415 Orange Ave - E17-000226 - Electrical PanelWeil I191990"Mwayollli
PERMIT APPLICATION
01
Application No:
Documented Construction Value: 57 L>
j1) isltlo`rie-D,-Iis-tlriet: Yes El NoEl0-Address:
Parcel 1111- Residential 0 Commercial D
of Work: NeNvEl Addition El Alteration[] Repair E] DemoEl Change ofUse MoveEl
tr--r, - -,, 1 -)-- -
vDege'ription of Work:
Plan Revie-*v Contact Person: Title:
Phone: Fax: Email:
Name
Property Owner Information
Phone:
Street: A Resident of property?
City, State Zip:
Name
Contractor Information
t Phone:
2
G71Street: LFax: City,
State Zip: State License No.: Architect/
Engineer Information Name:
Phone: Street:
Fax: City,
St, Zip: E-mail: Bonding
Company: Mortgage Lender: Address:
Address: WARNING
TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY lit SULTIN 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 INTENDTO 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 1053
Shall be inscribed with the date of application and the code in effect as of that date: Ste Edition (2014) Florida Building C,ode W
NOTICE: In addition to the requirements of this pertnit, 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 ofpermit is verification that I will notify the owner ofthe property of the requirements of Florida Lien Law, FS 711
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 constru tion and z
7
Signature of Owner/Agent turSigia e of Co ractor/AgentDater, Date
Print ONner/Agerrt's Name
Signature of Notary -State of Florida Date
Owner/Agent is -- personally Known to Me or
Produced 11) --_ Type of ID
F,io-tContractor/Agent's Name
lgnwnieof N).tarrc-Statc of Florida Date
rF 178M
E,V'T+S2019 Contractor/
Agent is -- Personall Xnown to Me or ProducedlD---.—
Type offEl.t 1-
1-
p ,
Ico BELOW
IS FOR OFFICE USE ONLY PermitsRequired:
Building[] Electrical[] Mechanical[] Plurnbing[] (jas[] 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: YiJ7 1 # of Heads ---- Fire Alarm permit: Yes [] No [] APPROVALS:
ZONING: ENGINEERING:
COMMENTS:
UTIIATIES:
WASTE WATER: BUII,
DING-. Revised:
June 30, 2015 Permit Application
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date:
I hereby name and aivoint. C Mlf
an agent of.__'F,4 u o a -do CC-11c, c", rtma -ISe--ru"t ca
to be my lawful attorney -in -tact to act for me to apply for, receipt for, sign for and do all things
necessary to this appointment for (check only one option):
M
Expiration Date for This Limited Power of Attorney:
License Holder
qtnti- lioi-.nqiViimhew- 3 S'
Time,
Repair & Installation Service
tndustriaJ - Con-trncrcW - ResidentNal
CONTRACT
The present contract its to perform the replacement of an
outdoor main breaker panel at the house located at :
ITEM FEWER]
The job to perform it will be:
Replace main breaker panel located outdoor of the house this
job will include :
1- Materials required to perform the job
2- Install panel up to national electrical codes and the city
codes required to be up to date
3- Pull permit to perform the job
4- Finish the job in time accord with the owner
This contact does not include any electrical repairs inside the
property if needed
3025 SILVER STAR RD SUIT# 107 ORLANDO FL 32808
Total of this project will be $ 850.00 this price does not include
permit cost this must be paid by owner.
Payment plan will be $ 400.00 at the sing of the contact and
The balance due upon final inspection
Cal il Md(ales
zm
Vieginia Straight
Property owner