9 Oak Ave Plans New construction Bathrooms Park on Park City of SanfordCITY OF SANFORD
W RUILDING PERMIT APPLICATION
0 SITE DEVELOPMENT PERMIT APPLICATION
PERMIT.NO.
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BUILDING VALUATION
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1. OWNER
2.y'ADDRESS OFI,JOB (� f
SITE DEV. VALUATION
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4. SEV TWP RGE
5. SUBD-TRACT-PARCEL
16. BLK
7. LOT
18.;PB/PG
9. USE OF BUILDING / I
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10. RESIDENTIAr C'I
COMMERCIAL:; INDUSTRIAL I:-
11, FLOOD PRONE
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12. DESCRIBE WORK
13. CHANGE OF USE FROM:
14. CHANGE OF USE T0:
15. UTILITIES Lty/CITY- WATER L3 I T Y SEWER 0 SEPTIC TANK 0 SOIL TEST (IF APPLICABLE)
16. TYPE OF CONSTRUCTION
17. OCCUPANCY GROUP
18. TOTAL LAND AREA
19. ZONING
20. NO. OF STORIES 121.
NO. OF DWELLINGS
22. TOTAL SQ. FT.
I1
23., NO. OF STRUCTURES
I
1
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24. CONTRACTO I �/ MAILING NDDRISS y CI' /ZIP r(� PHONE
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25. ARCHITECT /ENG NBuR� MAILING ADDR S CITY/`LTP PHONE
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FEES:
SITE DEV.
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RADON GAS
OPEN SPACE UTILITY
POLICE
FIRE
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FEES:
DRIVEWAY
NOTICE
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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 BLDG. CODES.
The named Contractor/Owner Builder to whom the permit is issued shall have the responsi-
bility for supervision, direction, management, and control of the construction activities
on the project for which the building permit was issued. F.S'. 553-85.
SIGNATURE OF CONTRACT R DATE
C -`2 -A ^
SIGNATURE OF OWNER DATE
APPLICATION ACCEPTED BY:
PLANS CHECKED BY:
APPROVED FOR .ISSUANCE BY:
STATE CERTIFICATION.NUMBER OR
STATE REGISTRATION NUMBER AND COMP CARD NUMBER
PERMIT VALIDATION: CHECK CASH DATE BY
FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING
TWICE FOR BUILDING IMPROVEMENTS.
COMMENTS:
ORIGINAL (BUILDING) YELLOW 4-CUSTOMER) PINK (COUNTY TAX OFFICE) GOLD (CO. ADMIN. OFFICE)
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