HomeMy WebLinkAbout1201-1203 Myrtle AveCITY OF SANFORD
`{ BUILDING & FIRE PREVENTION
PERMIT APPLICATION
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AUG � � �� � ` D 01
Application No:
Documented Construction Value:
Job Address: 4. 01 ` /o2aj Ism f/L-,-- Historic District: Yes No ❑
Parcel ID: Residential ❑ Commercial ❑
Type of Work: New ❑ Addition ❑ Alteration ❑ Repair ❑ Demo ❑ Change of Use ❑ Move ❑
Description o Work:•9�/•� 7��✓ ��C C'y�/-e /t/�Fi'
Plan Review Contact Person:
Phone: `C %6W Fax:
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Title: ,/11__5' • . -�
Email:
Property Owner Information
Name Phone:
Street: 1,:,2671 /���,1� Resident of property?
City, State Zip:
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Contractor Information
Name .e IC/4 2 s Phone: O%_ #1/2 —
Street: //V/ /'te
City, State Zip:
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Fax:
State License No.: Czc/ pz %; � 2
Architect/Engineer Information
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 THE 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.
V
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
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REVIEWED FOR CODE COMPLIANCE
PLANS EXAMINER
DATE
SAWORD BUILDING DIVISION
A PERMIT ISSUED SHALL BE CONSTRUED TO BE A
LICENSE TO PROCEED WITH THE WORK AND NOT AS
AUTHORITY TO VIOLATE, CANCEL, ALTER OR SET
ASIDE ANY OF THE PROVISIONS OF THE TECHNICAL
CODES, NOR SHALL ISSUANCE OF A PERMIT PREVENT
THE BUILDING OFFICIAL FROM THEREAFTER
REQUIRING A CORRECTION OF ERRORS IN PLANS,
CONSTRUCTION OR VIOLATIONS F
OTHIS CODE