HomeMy WebLinkAbout115 East 1 StS9
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
BY"
Application No • 5 —9 4 S 7
Documented Construction Value: $ "t?CO3 cn
Job Address: / /j / 4s7- 157- S % /v Historic District: Yes 0 No
Parcel ID: Residential Commercial [r
Type of Work: New Addition Alteration Repair Demo Change of Use Move
Description of Work: -A)P-W QCC S < <' -y C,40TS
Plan Review Contact Person: J% (r' cc o Title:
Phone: 3X Fax: _JN •6 7 G- 6 7 /o Email: jQ/'
Property Owner Information
Name
Street: Z21 T L -F 671
City, State Zip: Xk ': 1121_
Phone:
Resident of property? :
Contractor Information
Name LPC/C(a E((eCtA.'C ,.,- Phone:. 36-67a -O0y `i
Street: 2,2a Fax: V6-k? -7 o
City, State Zip: lnll),,Q f ,(3,O,Q: N L % 7 (/ State License No.: /j _/,30 /a
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Architect/Engineer Information
Phone:
Fax:
E-mail:
Mortgage Lender:
Address:
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YQUR
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: 51h 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.
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
Signature of Contractor/Agent Date
Pnnt Contractor/Agent's Name
Signature of Notary -State of Florida Date
Contractor/Agent is Personally 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:
Total Sq Ft of Bldg:
Occupancy Use:
Min. Occupancy Load:
New Construction: Electric - # of Amps,
Fire Sprinkler Permit: Yes No
APPROVALS: ZONING:
GINEERING:
COMMENTS k V \% k
Flood Zone:
of Stories:
Plumbing - # of Fixtures
of Heads Fire Alarm Permit: Yes No
UTILITIES: WASTE WATER:
W10% BUILDING:
Revised: June 30, 2015 Permit Application
1.:'
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Service at an
L'
222 Hernandez Ave
Ormond beach, Florida 32174
Office (386)672-0044 Fax (386)676-6710
Proposal
Date:7/10/15 City:
5
Bayte
Proposal Submitted: nvrli°tJ . zip:
Exceptional
Exceptional Price!
Address:. 115 East 1st st Date of Plans:
State: Florida
Artichect:
Telephone:
We, DeCicco Electric hereby propose to furnish the materials and perform the labor necessary for the
completion of repairing new recess can lights at 115 East 1 st St Sanford, Florida
All Material is guaranteed to be as specified, and the above work to be preformed in accordance with the
drawing and specifications submitted for above work and completed in substantial workmanlike manner
for the grand total of not to exceed $800.00
With payments to be made as follows: 35% deposit upon approval of contract and remaining 65% upon
completion
Respectfully subm
Per /S
Please Note: This proposal may be withdrawn by DeCicco Electric, Inc., if not accepted within 14 days
fourteen) days.
The above prices, specifications, and conditions are satisfactory and are hereby accepted. DeCicco
EI ic, Inc,.is aut jized perform the work as specified. Payments will be made as'outlined above.
l /_ /
nature Date of Acceptance
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