HomeMy WebLinkAbout1200 W 7 StCITY OF SANFORD
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ED BUILDING & FIRE PREVENTION
PERMIT APPLICATION
FDn S5 2016
Application No: /(P
Documented Construction Value: $
Job Address: 1ko w 7 S -r Historic District: Yes No
Parcel ID: Residential III- Commercial
Type of Work: New Addition Alteration Repair Demo Change of Use Move
Description of Work: 4,_'1Wd-e 12LI4 a6-tSfate .S'p,-vfL4e Y'-0 P
Plan Review Contact Person: \1 c vin 0 RCAAA p{-j k/ Title:
Phone: Fax: Email:
Property Owner Information
Name JrP,1a- /jZ lDr
Street: WO u. 7/ 4 5f=
City, State Zip: S,ct i'I-
Name M F
Phone:
Resident of property? :
Contractor Information
Street: LO S / oa /L
City, State Zip: l i hl< ytllr°
Name:
Street:
City, St, Zip:
Bonding Company:
Phone: U( S_ZL2 2Q
Fax: '-a(
State License No.:"L
Architect/Engineer Information
Phone:
Fax:
E-mail:
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
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 Ovmer/Agent Date Signature of Con -tor/ went Date
4iK LA. e, 4i I(-e rr
Print Owner/Agent's Name Print Contractor/Agent's Name f
j-r-If
Signature of Notary -State of Florida Date S' Date
n ;I;, JOANN M. NSON
MY COMMISSION # FF 856284
EXPIRES: March 23, 2020
Bonded Thru Notary Public Underwriters
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 # 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
ELECTRIC-ri
September 14, 2016 "We 9iva power Tv 7,44 NO? It" Page 1 of 2
Trenna Mcdonald
1200 W. 7tn St.
Sanford, FL Quote#16-149
PROPOSAL
Midway Electric, Inc. has compiled a complete and accurate proposal for the above referenced project. Our
scope of work covers all labor and materials necessary to provide a complete electrical installation. To assist with your evaluation to our
proposal, we have included the following clarifications. If we have excluded an item that you feel should be included in our scope, please let us
know and we will be happy to have it added. Thank you for the opportunity to provide you and your company with a proposal.
Our bid is prepared in complete compliance with the following specifications, drawings, addendums and work specifically stated in the
following scope:
ELECTRICAL DOCUMENTS
Residential Service Change
JOB SPECIFIC ITEMS:
Includes removal of existing service
Includes new 150amp meter can
Includes new 150amp main breaker 8/16 panel
Includes new riser and 2/o XHHW aluminum wire
Includes permit fees
EXCLUSIONS:
Utility company charges
Unnoted local jurisdiction requirements
Temporary power and lighting
Drywall paint, patch and repair
Concealed or unknown existing conditions
Service entrance cable
Service Panels
GENERAL CONDITIONS:
Waste bins, for the electrical project construction daily cleanup, are to be provided and maintained by others.
Acceptance of this proposal shall be within thirty (30) days
All work to be performed between the hours of (7:00a.m.& 3:30p.m.)
ACCEPTANCE OF PROPOSAL
3050 S Hopkins Avenue
Titusville, FL 32780
Phone (321) 578-2312 Fax (321) 269-1414
lI /DI%Vi4 1
iE'LEC'TFR1c,â
September 14, 2016
Trenna Mcdonald
1200 W. 71h St.
Sanford, FL
Page 2 of 2
Quote#16-149
LIMITED WARRANTY. All Materials, parts and labor are warranted for a period of one year. MWE makes no other warranties,
express or implies. Its agents or technicians are not authorized to make any such warranties on behalf of Midway. In the event
of non-payment, the customer agrees to pay Midway reasonable attorney's fees and court costs incurred by Midway to collect
payment and interest charges. Payment is due upon receipt of invoice. Finance charges of 1 %% per month for
delinquent payment
The prices reflected on page one of this proposal are satisfactory and are hereby accepted. You are authorized to do the work
as outlined. Payments will be made as directed.
Date: 9/14/2016 Signature:
Printed Name: - 'NNA MCDONALD
Respectfully Submitted Davion Hampton
407) 417-3885
3050 5 Hopkins Avenue
Titusville, FL 32780
Phone (321) 578-2312 Fax (321) 269-1414
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date:
I hereby name and appoint: 3ay f 0 vt 1: y <,0 f of' an
agent of: ( F Name
of Company) to
be my lawful attorney -in -fact to act for me to apply for, receipt for, sign for and do all things necessary
to this appointment for (check only one option): app
Street
Address) Expiration
Date for This Limited Power of Attorney: -! â `fâl License
Holder Name: State
License Number: Er. / .W Signature
of License Holder: STATE
OF FLORIDA COUNTY
OF tk
The
foregoing instrument was acknowledged before me this day of e 200(,
by who is personally known to
me or who has produced identification
and who did (did not) take an oath. Signature
Notary
Seal) Print
or type name Notary
Public - State of _ Commission
No. My
Commission Expires: Rev.
08.12) as