195 Seminole - Contractor Transfer Agreement for HVAC ACRS17-0249 � Yj t1=L'lIjn
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AGREEMENT TO ACCEPT TRANSFER
OF UNCOMPLETED BUILDING PERMIT
This agreement and a new Permit Application are required
to transfer an uncgMpleted building permit.
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Address 2_o1 aa-}u,, S4- , v,,,�fi fix , �„ �►� �`� z SA ,
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State Certification/Registration #_ c=4c- (s 14, :7 j� , understand that Building
Permit G�Z51'7 — b�`1 T was started by another contractor and is currently
uncompleted.
I agree to, after reviewing the approved plans and the unfinished as-built construction, to
submitting a Revision Form and revised construction drawings to the Building Department to
correct any deviation between the approved plans and as-built construction, where found.
I understand that, based on the current inspection record, I am responsible for the Code
compliance of the finished project.
Details (Optional)
State of Florida
County of Duval "
The foregoing instrument was acknowledged before me this_J _day of Ue_ o r.-,� dl�
by ._Jo-`y)rx W Cln�� &thl_-r who personally appeared before me
and acknowledged that he/she/they signed the instrument voluntarily for the purpose expressed in it.
GRACE MACKEY
MY COMMISSION#GG 042989
:o EXPIRES:October 27,2020
Bonded Thru Notary Public Underwriters
Signat a of Notary Public
[ ] Personally Known OR
[Produced Identification n
ype of Identification: lliDnWC.'r`'s U~ �