1403 Mara Ct - E19-000003 - PANELPERMIT APPLICATION
k 67ApplicationNo:
Documented Construction Value: $ /0
job Address: _s 03 ow-0 C-t ' Historic District: YesEl NoD'
Parcel ID: 5 /- / V —,3 / - -5 () — 0 "00 -
Type of Work: NewE] AdditionE] Alteration
Description of Work:
Plan Review Contact Person:
Phone: Fax:
Residential UCommercial El
Repair Demo [I Change of UseEl Move 1:1 Email:
Property
Owner Information Title:
Name
1.5 0 k -Ab Phone: 40 d to Street:
W-0 Resident of property?: City,
State Zip: Contractor
Information Name
Phone, Street:
Fax: City,
State Zip - State License No.. _Cc ca Name:
Street:
City,
St, Zip: Bonding
Company: Address:
Architect/
Engineer Information Phone:
Fax:
E-
mail: Mortgage
Lender: Address:
WARNING
T TOOWNER: 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 NoTicr 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.
FDC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 6h Edition (2017) Florida Building Code
hjQILLE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public
record, of, this county, and Owl-c may be additional permits required 1'rool other governmental entities SLICII a, WMCl- 111,01al"cincm dkirios, Matey
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.
I tic City of Sanford requires payment of plan review (cc 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 ofsubmittal. The actual construction value
Will be figured based on the current R.C. Valuation Table in effect at the time (lie Vcrtnit is issued, in accordance with local ordinatice. should calculated
charges figured off the execute(] 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 taws regulating construction and zoning.
Signature of'Owner/Agent Date
Pi hit Owncj (A,,cnt' Name
Signature of Notary -State of Florida Date
BLANTONDEW -_
y COMMISSION
a
4 FF VeW
ru25 2019 Owner/
Agent is Personally Known to Me or Contractor/Agent Pr oonde
Produced
ID Type of ID Produced ID BELOW
IS FOR OFFICE USE ONLY Signature '
ofContractor/Agent Date 11,
i int Con(iactm,'A p:w'sName Signature
of Notary -State of Florida Datc Permits
Required: Building n Electrical 11 Mechanical [I Plumbing [I Gas 11 Roof 11 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 E]NoE] #of Heads APPROVALS:
ZONING: ENGINEERING:
COMMENTS:
U7TILITIFIS:
FIRE:
Fire
Alarm Permit: Yes 0 No 11 WASTY,
WATER: BUILDING:
Aurora Eject-ic
33244 County Road 437
Sorrento, FL 32776
Phone:(352) 735-0020
Fax:(352) 735-9966
Name / Address
Pat Lynch
909 Dennis Ave.
Orlando, FL. 32807
Estimate
Date Estimate #
1/2/2019 18139
Project
Description Qty Rate Total
Job: 1403 Mara Ct, Sanford, FL
Electrical Permit & Inspections
Electrical & Lighting- Replace existing FPE panel with Square D
panel & breakers.
135.00
1,030.00
135.00
1,030.00
Total $1,165.00