HomeMy WebLinkAbout519 E 1st St 12-957 Landscape Lighting;nty Y%�r1
FECEIVED
' CITY OF SANFORD
FEB 2
,
2 2012
A"
•:c
`
O BUILDING & FIRE PREVENTION
g BY: PERMIT APPLICATION
Application No: Documented Construction Value: $ ^« y �erll l d-
Job Address: 51q e, JG 3-2-T7 1 Historic District: Yes ❑ No 5K n
Parcel ID: ?JD - Ict -,-S 1- 515 - 1 4C)C) - 001
Description of Work: Ian &C.�.e, l kpm'no
Plan Review Contact Person:
Phone
Fax:
Zoning:
E -mail:
Title:
c,�-/ Property Owner Information /��
Nam&_ ail i4,/ Towets or-, +he- S- ti hrts LL-0-Phone: 40-7 — 5Z-j — �D
Street: S Pe . ST Resident of property?
City, State Zip: Ft- JZ %-7 I
Contractor Information
Name VVeST b VOO� C P-WI Le= /002 Ph one: 4V -
O 4I - -53 t o
Street: V +1 1 G. 01�_IT Fax:
City, State Zip: Or I oi-do r-L- a 0 ocs State License No.: W (J 014-$ 4
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Building Permit ❑
Square Footage:
No. of Dwelling Units:
Electrical IN
New Service - No. of AMPS:
Architect/Engineer Information
Phone:
Fax:
E-mail:
Mortgage Lender:
Address:
PERMIT INFORMATION
Construction Type
Flood Zone:
No. of Stories:
Plumbing ❑
New Construction - No. of Fixtures:
Mechanical ❑ (Duct layout required for new systems) 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 pen-nit 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 pen-nit activity levels. Should calculated charges exceed the documented
construction value when the executed contract is submitted, credit will be applied to your pen-nit 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: UTILITIES:
ENGINEERING:
COMMENTS:
Rev 11.08
FIRE:
Signature of Contractor /Agent Date
PriniXontractor/ Agent's Name
2( 22112
CQNSUELA CHEIA CAMACHC]
MY COMMISSION # EE113213
EXPIRES July 17, 2015
Contractor /Agent is -?�- Personally Known to Me or
Produced ID Type of ID
WASTE WATER:
BUILDING:
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: 2 �22 l2
I hereby name and appoint: I� i Y-e �IeXr 0
an agent
to be my lawful attorney-in -fact to act for me to apply for, receipt for, sign for and do all things
necessary to this appointment for (check only one option):
All permits and applications submitted by this contractor.
The specific pe it and app atio for work located at:
iCl F,. i X21-1 i
(Street Address)
Expiration Date for This Limited Power of Attorney:
License Holder Name:- EVI(, S . AVe
State License Number:
Signature of License Holder:
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged before me this 2ZOday of
2001 , by sYiC , a" who is ? pu3.Qpallv known
to me or ? who has produced
identification and who did (did not) take an oath n n
,,-A05 111 k l CAM - ,tC LO
Signature
HE11+CAMACHO�5
p';'•"Y�"�t�s _ Ifs � �S�Ld'Vla(.�.,o
•c My COMMISSION # EE1132i3 pmt or type name
EXPIRES July 17, 2015
��'"ai" `�,` Flaidallo�ryServ�ce•com
(40713 153
(Rev. 3/27/07)
Notary Public - State of Ronda-
Commission No: C--j� 113' i 3
My Commission Expires: j -11.7-0 v -
as
Date: 2/13/201.2
Buyer: Serenity Towers
OAS
�4E4iflICpL � r MP -
Project I andscape Lighting
Location: Same
Address: 519 East 1'` Street Reference: Doug Lezotte
Sanford F13277.1 Phone:
Fax:
Email:
Westbrook Service Corporation, herein after referred to as "Westbrook", proposes to fur.. fish the products and service
described below subject. to all the Terms and Conditions listed on the attached RFV 4289, ;A. Pages 1, 2 & For your
convenience, the primary essentials are shotivn here on.. Any changes to the terms and cep xditions must be initialed and
dated by both signatories to this agreement.
SCOPE OF WORK
• Install electrical conduit for lighting to 7 trees,1 monument sign,1 flat I pole and 1 ads litlonal
sign at the back of the building.
• Conduit will be installed underground to each location.
• This portion of the work is quoted not including light fixtures, wire, controls, or li Mbar to
install the following to expedite approval of work before new sod i ; installed.
• An electrical permit will be provided
• Note: before work can begin "Sunshine State One Call" will be notified to locate; any
underground utilities.
Total Price: $1,450.00
Price: Bonds are not included but can be furnished at cxtra cost On -site labor pro,+ided by us will to non - union.
payment: Our month -end invoices will be payable by the. 10th of the subsequent mon Fh. No retainago or discounts.
Acceptarice: Price quoted is good for 30 days unless extended in writing by Westbrook. If acceptable, 6 gyn and return
within 30 days, Contract is binding only when accepted and signed by an officer of We .throak. if you is :ue your own
purchase order or contract, it must include the same price, terms and conditions from chi; proposal. If yo-a' contract has
additional terms, they will be subject to Westbrook's approval. This contract is non transfe -able.
WESTOROOK PROPOSAL BUYER ACCEPTANCE
BY: ErjQ Avers - BY:
Commercial Service Group
DATE: NAlvil;:
DATE: TTI7. E
WESTBROOK A,CCEPTANC
BY:
DATE:- TM E: