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CITY OF SANFORD ELECTRICAL PERMIT APPLICATION
Permit Number:62—tOD7Date: 2
The undersigned hereby applies for a permit to install the following electrical:
Owner's Name: C;%a • Cw/ rd l Qb1Zcc b;b4
Address of Job: 1 S Sovt h 7t'eNc L Ave .
Electrical Contractor: ` o w.o Power Svsi- .5. nl G..
Residential: Non -Residential: _Ief!:::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: TNs rrcLA-rre.v a F PltvJ
SrRu 3 wrca c-ra.f-ova 7-0&c,'fca (F,crs ria
Application Fee: 10.00
TOTAL DUE:
By Signing this application I am stating that I am in compliance with City of ford Electrical Code.
nnn7 70:75C
State Ucense Numoer
COMPUTER 'POWER SYSTEMS, INC.
UNINTERRUPTiblE POWER SUPPly SPECIAliSTS
200 S.R. 419 • WINTER SPRINqS, FL 32708 OffiCE:407.327.7373 0 FAx 407.327-7333
www.cpsfl.com
Seminole County
RE: Permits
To Whom It May Concern:
Ken Kuzmick, President/License holder of Computer Power Systems, Inc. located at 200
State Road 419, Winter Springs, FL 32708, hereby grants Power of Attorney to Jeff
Kuzmick to apply for electrical permits on behalf of Computer Power Systems, Inc.,
electrical license number EC—0002258.
Sign re of Officer/L&zsfise Holder
KENNmH F jCdzM1r-L
Printed Name
Sworn and subscribed before me
this day of4prd, Z00'rzooz
Notary
SKLUE I.. COLYER
kty C-- 12/19/03
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K—n I o to I.D.
Notary's Name and Sea]
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Permit No.
State of Florida
County of Seminole
rgynVIED COPY-
NOTICE OF COMI_ 1 ENCEMENT AARYANHE MORE
Tax Folio No. CLERK OF CIRCIHT C
6E
IDA
ER
The undersigned hereby gives notice that improvement will' be made to certain real property, and in accordance with
Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement.
IAREpp 1 + 2002
1. Description of property: (legal description of the property and street ad ess if available)
1
VG- Sark Grt-i Ave. CA -Ilk
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2. General description of improvement: c o-%r)
ie A kame Q?r' Si+!W obe6gra'4 + r
3. Owner information
a. Name and address Cih ,+L Sa,,.(r r/ % 1, we 0e C rS' 15% .11. Fn.--C /4,r .
b. Interest in property
c. Name and address of fee simple titleholder (if other than Owner)
Contractor
Name and address wer S MS , To C .
b. Phone number axnumber
S. Surety INININ101101MIN111a01gO111151
a. Name and address
b. Phone number Fax nu Iurr a arry
c. Amount of bond 79 PS 1959
6. Lender CLERK'S # 2002860634
a. Name and address RECORDED 04/11/1'OOe 11 OW4 AN
REODRDINB FEES LOO
b. Phone number Fax nunfMRKD BY L NCKINIV
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as
provided by Section 713.13(1)(a)7., Florida Statutes:
a. Name and address
9
b. Phone number Fax number
In addition to himself or herself, Owner designates of
to receive a copy of the Lienor's Notice as provided in Section
713.13(l)(b), Florida Statutes.
a. Phone number Fax number
Expiration date of notice of commencement (the expiration date is 1 year fr e date of recording unless a different
date is specified)
Signature of Owner
Sworn to (or affirmed) and subscribed before me this 1 day of Apr % , 20 02 , by
is ss 67; bSd n
Personally Known LA, OR Produced Identification ,,
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ite Aug eoaeia•7B.YcC%.1= I'HIS INSTRUMENT PREPARED BY, v
Signature of Notary Public, State of Florida NAME
Commission Expires: s
IDDR.
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