2401 S Oak Ave 18-769 (A) INTERIOR RENOVATIONSr a t B - 015
it, r
f C �m fir., I 4 �, ti'- _,.....--•-
Doctiniented Construction Value: $ - �V
f l ( Historic Distx4ict: Yes ❑ Ndo
.lair Address: ��� � � ���.%' , '�,I�.IU��i� 7
Parcel ID: - (Cry -1 , ` y c� - i"� e) f t LL) Resideutial'o .Cc nluicx Gal: l_._1
Type of Work. New
El t�dditiota❑ Alteration ' Repair Demo ❑ Change.of CJsc� 9.i'ilove El
Description at"Work- CA�14i. fLC'tf(�
CITY DF NFQR1
E�IJII. DING &:FIftE.,:P'REVENTIQN
PERMIT APPLICATION
Application No.
Plan Review Contact Person: `i�Ar) j,(
1Email:
Property Owner Information
Phone: t Y6 i `f'
Resident of property?
`street:
City, State Lip:
Title:
�j'L .CEJ
Contractor Information
�_►y/7� //jai ' f� f //d r WAV Phone.
streeC Fax:
City, Mate Gill; � 1"Url- . � �.1�Tr';,i 1 " l State License Into:: 03 i 1.a
Mame:
Street:
City, St, `Gip:
Bonding Company:
Address:
Architect/Engineer Information
Phone:
Fax-,
E-mail.
Mortgage Lender,
Address:
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTIC1 OF GOIVIMENCEM.. ` MAY RESULT t..1N YOTJXt
PAYING 'T'WICE FOR I VIPROVEMENTS TO YOUR PROPERTY. A. NOTICE OF 'COMMI' NQEIl-IE1NT MUST IBE
IWCORDGU AND POSTED ON '1'III+a ,lOI3 SITE: 13E FORE Tim, FIRST INSPECTION. IF YOU Il"iT*ND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDF'R OR AN A't'roRNEY BEyORE RECORDING YOUR .NOTICE OF
COMMENCE NIENT,
Application is hereby made to obtain a hermit to do the work and installations as indicated. I certify that no work or installation has
commcaced prior to the issuance of a permit and that all work will be performed to meet standards of all laws rcgulati n9 construction
in this jurisdiction. I understand that a separate perlitit must- be secured for electrical work, plunibiag, sighs, wells, pools,
furnaces, boilers, heaters, tanks, and air cunditioners, etc.
F t3C 105.3 Shall be inscribed Nvith the date of application and file code in effect as of that date:.$w.Editlon (20.14) Florida Building Coda
Permit Application.
ficvisud; Junc 30, 2015