1104 Mangoustine Ave - E18-004252 - REPAIR WEATHERHEADOTY Of (
t ,+ AN URD PERMIT APPLICATION
BIlILC)iNG DIVISION 1ApplicationNo:
Documented Construction Value: $ -7W - 00 Job
Address: N 04 u Historic District: Yes NZ Parcel
ID: - % (Q - nz5" - Residential .M Commercial Type
of Work: New Addition AlterationR Repair Demo Change of Use Move Description
of Work: Plan
Review Contact Person: 1Ji n t A 1 rce Title:( Wnec Phone `
7 i `-7 Fax: Email:-0) TarM'1 T5&A;11 n Property
Owner Information Name
Phone: Street:
t' NQ r Resident of property?: City,
State Zip: -L--32zz s Contractor
Information n /
f NameO1IT1y L,C Phone: `"3` ` b Street: Fax:
City, State
Zip: r-r State License No.: R 130 r 06 3 7 Architect/Engineer
Information Name: I'-
Y Phone: Street: City,
St,
Zip: Bonding Company:
K o n `e-, Address: Fax
E-
mail:
Mortgage Lender !"
LJn'C 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 of that date: 61" Edition (2017) Florida Building Code
NOTICE: In addition to the requirements ofthis 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 tocalculateaplanreviewchargeandwillbeconsideredtheestimatedconstructionvalueofthejobatthetimeofsubmittal. The actual constructionvaluewillbefiguredbasedonthecurrent ]CC Valuation Table in effect at the time the permit is issued, in accordance with local ordinance. Should calculated
charges figured offthe 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.
Signat /A ent Date
Print er/Agent's Name
Signature of Notary -State of Florida Date
M. BAL W NT
s°- S Notary Public - State et
Owne F i9 . c o l Xq1, Nui4 ib Me or
F q, mtiasio F 174421
Prod -XPe - 11
Signature of Contractor/Ag Date c7
Print Contractor/Agent' Name
Signature of Notary -State of Florida Date
M w:,, 1
fc,e' M. BALVJAN I
Notary Public State of Florida
Contractor oD4il'yshltitc%Wtb a or
n !/ FF 174424Produced;D' °F TYW61A 5'
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building Electrical Mechanical Plumbing Gas Roof
Construction Type: Occupancy Use:
Total Sq Ft of Bldg: Min. Occupancy Load:
Flood Zone:
of Stories:
New Construction: Electric - # of Amps Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes []No # of Heads Fire Alarm Permit: Yes No
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES: WASTE WATER:
FIRE: BUILDING:
Control Electric, LLC
8006 Beau Lane
Orlando, FL 32808
August 11, 2018
RE: 1104 Mangoustine Ave
Sanford, FL 32117
I hereby propose to perform the labor necessary for the completion of the following
electrical work
Repair weather head
All work will be performed to comply with the National Electrical Code and the local
jurisdiction in a substantial workmanlike manner for the sum of:
Permit Fee: $
Labor & Mat 750.00
TOTAL $ 750.00
paid to City of Sanford
41
40
Crosby DavU
Control Electric, LLC
Kathlyn DeVincenzo, Owner
SENT TO: building@sanfordfl.gov