360 Mellonville Ave; 98-2614; INTERIOR REMODELC OIc c.
ZONE
CONTRACTOR
DATE ` o , g
ADDRESS
c
PHONE # -7:=72
LOCATION
OWNER
ADDRESS
PHONE #
PLUMBING CONTRACTOR
ADDRESS
PHONE #
ELECTRICAL CONTRACTOR
ADDRESS
PHONE #
MECHANICAL CONTRACTOR
ADDRESS
PHONE #
MISCELLANEOUS CONTRACTOR
ADDRESS
SEPTIC TANK PERMIT NO.
SOIL TEST REQUIREMENTS
FINISHED FLOOR
ELEVATION REQUIREMENTS ()
ARCHITECTURAL APPROVAL DATE:
SUBDIVISION:
PERMIT' # ` v (O f
FEE $
STATE NO. eAozj cc
FEE $
FEE $
FEE $
I
FINAL DATE
LOT NO.
SECTION:
SQUARE FEET: T `
MODEL:
OCCUPANCY CLASS:
INSPECTIONS ITYPEDATEOKREJECTBY
CITY OF SANFORD, FLORIDA
APPLICATION FOR BUILDING PERMIT
PERMIT NUMBER DATE . J u '21 ( lq
PERMIT ADDRESS .26 Q G'L lJ(il`' /7 0FiI /- . 14—' Total
Contract Price of Job: /,D,p °% Total Sq. Ft. 114 Describe
Work: -a4 1W Type
of Construction: Flood Prone: (YES) (NO) Change
of Use From: tJ14 Change of Use To: AVE Number
of Stories: Number of Dwellings: Zoning: Occupancy:
Residential Commercial te Industrial LEGAL
DESCRIPTION: (please attach printout from Seminole County) TAX
I.D. NUMBER: -6- - 1,Z7 , OWNER )
ADDRESS
CITY ,
5 A..
A PHONE NUMBER:D7-,y`` NAV
1r'--,f STATE r-L- Z I P \-Y7.'7'7 / CONTRACTOR ",
r ADDRESS
CITY
j),j p ARCHITECT
ADDRESS
CITY
Cnu' -
r& Cep STATE
PHONE
NUMBER:? ZIP
SEPARATE
PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, MECHANICAL, REMOVAL OR THE RELOCATION
OF TREES AND ADVERTISING SIGNS. THIS
PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN
180 DAYS OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180
DAYS AT ANYTIME AFTER THE WORK IS COMMENCED. ALL
PLANS FOR THE BUILDING WHICH ARE REQUIRED TO BE SIGNED AND SEALED BY THE ARCHITECT OR
ENGINEER OF RECORD SHALL CONTAIN A STATEMENT THAT, TO THE BEST OF THE ARCHITECT'S OR
ENGINEER'S KNOWLEDGE, THE PLANS AND SPEC'S COMPLY WITH THE APPLICABLE MINIMUM BUILDING
CODES. NOTICE:
In addition to the requirements of this permit, there may be additional restrictions
applicable to this property that may be found in the public records of
this county, and there may be additional permits required from other governmental entities
such as water management districts, state agencies, or federal agencies. If
applicable, check with your homeowner's association prior to applying for a permit. The
named Contractor/Owner Builder to whom the permit is issued shall have the responsibility
for supervision, direction, management, and control of the construction
activities on the project for which the building permit was issued. x
V SIGNATU
E OF JONTRACTOR
SIGNATURE
OF OWNER 3
DATE
DATE APPLICATION
APPROVED BY: a r, DATE: T 30 _2 3 FEES:
Building Open
Space Radon
Road
Impact Police
Application
Fire
Other `
f
PERMIT
VALIDATION: CHECK CASH DATE / ` BY THIS
APPLICATION USED FOR WORK VALUED UNDER $2500.00. ORIGINAL (
BUILDING) YELLOW (CUSTOMER) PINK (COUNTY TAX OFFICE) GOLD (COUNTY ADMIN.)
CITY OF SANFORD
FIRE DEPARTMENT
FEES FOR SERVICES
PHONE #: 407-302-1091
v (`
1
DATE: v J PERMIT #:
BUSINESS NAME: l .C T (1,, ^r; r- 1-P
ADDRESS: 360 5d)U(-)4 1 ELLC?Cv G'BGL.
PHONE NUMBER: ( 1, ) f7 S,T" 93
PLANS REVIEW
BURN PERMIT
TANK PERMIT
COMMENTS:
TENT PERMIT
REINSPECTION
FIRE SYSTEM
AMOUNT
Fees must be paid to Sanford Building Department, 300 N. Park Avenue, Sanford,
Florida. Phone # 330-5656. Proof of payment must be made to Sanford Fire
Prevention before any further services can take place.
Z5&
Sanf d ire Prevention
I certify that the above information is
true and correct and that I will comply
with all applicable codes d ordinances
of th Miv of Sanford rida.
Applicants Signature