The URL can be used to link to this page

1102 Lake Jennie Dr - E08-001055 (Adding new security lights) Documentsy s CITY OF SANFORD PERMIT APPLICATION Application # : Submittal Date: Job Address:' tLG1, J (t'l l l (- i ( (: '}C (l O I Value of Work: $ ©u Parcel ID: Zoning: Historic District: I Description of Work: CId I fiq secU t i vul h1'-S -hD cGy of bU+ O'9`Square Footage: o..............o........ o.o0......... o..... o..o....... o.... oo.o... 0......... 0.......... o............ Permit Type: Building0016, Electricals Mechanical Plumbing Fire Sprinkler/Alarm Pool Sign Electrical: New Service - # of AMPS Addition/Alteration Change of Service Temporary Pole tl 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): Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required) 0................... Property Owner: A CI" Contractor: "rkOW-r Cam- ICCV (- Address: I I -"-)Dc;c, Address: D L Cc > 1 c'/1 Ja l,e.! FI fl cl. 3 a--1-13 _ (-r l c- . 3 0 81 -- Phonep07-- 3 Y4-7773 E-mail: Pbone: g07-9)_)T)/ State License Number: Pr'f 3 U 0 0 7& Bonding Company: Address: Mortgage Lender: 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 of a permit and that all work will be performed to meet standards of all 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 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. 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 maybe 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 property o the uiremen of Florida Lien Law, FS 713. Signature of Owner/Agent Date Si re of Contractor/Agent Date Print OwnerlAgent's Name t tracto s Name ell/ow 0 Signature of Notary -State of Florida Date imam ofNotary-State of Florida. r, cf c J% 'w Pig otan_PU lic fete0 10 Brian Walewski e My Commission DD621809 FOF F Og Epires'02124f2011 Owner/Agent is Personally Known to Me or Contractor/Agent is ally Known to Me r Produced ID — Produced ID _ -- - APPROVALS: ZONING: UTIL: FD: ENG: BLDG: Special Conditions: Rev 07.07