HomeMy WebLinkAbout171 Clear Lake Cir 03-2514 Request for Prepower inspectionREQUEST FOR PREPOWER INSPECTION
City of Sanford
Dan Florian, Building Official
P.O. Box 1788
Sanford, FL 32772-1788
RE: Prepower Inspection Request for: 171 Clear Lake Circle
Sanford, FL 32773
To Whom It May Concern:
This letter is written to request a prepower inspection for the address referenced above.
Please be advised that such building will not be occupied until the Certificate of
Occupancy has been released.
Sincerely,
Owner s ame
STATE OF FLORIDA
COUNTY OF
The foregoing was acknowledged before me this C?r 3 - Z.do 3 (date) by
y4COyM A\.5AV A (name). He / she is personally known to me or
has produced R i A (type of identification) as identification.
Aye- s i- 3yZo - o
rotPR. •e4 KENNETH W. SISSON
41"
o,
MY COMMISSION # DD 029748
QPEXPIRES: May 29, 2005
F`oP Bonded Thru Budget Notary Services
ignature of person taking acknowledgement)
Name typed, printed or stamped)
Title or rank)
Serial number, if any)