HomeMy WebLinkAbout3788 Orlando Rd (2)7-28-1995 8:36PM FROM 1
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CITY OF SANFORUMECHANICAL PERMIT APPLICATION
Permit Number DQ ' O l Date: 3 - ZS - O'z
The undersigned hereby applies for a permit to install the following equipment:
Owners Name: ru Lo
Address of Job: 3-7 8% 1 1A va fl
Mechanical Contractor:->MA*,TD3b
Residential Non -Residential
Amount
Nature of Work: O .
u ry ao
0
Job Valuation: ^
Appfication Fee. $10,00
TOTAL DUE: o
By signing this application. I am stating that' i am in compliance with City of Sanford
Mechanical Code.
Applicant Signature
JState License Number
CITY OF SANFORD FIRE DEPARTMENT
FEES FOR SERVICES
PHONE # 407-302-1091 * FAX #: 407-330-5677
DATE:
Z PERMIT #: D Z Z
BUSINESS NAME / PROJECT:
ADDRESS: p O (1
A.J c c- -e—
PHONE NO.: FAX NO.:
CONST. INSP. [ ] C / O INSP.:[ ] REINSPECTION [ ] PLANS REVIEW [ ]
F. A. ] F.S. [ ] HOOD [ ] PAINT BOOTH [ BURN PERM I [ ]
TENT PERMIT ] TANK PERMIT [ ] OTHER
TOTAL FEES: $ "ICJ JPER UNIT SEE BELOW)
COMMENTS:
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Address / Bldg. # / Unit 4 Sauare Footage Fees per Bldg. / Unit
1.
2.
3.
4.
5.
6.
7.
8.hhV
9.
10. n\
11.
12.
13.
14.
15.
16. 1
17.
18.
l ' 19.
20,
Fees must be paid to Sanford Building Department, 300 N. Park Ave., Sanford, FI. 32771 Phone # -407-
330-5656. Proof of Payment must be made to Fire Prevention division before any further services can take
place. I certify that the above is true and correct and that I
will comply with all applicable codes and ordinances
of the City of Sanford, Florida.
Sanford Fire Prevention DivrsTatr A p icant's Mgnatur