HomeMy WebLinkAbout1600 E Lake Mary BlvdMAR 3 4 2011
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: 1 '�>i Documented 11nted Construction Value: $
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Job Address: _� e D C • 4,01<e ✓wA y d 1 d • Historic District: Yes Noe/,,"
Parcel ID• 67— P0 3p D" l 6 as a Zoning:
Description of Work: ,,N�S�r+';� /�'�, /�'i�No�i£'iJ %A��
Plan Review Contact Person:
Phone�vl sig'- 'P 2Z(?.
JP %f C/.yZPiC Title: ,�! aC.��, A- /l ((Z :
Fax: 3d'% - Z� R z33) E-mail: S-#,VAlTF�e CT , JC
Property Owner Information
Name S r �fi /P A�i- /�od Phone:
Street: ��' - E • �'� Resident of property?
City, State Zip: (%N ,t7�� A)' e
/ // Contractor Information �1 /
Name 16,9 {�bM1,xVt1- �c011(7pe `Y C4 ynA_. Phone: --4k'# #Z4'- '" 2�0-�;S
Street: 1p, A K 9 C� Fax: 5f4 - LIZ 4 f 0,3S7
City, State Zip: I-Ue J 5hxyx*/) AX0�'f . 3.21 7d State License No.: r r '0 6 b 31?
Name:
Street:
City, S1
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Arch itect/Eng !nee r Information
Phone:
Fax:
E-mail:
Mortgage Lender:
Address: Address:
Building Permit ❑
Square Footage:
PERMIT INFORMATION
Construction Type:
No. of Dwelling Units: Flood Zone:
Electrical ❑
New Service - No. of AMPS:
No. of Stories:
Plumbing ❑
New Construction - No. of Fixtures:
Mechanical 13 (Duct layout required for new systems) Fire Sprinkler/Alarm 0 No. of heads: