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HomeMy WebLinkAbout3603 S. Orlando DrCITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: j Documented Construction Value: $ s1 Job Address: 3603 S. Orlando Drive Historic District: Yes No Parcel ID: Zoning: Description of Work: Install circuit for new cubicles @ teller line Plan Review Contact Person: Title: Phone: Fax: E-mail: Property Owner Information Name wells Fargo Phone: Street: 3603 S .Orlando Drive Resident of property? City, State Zip: Sanford, FL 32773 Contractor Information Name Miller Electric Company Phone: 904/388-8000 Street: 2251 Rosselle Street Fax: 904/384-9446 ac sonvi e, City, State Zip: State License No.: Name: Street: City, St, Zip: Bonding Company: Address: Architect/Engineer Information Phone: Fax: E-mail: Mortgage Lender: Address: PERMIT INFORMATION Building Permit Square Footage: Construction Type: No. of Dwelling Units: Flood Zone: Electrical qX New Service — No. of AMPS: Mechanical (Duct layout required for new systems) No. of Stories: Plumbing New Construction - No. of Fixtures: Fire Sprinkler/Alarm No. of heads: Install circuit for new cubicles at the teller line 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. 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. 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. 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. A copy of the executed contract is required in order to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the plan review fee based on past permit activity levels. Should calculated charges exceed the documented construction value when the executed contract is submitted, credit will be applied to your permit fees when the permit is released. Signature of Owner/Agent Date Sigfiatu e of Contractor/Agent / Date Ron Autrey Print Owner/Agent's Name Print Contractor/Agent's Name Signature of Notary -State of Florida Date Signature of Notary -State of Florida Date KAREN OLSON Notary Public, State of Florida My comm. exp. Mar. 3, 2014 Comm. No. DD 960546 Owner/Agent is Personally Known to Me or Produced ID Type of ID APPROVALS: ZONING: ENGINEERING: COMMENTS: Rev 11.08 UTILITIES: FIRE: Contractor/Agent is Y Personally Known to Me or Produced ID Type of ID WASTE WATER: BUILDING: 2010-2011 BUSINESS TAX RECEIPT CITY OF JACKSONVILLEIDUVAL COUNTY MIKE HOGAN, TAX COLLECTOR 231 E FORSYTH STREET ROOM 130 JACKSONVILLE, FL 32202-3370 PHONE: (904) 630-1916 option 3 FAX: (904) 630-1432 WEBSITE: www.coj.net/tc Note — A penalty is imposed for failure to keep this receipt exhibited conspicuously at your place of business. This receipt is furnished pursuance of chapter 770-772 City ordinance codes. AUTREY, RONALD A MILLER ELECTRIC CO PO BOX 1799 JACKSONVILLE, FL 32201 ACCOUNT NUMBER: 621590000 LOCATION ADDRESS: 2251 ROSSELLE ST JACKSONVILLE, FL 32204-3125 DESCRIPTION: QUALIFYING AGENT, CONTRACTORS COUNTY RECEIPT DESC: QUALIFYING AGENT, CONTRACTORS MUNICIPAL RECEIPT DESC: MC 772.325 COUNTY TAX: 0.00 MUNICIPAL TAX: 100.00 TOTAL TAX PAID: 100.00 VALID FROM September 1, 2010 TO September 30, 2011 ATTENTION' THIS RECEIPT IS FOR BUSINESS TAX RECEIPT ONLY. CERTAIN BUSINESS MAY REQUIRE ADDITIONAL STATE LICENSING. This is a business tax receipt only. It does not permit the receiptholder to violate any existing regulatory or zoning laws of the County or City. Nor does it exempt the receiptholder from any other license or permit required by law. This is not a certification of the licensee's qualifications. 7jk- 4 6114,) TAX COLLECTOR THIS BECOMES A RECEIPT AFTER VALIDATION. PAID -3367637.0002-0002 M01 07/16/2010 100.00 STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 AUTREY, RONALD A MILLER ELECTRIC COMPANY PO BOX 1799 JACKSONVILLE FL 32201-1799 Congratulations! With this license you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range from architects to yacht brokers, from boxers to barbeque restaurants, and they keep Florida's economy strong. Every day we work to improve the way we do business in order to serve you better For information about our services, please log onto www.myfloridalicense.com. There you can find more information about our divisions and the regulations that impact you, subscribe to department newsletters and learn more about the Department's initiatives. Our mission at the Department is: License Efficiently, Regulate Fairly. We constantly strive to serve you better so that you can serve your customers. Thank you for doing business in Florida, and congratulations on your new license! I DPPA2TC r I DETACH HERE 850) 487-1395 i j]j] A' z,.,,,.:f..i +•.w++., t.S,r`isl tr,6'i:UZ.04. xxpira>+ap, aaria. uta.st, v.L a u t . . t ,. IC9flLLL L226i Y R, r S,,,, t I. •+ , yi. Q4 MILLER ELECTRIC COMPANY P O BOX 1799 JACKSONVILLE FL 32201 PHONE # (904) 388-8000 FAX # (904) 384-9446 DATE: 6/23/2011 TO: Sanford Building Department (Electrical) FAX NO: 407/688-5152 ATTN: Debbie FROM: Elaine Ahearn NUMBER OF PAGES SENT 2 , INCLUDING COVER SHEET PURPOSE OF THIS TRANSMISSION IS: CORRESPONDENCE, ORIGINAL TO BE SENT BY MAIL FEDERAL EXPRESS BID PROPOSAL, ORIGINAL TO BE SENT BY MAIL FEDERAL EXPRESS REMARKS: Here's a copy of our proposal. I will mail you all the hard copies. Thank you for your help! Call (904) 388-8000 concerning any problems with the transmission of this facsimile MILLER ELECTRIC COMPANY Auld & White Constructors 4168 South Point Parkway, Suite 101 Jacksonville, FL 32216 Mr. Ellis, 2251 Rossei_i_r_ S--. (32204) P.O. Bos 1799 JACKSONVILLE, FL 32201 904.388.8000 November 19, 2010 Fr,x 904.389.8653 We are pleased to submit this proposal to perform the Wells Fargo Interior Conversion Project as listed below: PID# 81747 Project: Sanford 17-92 Region: North Central 1 Provide electrial power according to document number 81747 , dated and surveying notes. 2 Back boxes and stub ups supplied for audio/visual and IT/Data. 3 All work priced at premium time. 4 Proposal is priced assuming all devices will be installed inside interior sheetrock with studded walls. 5 Installation of Coax cabling for televisions included. Exclusions: Removal of signage not included. Removal and replacement of thermostats not included. Removal and replacement of television brackets not included. Concrete removal and replacement not included. Security and voice/data cabling not included. Engineering not included. Proposal Amount: Five Thousand Five Hundred Fifteen Dollars $5,515.00 Please feel free to contact me with any questions regarding this proposal. Authorized Signature: Malcolm Hart Note: This proposal may be withdrawn by Miller, if not accepted within 30 days. NECK EC -0000011 a. CG -C047556 10/11/2010 201IT06-23 10:54 WellsFargo Bank, NA 4073 (07215 >> ver3 Asset, Inc. P 1/1 3i 1 INSPECTION RE RT AND NOTICE OF NONCOMP JANCE INSPECTION DATE: PERMIT I ADDRESS: I INSPECTION TYF E p BUILDING r ELECTRICAL D EXPIRED PERMIT d PLUMBING EXPIRED C OF A STOP WORK ORDER MECHANICAL FIRE Q RECORD OF CONVERSATION AN INSPECTION HAS DISCLOSED THE FOIJLOWING CONDITIONS j74 F. 1i f C RS: THIS LIST SHALL NOTICE OF NONCOMPLIANCE: A11 cited conditions shall notification, u less an extension 0 be, corrected within 30 days after written time is granted. INSPECTOR: ArFF S DUE PHONE: 407.68$.5150 D- 1/1