HomeMy WebLinkAbout217 W 12 St and 219 W 12 StCITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
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Application No:
Documented Construction Value: $ 0(90, 00
Job Address: 7,11'� :�" s . Historic. District: Yes O No ❑
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Parcel ID: r-96- jel " �Q ` 8 Residential dCommercial ❑
Type of Work: New ❑ Addition ❑ Alteration if Repair ❑ Demo 1:1Change-of.Use ❑ Move El
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Description of Work:
Plan Review Contact Person:
Phone:
,to Oct'z
Title:
Fax Email:
Property 'Owner Information
Name Phone:
Street: Resident of property?
City, State Zip:
Contractor Information
Name t.. ; .
Phone: �j21 !--
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Street: Fax: � � t7 • Gr9�'1
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City, State Zip: Ityr_;1)5. State License No.: Z7�1
Architect/Engineer Information
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Phone:
Fax:
E-mail:
Mortgage Lender:
Address:
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE
RECORDED AND POSTED ON TIIE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT 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. I 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. I understand that a separate permit must be secured 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: 51" Edition (2014) Florida Building Code
Permit Application
Revised: June 30, 2015
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UIJANGE CITY, FL 32763
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