3705 S Orlando Dr - E07-001472 (GENERATOR) DOCUMENTSPermit # :L/ 4— f I
Job Address: %d
Description of Work:
Historic District:
CITY OF SANFORD P021WrT evar rJ-srrnnt
Zoning: Value of Work: S 1 05010, cra
Permit Type: Building Electrical 7TMechanical Plumbinp. Fire Sprinkler/Alarm Pool
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 or Commercial
Occupancy Type: Residential Commercial Industrial Total Square Footage:
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA forth required for other than X)
Parcel #: (
Attach Proo of Ownership & Legal Descrip ' n)
Owners Name &Address: _k m& CI ,F t, }( S .S f iG / S,n (
3 1 ::2 -? 3 Phone: I{d% ')02 — k14 9
Contractor Name & Address: (7 L,. o / L ti L ( It
Phone & Fax: 4( Contact Person: _
Bonding Company:
Address:
Mortgage Lender:
Address:
ArchitecUEngineer: ' / j1ti 1
A. Phone: 761
Address: —7 191 i / I'l 1 G j j ii /"ff Fax: r6l -
J
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 theissuanceofapermitandthatallworkwillbeperformedtomeetstandardsofalllawsregulatingconstructioninthisjurisdiction. I understand that a separatepermitmustbesecuredforELECTRICALWORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, andAIRCONDITIONERS, etc.
License Number. __ Z i
hone: 3-2/-22 1;;,- ;77. 90
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 regulatingconstructionandzoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IRt YOUR IaAYINGTWICEFORIMPROVEMENTSTOYOURPROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR ANATTORNEYBEFORERECORDINGYOURNOTICEOFCOMMENCEMENT.
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 ofthiscounty, and there may be additional permits required from other governmental entities ""ate management districts, state agencies, or federal agencies.
Acceptance o . rmit is verification I will notify the owner of the property of th ui me of lorida Li w, FS 713.
4 o7
gnature of her/ gent ate atur ntra r Agent to
Print Own r/Ag is Name Prin ontracto /Age Name
Signature of otary-State of Florida Date Sig re of Notary -State Florida - Date
Owner/Agent is _ Personally Known to Me or
Produced ID
APPLICATION APPROVED BY: Bldg:
initial & Date)
Special Conditions:
Contracto
Pro c
F o EXPIRES: February 25, 2011
1-800-3-NOTARY FI. Notary Discount Assoc. Co.
Zoning:
Initial & Date) (Initial & Date) (Initial & Date)
POWER OF ATTORNEY
Date: U 1U8/(/
I hereby name and appoint
of C G - to be m lawful attorneyry , y y
in fact to act for me and apply to the 17. ACT
0
Building Department for a G YI C GI Z permit
for work to be performed at a location described as:
Section Township Range Lot Block
Subdivision
3 7o5 S. nrlorclo -oK - nA -rd , /_ , 773
Address of Job)
Owner of Property and Address)
and to sign my name and do all things necessary to this appointment.
77F3
Type or Print e of Certified Cal actor an 2ontractor's License Number
Signature of Cer ied C9x i ctor
The foregoi instrument was acknowledged before me this dky of 20 O
by SP_
who is personally known to n- ho produced
as identification and who did not take oath.
State of Florida
cy. Felicia Gonzalez
My Cgni sion DD367192
0
or ne Expires October 31 2008