HomeMy WebLinkAbout459 Sand Cove DrBuilding & Fire Prevention Division
PERMIT APPLICATION
r Application No
Documented Construction Value: $
I�-%/C�:3
Job Address: Historic District: Yes❑No❑
Parcel- tD:
Type of Work: New❑ Addition❑
Description of Work:
Residential❑ Commercial[-]
Alteration Repair ❑ Demo ❑ Change of Use[] Move ❑
Plan Review Contact Person: Title:
Phone: y,142-7 y (� Fax: (pEmail:
Property Owner Information
NamePhone: C C�� • '-+ `� , �D �f 0
Street: PUIV Resident of property?
-73
City, State. Zip: Z�
t_ ' C�ontracto/r^ Information n /
Name V 1 � 7�1 I1�/D VU af.� 1 4,11, iC�TX� Phone: �7%10 r 7 • `7L//, Qo
Street: [_do 5. Ail yd Fax: 2[>Ao. %3(O , 3I V
City, State Zip: State License No.:e a �3?� 7
Name
Street:
City, St, Zip:
Bonding Company:
Address:
Architect/Engineer Information
Phone:
Fax:
E-mail
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 BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN
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. 1. certify that no work or installation has
commenced prior to the issuance of a permit and that all work wilt be performed to meet standards of all taws 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: 6"' Edition (2017) Florida Building Code
Revised: January J, 2018. Pci;mit..App(ication .60
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 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: 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.
signature of0-net/Agent
Print Owner/Agent's Name
Date
signature ofNotary-State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
Sign�w-e of Counxctnr/Agent
Ag
i
0.3-/ol //'Y
i /81'
LISA ANTONINI
°'. Notary Public - State of Florida
r . My Comm. Expires May 21, 2018
Commission # FF 125242
Contractor/Agent i Personally -Down t Me or
Produced ID Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: -Building0 Electrical0 Mechanical-Q Plu-mbing0 Gas0 Roof[]
Construction Type: Occupancy Use: Flood Zone: _
Total Sq Ft of Bldg: Min. Occupancy Load:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes ❑ No 0 # of Heads
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
# of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes ❑ No Q`
WASTE WATER:
BUILDING:
Revised: January 1,2018 Permit Application
3�"C cinr
a �rrlr ,wlou nrlrwu mrc_vrtnr coot eernnlu ns
a i N/A -N/A
$ -
Note:
b i N/A -N/A
$ _
Note:
c 1 N/A -N/A
$ _
Note:
d 1 N/A -N/A
$ _
Note:
a 1 N/A -N/A
Note:
b 1 N/A -N/A
C '
Y
Note;'
a 1 N/A -N/A
$
Note:
b 1 N/A -N/A
$
Note:
a 4 Each -Install solar screen on window spline out- <80%sunblock
$ 140.00
$ 140.00
$ 280.00
Note: 1 Front(West), 2 Left side (South) and l Clack (East).
b 1 NIA -N/A
$ -
Note:
a 950 N/A -NIA
$
Note:
b 1 N/A -NIA
$ -
Note:
a 1 N/A -N/A
$
Note:
b 1 N/A -N/A
Note:
Cw 116Cr An rtcarntnr Can a Metve
nr NFAT
MHFA
- -
.. ,:e,..MLI.MYY!{u41:.1Y1Ln.]u1YLJ....x...rs., tY,..IVY. ...Vv...w...n.... •..re.. ..•........_.. �_...-...
a 1 Each -AH & Condenser replace 14 Seer Heat pump - to ISOO sq ft. (SWS 53xxx)
--.--•-_. .
$ 2,600.00
$ 1,500.00
$ 4,100.00
Note:.
b 1 N/A -N/A
$
Note:
c 1 N/A -N/A
$
Note:
d 1 N/A -N/A
$ -
Note;
e 1 Each -Permit: AH /Condenser Building permit, If required.
$ 85:00
$ 35,00
$ 120.00
Note:
a 1 Each -Programmable thermostat: With HOLD button. (Honeywell FocusPro 6000)
$ 100.00
$ 65.00
$ 165.00
Note:
b 1 N/A -N/A
$ -
Note:.
_- .. ._.-........—.. ............ .. .._.. ___ w.cwr .w lrw ..e,.
nn. Y. 'Fn
arm Mantvrn
.
..j} . .f .. ...`. - '1[Y61UefViNC KCI'NIl{a nC UnKa YYLM.,W__ w,u,�v..,u.o�..c.w.._........... ........
.......,-...--... _-.-.
.-._---.-
a 1 N/A -N/A
$ -
Note:
b 1 N/A -N/A
$ -
Note:
Energy Measures Sub -Total
$ 3,325,001
$ 2,270.00
1 $ 5,595.00
Disclaimers:
SWS ff's are for Reference and may Include many other sect)ons.
Contractor to warrant work to pass bldg. codes & Wx Program.
Contractor verify lead test as needed.
Contractor's : Signature Date
Van lan Ga0.53 AuWst 2017
TGTALI $ 3,880.00 $ 2,700.00 -S 6,S80.00.
Meals on Wheels, Etc. Date
Page two for: Juan Ortiz
GAST ENERGY AUDIT DATA ASSESSMENT & TESTING FORMS
Juan Ortiz
459 Sand Cove Dr. Sanford FI 32773 mobile home
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House Sketch
Copyright 2016 Lance Gast Property Of Gulf Beach Development inc. Certified Ene rgyAud its.com
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CITY Of
l�NFORD Building & Fire Prevention Division
j �. RESIDENTL4L RE-R OOF A FFIDA VIT
NRE DEPARTMENT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING,I SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: / Y ?4" ADDRESS: ZJ a (. 1 0,4 daA
I , AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR
ROOFIN,G<_ZN`fI R, ENGINEER, ARCHITECT, OF F.S. CHAPTER 468 BUILDING INSPECTOR, I HEREBY AFFIRM, THAT ALL OF THE
G INFORMATION IS TRUE AND ACCURATE AND THAT ALL ROOFING COMPONENTS LISTED ON THE SCOPE OF WORK AT THE
ABOVE REFERENCED ADDRESS HAVE BEEN INSTALLED IN ACCORDANCE WITH THEIR PRODUCT APPROVALS AND ALL APPLICABLE CODE
REQUIREMENTS — SPECIFICALLY FLORIDA BUILDING CODE, EXISTING BUILDING. IN ADDITION I CERTIFY THE INSTALLATION MEETS ALL
REQUIREMENTS FOR SECONDARY WATER BARRIER AND NAILING OF THE ROOF DECK, IN ACCORDANCE WITH THE HURRICANE RETROFIT
MANUAL REQUIREMENTS (BASED ON F.S. CHAPTER 553.844).
LICENSE #: lei -0 / 3 Z-,S'
COMPANY / CONTRACTOR: ✓� nAA
CONTRACTOR SIGNATURE:
(MUST BE SIGNED BY LICENSE HOLDER
A
DATE: Y
THIS SIGNED AND NOTARIZED AFFId&AT M ST BE PROVIDED AT THE JOB SITE AT THE TIME OF THE FINAL ROOF INSPECTION,
ALONG WITH DIGITAL PHOTOGRAPHS OF ACH PLANE OF THE ROOF SHOWING IN DETAIL ALL COMPONENTS (DECKING,
UNDERLAYMENT, FLASHING, DRIP EDGE TTACHMENT) WITH THE PERMIT NUMBER OR ADDRESS CLEARLY MARKED ON THE DECK
FOR EACH INSPECTION. THE PHOTOGRAPHS MUST INCLUDE A RULER OR MEASURING DEVICE TO CONFIRM ALL NAIL SPACING AND
OVERLAPS, INCLUDING DRIP EDGE AND VALLEY FLASHING. PLEASE REFER TO THE RE -ROOF POLICY AND INSPECTION PROCEDURE
PAPERWORK FOR FURTHER EXPLANATION OF ALL REQUIREMENTS.
"FAILURE TO FOLLOW ALL REQUIREMENTS WILL RESULT IN A FAILED INSPECTION, A RE -INSPECTION FEE AS
WELL AS REQUIRING A DESIGN PROFESSIONAL (ARCHITECT OR ENGINEER) TO CERTIFY, BASED ON PERSONAL
INSPECTION, THE INSTALLATION OF ALL ROOFING COMPONENTS.
STATE OF FLORIDA COUNTY O _ Sworn to and Subscribed before me this �� day of l np vI W 20 j by:
d ����� 6L/�"l� . Who is�'Personally Known to me or has ❑ Produced (type of
id ific o) as identification.
1e
n ure of Notary Public . _..-_� __ ...- _.~_ ._��•*
State of Florida ` (SIC1ALn)NF`GAETA
!otary PueCc Stale . Pori: .
/l.CL .,,\ r;"• 41y C�-.7 ExpiresJ n 'i,
Pr�ll�lt ype/Stamp Name OF vi:f�ilil SSi�rk 4l Ii
of Notary Public_-