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1229 Hist Goldboro Blvd 17-3256; HVACf° C:1 Y OF Building & Fire Prevention Division ",,.,:.SANFORDPERMIT APPL.ICAT ON Fink uEvAlt'rN4E1&1"1 Application No: Documented Construction Value: $ � � � Job Address: ` � s�� `'`C� r� Historic District: Yes[Nor—] Parcel II): Residential Commercial[—] Type of Work: New❑ Addition❑ Alteration Repair Dcluo❑ Change of Use[] move L1 J , Description of Work: h ` `� �i ,�L. `�- IV Ci (- Plait Review Contact Person: Phone:��"j �� l Fax: Name Street: City, State Zip: Title: Eivail: 1 C%i.-S °t. o GV Property Owner Information C 6r� Phone: Resident of property? : Contracto Information Name 7AK' Cc) Street: 6-?, C) qct` , Lc�'�_ ..�1 ��`J '� Fax: City, State Zip: lt"� -r`-t C "Q State License No.: Name: Street: City, St, Zip: Bonding Company: Address: Architect/Engineer Information Phone: Fax: E-mail: — Mortgage Lender: Address: WARNING TO OWNER: YOUR h'AILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE T11E FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. Application is hereby trade 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. 1 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 that slate: G°i Edition (2017) Florida Building Code Revised: January 1, 2018 Permit Application Revision ❑ Response to. Comments ❑ Permit # Project Address: C/✓ City of Sanford Building & Fire Prevention Division Ph: 407.688.5150 Fax: 407.688.5152 Email: building@sanfordfl.gov Submittal Date Contact: 5 i- ev l� "a Ph: ,� l Cl �f Fax: Email: 5 00N,33640(Y111) s Trades encompassed in revision: ❑ Building ❑ Plumbing /© Electrical ❑ Mechanical ❑ Life Safety ❑ Waste Water Department ❑ Utilities ❑ Waste Water ❑ Planning ❑ Engineering ❑ Fire Prevention General description of revision: ROUTING INFORMATION Approvals 4 U Q r+� LO N Qo N L CL Q Z Q W (Y W V) cy L W Q W N W U� U / _U CD I -U U / C7 Q r I / w fr) J L. CU ry 0 Li Z LiJ W LY W F- rr) a7 N N� I CU r� O N u) U n / N <u U c U, U L U