HomeMy WebLinkAbout2221 Brookridge Trl► a
F
I
2012
&Y OF ANFORD
BUILD_ ING & FIRE P VENTION
PERM'LAPPLJCATION,
Application No: V Documented Construction Value: -
'Job Address: 22ZI TQ(l Historic District: Yes ❑ No ❑
Parcel ID: /0 J.20 -- 3 d --- 5Zoning:
Description of Work:, 1.6wm q
Plan Review Contact Person: bahvw1 CIO (k_ Title:
Phone: 40 -2 -SI -6140 -Fag:401 ^ g0S-5136 E-mail:MPhMC1dr1C inc fcf 1-VY.co"
Property Owner Information
Name w t Phone:
Street: P Awinw, fkutAResident of property?: 1SW
City, State Zip: WmAw- pa(I. FL 32'189
Contractor Information
Name �� M Phone: 461" 2S1 "04D
Street:Woo Pa&2 Fag: 140-1-4qoS- Sl 3fo
City, State Zip: WkAtL(- Wak Rsnfl State License No.: cqc' 1512=0
Architect/Engineer Information
IV M —.17-M M II ► i
E. OA[DQUe-
City'st'zip:
Phone: h4-1"681 A17
Fag:
E-mail:
Bonding Company: Mortgage Lender:
Address: % 7 0� 5�e Q, Q ddress:
do
1d1 INFORMATION
Building Permit
Square Footage: Construction Type:
No. of Dwelling Units: Flood Zone:
Electrical ❑
New Service - No. of AMPS:
Mechanical ❑ (Duct layout required for new systems)
UU
No. of Stories: 2
Plumbing ❑
New Construction - No. of Fixtures:
Fire Sprinkler/Alarm ❑ No. of heads: