HomeMy WebLinkAbout101 Splitlog Pl7 EIS
MAY 6 2015
7. '
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
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Application No: / 3. Documented Construction Value: $ 1"55 C) •
Job Address: ! Sp 1 i-loa Place .S0.v J2%/ Historic District: Yes No
Parcel ID: 3 3 Q 3 0 L1 `oGW --o76y Zoning:
Description of Work: &n,E i rJ G
Plan Review Contact Person: AA-uSQ tctc l/dAl I -h e6l tus Title:
Phone: yc)? Mq Z399 Fax: E-mail: MLJfQ1cK (2 W j567 C,CoM
Property Owner Information
Name g u g A-Ak l g y Phone: _ qod ' 1115
Street: 101 SPI i -t_ lam, PGcr.e- Resident of property?':
City, State Zip: Ssd&-A L 3277 /
Name
Street:
City, State Zip:
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Building Permit
Square Footage:
No. of Dwelling Units:
Electrical
New Service — No. of AMPS:
Contractor Information
Phone:
Fax:
State License No.:
Architect/Engineer Information
Phone:
Fax:
E-mail:
Mortgage Lender:
Address:
PERMIT INFORMATION
Construction Type:
Flood Zone:
Mechanical (Duct layout required for new systems)
Plumbing
No. of Stories:
New Construction - No. of Fixtures:
Fire Sprinkler/Alarm No. of heads:
Shall be inscribed with the date of application and the code in effect as of that date (Code 2010 FBC) 731.135(5)(6) Florida Statutes.
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This is to cvJ-tify that I havdi c0rlsulfed tha- Fed-iral Inizut-L-krICCi f:Aubd Holai,d
L4,uond,wy Map ant IQ'uhd the named prop ul-ty IS NOT locat.vd in a
spect.al flood hazai',uwo;j accor0nq to Community Pan0,1 Hof) rlb,
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APPROVED PLANS
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