HomeMy WebLinkAbout905 Pine Ave 17-1336; ELECTRIC05/05/2017
CITY OF SANFORD
ECEIVE, BUILDING & FIRE PREVENTION
PERMIT APPLICATION
9 2017 ' ^ d'
Application No: 3jIMAY
Lv
Documented Construction Value: I
Job Address: 905 Pine Ave Sanford Fl 32771 Historic District: Yes No
Parcel ID: 25-19-30-5AG-110C-0060 Residential M Commercial
Type of Work: New Addition Alteration M Repair Demo Change of Use Move
Description of Work: Change out interior panel, change out exterior meter and add a meter main combc
Plan Review Contact Person: Randy LaBour
Phone: 407-509-2546 Fax: 407-323-1154
Title: Vice President
Email: ticelectricinc@bellsouth.net
Property Owner Information
Name Davenport, Westbrook Phone: 407-765-6666
Street: 905 Pine Ave Resident of property? : Yes
City, State Zip: Sanford FI 32771
Contractor Information
Name TLC Electric Inc. Phone: 407-323-6958
Street: 2534 Park Drive Fax: 407-323-1154
City, State Zip: Sanford FI 32771 State License No.:
Architect/Engineer Information
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
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 regulati ng 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: 511 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 ofpermit 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 clone in compliance with all applicable laws regulating construction Md fning.
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
siwnfLir fContractor/Agen ate 1
Prin ntractor/ gent's Name
v9,/%
Signature of Notart Ie Ar0 1
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t)EE91E EtAt, GN
1 Y CO,f&,liSCION f t 178648
l Fgpruaty 25, 2019E: PIP.
I ; . ,.- •: g:> [?orded i hru Notary Pu uc Untl?rwnters
Contractor/Agent is Personally Known to Me or
Produced ID Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building
Construction Type:
Total Sq Ft of Bldg:
Electrical Mechanical Plu mbing
Occupancy Use:
Min. Occupancy Load:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes No # of Heads
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
Gas Roof
Flood Zone:
of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
Revised: June 30, 2015 Permit Application
4U]-.J-OVA$
ilcelectricinc@bellsouth.net
Estimate
DATE'
4/2o
ESTIMATE
NAMIADDRESS
BROOK DA V I :Np`0R"P
i)5 P1Ni AVF..
SANi'ORD. F1,32771
PROJECT 407-323-6958
Davenport, Brcwk
DESCRIPTION QTY COST TOTAL
Tnwk and trip charge.
Change out interior panel.
Change out exterior meter and add a meter main combo,
Permit fig.
1
1
1
1
65,00
80U0
700.00
200.00
65,00
800.00
70U0
200.00
TOTAL S1,765.00
Should there be any drywall amage done, due to the electrical work, it will be the Owner`s responsibility to '
have it repaired. We will do our best to avoid it but in some cases it is unavoidable.'