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815 Rosalia Drive; 17-1939; METER PANELram° CITY OF SANFORD BUILDING & FIRE PREVENTION SUN 1 2017 PERMIT APPLICATION Application No: Documented Construction Value: $ Job Address: zj 4- A'al 11G Historic District: Yes Nog Parcel ID: Residential,© Commercial Type of Work: New Addition Alteration Repair. Demo Change of Use Move Description of Work: R"14,/'j-G C a i9-yn/° /l' /a I` Plan Review Contact Person: Title: Phone: Fax: Email: Property Owner Information Name -S4-cr<f Street: qZ-'7 ©L`2d'12 City, State Zip: Phone: Resident of property? : Contractor Information Name f P` 'Phone: Street: U r'' Fax: City, State Zip: Name: Street: City, St, Zip: _ Bonding Company: Address: Oc:C_ 3z 22/ a State License No.:2 Architect/Engineer Information Phone: Fax: E-mail: Mortgage Lender: Address: 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. 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. FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 51' Edition (2014) Florida Building Code Revised: June 30, 2015 Permit Application 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 of Florida Lien Law, FS 713. The City of Sanford requires payment of a plan review fee at the time of permit submittal. A copy of the executed contract is required in order to calculate a plan review charge and will be considered the estimated construction value of the job at the time of submittal. The actual construction value will be figured based on the current ICC Valuation Table in effect at the time the permit is issued, in accordance with local ordinance. Should calculated charges figured off the executed contract exceed the actual construction value, credit will be applied to your permit fees when the permit is issued. 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. 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 Signature of Contractor/ Agennttt Date Print Contractor/Agent's Name XSIZX 0",,A e 06 .oZ4,.17 S nature of Notary -State of Florida tippy:p a,, DEBBIE BLANTON MY COMMISSION # FF 176648 2 a EXPIRES; February 25,019 Q'; e F f ,• Bonded Thru Notan Public Contractor/Agent is Personally Known to Me or Produced ID Type of ID BELOW IS FOR OFFICE USE ONLY Permits Required: Building Electrical Mechanical Plumbing[] Gas[] Roof Construction Type: Total Sq Ft of Bldg: Occupancy Use: Min. Occupancy Load: New Construction: Electric - # of Amps Fire Sprinkler Permit: Yes No APPROVALS: ZONING: ENGINEERING: COMMENTS: Flood Zone: of Stories: Plumbing - # of Fixtures, of Heads Fire Alarm Permit: Yes No UTILITIES: WASTE WATER: FIRE: BUILDING: Revised: June 30, 2015 Permit Application Florida Star Electric, LLC 404 S. Palmetto Avenue Sanford, FL 32771 Phone: 407-416-8001 License # ER 13013250 E-mail: service(a)-floridastarelectric.com Job Estimate FOR: Jack Diemer iia-15 Rosalia Drive Sanford, FL 32771 Date: June 24, 2017 INSPECTION REPORT Meter Socket has a broken jaw Needs to be replaced. SCOPE OF WORK Replace 200 Amp meter Install new service mast GENERAL PROVISIONS All work shall be completed in a professional manner and in compliance with all applicable building codes. Contractor will provide all materials and all labor necessary to complete job. PROPOSAL DETAILS The job will be permitted and inspected. The job will take one day. 1 will have to schedule a service disconnect with FPL. Power will be restored the same day. Disconnect is scheduled for Tuesday, June 27th at 9AM TOTAL COST 850.00 Thank you for the opportunity to perform the electrical repair for your property. If you have any questions, please feel free to contact me. I look forward to working with you soon. Thanks — Bob Hearn Contract Agreement IN WITNESS WHEREOF, the parties agree to the scope of the service provided and the terms of payment and duly affix their signatures under hand and seal. omer) 84ei r¢ (contractor) lorida Star Electric, LLC date