200 Krider Rd; 18-3513; ELECTRICAL PANELAUG 1 5 2 013
PERMIT APPLICATION
Application No: I ' 3
Documented Construction Value: $ I
Job Address: Historic District: Yes No,N
Parcel ID: Residential XCommercial
Type of Work: New Addition Alteration Repair Demo Change of Use Move
Description of Work:'s"t,¢- j`fre s:1 . ,r. :c _ %T- . f''i ti'
Plan Review Contact Person:
Phone: Fax: Email:
Property Owner Information
Name
Street:
City, State Zip:
Phone:, -/ 5
Resident of property?:
Contractor Information
Name
Street: z/U `%
r'
1'L.IYI-.l +.} `rz
City, State Zip:
Name:
Street:
City, St, Zip: _
Bonding Company:
Address:
k S
Phone: i7162 7 yIZ g%
Fax:
State License No.:
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: 60' Edition (2017) Florida Building Code !
NOTICE: In addition to the requirements of this permit, there maybe additional restrictions applicable to this property that maybe 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/Agent Date
Print Contractor/Agent's Name
Signature of Notary -State of Florida Date
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: Occupancy Use:
Total Sq Ft of Bldg: Min. Occupancy Load:
Flood Zone:
of Stories:
New Construction: Electric - # of Amps Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes No # of Heads
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
Fire Alarm Permit: Yes []No
WASTE WATER:
BUILDING:
Florida Star Electric, LLC
404 S. Palmetto Avenue
Sanford, FL 32771
Phone: (407) 416-8001
License # ER 13013250
E-mail: service floridastareiectric.com
Job Estimate
FOR: Steve Coleman
200 Krider Road
Sanford, FL 32771
Date: August 12, 2018
SCOPE OF WORK
Replace 200 Amp Federal Pacific interior panel
GENERAL PROVISIONS
The job will be permitted and inspected
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 take one day
TOTAL COST
1000.00
Balance due upon completion of work
Quote valid for 30 days from date of estimate.
Thank you for the opportunity to bid on the wiring repair for this business. 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.
customer)
6 Z date
contractor)
Florida Star Electric, LLC
date