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CITY OF SANFORD ELECTRICAL PERMIT APPLICATION
Permit Number: 0 2 - -7Q3
Date:
The undersigned hereby applies for a permit to install the following electrical:
Owner's Name: C2.14ube, tii Address
of Job: A (o Electrical
Contractor. Residential: _ .
Non -
Residential: By
Signing this application I am stating that I am in compliance with City of Sanford Electrical Code. Applicant'
s Signature State
License Number
1%
CITY OF SANFORD BUILDING DIVISION
OWNER/BUILDER AFFIDAVIT
ELECTRICAL & FIRE ALARM SYSTEMS
An owner of property making application for permit, supervising, and doing the work in connection with
the construction, maintenance, repair, and alteration of and addition to a single-family or duplex residence
for his or her own use and occupancy and not intended for sale or an owner of property when acting as his
or her own electrical contractor and providing all material supervision himself or herself, when building
or improving a farm outbuilding or a single-family or duplex residence on such property for the
occupancy or use of such owner and not offered for sale or lease, or building or improving a commercial
building with aggregate construction costs of under $25,000 on such property for the occupancy or use of
such owner and not offered for sale or lease. In an action brought under this subsection, proof of the sale
or lease, or offering for sale or lease, of more than one such structure by the mAmer-builder within 1 year
after completion of same is prima facie evidence that the construction was undertaken for purposes of sale
or lease. This subsection does not exempt any person who is employed by such owner and who acts in
the capacity of a contractor. For the purpose of this subsection, the term "owner of property" includes the
owner of a mobile home situated on a leased lot. To qualify for exemption under this subsection, an
owner shall personally appear and sign the building permit application.
State law requires electrical contracting to be done by licensed electrical contractors. You have applied
for a permit under an exemption to that law. The exemption allows you, as the owner of your property, to
act as your own electrical contractor even though you do not have a license. You may install electrical
wiring for a farm outbuilding or a single-family or duplex residence. You may install electrical wiring in
a commercial building the aggregate construction costs of which are under $25,000. The home or
building must be for your own use and occupancy. It may not be built for sale or lease. If you sell or
lease more than one building you have wired yourself within I year after the construction is complete, the
law will presume that you built it for sale or lease, which is a violation of this exemption. You may not
hire an unlicensed person as your electrical contractor. Your construction shall be done according to
building codes and zoning regulations. It is your responsibility to make sure that people employed by you
have licenses required by state law and by county or municipal licensing ordinances.
I, (p lc.t,l nV\W d , do hereby state that I am qualified and capable of performing the
requested construction involved with the permit application filed.
I will assume full responsibility as an Owner/Builder Contractor, and will personally supervise all work
allowed by law on the permitted structure.
Owner/Builder Signature Date
rint Owner/Builder Name '•,°9 0ill%%.`
Signature of Notary —State of Florida Date
joy
Owner is Personally Known to Me or has
Produced ID -S (n3 "7 3(o i /b30
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Division of Corporations Page 1 of 2
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Florida Non Profit
THE FIRST PENTECOSTAL CHURCH OF SANFORD, INC.
Document Number
744688
State
FL
Last Event
REINSTATEMENT
PRINCIPAL ADDRESS
203 E. 16TH ST
SANFORD FL 32771-3415 US
Changed 04/19/1999
MAILING ADDRESS
203 E. 16TH ST.
SANFORD FL 32771-3415 US
Changed 05/06/1997
FEI Number
592956521
Status
ACTIVE
Event Date Filed
06/29/1984
Reaistered Aaent
Name & Address
MAY, STEPHEN D.
4218 MEETING PLACE
SANFORD FL 32773
Name Changed: 06/29/1984IFAddressChanged: 06/10/1991
Date Filed
10/24/1978
Effective Date
NONE
Event Effective Date
NONE
Officer/Director Detail
Name & Address Title
REINHARDT, RONALD R.
2682 CRATER COURT
PD
LAKE MARY FL 32746
MAY, STEPHEN D.
4218 MEETING PLACE
SD
SANFORD FL
cordet.exe?a1=DETFIL&n1=744688&n2=NAMFWD&n3=0000&n4=N&r1=N3919.03/04/2002
Division of Corporations Page 2 of 2
SHOW, RICHARD
2539 EL PORTAL
D
SANFORD FL
Annual Reports
Report Year Filed Date Intangible Tax
1999 11 04/19/1
2000 01/20/2000
2001 01/20/2001 11
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