2424 Vineyard Cir - P08-001535 - COMPLETE PLUMBINGCITY OF SANFORD PERMIT APPLICATION
Application #: b u 3 Submittal -Date:
Job Address:.2go)q t/,e ua(d" Lt re- 1, Sw -x ei Valuelof Work: S 5 q . vo
Parcel 1D:- I R . 3l -1 , p o - or p Zoning: Historic District:
Description of Work: C-01 .'t"+-p- P rw,,;.h t.•q Square Footage: a 33`l
Permit Type: Building Electrical E , .Mechanical Plumbing Fire Sprinkler/Alarm Pool Sign
Electrical: New Service - # of AMPS Addition/Alteration 0 Change of Service Temporary Pole
Mechanical: Residential Non -Residential Replacement 0 New (Duct Layout. & Energy Calc. Required)
Plumbing/ New Commercial: # of Fixtures # of'Water & Sewer Lines # of Gas Lines
Plumbing/New Residential: # of Water'Closets_ Plumbing Repair- Residential Commercial
Occupancy Type: Residential M, Commercial Industrial Occupancy Use Group(s):
Construction`Type: # of Stories: # of Dwelling, Units: Flood Zone: (FEMA form required )
Property Owner: A 1 E(tisS 1--1^'iLSi C. Contractor: A 120r Z);S.t
Address: (a00 ( 5CJ4,, 6C:_ .fir. S4e_ l bo A(
em_a
Address: Gaa
3X1 `.3
Phone: `i01- E-mail: Phone.31 7 $ 41fl State License Number: CPC- -0S SL SZ . .
Bonding Company: Mortgage Lender:
Address: Address:
Architect/Engineer: Phone:.
Address: Fax:
Plan Review Contact Person: Phone: Fax: E-mail:
ApplicationApplication 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 ofa permit and that all work will be performed to meet standards ofall laws regulating construction inthis jurisdiction. I understand that a separate.
permit must be secured for ELECTRICAL WORK,.PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS,,andAIRCONDITIONERS; eta
OWNER'S AFFIDAVIT: I certifythat all of the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulatingconstruction.and -zoning. - - -
WARNING TO'OWNER- YOUR FAILURE TO REC ORD A NOTICE OF COMMENCEMENT 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. JF YOU INTEND`TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR
NOTICE OF COMMENCEMENT:
NOTICE: In addition to the requirement's ofthis permit, there may be additional restrictions applicable to thisproperty 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, state agencies,: or federal agencies
Acceptance ofpermit is verification_ that I will notify the owner of the.prop ofthereumre ents of Fl ida Lien w, FS 713. Signature
of Owner/Agent Date ture of or/Agent Date Print
Owner/Agent's Name ontrct /Age!14.blame . Signature
of Notary -State of Florida Date Signature Rf ; ' Date Y
P Laura A: EngetMM o Commission #
DD697801 N
oQ Expires September21, 2010 Owner/
Agent is — Personally Known to Me or 1
son&d Troy Fea "Cs. IraW04*7019 o
Me or Produced
ID Produced ID APPROVALS: -
ZONING: UTIL: _ FD: ENG: BLDG: Special
Conditions Rev
07.07