HomeMy WebLinkAbout115 Academy Ave - E18-002960 - METER UPGRADEIfCITY OFSki!4FORD
FIRE DEPARTMENT
Building & Fire Prevention Division
PERMIT APPLICATION
Application No: ' k A 9 (o )
Documented Construction Value: $ 2100.00
Job Address: 115 Acadamey Ave. Historic District: Yes No
Parcel]][): 35-19-30-515-0000-0390 Residential[] Commercial
Type of Work: New Addition Alteration Repair Demo Change of Use Move
Description of Work: Upgrade meter and outside service to 200 amp
1 vU _f a Z vV l4h o S
Plan Review Contact Person: Thomas North Title:
Phone:407-310-1138 Fax: Email: auroraelectricfl@gmail.com
Property Owner Information
Name Valerie Boykin Phone:
Street: 115 Acadamey Ave Resident of property? : yes
City, State Zip: Sanford, FL, 32771
Contractor Information
Name Thomas North Phone: 407-310-1138
Street: 33244 County Rd 437 Fax: 352-735-9966
City, State Zip: Sorrento, FL. 32776 State License No.: EC13004272
Architect/Engineer Information
Name: 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 roust 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: 611 Edition (2017) Florida Building Code
Revised: January I, 2018 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. IAcceptanceofpermitisverificationthatIwillnotifytheownerofthepropertyoftherequirementsofFloridaLie
i
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 construcjq and zoning.
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
Print Contractor/Agent's Name
7 s—_/eF
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Signature of
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NOiSSIM400 04
318030
Contractor/Agent is Personally own to Me or
Produced ID Type of TD l
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 Permit: Yes No # of Heads
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
Revised: January 1, 2018 Permit Application