Permits - 4016 Shoreline Drive - 9/22/2022 CITY OF SPRING PARK
BUILDING PERMIT APPLICATION
Building Permit Application Requirements : Date Received:
1 . Application to be filled out & signed Date Approved:
2. Mechanical Permit Application & Calculation filled out Permit No.:
3. Energy Calculations filled out
4. Furnish a Certificate of Survey - See Attached
5. Furnish 3 Sets of Construction Plans Fees To Be Charged:
a. 1 set for City files Permit $ ZS-.00
b. 1 set for builder to use on site State Surcharge •5�
c. 1 set for city Building Inspector Plan Review
Construction Plans should include: SAC Charge
1 . First floor plan Availability Chrg
2. Footing & foundation plan TOTAL $
3. Elevations of all sides
4. Wall sections & cross sections
5. Details - stairs & any special connections
ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED
THE APPLICANT IS: (Circle One) OWNER OR CONTRACTOR
JOB SITE ADDRESS: �O A S`'ole ti ti 0,�
NAME OF OWNER: f,Q/3NK /N�y PiC �Ch•�,e•'1sT 4��I�.* s rK PHONE �I Y� -/�1 S WORK PHONE Y)
MAILING ADDRESS S/3 7/ Lv, �s! . B/v� B '��CITY 'g'I D u ZIP
CONTRACTOR PHONE
MAILING ADDRESS CITY ZIP
STATE LICENSE NO.
ARCHITECT/ENGINEER PHONE
MAILING ADDRESS CITY ZIP
M4E REGISTRATION NO.
TYPE OF WORK: New Addition Accessory Structure %ve Demo
anx 1 Alteration _ Renovate Land Alteration
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PROPOSED WORK (Describe in Detail) �,��� �,c �'n�C< W r-//
ZONING DISTRICT
STORIES SQ. FEET OF EACH FLOOR NO. OF BERM GARAGE
STALLS ATT. OR DET. o�
ESTLMATED CONSTRUCTION VALUATION (excluding land) $ l
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