HomeMy WebLinkAbout217 and 219 W 12 St 17-195 & 17-196; ELECTRICAL1'
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CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No:
Documented Construction Value: $ 'y, 7.5'0 , Oa
Job Address: 21144 2/ 9 P4 12" S'I-, 5A-jv Fo Q b '2 Z 771 Historic District: Yes W No
Parcel ID: Residential ® Commercial
Type of Work: New Addition Alteration M Repair Demo Change of Use Move
Description of Work: R E-W I RE
t ealae.e Serve e e u-Net.
Plan Review Contact Person: 3,' A LLAr S MEWN Title:
Phone: 407-49,7-8097 Fax: Email: All Dhoeeleorlanelo@yutoo.
Property Owner Information
corn
Name M ar K W YS o iv q Phone: 1- 5b 1 - W00 - 62 75-
Street: 1 719 S , o I i a AVE, Resident of property? : y ES
City, State Zip: SA/VFDR f) , F1_ 3.277 /
Contractor Information
Name A bra r» s 1bWN Co UN 4ry E` IeCPhone: u07-687 -809 7 - 407-9147-3 82 Street:
P 0. DOA .2014 Fax: L407 - 8 8 0 --1 f- fo y City,
State Zip: A p 0 p k q, FL 2 2 70 y State License No.: EC-00 0014 8 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 ATTORNEY BEFORE 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 be inscribed with the date of application and the code in effect as of that date: 5" Edition (2014) Florida Building Code Revised:
June 30, 2015 Permit Application
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 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 ICC 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 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.
Signature of Owner/Agent
Print Oµmer/Agent's Name
Date
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
Signature of Coniractor/Agent
Print Contractor/Agent's Name
Date
Signature of Notary -State of Florida Date
Contractor/Agent is Personally Known to Me or
Produced ID Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building Electrical Mechanical Plumbing
Construction Type: Occupancy Use:
Total Sq Ft of Bldg: Min. Occupancy Load:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes No # of Heads
APPROVALS: ZONING: : 6, tl UTILITIES:
ENGINEERING:
COMMENTS:
Gas Roof
Flood Zone:
of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
Revised: June 30, 2015 Permit Application
e
Abrams Town& Country Electric Page No. of
207 E 111h St Sanford FL 32771
407)687-8097 (Cell)
License #ER0011299
PROPOSAL
PROPOSAL SUBMITTED TO TODAY'S DATE DATE OF PLANS/PAGE #'S
Mark W son
PHONE NUMBER FAX NUMBER JOB NAME
561-400-6275
ADDRESS, CITY, STATE, ZIP JOB LOCATION
1718 S Magnolia Ave Sanford FL 32771 217-219 W 121h St 32771
We propose hereby to furnish material and labor necessary for the completion of:
Electrical Work
Owner agrees to the following:
For Duplex #1& 2
1. Removal of old existing Wiring.
2. Replacing old Federal Pacific service Panel 150 amp.
3. Installing all new wiring.
4. Install all necessary electrical devices.
5. Owner supplies all light fixtures, including range hoods, bathroom exhaust fans, & smoke detectors.
We propose to furnish & install all necessary material, labor, equipment and permits in accordance.
Total Cost of labor and materials $4,750.00 (Does not include permit costs)
Any extras will be billed accordingly.
A mobilization draw of $ 2,250.00 (Two Thousand Two Hundred and Fifty Dollars) is required prior to
commencement of the work. Final payment due upon completion.
Thank you.
We propose hereby to furnish material and labor - complete in accordance with above specifications for the sum of:
As written above dollars ( $ 4,750.00
Payment as follows: As written above
All material is guaranteed to be as specified. All work to be completed in a substantial workmanlike manner according to specifications submitted, per 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 delays beyond our control. Owner to carry fire, tornado and other
necessary insurance. Our workers are fully covered by Workmen's Compensation Insurance. If either party commences legal action to enforce its rights
pursuant to this agreement, the prevailing party in said legal action shall be entitled to recover its reasonable attorney's fees and costs of litigation relating to
said legal action, as determined by a court of competent jurisdiction.
Authorized /U001 Note: this proposal may be withdrawn by us
Signature if not accAted within days.
ACCEPTANCE OF PROPOSAL The above prices, specifications and Signature
conditions are satisfactory and are hereby accepted. You are authorized
to do the work as specified. Payment will be made as outlined above. Signature
Date of Acceptance
sJ
THIS INS RUMENT PREPARED BY:
Name: R
Address: A 6 7 JZ i +
a
NOTICE OF COMMENCEMENT
State of Florida
County of Seminole
GIR' fff 11iILAY 7 SENINOLE COUNTY
C1-J::.RV% Or CIRCUIT COURT & CONF'TROLLER
L'f\ S 1-" I` 1.4.L%' (1F'ai
CLERK'S Y 201 JI II I6539
RE 'CORDED i.11i7.:;2IJir ii3:ii:3'.1.`. i'lii
RIC:ORL'1:{G FEES
iikI Li c Y hoevore
Permit Number: Parcel ID Number:
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.
DESCRIPTION OF PROPERTY: (Legal description of the property and street address if available)
At — 214 ft!EsT /2 3f SA•+Y/-,6AD, Pi, 327w
GENERAL DESCRIPTION OF IMPROVEMENT:
e/ecfh;e 2E-tvr ee/ oo, Re/at sew v% ae pcNe av-1 va
OWNER INFORMATION:
Name: IIY1 a k
Address: '7 f 8 S. pr1,24moU4•G R
v
Fee Simple Title Holder (if other than owner) Name:
CONTRACTOR: r p'p
Name: At* in, l W 'U
Address: 10 t c 51, 37,40q
A
O O
Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served J
as provided by Section 713.13(1)(b), Florida Statutes.
Name:
Address:
In addition to himself, Owner Designates of
To receive a copy of the Lienor's Notice as Provided in
Section 713.13(1)(b), Florida Statutes.
Expiration Date of Notice of Commencement (The expiration date is 1 year from 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 ATTORNEY
BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalties of perju , I de are that I have read the foregoing and that the facts stated in it are true
to th t of m n e ge and belief.
er s Si/
Townerrr tsig
Owner's Printed N e
Florida St lute 13.13(1)(g): n the notice of cominencement and no one else may be permitted to sign in hi or her stead'
State of County of t---)PILA( Ao I e-
r
The foregoing instrument was acknowledged before me this day of 20 1
by _r C L U) WW 4 , Who Is personally known to meF:!p
Name of p rson ma statement
OR who has produced identification type of Identification produced:
RACHEL FREEMM CMEEK
NOTARY PUBLIC
STATE OF FLOR10A
r
t amrntr FF135417
E>ifles 7/1212098 ota ignalure ry
RE UES_T FOR TUG & PREPOWER AGREEMENT
O _
ALL RESIDENTIAL PROPERTIES
Altamonte Springs, Casselberry, Longwood, Oviedo, Sanford,
Seminole County, Winter Springs
Date: 511,311 !
Project Name: Project Address: o?
Building Permit #: ` Electrical Permit # 17- 1 !,) _ lfk
In consideration for authorizing the appropriate utility company to energize the facility, we agree with and
understand the following:
1. This Tug/Pre-power application is valid only for one -and two-family dwellings.
2. The facility will not be occupied until a certificate of occupancy has been issued.
3. 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.
4. Prior to pre -power, 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.
5. 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.
6. This TUG/Pre-power approval is valid for a maximum of 180 days from date of approval.
7. If provided, the fire sprinkler system must be operational with water on the system prior to pre -power.
8. TUG approval is for service and outside GFCI outlets only.
9. Check with the local jurisdiction for fees associated with tugs.
JURISDICTION EMPLOYEE NAME:
JURISDICTION:
CALLED INTO
Rev. 02/10/15)
Print Name of Gen. Contractor
Signature of Gen. Contractor
Gen. Contractor License #
Name of El. Contractor
Signature of El. Contractor
EC D D0U ! q $
El. Contractor License #
Progress.Energy Florida Power and Light . on / /