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901 Scott Ave; 18-3530; ELECTRICALCITY OF AUG 1 2018Sjk4FORMs PERMIT APPLICATION BUILDING DIVISION O' 3 53c) Application No: / Q Documented Construction Value: $ Z/h % ' fl Job Address: go/ Historic District: Yes[] NoR' Parcel ID: 3o " 0 `3 —000 o — Q S^b O Residential aCommercial Type of Work. New Add jtion of Work: Plan Review Contact Person: Phone: 1 Fax: Demo Change of Use Move Property Owner Information Name jI Phone: Street: . J City, State Zip: 30) ?%z. Name I L, Street: City, State Zip: ` Name: Street: City, St, Zip: Bonding Company: Address: Title: Resident of property?: 40 2. sT- Contractor Information Phone: 710 Z .0 —//j F 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. 4 FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 6's Edition (2017) Florida Building Code 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 Date Print Owner/Agent's Name Signaiure of Contractor/Agent Dat Iomar Z% -7 Pr^Contractor/Agent's Name Signature of Notary -State of Florida Date Sig-nd'Rtr&of"NorffyfSPF oti3a7—Da ANNETTE BLAND f "' Notary Public - State of Florida Commission # GG 060623 Owner/ Agent is Personally Known to Me or Cn6fiZYtfAgWoRm. ExpipeJan nal40 Produced ID Type of ID P o uce ype 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: to Me or Fire Alarm Permit: Yes No WASTE WATER: FIRE: BUILDING: Aurora Electric 33244 County Road 437 Sorrento, Florida 32776 NOTICE TO PROCEED Subject: IFB Contract for Electrical Replacement Services for Residential Properties. PO # 42697 * * * Total Order $ 4,696.00 Address: 901 S. Scott Ave - Sanford, FI.32771 Parcel ID #: 30-19-31-527-0000-0050 Contact person: Martha Wilcox Phone Number: (407) 322-7241 The services provided by our firm shall begin on 811412018 and shall reach final completion 60 days from Notice To Proceed, as described in the contract documents. The timely and accurate performance of the work set forth in the contract documents is important to the County. It is also a primary consideration for the contractor selections on future projects. Please acknowledge below, retain a copy for your records and return the original to the Seminole County Community Development Office. Do not start the job until the required permits have been obtained and the work scheduled. Please email a digital copy of ROOF permit to: isandley gseminolecountyfl.gov. Upon completion, please notify the Construction Project Manager and submit a copy of the inspection final. We are glad to have you as part of the County's project team and we look forward to a successful project. Sincerely, 1;i Constmcdon ProjectNanager CommunityDevelopmeat Seminole County Govemment Phone.407-665 2376 Far 407-665-2399 wwwseminolerount lrgm ACCEPTANCE OF NOTICE Ac ptance of the above "NOTICE TO PROCEED" is hereby acknowledged, this / day of 7 8. By Title: 1,96e-"A ca cri ve) FLORIDA SALES: 85-8013708974C-0 Board of County Commissioners FEDERAL SALESIUSE: 59-6000856 PURCHASE ORDER S COMMUNITY SERVICES H T 534 W LAKE MARY BLVD 1 O SANFORD FL 32773-7400 swllTy P ROWAS NaUM OMDCE ORDER NUMBER: 42697 ALL PACKING SLIPS INVOICES AND CORRESPONDENCE MUST REFER TO THIS ORDER NUMBER ORDER DATE 08/13/2018 REQUISITION 58729 - OR REQUESTOR SALDUS,CYNTHIA VENDOR # 406873 V AURORA ELECTRIC ORDER INQUIRIES E 33244 COUNTY ROAD 437 N SORRENTO FL 32776 PURCHASING AND CONTRACT DIVISION D 1301 EAST SECOND STREET SANFORD FLORIDA 32771 R r qI/ PHONE 407 665-7116 / FAX 407 665-7956 V{ r ANALYST NICHOLS, ERIN DELIVERY Jae Sandiey 407-665-2376 Cindy Baidus 407-665-2361 ITEM # CITY UNIT ITEM DESCRIPTION UNIT PRICE EXTENDED PRICE M. WILCOX ELEC-901 S. SCOTTAVE., SANFORD CONTRACTOR MUST CONTACT JOE SANDLEY 407$65-2376 1. 00 EA PRIOR TO COMMENCEMENT OF WORK. A NOTICE TO PROCEED p pp 4,696.00 WILLBEISSUEDBYTHECOUNTY, 06691617. 580833.00001 THIS ORDER IS SUBJECT TO THE TERMS 8 CONDITIONS TOTAL AMOUNT 4,696.00 ON THE REVERSE SIDE OF THIS ORDER. SUBMIT ALL INVOICES IN DUPLICATE TO: CLERK - B.C.C. FINANCE DIVISION » POST OFFICE BOX 8080 SANFORD, FL 32772 Accts. Payable Inquiries -Phone (407) 665 7656 Fi RE'FOR THVSEMINOrE COUNTYBOARD OF COUNTY COMMISSIONERS Page 1 of 1 Grant Maloy, Clerk Of The Circuit Court & Comptroller Seminole County, FL Inst #2018097284 Book:9197 Page:1673; (1 PAGES) RCD: 8/22/2018 3:11:58 PM REC FEE $10.00 THIS INSTRUMENT PREPARED BY: tress: e. Thomas North NOTICE OF COMMENCEMENT Permit Number. '0 _3 5 3 O Parcel ID Number. 30-19-31-527-0000-0050 The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information its provided in this LNotice eof CCommencement. 1. DE$G IP] ( Cott AvPR P FTY ,(FLgj2djsf ption of the property and street address if available) 2. GENERAL DESCRIPTION OF IMPROVEMENT: Replace exterior electrical meter, main panel, service wire and interior panel with breakers. 3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: Name and address: Martha Wilcox 901 S Scott Ave, Sanford, FL 32771 Interest in property: owner Fee Simple Title Holder (if other than owner listed above) Name: 4. CONTRACTOR: Name: Thomas North Phone Number. 352-735-0020 Address: 33244 County Road 437, Sorrento, FL 32776 5. SURETY (If applicable, a copy of the payment bond is attached): Name: Amount of Bond: 8. LENDER: Name: Phone Number. Address: 7. Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes. Phone Number. Address: 8. In addition, Owner designates to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Phone number. 9. Expiration Date of Notice of Commencement (The expiration Is 1 year from date of recording unless a different date is specified) WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF -THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN 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 COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. dA&Z /5, az2AA4 m o,( -hf.d. L Signature of Owner or Lessee, or Owner's or Le e's Print Name and Provide Signatorys TiaelOffioe) Authodzed Officer/Director/Partner/Manager) w f O StateofFA_- County oft. p The foregoing Instrument was acknowledged before me this day of a ZW aµby 1 C "t V ti) / V Who is personally known to me OR 19 :D Name of person maidng statement who has produced Identification Ctype of identification produced: yL t F;:... JULIE M. BOWENI E16iNotaryPublic, State of Florida Commission# FF955554 NotarySignature !'r My comm. expires Feb. 07, 2020 f,',-• a t