HomeMy WebLinkAbout2612 Iroquois AveECEIV CITY OF SANFORD
MAR 1 6 2016 BUILDING & FIRE PREVENTIONIFD
PERMIT APPLICATION
BY:
Application No:
Documented Construction Value: $ /2S'0,`
Job Address: / Z I,pe?rroi S y Historic District: Yes No .—
Parcel ID: Residential - Commercial
Type of Work: New Addition Alteration Repair,. Demo Change
11
of Use Move
Description of Work: 6E8zA-,;f 441n4444 v crL `
Plan Review Contact Person: ' Title:
Phone: Fax: Email:
Property Owner Information
Name A& Phone:
Street: 7z.-, f a 7y i: F r._ _`1f Y /i Resident of property. .
City, State Zip: 7 2
iContr'actor Information
Name .1 L i'/d,+F J 4 ,cT,.c Phone: %% i 960(
Street: /DY s, i°?rn4i>o 1t Fax:
City, State Zip: >7r State License No.: ' i3oi32fc)
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 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 Permit Application
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NOTICE: In addition to the requirements of this permit, there may, be additional restrictionsapplicable to this roe that may be
found in the public records of this county, and there may be additional permits requited from other governmental entities such as water
management districts, state agencies, or federal agencies.
Accepiance 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.
1,12 /;, 3 -
Signature of Owner/Agent Date SIgnature of Contractor/Agent / Date
Print Owner/Agent's Name Print Contractor/Agent's Name
to• /
Signature of Notary -State of Florida Date Signature of Notary -State of e
DEBBIEBLAN'fON
I tb•; OMMISSION A FF 178648
February 25, 2019
Bo^dedlRl N Notary PubC c Unden^ters
Owner/Agent is Personally Known to Me or Contractor/Agent is Personally Known to Me or
Produced ID Type of ID 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:
ENGINEERING:
COMMENTS:
of Heads
UTILITIES: _
FIRE:
Flood Zone:
of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
Revised June 30, 2015 Permit Application
Florida Star Electric
Er13013250
407-416-8001
3/13/2016
Re: 2612 Iroquois Ave.
Sanford, FI 32773
Mr Guillen
72-15 37yh Ave Apt 4H
Jackson heights, NY 11372
01-20-30-504-2100-0050
Per our recent site assessment please be advised the following repairs are needed to
the electrical service to make it safe.
Replace meter can and add a main breaker panel to the exterior of the home on the
north -side rear of the above dwelling.
Labor and material $1,250.00
paid deposit 2/13/16 $ 600.00
Note City Electrical Permit is an add on fee.
wner / Agent fo wner Date
Notary seal
f P4s. Notary Public State of Florida
Sandy Lentz
My Commission EE 214145
tidy
Expires 07/0512018
Florida Star Electric- Date