123 Woodland Dr - E17-003128 - METERnl
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: 17— 13 / V? i
Documented Construction Value: $ /
Job Address: Z Z W vf% i-44 D z Historic District: Yes No 0
Parcel ID: Residential,,M Commercial
Type of Work: New Addition Alteration 1 Repair Demo Change of Use Move
Description of Work:)6,91l'o3L:_ i-4-p/oe.D
Plan Review Contact Person: Title:
Phone: Fax: Email:
j
Property Owner Information
Name h—lrlc- Phone: 3 2-I
Street: / -,;7 : [N ?V a,04 L4 A 41 2 Resident of property? : S
City, State Zip: .5_4 )/, W 4 3?-77
Contractor Information
Name 4)0 Q Led-7 - *' Phone: L%7 '/t1/G Fes/
Street: yd y S Fax:
City, State Zip: '%i=E'a ?% State License No.: A6e/&%3_ZfO
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 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 105.3 Shall be inscribed with the date of application and the code in effect as ofthat date: 51' Edition (2014) Florida Building Code
Revised: 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.
Acceptance of permit is verification that I will notify the owner ofthe property of the requirements ofFlorida 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 ofthe 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
Print Owner/Agent's Name
Date
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
4
S ignaiure of Contractor/Agent / Date
O j c/ ,/J /'ray
Print Contractor/Agent's Name
b2U_ —
Signature ofNotary -State of Florida Date
DEBBIE CLANTON
MY COMMISSION it I'F 178648
tt= • EXPIRES: Febmary 25, 2019
Bonded Thru Notary Public Undenvri;ers
Contractor/Agent is Personally Known to Me or
Produced ID Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building Electrical Mechanical Plumbing Gas Roof
Construction Type:
Total Sq Ft of Bldg:
Occupancy Use:
Min. Occupancy Load:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes No
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
of Heads
UTILITIES:
FIRE:
Flood Zone:
of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
Revised: June 30, 2015 Permit Application
Florida Star Electric, LLC
404 S. Palmetto Avenue
Sanford, FL 32771
Phone: 407-416-8001
License # ER 13013250
E-mail: service floridastarelectric.com
Job Estimate
FOR: Amy Baker
123 W. Woodland Drive
Sanford, FL 32771
Date: October 20, 2017
INSPECTION REPORT
Interior Panel is an old Federal Pacific
Meter is double tapped to subpanel outside
SCOPE OF WORK
Replace Interior panel
Correct double tapped meter
Feed interior panel from subpanel outside
GENERAL PROVISIONS
All work shall be completed in a professional manner and in compliance with all
applicable building codes.
Contractor will provide all materials and all labor necessary to complete job.
PROPOSAL DETAILS
The job will be permitted and inspected.
The job will take one day.
1 will have to schedule a service disconnect with FPL. Power will be restored the
same day.
TOTAL COST
1500.00
750.00 deposit due at start
Thank you for the opportunity to perform the electrical repair for your property. If you
have any questions, please feel free to contact me. I look forward to working with you
soon.
Thanks — Bob Hearn
Contract Agreement
IN WITNESS WHEREOF, the parties agree to the scope of the service provided and the
terms of payment and duly affix their signatures under hand and seal.
customer)
t"=1 date
A-f.e T (contractor)
Florida Star Electric, LLC
2 date