HomeMy WebLinkAbout700 E Airport Blvd (7)Permit # :
Job Addn
CITY OF SANFORD PERMIT APPLICATION
DeV�ripfion ofof�Work: U—)MI \ V UQ� C—AL\�) ��a tal S are Footage
c Dis t�ict:` `�Zon�tg Value of Work: $
Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool
Electrical: New Service — # of AMPS Addition/Alteration __�_ Change of Service Temporary Pole
Mechanical: Residential Non -Residential Replacement New (Duct Layout & Energy Calc. Required)
Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines
Plumbing/New Residential: # of Water ClosetsPlumbing Repair — Residential or Commercial _
Occupancy Type: Residential Commercial Industrial
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required )
Owners Name
Name & Address:
Phone & Fax:
Bonding Company:
Address:
Mortgage Lender:
Xt=:4. 'y— �— State License Number: r --I
Contact Person: �\ �X'�Phone:
Address:
Arch itect/Engineer: Phone:
Address: Fax: _
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the
issuance of a permit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction. I understand that a separate
permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and
AIR CONDITIONERS, etc.
\C_
OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of
this county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies.
Acceptance of permit is verification that I will notify the owner of the property of the requirements o Florida Lien Law, FS 713. l
Signature of Owner/Agent Date StIture of Contractor/Agent Date
Y iSXc
Print Owner Agent's Name Print Contracto Agent's Name
7i�1ry����y�'07
rg o t lorida Date S of No - to of lorida N07 RY PUDLIC-STATE OF FLORIDA
Wendy J. Morris
� aCommI Sion #DD574827
X ?,
Owner/Agent is _Personalty Known to Me or Contractor/Agent is _Personally KrrB J 2010
Nn�to 7 d'r. Plres: ATLAMI� bC.;L'i `; 17G CO., M.
Produced ID Produced ID
APPROVALS: ZONING:
Special Conditions:
Rev 03/2006
UTIL: FD:
ENG: BLDG:b&_It",
Q
SERVICES, INC.
PHONE 407-857-6133 • FAX 407-835-8839
January 10, 2007
CITY OF SANFORD
Building Department
300 N. PARK AVE
SANFORD, FL. 32771
TO WHOM IT MAY CONCERN:
1, John W. Carlisle (EC13001945) hereby authorize Quinco Services,
Inc. to apply and sign for electrical permits with the City of Sanford, Building Department for
the following project:
700 East Airport Blvd.
Sanford, FL 32773
Should you require additional information, please do not hesitate to contact me.
Sincerely,
John W. Carlisle
EC 13001945
STATE OF FLORIDA
COUNTY OF ORANGE
Before me personally appeared John W. Carlisle to me well known and known to me to be the person described in and
who executed the foregoing instrument, and acknowledged to and before me that John W. Carlisle executed said
instrument for the purpose therein expressed.
Witness my hand an official seal, this 10"' day of January. 2007
uAal
NOTARY PUB Ip I
NOTARY PURIIC_ _. _, OF FLORIDA
1r`ije d -y J. mor
' 'CommissioD #DDS74827
BONDED THRU
Expires:
70
HT1 r1N1IC BONJULYDIN1G 10
Co, 2„ MCS
2500 KUNZEAVENUEORLANDO. FLoRioA32806
QUINCOELECTRICAL.COM