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