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HomeMy WebLinkAbout1200 W 7 StCITY OF SANFORD e : P1 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,— 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: -! — `f—l 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