HomeMy WebLinkAbout203-205 Towne Center Blvd 03-1888 Fire Sprinklerf
CITY OF SANFORD, FLORIDA
APPLICATION FOR BUIVING PERMIT
s.
PERMIT NUMBER 0 DATE
PERMIT ADDRESS 2- %` v
'(5 -6-'
Total Contract Price of Job / �• d Total Sq. Ft.
Describe Work:
Type of Construction: Flood Prone: (YES) (NO)
Change of Use From: Change of Use To:
Number of. Stories: Number of Dwellings: Zoning:
Occupancy: Residential Commercial cv_ Industrial
LEGAL DESCRIPTION: (please attach printout from Seminole County)
TAX I.D. NUMBER:
/ ��`�
OWNER �y cr 1VA wkY L..%/,� PHONE NUMBER:
ADDRESS
CITY STATE _ ZIP
CONTRACTOR /�Ik✓�%L N /��%Z�Z �JZ�/��`L�j PHONE NUMBER:
ADDRESS o W., 3 B
CITY (°jiff (!!)L(N(30 STATE ZIP 32--777 LICENSE NO. —V6 110baJ <1
ARCHITECT
ADDRESS _
CYTY
STATE
ZIP
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, MECHANICAL, REMOVAL OR THE
RELOCATION OF TREES AND ADVERTISING SIGNS.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED
WITHIN 180 DAYS OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF
180 DAYS AT ANYTIME AFTER THE WORK IS COMMENCED.
ALL PLANS FOR THE BUILDING WHICH ARE REQUIRED TO BE SIGNED AND SEALED BY THE ARCHITECT
OR ENGINEER OF RECORD SHALL CONTAIN A STATEMENT THAT, TO THE BEST OF THE ARCHITECT'S
OR ENGINEER'S KNOWLEDGE, THE PLANS AND SPEC'S COMPLY WITH THE APPLICABLE MINIMUM
BUILDING CODES.
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.
If applicable, check with your homeowner's association prior to applying for a permit.
The named Contractor/Owner Builder to whom the permit is issued shall have the
responsibility for supervision, direction, management, and control of the
construction activities on the project for which the building permit was issued.
IMANATUR OF CONTRACTOR
DATE
APPLICATION APPROVED BY:
FEES: Building
Open Space
Other
PERMIT VALIDATION: CHECK
Radon
Road Impact
SIGNATURE OF OWNER
DATE
DATE:
Police Fire
Application
CASH DATE
**** THIS APPLICATION USED FOR WORK VALUED UNDER $,2500.00.
BY
ORIGINAL (BUILDING) YELLOW (CUSTOMER) PINK (COUNTY TAX OFFICE) GOLD (COUNTY ADMIN.)