HomeMy WebLinkAbout705 Palmetto AveCITY OF SANFORD ELECTRICAL PERMIT APPLICATION
Permit Number• o Z' . Date: k10
The undersigned hereby applies for a permit to install the following electrical:
Owner's Name: .1 rr t/l /V /Q 5 re'rrIka,_
Address of Job:
Electrical Contractor:
Residential: Non -Residential:
Number Amount
Addition, Alteration. Repair (Residential & Non -Residential) I I U - —
New Residential:
AMP Service
New Commercial:
AMP Service
Change of. Service:
From AMP Service to AMP Service
Manufactured Buildii
Other:
Description of Work:
Application Fee: I 1 $10.00 1
ITOTAL DUE: , 1 h01 —1
I
By Signing this application I am stating that I am in compliance ith City of Sanford Electrical Code.
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Applicant's Signature
State License Number
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 maw not be built for sale or lease. If you sell or
lease more than one building you have wired yourself +within 1 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.
do hercbv state that I am qualified and capable of performing the
requested construction involved with the permit application filed.
1 will assume Rill responsibility as an Owiier/Builder Contractor, and will personally supervise all work
allbwed by law on t e permitted structure.
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OwilerBuilder Signature ate
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Print Owner/Builder Name c
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