2874 Gipper Cir; 17-3359; NEW SFH' ' " V,
v 1
6.,
CITY OF SANFORD
:r BUILDING & FIRE PREVENTION
PERMIT APPLICATION
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'N NOV 16 2017' 3 �
Application No: f
1
a�. -> Documented Construction Value: $ -7-`9$31,'p
Job Address: j YC Historic District: Yes ❑ No FVFLPj
Parcel ID: 72 570 -- 0U: 00 L---.) I V Residential Nr Commercial ❑
Type of Work: New � Addition 1:1Alteration ❑ Repair ❑ Demo ❑ Chau -re of Use ElMove El
Description of Work: ' (c��,7 �lt�k(-�I 1-�Il l ,I V-E'C i Q -k
Plan Review Contact Person: `T'tQFC � a 'Title: �(`)► rN ►-� [(
Phone: L(0"). 8t0,�T• `t 'G Fax:
Property Owner Information
YEN
Name �D ' 1RE , t.l C, CTCPc,ci:, L K C� Phone:
Street: I\ I -A . POST t-AV—iZ(``R _ Resident of property?
City, State Zip: VZ,
Contractor Information
NanceO\/ l-) Phone: /407-
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Street:Z24 1,�1C-STMCi^ KlV� �� 1t 1 ? Ol' 1+'ax:
City, State Zip: kT t(t 4-�S IN, �1. �32�1� State License No.: C(tGi�571a act 1
Architect/Engineer Information
Name: C'0, T V Ok-V 11- U --i Phone: WIA-M• 1C 1-7
Street: I 4; 17"1
City, St, Zip: ,1 'k -T- 3Z •��-� LP
Bonding Company:
Address:
Fax: UU-1 (n%\ ~1ci'�17
E-mail: 66H
Mortgage Lender:
Address:
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENTMAY RESULTIN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE
RECORDED AND POSTED ON THE .JOB SITE BEFORE TILL FIRST INSPECTION. IF YOU INTEND TO OBTEIIN
FINANCING, CONSULTWITH 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 iu effect as of that date: 5111 Edition (2014) Florida Building Code
Revised: Juno 30, 2015 Permit Application
'�J`+
Revision ❑
Response to Commentsp
City of Sanford
Building & Fire Prevention Division
Ph: 407.688.5150 Fax: 4{ 7.588.5152
Email: building@sanfordfl.gov
Permit 9 r SUbnlittal Date
Project Address: 1\��1� C-1r�
Contact:C_ l (�\C� L--zt�i'L
v
Ph: Fax:
Email: `—FL&
Trade
s encompassed in revision:
❑ Plumbing
❑ Electrical
❑ Mechanical
❑ Lite Safety
❑ Waste Nater
Department
❑ Utilities
❑ Waste Water
❑ Planning
❑ Engineering
❑ Fire Prevention
❑ Building
i
General description of'revision:
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ROUTING INFORMATION
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COPYRIGHT MCD 2015: The information contained in this document is copyrighted and is the exclusive property of MONTA CONSULTING & DESIGN; OF WMR & ASSOCIATES, LLC. Any use, duplication, or transfer of these documents without the expressed, written consent of MONTA CONSULTING & DESIGN, OF WMR & ASSOCIATES, LLC is strictly prohib
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