239 Loch Low Dr; 17-2017; ELECTRICALm'f -9 / C-d
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No• _tj - 2011
Documented Construction Value: S 2500.00
Job Address: 239 Loch Low Drive, Sanford, FL 32773 Historic District: ices No R
Parcel ID: 10-20-30-5CU-OG00-0210 Residential X Commercial
Type of Work: New Addition E Alteration Repair Demo Change of Use Move
Description of Work: Install new 50 amp circuit and run wire to shed for new sub -panel. Install 8116
panel on exterior of shed, lighting, and exterior plug.
Plan Review Contact Person: Bobby Bell Title: Service Manager
Phone: (386)320-2803 Fax: Email: Ka q c— Ph q, Ze w iY
Property Owner Information lm Q, I • C °''7
Name Garth Shoemaker Phone: (407)619-4133
Street: 239 Loch Low Drive Resident of property? : Yes
City, State Zip: Sanford, FL 32773
Contractor Information
Name In Phaze Electric, Inc. / Anthony Taylor Phone: (407)599-7777
Street: 3745 Cord Ave. Fax:
City, State Zip: St. Cloud, FL 34772 State License No.: ER13014254
Architect/Engineer Information
Name:
Street:
City, St, Zip:
Phone:
Fax:
E-mail:
Bonding Company: _Western Surety Company_ Mortgage Lender:
Address: 333 S. Wabash Ave., 41-South Address:
Chicago. IL 60604
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.
F'BC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 514 Edition (2014) Florida Building Code
Revised: June 30, 2013 Permit Application
NOTICE: In addition to die 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 wilt 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 die 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 'Fable 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 gall applicable laws regulating construction and zoning.
17
Signature of (Owmcr/Agc.nt Date S 0iaiare ofC'OnEmctor/Agent Date
1}rint OwneriAgcni's Name
4i E abfNNOU ry-
tA 0 ,q
Print Coritract(w/Agrnt's Name
I
19YMES CAIRILLO
No': ry Public, Sate el clod,
Cwrmissiorift FF 182992
My swim, expires Dec. 11, 2018
Cl) . ft. Pr , 'Por's
Owner/Agent is Personally KnoNS i4ke or Iftsi&ogen
ProducedlD t-7—Type ofID - A *
CI..tractr/At is --V ersonally Known to Me or 0!
RZoduced ID,___ Type of ID N
FLOP BELOW
IS FOR OFFICE USE ONLY Permits
Required: Buildingn Electrical[] Mechanical[] Plumbirign Gas RoofFJ Construction
Type: Total
Sq Ft of Bldg: Occupancy
Use: Min.
Occupancy Load: Flood
Zone: of
Stories: New
Construction: Electric - # of Amps Plumbing, - # of Fixtures. Fire
Sprinkler Permit: Yes R No F] 4 of Heads APPROVALS:
ZONING: FIRE:
COMMENTS:
Fire
Alarm Permit: Yes n NoEl WASTE WA'[.'
ER: BUILDING: --F
If - I J-- 17 Revised: June
30,2015 Permit Application
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: 05/22/2017
lhereby name and appoint: John Poe
an agent of: In Phaze'Electric Inc
Name of Company)
to be my lawful attorney -in -fact to act for me to apply for, receipt for, sign for and do all things
necessary to this appointment for (check only one option):
All permits and applications submitted by this contractor.
or
The specific permit and application for work located at
Street Address)
Expiration Date for This Limited' Power of Attorney: 05/21/2018
License Holder Name Anthony Taylor
State License Number: ER13014254
Signature of License Holder:
STATE OF FLORIDA
COUNTY OF Osceolg
The foregoing instrument wa cknowledged before me this VAay of 140 J 201,
by An h o e ,i 1 ay /0V- who is olpersonally known to
me: or o who has proms as identification
and who did (did not) to a anpath. S'
ature Notary
Seal) D
Print
or type name JOHN
C. PNotary Public,
StatNotary Public - State of Commissicn No. QCommission
No: $7 yCommission ExpiMy Commission' Expires':
a Rev. 8/06/ 1-3)
RECORD COPY
o
SANFORD
SITE COPY