HomeMy WebLinkAbout129 Country Club Dr 17-1559; ELECTRICAL & MISC (2)Job Addre
Parcel ID:
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: ( _
Documented Construction Value:
Historic District: Yes No IJ
I
Residential Commercial
Type of Work: New Addition Alteration u Repair Demo Change of Use Move
Description of Work: 96-i5 97"DX4ej
Plan Review Contact Person: tg 7' Title: Qkon e2
Phone: 4.67 314 -/ 750 Fax: N /4 Email: N 4 --
l ./ Property Owner Information
Name SS,AI N o}{,t1122c t7 Phone:
Street: AP 9 Resident of property?
City, State Zip: !9q L, 772
Contractor Information
Name Ta & Prer /\1, zalle Phone: 4-07 .3:2- 74R_
Street: -27-67 lVe i'56A <R-J, Fax: /V 'n",
City, State Zip: r l S.,'?7 2i State License No.: C(ge10754
Name: ia-
Street:
City, St, Zip:
Bonding
Address:
Architect/Engineer Information
Phone:
Fax:
E-mail:
Mortgage Len
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 madeto obtain a permit t' do the work atid'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: 5' Edition (2014) Florida Building Code
Revised: June 30, 2015 Permit Application
s (/-
r
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.
11-7
Signature of Owner/Agent Date Signature of Con actor Agent Date
Print Owner/Agent's Name
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
Print Contractor/Agent's Name
of Notary -State of
o 57. J0, 17
DEBBIE BLAN I vn
PAY GOMPAISSION ,;'rF 17054 q
EXPIRES. FebrUE6 25, ,
B,MA Thru N41f` Public
Contractor/Agent is Personally Known to Me or
Produced ID IType of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building 10
Construction Type:
Electrical [4 Mechanical
Occupancy Use:
Plumbing[] Gas[] Roof
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: ` -1 ' UTILITIES: WASTE WATER:
ENGINEERING: FIRE: BUILDING: SF 6
COMMENTS: 1•&SLL-,V dk f6( t. ie 'i& y4df k
I
Revised: June 30, 2015 Permit Application
State Certified:
GENERAL CONTRACTOR
CGC010734
Commercial
PROPOSAL SUBMITTED TO
STREET
CITY, STATE AND ZIP CODE
rn u ttY
ROBERT N. BARBOUR
27r—Seo MEISCH ROAD
SANFORD, FLORIDA 32771
407-323-7583
Residential Industrial
PHONE IDATE
JOB NAME
JOB LOCATION
We hereby submit specifications and estimates for.
DATE OF PLANS
State Certified:
ROOFER
CCC017531
Additions
JOB PHONE
S&4 , 1 -1eY , /U —91 i) IC KI A /V AI Jo A-1 I—e P O e7 ^,J e 1 v1
Pe]]rap as e hereby to f urn ish material and labor—com plete in accordance with above specifications, for the sum of:
Payment to be made as follows:
dollars ($
All material is guaranteed to be as specified. All work to be completed in a workmanlike man-
ner according to standard practices Any alteration or deviation from above specifications
involving extra costs will be executed only upon written orders, and will become an extra Authorized
charge over and above the estimate. All agreements contingent upon strikes, accidents or Signature
delays beyond our control. Owner to carry fire, tornado and other necessary insurance. Our
workers are fully covered by Workmen's Compensation Insurance. NOTE: This proposal may be
withdrawn by us if not accepted within days.
rktteptanceofFropasal— The above prices, specifications
and conditions are satisfactory and are hereby accepted. You are authorized to Signature
do the work as specified. Payment will be made as outlined above.
Date of Acceptance: Signature
THIS INSTRUMENT' PR ARED BY:
Name: S T D
Addres 1 V1 8 'sc
gNFOIZQ /, 9Q 1174
Permit Number:
Parcel ID Number:,:?6'.19 --36 5; n OA/A0 — no)
GRANT MALOY r 'Eh -10LE COMM
CLERK OF CIRC:UI'i COURT & (.':Ot`P1RQL.LER
eK 8921 F's 597 (1F':gs)
CLERK'S r 2017052432
RECORDED i )5/25/2017 12."tS " 52 F'11
RE11'..*0ltD1.'NG FEEL, $11.1.13i
RECORDED BY tism i ch
The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the
following information is provided in this Notice of Commencement.
1. D SCRIPTION OF PROPERTY: (Legal description of the property and street address if available)
s_5091 N `I?M fIAM 4: /j, 4' e-Qt.42?,7, () & R 7), Sohn, y a 77/
2. GENERAL DE CRIPTION OF IMPROVEMENT:
rma
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name and address
Interest in property:
Fee Simple Title Holder (if other than owner listed above) Name: 5,Q!-rn
4. CONTRACTOR: Name: ll k' /J. Phone Number:
Address: S49 Aj
5. SURETY (If applicable, a copy of the payment bond is attached): Name: Ac
Amount of Bond:
6. LENDER: Name: /a- Phone Number:
Address:
7. Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served as p
713.13(1)(a)7., Florida Statutes.
Name: 1 V. j 12 Phone Number:
8. In addition, Owner designates hl n N j— of
to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Phone.number:
9. Expiration Date of Notice of Commencement (The expiration is 1 year from date of recording unless a different date is specified)
z o Ati
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WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE
CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN 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 COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
nature of Ow r or Lessee, or Ow is or Lessee's (Print Name and Provide Signatory's T e/Office)
Authorized fficer/Director/Parts r/Manager)
State of a ! t h / County of V O 6Lu 3 r
The foregoing instrument was acknowledged before me this day of 20
by vl C) 1r 1 F—S) IS Ho M 1 IV Who is personal known to me 0 OR
Name of person making statement _ —
who has produced identification (type of identification produced: FL f J yk D1 q C Lr 3 G
pYM
P',,4 BASIL ELLISON
Notary Public - State of Florida_
FF:'" Notary Signature --•-__.. -....952656Commission
My Comm. Expires Jan 21, 2020
jot
a ay
1
I
REQUIRED INSPECTION SEQUENCE
BP#
OUIL Di'NG PERM
Minn Max )Ins ection Descr i tion
Footer / Setback
Stemwall
Foundation / Form Board Survey
Slab / Mono Slab Prepour, .
Lintel / Tie Beam / Fill / Down Cell
Sheathing - Walls
Sheathing — Roof
Roof Dry In
Frame
Insulation Rough In
Firewall Screw Pattern
Drywall / Sheetrock
Lath Inspection
Final Solar
Final Firewall
Final Roof
Final Stucco / Siding
Insulation Final
Final Utility Building
Final Door
Final Window
Final Screen Room
Final Pool Screen Enclosure
Final Single Family Residence
Final Building (Other)
Address: i 2R Cov.aTRy w43
E'LECTt ICk-L.PERM T
Min Max Ins ection Descr i tion
Electric Underground
Footer / Slab Steel Bond
Electric Rough
T.U.G.
Pre -Power Final
Electric Final
anyriaypws.
L[u?g,ak
r o- .ii=$#:
a ¢
a, m r3;*y^5'.F"GY!R p.'
s
zS & 4`+..'. 3'!++4'eY. .F1.2%'.rvh.,1 Ei" ....+6.#,.
Min Max Inspection Descr! Lion
Plumbing Underground
Plumbing Sewer
Plumbing Tub Set
Plumbing Final
F .=R'i A"'FA-1f 6 RT;R f' II 1 11i 1R,l ilfilf' ..
Minn I Max ][ns ec ion Descr°i2tionn
Mechanical Rough
rrvE Mechanical Final
min Max Ins ection Descri Lion
Gas Underground
Gas Rough
Gas Final
REVISED: June 2014
RECORD COPY
City of Sanford
Building and Fire Prevention
PERMIT CONDITIONS
Application #: 17-1559
Address: 129 Country Club Dr
Description of Work: Interior/Exterior Repairs
These comments are provided for the permit listed above only.
This sheet must remain with the approved set of plans and be made
available to the inspector at the time of inspection.
All conditions must be met and strictly adhered to.
Scope of Work:
Electric — Replace Interior/Exterior Panels
Electric — New Wire to Water Heater
Drywall Repairs
Mechanical — Replace air handler
Plumbing — repair to fixtures
Notes:
REVIEWED FOR CODE COMPLIANCE
S-F
PtANS EXAMINER
G - I q- 117
DATE
1. No work outside of the repair scope listed above has been approved
2. Drywall repairs do not require inspection unless the repairs exceed 50% of the total house
drywall.
3. Plumbing is limited to hook up of existing lines only
Sub -permits required: Mechanical, Electric
Ifyou experience any difficulty, please call 407.688.5150 for assistance.
CITY OF SANFORD
BUILDING & FIRE PREVENTION
w< PERMIT APPLICATION
j. Application No:
Documented Construction Value: $ A
Job Address: i 2 ,Q U N TA Y t i 0P-, Historic District: Yes No
Parcel ID: Residential Commercial
Type of Work: New Addition A/lteration Repair ® Dent C tynnge of Use Move
Description of Work:
Plan Review Contact Person: t Title:
Phone: 4jn A Fax: Einai1:'DDA-S,et47' P- C,Lost..
Property Owner Information
Name Ni pth`1 mt Phone: 9 32 216, 8 i b 5
Street: Resident of property? : i40
City, State Zip:
Contractor Information
Name Uoe k-,=Ls 1 C- Phone: X-b 7 A1S %4;3s_
Street: 1 U L o I La )G % -1 I L D 6w t Lit i3 Fax:
City, State Zip:1k)tATa= e; .Oar," r-1-- 3q'187 State License No.: 6ac ( A-132'gl-- .
Architect/Engineer Information
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Phone:
Fax:
E-mail:
Mortgage Lender:
Address:
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESUt,T 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 13EFORE 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: 5u' Edition (2014) Florida Building Code
Revised: June 30, 2015 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 wi I l notify the owner of the property ()['the requirements of Florida Lien Law, FS 713.
1he City ofSanford requires payment of a plan review fee at the time of permit submittal_ A copy ofthe 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 perntitfees 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 an< .oning. Signature
ntOwneilAgent tAde ^ Signatirr° fC,<intraciorl:lgeni Date Print
O\Lner'Amni's Nanm Signature
of Notary -State of Florida Dote Owner/
Agent is Personally Known to Me or Produced
ID Type of ID Print
Cotatacwr/Agent's Nance Signauu
rl Nctarv-Stain of i onda Datc ke"
11 A" Nolan S. Fie>hma CO":
m scion J FF9425&5 aWE%gj1eS: feletUar,' 1. 2340 3 '
Bonded tutu Aston NOtM Contractor/
t;c. is _I'erwrially Known to Me or Produced
16 _I'vpe of ID .D-ir' e l Acevser BELOW
IS FOR OFFICE. USE ONLY Permits
Required: Building Electrical Mechanical Plumbing Gas Roof Construction
Type: Occupancy Use: Flood Lone: Total
Sq Ft of Bldg: Min. Occupancy Load: # of Stories: New
Construction: Electric - # of Amps Plumbing - # of Fixtures Fire
Sprinkler, Permit: Yes No # of Beads APPROVALS:
ZONING: UTILITIES: ENGINEERING:
11RE: COMMENTS:
Eire
Alarm Permit: Yes No WASTE.,
WATER: BUILDING:
Revised;
June 30, 2015 Pennit Application -
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