HomeMy WebLinkAbout2404 Adams Ct 17-1382; ELECTRICALv CITY OF SANFORD
K BUILDING & FIRE PREVENTION
MAY 1 1 2017 PERMIT APPLICATION
Application No: / -7-+ / 3(?
Documented Construction Value: $
Job Address: ,t Historic District: Yes No
Parcel ID:- Residentialz Commercial
Type of Work: New Addition Alteration Repair M Demo Change of Use Move
Description of Work:
Plan Review Contact Person:
Phone: Fax:
i
Email:
Property Owner Information
Cal
Title
Name t / %A S Phone: / 7 4449'7- r f
Street: 2 D Resident of property?
City, State Zip: 771
Contractor Information
Name t bi
T gl i(J ?"&/wXXT Phone:-
Street: AZel /k'4Fax: City, State
Zip: - 2 2 2l7'7g State License No.: Architect/Engineer
Information Name: Phone:
Street: City,
St,
Zip: Bonding Company:
Address: 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: 51h 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 constru on and zoning.
Signature of Owner/Agent Date Si ature of Contractor/Agent Date
Print Owner/Agent's Name
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
Print 51tractor/Agent's Name
Signature of Notary -State of Florida Date
I J pF P DEBBIE BLANTO
17?6]4s
1 '
MY COMMISSIO^! r rF ':
o EXPIRES: February 2,"•'
cF'veq' Bonded Thru Notar. Rub;ic Unde
Contractor t P'' i nown to Me or
Produced iD Type of l-D
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building Electrical Mechanical Plumbing Gas Roof
Construction Type:
Total Sq Ft of Bldg:
Occupancy Use:
Min. Occupancy Load:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes No # of Heads
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
Flood Zone:
of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes No
WASTE WATER:
Revised: June 30, 2015 Permit Application
05-11—'17 13:39 FROM—JWM Co./South Sem.
hip vents, mac,
1S21 Frances Dft Apopka, pL 32703
OSAL MITTED TO: . l
4078690437
WORK TO BE PERFORMED AT;
ADDRESS
DATE OF PLANS
PH0 PJO.
Ly]
ARCHITECT
Nre hereby proposa to f,r !)ish ti?e ia,-rials and perform the iahor necesst'try for the completion of.................
Pj4' ------
T-097 P0001/0001 F-232
o a e
PROPOSAL MO.
SHEET NO.
All riateritil is guaranteed to be as specified, and the above work t be e ffo%-road in armor once witth-tthe drawing -,,and eciti do subr fitted foi
cOnIp ted in a substantial workmanlike manner for Ih _ ._..._.L". _.. —WhV 51M `!sue ,
S -16 - ----- J) with payments to t)e made as follows.
Any Mer'11oh i,r tc'.l'iatlC9 troll above 5pKific8ti0ls Ble3lV6g extra CJSfS
v.;il ha eza; vizJ an!y dpon :mitian or0ar, &cie ;i?I hzcflsne e.U'tr ir3ige Re8peCtfli11y
avar va O e Ih>. Bsv ate. Ar igf8 -mmi? cvitingvol !Ipga1 strikes. submilied--...._,---.....-----•_-----Y`" J r(r,—-__.._. .,.._
3'61SRts. 0! e2l;ge beyond uur conlrot.
Per---...._.
Note ... tl`O -- proposfli may I)e withdrawn by as if riot aCeepted Wittlill
and
days,
ACCEPTANCE OF PROPOSAL
The above prices, specifications, arni conditions ate satisfactory and are 1lereby accepted. No 'e at thorized to do the work as specified. Payrnents will be made as
outlined above.
Signatut—•---___--
Date _ Signature — —
c adume Dal is 3.12