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Get City Of Deltona Building Department

Permit Number PERMIT APPLICATION MECHANICAL TYPE OR PRINT IN INK ONLY FBC 2010 NEC 2008 Residential Parcel ID CITY OF DELTONA City of Deltona Automated Inspection System BUILDING AND ENFORCEMENT SERVICES 2345 PROVIDENCE BLVD DELTONA FL 32725 Ph 386-878-8650 - Fax 386-878-8651 Commercial 386 575-6900 / 407 936-9999 Owner s Name Phone - Project Address Include City Zip Contractor Contractor s Mailing Address Include City Zip License Holder s Name License E-mail Electrical Contractor s Name and License Fax HVAC CHANGE-OUT Size Type of NEW Unit SEER AREA Inside Unit Outside Unit Duct Work Duct Inspection Sealing Certificate will be attached to the air handler for the inspection Provided Required Documents per FBC EC 101. 4. 7. 1. 2 at time of Application ESTIMATED VALUATION Signature of Applicant Contractor s Signature to be notarized Date STATE OF FLORIDA COUNTY OF Affirmed and subscribed before me this day of 20 by who is personally known to me or who has produced type of ID identification* Signature of Notary Public State of Florida Print Type or Stamp Name of Notary SEAL The applicant agrees to comply with the Municipal Ordinances and with the conditions of this permit understands that the issuance of the permit creates no legal liability express or implied of the Department Municipality Agency or Inspector and certifies that all of the above information is accurate. Have Permit/Application number and address when requesting inspections call386-575-6900 / 407-936-9999. Inspections will be done the next business day. APPROVAL CONDITIONS This permit is issued pursuant to the attached conditions. Failure to comply may result in suspension or revocation of this permit or other penalty. PERMIT EXPIRATION permit expires 180 days from date issued unless otherwise noted below or governed by law. WARNING TO OWNER YOUR FAILURE 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 THE FIRST INSPECTION* IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. 4. 7. 1. 2 at time of Application ESTIMATED VALUATION Signature of Applicant Contractor s Signature to be notarized Date STATE OF FLORIDA COUNTY OF Affirmed and subscribed before me this day of 20 by who is personally known to me or who has produced type of ID identification* Signature of Notary Public State of Florida Print Type or Stamp Name of Notary SEAL The applicant agrees to comply with the Municipal Ordinances and with the conditions of this permit understands that the issuance of the permit creates no legal liability express or implied of the Department Municipality Agency or Inspector and certifies that all of the above information is accurate. Have Permit/Application number and address when requesting inspections call386-575-6900 / 407-936-9999. Have Permit/Application number and address when requesting inspections call386-575-6900 / 407-936-9999. Inspections will be done the next business day. APPROVAL CONDITIONS This permit is issued pursuant to the attached conditions.

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