410 Garden Ln - RESA17-0024 Agreement To Acccept Tranfsfer of Permit C
AGREEMENT TO ACCEPT TRANSFER
OF UNCOMPLETED BUILDING PERMIT
This agreement and a new Permit Application are required
to transfer an uncompleted building permit.
0 , . Phone i/o h it 6 S 4')
Address \W c
Email ktd Cht2,DAak l.l\NP:r
State Certification/Registration # CGCO S>0&1? understand that Building
Permit PES 8 tZ - 0d'2!;' 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)
NO *in'>� uaS Sri bC -
State of Florida
County of Duval
The foregoing instrument was acknowledged before me this day of 2t�r-V
by I'1Qn who personal appeared before me
and acknowledged that he/she/they s gned the instrument voluntarily for the purpose expressed in it.
i'q•,..,,h GRACE WCKEY
:y, �.CyXSgpNNGG OR
989 Signature of Notary Public
EXPIRES'.o mr 27.420
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[ ]Personally Known 1�
['Produced Idcatio L,t u
e of Identification: fto�j4()r;i�S