130 Bedford Ct - G08-000573 (GAS FOR FIREPLACE AND TANK) DOCUMENTSCITY OF SANFORD PERMIT APPLICATION
Application # ox73
Job Address: o
Parcel ID: Zoning:
Submittal Date:
Value of Work: $
Historic District:
Description of Work: Square Footage:
Permit Type: Building Electrical Mechanical Plumbing'K 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 i # of Water & Sewer Lines # of Gas Lines I
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)
Property Owner: son MQ.n Contractor:
Address: 0 Address: R O
p -- (6C>E-mail: P one: O State License Number: a"7 atolp
Bonding Company: Mortgage Lender:
Address:
Architect/Engineer:
Address:
Plan Review Contact Person:
Address:
Phone: Fax:
Phone:
Fax:
E-mail:
Application is hereby made to obtain a permit to do the work and installations as indicated. 1 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 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 pr y t e require is o lorida Lien Law; FS 713.
Signature of Owner/Agent Date ntSi- ature of Contractor/A_
f
1 Date
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Print Owner/Agent's Name Print Contractor/Agent's Name
Signature of Notary -State of Florida Date Signature of Notary -State of Florida Date
Owner/Agent is _ Personally Known to Me or
Produced I
APPROVALS: ZONING: UTIL: FD:
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Y POQr Notary Public Sta+.f of FloridaTriciaAMorrison
a My Commission DD306893
O F`O ices 04/@(M1 Known t Me or
Produced ID
QENG: BLDG: I r
Special Conditions:
Rev 07.07
Permit #: Project Name:
08-573 1 Fuel Gas / Gas Piping
Address:
130 Bedford Ct.
Plans Reviewed By:
Richard Denman 407-330-5656
The Permit Is Subject To The Following Comments
THE FOLLOWING ARE STANDARD COMMENTS:
Notice: In addition to the requirements of the Permit, there may be additional restrictions
applicable to this property that may 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.
1. Any connections that may be hidden during the installation shall be inspected prior to covering.
2. Inspections shall not be given unless the Approved Plans and Permit are posted in a prominent
location and protected from against the elements until all inspections are complete.
3. All permits require final inspection. Failure to do so may result in charges being filed with
the Department of Business And Professional Regulation.
4. Permits shall expire if work has not begun within six months of date of issuance.
5. All 2004 Florida Building Codes are to be complied with.
6. Bonding of gas and or metal piping to be attached at the point of service per 2005 N.E.C.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE
OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE
FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO
OBTAIN FINANCING, CONSULT YOUR LENDER OR AN
ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT. SECTION 713.135 FLORIDA STATUTES.
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CAGE COVEE
REQUEST FOR MPROVEMIENT
TODAY'S DATE: Au • Za $
PROJECTED DATE WHEN IMPROVEMENT IS TO TAKg PLACE: ? C. Zmm . pL z cu P
TYPE OF WROVEMENT: ,T4sTaL4- Gas sec yw e,,Lr.Srsac CGr.gx pcacc,
MATERIALS TO BE USED FOR MOROVEMENT: CAi Lpr- -Wpw-Gors RS -PRvPM"s 4.s '``
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PERSON/COMPANY INSTALLING: a 2 Scros os Gp-s v%tpLccjr!!ti LSb?) ps,1-S"ti'L
SUBCONTRACTOR'S LICENSE NO. 'D• "wr C act AT 401 Pro-xxw
PLEASE DRAW A DIAGRAM OF PROPOSED WORK:
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NOTE: IT IS THE RESPONSIBMITY OF THE ROMEOWNER TO NOTIFY THE
UNDERGROUND UTILITY LOCATER (1-800-432-4770) PRIOR TO TUX START OF
ANY WORK.
IT IS THE RESPONSIBILX'T'Y OF THE HOMEOWNER -TO APPLY FOR ALL
NECESSARY PERMITS.
SIGNATURE OF HOMEOWNER:
PRINT NAME OF HOMEOWNER: ""'R' w scu c.w.+ in Z-v%tcx _ w
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APPROVAL OF
DATE OF APPROVAL:
NO WORK IS TO BEGIN UNTIL WRITTEN APPROVAL HAS BEEN RECEMi D.