HomeMy WebLinkAbout2425 S French AvePPLICATIONCITYOFSANFORDELECTRICALPERMIT
Permit Number: 2-1131 Date:
The undersigned hereby applies for a permit to indstall the following electrical:
UZ ' 23S
Owner's Name: OeAVC.'
J /C / 5,44A5 S /''-
Address of Job: i s J • /1Ji%c /5h/i /`^%
Electrical Contractor: dh /iV• ///if ZZ4A.cyS
Residential: Non -Residential: __)4:5_7
Number Amount
Addition, Alteration, Repair (Residential & Non -Residential
New Residential:
AMP Service
New Commercial:
AMP Service
Change of Service:
From AMP Service to AMP Service
Manufactured Building
Other:
Description of Work:
Application Fee: 10.00
TOTAL DUE:
By Signing this application I am stating that I am in compliance with C' a ford El I Code.
Applicant's Signature
State License Number
1147 Heartwood Drive
Deland Florida 32720
904-734-4W
LIMITED POWER OF ATTORNEY
DATE: April 23, 2002
Know by all men by these presents, That I John W. Matthews Jr. A resident of the state of Florida
and State Certified electrical contractor EC0002815, do hereby make and appoint Martin Rak of
Petroleum Technicians Inc. As my true and lawful attorney in fact for me and in my name, To
execute any and all documents relating to but not limited to the application for an electrical permit at
the Location Referenced below.
V,Location:
A i '•
Sammy's Food Mart
2425 S. French Av.
Sanford. FL 32771
1=
n W. Matthews Jr. Sheryl A. Sauer
0002815 =Commtedon # CO 892215
Expires Jan. 21, 2004
Bonded Thrupw'AAUanUo Bonding Co., Ine.
JH,U yl- A SAuer—
The foregoing instrument was acknowledged before me this _23rd day
of April , 2002 byyNnr W. maTrHEu)s whom do I personally know.
11
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