HomeMy WebLinkAbout2010 French Ave 12-339 Electricali
NOV 7 2U11
D. BY. CITY OF SANFORD
-. - -_� BUILDING & FIRE PREVENTION
PERMIT APPLICATION
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Application No: 1 C� _33? Documented Construction Value: $ , 0 o 0
Job Address: A0 10 W 1- :74-°D- Historic District: Yes ❑ No
Parcel ID• Zoning:
Description of Work:
) ! /^?' [ c
Plan Review Contact Person: _,J i , / r;-'J� f� 5 Y Title:
Phone:� Fax: E -mail: S� l yLci G> C'FC , �• C'� % -r
Name
Street:
City, State Zip:
Property Owner Information
Phone:
Resident of property? :
Contractor Information
Name e.figx, Z!i Phone: %07-6 77'//3-5
Street: d MI AOk S Fax: — V07-67744 It
City, State Zip: fL 3.2-2140- State License No.: ee_ /3ob /4.2 %
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Building Permit ❑
Square Footage:
No. of Dwelling Units:
Electrical [8'
Architect/Engineer Information
Phone:
Fax:
E -mail: _
Mortgage Lender:
Address:
PERMIT INFORMATION
Construction Type: No. of Stories:
Flood Zone:
New Service - No. of AMPS: ,30 D
Mechanical ❑ (Duct layout required for new systems)
f. a�
Plumbing ❑ -
New Construction - No. of Fixtures:
Fire Sprinkler /Alarm ❑ No. of heads:
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no
work or installation has commenced prior to the issuance of a permit and that all work will be performed to
meet standards of all laws regulating construction in this jurisdiction. I understand that a separate permit
must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and
air conditioners, etc.
OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will
be done in compliance with all applicable laws regulating construction and zoning.
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 RECORDING YOUR NOTICE OF COMMENCEMENT.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this
property that may be found in the public records of this county, and there may be additional permits required
from other governmental entities such as water management districts, state agencies, or federal agencies.
Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida
Lien Law, FS 713.
The City of Sanford requires payment of a plan review fee. A copy of the executed contract is required in order
to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the
plan review fee based on past permit activity levels. Should calculated charges exceed the documented
construction value when the executed contract is submitted, credit will be applied to your permit fees when the
permit is released.
Signature of Owner /Agent
Print Owner /Agent's Name
Date
Signature of Notary-State of Florida Date
Owner /Agent is Personally Known to Me or
Produced ID Type of ID
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
Rev 11.08
UTILITIES:
FIRE:
1Z-17-W
i ature of Contractor /Agent Date
J
Print Contractor / Agent's Name
%/ /'l. //
"I"StY AV &. DEBBIE BLANJ25,2015
_?_ °. .`� ; Notary Public -State
+ e My Comm. Expires FeCommission # EE Bonded Through National
Contractor /Agent is Personally Known to Me or
Produced ID Type of ID
WASTE WATER:
BUILDING:
C.R.E.W. ELECTRICAL
SERVICES, INC.
2914 N. FORSYTH RD. WINTER PARK, FL 32792
(407) 677 -1155
Sy
_11- 16 -11_
We propose to furnish all material and labor for the electrical work in:
Job Name: Laundry Mat at: 2010 N. 17 -92 Sanford
for the sum of $ 15,500.00 State sales tax included
Which shall be done as per the following schedule:
1- 3Phase 300A Main service _
1- 3Phase 300A MDP Panel
2- 3Phase interior panel 150A
1- 3Phase interior panel 100A
1- 1Phase interior panel 100A
Wiring for 12 lights and supply 12 4' 2 Light wraps
Wire fro 5 -110V outlets located TBD
Rewire existing cleaners panel to new panel
Wiring of 1 Bathroom
Wiring of 1 Storage room
Wiring of 1 water heater room
Wiring of 2 Exit Emergency lights and supply
Wiring of 2 AC Heat Units
Permit included
Price does not include wiring of machine from panel to equipment to be done by others
If it should become necessary to place this contract and/or any associated invoices with our attorney for collection, suit or
other legal action, I/we hereby agree to pay costs of such collections, suit, or other legal action, including a reasonable
attorney's fee.
Invoices due Net 30 days. This proposal is good for 10 days only.
A finance charge will be assessed at a monthly periodic rate of 1.5% (Annual Percentage Rate of 18 %) calculated on the
unpaid balance, if not paid in full, by the due date indicated above.
Accepted by: - By:
Custome C.R.E.W. Electrica Services, Inc.
License # EC13001929
tHIS IN6"RUiv1I N
;'i.l'hi+i�� EIY:
Permit No. 5 , f e
Tax Folio No. 3 („ - I � - i0 '52_L 0666 AME '` Zc A02
NOTICE OF COMMENCEMENT
State of Florida
County of Seminole
The undersigned hereby gives notice that improvement
will be made to certain real property, and in accordance
with Chapter 713, Florida Statutes, the following
information is provided in this Notice of Commencement.
1. Description of property: (legal description of the property, and street address if available)
X77 /
2. General description of improvement:
3. Owner information: Name: 4'rti c1, �
I����gllltil���tl�l�Ittit�t�tl�iil
M ARYANNE MORSEt CLERK OF CIRCUIT COIt'li
INOLE CDMY
DR o7665 pg 196M; tlpgb
CLERK" S 0 201 f 12 MW3
RIEMRDED 11117ANX1 12tMtK PH
REMIN6 FEES Ik M
RaRDIED BY T Smith
Address: 0 I o c -Vye-t,4 /.Lt Cg�4fcyj -71
b: Interest in property:
c. Name and address of fee simple titleholder (if other than Owner): Name:
0 eAddress:
Contractor Name: �. Q: y • i,�. <.f t Fit -� c �z+��t,+� Phone number:
!Address:9 i N (� v54 IPn 2 tnl tn( i �c✓ {L '�27`�?
5. Surety Name
Address:
b. Amount of bond: $
6. Lender: Name:
Address:
b. Lender's phone number:
7.a. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as
provided by Section 713.13(1)(a)7., Florida Statutes: Name:
Address:
8.a. In addition to himself or herself, Owner designates of to receive a copy of the
Lienor's Notice as provided in Section 713.130)(b), Florida Statutes.
b. Phone number of person or entity designated by owner:
9. Expiration date of notice of commencement (the expiration date is 1 year from the date of recording unless a different
date is specified)
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE
NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I,
SECTION 713.13, FLORIDA STATUTES, AND CAN 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 ATTPRNEY BErOYE COMMENCING WORK OR RECORDING YOUR NOTICE OF
COMMENCEMENT. A (/ !)
`Signature of Owner or O e Authori�ffi eer /Director /Partner/Manager tt Signatory's Title/Office
The foregoing instrument was aclrnowledged before me this �� day of M0-)';'�'�year) , by (name of person) as (type of
authority, .. officer, trustee, attorney in fact) for (name of party on behalf of whom instrument was executed) .
* * MY COMMISSION t DD 951325
EXPIRES: May 30 2014 (SEAL)
Signature of�i 8f &I PAaded rhn, Budget Notary Smites ic
Personally Known OR Produced Identification Type of Identification Produced CERTIFIED COPY
Verification pursuant to Section 92.525, Florida Statutes: Under penalties of perjury, I declare that I hav�t>' I
the facls.state&4un -t are. �e to the best ofimv4cnowledRe and belief. CL � CIRCUIT COU
Rev. date 3/2008
NOV 1 �I 2Oi t
1L/ 1L/ Z V " VIUA 13: 47 rAx 14001 1001
REQUEST FOR PRE -POWER
Altamonte Springs, Casselberry, Lake Mary, Longwood, Oviedo, Sanford, Seminole
County, Winter Springs
Date: 10 -13- //
Project Name: SYS eL'0 /' / LfU,( /4R fi Project Address:_
Building Permit #: Electrical ' rmit #
__� 07.._-_61�dd0
In consideration for authorizing the appropriate utility company to energize the facility, we. agree with and
understand the following:
1. The facility will not be occupied until a certificate of occupancy has been issued.
2. If the jurisdiction hereafter finds that the facility has been occupied before a certificate of occupancy has
been issued, the jurisdiction will have the unilateral right to direct the utility to terminate electrical service
without notice. Furthermore, we understand and agree that should the jurisdiction exercise such right, the
jurisdiction will not be responsible for any damages or costs which may result from the exercise of such
right. Also, in the event any third party claims damages from the exercise of such right, we agree to jointly
and individually indemnify and hold harmless the jurisdiction from all such damages and costs, including
attorney's fees.
3. The building or structure shall be weather tight and secure. The electrical wiring in the area designated for
pre -power shall be complete and in safe order. All electrical services associated with the area will be 100%
complete unless specifically approved by the electrical inspector.
4. Interior electrical rooms shall be lockable, if electrical panels are in an area that cannot be locked by doors,
the panels shall be equipped with a locking mechanism (approved by the AHJ). The licensed electrical
contractor or his licensed representative shall hold the keys(s) for such access to electrical panels to prevent
energizing circuits other than those that are safe.
5. If provided, the fire sprinkler system must be operational, per the local A.HJ requirements, with water on
the system prior to pre - power.
C. This pre -power approval is valid for a maximum of 180 days from date of approval.
7. Check with the local jurisdiction for fees associated with pre - power.
Print N66c of O ° /'runt
Signature of Owner /Te ant
JURISDICTION EMPLOYEE NAME:
JURISDICTION:
CALLED INTO
(Rev. 3/27/07)
Print Name of Gen. Contractor
Signature of Gen. Contractor
Gen. Contractor License #
Print Name of El. Contractor
�a
Signature of El. Contrac
�e- 13oa/9J9
11. Contractor License #
o Progress Energy lorida Power and Light on