504 Springview Dr - E08-001520 (new service amp) documentsCITY OF SANFORD PERMIT Al) CATION
01Application # : U bmittal Date:
Job Address: .'fin y -Sp f fwn ccejt _ / Value of Work: $ S/ bye
Parcel ID: Zoning: Historic District:
Description of Work: Affl --18 n 1 _ '0 Square Footage:
Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool Sign
0Electrical: New Service —# of AMPS l oo _ Addition/Alteration Change of Service Temporary Pole
Mechanical: Residential Non -Residential Replacement New (Duct Layout & Energy Cale. Required)
Plumbing/ New Commercial: # of Fixtures Q # of Water & Sewer Lines 0 # of Gas Lines SZ_
Plumbing/New Residential: # of Water Closets Plumbing Repair— Residential Commercial
Occupancy Type: Residential Commercial Industrial Occupancy Use Group(s): t1o" 1-tSsi[ft,F,% J
C1.
onstruction
Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required ) PropertyOwncr!
A6-11soarw •/&r4nz— •••••••••••••••• Conhactor••• 2 KyfS•• /(e..Z11/.•••...••••••• itAddress:
Phone:
E-mail: Bonding
Company: Address:
Architect/
Engineer: Address:
Plan
Review Contact Pelson: Address:
10 y gurNfi 1 &e e CST. Phone!
Z>7y '7`Stat License Number: Mortgage
Lender: Address:
Phone:
Fax: Phone:
Fax:
E-
mail: Application
is hereby made to obtain a pen -nit 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, WANKS, and AIR
CONDITIONERS, etc. OWNER'
S AFFIDAVIT: 1 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 coning. 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 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 ciftill e o require tits o rida Lien Law, FS 71 Signature of
Owner/Agent Date e re of Co uv ctor/Agent L to Print Owner/
Agent's Name Print Contractor/Agent's Name 5-1-
08 Signature of
Notary -State of Florida Date S'g hue ot'NQ"*,tate of o diDate dM. 1NsoNMYCOMMISSION # DD
761978 EXPIRES: March 23,
2012 r'rFOF FvoPSO
Bonded
Th® Budget Notary Services Owner/Agent is _
Personally Known to Me or Contra or/Agent is _ Persoi Ily Known to Me or Produced ID roduced
ID S l APPROVALS: ZONING: UTIL:
FD: ENG: BLDG:- Special Conditions: 40
Rev 07.07