2632 S Sanford Ave - E08-001173 (SERVICE UPGRADE) DOCUMENTSCITY OF SANFORD PERMIT APPLICATION
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Application #: 08-1 ( D 3 v
Submittal Date: 3~ /' v 0
Job Address: 2 63 Z 5 5 94ugb,-CJ_14 vC Value of Work: $ I456 °•—`y
Parcel ID: no ()— 0 /W Zoning: Historic District:
Description of Work: 56-ev/c e- ur e!Y{, W& TG z6a. AwK 10i Square Footage:
T .AP..1PUV..i...?.:IT.<..4.*............................................. 0..........................::
Permit Type: Building Electrical Wo'* Mechanical Plumbing Fire Sprinkler/Alarm Pool E3 Sign
Electrical: New Service — # of AMPS Z,W, Addition/Alteration SKO Change of Service lfir"li` Temporary Pole
Mechanical: Residential Non -Residential 17 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)
Property Owner: _ AL Leoy i we-ccContractor: ,5i?//CY(Y/ % L
Address: 2%.. S 9ivf'332Sit F7 4 r Address: 2,2>LZ-. S i'/ p f Ary1--,&
w )=,c Phone: ,
r%. 1+ E-mail: Phone: 1&Utate License Number: &C i' dW Bonding
Company: Mortgage Lender: Address:
Address: . Arch
itect/Engineer: 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. 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 govemmental 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 of the requiremen orida Lien Law, FS 713. Signature
of Owner/Agent Date Sign of Contractor/Agent Date X
gent'
s Name otary-
State of Florida Date Lori.
Willick Commission #
DD369931 Expires:
Sep 08, 2008 BondedThm
Atl '
dtgyng; ersonally Known to Me or Produced
ID APPROVALS:
ZONING: Special
Conditions: Rev
02/2007 UTIL:
FD: Print
Contr r/Agee
gnature
of Notary -State of Florida Date Lori
Willick 011.?Y PU6`i Commission #
DD369931 Expires:
S e}n 08, 2008 OF
FV;Q Bonde Tlnu Atlantic
Bonding Co., Inc. Contractor/
Agent is \% Personally Known to Me or Produced
ID ENG:
BLDG: