HomeMy WebLinkAbout115 London Fog Way 11-2309CEID
D : SEP,12 2011 CITY OF SANFORD
• - BUILDING & FIRE PREVENTION.,.
BY: PERMIT APPLICATION
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Al$plication No: " ! Documented Construction Value: $ S, 316— CI`
Job Address: / 5- G o oil_0 4-7 ' Historic District: Yes ❑ No
Parcel ID: _� 1,9 3 D .S'/ y _ 'O v O D p / O Zoning: '
Description of Work:
Plan Review Contact Person: Title:
Phone: yob 95�SFax: �D -mail: �/ i•9
Property Owner Information
Name a Phone: 6 779
Street: Resident of property.: �S
City, Mate Zip: o� /
Contractor Information
Name Phone:
Street: Fax: 'C107 .�a�-y
City, State Zip: �a✓o�;;, �/• �a%%3 State License No.: C147GG6-f D 07
Architect/Engineer Information
Name: c_e_ Phone:
Street: y Fax:
City, St, Zip: E-mail:
Bonding Company: c/Mortgage Lender:
Address: Address:
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Square Footage: Construction Type: Stories.:
No. of Dwelling Units: Flood Zone:`
Electrical ❑
New Service } No. of AMPS:
Mechanical ❑ (Duct layout required for new systems)
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3.9
Plumbing ❑ ' ' . .
New Construction-- No. of Fixtures:
S t • .
Fire Sprinkler/Alarm ❑ N`o. of heads:
4
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