Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
1167 Senegal St 06-81 lean to
CITY OF SANFORD PERMI'rAPPLIC:ATION H optwo 'gip 0 8 �06. Permit # 0 Date: g o • 05 T _ Job Address: &6 % JG/CbF (== Description of Work: Abe LC—anl `IQ '� Ekl�l7+y(a "�+`1�� f"SVIt b11V Ilistoric District: Zoning: Value of Work: $ /50D Permit Type: Building h Electrical Mechanical 1'lutnbing Fire Sprinkler/Alarm Pool Electrical: New Service — # of AMPS Addition/Alteration. ^ Change of Service Temporary Pole Mechanical: Residential Non -Residential Replacement New (Duct Layout & Energy Catc, 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 Construction 'Type: _ Commercial Industrial Total Square Footage: # of Stories: dV /t # of Dwelling Units: ivO Flood Zone: (FEMA form required for other than X) Parcel #: .fi . 101 • ) 39 U ' 0000 (Attach Pruuf of Ownership & Legal Description) Owners Name &Address: A)EW r'ia�l �r1+SSf �J J coo C I e' !�;r 3 Z77 I Phone: Lf o 7 3L3' 3`I �O Contractor Name & Address: I f um a:f�' D DLt Lid A Cr/F 2h FC- 32-7-2 L Staite License Namber: (.'RC !ZJ © 1 39 Phone & Fax: �llo •- ?z I ` t� 05 rAr 3SC)-`jQ8tt Contact Person: lzf (j±f 2w4 S� Phone: y0 Bonding Company: Address: — Mortgage Lender: Address: r 4k atria/Engineer: r�T€tM�?'t� �-GCJ +�i (1.2-f7 C' i `�NNGI.-l_ Phone: Address: hE I� �y�nJt JILIa f'� �jZ7%2 —lr`a'�`i 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 than 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 districts, slate agencies, or federal agencies. Acceptance of pperrmit is verification that I will notify the owner of the property of the requirements of Floorrrida Lien Law, FS 113. Signature of Owner/Agent �Datc+ Signature of Contractor/Agent Date Pri� Owne enEsll i{e Print Co t_iac off/ gen ' Nayrre ignau e of Notary -State of Florida Date S1 n'aturc ofNatary State of Florida D� et Owner/Agent is VPersonully Produced ID APPLICATION APPROVED BY: Bldg: Special Conditions: KENNETH PAUL FROST 4Y COMMISSION # DD 0467E _EXPIRES: September 22, 2M ARY FL Notaiy San'ice & Bvnding,,1_111 & Date) L-1 (rnitial & Date) [it is -Z Personally Known to Me or ID FD: (initial & Date) (Initial & Date) amO J, N V-01" " j- 0 A j " I J-flq N T-Oil r -- i -- -i r - I-- ry T-Oil r r �24" X 24" X I(o" THICK rr7Nr'i2�TK pdh