HomeMy WebLinkAbout441 Elliott Ave 17-140 Bath remodelgEECEIVE CITY OF SANFORD
A Q 2017 BUILDING & FIRE PREVENTION
Yu PERMIT APPLICATION
Application No:
Documented Construction Value: $ 9, 7ao • 00
Job Address: A H l E LL. I OTT AVENUE Historic District: Yes No o
Parcel ID: 30 -14 - 31 - S2S-Obva-O Y Residential ® Commercial
Type of Work: New Addition Alteration §4 Repair Demo Change of Use Move
Description of Work: SA-1 RROoM R?_µpbF_L Re.p c&ce_ vo," , ren.ovc_, 0icl-
Plan Review Contact Person: N G,rCA_Via\ M%er, Title: NAM
Phone: G 014 Fax: Email:
Property Owner Information
c uu C-or,
Name Ro6,r-t A 4 kaaler'n ALOCLIV.o Phone: -A&( - ? S - 2 390 Street:
4 141 f, U,l oTT 4\)E Resident of property? City,
State Zip: SNM1 Pu(zo FL S1-7 ' 3 Contractor
Information Name
50.\ 1- dArc kt rl 1-61M E' KC_K1000-t7 10 0 Phone: 9 u) - 7 / 7 — G T 7 2 Street:
So's 41,bbeo H Uu.Uw C;4 • Fax: A_A1,4 City,
State Zip: S g' Adl F b(I f L- 2 27-7 -73 State License No.: Architect/
Engineer Information Name:
Phone: Street:
Fax: City,
St, Zip: E-mail: Bonding
Company: PEA- Mortgage Lender: Address:
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: 5" 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
managemenvdistricts, 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 1CC 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.
0-,
i nature of Owner/Agent Date
LI"" A ,W,Ia '
Print Owner/Agent's Name
Y\ lo-1-1
Signature of Notary -State of Florida Date
NANCY PALMIERI
MY COMMISSION t FF 047086
s, EXPIRES: December 20, 2017
rf. n t.° Bwded Thru Budget Notary Senlees
Owner/Agent is Personally Known to Me or
Produced ID,,,," Type of ID "Dcwer's LJg tc_
Zz. -- 1 / I o i l%
Signature of Contractor/Agent Date
SAWiP,T )eZ PAL M
Print Coi ctor/Agent's Name
Signature ofNotarWtate of Florida Date
CHARLES J. EDWARDS
commission K FF 193713
My Commission Expires
January 28, 2019
en is ersona y Known to Me or
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 # of Heads
30(&-
is Z
APPROVALS: ZONING: I - I%- 1-7 UTILITIES:
ENGINEERING:
COMMENTS:
FIRE:
Flood Zone:
of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
Revised: June 30, 2015 Permit Application
REQUIRED INSPECTION SEQUENCE
BP# Address: 4/1// El_t-. / o r7' &( f
BUILDING PERMIT
Min Max Inspection Description
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)
ELECTRICAL P.ERMl
Min Max Inspection Description
Electric Underground
Footer / Slab Steel Bond
Electric Rough
T.U.G.
Pre -Power Final
Electric Final
F:J!R!1_CJi l V7Y_IC_.':l rA 'Sa1:;_]'i'.tt[r'w'•,f 'YYf52?.•.t; i "• _ _ Y'
Min Max Inspection Descri tion
Plumbing Underground
Plumbing Sewer
Plumbing Tub Set
Plumbing Final
MECHANICAL PERMIT
Min I Max I Inspection Description
Min I Max
Mechanical Roug
Mechanical Final
Gas Undc
Gas Roug
Gas Final
REVISED: June 2014
RR ,ctnYY PMIN6
scnm+oi.tcq,rarr. rtornn
Property Record Card
Parcel: 30-19-31-525-0000-0480
Owner: WALKO ROBERT A & KATHLEEN A
Property Address: 441 ELLIOTT AVE SANFORD. FI.32771
Parcel 30-19-31-525-0000-0480
Owner WALKO ROBERT A & KATHLEEN A
Property Address 441 ELLIOTT AVE SANFORD, FL 32771
Mailing 441 S ELLIOTT AVE SANFORD, FL 32771-
Subdivision Name FORT MELLON
Tax District S1-SANFORD
DOR Use Code 01-SINGLE FAMILY
r—
Exemptions
V`
u
County
f
4
Seminole GIS
LOTS 48 + 49
FORT MELLON
PB3PG69
2,016 Working' 2015 Certified
Values" Values
Valuation Method I Cost/Market j Cost/Market
Number of Buildings
Depreciated Bldg Value 82,786 T$43,708
Depreciated EXFT Value 200
Land Value (Market) 26,823 26,823!
Land Value Ag
JustJMarket Value..'" j 109,809 70,531
Portability Adj i
1
Save Our Homes Adj 0
i
i $0 j
Amendment 1 Adj ' 3 32,225 0
P&G Adj 0 0
Assessed Value IL......_........................- 77,584 70,531 i
Tax Amount without SOH: $1,435.00
2015 Tax Bill Amount $1,435.00
Tax Estimator
Save Our Homes Savings: $0.00
TRIM Notice Help
Does NOT INCLUDE Non Ad Valorem Assessments
Taxing Authority f Assessment Value„"- "Exempt Values Taxable Value
County General Fund 77,584 $0 77,584
Schools 109,809 $0 109,809
City Sanford 77I ,584 $0T 77,584
SJWM(Saint Johns Water Management) 77,584 $0 77,584
County Bonds 77,584 $0 77,584
4
Description Date, Q Book Page Amount Qualified V."/Imp
WARRANTY DEED 35/1/2016 08699
f........ _.. ........
WARRANTY DEED 3/1/1995 02891
WARRANTY DEED 9l1/1992 02477
W.._._._..._.___. a_.. ..._____......_,...._...__..._........_.._.._ _ ....__....___
A_....._....._...__ .
01(i4
0485
595
155000
70,000
62,500
Yes
Yes _ _ _..
1 Yes
Improved
I Improved
I
Improved
WARRANTY DEED 9l1/1983 0150011888 59,700 No Improved
Method - ! Frontage' Depth Units Units Price,.Land Value
j FRONT FOOT & DEPTH 119.00 138.00 0 $230.00 $26,823
a
Is Bed, Bath count incorrect? Click Here
http://parceicietail.scpafl.org/ParcelDetaillnfo.aspx?PlD=30193152500000480 9/24116, 3:20 PM
Page 1 of 2
N
THIS INSTRUMENT PREPARED BY:
Name: Home Renovations
Address: 305 Hidden Hollow Court. Sanford, FL 32773
NOTICE OF COMMENCEMENT
State of Florida
County of Seminole
j
Permit Number: 11' (C (1 — t t v
GRANT PIALOYr SEMINOLE COUNTY
CLERK OF C1:RC:U11' COURT & COMPTROLLER
B-V SS r1 1='s JLII_I (1P_gs)
CLERK'S Y 2017CIC13199
RECORDED 01/1ii/21i17 02-59:31 P11
RECORDING FEES I - IA. AA
RECORDED, BY 11[levore
Parcel ID Number: _,3(-/ 9 - 31. S.1S — U QOv - Oyu 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. DESCRIPTION
OF PROPERTY: (Legal description of Fee
Simple Title Holder (if other than owner) CONTRACTOR:
Name:
S/LV/i-Tt 6t f il%6 IflZl Address:
30i l-1 ti HUL4--ow CST.. cSAfJeOR,O1PL a-7 Persons
within the State of Florida Designated by Owner upon whom notice or other documents may be served as
provided by Section 713.13(1)(b), Florida Statutes. Name:
AddreE
In
addition to himself, Owner Designates of To
receive a copy of the Lienor's Notice as Provided in Section
713.13(1)(b), Florida Statutes. Expiration
Date of Notice of Commencement (The expiration date is 1 year from date of recording unless a different
date Is specified) 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. Under
penalties of perjury, I declare that I have read the foregoing and that the facts stated in it are true to
the est of my knowledge and belief. Owner'
s Signature Owner's Printed Name Florida
Statute 713.13(1)(g): "The owner must sign the notice of commencement and no one else may be permitted to sign in his or her stead." Stateof
FLUwtOH County of SEl-llfyU The
foregoing instrument was acknowledged before me this —1-0!—day of-NAwaal 201-7 by
Y-ATIALCWA, (11PLAo0 Who is personally known to me Name
of person making statement OR
who has produced Identification 1 type of Identification produced:ZM\U&i L10VOSt NANCYPN.
IAIEFU MY
COMMISSION # FF 047086 I
EXPIRE$: December 20, 2017 •YN L).N1[y...1 4ondtdThruBudoNotarySerkes
Notary Signature 1
A'
71
RE -CORD COPY
Home Renovations 1, LLC
d1bla Home Renovations
305 Hidden Hollow Court, Sanford, FL 32773
Cell 407-719-6972 Office 407-461-6014
HomeRenovationsl@yahoo.com
www.HomeRenovationsl.com
Licensed and insured CBC-1261163
CUSTOMER Bob and Kathleen Walko
441 S. Elliott Street
Sanford, FL 32771
Phone: 407-697-3276
386-956-2390
Job Address: 441 S. Elliott Avenue, Sanford, FL
CONTRACT.
Scope of work to include removing old vanity, sink, toilet and shower pan. Install new vanity and
sink, new toilet and new shower pan. Remove old drywall, insulate and install new drywall. Tile
and grout. Paint bathroom.
Price: 9,830.00
Salvatore Palmieri, Home Renovations
FOR CODE COMPLIANCE
2F —
PLANS EXAMINER
DATE
l l O-
Kathleen A. Walko
SANFORD BUILDING DIVISION
A PERMIT ISSUED SHALL BE CONSTRUED TO BE A
LICENSE TO PROCEED WITH THE WORK AND NOT AS
AUTHORITY TO VIOLATE, CANCEL, ALTER OR SET
ASIDE ANY OF THE PROVISIONS OF THE TECHNICAL
CODES, NOR SHALL ISSUANCE OF A PERMIT PREVENT
THE BUILDING OFFICIAL FROM THEREAFTER
REQUIRING A CORRECTION OF ERRORS IN PLANS,
CONSTRUCTION OR VIOLATIONS OF THIS CODE
l
Fx"f,;-5
Arm-
JAN 2017
fix, r.rgVjeAd-j Tb,.IeT
Lt5flr
a
ACT
Sw
doo f
1 4 - c x 2
v 0
Revision City of Sanford
Response to Comments Building & Fire Prevention Division
PhF
N 0 Fax: 407.688.5152
bd sanfordfl.gov
2 0 2011
Permit # — 0Submittal Date n.
Project Address:
Contact: Qa &J C / SQ 1 C Uw ; c f- Li '7 2
Ph: LIU-I-- 4 Le L•- LQ L y
Email:
Trades encompassed in revision:
Building
Plumbing
Electrical
Mechanical
Life Safety
Waste Water
Department
Utilities
Waste Water
Planning
Engineering
Fire Prevention
Fax:
General description of revision:
ROUTING INFORMATION
Approvals
Building <;C 7' Z -4- 1 7
CITY OF SANFORD
BUILDING & FIRE PREVENTION
A = PERMIT APPLICATION
Application No: PEgmIT'111-7-1 YO
Documented Construction Value: S _ 13 00
Job Address: y y J 5. F LL l 0rT-/4Vf , SAAJF-0X FL Historic District: Yes NoO
Parcel 1D: -3 0 —1 It-31 - S Z S' - 0 () U U 0 y pv Residenti4l Commercial
Type of Work: New Addition AlterationQ Repair Demo Change of Use Move
Description of Work: R EP(PE BArHR eoM : Ntw S14UWFj .P13N
1, &
Q0 Jt_ VALL/S
P-AUtET A;J-b rpl.,.6q-
Plan Review Contact Person: k W 1(.'bEIL- Title: PLUM Q
Phone: 407 3g3-I-)V7 Fax: y b-)-0( ( 5S7 Email: A PPD FLUM it @ AdL.GtJtd
Property Owner Information
Name VVA1-k.d,, R OBFZr A. 4- kA'naLFE&j A. Phone: 3?C - 9Sc - 2-3-10
Street: 441 S. £.U.d 0 rT A.UF Resident of property?: Y&S
City, State Zip: SA rAJF0AJ0 Fes. 33--273
Contractor Information
Name 1AM&S PRO PLVM9 Phone: 3'd 7 6`7
Street: _ P. o• Q o X 7 W 8 7 y Fax: 14 09 G 7 l• G S S 7
City, State Zip: jr-1-,3 7 9 `J State License No.: S 7
Architect/Engineer Information
Name: N 1A Phone:
Street: Fax:
City, St, Zip: E-mail:
Bonding Company: PIA- Mortgage Lender: N/4-
Address: 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: 5" 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 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.
PA A Z"
Signature of Owner/ gent Date Atof for/Agent Date
Print Otwrer/Aecnrs Name Zrintontractor/A^-ent's Name
Signature of Notary -State of Florida Date Signature of Nota tate of Florida Daze
o'"Y °° HWY PALMIERI
MY COMMISSION i FF OMM
EXPIRES: December 20, 2017
xdedTmau* NotaryScam Owner/
Agent is Personally Known to Me or Contractor/Agent is Personally Known to Me or Produced
ID Type of ID 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 # of Heads APPROVALS:
ZONING: UTILITIES: ENGINEERING:
FIRE: COMMENTS:
Flood
Zone: of
Stories: Plumbing - #
of Fixtures Fire
Alarm Permit: Yes No WASTE
WATER: BUILDING:
Revised:
June 30, 2015 Permit Application
A PRO PLUMB
PO. BOX 941874
MAITLAND, FL. 32794
TO:
HOME RENOVATIONS
ATTN: SAL PALMIERI
407-719-6972
I=:
Date Estimate #
2n/2017 780
Description I Total
PLUMBING/ JOB LOCATION/ 441 S. ELLIOT AVE, SANFORD, FL. 32773
REPIPE BATHROOM USING CUSTOMERS FIXTURES.
1NCLUDES 1 SH0WER PAN/ 1 SINK FAUCET/ 1 SHOWER VALVE/ AND 1 TOILET
THANK YOU, KEN WILDER
OFFICE 407-671-6700
FAX 407-671-6557
Phone # Fax #
407-671-6700 407-671-6557
Project
1:300.00
Total SI.300.00
Ae6RH CERTIFICATE OF LIABILITY INSURANCE
t i
DATE(UMIDaYYYY)
1/6/2016
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER AND THE CERTIFICATE HOLDER.
IMPORTANT: if the certificate holder is an ADDITIONAL INSURED, the policy(iss) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsements .
PRCH-AMER
Arthur J. Gallagher Risk Management Services. Inc.
1900 West Loop South
Suite 1600
CONTACTNAME: Beverly PF--ka _
PHONE 713358 5&26 I FAX 713 3565827
E _mil _—..-(ecc._N9I: — -
beverty-Deskagajg.com
IWRSIM AFFORDING COVERAGE rout aHoustonTXT7027
INSURER A:Philadelphia Inclemn• Irsurance Co 18058
INSURED yruugatB_Texas Mutual Insurance Compaq -, 122945
Link Staffing Services
1800 Bering Or, Ste 8W
Houston, TX 77057
txsuRERc:Underwri ers at Ll d's London I15792
INsuRERo:Confinental Casual Comoany I20443
INSURER E:Zurich American Insurance Company 116535
INSURER F : I
COVERAGES CERTIFICATE NUMBER: 1392639871 RFVIRION N1IMRFR,
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAILED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIVITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLALNIS.
L T•PE OF WSLRArt --_
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DESCRIPTION
OF OPERATIONS I LOCATIONS I VEHICLES (ACORO 101, Additional Remarks Schedule, maybe attached U mars apace Is requlM) Project.
Stoddard Plumbing DBA A -Pro Plumb CITY
OF SANFORD BUILDING
DEPT. 300
N. PARK AVE. SANFORD,
FL. 32771 HIL•
1,1 SHOULD
ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE
WITH THE POLICY PROVISIONS. AUTHORIZED
REPRE 1
yIO 196&
2014 ACORn CORPORATION. All rinhte rate d ACORD
25 (2014101) The ACORD name and logo are registered marks of ACORD
w STA k ARFLORIDA ARBUgNESS
ANDTF PROESS0¥AL$tON \
CFC 5 Q9
22 } \D O+31G018 c(`®+ RTgED-P
b #o fRA qm ST¢OpRRe_WAR#
@ : yPR0-PLUMB 4CERI$
iE ¢7&
m«sach 9FE g/: / . \ y e
1000 ,_> 2
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: Z / 7 117
i hereby name and appoint: _KtjyjE't'" W (<--O M OF A PIZ.O PLVM 3 an
agent of: /- - PR-0 Pi-t4 Nl l% (.ems 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): B-'
The specific permit and application for work located at: y
4! s. rL-L-f o r r- A v c: yew or-vn- 0 F.- 3 2 77 r Street
Address) Expiration
Date for This Limited Power of Attorney: Zh // & License
Holder Name: S 4M Q,S E- S`r o D16A*&Z State
License Number: Cf-C 0 S Signature
of License Holder: `^+t/} r , SWJ STATE
OF FLORIDA COUNTY
OF 1Nvi.,r The
foregoing instrument was acknowledged before me this 200- ,
by-'AME,s STO%b to
me or o who has produced identification
and who did (did not) take an oath. Notary
Sea]) NMYPAUMU
MY
cOMMISSION; FF 047N6 EXPIRES:
Decembef 20, 2017 ea*
atmnWrjrvs Rev.
08.12) Signature
NNrJGti
PA11-M 1f4tl Print
or type name 74
ay of FCG who
isywpersonally known Notary
Public - State of f LoMMA- Commission
No. F r— 0 4 0E _ My
Commission Expires: lZ Z-o/' 7 as
FEB' 2 3 2017
By -
CITY OF SANFORD'
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Applica.tiorr.No: A 7 (. `f O. ...
Documented Construction Value: $
Job Address: Historic District: Yes ] No.Q... .
Parcel ID: I C1 — ) SFZS7 QQOQ 04 m Residential 2Commercial El
Type of Work: NewEl .Addition El Alteration Repair El Demo D 'Change of Use O. Move..0 Description
of Work: Plan
Review Contact Person:'/ Title: CeS/}xCd Phone:
i — t .ZFax• Email: r c (AL d y
I 1 Property
Owner. Information . NamehPhone: _ _
f Z r_-) Street: Resident
of property? Cityy State
Zip- ; VI 0
0 4:.:.:.... ....::tra't;tor Information City, State
Zip:7 rLZ S Architect/Engineer
Information State License
No.: Name: Phone:
Street: Fax:
City, St,
Zip: E-mail: Bonding Company:
AJ/A- Mortgage Lender: Address: Address:
WARNING TO
OWNER: YOUR,FAII,URE 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: 5th 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 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 'fable in effect at the time the permit is issued, in
accordance with local ordinance. Should calculated charges figured off the .eicecu"ted 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 of Qwner/Agent Date
Print Owner/Agent's Name
Signature of Notary -State of Florida Date
1
Owner/Agent is Personally KnowntoMe-or Produced
ID Type of ID S,
ature o Contractor/kgent Date Print.
Contracto gent's Name Signature
of Notary- fate of Florida Date 4olµY,:
C( NANCYPALMIERI.. MY
COMMISSION I FF 047086 EXPIRES:
December 20, 2017 rFor
rip° Bonded Thru Lxiot'Notary Services icesP_
ersetlally own. to Me or ProducedID'
Type of ID. BELOW IS
FOR. OFFICE USE ONLY Permits Required:
Building Electrical Mechanical.[] Plumbing[] Construction Type:
Occupancy.Use: 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 APPROVALS: ZONING:
COMMENTS: UTILITIES:
Fire
Alarm
Permit: Yes No WASTEWATER: ENGINEERING:
FIRE:
BUILDING: Revised: June
30, 2015 Permit Application
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: 2 2 r
I hereby name and appoint:
an agent of:
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):
2"" The specific permit and application for work located at:
Street Address)
Expiration Date for This Limited Power of Attorney:
License Holder Name:
State License Number: C
Signature of License Holder:
STATE OF FLORIDA
COUNTY OF <%
300 aO,
G
r`
The foregoing instrument was acknowledged before me this Zl day of f_,
20 -7 , by S p scP+1- -T S U LA- who is )qersonally known
to me or who has produced as
identification and who did (did not) take an oath.
Notary Seal)
SN'Y Pu NANCY PAlJrWA
MY COMMISSION t FF 047086
EXPIRES: December 20, 2017
J'+
ovc dA' BatedRnBudgetNdaryWWI=
Signature
titANC`( (aA0AtCkj
Print or type name
Notary Public - State of PWa.i Qi F+
Commission No. FF 0 y 7 OR(;
My Commission Expires: Igji:' Rev.
08.12)
Joe Isola Electric, INC.
232 Flame Ave., Maitland Florida, 32751 P7407-468-1060 EC-13002081
JanuaN 6, 2017
Home Renovations Inc.
Mr. Salvatore Palmieri
RE: 441 Elliot Ave. Sanford, FL.
Please ccept our proposal for the above mentioned project.
W propose to furnish all electrical material, labor, and supervision to perform all required
electrical work on the above project. This will include, but is not limited to:
Bathroom Remodel
All electrical demolition.according to`given plans. Provide power and adequate_ lighting for
trades during construction. _
Bring existing bathroom wiring up to code.
Add (1) 15a GFCI protected outlet in bathroom.
Install (2) light fixtures furnished by owner.
Our Total price: $750