HomeMy WebLinkAbout2850 Gale Pl (2)1 FEeSm
13 2012
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: I v M Documented Construction Value: $ 9sz:)
Job Address: ::?350 Ga e f Historic District: Yes ❑ No ❑
Parcel ID: (to - dO - 3 )- 505-oJ5�00 - 0;2')o Zoning:
Description of Work: ir�%e,-- 0,4'fi'.tc
Plan Review Contact Person: O`'A4,1►-.e Title: ���� ►i'�'��`'�'
Phone: Wok"'188-3oS9 X l lby Fax: f i01 788"a'�`� E-mail: dafa.,►e- e4Celeck,_60^
Property Owner Information
Name K-giao Phone:
�
Street: o 3 & E=z4o-re, 1')fce- Resident of property?
11
City, State Zip: .SGh{vrW F1•
nO
Contractor Information
Name _ri1-C-4.r 0cde'-'c4 ( Phone: 40)-7 8-3 .7 X I1(OLI
Street: LI 30 Vle-4 Oi i v'- Fax:
City, State Zip: �1 +�""' k,s�r►-jrFI- ;V) 111
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Building Permit ❑
Square Footage:
No. of Dwelling Units:
Electrical 41
New Service — No. of AMPS:
State License No.: CCozoo 761
Architect/Engineer Information
Phone:
Fax:
E-mail:
Mortgage Lender:
Address:
PERMIT INFORMATION
Construction Type:
Flood Zone:
No. of Stories:
Plumbing ❑
New Construction - No. of Fixtures:
Mechanical 0 (Duct layout required for new systems) Fire Sprinkler/Alarm 0 No. of heads:
Application is hereby made to obtain a permit to do the work and installations as indicated. l 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.
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. A NOTICE
OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE
FIRST INSPECTION. 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 l will notify the owner of the property of the requirements of Florida
Lien Law, FS 713.
The City of Sanford requires payment of a plan review fee. A copy of the executed contract is required in order
to calculate a plan review charge. if the executed contract is not submitted, we reserve the right to calculate the
plan review fee based on past permit activity levels. Should calculated charges exceed the do ented
construction value when the executed contract is submitted, credit will be applied to your permit fe wen the
permit is released.
I
Signature of Owner/Agent
Print Owner/Agent's Name
Date
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
APPROVALS: ZONING: UTILITIES:
ENGINEERING:
COMMENTS:
Rev 11.08
FIRE:
Signature of Contractor/Agent Date
�GKe. C�Jr°IG✓rGK.
Print Contractor/Agent's Name
Signature oftary-State of Florid Date '
Y►
s°'� •.`°°% CAROLYN MORGAN
MY COMMISSION I EE 037195
1i EXPIRES: December 13, 2014
J��lE a BMW ilw Bwo st>tay services
Contractor/Agent is V Personally Known to Me or
Produced 1D Type of ID
WASTE WATER:
BUILDING:
TO: Raquel Vidal Proposal No.: 003
2850 Gale Place
Sanford, FL. Date: 2/10/2012
RE: FPE panbl •Replacement
We hereby propose to furnish all labor and material necessary to provide the Electrical Installation
in the above -referenced project In accordance with the following speMNcatlons:
1. Replace existing FPE exterior main disconnect
2. Furnish &•install 1-Sq.D 150amp main -disconnect
3. Furnish & install 3-15amp breakers
4. Furnish & install 4-20amp breakers
5. Furnish & install 2-2pole 30amp breaker
6
7
8
9 Permit Fee included
10
11
12
13
14
15
16
17
18
19
20
21
22
23
TOTAL LABOR & MATERIAL:
Price for the work described above will be: $750
Payable on the following terns:
This proposal is void if hot accepted in writing within 30 days after this date.
Accepted by:
FORM NO. C- 1555i8 -99/5000-A
11 $750.00
-11
TRI -CITY ELP.TRICA4 CONTRACTORS, INC.
-- Roy 8ove1
Ron Hovel, Estimator
"•\��1
I �
Td-CIyE/ecWcs1Con&vc1ora,Inc.
430 West
AltamonteSprtripa, FL 32714
Altamonte Springs,
/�a
bac
Phone: 407-788.3500
Fac 407-788.2001
State Lk. #EC0000981
TO: Raquel Vidal Proposal No.: 003
2850 Gale Place
Sanford, FL. Date: 2/10/2012
RE: FPE panbl •Replacement
We hereby propose to furnish all labor and material necessary to provide the Electrical Installation
in the above -referenced project In accordance with the following speMNcatlons:
1. Replace existing FPE exterior main disconnect
2. Furnish &•install 1-Sq.D 150amp main -disconnect
3. Furnish & install 3-15amp breakers
4. Furnish & install 4-20amp breakers
5. Furnish & install 2-2pole 30amp breaker
6
7
8
9 Permit Fee included
10
11
12
13
14
15
16
17
18
19
20
21
22
23
TOTAL LABOR & MATERIAL:
Price for the work described above will be: $750
Payable on the following terns:
This proposal is void if hot accepted in writing within 30 days after this date.
Accepted by:
FORM NO. C- 1555i8 -99/5000-A
11 $750.00
-11
TRI -CITY ELP.TRICA4 CONTRACTORS, INC.
-- Roy 8ove1
Ron Hovel, Estimator