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HomeMy WebLinkAbout102 Somerset Oaks Ct (3)CITY OF F'SilkNFORD Building & Fire Prevention Division PERMIT APPLICATION Application No Documented Construction Value: $ 1400.00 102 Somerset Oaks Ct moo, Job' Address: Historic District: Ves❑ Parcel ID: 22-19-30-502-0000-0450 Residential? Commercial❑ Type of Work New❑ Additiono Alteration,E]Repair.® Demo,FI, Change of Use, Move Description of Work: Water heater change Out dike for like Plan Review Contact Person:: Kay CUyler Title.- Expeditor Phone:9545993071 Fax:407641°9807 Email: kapermitting@hotmail.com Property Owner Information Name Hazel Johnson PhOrie: 4074063318. Street: 1:02 Somerset Oaks, Ct Resident of property ? yes City,. State zip:,. Sanford, FL 32771- Contractor Information Name Roto Rooter Phone: 4078599557 Street: 1404 Gemini Blvd Fax: 4078570419 City, Statle gip: Orlando, FL 32837 State Lfeen&e No.: CFC1429911 Architect/Engineer Information Name: NA Phone: Street: Fax: City, St, Zip: E-mail: Bonding; Company: NA Address: Mortgage Lender. 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 BE ORE THE FIRST VNSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LE_TNDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COlV MENCEIkI.ENT. 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 pennit and that all work will be perfonned to meet standards of all laws regulating construction in this jurisdiction: I unlderstans that a separate permit must be secured for eI,ectrical. 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: 6111 Edition (2017) Florida Building Code Revised: January 1,3018 __. Permit application 3'LIIMSItHC � DRAIRt SERVICE (+b36-7686j Name S(reA`� PROPOSAL Date Rota-FlootverServices Company ! For Service Please Call l-800-CET-ROM 038-706I Ticket No. General (407) 659-9557 a Fax (407) 957.0416 1404 GemlM Blvd, Orlando FL 32337 CFO R1429187 Namo Street To Be Performed At ,., y OY� City StntA dlrt! Zip I State __ Zip Telephone Number1 , Telephone Number Rofo-Rooter hereby proposes to furnish all the materirats and to perfomt all the labor necessary for the completion of: Prldu& make and mode! or rn"aja end Rem +ary labor, atw sl.-da antcipated pi, dirgmziex thnl v,au',J materwiv eher the e^t+meted mrnpletlor, 1. Roio-Floater will perform the work described above and supply alt required materials for the sttm of $ /K 6 Customer h�1 -' - Option A (Complete iFapp catrte}: Option 6 (check eappllcabl6)_ `/+ of the Cost ($ } upon PYeoution of this proposal. ❑ the totals,= will be br7led upon completion of fire work and is 9b of the Cost ($ 7 upon the start of v+etic pay dife within 30 days (commercial Balance at the (ost upon completionorlfx� job. aroounis rvigy approved cra&' only)- 2- The approximate starting date is )r I + �I and the approximate completion date is . Neither date is guararreed_ Une,tpected ennditiore or problems could cause delay- A delinita completion oat is no oft a essence. 3. If a box is chef ..ed belovr, Rotd-Rooter is providing a service guarantee on the terms doz'cnb d on Ore reverse side of tltis proposal, C,ommarcial Residential Main: branch Lines ❑ 3r) bays 116 Morrths Totlat Auger - ❑ 24 Hours ❑ 7 Days Plumbing Repair ❑90 Days ❑ 6 Months Plumbing Replacement p 90 Days 111 Year Extended Guarantee ❑ I Year 4. THE TEf3IvIS AND MINDITIONS ON THE REVERSE SIDE OF THIS PROPOSAL WILL BE BINDING ON THE PARTIES. 5. This R-oposat may be withdrawn by Roto-Rnoter It not accepted within days. This proposal constitutes the entire agreement between the parties, and no mudificatiens will be valid unless in writing and signed by both panes 6. Other Respectfully suhmi!d:�Ll Technician signature Printed Narnerferhrurian Number Date ACCEPTANCE OF PROPOSAL 1 authorize the servicea indcated and agroo to pear the amotinls specified- I have read and agree to the terms., atctitding the Limits of Rota -Rooted. r-cpans�URY specifi in those terms. I acknowledge lh,-d under parr h 2(b) of those temts. if Roio-Rooter eg4mertt gets stuck in a plp% I may be responslb:=-for the cost re, ovkM (W eouiprn if indludina.anv reaukero vaboa f Printed Name Date OFFICE COPY PF-RR-Tot 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 fez 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.pertnit fees when the.pertnit 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. 312� Date rant Uwner/Agent's Name. •���.w'P' ti�;;` Gt��.'° tip ��. O��i116•?p,��'fl� .• y Signature o Notary -State of Florida 2 FF 966740 `y Z '-,Ideo Al Owner/Agent is Personally Produced ID Type of ID itg' aw LPUAt-,- 3 (Z711r Si ature of Contractor/Agent Date Er13lpilt Print Contractor/A'gcnt's Name :. • G Eill 16, j Signa ' = State of Florida am 20 u •• _ y FF 966740 0 rim Pik ch„c On �•' O Contractor/Agent is Personalty?r W ffiI8, r Produced ID Type of ID rr1?t;`'t1e1 BELOW 1S FOR OFFICE USE ONLY Permits Required- Building ❑ Electrical ❑ Mechanicaln Plumbing❑ GasFJ Roof Construction Type: Occupancy Use: Flood Zone: Total'Sq Ft of Bldg: Min. Occupancy Load: # of Stories: New Construction: Electric -# of Amps Plumbing. - # of Fixtures Fire Sprinkler Permit: Yes ❑ No ❑ #' of Heads Fire Alarm Permit: Yes ❑ No ❑ APPROVALS: ZONING: UTILITIES: WASTE WATER: ENGINEERING: FIRE: BUILDING: COMMENTS: Revised: Janua7y 1, 2018 Fennit Application;, LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: / Z7l 1 /' I hereby name and appoint: �C�y ��[ y //e— an agent of: e (Name of Company) to be my lawfiil attorney -in -fact to =act for me to apply for, receipt for, sia for and do all things necessary to this appointment for (check only one option);: The sp c' is pRmit and applic ione wor ocated at: Addmss)' Expiration Date_ for This Limited Power of Attorney: PJ A License Holder Name: q (') 5j '2(V V'/) State License Number: C r-C t yak 5,51 / Signature of License' Holder: STATE OF FLORIDA COUNTY OF %%1 e The foregoing instru ent was acknowledged before me this 2�day of Cf c- , 200�, by `? ((i Vr1 who is personally known to me or o who has produced as identification and who did (did not) take an oath. Signature �� �.• �g\ON EXPj� .• 'ice Via ° s '•. (°�Q/UIi fq �Ackt' j Print or type name �yy140 : c NotaryPublic - State of t !� iy0 %Put cV°a0r•����� gRrryt?Ugtic,S�Po�\` Commission No. /////rIIII ����� My Commission Expires: b (Rev. 08.12) Building & Fire Prevention Division Residential Permit Card PERMIT NO. I ISSUE DA CONTRACTOR: JOB ADDRESS: TYPE. OF WORK: IN e—jo Post this permit in a conspicuous location outside Approved plans must be posted with permit for inspection all wrk uncovered until inspected and approved t expires 6 months from date of issue or last approved inspection M�( PROTECT FROM WEATHER BUILDING INSPECTION 7YPE APPROVED REJECTED INSPECTOR ELECTRICAL INSPECTION TYPE APPROVED REJECTED. INSPECTOR FOOTER INSPECTION ELECTRIC i INDERGROL JND 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 INSPECTION TYPE APPROVED REJECTED INSPECTOR SHEATHING - WALLS FRAME MECHANICAL ROUGH INSULATION ROUGH IN MECHANICAL FINAL DRYWALL/SHEETROCK PLUMBING INSPECTIONTYPE APPROVED REJECTED INSPECTOR LATH INSPECTION FINAL STUCCO/SIDING UNDERGROUND ROUGH FIREWALL SCREW TUB SET FIREWALL FINAL SEWER INSULATION FINAL PLUMBING FINAL FINAL SFR GAS INSPECTIONS INSPEC'77ON TYPE APPROVED REJECTED INSPECTOR ROOF INSPECTION TYPE APPROVED REJECTED INSPECTOR GAS UNDERGROUND PIPE ROOF DRY -IN GAS ROUGH -IN FINAL ROOF GAS FINAL MISCELLANEOUS FINAL INSPECTIONS INSPECTION TYPE APPROVED REJECTED INSPECTOR IN.SPECTION7YPE 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 BETOUND 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 REVISED: 4-17 Inspection Line: 407.792.6069 or 855541.2112