HomeMy WebLinkAbout108 Hidden Arbor Ct; 17-2543; ELECTRICALm
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AUG 21 211
BY• _
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: --rtP_'5,j0
Documented Construction Value: $ 3.50
Job Address: 108 Hidden Arbor Ct. Historic District: Yes No Z
Parcel ID: 11-20-30-513-0000-801 C Residential ® Commercial
Type of Work: New Addition Alteration ® Repair Demo Change of Use Move
Description of Work: Replace existing A/C disconnect with new disconnect --with a 25amg breaker for
new A/C
Plan Review Contact Person: Stephen Williams Title:. Permit Tech.
Phone: (407) 591-4604 Fax: (407) 425-9934 Email: permitting(d,westbrookfl com
Property Owner Information
Name Michael Winters Phone: 940-268-8638
Street: 108 Hidden Arbor Ct. Resident of property? : Yes
City, State Zip: Sanford FI 32773
Contractor Information
Name Eric Avery/Westbrook Service Corp. Phone: (407) 841-3310
Street: 1411 S. OranQe Blossom Trail Orlando, FI Fax: (407) 425-9934
City, State Zip:
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Orlando. FI. 32805 State License No.:
Architect/Engineer Information
Phone:
Fax:
E-mail:
Mortgage Lender:
Address:
EC13007076
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 BEFORETHE 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 cei-tify 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 Rev
ised:.1une 30, 2015 Pcimit Application co
5- (' >
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 (y vernmental 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 .0f Florida Lien Law, FS 713.
The City of Sanford requires payment of 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 valuc,;of the job at the time of submittal.
The actual construction value will be figured based on the Current ICC Valuation Table in cffcc(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
he done in compliance with all applicable laws regulating construction and zoning. 7
08/21/17
signature ofowner/Agent Date signant/o-f Contractou'Agent Date
to hen Williams
Print Owner/Agent's Name int Contract ',gent's Name
N
Signature of Notary -State of Florida Date sign, n a tjj'Cf 4ic
FF 21,
COMM jtji 17
rb i,
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-0 Electrical[] Mechanical [] Plumbing
Construction Type: Occupancy Use:
Total Sq Ft of Bldg. Min. Occupancy Load:
New Construction: Electric - # of Amps Plumbing - # of
Fire Sprinkler Permit: Yes n Non #of Heads
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
GasF] Roof F1
Flood Zone:
of Stories:
j
Fire Alarm Permit: Yes No n
WASTE WATER:
BUILDING:_
Revised: June 30, 2015 Pennit Application
RICK SCDTT,GOVERNOR KEN L8YY8DN.SECRETARY
i
STATE OFFLORIDA /
DEPARTMENT OFBUSINESS AND PROFESSIONAL REGULATION ELECTRICAL
CONTRACTORS UCENSINGBOARD EC
13007076 Fhe
ELECTRICAL CONTRACTOR Named
below |GCERTIFIED Under
the provisions nfChapter 48yF& Expiration date:
AUG 31.2U18 VVE8TBROOKBERVCE'CORPORATION
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This receipt is official when validated by the Tax Collector.
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