HomeMy WebLinkAbout217 W 12 St - M17-000282 - HVAC & Duct Work11
13
E
CITY OF SANFORDJAN302017BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No:
T5 77
Documented Construction Value: $
Job Address: 7 Z 7 q/ y Historic District: Yes D No
Parcel ID: ResidentialEl CommercialEl Type
of or NewEl Addition 103 Alteration Repair DemoEl Change of Ilse El MoveEl Description
of Work: Plan
Review Contact Person: r u,fa tcs" Title: Phone: Fax: -
kell"x'n eeName Phone:
7 Street:
Resident
of property? City, State
1p:' Contractor Information
Name Phone:
Street: Fax:
City, State
Zip: State License No.: Arch itect/
E ngi nearInformation Name: Phone:
Street: Fax:
City, St,
Zip: E-mail: Bonding Company:
Mortgage Lender: Address: Address:
WARKING 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. F&C 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 Revise& June 30,
2015 Permit Application
11
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.
7
Signature of Owner/Agent Date Signatur6 ofContrae'or/Agent Date
Print Owner/Agent's Name Print Contractor/Agent's Name
Signature of'Notary-State of Florida Date Signat o C[ft- MR
F WWL23L Ic -$I*
Expires Jon 16 2016
t
IgiC I
AW*TTE SLA#D
notary Putilic - State of FWW&
COMISShm # 66 00623
My corer. Expints Jon Is, 2016y
T 7
C LPers W W
0Owner/Agent is Personally Known to Me or Contractor/Agen 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[] Mechanicalo Plumbingo Gas[] Roof[]
Construction Type: Occupancy Use: Flood Zone:
Total Sq Ft of Bldg: in. Occupancy Load: # of Stories:
New Construction: Electric ® # of Amps Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes 0 No # of Heads —.— Fire Alarm Permit: Yes E] NoE]
APPROVALS: ZONING: UTII.ITIES: WASTE WATER: —
ENGINEERING: FIRE: B[JII.DING:
COMMENTS:
ftevise& June 30, 2015 Permit Application
19
F' fro. Ins
R
I
Richards'Steve i Conditioning
W
Heating, Ili
F
Sanford,
Residential & Commercial
1101 South Oak Avenue
FL 32771
STATE CERTIFIED FL LIC. #CAC043962
PH 407-463-6764 EMAIL srichardsair@yahoo.com
PAS SUBMITTEDµ"iO PHONE.... =DATE
STREET JCS CIA P
CITY, STATE and ZIP CODE JOB LOCATION
ARCHITECT 5A_T OF PLA JtOB
e hereby submit specifications and estimates for.
e Proposte hereby to furnish material and labor — complete and accordance with above specifications for the sum of: .—
D llars (
Payment to 6e male as folr c
All materfal is guaranteed io be a specified. All work to be completed in a Authorized
workmanlike manner according to standard practices. Any alteration or deviation SignaturefromabovespecificationsinvolvingextracostswillbeexecutedonlyuponwrittenNowTHs proposal may be orders, and will become an extra charge over and above the estimate. All witrWown by us if not ac pt a within days agreementscontingentuponstrikes, =1dents or delays beyond our control. Owner
to carry fire, tornado and other necessary insurance. Our workers are fully
covered by Workman's Compensation Insurance. Acceptance
of proposal -- The above prices, specifications and conditions are
satisfactory and are hereby accepted. You are authorized to do the work as Signature specified,
Payrrient will be made as outlined above. Date
of Acceptance; Signature
t
age No. of ``: Pages
A
Steve Richards"Air Conditioning & Heating, .
Residential ca ercial
11 1 South Oakvenue
Sanford, FL 32771
STATE CERTIFIED FL LIC. #CAC043962
PH 407-463-6764 EMAIL srichardsair@yahoo.co
PROPOSAL SUBMITTED TO PHONE DATE ..
STREET..,. JOB NAME
CZ,r s,
CITY, STATE and ZIP CODE .# JOB LOCATION
41 IT ~.
ARCHii EC1 DATE OF PLANS JOB PHONE -
We hereby submit specifications and estimates for,
a t area- ,. , .h ^' *' 9 <• * .fF• ^" . s' i + fro^' «, x*° rt', r '
w t ,. $""a
a r s s 'ram , + +` I 1 d S `e s
r + Via,„` wb:..,. r i' "' a° - ."... " 3 ;" " i R n 3' {.,,5 ,5t tag:'
We
6
Propose hereby to furnish material and labor ---- complete and accordance with above specifiGations for the sum of;
9 f Dollars ( ' 771Paymenttobemadeasfollows:
r r
i"", e''' '"°Y,t". ,e' .+t`„w" dr''f,..`> ` f .' :r r„. ;'. r'• ., """'
n`
P'"„ y'"... .
S ° ',."
w,
M111s " ","µ...«. .'fir .,.:r''.m.
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All material i guaranteed to be a specified, All work to be completed in agPP Authorized '
workmanlike manner according to standard practices. Any alteration or deviation Signaturefromabovespecificationsinvolvingextracostswillbeexecutedonlyuponwritten r
orders, and will become an extra charge over and above the estimate. All Flute; inns proposal within '
agreements contingent upon strikes, accidents or delays beyond our control. withdrawn by , If not accepted wittil i days.
N
Owner to carry fire, tornado and other necessary Insurance. Our workers are
fully covered by Workman`s Compensation Insurance.
Acceptance of Proposal --- The above prices, specifications and conditions t
f
r
are satisfactory and are hereby accepted. You are authorized to do the work as Signature
specified. Payment will be made as outline above.
Date of Acceptance. x Signature
R
17 4-
3pi C
REVIEWED FOR CODE COMPLWCE
v
PLANI'S EXAMINER
DATE
UGEN PROCEEDW j; i 4 D NO i
teaRI. V TO wLa , CANCEL, I - SET SIDE
NO THE RUVI . NS ry SHE
TECHNICAL
ODES, NOP
SHALL ISSUANCEPERMIT PRO Et THE BUILDING
OFFICIAL FROM THEREAFTER REWRING ACORRECTIONOFERRORSINPLANS, CONSTRUCTION V §
IONS OF THIS CODE HLMRICPF;Jtmlr
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All avast ttlust be mono,, in strict, aftcort anct with the
Butildin ' ,es fii£fi. approve an \,vork ioutafadc this.. t;ceapc,
1"1 ":east .'` ppfi amt is sol y res ion ibl fftsr s; ompfian'
APPLICATION#R, -3
FOR A CERTIFICATE OF APPROPRIATENESS
Answer all the questions on this form and submit all required .;
applicationreviewed. If you have questions about
i0 . • Tapplication
General Information
Downtown Commercial Historic District Residential Historic Districtv Is this a retroactive request? Yes No
Is this application filed in response to a Notice o Violation from the Code Enforcement Department"? Yes No
Proposed improvements will affect the following elevations: North South East West
Property Address: 1F 5rf
r
Applicant/Agent Information
Print Name -
BY SIGNING BELOW•, ., BUILDING PERMIT MAY BE REQUIRED FOR THE
SCOPE OF WORK LISTED BELOW. YOU MUST CONTACT THE BUILDING DEPARTMENT TO
DETERMINE IF A BUILDING PERMIT IS REQUIRED. FAILURE TO OBTAIN A BUILDING PERMIT WILL
RESULT IN A STOP WORK ORDER, DOUBLE PERMIT FEES, AND POTENTIAL FINES. BY SIGNING
BELOW, '.. ALSO ACKNOWLEDGE THAT THE INFORMATION CONTAINED APPLICATIONAby,....
KNOWLEDGE.TRUE AND ACCURATE TO THE BEST OF YOUR
Signature: Date-
regardingLjWouldyouliketoreceiveemailsHistoricPreservationandCommunityPlanningwithinyourcommunity?
Description of proposed work
1,14ig ':.Wjjej j ind r
APPLICATION ,
FOR A CERTIFICATE I T
Description of proposed work (continued from previous page):
Please use the space below to illustrate site details.
RINUT1.41,11110W1, 111, 1 ! iMMMMM