HomeMy WebLinkAbout1817 S Summerland DrI CITY OF SANFORD
RE' c. r-,Tvra BUILDING & FIRE PREVENTION
JAN Z-016 PERMIT APPLICATION
BY: _J Application No: I (—
Documented Construction Value:
Job Address: /Y' % S4-2- Historic District: Yes No Parcel
ID: Residential.. Commercial Type
of Work: New Addition Alteration Repair Demo Change of Use Move Description
of Work: Plan
Review Contact Person: i •,
Title:~
Phone:
Name
AuL.ov,ir/$ Resident
of property? : //0 Fax:, .
Email: f-id4s77e c1X?ic• c o.+-t Property
Owner Information Street:
Phone:
City,
State Zip: rC„
9x3ln n'trzietcWformation Name
I"
l" a 1alaai3 7- i `
F.dli r IS G `C Phone?`w, Street:y4,-
S. lozr;syi ,v Ale_ Fax: City, State
Zip: G 32 7?/ State License No.: 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 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 RECORDITIG 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 lV s- egulatingconstruction in thisjurisdiction. 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: 5'" Edition (2014) Florida Building Code Revised: June
30, 2015 Pennit Application
n t
x
X,
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this propertyrthat 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.
KIMBERLY SLONE BLAZEK
MY COMMISSION #FF092504
Owner/A eri t `
EXPIRES February 12, 2018
C a a_ A11%a1a rsm r L
Produced ype o
ignature of Contractor/Agent Date
Prin ntractor/Agent's Nam
Signature o'.o.'_S. a of Florida Date
ANNETTE SCOTT
Notary Public - State of Florida
My Comm. Expires Jan 16, 2018
4 Cogrmissio 1r, FR071760
ily Known to Me or
ype o 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 # of Heads
APPROVALS: ZONING:
COMMENTS:
ENGINEERING:
UTILITIES:
FIRE:
Flood Zone:
of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
Revised: June 30, 2015
Permit Application
i
JAN 2 g 20%
Stewart Russell
3230 EAST BAY DR #109
HOLMER BEACH, FL 34217
Florida Star Electric LLC
4f ' `' —59.5 Palmetto Ave
Sanford, FI 32771
Florida Star Electric will replace exterior electric service, meter can and riser with new 150 amp main panel
and main breaker meter combo pack
Located at 1817 S Summerlin Ave Sanford Fl 32771
All work will be done to NEC and local area city building codes.
Labor and Material $500.00
gR Datee
JI
4 /- Z4?- 2®/,e
Florida Star Electric Date