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HomeMy WebLinkAbout120 Country Club Dr (2)CITY OF SANFOR® 1Y il ® BUILDING & FIRE PREVENTION a�6 PERMIT APPLICATION Appincati®n N®o Doeaaanenttion Vataae: si /f/'.lr'l. /Historic District: Yes D No 0� Job Address:i"¢f� �.� (�%?/9a��'�,�� l ),l /,�� � C �"' � _ Parcel ID: Residential H, Commercial 0 Type of Work: New 11 Addition ® Alteration R repair ❑ Deano El Change of Use ® Dove El Description of Work— Pisan Review Contact Person- c...� 4 Phone: 2/0 q & Yl- zo�,, I Fax: it e. 1Canail<:AaJ0 Ie,- t Ca gl,nCl Property Owner Information Name �_ _ �G1 n k C�,_�,i Cc, -t Phone 4v Street:// / %P Resident of property? :..(A C� City, State Gip:AI-fe)za� Contractor information Name Phone: Street: Fax- City, 'ax:City, State Gip: State ]License No.: Architect/Engineer Information Name: Phone: Street: Fax: City, St, Gap: E-anaall: Bonding Company: Mortgage Lender: Address: Address: WARNING TO OWNER. YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT 1D'i'AY RESULT 1113 FOUR PAYING TWICE FOR IlMPROV1JM ENTS ` O YOUR Il'ROP E1d fY. A NOTICE OF COMMENCEMENT MUST IFIL RECORDED AND POSTED ONTHE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTENDTO OBTAIN FINANCING, C ONSU f WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE Of' COMMENCEMENT. Application is hereby made to obtain a permit to do the work and installations as indicated. 1 certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction. t aanderstand that a separate permit must be secaared for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and air conditioners, etc. FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 5t" Edition (2014) Florida Building Code Revised: June 30, 2015 Permit Application 115OPO , IMP50tIVITS1 im; i , t ., S, TO s.-... DONE IN 6 ; , . ttMCI- .`.. t REAS : REVISIONS BY Carport/ E Repai*r! 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PP,�.PdG. `t�FiESE PLANS ARE PJOT' T� BE,REPRODUCED, G$4r�lsdia�� OR SIGN AND CONSENT OF STtiVEN E. SHIELDS, MOR ARE THEY TO BB,A SIGN :70 ANY _ r NEIVARM IVATIt NA4 PRIIBTMY NO 1666 24M 1