HomeMy WebLinkAbout706 S Bay AveID JUL 0 9 2015 CITY OF SANFORD
BUILDING & FIRE PREVENTION
BY - PERMIT APPLICATION
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Application No: 1-5" GO 5 Documented Construction Value: $ s
Job Address: '10G0 S , %R 0{ RV E Historic District: Yes No 91
Parcel ID:?S-Vq-3O,St\G-090C3-004{O Zoning: R
Description of Work: ' trDVlc ' l Q- `MeAla. %*6z Sftv^e
Plan Review Contact Person: M%1ACAk"t Title:
Phone: 1-(0*7'46(0-W0S
FP rope Lner
o`I"6`t t'`i9,.g E-mail: GE 1t`ROuSRlC G4Ci,C wl l(...
C s Information
Name LOLktSE %0 Y 0 Phone: i(0013?3 cSiWO
Street: IAGW.30% %k,V F Resident of property? : CS
City, State Zip: S'EtVv'ZOkO k
Contractor Information
Name F^RIC.L ( 1 OV d Phone: 40-7- L(Vo-0003- --
Street:lklck Vh\{NW b,0" f0e Fax: AO-7-6kot^m•q
City, State Zip: W tV4 31"79 0(
State License No.: eCtia O « s
Architect/Engineer Information
Name: Phone:
Street:
I F A Fax:
City, St, Zip: E-mail:
Bonding Company: Mortgage Lender:
Address: Address:
Building Permit
Square Footage:
No. of Dwelling Units:
Electrical
New Service - No. of AMPS:
PERMIT INFORMATION
Construction Type:
Flood Zone:
No. of Stories:
Plumbing
New Construction - No. of Fixtures:
Mechanical (Duct layout required for new systems) Fire Sprinkler/Alarm 0 No. of heads:,-
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.
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.
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.
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. A copy of the executed contract is required in order
to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the
plan review fee based on past permit activity levels. Should calculated charges exceed the documented
construction value when the executed contract is submitted, credit will be applied to your permit fees when the
permit is released.
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Signature of Owner/Agent Date Signature of Contractor/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
APPROVALS: ZONING: UTILITIES:
ENGINEERING: FIRE:
COMMENTS:
F Ep ck k - U V W k*W-A,
Print Contractor/Agent's Name
Signature of otary-State of Florida Date
Contractor/Agent is Pergnnall-v K4 -Me or.
Produced ID Type of ID
WASTE WATER:
KEVIR1NCELHOY II
Notary PWft --State of Flory
COMMI& ton #fF 171558
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INVOICE, GENEROUS ELECT
WORK ORDER, 7 DAYS1 n . r7, .o-I LUG
Cf0_ITRAC'_
GENEROUS ELECTRIC
HOURS
MxDb wcNo. 8378
more (duality .fervice
I I Than You Expecit
2139 Minnesota Ave. St. Pete {727) 50
Winter Park, FL 32789 Tampa (813) 227-
EC-0001976
BILLINGADDRESS
Work Number Fax Number
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Company — Position
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Address
City . State Tip
OTY PARTS DESOFUM1 N PRICE EXT:
2-0888 n,/
9091 EifyC1RlC
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INCIDENTfi SCHEDULE LABOR RATE
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Home Number Company Ua
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state
Zip A A-
Cross Streets
TIME DISPATCHED
DATE STARTED TIME IN TIME OUT DISPATCHED BY
DATECOMPLETED TIME IN TIME OUT JOB DESCRIPTION -
ACTION TAKEN L vim- - '
R.• l..+f4C.L t' e-
t, o S d4r• nets t
tom._SD t-, a b TOTAL MATERIAL
LABOR X PER 1/2 Hour ONE YEAR
GUARANTEE c,aear„
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LABOR X
PER1/2Hour TOTAL MATERIAL
sasno3lxrssownr - I
hereby
adawwledge this satisfactory completlon of the above described work. "payment is not made when due.
Customer agrees to pay a charge on the amount past due at fhe rate of 1314% (21%-annum). It it
is necessary for the company to institute legal proceedings against Customer to enforce terms of this contract sale,
the company shall be enUtted to recover from Customer We reasonable attomey's fees. In the event
either party files a lawsuit relating to this contract the parties agree the fawsuk must be filed In Orange
County, FL Payment due
upon receipt of this invoice. X CUSTOMER'
SSIGNATURE
NO ONE PRIMENTWHENWORKCOMPLETED SERVICE CHARGE
SUB TOTAL
PERMITCHARGES PREFERRED
CUSTOMER
DISCOUNT GRAND CIRCLE
ONE
CASH cH C/O BILL SECURMY AUTHORIZED BEFORE
WORK BEGINS BY DRNI3rS LICENSE
a CREDIT CARD a 757 DATE