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Permit #; 03-1-321'a �. ,;.r.�� i Date: 30 April 2003
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Job Address: 301...Red Cleveland Boulevard.
Description of Work: electrical
Historic District: Zoning: M-1 Value of•Work.-S
Permit Type: Building Electrical X Mechanical Plumbing Fire Sprinkler/Alarm PoQI• .
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Electrical: New Service — # of AMPS 2 2 5 Addition/Alteration Change of Service Tempot*y Pole
Mechanical: Residential Non -Residential Replacement New (Duct Layout & Energy Cbl. Required)
Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines
Plumbing/New Residential: # of Water Closets Plumbing Repair— Residential or Commercial
Occupancy Type: Residential Commercial Industrial Total Square Footage: N A
Construction Tyne: New # of Stories: 1 # of Dwelling Units: N/A Flood Zone: X (FEMA form required for other than X)
Parcel #: (Attach Proof of Ownership & Legal Description)
Owners Name&Address: Sanford Airport Authority, 1200 Red Cleveland Boulevard,
Sanford, FL 32773 Phone: (407) 585-4006
Contractor Name&Address: TE_CC, Inc. , 490 Clark Hill Road, Osteen, FL 32764
State License Number: E C 0 0 017 5 4
Phone &Fax: 4073302900/4073302939 Contact Person: Tim Tabb Phone: 407.-330-29_00
Bonding Company: NIA
Address:
Mortgage Lender: N/A
Address: _
Architect/Engineer: T- N- Davis, P . E . (#7857) Phone: ( 407) 322-8424
Address: 1425 E. Airport Blvd. , Sanford, FL 32773 Fax: (407) 322-8436 -
Application is hereby made to obtain a permit to do the work and installations as indicated. 1 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. 1 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 pe erificatign that 1 uillnotify the o the property of the require Florid w 713.
4 /03 4/30LO3
ignature of O r Age Date Signature of Contractor/Agent Date
3nature of Notary -State of Florida
Notary Public, a of Florida
My comm. exp. Sept. 2, 2005
Comm. No. DD 048885
Owner/Agent is PersonallKno"n to Nle or
_ Produced ID NPC
AN'LIC'ATION APPROVLD BY: Bldg:
I Initial & Date)
1pCcial C ondiiions:
Zoning:
PPrj ghtractor Aggnt's N
lO �LaCJ.I! — - -SCS
Signature�of N.vary-State of Florid- ST [ u. WILLIS
Notary Public, State of Florida
Y My rr
comm. exp. Sept. 2, 2005
Contractor/Ai;-: is Pers nal'. Known to MLVr'm• No. DD 048885
_ Producrc :D %�P+
(Initial & Date)
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(Initial & Date) 1.;ua�1 & Dau
2-1/2° PVC
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(3) 40GIJ,
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L SANFORD BUIL :NG CEPT. O
iCC PL/1NS ARE REVIEiME .qNO CONDITIOJAY
CONST1 ED FOR PERMIT. A PEr,'AIT ISSUED CONSTRUED 1'O 8E A LICE N �D SHA
THE WORK AN AS At ' PROCEED{
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ELECTRICAL RISER DIAGRAM.