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Home My WebLink About117 W 19 St 17-1065; TEMP POLE (2)M,, CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: 1i-' AU iOs vs Documented Construction Value:, ) O U Job Address: % ri q l Q O J , rLd a 9 i Historic District: Yes No Parcel ID:. 3 & J I q - 36 - 60io - 000Q - / 0-50 Residential Commercial Type of Work: New Addition 11 Alltte-r-,ation Repair Demo Change of Use Move Description of Work: \ e- 62WQ /, c) I 2__ Plan Review Contact Person: 1 0, cn Phone: I o> - 2 g YV q 14 4 (o Fax: Email: IPropperrty Owner Information Name ( ) O '1 I `V p,, r IU o I I J o Phone: Title: Street: ( 1 u W au-1 13 1 Resident of property? City, State Zip: .nnn:0)c(i , F'L L3c977 7 - 1 dame Street: IGLo2 to 6. Q. . C d1 M Contractor Information JRAE?- rYy 0 /.. v'" Fax: City, State Zip: Name: Street: City, St, Zip: Bonding Company: Address: 3 7 7 f Z State License No.: Gfe 15oo S'Z 7 Z 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"` 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. I 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 dons-* com)pliance with all applicable laws regulating construction and zoning. X, Date Signature of Contractor/Agent Date Print Owner/ nt's Name Signature of Notary -State of Florida Date i Owner/Agent is Personally Known to Me or Produced ID Type of ID Print Contractor/Agent's Name klLlt4q,) Signature o DEBBIESLANTON NAYCOMMISSION hr 175545 EXPIRES: February 25, 2019 3onded Thru hJcizr; ?ublic Undenvri ers Contractor/ Agent is Personally wn to Me or Produced ID Type of ID- e s/a5'ia-1 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: BUILDING: Revised: June 30, 2015 Permit Application W. y\ SFMINOLF COUNTYMULTHURISDICTIONAL Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: I hereby name and appoint: an agent of: J (Name of Company) to be my lawful attomey-in-fact to act for me to apply for, receipt for, sign for and do all things necessary to thisappointmentfor (check only one option): All permits and applications submitted by this. contractor. The specific permit and application for work located at: Street Address) Parcel Identification) Expiration Date for This Limited Power o Attom e: License Holder State License Number: Signature of License He STATE OF FLORIDA 3COUNTYOFF C: M s The foregoing ins ment was acpnowl ed bef re me this day of 20, by/( a/% who is)Wpersonaw known to me or who has produced who did (did not) take an oath. ns re f Notary Naldya Bonny NOTARY PUBLIC ST&E OF FLORIDA Comm# FF960524 Expires 2/15/2020 as identification Pl int or type otary name Notary Public - State of _ p tviel m Commission No. F [D 05 ';) 2/- My Commission Expires: C0 / o . v90C90 PERMIT NO. O 9 . /0& 6' CONTRACTOR: JOB ADDRESS: TYPE OF WORK: City of Sanford Building & Fire Prevention Division T-Pole Permit Card ISSUE DATE: 6?V6 Id's /7 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 approved 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. 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: OCTOBER 2014 Inspection Line: 855.541.2112 TO SCHEDULE AN INSPECTION: Dial 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: OCTOBER 2014 Inspection Line: 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 . . . . . 17-00001065 Date 4/18/17 Property Address . . . . . . 117 W 19TH ST Parcel Number . . . . . . . . 36.19.30.506-0000-1250 Application description . . . ELECTRIC PERMIT APPLICATION Subdivision Name . . . . . . SANFORD HEIGHTS Property Zoning . . . . . . . SINGLE FAMILY Permit . . . . . . ELECTRIC PERMIT-ALTER/ADD/FIX Additional desc . . TPOLE Phone Access Code 980664 Permit pin number 980664 Required Inspections Phone Insp Seq Insp# Code Description Initials Date 1000 215 EL04 TEMPORARY POLE / /