1001 E 1 St - BC00-002247 (NEW TRIBES MISSION) (ADDITIONAL STORAGE) DOCUMENTSCITY OF SANFORD FIRE DEPARTMENT
FEES FOR SERVICES
PHONE #: 407-302-1091 - FAX #: 407-330-5677
DATE:. 3 3 1 /on PERMIT #: o - OL Y-7
BUSINESS NAME: 551'c,j
ADDRESS: (AP I C-. Eia-;5T G-r-
PHONE NUMBER: 53o-i5CG Ccc&.-r)pg0j6jrAL)dG
CONST. INSP. 11 C. OF 0. INSP.
PLANS REVIEW 4 j- TENT PERMIT
BURN PERMIT D REINSPECTION
TANK PERMIT 11 FA 0 FS 0 OTHER 1-1
AMOUNT $ 25 t"
f-t f'j
COMMENTS: Rr.jr:c-T&i
343 L4D
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 anv further services can take Dlace.
I certify that the above information is
true and correct and that I will comply
ta-'
Sanford Fire Prevention
with a] I applicable codes and ordinances
of the City of Sanford, Florida.
11'pl icants Signature
41
CITY OF SANFO!P. FLORIDA
tjIOCJ, c_
a%re_a,3
PERMIT NO DAT
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO INSTALL THE FOL-
LOWING ELECTRICAL WORK: I
v
OWNER'S NAME T. I 19,'J
ADDRESS OF JOB I 0h I F - 5T_ el Al AQ rd
ELEC. CONTR Residential Non-residenfiaL-?—\
Subject to rules and regulations of the city and national -electric codes.
Numbor AMOUNT
Alteration. Addition, Repair 2,0 ee
Change of Service Residential
Commercial
Mobile Home
Factory Built F-lousing
New Residential 0-100 Amp Service
101-200 Amp Service
201 Amp and above
New Commercial rvice
kp-Iication Fee
TOTAL
By signing this application I am stating I will be in compliance with the NEC including Article 110, Section 110-9 and 110-10.
D m i:--- / - kcva - C f -c-CY,
guildinv011ficial 0 Master Electrician
STATE COMPETENCY NO.