2401 Stevens Ave; 18-3867; ELECTRICALCITY OF SEP I
Sk 40RD PERMIT APPLICATION
BUILDING DIVISIONI
Application No. I U
Documented Construction Value:
Job Address: C.S -i"y Historic District: Yes Nog,,
Parcel ID: 3 1 _ l 3 1 — Z- —/ 20D - 00 C) Residential [a Commercial
Type of Work New Addition
cAlteration
Repair Demo Change of Use Move
Description of Work l`_t 1C'u_ z^\f 'U k)C'C rm_ AZ'CO\r %" u\c b`
c'\x Plan
Review Contact Person: Title: Phone:
Fax: Email: Property
Owner Information Name (_ '`
r l S Phone: `I%y r Z 2. — 3 Street:
3&o'd t 0 y r"A-r-c6 iJ 7 i Resident of property?: y
City,
State Zip: C' A—t c-67 3 Contractor
Information Name /
4' A- C('-Ci 2i - Phone: S % 0 Street:
Q S. a Xx Lkt- 1 Fax: City,
State Zip: kw„c. G f'y L S2ci 6-S State License No.: Architect/
Engineer Information Name:
A% Phone: Street:
Fax: City,
St, Zip: Bonding
Company: tk Address:
E-
mail: Mortgage
Lender: A f Z/- 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 1'05.3 Shall be inscribed with the date of application and the code in effect as of that date: 6°i 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.
a-:2ZI4 A- 6- K- 20/6 %AI'It—
Signature o caner/Agent Date Sign atur f Contractor/Agent Date
it
Print ove er/Agent's Name Prin tractor/Agent's e
9
Signature of Notary -State of Florida ate Signature I,lo'" Mate of Fl6•t E
Notary 01,&c - State of Flame
r ` Corrrrissior # GG 110900
e . - k4y Corrr. Expires Jar 16.2022
Owner/Agent is Personally ° n to Me o Contra g nt is Personally Known to Me or
A== fProduced ID Type of ID o<
PaY ' SHERRY A 6'L'M ems
Notary Public State of Florida Commission #
FF 989101 9r
moo; My Comm. Expires May 4, Bozo BELOW IS FOR OFFICE USE ONLY Bonded
through National Notary Assn. Permits
Required: Building Electrical Mechanical Plumbing Gas Roof Construction
Type: Occupancy Use: Flood Zone: Total
Sq Ft of Bldg: Min. Occupancy Load: # 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:
ESTIMATE/WORK ORDER
Name:
Address.
City, Sta
0107
ElectricPLLC
Residential • Commercial • Industrial
Licensed & Insured LIC # EC13004760
Office: 386-259-5725 • 407-302-9090 • Fax: 407-956-1327
Main Office: 1067 B Shadick Drive • Orange City, FL 32763
Finail- info 0 ama-electric.com
11
DATE: l I V ^ \q
Phone:
CITY. MATERIAL / JOB DESCRIPTION AMOUNT
v.
T?YAL V o
CONTRACTTERMS: ///
1 hereby accept the terms herein : ///fDATE: AUTHORIZATION : I hereby
authorize the repair work/service set forth herein to be done along with the necessary material and agree that AMA ec is P C is not responsible for any loss or damage
beyond AMA Electric's control or for any delays caused by unavailability of parts or delay of parts by supplier or transpo r.
ALL REIMBERASBLE INVOICES ARE DUE WITHIN 7 DAYS. LATE FEES APPLY SAME AS RESIDENTIAL. LATE FEES: RESIDENTIAL: All invoices are due within 7 days
of invoice. Failure to pay within 7 days will incur a 10% late fee and shall be compounded each month that payment is late.
COMMERCIAL ACCOUNTS: All invoices are due within 30 days of invoice. Failure to pay within 30 days will incur a 15% late fee and shall be compounded each month that
payment is late.
WARRANTY: All parts and labor supplied by contractor shall be warranted for 1 year from date of completion.
This warranty shall be void if any person or contractor other than AMA does any additional work or changes to the work performed pursuant to this agreement.
ATTORNEY'S FEES AND COST: Contractor shall be entitled to attorney's fees and cost in the event the contractor is required to collect any money owed on this contract.
ACCEPTANCE OF WORK: By signing below, I agree that the repair/service of my product(s) has been completed to my satisfaction and there are no damages to my product,
residence or personal property(other than noted on the front of this contract) that may have resulted from the service. I hereby release AMA from all liability for any damages to
the residence/commercial space or personal property (other than noted on the front of this contract) and for any injury, losses, or damages of any kind to persons, including
death, or property damage resulting in whole or in part, directly or indirectly, from damages noted in contract that may have resulted from this service. I HEREBY ACKNOWLEDGE
THE SATISFACTORY COMPLETION OF THE ABOVE DESCRIBED WORK;
SIGN: DATE:
SCPA Parcel View: 31-19-31-524-1200-0010 Page 1 of 2
utarsnson CFn
Property Record Card
PP Parcel: 31-19-31-524-1200-0010
naai Property Address: 2401 STEVENS AVE SANFORD, FL 32771
http://parceldetail.scpafl.org/ParcelDetailInfo.aspx?PID=31193152412000010 9/12/2018