HomeMy WebLinkAbout2205 W Seminole Blvd; 18-3701; ELECTRICALCITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: "
Documented Construction Value: $
Job Address: , , J'e h'l i rta ,c31yr Historic District: Yes No, Parcel
ID: Residential Commercial R1 Type
of Work: New A Addition Alteration Repair Demo Change of Use Move Description
of Work: 46
Ao""O/ t e_
i — Plan
Review Contact Person: G Y;jr , 11'167 P, Title: Phone:
X6-)9.Fax: 'J'07-7b -,ZD07- Email:f tlt01 Name
Street:
City,
State Zip: Property
Owner Information Phone:
Resident
of property? : Contractor
Information Name
6`e . 63 -' 7-1- CAI l ,.lrG Phone: Street: _/`
34 GUP$1 10I'! UFax: City, State
Zip l l!thavt f e- Di-/nT S fL State License No.: % C OOoG9Y-/ Architect/Engineer
Information Name: I11;
4— Phone: Street: Fax:
City, St,
Zip: E-mail: Bonding Company:`,
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. I:BC
105.3 Shall be inscribed with the date of application and the code in effect as of that date: 51' Edition (2014) Florida Building Code Revised; Jone
30, 2013 Permit Application
I
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 govermrlental 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 tl at all orlc will
be done in compliance with all applicable laws regulatigg construction and zoning.
Signature of Owner/Agent Date
Print Owner/Agent's Name
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID. Type of ID
Signature of Contractor/Agent Date
Print-Contractor/Agent's Name
Signa r4 of Notary Si ,,,q ri la,
a 6ROLYN ntUat ltl
MY C%"M1 ON # FF 16M
r.. nher 13 2616
Contractor/Agent is V- E'ersorially Known to Me or
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:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes No # of Heads
APPROVALS: ZONING:
COMMENTS:
of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes No
UTILITIES: WASTE WATER.:
ENGINEERING: FIRE: BUILDING:
Revised', June 30, 2015 Permit Application
CITY OF
SkNFORD Building & Fire Prevention Division
FIRE DEPARTMENT T-Pole Permit Card
PERMIT NO. I • 7 ISSUE DATE: 086 9 q* ' Ir
CONTRACTOR: I'Al
JOB ADDRESS:
4
TYPE OF WORK:
Z'e#)1*1)0k uaC
Post this permit in a conspicuous location outside Leave all work uncovered until inspected and approved
Approved plans must be posted with permit for ins ection 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 FBCI05.3.3
REVISED: 4-17 Inspection Line: 407.792.6069 or 855.541.2112
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 prdmpts
PLEASE NOTE: Inspections scheduled by 36f1p.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