HomeMy WebLinkAbout3414 Whippoorwill CountCITY OIC SANFOkD PERMIT APPLICATION
Appli'Mtion fl: 43D Submittal Date:
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Job Address: Lf l,t;'n ACkx2 i li C7 % Value of Work: $ 4//
Parcel ID: 07 "' 3 _ S/ Co 000 --01 3O Zoning: Historic District:
Description of Work: R eD (sr" t. M1- t .• ie"Ld1 b in 3 S f 1 C d-- .dC Square Footage: < _
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Permit Type: Building w Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool Sign
Electrical: New Service - # of AMPS Addition/Alteration fly Change of Service Temporary Pole
Mechanical: Residential Non -Residential Replacement New (Duct Layout & Energy Calc. Required)
Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines
Plumbing/New Residential: # of Water Closets
Occupancy Type: Residential Commercial Industrial
Construction Type: # of Stories: # of Dwelling Units
Plumbing Repair -Residential Commercial
Occupancy Use Group(s):
Flood Zone: (FEMA form required )
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Property Owner: (GC.
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yu Contractor/:
Address: 1 Ct, W^ ` Address:/-C l i L7 r111 Y e%LLf s7^i tS (01. 82
151, 'q2-)-)3 (hA(. • ! ?
Phone. / E-mail: Phone90?,'671_/6Q)State License Number: (6 06X L
Bonding Company:
Address:
Architect/Engineer:
Mortgage Lender:
Address:
Phone:
Address: (`
c
Fax: /
Plan Review Contact Person: I?r ° G(L tr:i PhoneLfO— .%l- 90 ax: _4'A "lj..Z3 E-mail: 12L_ e ,J CO,4yjCrtC1r,)
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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 govemmental entities such as water management districts, state agencies, or federal agencies.
Y
Acceptance of permit is verification that I will notify the owner of the property of the requirements yFlo'Lien Law, FS 713.
Sir gnarre of Owner/Agent Date Signature of Contractor/A nt Date
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Date --'Signature of tett
fpr srp yrra - - o`Y pp, Notary Public State of Florida
o Notary Pubrida Bridgette M HancockE^cgette M.
ommi2% , `My Commission DD746222
or ;,_.° ;;. es 031of roExpires 03/07/2012
Owne gen[ is Persona or Con r/Agent is _Personally Known to Me or
Produced ID 3 O 76ZZ OC q- O Produced IDS S-i® / S 3U'
APPROVALS: ZONING: UTIL: FD: ENG: BLDG:
Special Conditions:
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THIS INSTRUMENT PR PARED BY:
Name: &dQ cti
Address: i mole -N( e,
0 i + Cdr. 1i i.(<, / ;i'' lz
State of Florida
q "W'Am
PIRRYI ON*: : CLERK OF CIRCUIT COURT
SEidME CORAM
BK 07491 Pg 09501 Upg) SEMINOLE COUNTY CLERK'S # 2010139922
FLORIDA'S NATURAL CHOICERECOM 12/05/2010 0!2208229 PH
RECIMINS FEES 10.00
RECOM BY T Wth
NOTICE OF COMMENCEMENT,
Permit Number Parcel ID Number (PID)
The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with 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)
GENERAL DESCRIPTION OF IMPROVEMENT jQ 6,A)nV
OWNER INFORMATION
Name and address: —4
CONTRACTOR
Name and address:
600ld 7 vi (t tj r) 64 L, -j
CE T,F1Ep COPT
r J iii S%t d (3 VAR"ANNE UT eUR
02 (. fl. ' 11314'(
Persons within the State of Florida Designated by Owner upon whom notice or other
by Section 713.13(1)(b), Florida Statutes.
Name and address:
In addition to himself, Owner Designates of
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 IMPROVMENTS 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 COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
STATE OF FLO RID COUNTY OF SEMINOLE
YY L'z7() Z LQ
NE S'SIGNATURE OWNERS PRINTED NAME
NOTE: Per Florida Statute 713.13(1) (g), owner must sign....:. and no one else may be permitted to sign in his or her stead."
The foregoing instrument was acknowledged before me this day of /-61cc-A- 61f , 20
by Who is personally known to me
Name of person making statement
OR who has produced identification type of identification produced
VERIFICATION PURSUANT TO SECTION 92.525, FLORIDA STATUTES.
UNDER PENALTIES OF PERJURY, I DECLA E THAT I HAVE READ THE FOREGOING AND THAT THE FACTS STATED IN IT .
ARE TRUE ,T0;1 HE BEST OW KNOW" E AND BELIEF.
SIGNATURE NATURAL PERSON., SIGNING ABOVE
I
4rCA
s ! State of Florida
ancock
4
ti ^ DD7as222 Notary Signature
dFFs+i /?012
P
Eden Construction Corporation Construction Contract Proposal ,
We herewith submit proposal for materials and labor to be supplied at the sole request and
order of:
Robertf-Tomoyo Gould
3414 Whippoorwill Court
Sanford, FL 32773
hereinafter referred to as "OWNER" for work to be performed at premises set forth below, according to
the following terms and;specifications: Renovate Kitchen. Remove all cabinets, plumbing, and
appliances. Remove ceiling valance to install 42" cabinets. Remove recessed lights and install owners
ceiling light fixture. Install LED undercabinet lighting: Install new Kraftmaid cabinets and 3cm thick
granite counter tops. Install two existing wall cabinets in utility room. New sink and faucet. Install owners
appliances. Plans and building permit.
Allowances included in price:
Cabinets $15,000.00 labor, delivery & material
Counter tops $3,150.00 labor & material
Sink $350.00 Faucet $300.00
Specifications are in a separate section of this proposal.)
You, the OWNERS, may cancel this transaction at any time prior to midnight of the third business day
after the date of this transaction. See the attached notice of cancellation form for explanation of this
right.
All materials are guaranteed to be as specified and to carry manufacturer's warranty. All work will be
completed in a neat and workmanlike manner, (conforming to and remedied as per the NAHB "Quality
Standards For The Professional Remodeling Industry" manual). In the event a dispute arises regarding
satisfaction of workmanship,, materials and/or other, both parties agree to bind themselves over to.
arbitration by a qualified arbitrator chosen by the Better Business Bureau and will abide by the findings
and resolutions. Our labor carries a one (1) year warranty.
Any alteration or deviation from above specifications involving extra labor and/or material costs will
become an extra charge over the below agreed amount. Agreements made with mechanics or
subcontractors on the job are not recognized. No statement, arrangement or understanding, expressedorimpliednotcontainedhereinwillberecognized..
Eden Construction Corporation is not responsible for delays due to back ordered materials or
circumstances beyond our control. Contractor is not responsible for removal of radon gas or lead paint.
We propose to furnish and install the above complete in accordance with the above specifications for
the sum of $29fi9"&dollars.
19, i go 0
Payment to be made as follows $600.00 pon execution of the contract, 8,000.0 when cabinets
ordered, $5,000.00 when permi * ed and start of job, $9,000.00 (plus any overages) start of
cabinet installation, $5,000.00 installation of counter top, andr balance upon substantial
completion, plus any agreed upon extras. The foregoing terms, s catll's `c`conditions are
satisfactory and are hereby agreed to. You are authorized to do the work as specified and payment will
be as outlined above. The owner upon signing this agreement represents and warrants that he/she is
the owner of the premises, and that he/she has read this agreement and agrees also to pay, after thirty30) days' of completion, a 1-1/2% service charge per month on any unpaid balance.
v
Page 1
I 1
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: Documented Construction Value: $ 5 4
Job Address: 3 y W H 1 PP00 W I LL C 1 Historic District: Yes No
Parcel ID: G -I 2- 0 3 1 e I Z. G D p a 01.E 6 Zoning:
Description of Work: AVP 2- OU -1 ets rhe w) R E_ocA , e 2-
re- r2 r 6 /e_ 5 L t-s (e t;n5) D I G i ht
Plan Review Contact Person: Tule:
r) to)
Phone: Fax: E-mail:
Property Owner Information
Name i J j 0 V)-) 6 \1 y 0 U L 1) Phone:
Street: 3L4 I LI W N i ee0 aj< ttiI i LL C i Resident of property?
City, State Zip: 5 N 6 X_(D
Contractor Information
r_S
Name A LL— C t5 b C LE_ C i ti G Phone: 4 01— q 57 — 0172.
Street: I. LI 0 1 1 1t-- ':;+ t/P e45- Fax: 240-7- g 5 7 0 lt'7 L
City, State Zip: 5 t• C L 0 U Q 1' L LV7 State License No.: d 6 32 / Z-
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 Dwelling Units: Flood Zone:
Electrical 121
New Service — No. of AMPS:
Mechanical (Duct layout required for new systems)
No. of Stories:
Plumbing
New Construction - No. of Fixtures:
Fire Sprinkler/Alarm 13 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.
Signature of Owner/Agent
Print 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:
ENGINEERING:
COMMENTS:
Rev 11.08
Signature of Contractor/Age Date
S Ph", e, rClZ t b
Print Contractor/Agent's Name
a &LkA- cX . 0 AAA) 1 Z/
31 i
Signature of Notary -State of Florida Date
LAURA D. CARR
MY COMMISSION N DD705488
EXPIRES: Auguu 15, 2011
of a
i-800-3•NOTnRv Fl. Notary Ditcouul Anac. Co.
Contractor/Agent is L_Pe_rsonally Known to Me or
Produced ID Type of ID
UTILITIES:
FIRE:
WASTE WATER:
BUILDING:
State Ceriliee O.CBC1253984
NOTICE TO -OWNER
ACCORDING TO FLORIDA'S CONSTRUCTION LIEN LAW (SECTIONS 713.001-713.37, FLORIDA
STATUES,)THOSE WHO WORK ON YOUR PROPERTY OR PROVIDEMATERIALS AND SERVICES
AND ARE NOT PAID IN FULL HAVE THE RIGHT TO ENFORCE THEIR CLAIM FOR PAYMENT
AGAINST YOUR PROPERTY. THIS IS KNOWN AS A CONSTRUCTION LEIN. IF YOUR CONTRACTOR
OR SUBCONTRACTOR FAILS TO PAY SUBCONTRACTORS, SUB -SUBCONTRACTORS, OR
MATERIAL SUPPLIERS, THE 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 MAY ALSO HAVE A LEEN ON YOUR PROPERTY.
THIS MEANS IFA LEIN IS FILED YOUR PROPERTY COULD BE SOLD AGAINST YOUR WILL TO PAY
FOR LABOR, MATERIALS, OR OTHER SERVICES THAT YOUR CONTRACTOR OR 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 LEIN FROM .ANY PERSON OR COMPANY THAT HAS PROVIDED TO YOU A
NOTICE TO OWNER." FLORIDA'S CONSTRUCTION LEIN LAW IS COMPLEX AND IT IS RECOMMENDED
THAT YOU CONSULT AN ATTORNEY.
1. LIM CTED WARRANTY. Except as otherwise required by law, Contractor warrants that its Work will be free from defects in material and
workmanship for one year from the date of completion of the installation subject to terms below. Contractor makes no warranties regarding products sold
but assigns to you any manufacturer warranties relating to the products. THIS EXPRESS WARRANTY IS iN LIEU OF AND EXCLUDES ALL OTHER
WARRANTIES, WHETHER EXPRESSF,D, i.MPLIED OR STATUTORY, INCLUDING IMPLIED WARRANTIES OF MERCHANTABILITY OR
FITNESS FOR .A PARTICULAR.PUR.POSE. This limited warranty does not cover damages relating to (a) accident, misuse, abuse, neglect, or normal
wear and tear: (b) failure to use or maintain the product in accordance with manufacturer's instructions; and 0 alteration, repair by anyone other than
Contractor or authorized representative. You shall be solely responsible for correctness of pians and specifications and shall release and hold harmless
Contractor from any damages resulting from improper, inadequate or vague information supplied by ,you. Contractor does not take on any obligation
to inspect or evaluate the work of other parties in any manner or aspect. This warranty is not transferable.
2. INSURANCE. Contractor shall maintain workers' compensation (employer liability) insurance, as required by law, and $1,000,000 in general liability
insurance while perfonn.ing the Work..Contractor reserves the right to self insured to the extent allowed by applicable law.
3. LIMITATION OF REMEDIES. Your sole and exclusive remedy against Contractor for any and all claims for damages arising out of or alleged to have
arisen out of the Work will be limited to repair or replacement by Contractor, at Contractor's option, of any nonconforming Work or to the issuance
of a credit for such nonconforming Work, in accordance with these terms and conditions. You must give written notice to Contractor of any claim with
respect to the Work. Contractor must be given a reasonable opportunity to inspect the Work within 30 days after Contractor's receipt of the notice and
confirm such nonconformity. This exclusive remedy shall not he deemed to have failed of its essential purpose if contractor repairs or replaces the
nonconforming work. If you fail to give the required notice and.'or fail to allow Contractor the required opportunity to inspect, you .waive any and all
rights for damages and/or correction of work against Contractor. This Limitations of Remedies may be pled as a complete bar to any action in
violation of this clause.
4. LIMITATIONS ON ACTIONS AND LIABILITY. To the extent permitted by law, all claims andlur lawsuits including but not limited to claims or
lawsuits for indemnity and%or contribution against Contractor arising under this agreement must be made within 13 months from the date of completion of
the installation.
5. DISPUTES AND MA' DATORY MEDIATION, In the event that a dispute arises over the reasonableness of or entitlement to fees charged by
Contractor, the prevailing party will be entitled to reasonable attorneys fees and costs. In all other disputes of any nature, each party shall pay its own
fees and costs. Except as required to protect confidential information and to obtain preliminary injunctive relief to prevent irreparable harm, you and the
Contractor agree to engage in facilitative mediation of any and all disputes related to this agreement prior to initiating any legal action. if the parties cannot
agree upon a facilitative mediator within 30 days of when the dispute arose, one will be selected pursuant to the Commercial Mediation Rules of the
American Arbitration Association_ Each party will share equally the fees of the facilitative mediator and other shared mediation costs.
G. ENTiR F AGREEMENT. This is the entire agreement between us relating to the Work and may only he waived or changed by a document signed by both
of us. if any provision of this agreement is not enforceable, that provision shall be effective only to extent permitted by law and all other provisions
of this agreement shall remain. "Che laws of the state where Work is performed govern this agreement.
Customer int.
Contractor int.
WORKORDER Page 2
r
CITY OF SANFORD
BUILDING. & FIRE PREVENTION
PERMIT APPLICATION
Application No: `"1 Documented Construction Value: $
Job Address: L( L4( W14 D lL- C 9V RT Historic District: Yes No • .
Parcel ID• Zoning:
Description Description of Work: R /' Sly Y It'f G 7—
Plan Plan Review Contact Person: Title:
Phone: Fax: E-mail:
Property Owner Information
Name Phone:
Street: Resident of property?
City, State Zip:
Contractor Information
Name (/T i /ll'l /'li G- Phone: Cyd 'Z7
Street: /'7 S y f /C "V S? Fax:
City, State Zip: O Q 4-, 32-e 3.7 State.License No.:
Architect/Engineer Information
Name: Phone:
Street: Fax:
City, St, Zip: E-mail:
Bonding Company:
Address:
Mortgage Lender:
Address:
PERMIT INFORMATION
Building Permit
Square Footage: Construction Type:
No. of Dwelling Units: Flood Zone:
Electrical
New .Service - No. of AMPS:
Mechanical (Duct layout required for new systems)
No. of Stories:
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.
Signature of Owner/Agent
Print 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:
ENGINEERING:
COMMENTS:
Rev 11.08
UTILITIES:
ignature of ontractor/Agent Date
Print Contractor/Agent's Name
ae .,,_ is
Signature of Notary -State of Florida Date
z
WYPu% DEBBIE BLANTON
w
MY COMMISSION 1, DDG290
4' 4 2'IBES: February 25, 2011
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A. Notzry Disco=t AssocC p'
1-t0U 3-\OT.4RY
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Contractor/Agent is Personall Known to Me or
Produced ID Type of ID L/
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