _ Personally Known to Me or
Contractor/Agent is Pers��na��%%y� Isnqw'n
'to Me or
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Produced ID
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APPLICATION APPROVED BY: Bldg:
(Initial & Date)
Special Conditions:
Zoning:
(initial & Date)
Utilities:
FD:
(Initial & Date) (Initial & Date)
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WINDSOR ELECTRIC, INC.
526 NORTH MISSION ROAD
ORLANDO, FL. 32808
OFFICE (407)522-9000
FAX (407)522-1333
EC0002842
POWER OF ATTORNEY
I PETER J. LOIACONO Do hereby authorize KENNY GROVER
T a as my a ent in S-e-E—Urigg permi and or collecting payments from
. I understand that I am responsible
foi;,a 1 k perf ed by my agent and or the collection of monies.
J.I.oiacono. President
The f regoing instrument was acknowledged before me this/� day
0 200.
PETER kLOIACONO who is personally known to me and/or has.
_. shown valid picture -ID. �- - - - -
Seal:
Notary Public .
PATRICIq g,
Notary PuOlic Sta�teMBRICK
MY comm. expires Mar j jFl�o�
Bonded thru Ashton gpenty Inc. IRnrDD 178829
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