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Home My WebLink About215 Margaret Rd; 17-2237; ELECTRICALFREEDOM ELECTRIC PAGE 01/02 C1 fM g" CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION application No: /7- Documented Construction Value: S Job Address: , ( Historic District: Yes No Pa reel AD: - — Residential Commercial Type of Work: Nevg:ErAddition Alteration Repair Demo Change of Use Move Description of Work: Flan ..Review Contact .Pelr'son: i VWL Title _ Phone: 4 't Fax.. _ Emai eEka- aL- L M O I Property Owner Information Name uc . Phone: - T457: 4" Resident of ro er ? Street: , Lk 1,&) p p h' City, State Zip: Contractor Information Name Strcet-.1=1 " City, State Zip: Name: Street: City, St, Zip: Bonding Company: Phone: a%Q & -71/75— Fax: LS3 State License No.: 15C/35 Arch itectlEngineer Information Phone: Fax: E- mail: Mortgage Lender: Address: Address: WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RES IL'I' 1N YOUR PAYING TWICE FOR IMPROVKMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUs'r BE RECORDED AND POSTED ON THE .IOB SITE BEFORE THE FIRST INSPECTION. IF VOU INTEND TO OBTAIN FINANCING, CONSULT WITI.1 YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOt1R 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 constniction in this .jurisdiction. I understand that a sepnrnte permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and air conditioners, etc. F13C 105.3 Shall he imoeribcd with the date of application and the code in effect na of that date: 5" Editinn (2014) Florida Building; Code. V O Rcviscd:. func 30, 2015 Permit Arplicltion r-• 07/19/2017 15:43 3867851503 FREEDOM ELECTRIC PAGE 02/02 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 managernent districts, state agencies, or federal agencies. Acceptance of permit is verification that 1 will notify the owner of the property of the requirements of Florida Tien i.aw, PS 713. The City of Sanford requires payment of a plan review fee at the time ol''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 oI.1"thc executed contract exceed the actual construction value, credit will be applied to your permit fees when the permit. is issued. OWNER'S AFF: DAVIT: 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. SiRnaiurc 00wner/Agent .. gate Owner/Agent's Nnnic Signahac of Nntary-State of Florids Date DnIC` 4-f c gent's Na o iorid Date Ji•y' J FICA DOUGLAS 3,6MY CbMMISSION # FF981270 EXPIRES June 25, 2020 LA07 im-4,50 FWftN61BrY3er$ft,awn _-- Owner/ Agent is Pos. ona.11y .Known to Me or Contractor/Agent: is Personally Known to Me or Produced 1D Type of I Produced1D 7ype of TD 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 . l'crmit: Yes No # of Heads APPROVALS- ZONING: COMMENTS: ENGINEERING: UTiTATIES: FIRE: Fire Alarm Permit: Yes No WASTE WATER: BUILDING: Revived; Ame 30.2015 PermitApplieaMon Ju1.21.2017 4 : 5 4 P M Professional Insurance Center No,3410 P. 1 CERTIFICATE OF -LIABILITY INSURANCE DATE( MMIbDD " THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND Oft ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the pollcy(ieB) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions or the pollcy, certain pollcles may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In Ileu of such endorsement(s). , PRODUCER PhonC; (813)251-4900 NCONYAaAME: Proressional Insurance Center Inc Fax: (813)253-2676 Professional Insurance Center, Inc. PUVCHONlSExIl Nc Na EWAIIhDDRE2003WeatKennedyBlvd INSURERS AFFORDING COVERAGE NAIC RTampa, Florida 33606 INSURERA: Protective Insorance Company 12416 INSURED INSURER B ; INSUReRC: ORLANDO TRANSPORTATION &TOURS INC 12738 TOPSPIELD DRIVE ORLANDO, PL 32837 INSURERD: INSURER E INSURER F : COVFRAGFS CFRTIFIrATF NIIMRFRr LJUO RFVICIr1N NI IMRFR- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSrnR TYPE OF INSURANCE ADDL S 8 POLICY NUMBER POLI EFF M D POLICY EXP MMIOD LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR EACH OCCURRENCE D RENTED ES (Ea ottu rence) MEO EXP (Any one arson 5 PERSONAL & ADV INJURY S GENIAGGREGATE LIMIT APPLIES PGA; POLICY JEC7 LOC OTHER: GENERAL AGGREGATE PRODUCTS- COMP/OP AGO S A AU1oMDBILELIABILITY ANYAUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY N 501001501- 00 1/25/2017 7/25/2018 COMBINEDSINGLE$ 1,000,000 BODILY INJURY ( Per person) OOMLY INJURY ( Per sccidenl) PROPERTYDAMAGE ant S UMBRELLALIAB EXCESS LAB OCCUR CLAIMS - MADE EACH OCCURRENCE S AGGREGATE DED RETENTION WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANYPROPRIETORIPARTNER/EXECUTIVE. OFFICER/MEMBEREXCLUDED7 ElNIA Mandatory In NH) If yas 0ascnbe under OESdRIPTION OF OPERATIONS below P 0 - E.L. EACH ACCIDENT S E.L. 018EASE-EA EMPLOYEE S E.L. DISEASE - POLICY LIMIT DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Ic required) _ CERTIFICATE HOLDER IS NAMED AS ADDITIONAL INSURED - SCHEDULED VEHICLES: 2011 - FORD - ECONOLINR - 1FBSS313L8BDA9016A 2008 - LINCOLN _ TOWN CAR - 2LNHM84W78X641D0B 2015 - FORD - TRANSIT - 1FB2X22MSM164B8 rG0TI1:Ir: ATC writ n1=r? r_ANr'FI I ATION Holder's Nature of Interest: Additional Insured SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANC94013EFORE City Of Sanford THE EXPIRATION DATE THEREOF, NOTICE WILL ELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 300 N. Park AUTHORIjf;DREPRESENTA7 Sanford, FL32771ACORD25 ( 2016103) Taee-zDT' GWKU GVKFUKAI INN. All rights reserved. The ACORD name and logo are registered marks ofAteAO ICity of Sanford igg' Building & Fire Prevention Division Pole PERMIT No. ISSUE DATE: "7 t JOB ADDRESS: its ta TYPE OF WORK: t e. Post this permit in a conspicuous location outside Leave all work uncovered until inspected and approved Approved plans must be posted with permit for inspection Permit expires 6 months from date of issue or last a proved inspection PROTECT FROM WEATHER All T-Poles limited to 60 amps MAX (unless authorized by the Building Official) ELECTRIC INSPECTION TYPE, APPROVED REJECTED INSPECTOR T-POLE FINAL 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. F 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 FBC105.3.3 REVISED: 4-17 Inspection Line: 407.792.6069 or 855.541.2112 j TO SCHEDULE AN INSPECTION: Dial 407.792.6069 or 855.541.2112 Provide the items requested during the message The type of inspection requested must be scheduled under the appropriate permit type Follow the prompts PLEASE NOTE: Inspections scheduled by 3:30 p.m. will be conducted the next business day. If you experience difficulty, please call 407.688.5150 Monday - Thursday 7:30 am - 5:30 pm for assistance. AUTOMATED INSPECTION SYSTEM CODES ELECTRIC T-POLE FINAL 215 Miscellaneous Notes: REVISED: 4-17 Inspection Line: 407.792.6069 or 855.541.2112 FIRE INSPECTIONS CITY OF SANFORD 407.562.2786 BUILDING & FIRE PREVENTION BUILDING INSPECTIONS 300 N PARK AVE 855.541.2112 SANFORD FL 32771 DRIVEWAYS -SIDEWALK 407.688.5080 Page 2 Application Number . . . . 17-00002237 Date 7/24/17 Property Address . . . . . 215 MARGARET RD Parcel Number . . . . . . . . 36.19.30.534-0700-0010 Application description . . . ELECTRIC PERMIT APPLICATION Subdivision Name . . . . . . Property Zoning . . . . . . . SINGLE FAMILY Permit . . . . . . ELECTRIC PERMIT-ALTER/ADD/FIX Additional desc . . TEMP POLE Phone Access Code 994913 Permit pin number . 994913 Required Inspections Phone Insp Seq Insp# Code Description Initials Date 1000 215 EL04 TEMPORARY POLE a