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HomeMy WebLinkAbout1415 W 17 St> , RECEIVED 1 b f CITY OF SANFORD BUILDING & FIRE PREVENTION �"7 Irl PERMIT APPLICATION $ Application No: Documented Construction Value Job Address: 141517.1 A1115. &1LUY� F"L � 277 ParcelID: 35 19 - JD-- 61;3 --0*0` OD/U Historic District: Yes ❑ No k Zoning: _GP'/A Description of Work: 151%(I(( hQLK_ t, iMbbi fl,vYIN-4 1cr Plan Review Contact Person: CJt(.Y1, _ F '�%eV►'I s 1'it1c:C JY/ ��JZIGlI%YC lliSf�C k'r a Phone. `2'�"��/�- �t35� Fax: 4-40-2-65&-52�� E-mail:Property Owner Owner Information / Name y�' Gt r�0Y Non? GtG'ItGt WLl Ili. pi)�ls? Phone: Street: 1511y'_�euY1�llL✓ �Gk ) J�� Resident of property? City, State Zip: AisS; ' eilm Contractor Information Namel` C� C Gt �; .� /�fi�lY int t'I�, ll�<�Pl�rt�y�d��, L -D ���►rt Phone: -4 I- Z� 5-sessJ_- Street: J A B �� iyG1f�I FiLGZ �(%L� ��)GLLiv / Fax: L16 City, State Zip: ross:P.(b.7eryyl j Mate License No.: Architect/Engineer Information Name: Gtr �iP �F'- ��iN✓� 5- �;r"c'SE'G l t' l�Gi �iSSc'C' Phone: ll //� -22 3 3 `�D7~ ?�`r1' b -" Street: "i��UtO �OSSllrvt `wZ2LL� Fax: City, St, Zip: r�-fln,O�l`ct �LJ o1 ?03E-mail:1 E-mail• J' �`ff e-e Yltkd4e �L Bonding Company: & Address: Building Permit✓❑ - Square Footage: — 'A' No. of Dwelling Units: Mortgage Lender: Address: PERMIT INFORMATION Construction Type: Bk4I16'c No. of Stories: Electrical ❑ New Service - No. of AMPS: Flood Zone: Mechanical ❑ (Duct layout required for new systems) <J- I Plumbing ❑ `� New Construction - No. of Fixtures: / Fire Sprinkler/Alarm ❑ No. of heads: