HomeMy WebLinkAbout2821 Grave DrCITY OF SANFORD
ECEIVE BUILDING & FIRE PREVENTION
U) NOV 3 0. 2016 PERMIT APPLICATION
Application No:. B.0 • 3��3
BY
Documented Construction Value: $ AP99700
Job Address:o�aZ\Ct7NL�r���e. SAS-�c�r�[l,�L 3���3 Historic District: Yes No [-
Parcel ID:G(9 2c) 31-5"Z�S-n�CX� -G \1 Residential 0 --commercial ❑
Type of Work: New ❑ Addition ❑ Alteration ❑ Repair LvJ Demo ❑ Change of Use ❑ Move ❑
Description of Work: (1Qn r A-d.e_ oulN ti e eA&C*1 CJg--1
ffi'a
Plan Review Contact Person: Title:
Phone: Fax: Email:
Property Owner Information
Name Ge -,r MA,n --\- �e 55%r yaV[>-�'AL► In Phone\Ayl - as 3-3s'(^o' �
Street: 9� r a I m�cr _ 1�;ti�y� Resident of property? : l eS
City, State Zip: <,-'a�A •-yr c.
Contractor Information
Name�IS el2UM\L To(- Phone: 38-4P- 775- 7 -7-7%
Street: 10y \ y . CeAe,- 'PNC_ Fax: �SL, - -775- 995 4
City, State Zip:Oe- GI, . FL State License No.: EC 000 1541 -7 -
Arch itect/Engineer
'S41Z
Architect/Engineer Information
Name: Phone:
Street:
City, St, Zip:
Bonding Company:
Address:
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 laws regulating construction
in this ,jurisdiction. 1 understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools,
furnaces, boilers, heaters, tanks, and air conditioners, etc.
FISC 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 appiiAl'e-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 ofpermit is v6ritication that I will notify the owner of the property of the requirements of I;lorida Lien Law, FS 713. .
The City of Sanford requires payment of a plan review lee 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 estimaled construction value of the job at the time of submittal.
The actual construction value will be figured based on the current ICC Valuation "fable 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 Omer/Agent
Print Owner/Agent's Name
Date
Signature of Notary -State of Florida Date
6
Signature ofCorrn r/ ent Date
Print Contractor/Agent's Name
of
//ll;?.f P&
CAREYCLEMENTS
MY COMMISSION 1 FF 218701
EXPIRES: April 8. 2019
Bonded Thi; Nobly Pubk Weniftni
Owner/Agent is Personal-ly Known to Me or Contractor/Agent is Z 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
PAT'S ELECTRIC, INC.
101MEST0IDAR AVENUE'
C)RANGE C:I'I'Y. 1'1.(:) R1 DA 32763
(iRl',► 77.i-777() 17-u.\: ORO 775•999--I
I':G 1011 15-12
October 28, 2016
IMS. Jessica Palaeir.►s
2821 Grove Drive
Sanford. 1=L, 32771
Via Email: 1palaciosl Ial) +�gmnil.cam
Thar Nis. Palacio,
We propose to Furnish labor and material in the tum of'One Thousand Six Hundred Ninety l=ive
dollars (S 1.695.00). which includes the lollowing:
Upgrade electrical service to 150amp.
Install ncty hotel and breaker -4.
Does include:
Paillil l=ee. (il'upplicablc)
Does nut includt::
Drywall repair. (il' applicablc)
Sluccu repair. (il' a1plicahle)
Please fax back with signed copy i►f wurk order.
$1.695.00
This proposal is valid Im 311 days. 'Perms arc Uric upon completion, cash or check. Crcdil card
payment is available with an additional No prl')msim, Ice.
All work shall be dune in a neat and professiunal manner. in, accordance Mill the Local and the
National Electrical COLICS.
oqa4 dm1th, otesident
Jay Smith, President
Acceptcil 11/28/ 21"1 16
Icssicu Palacius
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