HomeMy WebLinkAbout202 S Bristol Cirr
RECEIVED
OCT 201Q
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: 2'
r
Documented Construction Value: $J I
orau
Job AddresskU/
1 `) •b, Historic District: Yes No
Parcel ID: 7 y U' 0 OV Zoning:
Description of Work: 1 o d %*Q'_ f
Plan Re/v ieew2Contact Perso Title:
Phone: lull) -4 I y, Fax: E-mail:
7 S
Property Owner Information _
Name Fal ` h Phone: O07
Street: Resident of property?
City, State Zip. 0%7,`S
I&a
Contra or Information
Name fjtl%nLCo Phone:
Street:7& Fax: 7 Qo is -/
City, State Zip: / L5 76 State License No.: 7
Architect/Engineer Information
Name: Phone:
Street: Fax:
City, St, Zip: E-mail:
Bonding Company:
Address:
Mortgage Lender:
Address:
PERMIT INFORMATION
Building Permit
ISquareFootage: Construction Type: No. of Stories:
No. of Dwelling Units: Flood Zone:
Electrical
New Service — No. of AMPS:
Mechanical (Duct layout required for new systems)
Plumbing
New Construction - No. of Fixtures:
Fire Sprinkler/Alarm 11 No. of heads:
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.
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.
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.
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. A copy of the executed contract is required in order
to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the
plan review fee based on past permit activity levels. Should calculated charges exceed the documented
construction value when the executed contract is submitted, credit will be applied to your permit fees when the
permit is released. le—,
Signature of Owner/Agent Date
Print Owner/Agent's Name
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
D
DECEMBER BALL
MY COMMISSION # DD 875799
r d EXPIRES: July 31, 2013
Bonded Thru Notary Public Undewriter
Contractor/Agent is nown to Me r
Produced ID Type of ID
WASTE WATER:
BUILDING:
Rev 11.08
Service Information
abby widmer
j 202 s bristol cir
sandford FL 32773
Contact: ABBY WIDMER
Phone: (603)995-6750 Fax:
Alt Contact: Alt Phone
E-Mail: virtualfpg@hotmail.com j
Job Name Call Ahead Confirmed
32207
j Job Type PO #
Home Depot:SFNI 64463024
Item
WH Basic Install - WH Basic Install
WH:EL:487-876 HD - 50 Elec T GE12 4500W(487-876)HD + tax
01 Plans and Permits:01.2 Permits:Sanford - City of Sanford - Permits
We Also Install:W/H:Shut off valve - Shut off valve
We Also Install:W/H:Water flex lines - Water flex lines
We Also Install:W/H:Expansion Device - Expansion Device
We Also I nstall:W/H: Custom Work - S F&I Custom compression fittings
Quantity Additionalltem(s)
Job Notes and Instructions
Florida Delta Mechanical Inc.
CFC1425917
2716 Broadway Center Blvd
Brandon FL 33510
Phone: (813) 425-0020
Fax: (813) 425-0027
florid a(cDdeltamechancia1.com
www.deltamechancial.com
Invoice
64463024
Billing Information
Home Depot - 264
4600 W. Lake Mary Blvd
407-333-9650
Lake Mary FL 32746
Marketing Campaign
Sales Rep Terms Type Class
Z Home Depot
j Route Scheduled Start End
EvoG
Quantity Rate Amount
1 $247.0000 $247.00
1 $447.2600 $447.26
1 $125.0000 $125.00
1 $30.0000 $30.00
1 $30.0000 $30.00
1 $90.0000 $90.00
2 $22.5000 $45.00
Job Subtotal: $1,014.26
0.00
Total Due: $1,014.26
Rate Amount
Scheduled Job Subtotal:
Additional Items:
Additional Tax:
Total Due: I j
j