Revised 08/02/19
Building Division
Permit #:
Contractor:
Revision
Commercial
Residential
(use when permit has been issued)
Date:
Permit #:
Received By:
Job Address:
Owner / Contractor Name:
Phone:
Fax:
Email:
Building
Electrical
Mechanical
Plumbing
Gas
Other
Revision Description:
Files Revised and Reason:
Add Subcontractor (if applicable)
License #
Business Name and/or License Holders Name
Upload ______ pages to ePlan at $5.00 per page. Initial _________
Square Footage:
FROM:
TO:
Valuation:
FROM: $
TO: $
Value difference:
$
Reviews
Date Sent
Date
AP / COR
By
Fees
Addressing
P&D
Zoning
Building
Electrical
Fire
Mechanical
Plumbing
Other
TOTAL FEES:
1101 EAST FIRST STREET SANFORD FL 32771-1468 PHONE (407) 665-7050 FAX (407) 665-7486