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1102 Lake Jennie Dr - E08-001057 - ADDING SECURITY LIGHTSCITY OF SANFORD PERMIT APPLICATION Application #: _ " 7 I Submittal Date: ';- '-4-06 Job Address: I' L• G K- nn 1 `C, O (\ X )W - Value of Work: $ C 0 - © 0 Parcel ID: Zoning: Historic District: Description of Work: otd d t I1 q S ec U_/ t VLO " Wl 1'".. _hD l e 0 tip, b U e'rJ( A Square Footage: so* ....... ................ ......... ......... ........ ........... a Permit Type: Building 2 Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool Sign Electrical: New Service - # of AMPS Addition/Alteration Change ofService Temporary Pole Mechanical: Residential Non -Residential Replacement New (Duct Layout & Energy Calc. Required) Plumbing/ New Commercial: # ofFixtures # of Water & Sewer Lines # of Gas Lines Plumbing/New Residential: # of Water Closets Plumbing Repair- Residential Commercial Occupancy Type: Residential Commercial Industrial Occupancy Use Group(s): Construction Type: # of Stories: # ofDwelling Units: Flood Zone: (FEMA form required) Property Owner: CAM_cj ) Contractor: _ `.7 C lf C f i C ,`l C Address: I &--" C, (1 V Address: mc) 3L'l ant ,:Lr 1 l PI 01i d-c, 3 -1-2 3 3 D8 0-- Phone:qQ-' -- 3ay-703 E-mail: Phone: y0 0 7 1 15 State License Number: P 13 0 0 %% 7 & Bending Company: Mortgage Lender: Address: Address: Architect/Engineer: Phone: Address: Fax: Plan Review Contact Person: Phone: Fax: _.. _ E-mail: _ 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 ofapermit and that all work will be performed to meet standards ofall 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 constructiontion and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COS MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. 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 govemmer6l entities such aswater management districts, state agencies, orfederal agencies. Acceptance ofpermit is verification thatI will notify the owner ofthe property o requ is ofFlorida Lien Law, FFS,L713. Signature of Owner/Agent Date Signature of 6ntractor/Agent Date Print Owner/Agent's Name ctor/ ame Signature ofNotary-State ofFlorida Date ofNotary-State ofFlorida Date Notary Public State of Florida ae J Brian Walewski My Conimission D0621809 Expires 02/24/2011 Owner/Agent is Personally Known to Meor Contractor/Agent is _ nally o o r — Produced ID _ Produced ID APPROVALS: ZONING: UTIL: FD: , ENG: BLDG: Special Conditions: Rev 07.07