1807 Palm Way - E08-000798 - GENERATORo 3 (11
Permit # : Us — —79 U Job
Address: ffO Description
of Work: Historic
District: Zoning: CITY
OF SANFORD PERMIT APPLICATION Date:
Z-,y- oP Value
of Work: $ 2000. Permit
Type: Building Electrical y Mechanical Plumbing Fire Sprinkler/Alarm Pool Electrical:
New Service — # of AMPSAddition/Alteration Change of Service Temporary Pole Mechanical:
Residential Non -Residential Replacement New (Duct Layout & Energy Cale. Required) Plumbing/
New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines Plumbing/
New Residential: # of Water Closets Plumbing Repair — Residential or Commercial 4MCIA
Occupancy
Type: Residential Commercial Industrial Total Square Footage: Construction
Type; of Stories: of Dwelling Units: Flood Zone: (FEMA form required for other than X) Parcel #: / -
J U S " Q0 — (Attach Proof of Ownership & Legal Description) Owners
Name & Address: 0 N eS Tp n 7 LP- 7 , Phone: _ '
7 Q% Contractor
Name & Address: Fe r rFi —i 1=ooille s S,30
grAnO 9f rLL 3Z fo.r State License Number: Cc OU O /O y Phone & Fax:
t/67 y'LZ S-f'/ f%9X y on t'Y'1 HOn YV% Phone: Y67 .3 V/ 7 Q a Bonding Company:
Address: Mortgage
Lender:
Address: Architect/
Engineer:
Phone: Address: Fax:
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 ofapermitandthatallworkwillbeperformedtomeetstandardsofalllawsregulatingconstructioninthisjurisdiction. I understand that a separate permit must
be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and AIR CONDITIONERS,
etc. 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 andzoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FORIMPROVEMENTSTOYOURPROPERTY. 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 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 of the property of the requirett ents of Flori Lien Law, FS 7) 3. DJ, Signature
of
Owner/Agent Date Si nature of Contractor/AgentDate y (Li
YYlg S \ /L Print Owner/Agent's Name Pri Contractor/A e is to Signature
of
Notary -State of Florida Date Signature of Notary-S2We o 'F,rjfV Date n Owner/
Agent
is _ Personally Known to Me or Contractor/Agent is onall} KnowR.to,Mel Produced IDProducedID4-404-
6 APPLICATION APPROVED
BY: Bldg: Zoning: Utilities: Initial & Date) (
Initial & Date) (Initial & Date) (Initial & Date) Special Conditions:
f 00
I
POWER OF AIRTORNEY
Date: 2/8/08
I hereby name and appoint Jim Adams
Of Ferran Services & Contracting, Inc. to be my lawful attorney
In fact to act for me and apply to the City of Sanford
Building Department for aft electrical permit
For work to be performed at a location described as:
Section 31 Township 19 . Range 31 Lot 503 Block 0000-0040
Subdivision
Charles Gonzalez, 1807 Palm Way, Sanford,, FL 32771'
Owner of Property and Address)
and to sign my name and do all things necessaryto this appointment_ Kenneth
W. Cross E 0001804 Type
or Print Name of Re ster or Certifie ConJtractor andntractor's License Number Si ture of
Register or Certified Contractor The foregoing instrument
was acknowledged before me this 8 th day of February of 20 0 8 By Kenneth W.
Cross Who is personally (
mown: to me/who produced As identification and
who did not take oath. State of Florida
County of Orange
Seal Notary Public,
Orange
Coun , Florida Pamela Page Stone
gY" Notary=Stonee
PamelMvroExpire