HomeMy WebLinkAbout2618 Marshall AveCITY OFF SANFORD
z FIRE PREVENTION
PERMIT APPLICATION
Application No: I [" 4P 0 7 Documented Construction Value: $
Job Address: a(O L n Nm1 ) H_V)VV. Historic District: Yes No
Parcel ID: b ao— ' C>*C7U - of Zoning:
Description of Work:
Plan Review Contact Person:
Phone: 3sip - 9u3 - a/q3-5 Fax:
666 1
Title:
E-mail:
Property Owner Information
Name,wmwos
Street: 2 cp i k nnl'S-'a tz oye
City, State Zip: V ! 3YC1 E—L O&T7
350,00
Phone: 302I
Resident of property? :
Contractor Information -
7 Y+ // Name C i cC Lli l {QI run l l d' Phone: `3
Street: I &)M&'_1U fIli-- -
7 l
Fax: Sao _9WS_ 9`/c.q
City, State Zip: O Etarm - r& 30')Q0 State License No.: C1'SW 1-1z—
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Building Permit 61
Square Footage Ck;o
No. of Dwelling Units:
Electrical
New Service — No. of AMPS:
Architect/Engineer Information
Phone:
Fax:
E-mail:
Mortgage Lender:
Address:
PERMIT INFORMATION
Construction Type: 61664 No. of Stories:
Flood Zone:
Mechanical (Duct layout required for new systems)
Plumbing
New Construction - No. of Fixtures:
Fire Sprinkler/Alarm 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.
C /Z/Z7/z0/ 0 9LZ:;—i / Z/Z *2 /Z0/4
Signa r wner/Agent Date Signature o ontractor/Agent Date
Print Owner/Agent's Name
v„r "tie Notary Public State of Florida
Emery C Stewart
My Commission EE040144
Expires 12/30/2014
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
Print Contractor/Agent's Name
Signature ry-State of Florida Date
o '% "V.t Notary Public State of Florida
Emery C Stewart
s My Commission EE040144fOFr1o Expires 12/30/4014
Contractor/Agent is ersona y o o Me or
Produced 1D Type of ID
WASTE WATER:
BUILDING:
Rev 11.08
01/26/2008 01:28 3869439434 MCNEAL AND WHITE PAGE 01/01
Weatherizatlon Assistance Programs
Pre Work Order Agreement
rnrm PWOA-10
Below is a list or the work that may be completed on your home- These s8rAm are free and funded by the Slate of Florida and the U.S.
rent of Energy and health & Human Services and Should make your home safer and more energy efficientHowworr, those ara not home repair air rehabilitation programs and are ttrnited in tha scope of work that may be performed. review the below list and sign to Ind)cete your undarstanding of the work that will be performed on your home contingent upon available
spewic WORK TO BE COMPLETED. -
install smoke detectors 0 living f< laundry
Install CO detectors a iMn9 a laundry
Install new exhaust fan w1damper a bath 1 /vent to exteflot
natal{ AC 4SHar A leovo 'I for the chant
Install water sever aerators @ kltchett 4, trial 1
install ineulptlon wrap on HWH
Ine6late HWH lines
Caulkisea) plumbing penetrations ® baths & kitchen
Calling repair ® AC closet
Wall repairs @ AC closet
Install permanent weethet-611rip Q D1 and adiust to seal property
RFPLACE sliding glass door 0 IdICtrsn d (h
Replace door D3 with kx*"t & dsadboit (titre rated)
Repair upper & lower Window pane on W3 & 1 pane an W 1
Insulate attio to R30 (eatrnated 10203gft.)
Install now rattle anceas panel , batt weatherstrip & build dam CM least V above Insulation
Install solar screens g w6, W7, W8, Wg
Install dtgitol rmart thermostat wlauto function ( provide instructions for client)
Install C&L Q beds, ihdng, dining, bathe, kitchen, hall, = 18
Pra ilde service & clean of gas HVAC unit (provide dated auckar upon completion)
l acknowledge that I nave Deen IMormed that based upon the tnrdal Inspection process, my house appears to have less them two square feat of mold
and/or mildew present and that these programs are llmltad to regard to addressing the source of water Intrusion that may be sousing the mold. Ifurtheracknowiedaothatalthoughtheservicestobeperformedmaynottotallypltminatethe'problent, they will not promote new growth, and that
there are health risks associated with mold and mildew If not removed. Therefore, by signing this form, I understand that the agency Meals an
Wheels eta. is proAding these services in good faith and shall be held harmless If new mold appears.
I also ac)cnowieoge that I have rwmived two pamphlets. "Renovate fthe /mportsnt cod I!o=ard lnfwg. sfion forFamrtles, ChAtl Care Providam,
and Schools" and "Mold, afolsture and Your Horn-", and a copy of the aOancy grievance procedures.
I have also indicated to the agency staff that an occupant of this dwelling does does n have an existing breattting or health condition that
would be impacted by peltorning the blower door testing or weatherization work—, In this document.
C ignature Date ncy Offiaal ature Date
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