HomeMy WebLinkAbout106 Drew Ave (3)DECEIVED
V
JUN 14 2011
w C1Af r7J
113y: .. __. ..-CMLOF SANFORD
NBUILDING & FIRE PREVENTION PERMIT
APPLICATION Application
No: p 71 Documented Construction Value: $ Job
Address: \ c-Y, Historic District: Yes No Parcel
ID: -\y--aS,C c^ a\\ Zoning: Description
of Work: \ Plan
Review Contact Person: Title: Phone:
Fax: E-mail: Property
Owner Information Name
L \W\cxczN \-kcx . Phone: Street:
Resident of property? City,
State Contracjor
Information . Name
Phone: Street:
pax 3--_535\\ T
Fag:
fJ81 City,
State Zip: p,\, _z -, Q c;c4 \3 State License No.: Name:
Street:
City,
St, Zip: Bonding
Company: _ Address:
Building
Permit O Square
Footage: No..
of Dwelling Units: Electrical
Ell Architect/
Engineer Information Phone:
Fax:
E-
mail: _ Mortgage
Lender: Address:
PERMIT
INFORMATION Construction
Type: No. of Stories: Flood
Zone: Plumbing
mi New
Service - No. of AMPS: New Construction - No. of Fixtures: Mechanical
EI (Duct layout required for new systems) Fire Sprinkler/Alarm C! No. of heads: 1q.
cx)
Application is hereby made to obtain a permit to do the work and installations as 'vindicated. 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 EMPROVEMENTS 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 Date
Print Owner/Agent's Name
Signature ofNotary-State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
APPROVALS: ZONING:. - 3 *11 UTILITIES:
ENGINEERING:
COMMENTS:
FIRE:
Signature of Contractor/Agent Date
Name
Notary Public - State of Florida
My Commission Expires Mar 11, 201
Commission # DD 751291
Bonded Through National Notary Assn
Contractor/Agent is personally Known to Me or
Produced ID Type of ID
WASTE WATER:
BUILDING:
Rev 11.08
I-
PERMI # -
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pf MY
SCIS Home = Log In User Registration Hot Topics! Submit Surcharge` Stats & Facts: Publications: FOC
Product Approval
y,{ USER: Public User
Product Approval Mgqu, a Product or Apnlicatir),rl,_ .arch > Avolicaation List a application History a Application Di
FL FL4334-R4
Application Type Revision
r
r
Code Version 2007
Application Status Approved
Comments
Archived ("
Product Manufacturer ; : Masonite International
Address/Phone/Email
r" -^
a ry
Suite 950
Tampa, FL 33609
615) 441.4258
sschreiber@masonite.com
Authorized Signature
Technical Representative
Address/Phone/Email
Quality Assurance Representative
Address/Phone/hail
Category
Subcategory
Compliance Method
Certification Agency
Validated By
Referenced Standard and Year (of Standard)
Steve Schreiber
sschreiber@masonite.com
Exterior Doors
Swinging Oiterlor toot Assemblies
Certifkatbon Mark or Listing
National Accreditation & Management Institute,
National Accreditation & Management Institute,
Standard
TAS 201
TAS 202
TAS 203
5/ b d « 99000LO L59L S JOMIIIW WOW 60-90-LLOE
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NOTICE OF PROD: -T CERTIFICATION
Company: MasoniteInternational Corporation Certification No.:
1955 Powis Read Certification Date:
1Vest Chicago, IL 60185 Expiration Date:
Revision Date:
Product: Mel&Edge Impact Rated Steel Door w(Rellow hictal Steel Frame
Specifications Tested To: TAS 20112021203-94/AST?1Q E330
N1006591-R2 Page 2
06114120116
12130/2010
12/18/1008
The "Notice of Product Certification" is only valid if the NAAU Certification Label has been applied to the product as described within this document. The certilication
label represents product conformity to the applicable specification and that all certification. criteria has been satisfied. This product has been approved for listing within
NAIM's Certified Product Listing at WL%Y2.jaoxlcertifica1ion.cam. NAMPff Certlfleation Program is accredited by The American Natfanal Standards Institute (ANSI).
Conliguration
Inswing
or
ou(SI'Ving
Glazed
or
Opaque
Maximum
Size
Design I
Pressure
F03INeg
blissile
Impact
Rated
Test Report Number
Drawing Number &
Comments
X
Single
I/S Opaque 3'W' x 6'8" 80%-80 Yes NCrtat049t5.1a3
Ambor Ddaii1-MA-ft.if 150-06
X
Single
0/S Opaque 3'W x 6'8" 80%-80 Yes WCr621.0-1915-1,23
And"thtsil-asA-t7-otso-o6
National Acmditation & Management Institute, IncJ11870 Merchants Walk Suite 202/Newport News, VA 23606
Tes-757.594.8658/Fax 757.594.8659
NAMI AUTHORIZED SIGNATURE:
NAMII NOTICE OF PRODUCT LINE
ERTIFICATIQN
Certification No.:
late:
Revision Date:
Certification Program:
Company:
Code:
N100659! R2 Pane 1
06/106,,_ 12/
18/2009 Sit
Masonite,
International M-
The "
Notice of Product Line Cot if`ication" is valid Only when AdminiswAor's Seal iK applied to the upper left !
sand portion of this form and a certification label is applied to the product. This certification seal represents
product conformity to the applicable specification and that all certification criteria has been satisfied,
The
products and sysnenrs listed below are approved for listing in the Directory of Ccaifrod Products at www,
nAN1Cortiizcati8n,corn. Please review, and advise NAW immediately if data, as shown requires corrections,
Company:
Masonite International Corporation 1955
Powis Road West
Chicago, IL 60185 Product
Line: Masonite Metal -Edge Im act Rated Steel Door with Hollow NLetal Steel
Test
Report: NCTL-210-1915-1,2,&3 Section ]:
General Description of the Products and Systems under this Certification 1.
1 Frame: Jambs and head constructed from 4-5/8" 18 gauge steel. Hcad/
Jamtb corners were mitered construction. 1.
2 Door Slab(s) Construction: Slab constructed from 0.017" thick steel skins.
Top and bottom rail constructed from wood. Stites of continuous roll -
formed steel employing a high impact styrene thermal barrier. Interior cavity
filled with rigid polyurethane. Section
2: Additional Supportive Test or Acceptance Data Provided with Certification
Documentation included" 2.
1. Anchor Performance Calculation Report -Performed by Eric S. Nielsen, P.
E (Florida P.E. No. 41323) 2.
2 Surface Bunning Characteristics for Foam Filled Door performed by Ortega
Point Laboratories to ASTM E84.98, •'Standard Test Method For
Surface Burning Characteristics of Building Materials". Report No. 15977-
104313. IThk
nlfottnation i, provided u a convenieWo for Comoftm building depart =LP and it g=(ofs wd is nut ctnsidcmd put of thix
cCltiflcsdilm 5m
additional Page of Certification for Certified Product Linc mutrix(s). National
Accreditation & Management Institute, Ina. 11870
Merchants Walls Suite 207rNewport News, VA L%H TE1L(
7M 5943658 FAX(757)594-9659 5/£
d 8900D10 L59L sVOMMW 95:OL 60-90-M?
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SIDE-hIME'D METAL -EDGE STEEL OOon u.VJT
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O ATTA014MENT OETAH
p T_ AKCHCR ANALYSTS FOR LOADING CO`MITIONS PF.EPARE4,
O S-GNED AND SEALED BY EMC S. ?it: -_SON. ==
FLORIDA ;41323) FOR EAC=f INST I-WiJOIN RTHOD_
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K1i1KSEi MAY.HMUM SECURITY SERIES GRADE 2 = '= iCi
iCY•_RAMPICA_ XND CEA'3'_CCK HAR90VARE TO BE INSTALLED
AT 5--1 j2" CEN'ERUW.
2. d' k 4' FJI L. MORTSE BUTF HINGES.
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To. ntactor
items listed on the work w ite up may not pertain to your core business function. These items should be bid under the umbrella of your company through licensed
contractors such as Plumt ing. Electrical, WAC, Roofing Etc It is your responsibility to pull pemtits and provide results pertaining to your business function
according to Local Munia and Code and or provide the same from licensed contractors pertaining to Plumbing, Electrical, HVAC, Roofing Etc You are
required to provided Cerfii led Payroll for at work performed on residence, for your company and all sub -contractors hired by you. Any house or trailer built pre 1978
will require EPA Lea Work Practice or Lead Testing to be performed by a EPA Lead -Safe Certified Firm. Photos of EPA Lead -Safe Work Practice or
Documentation Supportirt Negative Test Results are required for agency documentation & client file. If additional items are needed in conjunction with a Work
Write Up Item, you must I rovide an addendum explaining repair. In order for payment to be processed you must provide the Payment Request Form, Signed Invoice
Release of Lien. Passed I ennits, LSW Documentation for pre-1978 homes & Davis Bacon Compliance. Additional info may be required. Ad Work and Punch List
Items must be 100% com We. Prices & Items may be subject to change, to meet budget requirements. If so, price and item changes will be agreed upon verbally.
The bid will then be adjus signed by MOW as (Addendum to Bid), and rent back to you. You are required to sign as (Acceptance of Addendum to Bid) and send
back to MOW. MOW unit n sign as (Acceptance of Bid) and send back to you. Work may begin. All specifications, terns and conditions shall be as described in ft
OWNERICONTRACTOR GREEMENTand the FLORIDA WEATHERMATION HANDBOOK MATERIALS, INSTALLATION and WORKMANSHIP STANDARDS.
r 1.
1 InstaInstall smoke detectorsQlivi a di H&S 30.00 S 30.00 60.00
2 Install adma vent Q bath 1, vent to wued" H&S 60.00 130.00 190.00
3 Repair toilet a bath H&S 20.00 S 40.00 60.00
4 Install AC fin r & leave 1 for client Regrdred 20.00 S 15.00 35.00
5 Instal faucet aeratms a kitchen & baths Required 20.00 S 25.00 45.00
6 Insulate MW f lines per weatherization quidelmes Required 30.00 S 40.00 70.00
7 Minor cam repair AC doset 1 35.0D 50.00 85.00
8 Install metal nsufaled doorwnod=L dead brolt, & peep hole @ DI 1 S 275.00 275.00 550.00
9 Rep2iriam. asIng.RmWIIlhrQsh*Id&a4Mtosa@1 D2 1 S 60.00 S 60.00 120.00
10 Insulate attk to R-W per weatherh alion guidelines estimated 1342 sqM 2 S 604.00 296.00 900.00
11 Batt weather strip & build dam @ attic access 2 50.00 75.D0 125.00
12 krsWil soli ns Q w1,w2.v/3,w4,w6,we w7 4 360.00 175.00 525.00
13 Install CFLs M beds, dintry, baths, Mehen & hall Total -12 ,C B 50.00 50.00 100.00
14 Seal supply h barn 1 & bath 2 7 S 30.00 70.00 100.00
15 Replace MA.tor W eneW star rated of same sae I freezer iop no up grades 625.00 S 2D0.00 825.00
16 AC service 8 dean) provide dated service sticker upon completion & detailed service Ikkat to agency 125.00 S 250.00 375.00
17 Install 4o HWH cull Q leastR-12 insulation rating. kistall & plumb Wier roe to pan 1• below dm 10 400.00 S 220.00 620.00
a r ve!so doamentation
M6
NAME: Lillian M rds DATE: 4/2212011 4,785.00
Built 1973 JOB tf imorris641
PHONE: 407-430-9974 407 5-7116ADDRESS: 1106 Drew Ave. Sanford FL, 32771
fi?• o-t...••zr3%CdiY'ais5..-at-+i.aa_ a.. ]y .rr"a,:? S z _'_' =Y _ Yc=-'i,
ems.-'>s t::.ceh'la._=.hiF- z.ssa.._..' - -
Y.. _-' sue.= 1_ -
u-:
Please inspect the property and submit the workwrite up with your cost to me NO LATER THAN 5-24-2011, If your bid meets the criteria, you w II
be contacted with the t lotice To Proceed With Work, signed, with a time frame for work to be completed in.
I 1 y
Contractor. f: Signature: `we- Date:
Addendum to Bid: Date:
MOW
ir"i rySI{.S-.::.d.:r+^' i:5"3s;fa•;sk ""'.. 4 z-`""s-s.'Gt-. i ..E!':>k''.•:.•..,n m
a_ „r. _.•.'nCA li3tiB L rt__4€:".:.•.T:.l._.:.>=.t-auxi' s.:t cuei;:•,:=.:
Your contract and pror asal for homeowner repairs and upgrades at the above mentioned address. Owners have been examined and
accepted by the Wea erization Program staff. Items have meet the approval of the client. Items mentioned above are to be completed within the 3pecified
time frame. You may begin rk on 6 2-2011. You shall complete all work on1or before 646-2011.
Acceptance of Bid: Pate:y
J
1+' ) Jay Curbow / Weatherization Manger
W (may proceed) Meals on Wheels Etc.
Acceptance of 2801 S. Financial CL Sanford FL, 32773
Addendum to Bid: Data: Office: 407333.8877 exL1141 Fax 407-829- 8
CONTRACTOR si n & send back Cell: 321.388.4829
THIS INSTRUMENT PREPARED BY: HARYANW WIRSEv CLERK OF CIRCUIT COURT
Name: 1' 4\eLcc c•v, MINME COIN N
Address: BK 07586 pg 0839; Opg) QX,-, C,C..x-.`. CLERKS S 0+y] 1e>'E.3461StateofFlorida
RECORDED 06I1W2011 10:5,?t34 AN
RECORDING FEES 10.00
NOTICE OF COMMENCEMBODED BY 3 Edenroth(a11)
Permit Number Parcel IDNumber (PID)`t—\1-\``J 5—CICGC, -Gl\Ca 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) 1-
c;'t- \ `+.\c c \r_ C:., t.r,-(i i1-1eS+. c.<; SCE_ J\.;. Ri.• Nan
GENERAL
DESCRIPTION OF IMPROVEMENT e
N—c.9 4....
y .-. - u , c\G c• :. \ c= g'4 c V Q c•J\ J OWNER
INFORMATION Name
and address: Name
and address of Fee Simple Title Holder (if other than owner) : CONTRACTOR
Name
and address: Cyr-•.
cam- . . _ __ : -_..- , - .-.. z••= Persons
within the State of Florida Designated by Owner upon whom notice or other documents may be served as provided 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 \tom&Q— COUNTY OF LAC.[_ / /
L//L,-O I... \\,), c C C l t i \S OWNERS
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 120 \\ by
cx» \AC-,-S Who is personally known to me Name
of person making statement r CERTIFILU
CUNt OR
who has produced identification type of Identification produced r' —VJWANNE
MORSE VERIFICATION
PURSUANT TO SECTION 92.525, FLORIDA STATUTES. . CLERK ¢F CIRCUIT COURT UNDER
PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING AND THAT THE FACTS STATESFAMOLE COUNTY. FLORIDA ARE
TRUE TO THE BEST OF MY KNOWLEDGE AND BELIEF. a
S6NATURE
OF NATURAL PERSON SIGNING ABOVE ' TrN ILS 2011 VALERIE
LEVERETT c,
s Notary Public wf Florida My
Commission 5rds ar 11, 2012 Notary Signature N"*
a Commission fI DD 751291 F`OQ,, = Bonded
Through National Notary Assn.