HomeMy WebLinkAbout550 Plumosa DrCITY OF SANFORD
BUiLFANG 2k tiRE PREVEN T iON
PERMIT APPLICATION
n No
Documented Construction Value: $j, ( -'
Job Address: :250 Historic District: Yes ❑ No
Parcel ID: `j02 - LA00- 3013(C) _ Residential ff Commercial ❑
Type of Work: New FT Addition ❑ Alteration ❑ Repair ❑ Demo ❑ Change of Use ❑ Move ❑
Description of Work: HVAL (lyn P (Aot ~P,, rA 3 Aon I St°er Knre -, h)eniyuNl7 Srt,`g sys- Ong
t.tsi--0h ck K10 ht?(A_ S+fi0 card A)O Due.-r WnrK
Plan Review Contact Person: LmAn& L;-4e Title:_ (ACC _
Phone: Fax: 1 �-S�S-dj-�(o Email: t) S��ui�c..S�a(�noi�nu a Qi:na.Corp
Property Owner Information
Name VC 1m(A ��a &ooKS Phone:
Street: 550 06\40 . Resident of property?
City, State Zip: �UheDCCl , RL Z97_-�
Contractor information
i��aiitc �L�ICL ��r�liCl7rlti-tl�i"j lrtl' hi'� t1fYaS��C, i�ivuc: �'(UT' rS�O�-'7tDD0
Street: ���; GolprliAl1tiJP. �0(? Fax:
City, State Zip: 1 �(a �, I L ��fl State License No.: CA(-- 0555�5C)
Architect/Engineer Information
Name: Phone:
Street: Fax:
City, St, Zip: E-mail:
Bonding Company: -_
Address:
Mortgage Lender:
Address:
WAA"i7NG Tfl II�VNE_A_• YOUR FAH-URF TO RECORD A N(1T!CE OF C/1N!,MENTCFN!'FNT MAY RESU T TN 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 O.BTAiN
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: 5e° Edition (2014) Florida Building Code
3 [
Il l: Ylat.'11, JwLl; 30, Ilit-) i'u6a Appl;�Aaoi
PROGUARD, .-RESTORAT ION
"tiyhere QuaComes First
Ph# `'�U ! "(3� VI — �J EmailRc
Job Address.
`C
(1 l) INSURANCE CLAIMS ONLY X —1 _
Coritr c.Amount:
All work scope and/or costs specified in this contract agreement
is subject to or contingent upon the approval of the customer's
insurance company. The undersigned further.appoints PROGUARD RES- U S:-DOliars .( $
TORATION (hereinafter referred to as 'PROGUARD) as"representatiye
and permits PROGUARD to negotiate with the insurance company for set Payment tO be mad unpn COCA letion.. "r. a5 follows:
tlement ofYhe irsurance claim. 1t there -is a difference "of work"scdpe and/or s-.L==
costs, PROGUARD may,negotiate a reasonable replacement and/or replace-
ment cost mutually agreed between PROGUARD and the'insurance compa-
ny.. PROGUARD will"not start until Iwo'rkis approved'by::the,.insurance'
company.
INSURANCE COMPANY—'meRDRESTORATION,only
A►payACCEPTANCE OF PROPOSAL
The above..-,rices;�s ecifi atio,nd ontheconditions
ofihis�doc�me document contract
agre�emendla're.hereby,accepted�;l / We have read and understand
p p ry
"the terms and conditions PROGUARD RESTORATION
(hereafter referred to as "PROGUARD") is authorized to do thework as specified and in accordance with the terms a,nd conditions and
stipulations of this contract agre ' t. Pay m twill be made as"statetl above.
Authorize . SI rratur
Print Name
Title,UJ
f Sa(es.�� ,
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.
Acceptaucc 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 to calculate a plan review charge and will be considered the estimated construction value of the 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:] 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 C?wnerlAgent Date Signature of Contractor/Agent ate
Print Owner/Agent's Name Print `ontractor/Agent's Name y
Signature of Notary -State of Florida Date gnature o£Notary-State of 11oci n Ua
t r Notary Pubilc State of fWda
Amanda tittle 1740
c K+ MY comtnlaaton FF
w c#* EXPiMS 0JJi912
Owner/Agent is Personally Known to Me or a s ersonally Known to Me or
Produced iD Type of iD Produced ID Type of iD
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing❑ Gas❑ Roof ❑
Construction Type: Occupancy Use: Flood Zone:
Total Sn Ft of Bldp-
Min. nccnnancy load:
New Construction: Electric - # of Amps
# of Stories:
Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes ❑ No ❑ # of Leads Fire Alarm Permit: Yes ❑ No ❑
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
WASTE WATER:
BUILDING:
Revised: Junc_W 2015 Permit Annlication
THIS INSTRUMEMT PREPARED gy.
Hama: Pro_auerd Restoration
roe
Bode -
NOTICE OF CO r E CEMENT
Panpei ID Humber:
The 1uigrred hereby glues notloe that knproverrtt wB be made to orutain real
foUowlrrg infammtiar is plovated in lhFs Natfoeof Comma . add in accordance va Chapter 713, Florida Statutes, the
1.
z_;
Fee Statpta Titte t 0WW (if eta ftn MVW listed above) Name:
Address:
i�41�-33t�-7fi63
Add
641 Mourne Rd Sanford FL 32771
II SURETtr (if appileable, a oopy of the payment bmW is aftel edr
Address:__ . r1
B. LENDER:
. Address:
e. In addiff* Owner designates
Amount of Bond:
Phone Number_ .
Phone Number,
to receive a copy of the 13enolrs Notice as provided in Secft 713.13(1)(h)• RofWa Siahrtm. Phone mw bar: _
9• Erq�lration Date of Notice of Commencement (The exprm*m is 1
Year from dabs of n3owrhng unless a different date Is sprd)
ICONSIDERED +t'. NMP To'_&� ANY'PAYMENTS MMrz BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE
PAYING TWICE FOR I OPT UNDER CHAPTER 713, PART 1. SECTION 71313. FLORIDA STATUTES. AND CAN RESULT IN YOUR
TO YOUR PROPERTY A NOTICE OF
J08 SITE BEFORE THE FIRST INSPECTION. YOU IP(rEAID TO OBTAIN FlNANCINC% W THERECORDED YOUR LENDER�UR ORNEY
BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF
State of�f1 re . Coutlty ���'Y1i`[1� 1 e
T60 npftWUlWt was acknowledged bdM me this .�-_ day of�Ctl1 i>Ll i ft 20�
Name of pmaoe nmrmg o tMtD I8 pmsorralty IkaeYin tD ti�B W OR
who Iles Mo�cide,�. >� �iorE.p _^
RYAN S. QUAKENSUM
• : MY COMMISSION # FFF07788
EXPIRES Augus104, 2019
(AOI>399-0�63 F1otiO.fkMJt caii
GRANT MALOY, CLERK OF CIRCUIT COURT SEMINOLE COUNTY FL
CLERK'S # 2018010326 BK 9065 Pg 0930: (1pg) E-RECORDED 01/29/2018 09:21:18 AM
10.00
CITY OF
SX FORD
FIRE DEPARTMENT
PERMIT NO., J & Nij ISSUE I
CONTRACTOR: I
JOB ADDRESS:
TYPE OF WORK:
Building & Fire Prevention Division
Residential Permit Card
_n40 1L1•
• Post this permit in a conspicuous location outside
• Approved plans must be posted with permit for inspection
Leave all work uncovered until inspected and approved
Permit expires 6 months from date of issue or last approved inspection
PROTECT FROM WEATHER
BUILDING
INSPECTON TYPE APPROVED RFJECTED INSPECTOR
ELECTRICAL
INSPEC77ON TYPE APPROVED REJECTED INSPECTOR
FOOTER INSPECTION
ELECTRIC UNDERGROUND
STEMWALL
FOOTER/SLAB STEEL BOND
FORMBOARD SURVEY
T.U.G. / PRE POWER
SLAB / MONO -SLAB
ELECTRIC ROUGH
LINTEL / TIE BEAM
ELECTRIC FINAL
SHEATHING - ROOF
MECHANICAL
INSPEC17ONTYPE APPROVED REJECTED INSPECTOR
SHEATHING - WALLS
FRAME
MECHANICAL ROUGH
INSULATION ROUGH IN
MECHANICAL FINAL
DRYWALUSHEETROCK
PLUMBING
1NSPEC710N 77PE APPROVED REJECTED INSPECTOR
LATH INSPECTION
FINAL STUCCO/SIDING
UNDERGROUND ROUGH
FIREWALL SCREW
TUB SET
FIREWALL FINAL
SEWER
INSULATION FINAL
PLUMBING FINAL
FINAL SIR
GAS INSPECTIONS
INSPECHON TYPE APPROVED REJECTED INSPECTOR
ROOF
INSPEC17ON TYPE APPROVED REJECTED INSPECTOR
GAS UNDERGROUND PIPE
ROOF DRY -IN
GAS ROUGH -IN
FINAL ROOF
GAS FINAL
MISCELLANEOUS FINAL INSPECTIONS
INSPECIION TYPE APPROVED REJECTED INSPECTOR INSPEC71ON 77PE APPROVED REJECTED INSPECTOR
FINAL DEMO
FINAL DOOR
FINAL SOLAR PANELS
FINAL WINDOW
FINAL POOL SCREEN
FINAL SCREEN ROOM
FINAL UTILITY BUILDING
FINAL BUILDING (OTHER)
MOBILE HOME TIE -DOWN
MOBILE HOME FINAL
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 FBC105.3.3
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