2921 Orlando Dr #180 - P04-001260 (INTERIOR PLUMBING) DOCUMENTSCITY OF SANFORD PERMIT APPLICATION
Permit # : Cry
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Date: 0-3
Job Address:
Description of Work: rWr
Historic District: Zoning: Value of Work: S \QtCs') • —
Permit Type: Building Electrical Mechanical Plumbing /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 4 # 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 form required for other than x)
Parcel #: `` ^
Owners Name & Address:
Attach Proof of Ownership & Legal Description)
Phone:
Contractor Name & Address: ''(, v -..'b"_
State License Number:
Phone & Fax: Contact Person: Phone:
Bonding
Address:
Mortgage
Address:
Architect/
Address: Fax:
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 p6or 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:.l certify that all of the foregoing information is accurate and that all work will be done in compliance with all applicable; lawri re .win ling
construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOOR.
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR ART
ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applirme.E
this county, and there may be additional permits required from other governmental entities such * water
Acceptance of permit is verification that I will notify the owner of the property of the
Signature of Owner/Agent
Print Owner/Agent's Name
Date S
Signature of Notary -State of Florida Date
Owner/Agent is _ Personally Known to Me or
Produced ID
APPLICATION APPROVED BY: Bldg: Zoning:
Initi
Special Conditions:
that m e found in the public records of
lis state agencies, or federal agencies.
FS 71 .
t Date
SC\t , & 3. ZI -C,
4, MY COMMISSION # DD 1642804XPIAES: November 12,,2006
lgrF 0 bnM Thru Budget Notary Services
Contractorh gent°(sr Personally Known to Me or
Produced ID
Initial & Date)
Utilities: FD:
Initial & Date) (Initial & Date)
VERTIFCATE OF -OCCUPANCY
REQUESTVEST FOR FINAL INSPECTIONION
INTERIOR REMODEL COMMERCIAL""
DATE:
PERMIT #:
ADDRESS:
CONTRACTOR:
PHONE #:
04/02/04
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04-1260
2921 ORLANDO DID # 180
s
THE WILKERS'ON COMPANY INC.
386-574-5583
i.
The building division has prepared a Certificate of Occupancy for the above
location and is requesting final inspection by your department. After your
inspection, please sign off and date the C. O. or submit addendum if it has
been denied or approved with conditions. Your prompt attention will be
appreciated.
9
a_
Engineering: 5w Fire
Public Works Zoning
ii
a
Utilities Licensing
CONDITIONS: (TO BE COMPLETED ONLY IF APPROVAL IS CONDITIONAL)
CERTIFCATE OF OCCUPANCY
REQUEST FOR FINAL INSPECTION
INTERIOR REMODEL COMMERCIAL****
131....
1TY. 1 , D - -
CONTRACTOR:
PRONE #:
04/02/04
04-1260
2921 ORLANDO DR # 180
THE WILKERSON COMPANY INC.
386-574-5583
The building division has prepared a Certificate of Occupancy for the above
location and is requesting final inspection by your department. After your
inspection, please sign off and date the C. O. or submit addendum if it has
been denied or approved with conditions. Your prompt attention will be
appreciated.
Engineering
Iicorks
Utilities
Fi e
diofin
Licensing
CONDITIONS: (TO BE COMPLETED ONLY IF APPROVAL IS CONDITIONAL)
7 1,TCERTIFCATEOFOCCfUPAll f
REQUEST FOR FINAL INSPECT
INTERIOR REMODEL C®1V MERCIA '*K
t
DATE: 04/02/04 c:
3 ,
PERMIT #. 04-1260
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ea
ADDRESS: 2921 ORLANDO DR # 180 9W 3
A- W- U c
CONTRACTOR: THE WILKERSON COMPANY INC.
PHONE #: 386-574-5583
The building division has prepared a Certificate of Occupancy for the above
location and is requesting final inspection by your department. After your
inspection, please sign off and date the C. O. or submit addendum if it has
been denied or approved with conditions. Your prompt attention will be
appreciated.
Engineering
Public Works
tilities
CONDITIONS: (TO BE
Fire
Zoning
IF APPROVAL IS CONDITIONAL)
E.RTlPCATE OF OCCUPANCY
QUEST ti OR FINAL INSPECTION
INTMOlk REMODEL COMMERCIAL""
PERMI I 04-1260
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