2412 Stevens Ave 17-1633 DEMO OLD METER INSTALLNEWCITY OF SANFORD
JUN 0 51 2011 BUILDING & FIDE PREVENTION
PERMIT APPLICATION
Application No: — % &33—
Documented
33
Documented Construction Value: $(�(�_U
Job Address: ZJA 12— 5Ve-VC n5 .
Parcel ID:
Historic District: Yes ❑ No L� I
Residential Ff Commercial ❑
Type of Work: New ❑ Addition [A Alteration ❑ Repair ❑ Demo ❑ Change of Use ❑ Move ❑
Description of Work: -Demo (D�& ce-n- cc Y\ej( ') nOE:±CV"
C,P tax firs\1 Y -)(c t) 2.00 Fl rnP CU)C Or-�(�e'CL
Plan Review Contact Person: I' 1C'hc\'C'\ VAI �Y }�C<' n rt'itle: YP�S iC\ Yl i
Phonc: (4U-1) QTO-- I qSy Fax: Mi 90S - 7"Lj T1�g aail: (li .4�► 4 Yl�i Y"fC) Yl �Tt . C c7rn
!Property Owner Information
Name tw � 1 z'G1'G\(—C�" phone:
Street:') --i I % SA-ue ns Avc . Resident of property?
City, State Zip: SCL�(1�yY
Contractor Information
NaiucWeryltcr ri� U•'*tua' '30 (" "oy-)5 Phone:M8' 1 X71 —(
Street: I OH N 1 yW� 1C, -A , S-` e- 4 Fax: (3m) c1cgs --I Z-:1-1
City, State Zip: 1`�ll h� �Um State License No.: lr Ui cCjCgq--I I
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Architect/Engineer Information
Phone:
Fax:
F -snail:
Mortgage sender:
Address:
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULTIN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENTMUST BE
RECORDED AND POSTED ON THE JOS SITE BEFORE THE FIRST INSPEC'T'ION. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH 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 indioated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be perl'ormed to meet standards of all laws regulati118 coMstruotion
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 in effect as of drat (late: 5111 Edition (2014) Florida Building Code
Revised: June 30, 2015 Permit Application