HomeMy WebLinkAbout200 Towne Center CirAPP. CATION
CITY OF
DATE 'ff- —Q z
To the Building Official:
FOR BUILDING PERMIT
ANFOR,n, FLORIDA
PERMIT NO. 01 P3v
The undersigned hereby applies for a permit for the
following described work:
OWNER / A Ow
ADDRESS 20(3 70 (Ajt. ,4 ce,-, rCPL
NATURE OF WORK E'w1 3 Tckjo / e kj-
LEGAL DESCRIPTION Z F / 9 rUS-1-4 a y00 00 06
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APPLICANT'S NAME 41rer,Q/ur/xe Doaro//CM5
APPLICANT'S ADDRESS 3 /P6CC( /l / (f d JZPWI
APPLICANT'S PHONE NUMBER c-/O !
VALUATION /PCO FEE /0,
7>/``9t t?6 ,o o
FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN
THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS
Dn E /r;0
Building fficial
I certify that the above infor=
mation is true and correct and
that I will comply with all
applicable codes and ordinances
of _the.,City of Sanford, FL.
Applicant's Signature
State No.
CITY bF SANFORD FIRE DEPARTMENT
FEES FOR SERVICES
PHONE # 407-302-1091 * FAX #: 407-330-5677
DATE:16-L, PERMIT #: — 3
BUSINESS NAME /
C.
PROJECT: CCU U r' 1U 0,4 ` CO-r
ADDRESS: 0 0 I ow rkk- 1+{ G 11, el
PHONE NO.: LI V 7 52 3 O -I gF2X NO.:
CONST. INSP. [ ] C / O INSP.:[ ] REINSPECTION [ ] PLANS REVIEW [ ]
F. A. [ ] F.S. [ ] HOOD [ ] PAINT BOOTH [ ] BURN PERMIT [ ]
TENT PERMIT TANK PERMIT [ ] OTHER [ ]
TOTAL FEES: $ i _ (PER1 1 rSE BELOW)
COMMENTS:
Ndb'jC"cn 3! CA %, Ll , 00 Film
Address / Bldg. # / Unit # Sguare Footage Fees per Bldg / Unit
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
l 1.
12.
13.
14.
15.
16.
17.
18.
19,
20.
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Fees must be paid to Sanford Building Department, 300 N. Park Ave., Sanford, FI. 32771 Phone # -407- `
1
330-5656. Proof of Payment must be made to Fire Prevention division before any further services can take
place. 1 certify that the above is true and correct and that I
will1v with all applicable codes and ordinances
the City of\Sanford, Florida. r
Sanford Fire Prevention Division ---,4pplicaKs Sig
United
Rentals .
Special Events Division
3004 Siivcr Star Road
Orlando, Fl 32808
407) 523-8447
LIMITED POWER OF ATTORNEY
To Whom It May Concern:
I authorize Milt Davis to process the permit for the following property/event:
Should any questions arise regarding this authorization, call this office immediately.
7eorg ye Stncklan
Branch Manager
The foregoing instrument was acknowledged before me this j.s—. day of 2004 by
George Strickland, who is personally known to me and who did not take an oath. Signed and Sealed in the .
presence of:.:
may'`' •
Danielle Di Gilio
Notary Public
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