HomeMy WebLinkAbout1817 S Summerlin Dr3y:
CITY OF SANFORD
BUILDING & FIRE PREVENTION
JAN 2.9 Z015 PERMIT APPLICATION
gy. _ _ _ Application No: lay` 3
Documented Construction Value: $
Job Address: . AV S. 4Z Historic District: Yes No
Parcel ID: Residential- Commercial
Type of Work: New Addition Alteration Repair,0 Demo Change of Use Move
Description of Work: ,r GRri /Sy ;f'Wi°l/i
Plan Review Contact Person: \. Title:
Phone: Fax:
t, Email:_ S i//cE@r=!-Oid s7 c1?ic-con-t
Property Owner Information
Name ,f uL.Phone:
Street:
City, State Zip: 1 130o:.
a1 'A 9a lliel 'tract or}I,nfoeei
Name ' ` T , ,4,ei I `r'I iIi QQr`S G
Street:
City, State Zip: '6r wt=w70 32 77/
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Resident of property? //a ]
Phone!
Fax:
State License No.: J5 RI30I32 So
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 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 1Ovs`egulating 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
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NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this propert3What may be
found in the public records ofthis 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.
Date
12 /IC .
Date
Known to Me or
uvxv.a- K,vrmwcti ;,
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:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
Flood Zone:
of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
Revised: June 30, 2015
Permit Application
II. A.. -+R
JAN 2 8 20%
Stewart Russell
3230 EAST BAY DR #109
HOLMER BEACH, FL 34217
Florida Star Electric LLC
Lfb `7` —592 S 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 R 32771
All work will be done to NEC and local area city building codes.
Labor and Material $500.00
gR Date
Aloxwv
Florida Star Electric Date