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CITY OF SANFORD PERMIT APPLICATION
Permit # : Date:
r
Job Address: .10r. a Kr• Qor-- (3)t/A A
564641 Ff Description
of Work:1 K St u f2e_ 4t Historic
District: Zoning: Value of Work: $ -00.
Permit
Type: Building Electrical Mechanical Plumbing Electrical:
New Service — # of AMPS _ _5 0 Addition/Alteration Mechanical:
Residential Non -Residential Plumbing/
New Commercial: # of Fixtures Plumbing/
New Residential: # of Water Closets _ Occupancy
Type: Residential Commercial Construction
Type: # of Stories: Parcel #:
Owners
Name & Address: Fire
Sprinkler/Alarm Pool _ Change
of Service Temporary Pole ___. Replacement
New (Duct Layout & Energy Calc. Required) of
Water &'$ewer Lines # of Gas Lines Plumbing
Repair — Residential or Commercial Industrial
Total Square Footage: of
Dwelling Units: Flood Zone: (FEMA form required for other than X) Attach
Proof of Ownership & Legal Description) Phone: _
Contractor
Name & Address: Vled r %c Ser v 4-c s T"c State
License Number: ` --- Phone &
Fax: S 5 2- 79 i 137z / UZ- 7n —id 71 Contact Person: _71 r + Aa ar+S Phones 3$2 M ? -0Z54 Bonding
Company: Address:
Mortgage
Leader: Address:
Architect(
Engineer: FleC46C RG X7n irw c- 4S o LAC Phone: _ Address:
G7on-.0 4 _s ci.6ou _ 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. 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 require is of Florida Lien Law, FS 713. 9
Signature
of Owner/Agent Date us-
gnature
of Contractor/Agent Date a
es G lw+s Print
Owner/Agent's Name Print Contractor/Agent's Name Signature
of Notary -State of Florida Date 9i of tate oC%SW BLANTON Date MY
COMMISSION # DD 188491 EXPIRES:
February 25, 2007 Owner/
Agent is _ Personally Known to Me or Con 1
e003•NOTARV FL t Di.Produced
ID Produced ID APPLICATION
APPROVED BY: Bldg: Zoning: Utilities: FD: Initial &
Date) (Initial & Date) p (
Initial &
Date) (Initial & Date) Special
Conditions: Z vK +S
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MARWME CLERK W CIRCUIT com
NOTICE OF COMMENCEMEIVINDLE COXTY
055814 FIG K-'] 7
0 EV0510409083
RECORDING FEES M40
RECORDED BY D Thomas
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.
Permit No.
State of Florida
County of Seminole
1. Description of
1 VAL n
yd
9
a 5
of the property and street address if available)
General description of improvement: MoWStryi Ce. O.noi oenero.*or ir%z+o 11&*1Or for
SecAo-ri-+y 5u t'.ry1 Owner
information a.
Name and address SOB.n-PCrd A i r Mr4 ALA*kor-t'n! b.
Interest in property 01
c.
Name and address of fee simple titleholder (if other than Owner) Contractor
a.
Name and address '-.J ec:1 r f C. - iy i ems,, T-Mc . 1'74.
6 V. r Q it 71+2 b. Phone
number S E. -7 - Fax number - Z EM Surety a.
Name
and address NSA b. Phone
number Fax number c. Amount
of bond 6. Lender
a. Name
and address - _ ni O6 7 b.
Phone
number Fax number 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 Lar-r.t Al. TGXLV— Pre.S t &nrt{ IC ZX-. SAA 2.Do
L_ b. Phone
number OD Fax number 401 8. In
addition to himself or herself, Owner designates co&, e f of LdC'k;&
0Y%' Nlazft ,IL +Cb&ul PA to receive a copy of the Lienor's Notice as provided in Section 713.13(
1)(b), Florida tatu es. a. Phone
number a b' 7Z- 40 S ( Fax number&Di330 - eq(* (o 9. Expiration date
of notice of commencement (the expiration date is 1 year from the date of re ording unless a different date is specified)
dry C-ews,
V - PA"WCQ Signature o Owner
Sworn to (or
affi d) and subscribed before me this day of 20 ds , by Personally Known _/ OR
Produced Identification C^pR c Type of Identification
Produc gd c R _+F_.+ ' ignature o otary
Publi , ate o orida ; 1 'r Ann D. WOW Commission Expires:? :. MYCOMMISSION#
DDiD3515 EXPIRES ling 24, .2006
BONDED TNRU TROY
FAIN INSURANCE, INC
W D1965 Electric Services, Inc.
INDUSTRIAL & COMMERCIAL ELECTRICAL CONTRACTORS & ENGINEERS
EC#0001415,EC#0002786,PE#58563
1746 East Main Street, Leesburg, FL 34748
Telephone (352) 787-1322 / Fax (352) 787-7871
esbur9+www.electric-services.com
POWER OF ATTORNEY
I hereby name and appoIlit --Tq rues 43A(nS of Electric Services, Inc. to be my lawful attorney
in fact to act for me and apply to the City of Sanford Building Department for an electrical permit
for work to be performed at a location described as: D6
lil('Por &/.--( , 6 1/
1A)"J / a'/4J/" of
job) owner
of property and address) and
to sign my name and do all things necessary to this appointment. Steven
W. Strom Certified
Contractor t
f1746
East Main Street, Leesburg, FL 34748 Address
Acknowledge:
Sworn
and subscribed before me this 19th day of January, Electric
Services, Inc., who is personally known to 7&- STEPHANIE
S. JOINER Comret!
000,11iw Ems
w tuismw Not
Pi 6-48d ftu (NOA32-4254 3.............»..:::::
n; A»n., Inc Stem (
My
Commission Expires: 11/15/08 by
Steven W. Strom, President of State
of
I.
ORLANDO SANFORD
INTERNATIONAL AIRPORT
SANFORD FLORIDA
momsxX L.
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P E LOCATION
T-HANGER 1806 E. AIRPORT Blvd. Bldg. 406
a\
antractors &
F,,
INDEX
C-I COVER PAGE `
Orlando Sanford E-I ENLARGED SITE PLAN7N "' `"
E-2 ONE -LINE DIAGRAM -POWER
Zip
Electric Services, Inc.
Since 1965
leesburg,Ft'
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DRAWN CHECKED
J.E.N. W.T.B.
DATE
11 /16/04
PROJECT NUMBER
E4002.10
DRAWING NUMBER
C — 1
CAD FILE
E4002.1 OC-1
NEW 20-AMP, 120V
DUPLEX RECEPTACLE
TYPICAL OF 4)
0 zi
NEW PANEL/ATS
KCONNECT
EXISTING LIGHTS
TO NEW PANEL/ATS
NEW 30-AMP, 120V
RECEPTACLE
FUSED SAFETY SWITCH
METER SOCKET
NEW OWNER PROVIDED
AND INSTALLED 13KW
240/120V, 1-PHASE,
NATURAL-GAS GENE TOF
CUT AND PATCH
ROADWAY
UTILITY POLE
TUTILITYHANGERSITEPLAN - ELECTRICAL SPLICE BOX
N
1
E-1 SCALE: 1" = 10'-0"
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DRAWN CHECKED
J.E.N. W.T.B.
DATE
11/16/04
PROJECT NUMBER
E4002.10
DRAWING NUMBER
E-1
CAD FILE
E4002.10E-1
BUILDING _ j/ BUILDING
EXTERIOR INTERIOR
METER SOCKET 60AMP MINIMUM
COORDINATE WITH UTILITY. CHARLIE
JOHNSON WITH FP&L (407-328-1922)
PRE -WIRED WIRING HARNESS
WITH CONTROLS AND FEEDER
CIRCUITS PROVIDED W/ GENERATOR
INSTALLED BY DIV. 16
BOND TO
BUILDING STEEL
2)5/8"x10' GROUND
RODS SPACED 10'-0"
APART.
H2P, 240—VOLT SAFETY SWITCH
NEMA-3R ENCLOSURE
EXTERNAL CONNECTION BOX
PROVIDED BY GENSET MANU.
INSTALLED BY DIV. 16.
3)#6, (1)#10
GND IN 3/4"C.
3)#3, (1)#8
GND IN 1-1 /2"C.
ONE -LINE DIAGRAM - POWER
NOT TO SCALE
OWNER PROVIDED AUTOMATIC
TRANSFORMER SWITCH (ATS) WITH
INTEGRAL DISTRIBUTION PANEL
WITH CIRCUIT BREAKERS.
SQUARE-D PART# SDSA1175
TO PEDESTAL AT BASE
OF UTILITY POLE. PROVIDE
AMPLE SLACK FOR UTILITY
PROVIDED SPLICE. AFC AT
UTILITY XFMR IS APPROX.
5,200AMPS.
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1Y
of
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C x
DRAWN CHECKED
J.E.N. W.T.B.
DATE
11 /16/04
PROJECT NUMBER
E4002.10
DRAWING NUMBER
E-2
CAD FILE
E 4002.10E — 2