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HomeMy WebLinkAbout2301 Northlake Dr 12-176i til \b tr :a Application No: /J -/7(0 OCT 26 2011 CITY OF SANFORD BUILDING &FIRE PREVENTION PERMIT APPLICATION BY: _ Documented Construction Value: Job Address: t2 z9l c;�3PJo" 3a7-7 3 Historic District: Yes ❑ No Parcel ID: Description of Work: _ /G Plan Review Contact Person: Zoning: Title:��5 Phone: �1d7� 7G% �/i�/ Fax: 7 `7017 �d' /� E -mail: Property Owner Information Name eC.� * -7 � Phone: Street: �iti��'�.c�Y�S .� �� �,� / 3_77/ Resident of property? City, State Zip: lltl�1�/ /'o?,Z AG 2 � -7i f 5'771 Contractor Information Vaane L= Phone: v �� �� 7 Street: 75_ 9f; �27 ,�1- //� Fax: �ity, State Zip: © ����/' /� ?,,;! -;�6V State License No.: Arch itectlEngineer Information NTame: Phone: treet: A Fax: 'ity, St, Zip: E -mail: onding Company: ddress: gilding Permit ❑ [uare Footage: ). of Dwelling Units: ectrical ❑ !w Service — No. of AMPS: Mortgage Lender: Address: 7 L At PERlVIlT Il FORMATION Construction Type: No. of Stories: Flood Zone: - chanieal ❑ (Duct layout required for new systems) Plumbing ❑ New Construction - No. of Fixtures: Fire Sprinkler /Alarm ❑ No. of heads: PROPOSAL CARROLL'S ELECTRIC, INC. 1275 Bennett Dr., suite 116 • LONGWOOD, FLORIDA 32750 407- 767 -5661 -Fax 407 - 767 -8141 •ER0011134 SUBMITTED TO: PHONE NO.: DATE: Northlake Village COA IX c/o 407 - 830 -4013 October 10, 2011 Paine - Anderson, Inc. P.O. Box 195771 JOB NAME /LOCATION: Winter Springs, FL 32719 -5771 Northlake Village COA IX, building #23. 8 Gang meter center replacement. ARCHITECT: DATE OF PLANS: JOB PHONE NO.: WE HEREBY SUBMIT SPECIFICATIONS AND ESTIMATES FOR: Remove and replace (1) 8 gang meter center with (1) 600 amp main disconnect switch, and (8) 125 amp unit service circuit breakers. New service grounding conductor and ground rods will be installed. Permits and inspections by CEI. WE PROPOSE hereby to furnish materials and labor - complete in accordance with above specifications, for the sum of: Two Thousand One Hundred and 00 /100 Dollars. PAYMENT TO BE MADE AS FOLLOWS: DUE UPON COMPLETION. All material is guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard practices. Any alteration or deviation from above specifications involving extra costs will be executed only upon written orders, and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents, or de s beyond our control. Owner to carry fire, tornado, and other necessary insurance. Ourworkers are fully covered by Workman's Compens tion Insur AUTHORIZED SIGNATURE: Sco . Geesaman, Pres. NOTE: This proposal may be withdrawn by us if not accepted within 30 days. ACCEPTANCE OF PROPOSAL - Theaboveprices, specifications, and conditions are satisfactory and hereby accepted. You are authorized to perform the work as specified. Payment will be made as outlined above. DATE OF ACCEPTANCE: SIGNATURE:_�r��� /" SIGNATURE: