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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