2705 St Johns Pkwy 07-783 rolling crane footingsC I-VY OF SANFORD 1'ERNUT APPLICAT'lON
7
-b Address:
_ %i.� _�t,l_�.� PKe�
escriptwn of Work: __-vo//Aj,----.rr< fL in __ -�, 1 fit, -_.Total Square t�ootabe_-----_.i, a 5 O
istoric District: _ -- -- Goniuy: —_.-- Value of 1V011<: $i,a�� 11f1
Yy�' _
:rntit Type: Buildit, - Electrical — Mechanical I'lumbing Fitt: Sprinkler/Alaou fool
ectrieal: New Service - 9 of AMPS Addituht/Alteration , % Cl+ange oC Service ____-_._, 1 angora+y Pole
echauical: Residential _. Nott-Residential
umbiug/ New Comttrercial: H of Fixtures _
umbiug/New Residential: R of Water Closets
�cupartcy'Fype: Residential _-- Commercial
Replacement -_._ New (Uuct Layout SKr. Gter(y Cale. KCtptircitl
# of Water & Sewer F rocs U of Cias Cities
lndustt ial
I'lumbiug Repair -- Residcotial of. Commercial
mstrudiop Type, N of Stories: It of Dwelling Units: _------ Flood Z.olic: _ (FUMA 1'01-111 rcquircd ?
veers Name A Address:.;._-N /// � �%/V/!!.__.. +H I_ref
Is
_r� L• 2 __ 't L L j .�i _.
-P fill lie.
,tltr actor Name & Address:
f �ry �a
Stntc License. Nulabcr, (r.._l✓
-. -- -- --
Contact Person: ��\ /'ir'� _._........�••-
one a Fa %�Lh l._- �--------�--------- ---_ ._�L..L..__. _
udmg t:ompauy:--
klress' , Rd—J LL fi �- °�\�
)([gage Leudeu:
dress:_...._-
cltitect/F.ngincet /\
movz je �l - -- Fax: �_..1`.-- ...... : �I
plicatiou is hereby trade to obtain a pctmit to do the work mid installations as indicated. I certify that no work or installation has co+iummiccd pilot to the
janee of a pctmit and that all work will be performed to meet standards of all laws iegulatiog coastmWoo in this jurisdiction I unrletstaod that a separate
mit must tic; secuted for ELECTRICAL WORK, PL(IMBING, SIGNS, WELLS, [10OLS• FURNACES, BOILERS, LII?ATERS, TANKS, mid
t C'ONDI-HONEKS, c(c.
JNEK'S AFFIDAVIT-. I certify that all ofthe foregoing infolutation k aceuratc :utd (flat :ill work wilt be done in compli;utcc with all applicable laws tceulating
+stnrction and zoning. WARNING TO OWNER: YOUR FAILORE TO RECORD A NOTICE Of. COMMENCEMENT MAY KESULT IN YOt_IK fAYLN(
IIC E FOR_IMPROVFMLNtS TO YOUR PROPERTY_ IF YOU INTEND TO OBTAIN FINANCING. (.:ONSULT WITH YOUR LENDER OR AN
"CORNEY BEFORE RECORDING YOUR NO-1'1Cti OF COMMFNCEMEN'f.
+TICE: la addition to the requirements ofthis pemlit, there may be additional restrictions applicable to this property that tray be tixutd in the public fc;cocds of
; county, and thcrt: may be additional petntits required ftoatt other gowattmcntal camics such as watci mauagctttcnt (district::, state agencies, or tederal agencies.
;cptartee of pernii[ ' ver'tica 'oti T [ tv'itf'int fy the owttec of the pcuperty of the requiretncnts C Florid f .iefil Law, CS 711.
tplatur 010 vmr/Agentt Date ("uatutc of(.otmaet/or/Agcal Datc
./9—
['dut Owuct/Agent's Name Print Coalractot/Av,cnt's NIURC
SigttariueoCNOW y-State of Florida Date Signaturcof oly¢ t>cof[loiidd` •-• _-Date
M
,"�Y' Debra K Green
1• FA
z MYCOMMISSION# DD179410 EXPIRES
a., P March 28, 2007
OwnedAgent is I'Clsoually [uayq (lVMe oPONpEDTNRUTROYFAIN INSURANCE INC C,
Ptudmed Il.
'ROVAL,S: ZONW(;: _ UTIL- FD:
vial CoMitious:
.0312006
l,r ftn� ,� •
MY, urst�4+� I SIQN r ' . lE d
k f sit) t
} rY p`
�Lt 3- Y c FL Not -
�!J
.j
IL
r.:
so
0n
zcn
ry
W
z
c� -s
cn
cv
0, c
r,.
Lq.-JLL-
�o
F-
crt
LL
J
¢
�
U
�
0,
Q
U
LL
0
Q
Ur
W
U)
C/)
v
x
L1J
�
Q
a
�
�
o
Z
U
v
o
w
w
Z
Q
-Seal of Engineer:
Andrew D. Kdster, P.E.
,,__FL. Reg No. 60993
Mark Date
REVISIONS
r—
Sheet No.
S®1
Z
w
cv
�r
LJ
CV
rn
v
--I LL-
L9
M ■
6
Z
z
3
W
Q
CJ
CO
CM
C7 '�
U
�.6
W
ILLi�
LJL
®
z
(D
w
) �! r�
F...
2
—
Cl)
W
Z
W
U )
W1
®
�
z
T
�C0)
z
C)
C)
Cl)
ryo
W
W
rM�.
z
Q
Goal of Engineer:
Andrew D. Kester, P.E.
\ FL. Reg No. 60993
Mark Date
REVISIONS
y