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HomeMy WebLinkAbout902 S Scott AveM D: CITY OF SANFORD A BUILDING & FIRE PREVENTION PERMIT APPLICATION Applieation No; Documented Ciqui4vur-fin" Job Address: qG S, aC t A 1.2 Historic District: Yes No.0 Parcel ID: Zoning: Description of Work: Add e(e&)ca0 fec Fhde'S3-nS Scro_wrcArj AjC,(eced-,gcjoS 0,rden Plan Review Contact Person: Title: Phone: Fax: E-mail: MM Property Owner Information Name (DSKGr Se.iSUNtS Phone: 11 7_330- GW 6`-j9 IStreet: V S, SOU 11. Resident of property? : eS 1 City, State Zip: SG 1«i, F2- 3 Contractor Information Name l e;'CC/r E)ear,"il Corp, Phone: yC7'U Street: 61?3 Un've(S)h) rJ Vd. She 3 Fax: yb-7' ysy _ 5o3% State License No.: 3City, State Zip: W1 n-k Pq K, FL 3a 9a COb 65 - Architect/Engineer Information Name: Phone: Street: Fax: City, St, Zip: E-mail: Bonding Company: Mortgage Lender: Address: Address: PERMIT INFORMATION Building Permit 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 (Duct layout required for new systems) Fire Sprinkler/Alarm No. of heads: Shall be inscribed with the date of application and the code in effect as of that date (Code 2010 FBC) 731.135(5)(6) Florida Statutes. REV 07.14 A 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. Signature of Owner/Agent Owner/Agent's Name Date Signature of Notary -State of Florida Date Owner/Agent is Personally Known to Me or Produced ID Type of ID APPROVALS: ZONING: UTILI-TIES: ENGINEERING: FIRE: COMMENTS: Signature of Contractor/Agent Date Print Contractor/Agent's Name Signature of Notary -State of Florida Date Contractor/Agent is Personally Known to Me or Produced ID Type of ID WASTE WATER: BUILDING: Shall be inscribed with the date of application and the code in effect as of that date (Code 2010 FBC) 731.135(5)(6) Florida Statutes. REV 07.14 Application is hereby made to obtain a permit to do the work and installations as indicatedi I certik.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 requirementsofthis 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. 'Shouldcalculated 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. e SUtue Owner/ Agent Date ature of Con trac or/Agent ate Print Owner/ Agent's Name Signature of Notary -State of Florida Date Owner/Agent is Personally Known to Me or Produced ID Type of I'D APPROVALS: ZONING: UTILITIES: ENGINEERING: COMMENTS: FIRE: Contractor/ Agent is /Personal'ly Known to Me Produced ID - Type of ID. WASTE WATER: BUILDING: . Rev 11. 08 LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: 11 /10/14 I hereby name and appoint: Thomas Coleman an agent of, American Electrical Corporation Name of Company) to be my lawful attorney -in -fact to act for the to apply for, receipt for, sign for and do allthings necessary to this appointment for (check only one option): The specific permit and application for work located at: 902 S Scott Ave., Sanford, FL 32771 street Address) Expiration Date for This Limited Power of Attorney:11/10/15 License Holder Name: Justin Fiorini State License Number: EC13005765 Signature of License Holder: STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this day of Nnyl. , 200 , by Jjkojyt fig4vu who is 'personally known to me or who has produced as identification and who did ( didggn e an oath. KA re Notary Seal) L" M • iJP..I SIG I Print or type name Notary Public - State of i1p)WA ter+KCRIM rL Commission No. eF,'&S1A40 r My 60MNAS M t EE 832440 EOIAM November 12, 2016 1 My Commission Expires: (Z t Bonded NY Notary Public Undewlm Rev. 08.12) PROPOSAL/CONTRACT SHORT FORM CUSTOMER Oskar Seisums AV ADDRESS 902 S Scott Ave, SanfordALUMJOBNAME NOTES P2414111013 American Electrical Corporation Date: 11/10/2014 Written by. LEAH CRISPI INCLUSIONS. EXCLUSIONS, CLARIFICATIONS. AND GENERAL CONDITIONS TAXES, PERMITS, AND MISC. ADMIN FEES ALL DEVICES AND EQUIPMENT ARE TO BE PROVIDED BY OWNER - INCLUDING BUT NOT LIMITED TO SWITCHES, RECEPTACLES, LOW VOLTAGE PLATES, SENSORS, EXHAUST FANS, SMOKE/CO2 DETECTORS, TRIM PLATES ALL FANS, FIXTURES AND LAMPS/BULBS INCLUDING RECESSED CANS ARE TO BE PROVIDED BY OWNERS SPEAKERS AND THE VOLUME CONTROLS ARE TO BE FURNISHED AND INSTALLED BY OWNER/OTHERS (PROPOSAL PRICE ONLY INCLUDES PRE -WIRE) AEC CAN PROVIDE PRICING FOR THE SOUND SYSTEM AEC SHALL NOT BE HELD LIABLE FOR PLAN ERRORS OR OMISSIONS IN DESIGN BY OTHERS WORK NOT SPECIFIED IN THIS PROPOSAL SHOULD NOT BE ASSUMMED. INCLUDES ITEMS SPECIFICALLY MENTIONED. NO OTHER PROMISES, WORK, WARRANTY, OR SERVICES ARE BINDING UNLESS OTHER WRITTEN AND DULY SIGNED AGRREMNETS ARE MADE BETWEEN CONTRACTOR AND PURCHASER. ANY WALL OR CEILING OUTLET LOCATION THAT IS MOVED AFTER DRYWALL INSTALLATION FOR ANY REASON IS SUBJECT TO ADDITIONAL CHARGES ALL WALL AND CEILING LIGHT INSTALLATION COST ARE BASED UPON STANDARD WEIGHT AND SIZE, FIXTURES EXCEEDING CERTAIN LIMITATIONS ARE SUBJECT TO ADDITIONAL INSTALLATION CHARGES ALL WORK PROVIDED TO HAVE I (ONE) YEAR LABOR WARRANTY. WARRANTY ON PARTS ARE SUBJECT TO MANUFACTURES SPECIFICATIONS ALL LIGHTING AND FANS EXCEPT FOR RECESS CANS PROVIDED BY OTHERS ALL VOLUME CONTROLS AND SPEAKERS PROVIDED BY OTHERS TERMS AND CONDITIONS 10% DUE UPON COMPLETION OF UNDERGROUND AND INSTALLATION OF TEMPORARY POWER POLE 55% DUE UPON COMPLETION OF DEMO / ROUGH -IN 35% DUE UPON COMPLETION OF TRIM -OUT AEC RESERVES THE RIGHT TO INVOICE INCREMENTALLY, BUT NOT TO EXCEED PHASE PERCENTAGES, UPON JOBSITE DELAYS PRICE TO FURNISH ELECTRICAL MATERIALS AND SERVICE: $1,500.00 WE THE UNDERSIGNED, HAVE READ, UNDERSTOOD, AND AGREE TO THE PRIC S TERMS AND CONDITIONS SPECIFIED ABOVE. AEC IS AUTHORIZED TO EXECUTE THE WORK AS STATED. PAYMENT WILL BE MADE AS OUTLINED IN THIS A EM T. IAUTHORIZED APPROVAL SIGNATURE 4250 A/afaya Trail Suite 212-35 edcrFlorida 32765 Office: 407418-8109 Fax: 407-454-5037 I ;PROPOSAL/CONTRACT SHORT FORM CUSTOMER Oskar Seisums ADDRESS 902 S Scott Ave, Sanford JOB NAME American Electrical Corporation PROPOSAL # P2414111013 We are providing you with our cost proposal for the ELECTRICAL SCOPE for the above referenced job. Work to be performed per plans and specs and in accordance with the NEC. Work to include, but not necessarily limited to the following: Date: 11/10/2014 Written b . LEAH CRISPI City. Description unit cost extra Ext. Price 1 SUNPANEL FOR NEW A/C INCLUDED 6 RECEPTACLES IN KNEE WALL OF SCREEN ROOM INCLUDED 2 FANS IN SCREEN ROOM CEILING INCLUDED 6 RECEPTACLES IN FRONT ULILITY ROOM INCLUDED 1 DEDICATED CIRCUIT FOR A/C INCLUDED TOTAL 1,500.00 RVITIALU/ 4250 Alafaya Trail Suite 212-355 Oviedo, Florida 32765 Office: 407-718-8109 Fax. 407-454-5037 W 0 ruei CityRevision of Sanford Response to Comments( Building & Fire Prevention Division OwCE Ph: 407.688.5150 Fax: 407.688.5152 Email: building@sanfordfl.gov Permit # Submittal Date 617//'V Project Address: g0 l J G© / / ` Contact: Ph: 7 ``` Fax: D) Email: `T4-F6 (i&fAC, `"C"`'f,,('lq,411 COWL Trades encompassed in revision: Building Plumbing Electrical Mechanical Life Safety Waste Water General description of revision: ROUTING INFORMATION Department Approvals Utilities Waste Water Planning Engineering Fire Prevention /" J Building `7r 12— /V- / I Revision Response to Comments,,' Permit # / S ^ /® Submittal Date Project Address: 9 Da S , Sig Ave,, Contact: G15 DI n'1 Ph: 2)`Os- 002 I Fax: Email: `f `EC, G"n 1 l Qwlk .or Trades encompassed in revision: Building Plumbing J.f' Electrical Mechanical Life Safety Waste Water City of Sanford Building & Fire Prevention Division Ph: 407.688.5150 Fax: 407.688.5152 Email: building@sanfordfl.gov General description of revision: ROUTING INFORMATION Department Approvals El Utilities Waste Water Planning Engineering Fire Prevention 0 Building O L. 0 V5 RECORD COPY v) V7 L D 61 a v =- 7 I aia C x 1 5 V7 REVIEWED FOR CODE COMPLIANCE PLAI S EXAMI ER ATE 15 - 107 SANFORD BUILDING DIVISION A PERMIT ISSUED SHAD BE CONSTRUED TO BE A LICENSE TO PROCEED WITH THE WORK AND NOT A. AUTHORITY TO VIOLATE, CANCEL, ALTER OR SET' ASIDE ANY OF THE PROVISIONS OF THE TECHNICAL ODES, NOR SHALL ISSUANCE OF A PERMIT PREVP THE BUILDING OFFICIAL FROM THEREAFTER REOUIRING A CORRECTION OF ERRORS IN PLANS, CONSTRUCTION OR VIOLATIONS OF THIS CODE S nio r-t om,&4r o,i th ija-)-, vj NA8,T;34c WV U'95 A tetViSioO 1S