2451 Old Lake Mary Rd; 17-1694; ELEECTRICALCITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: -" ' c
Documented Construction Value: $ T J d V
Job Address: 4 1 G'c LAICO—NHistoric District: Yes No E Parcel ID:
Residential Commercial ET --- Type of
Work: New Additiont] Alteration Repair Demo Change of Use Move Description of
Work: i3 - - - () -20-
s
r, Plan
Review
Contact Person:" -rtt' ", Title: Z. Phone: 6i- (
3 ? — > x: l>( ` 2- 3 - Email: j Property
Owner Information rJ10 Name 61
Phone: Street: Resident
of property? jA1 City,
State
Zip: P, Contractor
Information
Name Phone:`
Z- Street: Nbl
Fax: Diu t( y 1 -332 -- City, State. Zip:
i ci 141 r `; ! 2-0o State License No.: - j Architect/Engineer
Information Name: Phone: Street:
Fax: 0
City, St,
Zip:
E-mail: Bonding Company: Mortgage
Lender: Address: i Address:
i WARNING TO
OWNER:
YOUR FAIL'URE 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 THEtJOB SITE BEFORF THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. 0 Application
is
hereby
madeto 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 perm, t and that all work will be performed to meet standards of all laws regulating construction in this, jurisdiction. I
understand thatalseparate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks,
and a rrtonditioners, etc. FBC 105.3 Shall
be inscribed with the date o application and the code in effect as of that date: .5 ' Edition (2014) Florida Building Code Revised: June 30, 2015
r Pennit Application
NOTICE: In addition to the requi"rementsof this ;permit, there may he additional restrictions applicable to this property that may be -
found in the public records of this county,4xnd there may be additional permits required from other governmental entities such as waterrF
management districts, state agencies, or fegeral agencies.
i
to
Acceptance of permit is verification that] will notify the owner of the property of the requirements of Florida Lien Law; FS 713.
The City of Sanford requires payment of ('plan review fee at the time of permit submittal. A copy of the executed contract is required
in order to calculate a plan review chargeiand will be considered the estimated construction value of the job at the time of submittal.
The actual construction value will be figured hosed'on the current ICC Valuation Table in effect at the time the permit is issued, in
accordance with local ordinance. Shouldicalculated charges figured off the executed contract exceed the actual construction value,
credit will be applied toyour permit fees w,,hen the permit is issued. OWNER'
S AFFIDAVIT: I cei be
done in compliance with all Signature
of Owner/Agent Print
O.wn&/Agent's Name Signature
of Notary -State of Florida Owner/
Agent is Personally Kno% Produced
ID Type of ID Permits
Required Building Construction
Type: Total
Sq Ft of Bldg: New
Construction: Electric - # that
all of the foregoing information is accurate and that all work will icable
laws regulating construction and zoning. Date
Signature fContractor/Agent I D to Jt}
ltdS I"U Print
Contractor/Agent's Name i
f w /__) ate
of Florida Date 0,<
i t0VA1,RS to
Me or Contractor/Agent is Y Personally Known to Me or Produced
ID Type of ID W
1
Mechanical Plumbing Gas[] Roof Occupancy
Use: Flood Zone: _ Min.
Occupancy Load: # of Stories. ps
Plumbing - # of Fixtures Fire
Sprinkler Permit: Yes N # of Heads APPROVALS:
ZONING: ENGINEERING:
COMMENTS:
UTILITIES:
Fire
Alarm, Permit: Yes No WASTE
WATER: FIRE:
BUILDING: Revised:
June 30.2015 PennitA,pplication
a
k- J'Niciv LJ Additioi
if Work:
Confect Person:
yl
OW
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lip;
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No:
Documented Construction Value: S
Historic District: YesO NoEl
Residential F] Commercial El—_"
Alteration 01" Repairn Demon Change of tT..qeFl Move E]
Email: 4-
Property Owner Information
Resident of property? y1"
Contractor Information
Phone:
Fax:
State License No.:
Architect/Engineer Information
Phone:
Fax:
E-mail:
Bc ndi y ji omoanv? Mortgage Lender:T (\RAO 4d
Address'i15 bA cif 3
Px41 U kv; iNI,
ro O'lvt E R: Y R F.klji URF TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT I N%,'Ot" R PA YIN
N!I("E PFOR IMROVE'N', NTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE R INSPE(.—riON.
IF YOU INTEND TO OBTAIN C 611' 1! 10 AND 1
09FED ON TH JOB SITE BEFORE`1*11E FIRST FT NAIN SQLT
WITH Y K LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF 4 r, ONAp fi 3
nai here in!ade to obtain a P; -,nit 10 do the %vork and installations as indicated. I certify that no %vork or installation has COT -rio, r
to iC t 1issuanceofape it and that all work will be performed to meet standards of all laws regulati n- construction in i'isJ
0191). 11 L", nders and that separate permit must be secured for electric -at work, plumbing, signs, wells, pools, it u f
ifl'; iff H C ler-
1.4c ters, tanks, ana atonditioners, etc. the date 4i
application and the code in effect as of that date: 54 Edition (2014) Florida Building Code Pennit Application
T
the iequiremen of this permit; there max be additional restrictions applicable to this property that may bedsofthiscounty, nd there may be additional permits required from other governmental entities such as water
tic agencies, orf eral at!encies. `
verification that 1 ill notify the owner of the property of the requirements of Florida Mien Lase, FS 713.
arcs avment of2 plan review ree.at the time of permit submittal. A copy of the executed contract is required
an.r view charge' ind will be considered the estimated construction value of the job at the time of subminal.
valut will be figi. vd based on the current ICC Valuation Table in effect at the time the permit is issued; in
dine ce. Should calculated charges figured off the executed contract exceed the actual construction value,
four )ermit fees s pen the permit is issued-
certi& that all of the foregoing information is accurate and that all work will
ith all a )ticable laws regulating construction and zoning,
Da
r
r x
St nature WTon[rjcEurf.Aqni pgte
Print C.antra'tOri!1 ant S Nattle
MCC.
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S77n:l;tlfe.Ot Vnt:IF}-SiA[e 6f tt tundv Date
r9, 2t).,
lye Kno i to Me or Contractor/A,, is Personally Known to Me or
ID Produced ID Typeof lD
i tsr L l W IN E UK Uk FIC;E USE ONLY
BuildingC} {Electrical [] Mechanical [] Plumbing Gas Pooh Occupancy
Use: pFlood Zone: l
L Min. Occupancy Load: # of Stories: Ele
uric - #of mPs Plumbing - # of Fixtures it:
iYes N of Heads Fire Alarm Permit: Yes No UTILITIES:
FIRE:
WAS'
ht: W A T E R: BUILDING:
Penrit
Applicatim
e, rJ
B.ttdz) 0 Moe-
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tj
Fvi L)e- Code AQ L L4%v
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S Star Electric Inc
4066 Sunrise Farm Road
Middleburg .Fl. 32068
904-654-6372
PROPOSAL
The Ice Man
Commonwealth Ave
Jacksonville Fl
0 Lj 5( 01 d Lake A0 /-'L(
install 1600 amp 277/480 Service
Install and provide 1-1.600 amp MDP
Main Breaker to have shunt trip
MDP to be 2 section with provisions for the following breakers
2-400 amp 3 phase
4-200 amp 3 phase
4-100 amp 3 phase
Section 2 to include a 400 amp 42 circuit panel
To include .Primary piping for .FPL transformer to pole
To include Secondary piping from transformer location to middle of building and thru
wall to MDP
Meter piping for transformer
Grounding for transformer and Service
Our price $47,000.00
Thomas Powers
5 Star Electric
David Bryant
The Ice Man
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