HomeMy WebLinkAbout2207 Bel Air BlvdBuilding & Fire Prevention Division
PERMIT APPLICATION
FIRE DEPARTMENT Application No: ���0
Documented Construction Value: $
Job Address: coo f� O X r 6 w S�.�t �✓ A, 3 7 7 Historic District: Yes ❑ No ❑
Parcel ID: S 1 - )q - 3 -S o _ ! oo - o o Residential❑ Commercial❑
Type of Work: New❑ Addition❑ Alteration ❑ Repair Demo ❑Change of Use❑ Move ❑
Description of Work: rz o
Plan Review Contact Person: Sa-c k kr; P� Title: c vo-" GJ I"
Phone: Fax: Email: TKf' PS C�eS�lor;41w.cv•v^
n, Property Owner Information
Name Iy c 01 AL5 13 a 10-C Phone: 4 o? s 5 1 J-3 U
Street: a o -7 !fie --ii rej jv i Resident of property?
City, State Zip: Su, (o✓d )CL ?j 97 7 1 \
(( Contractor Information
Name go y T i ✓LQ R C S 5 kyle vr_ 5 to rz Phone: Ilo 7 935 3y 3 3
Street: PQ 13 0 "ll g So g Fax: If
City, State Zip: lA kt tMav-y State License No.: 65 e-1 3 a 6 - % 1
/�
Architect/Engineer Information
Name: 0exnkce l 5oy+e(—
Street: R 0. 6 o ti 5 47 7 7 y
City, St, Zip: Q r 1 "'J, f 1, S y
Bonding Company:
Address:
Phone: Uo7- Na 1-14 % 6 Z
Fax:
E-mail: 450' e r e �� - 2nq , c o✓Yt
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. 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: 6,h Edition (2017) Florida Building Code
Revised: January 1, 2018 Permit Application
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 oning.
6 13 d ►�
Signature of Own t ate Signature of Contactor/Agent Dale
1 L ✓l 01 �S � �Gt t�1 � �� C � �t � P >
Print Owner/Agent' Name Print Contractor/Agent's Name
ignature of Notary tate of orida Da ' wre o o -State of tda Date
Alexis Jacobs
� ter y Alexis Jacobs
NOTARY PUBLIC
g NOTARY PUBLIC
—STATE OF FLORIDA o STATE OF FLORIDA
:s� 1e2 Comm# GG199076 y a Comm# GG199076
NCE 1� Expires 3/21/2022 � ��HC€ '19�� FXp �gg 1/2022
Owner/Agent is Personally Known to Me or Contractor/Agent is Personally lLriOwl'1-i 1Vle �
Produced ID Type of ID -V> t-- Produced ID Type of ID
\BELOW IS FOR OFFICE USE ONLY
Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing[] Gas❑ Roof ❑
Construction Type:
Total Sq Ft of Bldg:
Occupancy Use:
Min. Occupancy Load:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes ❑ No ❑
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
# of Heads
UTILITIES:
FIRE:
Flood Zone:
# of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes ❑ No ❑
WASTE WATER:
BUILDING:
Revised: January 1, 2018 Permit Application
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date:
I hereby name and appoint:
an agent of. K b Q F'i >Jrj IZ. (,t..S- _')_!j 54e 5
(Name of Company)
to be my lawful attorney -in -fact to act for me to apply for, receipt for, sign for and do all things
necessary to this appointment for (check only one option):
The specific permit and application for work located at:
fe-126or �erm't� - IA01 &1- 4- r B)Jd. - n6f6t F/-. San l
(Street Address)
Expiration Date for This Limited Power of Attorney: ,_51/ �/o
License Holder Name:
State License Number:
Signature of License Holder:
STATE OF FLORIDA
COUNTY OF I no
01/Xq
The foregoing inst�jument was acknoyy�ledged before me this l day of f� pr, I ,
�,2 Y 41 e,)u de r t6rco_ who is Vp na y kno�
to me or o who has produced as
identification and who did (did not) t e an oath.
Signature
(Notary Seal)
�1ARYgSs Denise R. Butler
e NOTARY PUBLIC
a STATE OF FLORIDA
Comm# GG071204
'v/'f �O Expires 2/8/2021
(Rev. 08.12)
Print or type name
Notary Public - State of IiUr fi CL
Commission No. /
My Commission Expires: /
Daniel Souter, P.E.
P.O. Box 547774
Orlando, FL 32854
(407) 421.-4866
dsouter@alba-eng.com
April 24, 2017
RE: Re -roofing, 2207 Bel -Air Boulevard, Sanford, FL 32771
To Whom it May Concern:
I have reviewed the installation of the roof system at the above structure, including:
• Shingle attachment
• Underlayment installation and attachment
• Flashing installation
The new components of the roof system meet FBC 2014 requirements.
If you have any further questions, please do not hesitate to contact me directly.
Sincerely,
3;\&L,SO4/r
o.
�\G£Nscc-;�
No.63901
' STATE OF J.
40R
SrONA V�G`�``�.
Daniel Souter, P.E.
FL PE# 63901
Daniel Souter
This item has been electronically signed
and sealed using an electronic signature.
Printed copies of this document are not
considered signed and sealed and the
seal must be verified on any electronic
copies.
2017-04-24 14:15:09