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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. f` 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 l" C - v r Mwg do" w appm"Ve and' work ows '; w scope rw f A06- r 5. 4ka, COA4` 4 ij It - J, ' 9wi 1 * i X, , 0 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