HomeMy WebLinkAbout210 W 16 StCITY OF SANFOORD ELECTRICAL APPLICATION
PERMIT NO. lJ I 11, 1 j;2. DATE:
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO INSTALL THE
FOLLOWING ELECTRICAL WORK:
OWNER'S NAME: t
ADDRESS OF JOB. L • 1 `""
ELECTRICAL CONTRACTOR: 1) ti ,- 'S- m-- RES e--'NON-RES
Subject to rules And regulations of the city electrical code:
I-
By signing this application I am stating I am in tp#ppiap(ce wi4 the City
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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 owner -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 'cens eLs
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require\d by state law and by county or municipal licensing ordinances.
I, ` C'"S , do hereby state that I am qualified and capable of performing the
requested construction involved with the permit application filed.
I will aspaspumgfull responsibility as an Owner/Builder Contractor, and will personally supervise all work allow
vAaw a liermlfted structure. 0
Owner/
Builder Name Date
CA
kAI- ko L",..e--0I Signature
of V tary--State bf Florida Date Owner
is Personally- rKnown to Me or has Produced
ID L s l 4'e ii'• Lf, (0tic. O Mary
L. Muse convWulon #
00 $31644 EV
ded
Auug
2003 Thru
Atlantic
Bonding Co., Inc.
DURABLE POWER OF ATTORNEY
of
RICHARD NEAL ARMSTRONG
1. This is a durable power of attorney executed under authority of Florida law. THIS
DURABLE POWER OF ATTORNEY SHALL NOT BE AFFECTED BY DISABILITY OF THE
PRINCIPAL EXCEPT AS PROVIDED IN SECTION 709.08, FLORIDA STATUTES.
2. I, RICHARD NEAL ARMSTRONG (the "Principal"), do hereby appoint my
partner, Matthew O. Wilson (the "Attorney in Fact"), who presently lives at 210 West 16th Street,
Sanford, Florida 32771, as my Attorney in Fact under this durable power of attorney.
3. I hereby authorize the Attorney in Fact to make all necessary decisions as specified
below from the date of execution appearing below. The authority granted the Attorney in Fact
includes, without limitation: the right of unhindered access to my person at all times, as though
the Attorney in Fact were a member of my immediate family; the power to dispose of and receive
funds on my behalf; the power to have access to my accounts, records, files, banks accounts,
property records, insurance records, and any personal or business information pertaining to me
or my assets; the power to conduct business for me; the power to dispose of or acquire property
of any description on my behalf; and any other necessary decision regarding my affairs. It is my
intent that the Attorney in Fact exercise the fullest extent of powers allowable under Florida law,
except as otherwise provided below.
4. It is my desire that, should I become incapacitated or incompetent, whether
physically or mentally, or for any reason whatsoever, that Matthew O. Wilson, be appointed as
my guardian, both of my person and of my property pursuant to Florida Statute 744.3045.
5. The Attorney in Fact shall not have authority to arrange for or consent to medical,
therapeutical, and surgical procedures for me unless otherwise designated by me in a separate
writing.
6. Conditions:
a) If I am married, any homestead property in which I have an interest shall
not be mortgaged or conveyed without the joinder of my spouse or my
spouse's legal guardian, but the joinder may be accomplished through the
exercise of a power of attorney.
b) The power granted the Attorney in Fact herein is nondelegable.
7. All acts done by the Attorney in Fact pursuant to this durable power of attorney
during any period in which I am disabled or incapacitated shall have the same effect and inure to
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the benefit of and bind myself and my successors in interest as though done by me when I was
competent and not disabled or incapacitated.
8. This document supersedes all prior durable powers of attorney I have executed.
I do not intend for this document to supersede any health care surrogacy I previously have created.
9. This document shall be considered revoked only if the original is physically
destroyed or canceled by me or at my direction. The continuing existence of a photocopy or other
reproduction of the original document shall not be considered evidence that the document is
unrevoked.
Principal: RICHARD NEAL ARMS ONG
210 West 16th Street
Sanford, Florida 32771
Witnesses:
Martha A. Chapman
823 Irma Avenue
Orlando, FL 32803
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in A. Lawre
823 Irma Avenue
Orlando, FL 32803
1
STATE OF FLORIDA
COUNTY OF ORANGE
Subscribed and sworn before me by RICHARD NEAL ARMSTRONG, the principal, and by Martha
A. Chapman and Linda A. Lawrence, the witnesses, on this 5th day of March, 1999, all of
whom personally appeared before me. RICHARD NEAL ARMSTRONG is personally known to
me or has produced a Florida Driver's License #/ A ( sz -i s4 - S-7-1-iq - o as
identification. Martha A. Chapman is personally known to me. Linda A. Lawrence is personally
known to me.
S . Vcp ,
ota Public- tate of Florida
Starr
RANDY & VAN CLFAVE
NotaryPditVA*dPbdda
my M.N. eq*aa PPAI, MM
Comm. Na0C7 2tiY1
Prepared by: MARTHA A. CHAPMAN
Martha A. Chapman, P. A.
823 Irma Avenue
Orlando, FL 32803
407) 426-7188
cAoffice\wilson\ma.dpa
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