214 Pine Winds Ln - E17-002620 - REPLACING AMPSCITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: 01 &go
as
Documented Construction Value:
Job Address: Ldln(ys /-s-,-Ve Historic District: Yes No
I
Parcel 1D: I/ C 3o - SCfA -- cx)- o/, Q Residential Commercial Type
of Work: New Addition Alteration Repair Demo Change of Use Move Description
of Work: Ci
olC,
r`,i x !.`snr / yG 1r- FFa fix'C n tA.,, zc v
fyc,.
l60 ) ue-01 /4 try 'j aerie. 1t cc i j Plan
Review Contact Person: 7"C-Grr > 1 1 -17 55 Title: loreS;cCtn! Phone:
Yra7- 47 Qa,9 Fax: '*t7 . a9-) Email: lec rj Yo7 `
5 Property Owner Information. Name
Phone: Street: _
o?iV A,; ; LAJ=nds 40t-1vo— Resident of property?: )ee-S, City, ,
State Zip.', S'ankyy-( cL 3)7"'7 Contractor
Information Name
0%1727' S-e- t-/pC V r)C ,--7-- Phone: 4Yb-3t- 8-97 - aDQcl- Street:
i y7c %irk•ir Pc»'4 0 % tom.. Fax: 'L/07 &'19'7 c2oDO/ City,
State 'Lip: ;cS nfc C , f{ 7 :3 State License No.: 4C"C &Q 3-20 Architect/
Engineer Information Name:/', ,
Phone: Street:
Fax: City,
St, Zip: E-mail: Bonding
Company: A/l Mortgage Lender: Address:
Address: i
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, inade to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commencedpriortotheissuanceofapermitandthatallworkwillbeperformedtomeetstandardsofalllawsregulatingconstructionin
this jurisdiction. ilutderstand that a separate permit trust 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: 51h Edition (2014) Florida Building Code 1Revised:
June 30, 2015 Permit Application
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.
r
Acceptance of permit,: is verification that I will notify the owner ofthe 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 9 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 locallordinance. Should calculated charges figured off the executed contract exceed the actual construction value,
credit will be applied to your permit fees when the pemiit is issued.
i
OWNER'S AFFIDAV[T: I certify that all of the foregoing infor i accur a and that all work will
be done in compliance with all applicable laws regulating co ructi aye} }g.
Signature of Owner/ Date
Florida Date
i
Owner/Agent is Personally Known to Me or
Produced ID ? Type of ID
f M
tafe of Contractor/Agent Date
PCi tt C,ontractor/Akcnt's Namc
S-aa-f-).
L
Notary P
eu
Stateo! Fbrtda
Amy L geumer
My Commission FF 998338
Sxplres 08/2912020
Contractor/Agent is Personally Known to Me or
Produced ID Type of ID
3E
19
BELOW IS FOR OFFICE USE ONLY
I
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 Fire Alarm Permit: Yes No
APPROVALS: ZONING: UTILITIES: WASTE WATER:
ENGINEERING: FIRE: BUILDING:
COMMENTS:
Reviscd: June 30, 2015 Pennit Application
Morrissette Electric, Inc.
1470 Tropic Park Drive
Sanford, FL 32773
Phone: (407) 897-2229
Fax: (407) 897-2204
By Email: Nik berkley@vahoo.corn
August 21, 2017Z
Nicole Burks
214 Pine Winds Drive
Sanford, FL 32773
Re: Service ChanceI
Nicole:
We are pleased to have been invited to Submit this proposal for the following:
I. Service Change
A. Furnish and install (1) 150 amp, 10 panel to replace existing FPE
panel.
B. Furnish and install:
0 (7) 1 P20 amp circuit breakers
0 (6) 1 PI 5 amp circuit breakers
0 (2) 2P40 amp circuit breakers
0 (1) 2P30 amp circuit breaker
PROPOSED COST ..................... $1,790.00-1
11. Extend (2) new 20 amp circuits from new panel to Kitchen (refrigerator and coffee
maker).
PROPOSED COST ..................... $840.00*:
Cost does not include permit. See cost breakdown below:
Service Change $1,790.00
New Circuits 840.00
Permit 150.00
Total Cost $2,780.00
Accepted By Ov"4A, —r9 Date
LV
Sincerely,
Jean A. Morrissette
I Hl, INb
Name: _
Address:
NOTICE OF COMMENCEMENT
State of
County
Permit Nu
The unde
Chapter 7
OWNER
Name: N
Address:
Fee Simi
Address:
Persons wit
as provided
Name:
Address:
In addition to
Section 713
Expiration;[
different dal
FLORIDA
NOTICE
INSPECT
BEFORE
Undeyfttothxa
Florida
GRANT MALOYr SEMINOLE COUNTY
CL.ERY OF CIRCUIT COURT It COMPTROLLER
BY, 8979 Pa 1196 (1Pgs)
CLERK'S A 2017087422
RECORDED 08/28/2017 02:48:31 Pit
RECORDING FEES $10.00
RECORDED BY hdevore
Seminole
yer: F t-E' Qrcel ID Number: 1 1-20-30-5CR-0000-0120
fined hereby gives notice that improvement will be made to certain real property, and in accordance withFloridaStatutes, the following information is provided in this Notice of Commencement.
mds°6rlve ' a ior°r1 t°13 i $a lid elid akefly We)
ers Ing i 5 amp, IMPROVEMENT-
3 phase, 240 volt FPE service with new,150 amp,
ORMATION:
le and Richard Burks
4 Pine Winds Drive, Sanford, FL 32773-5538
title Holder (if other than owner) Name: _
R:
ssette Electric, Inc.
70 Tropic Park Drive, Sanford, FL 32773
tin the State of Florida Designated by Owner upon whom notice or other documents may be servedbySection713.13(1)(b), Florida Statutes.
himself, Owner Designates of
To receive a copy of the Lienor's Notice as Provided in
3(1)(b), Florida Statutes.
ateof Notice of Commencement (The expiration date is 1 year from date of recording unless aIs! specified)
0 OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF
MENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, ATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
I. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEYMMENCINGWORKORRECORDINGYOURNOTICEOFCOMMENCEMENT. i
Ities of perjury, I declare that I have read the foregoing and that the facts stated in it are true
f my knowle ge and belief.
i
Owner's S ram---f Owners Printed Name
ite 713.13(1)(g): • The owner must sign the notice or commencement and no one else maybe permitted to sign in his or her stead."
State of 1 R i L County of CEIWI l,(!GG
The foregoing instrument was acknowledged before me this day of J Kfi6( 20
by /GD is _ . Who is personally known to me s, Name of person making statement `'• '1
OR who has; produced identification type of identification produced:
ASKEY D. OUTIERREZ
NOTARYIPUSUC
STATE OF FL.oR)DA
ca. i'*FF0725M
Expires! 11/24,2017
Fln