HomeMy WebLinkAbout3710 W 1st Street 18-1016 electricalr
'T K. CITY 09:
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S.,k 4F0
Building & Fire Prevention Division
PERMIT APPLICATION
Application No: 1 O I �o
Documented Construction Value: $ 250.00
Job Address: 3710 W Ist Street historic District: Yes❑Noa
Parcel ID: 16-19-30-5AC-0000-094B ResiclentialFICommercial
Type of Work: New Addition[:] Alteration RepairE] Demo❑ Change of Use❑ Move❑
Description of Work: install 100 amp 240 volt single phase temp service for construction site
Plan Review Contact Person: Sheryl Stevens Rinehart Title: Admin
Phone: 407-788-3500 Fax: nla Email: slteryl.stevens@tcelectric.com
Property Owner Information
Name R&R Holdings of Central Florida LLC Phone:
Street: 246 Molean Pt Resident of property? : No
City, State Zip: Winter Haven FL 33884
Contractor Information
Name —Tri -City Electrical Contractors Inc Phone: 407-788-3500
Street: 430 West Drive Fax:
City, State Zip: Altamonte Springs FL 32714 State License No.: EC0000981
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Architect/Engineer Information
Phone:
Fax:
E-mail:
Mortgage Lender:
Address:
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 AT'T'ORNEY 13EFOIIE RECORDING YOUR NOTICE OF
COMMENCEMENT.
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.
FBC 105.3 Shall he inscribed ivith the (late of application and the code in effect as of that dale: 6't' Edition (2017) Florida Building Code
Rcviscd: hitittary 1.2018 Pcrinit Application
NO'T'ICE: 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 (here may be additional permits required from other aovernmenlal 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 at the time of permit submittal. A copy of the executed contract is required
in order to calculate a plan review charge and will be considered the estimated construction value of the job at the time of submittal.
The actual construction value will be figured based on the current [CC Valuation Table in effect at the time the permit is issued, in
accordance with local ordinance. Should calculated charges figured off the executed contract exceed the actual construction value,
credit will be applied to your permit fees when the permit is issued.
OWNER'S AFFIDAVIT: I certifv that all of the foregoing information is accurate and at a work will
be done in compliance with all applicable laws regulating construction and zoning.
Signaturt urOwnrr/Agent Date Signature orContractcrr/Agent Dale
Print Owner/Agent's Name
Signature of Notary -State of Florida Date _ .«
Owner/Agent is Personally Known to Me or
Produced 1D Type of 1D
Rance Borderick
Print Conl=tor/AgoatSOamc
1/11b�.1 21 ZL�1
Nota tate or Florid ____ ate
BELOW IS FOR OFFICE USE ONLY
Permits Required: BLtllding ❑ Electrical ❑ Mechanical ❑ PIumbing❑ Gas[] Roof ❑
Construction Type: Occupancy Use: Flood Zone:
Total Sq Ft of Bldg:
Min. Occupancy Load:
New Construction: Electric - # of Amps
# of Stories:
Plumbing - # of Fixtures,
Tire Sprinkler Permit: Yes ❑ No ❑ # of Heads ................. Fire Alarm Permit: Yes ❑ No ❑
APPROVALS: ZON ING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
WASTE WATER:
1919) IN oil EN
Revised: January 1, 2018 Permit Application
=;?` '''•:;:..
JENNIFER UYNIN LANDERt AIII
My COMMIS3101--.' it FF11 9S436
EXRES February 15, 2019
3)�:d►2
h_ alFsA�u:'s Sc��c
Contractor/Agent is x Personally
Known to Me or
Produced 1D Type of 1D
BELOW IS FOR OFFICE USE ONLY
Permits Required: BLtllding ❑ Electrical ❑ Mechanical ❑ PIumbing❑ Gas[] Roof ❑
Construction Type: Occupancy Use: Flood Zone:
Total Sq Ft of Bldg:
Min. Occupancy Load:
New Construction: Electric - # of Amps
# of Stories:
Plumbing - # of Fixtures,
Tire Sprinkler Permit: Yes ❑ No ❑ # of Heads ................. Fire Alarm Permit: Yes ❑ No ❑
APPROVALS: ZON ING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
WASTE WATER:
1919) IN oil EN
Revised: January 1, 2018 Permit Application
(•^:,'•'�T� CITY OF
SANFORD Building & Fire Prevention Division
FIRE DEPARTMENT T-Pole Permit Card
PERMIT NO. / �/ ~ ISSUE DATE: D�� ^• '
CONTRACTOR: • • _ I' Ct 414
JOB ADDRESS: 7 4 W
TYPE OF WORK: Go-"r4YOMM6 W &i*
• Post this permit in a conspicuous location outside
Leave all work uncovered until inspected and approved
• Approved plans must be posted with pennit for inspection
Permit expires 6 months from date of issue or last approved inspection
PROTECT FROM WEATHER
All T -Poles limited to 60 amps MAX (unless authorized by the Building Official)
ELECTRIC
-POLE FINAL
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 MAYBE ADDITIONAL RESTRICTIONS APPLICABLE TO THIS PROPERTY THAT MAYBE 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 FBC105.3.3
REVISED: 417 IolpMlon Line: 407.792.6069 or S55.541RU2
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TO SCHEDULE AN INSPECTION:
• Dial 407.792.6069 or 855.541.2112
• Provide the items requested during the message
• The type of inspection requested must be scheduled under the appropriate permit type
• Follow the prompts
PLEASE NOTE: Inspections scheduled by 5:00 p.m. will be conducted the next business day.
If you experience difficulty, please call 407.688.5150 Monday - Thursday 7:30 am - 5:30 pm for
assistance.
AUTOMATED INSPECTION SYSTEM CODES
ELECTRIC
T -POLE FINAL 215
Miscellaneous Notes:
REVISED: 4-17 Inspection Line: 407.792.6069 or 855.541.2112
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