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HomeMy WebLinkAbout109 W 17 St 12-1818 replace pipes* J � i D D CITY OF SANFORD JUN 18 2012 BUILDING & FIRE PREVENTION =- PERMIT APPLICATION Application No: , d — Documented Construction Value: $ 3 i 0 Job Address: l0!j (J.�JN*JFD,ez>4FG 3 77/ Historic District: Yes Nox Parcel ID: 3 (o -I - 3 0 5-b�o `00 00' © 410 Zoning: �= T/ Description of Work: MAVer 'o L-' GvgN/ZP)1 1w . /CePugc-' tulapvr, Plan Review Contact Person: Title: Phone: Fax: E-mail: Property Owner Information Name G( ft 64 �GJ/G A* Phone: qO7 ' X103 -3-3-3 Street: q W, 17)' y7- Resident of property? : �J City, State Zip: 334MN a, FL .3a 77/ Contractor Information Name 94C &1876 1/VG- Phone: Street: -T5.O lr%C.LNTQS#OD/Nr'1�3e Fax: City, State Zip:.jAj1jyo9P , 7Z 9.277,5 State License No.: CC 1 C/Q 9//0 Architect/Engineer Information Name: Phone: Street: Fax: City, St, Zip: E-mail: Bonding Company: Address: Mortgage Lender: tAC LS awj'.' D Address: A"2 (A)C- ,6 Fg2G0U)Pq - PERMIT- INFORMATION Building Permit ❑ Square Footage: No. of Dwelling Units: Electrical ❑ New Service - No. of AMPS: Construction Type: No. of Stories: 2 -- Flood Zone: Plumbing 92"" Apy2e New Construction - No. of Fixtures: Mechanical 0 (Duct layout required for new systems) Fire Sprinkler/Alarm 0 No. of heads: 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. 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. 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. 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 requirements of Florida Lien Law, FS 713. The City of Sanford requires payment of a plan review fee. A copy of the executed 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 is submitted, credit will be applied to your permit fees when the permit is released. gnAure of Owner/ get/ ' ' Date iNaaturesof Contractor/Agent Date 6_ Pr nt caner/Age am Print Contractor/Aa 's Nam Signature of Notary -State of Florida 6atc Signature of Notary -State of Florida Date tiY ••°%''' PAMELA L. ROBINSON Commission # EE 050228 a;= Expires February 19, 2015 4• 9v4WnmTroyFalnNsiaance800.38-,7018 Owner/Agent is P'� ersonall Known to Me or Contractor/Agent ent is 'Personally Known to Me or Y g Y Produced ID Type of ID Produced ID Type of ID APPROVALS: ZONING: UTILITIES: COMMENTS: Rev 11.08 WASTE WATER: ENGINEERING: FIRE: BUILDING: 4 *I RWC Plumbing & Filtration Ph:407-878-4813 5350 McIntosh Point #134 Sanford, Fl. 32773 CFC1428110 PLUMBING PROPOSAL To: Walter & Linda Wilfong Project: Re -pipe Location: 109 W 170, St Sanford FI 2771 Phone: Fax: Date: 4-2-12 AdmowledgedAddenduin(s) (o) Alternate(s) (o) Replacement of old and leaking copper and galvanize pipe and fittings due to age and to bring property up to current health standards. Replace with cpvc pipe and fittings. Re -pipe all hot and cold water lines through -out entire home using cpvc pipe and fittings. Install new shut offs to all fixtures including main shut off and water heater. Install new ice maker box and laundry shut offs to replace old copper line to refrigerator and washer. Replace/Install 4 new hose bibs on house. Install new supply lines to faucets and toilets if applicable. Total: $ 3,400.00 All material is guaranteed to be as specified .All work to be completed in a professional manner according to standard practices. Any alteration or deviation from the proposed Scope of work involving extra costs will be executed only upon written order, andwill become an extra charge over and abo%v the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. Our workers are fully covered by worker's compensation Insurance. -e. P4,6 h S �� (emailaddress)By: I YX # Contractor Signature: Owner SignatureAIf// Date of Acceptance: Date of Acceptance: Acceptance of Proposal: The above pnces, specification & conditions are satisfactory & are hereby acc6p4d. You are authorized to do the wwork as specified per attached specifications. Terms: Payment due at time of completion Project. PIumbing Inclusions: Pipe and fittings Permit No. Tax Folio No. NOTICE OF COMMENCEMENT State of Florida County of Seminole The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following f d d' th' N t' f C nmenceinent MARYANNE MORSE, CLERK OF CIRCUIT COURT SEMINOLE COUNTY BK 87794 Pg 12311 Upg) CLERK'S ## 2012071778 RECORDED e6/19/2012 01:46:18 PM RECORDING FEES 10.00 RECORDED BY J Eckenroth(all) m ormaL on is prove e to is o ice o of 1. Description of property: (legal description of the property, and street address if available) Ioq Ito -1q'30 —S-p(v-0000 Og40 {� nlwe t;Ky--rrnj6- c.oP Pr &yLVHv rzeD q'; f)%AX �+ �c: PbACt (vl 2. General description of improvement: %PVC. , AC-&aCG ti RcFz- EAQ4CETS 1401E, �L2 , .�, � 3. Owner information: Name:'W141,-r lL tolt,F606- Address: 1OR U3 i�'-1`Sfi t 52n-�0('d , FL 3)771 L4o`7'4-03 '3331 407 -*014 'O,)D5 b. Interest in property: Uu_)oJE (1- c. Name and address of fee simple titleholder (if other than Owner): Name: Address: �4. Contractor Name: (U,3C. QLLIp }Q)106- Phone number: j c. Address: 5b (1'►c'S.c.3To �t l Q�r , � 13� -5P43 IPO 5. Surety Name Address: b. Amount of bond: $ 6. Lender: r Address: b. Lender's 7.a. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7.; Florida Statutes: Name: Address - 8.a. In addition to himself or herself, Owner designates of to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. b. Phone number of person or entity designated by owner: 9. Expiration date of notice of commencement (the expiration date is 1 year from the date of recording unless a different date is specified) WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN 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 ATTO Y BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF CO NGE NT nature wner or O s Aut rized Officer/Director/Partner/Manager Signatory's Title/ t` The foregoing instrument was acknowledged before me this / 3 day of (year) , by name of person)—as (typ��FIED COPY authority.... e.g. offic , trustee, ttorney 1 0 for (name of party on behalf of whom instrument was executed) MARYANNE MORSE Ar. PAMELA L. ROBINSON CLERK OF CIRCUIT COURT (SEAL) Commission # EE 050228 Expires February 19, 2015SEMINOLE COUNTY, FLORIDA SignatureofNotaryPublic %ftdW71ruTmyFain Inomce0003857010 Personally Known OR Produced Identification a Gen ea,8Y EPIITY CI.VPW Verification pursuant to Section 92.525, Florida Statutes: Under penalties of perjury, I declare that I have read the foregoin and that facts stated }t are true to the best of my knowledge and belief. JINN 19 201k HS INSfhd14Y1.(d1 PR Ftp UY ignature ofNatu"r-al Person Signing Above DAME Rev. date 3/2008 ADDR.`-!