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HomeMy WebLinkAbout1201 W 7 St; 17-2171; DEMOn j CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application*No: Documented Construction Value: $• 00 Job Address: " 01 \*i . 9t9' S4vm4 eaa } F l , 33111 Historic District: Yes No Z Parcel ID: cz k 9 - 30 j N QC) i 15 - (X)tp 0 _ Residential [Commercial Type of Work: New Addition Alteration Repair F1 Demo 0 Change of Use Move Description of Work: Phone: (m-) at o - t Qscis Fag: v Title• &, j d o a 0 ILL t` • Property Owner Information. Name — f 4, \ u- I Phone: , ? qC) oZ Street: 1 n r1 fir uv i- g Resident of property? Qs City, State Zip: Sa 4A - 3 3121 Contractor Information Name & l? n k 1 x i n t NmL`_ Phone: c q&)Za L 7- MAS Street: 0 Fax: City, State Zip: State License No.: MC, So i3a Bonding Company: Address: Architect/Engineer Information Phone: (35a) rl g 7- u l LP I Fag: (` ,1 3@L2 aa3l E-mail: Mortgage Lender: Address: WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR MPROVEMENTS 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. 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 1053 Shall be inscribed with the date of application and the code in effect as of that date: 5th Edition (2014) Florida Building Code R.vic.vl• 1,—'AA "iI Pvm,4 Annli-dine assdaa d. III SM910a to Se aMphementa Of this pftvlk there may be sddifiavA r tO thisf3undmdopabrcreooldsafd& may. and fbere may be addrfiand permits rimed f on gaw govenmeade do Sg may be swe S, or Aeeeptmoe ofpmnk Ls van dud I wM na"y the owner oftba FWedty Oflhe nTmemefs OfFknda Luft lam FS 713. The City of Sanfwd mpires paymond of a plan resew fee at the time of permit subminal. A copy of the emembd owtaact is reViredinorderto =kuhft a plan review dmW and will be coed the emoted MuWwfim vabae of the job at the time of snbmittaLTheactilml000structionvaluevvilbefiguedbasedanthecarreatICCVatoabimTablemeffectatthetimethepemtitisissued, inawmiancewithiocd-,4n ina %twid wed charges figured offthe =routed contract =ceed the moat co on vahcreditwillbeappliedaoyourpermitfeeswhenthepermitisissae<I. r' 9MM'S AEMMAV_ITe I eerft tW 98 of the f w ega&g information is seewmte sad that ag work wMbedweinCOMPN=w with a8 appffeebb kws reg &ftg eo s tructim and . CCOWDOWAjut>m rftoMzWAMn acme Dds -- OwnedAVft is P=wwayIDKmownto I& or hu& CWM- tfx PrintC= ftnc dAwes%= 17, 4N7 Da.— WCMAGMM# Ff Mw CaftacM Aga t is _V" Paso®ally Known too Me or Prodaoed ID Type of ID P Rgah-ed: BmUmg Electrical Mechanical PhtmbitC] Gas(] Roof Total Sq Ft of . Win. OeeepaftT Lead: # of . Now Cottateacdiout 91mirk - # of Amps Plumb' - # of rulam lire SPIMw Pfrmit: Yes No # of Leads Inv a Alam Pwmit; Yes No APPROVALS: ZONING: uiux lEs: WASTE WATFFt: ENGIATSEERIlNG: FIRE: BUILDING: vawkw b Ts~ 4n 9M 4 vrewU AfwA .Nww