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251 Gordon St 14-1719 (emergency light)TEC IVSD FEB 17 2015 BY: CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No:, '06)(10, l71 Documented Construction Value: $SDC? , O -D Job Address: a Si 6-0,f20 Al S 7—, . Historic District: Yes ❑ No Parcel TD: a 7` 19- go - 5_0 LE O 0 0 0 Zoning: Description of Work: A l 7`" 1�p9 t-:1Q.G Plan Review Contact Person: Phone: Fax: E-mail: Property Owner Information Title: _ _ Name K D . l ly (��7-lyl�r/7� LZ.G: Phone:... Street: Resident of property? City, State Zip:o,2z> "Name r L S Contractor Information L G-�?e(L. / / t �T �.�_�`_T �� w Phone: 4/-7 %f Street: _ Fag: t3 Z-% � � � ' �/ t, City, State Zip, State License No.: Architect/Engineer Information Name: & A Street: ' City, St, Zip: Bonding Company: Address: Phone: Fax: E-mail: Mortgage Lender: Address: PERMIT INFORMATION Building Permit Square Footage: z_71xZ- Construction Type: No. of Stories: No. of Dwelling Units: Flood Zone: Electrical Plumbing ❑ New Service - No. of AMPS: _ New Construction - No. of Fixtures: Mechanical I] (Duct layout required for new systems) Fire Sprinkler/Alarm [3 No. of heads: Shall be inscribed with the date of application and the code in effect as of that date (Code 2010 FBC) 731.135(5)(6) Florida Statutes. REV 07.14 Application 1s hereby > made- io 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 411 laws regulating construction in this; jurisdiction. I understand ttiai: a separate: permit must be secured for'electrical work'plumbing, signs; wells,, pools, -furnaces, boilers, beaters, fAnks, and air conditioners, etc. OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will be donein compliance with all applicable laws regulating construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD ID A ;NOTICE OF COMMENCEMENT MAY RESULT IN YOUR. PAYING TWICE FOR IMPkOVEMENTS 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. NOTICE:. In addition to. the requirements of this permit,. there, may be additional restrictions applicable to this property that maybe found in the public records of this •county; and there may be addition [permits required from'other;governmental entities:sueh as water imanagefnent-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. A copyof the.cgecuted contract: is required in order to calculate a plan review charge:, if the.executed contract is not submitted; we' reserve the right to calculate the plan. review fee based on past permit activity levels. Should calculated charges exceed the documented construction value when the executed contract s`su.bmitted, credit will be applied to your permit fees when the permit is released. a s°" N*Iary Public State of Florida T POnelOpe Vlancsin My COR1mI8ei0n FF 138033 Ott 8kplfao 07/29/2018 Owner/Agent is Produced ID Persona ly nown to a or "Type of ID APPROVALS: ZONING: ENGINEERING: COMMENTS: of /.5 - 4-4, L Date of Florida Date e.Notary Public State of Florida Penelope Vlancsin y.4,Q My Commission FF 138033 '?ppn Expires 07/26/2018 Contractor/Agent is Personally Known to Me or Produced ID Type of lD UTILITIES:.. WASTE WATER: FIRE: BUILDING: Shall be inscribed with the date of application and the code in effect as of that date (Code 2010 FBG) 731.135(5)(6) Florida Statutes. REV 07.14 POWER of ATTORNEY Date: 1(3 1X Z hereby, name and appoint of !� ,�7 �//V' G to be my lawful attorney in fact to act for me and apply to the.: Building Department for a ¢i.. -- perm•i t. for work to be performed at'a location described as: Section t /. Township3D'"Lot���© �Q ~��� RangeBlock Subdivision (Address of Job) / (Owner of Property and Address) and to sign my.name and do all things necessary to this appointment., /V 77 Type or yrintAAme_gt4Wtified Contractor Signature oftertmified Contractor- The ontractorThe foregoing instrument was acknowledge before me this by who isersonallykno n o me/who produced as identification and who did not take oath. State of Florida unty of�/L/40 Commission My Commission Expires: / 1/92 �P Notary Public Stata of Florida Penelope Vlancsin My Commission FF 138033 o►n Expires 07/26/2018 3 P.O. Box 593884 Orlando, Ft. 32859 Invoice Date Invoice # I i 14!2015 4141 Bill To P.O. No. Job Name Parker 1). Investments I.LC Same 201 Gordon St. Sanford. 11. 32771 Phone Number Fax Number Description Qty Rate Amount Provide and Install (1) combination Exit/Emergency light with battery backup. Connect to existing warehouse lighting circuit. Materials; 4 149.10 75.00 149.10 WMX) Labor QUALITY METALS, INC. PAYMENT AUTHORIZED Received Date: JAN 19 2015 By: Quality Metals, I c Please contact us if there are any questions. Phone: (407) 438-4771 Fax: (321) 613-3166 lileselectricco@aol.com $449.10 Tota' berms: Due upon receipt