HomeMy WebLinkAbout3980 W SR 46 (2)CITY OF SANFORD PERMIT APPLICATION
Application #: Submittal Date: 8/1/2007
Job Address: 3980 W. S.R. 46 Value of Work:$ 600.00
Parcel ID:
Zoning:
Historic District:
Description of Work: Install (1) Tpole and connect (1) Construction Trailer Square Footage:
........................................................................................................................
Permit Type: Building ❑ Electrical Mechanical ❑ Plumbing ❑ Fire Sprinkler/Alarm ❑ Pool ❑ Sign ❑
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 Closets Plumbing Repair — Residential ❑ Commercial ❑
Occupancy Type: Residential ❑ Commercial )K Industrial ❑ Occupancy Use Group(s):
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required)
........................................................................................................................
Property Owner: Contractor: Control Electric Services, Inc.
Address:
Phone:
Bonding Company:
Address:
Architect/Engineer:
Address:
E-mail:
Plan Review Contact Person:
Address: 2172 Platinum Rd Suite "G" Apopka, FI. 32703
Phone: (407)814-8900_ State License Number: EC -00001082
Mortgage Lender:
Address:
Phone:
Fax:
Phone: Fax: E-mail:
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.
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.
c tance of permit verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713.
2-1-07
)Signature of Owner/Ag Date Signature of Contractor/Agent Date
SA L U A T a A.e. t'�. d izeF, c Q
Print Owner/Agent's Name Print Contractor/Agent's Name
1-0-7
S,gnatur o "Iypta StaftfaFjldltWW State of Florida Date Signature of Notary -State of Florida to
`��, Joseph Azar
My Commission DD491030
OF 010 Expires 0111512010
Owner/Agent is _ Personally Known to Me or Contractor/Agent is _ Personally Known to Me or
Produced ID �— Produced ID
APPROVALS: ZONING:
UTIL: FD:
ENG:
BLDG:
Special Conditions:
Rev 07.07 (�
3D•�
Control Electric Services, Ince
2172 Platinum Road, Suite "G" Apopka, FI. 32703 (407) 814-8900 (407) 814-9575
Industrial A Commercial Electrical Contractors State Certified # EC -0001082
www.controlelectricservice.com
Power of Attorney
City of Sanford
Building Department
August 1, 2007
Please allow Bryan Thomas to pull the electrical permit for Seminole Business Center
2 Construction Trailer on my behalf. (07-2765)
I hope this letter satisfies your requirements. If you have any questions, please call.
Si erely
Salvatore R. Orefice, /eside6nt
EC -0001082
Notary Affidavit:
Sworn to and subscribed before me this 1 st day of August 2007
W po, Notary Public State of Florida.
?t' Joseph Azar
c My Commission DD491030
or Expires 0111512010
The foregoing instrument was acknowledged before me this / day of %4 Q q lj->. , 2007
by _A1-Vt1~fVY1-e- D✓e—F t (Name of person acknowledged), who is personally known to me or
who has produced (type of identification) as identification.