HomeMy WebLinkAbout1020 Bay Ave - P17-0031274 - SEWER REPLACEMENTCITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: !'I - 31 a,-1
Documented Construction Value: $ 5,236.00
Job Address: 1020 BAY AVE SANFORD. FL 32771 Historic District: Yes No
Parcel ID: 25-19-30-5AG-120G-0050 Residential x Commercial
Type of Work: New Addition Alteration Repair M Demo Change of Use Move
Description of Work: Sewer replacement from house to city lateral
Plan Review Contact Person: Tim Steiner
Phone: 407-381-7900 Fax:
Name SILVA MARIA C
407-381-0818
Title: Owner
Email: TPSC@CFL.RR.com
Property Owner Information
Street: BERNARDO QUINTANA # 49 MISION CATALA INTERIOR TAPIES 4
City, State Zip: SANTA FE CP01210 MEXICO
Name The Plumbing Service Company
Street: 14410 East Colonial Dr
City, State Zip: Orlando FI 32826
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Phone:
Resident of property? : No
Contractor Information
Phone: 407-381-7900
Fax: 407-381-0818
State License No.: CFC056836
Architect/Engineer Information
Phone:
Fax:
E-mail:
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. 1 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 1 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.
VA rA— IO.tS I
Signature of Owner gent Date
Print Owner ge t s ain
U4gn.,u Notary -State of Florida Date
JWMer LVM Con
NOTARY PUBLIC
STATE OF FLORIDA
CorrtM FF9115855
Expires SO12019
Owne Agen is Personally Known to Me or
Produce Type of ID
g ure of Contractor/enContractor/XenU Date Timothy
M Steiner Print
Contractor/Agent's Name BRIAN
W. CARROLL MY
COMWSSION # FF919813 EXPIRES
September 20, 2019 I140i
i 3964' 51 CW ---- J Contractor/Agent
is _e1ye-Fsonally 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 Flood Zone:
of Stories:
Plumbing - # of
Fixtures Fire Sprinkler
Permit: Yes No # of Heads Fire Alarm Permit: Yes No APPROVALS: ZONING:
UTILITIES: WASTE WATER: ENGINEERING: COMMENTS:
FIRE:
BUILDING:
Revised: June
30, 2015 Permit Application
THIS INSTRUMENT PREPARED BY: U;f;1'I ( ili-iL.() 51 E r'f I.fi0LI_ t1)iJ1Q
Name: Timothy m Steiner GI EFd`,. i-)i" CIRUJIT C3: UR.T ?= C0VIF'TROLLERAddress: 14410 E. Colonial Dr Orlando FI 32826 BK 9331 F'3 1C1 (tF'_'','
CLERK'S U 2017107677
fiF=C:ORD'D '1.3'3/24 201.7 I"i:.,,.,:;..';, 4 PN
NOTICE OF COMMENCEMENT n.E(.. RDIF;u FEES $10J.10
1t17t ORDED B'Y" hd a' ore
State of Florida
County of Seminole-/1 /
Permit Number: / /` Parcel ID Number: 25-19-30-5AG-120G-0050"
The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance
Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement.
DESCRIPTION OF PROPERTY: (Legal description of the property and street address if available)
xLOT5BLK12TRG
TOWN OF SANFORD C,rYu ;'
PB 1 PG 115 F1t\r`
GENERAL DESCRIPTION OF IMPROVEMENT:
Sewer replacement from house to city lateral
OWNER INFORMATION:
Name: SILVA MARIA C
Address:
Fee Simple Title Holder (if other than owner) Name:
Address:
CONTRACTOR:
Name: The Plumbing Service Compan
Address: 14410 E. colonial Dr Orlando FI 32826
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:
Address:
In addition to himself, Owner Designates
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 J.OR 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 1 have read the foregoing and that the facts stated in it are true
to the best of my knowledge and belief.
a-ftcAr-- W k41t--
8ignsic re46e7,n 4-0s7r- Florida
Statute 713.13(1)(g): "The owner must sign the notice of commencement and no one else maybe permitted to sign In his or her stead.' State
of 2 County of The
foregoing Instrument Iwas acknowledged before me this day of, c Y In s r 20 ? by /.• //
fle.,IKR
r .
Who is personally known to me Name of person
making statement OR who has
produced identification type of Identification produced: Jeimlfer Lynn Cox
NOTARY PUBLIC STATE
OF FLORIDA
COrrlrn# FF9156W otary
Signature Expires W/2019
uY, The Plumbing Service Company
14410 E, Colonial Dr.
Luker,, Jack
131 Overlook Dr.
0WUotmFl3276o
USA
JOB ADDRESS
lV2OSBay Ave DATE
Proposal # DUE
DATE DUEDATEREP JOB NAME Phone#
Fax E-nna.iIWeb Site M.
IT the
city lateral. Price
jncludcs Mark
Out Trenching
Pipe
and fittings Permit
Temporary
relief Back
filling Ground
level clean out Price
Excludes: Compaction
Landscaping
Cement
work Tree
removal 1/
3rd on contract, 1/3rd on start, 1/6th on completion of pipeinstall and
the final 1/6th upon completion. I
have the authority to order the above work and do so as outlined above.
In addition, I have read, understand and agree to the terms
The PlumsabingServiceCompany
14410 E. Cotonial Dr.
Clrlando, FL 32826
I NAME/ADDRESS I
Luker, Jack
131 Overlook Dr.
Chuluota, FL 32766
USA
IEM=61
I JOB ADDRESS I
1020 S Bay Ave
Sanford, FL 32771
US
DUE DATE REP JOB NAME
9/26/2017 DK 1020 S Bay Ave
Phone 9 Fax # E-mail Web Site
4073817900 407-381-0818 tpsc@cfl.rr.com w,,v-w.theplumbinpervicecompany.com
NwmiV
ET VJ1,1,1;1,P, Igq",-, D. GRIPTIO 9N !44
and conditionsas stated herein Liability &
Damage Waiver: Although
we try to produce the very best of results for all our clients we
cannot guarantee that at times there will not be Some unforeseen damage
to your home in relation to the work being performed. It is expressly
understood that the seller is held harmless by the buyer for all
damages or Occurrences, including but not limited to, any acts of God,
unknown or unseen conditions or property, ceramic tile, floor coverings,
interior and exterior wall coverings, textures, mirrors, cabinets,
drive ways, walk ways, landscaping, underground utilities, irrigation,
electrical, cable TV and telephone systems or anything of the
hike that is in the proximity of the work being performed. It is also
understood the buyer will protect or remove any personal property,
including but not limited to, clothing, pictures, jewelry, money,
cars, trucks, bicycles, motor cycles, trailers, appliances, or anything
of the like that is in the work area prior to the technician starting
work. to addition, the seller is held harmless if in the event faucets
fixtures or appliances attached to repaired or replaced plumbing
systems drip or leak,,We cannot guarantee parts or fixtures
that we do not specifically work on or supply. Estimated times
of completion or duration arc "Estimates Only" and are contingent
upon any unforeseen circumstances. Page
2
jhe Plumbing Service Company
14410 E. Colonial Dr.
FL 32826
NAME/ADDRESS
Luker, Jack
131 Overlook, Dr.
Chuluota, FL 32766
USA
1020 S Bay Ave
Sanford, FL 32771
US
A=
DUE DATE REP JOB NAME
9/26/2017 DR 1020 S Bay Ave
Phone # Fax # E-mail Web Site
4073817900 407-381-0818 tpSC@cfl'mcorn www.theplumbingservicecompany.con-i
1111. p
QT ITEM_ P"" _'TINN7 -'- , Ii111RIN 71 0 Au-; il
Notice
in accordance with Florida's Lien Law: ACCORDING
TO FLORIDA'S DA'S CONSTRUCTION LIEN LAW SECTIONS
713.00 1 -713.37, FLORIDA STATUTES), THOSE WHO
WORK ON YOUR PROPERTY OR PROVIDE MATERIALS
AND SERVICES AND ARE NOT PAID IN FULL HAVE
A RIGHT TO ENFORCE THEIR CLAIM FOR PAYMENT AGAINST
YOUR PROPERTY. THIS CLAIM IS KNOWN AS A CONSTRUCTION
LIEN. IF YOUR CONTRACTOR OR A SUBCONTRACTOR
FAILS TO PAY SUBCONTRACTORS, SUB -
SUBCONTRACTORS, OR MATERIAL SUPPLIERS, THOSE
PEOPLE WHO ARE, OWED MONEY MAY LOOK TO YOUR
PROPERTY FOR PAYMENT, EVEN IF YOU HAVE ALREADY
PAID YOUR CONTRACTOR IN FULL, IF YOU FAIL
TO PAY YOUR CONTRACTOR, YOUR CONTRACTOR NAY
ALSO HAVE A LIEN ON YOUR PROPERTY. THIS MEANS
IF A LIEN IS FILED YOUR PROPERTY COULD BE SOLD
AGAINST YOUR WILL TO PAY FOR LABOR, MATERIALS,
OR OTHER SERVICES THAT YOUR CONTRACTOR
OR A SUBCONTRACTOR MAY HAVE FAILED
TO PAY,TO PROTECT YOURSELF, YOU SHOULD STIPULATE
IN THIS CONTRACT THAT BEFORE ANY PAYMENT
IS MADE, YOUR CONTRACTOR IS REQUIRED TO PROVIDE
YOU WITH A WRITTEN RELEASE OF LIEN FROM ANY
PERSON OR COMPANY THAT HAS PROVIDED TO Page
3
The'Plumbing Service Compa
1, 4410 E. Colonial Dr.
FL 32826
NAME/ADDRESS
Luker, Jack
131 Overlook Dr.
Chuluota, FL 32766
USA
DATE Proposal#
9/2612017 819
I JOB ADDRESS I
1020 S Bay Ave
Sanford, FL 32771
us
DUE DATE REP JOB NAME
9/2612017 DK 1020 S Bay Ave
Phone # Fax # E-mail Web Site
4073817900 407-381-018 tpsc@cfl.rr.com www.theplumbing-,ervieccompany.com
cM ITE %
7, 02DES RIPTIO Ali` -71T` ffi(,TQT`f7Nil, 1,` M -
Z5, - E3", Of
YOU A "NOTICE TO OWNER." FLORIDA'S CONSTRUCTION
LIEN LAW IS COMPLEX, AND IT IS RECOMMENDED THAT
YOU CONSULT AN ATTORNEY.
No Payment No Interest financing http://wvvw.greensk-yeredit,conVConsumerl TOTALDealer# 8000016 Plan 3128 S5,23600
All,work orders are C.O.D. Buyer agrees to pay a S 10.00 late fee and or 1 1/2 % interest per month for each month not paid plus all attorney and
collection fec's. In addition the buyer agrees to pay all fees not paid for by a Home Warranty or Flomeownees Insurance Company, All labor is
warranted for a period of I year. All materials are warranted by the manufacturer per the manufacturer. Drain cleaning has a 30 day warranty from
the , date of service for root growth only. All materials are to remain in the name ofthe seller until fully paid for by the buyer. All special orders are
subject to a 25% restocking fee.
SIGNATURE
i
Y OF
SXNFORD
FIRE, DEPARTMENT
Building & Fire Prevention Division
Residential Permit Card
PERMIT NO. 17la-312"I ___ ISSUE DATE: 10 dwcis m 1
CONTRACTOR:
JOB ADDRESS:
TYPE OF WORT
Post this permit in a conspicuous location outside
Approved plans must be posted with permit for inspection
Leave all work uncovered until inspected and approved
Permit expires 6 months from date of issue or last approved inspection
PROTECT FROM WEATHER
BUILDING
INSPECTION TYPE APPROVED REIECT£D INSPECTOR
ELECTRICAL
INSPECTION TYPE APPROVED REJECTED INSPECTOR
FOOTER INSPECTION ELECTRIC UNDERGROUND
STEMWALL FOOTER/SLAB STEEL BOND
FORMBOARD SURVEY T.U.G. / PRE POWER
SLAB / MONO -SLAB ELECTRIC ROUGH
LINTEL / TIE BEAM ELECTRIC FINAL
SHEATHING - ROOF MECHANICAL
INSPECTON TYPE APPROVED REJECTED INSPECTORSHEATHING - WALLS
FRAME MECHANICAL ROUGH
INSULATION ROUGH IN MECHANICAL FINAL
DRYWALUSHEETROCK PLUMBING
INSPEC77ON TYPE APPROVED REJECTED INSPECTORLATHINSPECTION
FINAL STUCCO/SIDING UNDERGROUND ROUGH
FIREWALL SCREW TUB SET
FIREWALL FINAL SEWER
INSULATION FINAL PLUMBING FINAL
FINAL SFR GAS INSPECTIONS
INSPECTI0N TYPE APPROVED REJECTED INSPECTORROOF
INSPECTION TYPE APPROVED REIECTED INSPECTOR GAS UNDERGROUND PIPE
ROOF DRY -IN GAS ROUGH -IN
FINAL ROOF I GAS FINAL
MISCELLANEOUS / FINAL INSPECTIONS
INSPEC77ON 7YPE APPROVED REJECTED INSPECTOR INSPEC77ON TYPE APPROVED REJECTED INSPECTOR
PRE -DEMO FINAL DOOR
FINAL DEMO FINAL WINDOW
FINAL SOLAR PANELS IRRIGATION FINAL
FINAL POOL SCREEN FINAL SCREEN ROOM
FINAL UTILITY BUILDING FINAL BUILDING (OTHER)
MOBILE HOME TIE -DOWN MOBILE HOME FINAL
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.
191
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 FBC105.3.3
REVISED: 4-17 Inspection Line: 407.792.6069or 855341.2112