3101 W 1 St - BC08-000757 - INSTALL TWO COMPLETE BATHROOMSCITY OF SANFORD PERMIT APPLICATION RECEIVED
4pplication # :
Job Address: Z 10 1
Parcel ID'' Zoning:
Submittal Date: JUN 2008
Value of Work: S 000,00
Historic District:
Description of Work;,'In--AnA\ I C0maA2_4,& `IJO Y oyrr,s Square Footage:
Permit Type: Building Electrical Mechanical Plumbing W Fire Sprinkler/Alarm Pool Sign
Electrical: New Service — # of AMPS Addition/Alteration Change of Service Temporary Pole
Mechanical: Residential Non -Residential Replacement 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 Commercial Industrial Occupancy Use Group(s):
onstruction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEhtA form requircd )
I...................
roperty Owner: Contractor: (f1e t 5_ l> 1m1ni f1 of
kddress: J 01 W . e Address: S I S • gw j ' l `i —92
21 13
ho e
i Z2-2 I E-mail: Phone: (D(oS—t'vgc`State License Number:CFC l4a It{a°I
londing Company: Mortgage Lender:
kddress: Address:
l rchitect/Engineer: Phone:
kddress: Fax:
fan 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
ssuance of a permit and that all work will be performed to mat standards of all laws regulating construction in this jurisdiction. 1 understand that a separate
crinit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and
UR CONDITIONERS, etc.
WNER'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
onstruction and zoning.
VARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR
MPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE,
1RST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR
IOTICE OF COMMENCEMENT.
IOTICE: In addition to the requirements ofthis permit, there may be additional restrictions applicable to this property that may be found in the public records of
lis county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies.
Acceptance of permit is verification that I will notify the owner of the pro rty of the requirements of Flori Lien FS 7 3.
Signature of Owner/Agent Date Signature of Con actor/Agent Date
Print Owner/Agent's Name
ignaturc of Notary-Statc of Florida
Owner/Agent is _ Personally Known to Me or
Produced ID
PPROVALS: ZONING:
pecial Conditions:•
ev 07.07,
Date -
UTIL: FD.
Print ontractbr/Agent's e
6li?la
Signature of No rd> '°//r Date
C t,,,nm
Contractor/AgcO ice_ Persoh Y-I' no r i
Produced fd t ' .r. .
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