HomeMy WebLinkAbout203 Justin Way; 18-4146; ELECTRICALVOR
BUILDING DIVISION
OCT 0 3 2013
PERMIT APPLICATION
Application No: 1 '" q /
Documented Construction Value: $ (b qo , C)6
Job Address: 2 3 J VSh `n Historic District: Yes No®
Parcel ID: ZZU"SU. < (J ow - 032.0 Residential 91 Commercial
Type of Work: New Addition Alteration Repair M Demo Change of Use Move
Description of Work: ra ce jv 'C L eS 6w-14 (&CcO C es t j \ Ac o i'
Plan Review Contact Person:Title:
Phone: u ° % ' `- Si - Z 12 `6 Fax: Email JWon T trh rQ 1 1W d F l 'iC , cctr,
Property Owner Information
Name S N (7 S1,,uch cvn LJ-C- Phone: Li 0_7 `6 `6 1 3 u 6
Street: 2G3 WA-/ & Resident of nronertv? : No
City, State Zip: .k s) f-9l— 31 7'7 3
Contractor Information
Name Phone:
Street:
City, State Zip: Oc-t by'20 i CL 32-73 9 Name:
Street:
City,
St, Zip: Bonding
Company: 40--
7 )L_ li Z T1 Fax:
State
License No.: 1f `3 U I Lt y 9 S Architect/
Engineer Information Phone:
Fax:
E-
mail: Mortgage
Lender: Address:
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: 61h Edition (2017) Florida Building Code
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 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 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
Signatu rVof Contractor/Agent Date
To,on C- %Urn,e v-
t Contractor/Agent's Nam
Signan f Notary -State of Florida Date to-1
Contractor/Agent is Personally Known to Me or
Produced ID Type of ID,#) L T6S6 4,.23 ?/33 LJO
BELOW IS FOR OFFICE USE ONLY
O1pRY PUS..;
2 • ;° "
SABAH TAHRI
Notary Public- State of Florida
Commission N GG 106286
My Comm. Expires May 18, 2021
Permits Required: Building Electrical Mechanical Plumbing Gas o0
Flood Zone: Construction Type: Occupancy Use:
Total Sq Ft of Bldg: Min. Occupancy Load:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes []No # of Heads
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
1 • F
1F4-AC%r(b IEe
ELECTRIC &. SERVICES-c
Billed To
Silvia Pacheco
SHF Construction LLC
203 JUSTIN WAY
Sanford, Florida
32773
United States
Description
Material
Permit Acquisition Fee
Labor
Estimate Date
09/27/2018
Favored Electric & Services LLC
407.948.2128
Estimate Number
1129
1740 Farmers Crook
Deltona, Florida
32738
United States
L114
Rate Qty Line Total
225.00 1 $225.00
200.00 1 $200.00
665.00 1 $665.00
Subtotal 1,090.00
Tax 0.00
Estimate Total (USD) $1,090.00
Notes
Replace all switches and plugs inside dwelling.
Terms
Make all checks payable to Favored Electric & Services LLC.
Please contact jasonturner@favoredelectric.com