HomeMy WebLinkAbout1300 S Magnolia Ave 11-499i
RECEIVED CITY OF SANFORD
DEC 1 5 201® BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: Documented Construction Value: $
Job Address: a% fYv44, Historic District: Yes 93" No
Parcel ID:
Description of Work: +
Plan Review Contact Person:
Phone: Fax:
Zoning:
Title:
E-mail:
Property Owner Information
Name A X_e/ Oc1yGi U 7a Phone d ' 2 l Street:
1 i' o,u G Resident of property? City,
State Zip: i,a22 7 % Contractor
Information ' °7 12 o(jfa2q
Name /
0/I'Jr/Ti /,r ll '
14 221 - 9 R U• Phone: Street:
SaWd r/Gl Fax: City,
State Zip: 414 r' , e72 7-7/ State License No.: Architect/
Engineer Information Name:
Phone: Street:
City,
St, Zip: Bonding
Company: Address:
Building
Permit Fax:
E-
mail: Mortgage
Lender: Address:
PERMIT
INFORMATION Square
Footage: Construction Type: No. of Stories: No.
of Dwelling Units: Flood Zone: Electrical
Plumbing New
Service — No. of AMPS: New Construction - No. of Fixtures: Mechanical
13 (Duct layout required for new systems) Fire Sprinkler/Alarm 0 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
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APPROVALS: ZONING UTILITIES:
ENGINEERING:
COMMENTS:
Rev 11.08
JZ/sDiv
Si ature of Contrac or/Agent Date
6P nei% G,
Print Contractor/Agent's Name
9" yi
Signature of Notary -State of Florida Date
OUe'OVG
EXpir E Few ;nary 25201 t tij ;: ..,'•)
T.RI. FI.
Nct. , Disc=t C' Contractor/&
eni,iOT R `"^Per`so a`ll Known to Me o f ProducedIDTypeZEDeYea' WASTE
WATER: BUILDING:
Gomez Plumbing, Inc.
2478 S. Sanford Ave.
Sanford, Florida 32771 Date:December 6, 2009
407) 322-0042-Office St. Lie. #CFC057858
407) 330-9868-Fax
Dill To:Andrew & Mary Valenta Project:Andrew & Mary Valenta
1300 S. Magnolia Ave. 1300 S. Magnolia Ave..
Sanford, Fl. 32771 Sanford, Fl. 32771
ONE SINGLE FAMILY RESIDENCE TANKLESS WATER HEATER
WATWER HEATER
1-Owner Provided Tankless Water Heater Connection By Plumber.
1-Plumber To Install Cold & Hot Water Piping & Natural Gas Piping To New Water Heater After Disassembling
Existing Tank Type Natural Gas Water Heater.
1-Owner Provided Tankless Water Heater Will Be Installed On The Outside Side Wall Of Residence
Located Close To Back Door South Side for Hookup.
1-Plumber To Pull Permit with The City of Sanford Building Department, Prior To Installation, Also
for Inspection After Installation.
1 Plumber Will Supply All Necessary Supplies for Hookup.
Terms: $700.00 Upon Completion.
Please call as soon as possible for scheduling (generally at least one to two weeks in
advance). The date(s) requested may not always be available, however you will be given
next available date possible. All jobs must be completely ready for Gomez Plumbing, Inc.
to proceedwith work on the date scheduled. 24 hours notice is required for any change in scheduled
dates. If job is not ready and a second trip is required or 24 hours notice is -not received,
the above price will be subject to a trip charge. The above proposal price is subject
to change 90 days after Acceptance of Proposal/Contract. Notification of a price increase
will be given within seven days prior to the increase. All material is guaranteed to be
as specified. All work to be completed in a workmanlike manner according to standard practices.
ANY ALTERATION OR DEVIATIONS FROM ABOVE SPECIFICATIONS PROPOSAL/
CONTRACT PRICE. The failure to pay any portion of work performed by Gomez
Plumbing, Inc. will constitute a breach of this ProposaVContract and Gomez Plumbing,
Inc. may, at its option, cease all work on the project pending receipt of payment in
full Jor work performed. The Proposal/Contract price is contingent upon strikes, accidents
or delays beyond our control. Owner to carry fire, tornado and any other insurance,
required by all Federal, State, and Local laws and ordinances. Our workers are fully
covered by workman's compensation insurance. It is the policy of Gomez Plumbing, Inc.
to issue a notice to owner on every job. Upon execution this document becomes a legally
binding contract. In the event of any litigation arising out of this Proposal/Contract
the prevailing party shall be entitled to an award of its reasonable attorney's fees and costs.
Venue for litigation shall be in Seminole County, Florida.
AUTHORIZED SIGNATURE
ACCEPTANCE of PROPOSAL,
The above prices, specifications and conditions are satisfactory and are hereby
accepted. You are authorized to do the work as specifeef }. Payment will be made as
outlined above. / ! / I .
SIGNATURE
DATE of ACCEPTANCE % Z -
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APPLICATION
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4n'°-}:.:. K 3 DESCRIPTION
OF
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Install 4
z riatural.
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