HomeMy WebLinkAbout200 W 20 St 17-1407; ELECTRICCITY OF SANFORD
ECEIVE BUILDING & FIRE PREVENTION
PERMIT APPLICATION
MAY 1 2017
���yy Application No:
M�� �ip iM.a
o Documented Construction Value: $ 2-2, D' t"
Job Address: /z V C' \J�s . -2,`-'vv st. Historic District: Yes ❑ NoS
Parcel ID:a( � � �-' -2'000— �U ResidentialCommercial ❑
Type of Work: New ❑ Addition ❑ Alteratiol>e'RI Repair ❑ Demo ❑ Change of Use ❑ Move ❑
Description of Work: t�-�.-f��c�r��- t -y t`g (?"-'-� L�-'C'��-t
2-�' "�t..,� �- 1--1rt�� � u-tt.���...� _ �-4 � fkG-• "��.Vt�-- SI-��r�e �-�.�,�-vim
Plan Review Contact Person: �� �-Jt�--- ;'�t�1� -' Title: �•
Phone: 4z;rl �/�7�e' (o -Q92 -Fax: Email:
Property Owner Information
Name �t"t�lr-1'��- Phone: '='� • t�'' c7, �rc>�
Street: Resident of property?
City, State Zip: -� 1L• cam, 1.�7� 1
Name
Street:
City, State Zip:
Contractor Information
Phone:
Fax:
State License No.:
Architect/Engineer Information _
Phone:
Fax: r-��7 , c(' —7 1 `tD
Name. N
Street:
City, St, Zip: y -AN
Bonding Company:
Address:
E-mail:
Mortgage Lender:
Address:
WARNING TO OWNER: YOUR FAILURETO RECORD A NOTICE OF COMMENCEMENT MAY RESULTIN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE
RECORDED AND POSTED ON THE JOB SITE BEFORE TILE FIRST INSPECTION. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
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.
FBC 10.5.3 Shall be inscribed with the date of application and the code in effect as of that date: 5"' Edition (2014) Florida Building Code
Revised: June 30, 2015 Permit Application
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DRAWN: DTV
DATE: 03.14.17
CHKD: KJF
SCALE: 114" = V-0"
GAME RESIDENCE
PROJECT NUMBER:
17-016
LICENSE NUMBER:
DANIEL SOUTER, P.E.
STA'1'c OF
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SHEET NUMBER:
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