HomeMy WebLinkAbout122 Drew Ave; 17-2154; ELECTRICApplication No: 1 S T-
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
JUL 1 7 2017
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Documented Construction Value: $ (05 ()
Job Address: ( Z Z Drew Ave— - SG K ro r 4 Historic District: Yes No
Parcel ID: 3 1- 1 `(- 3 1- S 2. S- U C UU ` 0 f 9 0 Residential [Commercial
Type of Work: New Addition Alteration Repair Demo Change of Use Move
II r
15,0
Description of Work: Re e In G[. Fej,.l P( ct' Y' L C Icc"tI"C- otk400f 6.'4'. -t B tfs6r P4MtL aw/L
Plan Review Contact Person: J a », c s C . S"CA Tr - Title: Dw:k« eF
Phone: (Yv7) 2,77,- 375-1 Fax: Email: i cSc c„ t E-9IC4 Kk, he --
Property Owner Information
Name Owuj f Uarbant Nuu-tf,0- Phone: (32-1) ZGZ- 12-T1
Street: Z 9 k 0 R U. - A Resident of property?
City, State Zip: 5u K For-4 i C—L 32,71f
Ta w ` s E , Sd,pk«,F J,• Contractor Information
Name DL(rct Srarr Elec--t6r- Co., LLC Phone: ( Yo),) 272-3Z5-Y
Street: 10 Y W a l l o w A v`.
City, State Zip: Sa. Fa rr7f , FL 3277 (
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Fax:
State License No.: E R 6 0 0 G Z -2-
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'b Edition (2014) Florida Building Code
Revised: June 30, 2015 Pennit 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 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 O\vner/Agent
Print Owner/Agent's Name
Date
Signature of Notary -State of Florida Date
7117 2ai 7
Signaturi of Contractor/Agent Date
Print Contractor/Agent's Name
Signature of Notary -State of Flon
DEBBIE NTON
MY COMMISSION # rF 17864E
February 25, 2019EXPIRES.
e'^•'`'` Bonded Thru Notary Public Underwriters
Owner/Agent is Personally Known to Me or Contractor/Agent is Personally Known to Me or
Produced ID Type of ID Produced ID Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building Electrical Mechanical Plumbing[] Gas Roof
Construction Type: Occupancy Use: Flood Zone:
Total Sq Ft of Bldg: Min. Occupancy Load: # of Stories:
New Construction: Electric - # of Amps Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes No # of Heads Fire Alarm Permit: Yes No
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
WASTE WATER:
BUILDING:
Revised: June 30, 2015 Permit Application
DELTA-STARR ELECTRIC COMPANY, LLC
ELECTRICAL CONTRACTORS
904 Willow Ave. - Sanford, FL 32771-2169
State Reg. 9 ER0006252
Phone: (407) 272-3754
PROPOSAL
Job Address: 122 Drew Ave. - Sanford, Florida 32771
Date: July 16, 2017
I, the undersigned Electrical Contractor, do hereby propose to perform the
following work for the sum stated below for Mr. and Mrs. Edward
Hunter, at the single family rental property addressed above.
1. Change the existing 150 amp., Federal Pacific Electric
Co. brand, outdoor, main circuit breaker panel to a new 150 amp,
Square D - "HOMELINE" brand, outdoor, main circuit breaker panel.
2. Provide new branch circuit breakers for all existing circuits.
3. Correct any deficiencies of existing outdoor electrical service system
grounding, etc) to eliminate any inherent hazards to safety.
TOTAL: Six Hundred and Fifty and 00/100 dollars ($650.00)
TERMS: Four Hundred and fifty and 00/100 -dollars ($450.00) in
advance for materials and electrical permit. Balance: Two Hundred and
00/100 - dollars ($200.00), due after passing electrical inspection by the City
of Sanford Electrical Inspection Department.
Contractor: - Date: 1417-o17
James E. Ahepherd Jr.
ACCEPTANCE:
Owner/
General Contractor: Date: 7117117
This proposal shall be good for 30 days.