129 Wildwood Dr - BR08-001680 (FENCE) DOCUMENTS (3)Application 4:
Job Address: 1:)9 lA)A & 'kr�rA . c -
CITY OF SANFORD PERMIT APPLICATION
Submittal Date:
RECEIVED
MAY 19 2008
Value of Work: $
Parcel ID: 1U-2U-:�G -502-(`7CUD' -01-50 Zoning: Historic District:
.Description of Work:',
o. k,a�..., �. r�o J.•l�-:C:r�c':.4� �io��� Square Footage: .........................
Permit Type: Building ❑ Electrical ❑ Mechanical ❑ Plumbing ❑ Fire Sprinkler/Alarm ❑ Pool ❑ Sign ❑
Electrical: New Service - # of AMPS Addition/Alteration ❑ Change of Service ❑ Temporary Pole ❑
IVTechanieal: Residential ❑ Non -Residential ❑ Replacement ❑ New ❑ (Duct Layout -& Energy Cale. Required)
Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines
Plumbing/New Residential: # of Water Closets
Occupancy Type: Residential ❑ Commercial ❑ Industrial ❑
# of Gas Lines
Plumbing Repair -Residential ❑ Commercial ❑
Occupancy Use Group(s):
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FF.NIA form required )
........................................................................................................................
Property Owner:Loc. ( .3 e- Contractor: 14o
Address: �`�� �>'l�� r r.')(�+r �l k J_ Address: CG'S/
C -cs
PhoneA�I CSC:rf) E-mail: Phone: tf9%-R )7j-, Mate License Number: OX-L0?,5,S
Bonding Company:
Address:
Architect/Engineer:
Address:
Plan Review Contact Person:
Mortgage Lender:
Address:
Phone:
Fax:
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. 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.
- ,Acce a� ce of permit eri6ca ' i that I will notify the owner of Lhe rty of the r quireJments Florida en Law, FS 7/13.
igna ure'df Owner /Agent (� Date Signa t of Contractor/Agent Date
Print Ow er/A cut's Name Print 'ontractor/Agent's Name
ignature of totate of Flo (da Signature of ary-State�Fl.r Date
x�ar r Notary Public State of Florida �Uvr � Notary Public State of Florida
Shirley J Murphy Shirley J Murphy
My Commission DD441210 My Commission DD441210
Expires 0611512009 '� F no°' Expires 06115)2009
Owner! ent is Personally Known to Me or Contractor/Agent is Personally Known to Me or
Produced ID Produced ID
APPROVALS: ZONING:
Special Conditions
Rev 07.07
UT'IL: FD:
ENG: BLDG:
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FAX 14071658.1436
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