HomeMy WebLinkAbout101 Hays DrRECEIVES:+
JUL Y S 2011
BY:
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
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Application No:
I' 91Y Documented Construction Value: $
Job Address: i U 1 1 a V 2 Historic District: Yes No10,
Parcel ID: Zoning:
Description of Work: \ rA lz t 02 Q < p t p f
Plan Review Contact Person:
Phone: '-{6l) -Fax: Kn E-mail:
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Property Owner Information
Name J c 'k MoRuh oft,Nt Z Phone: _
Street: 9a, Resident of property?
City, State Zip:
Contractor Information
Name -_ Rig
Street: UuQ
City, State Zip:
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Phone:
Fax:
Title:
State License No.:
itect/Engineer Information
Phone:
Fax:
I
E-mail:
Mortgage Lender:
Address:
111ZOAC N
6t0u 93BuiidinPermit+snodsl! r1 ivil b9r;,398gtoaN
Square Footage:
No. of Dwelling Units:
Electrical
New Service — No. of AMPS:
FORMATION
Construction Type: No. of Stories:
Flood Zone:
Plumbing
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New Construction - No. of Fixtures:
Mechanical (Duct layout required for new systems) 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: UTILITIES:
ENGINEERING:
COMMENTS:
Contractor/Agent is
Produced ID
Personally Known to Me or
Type of ID
WASTE WATER:
BUILDING:
Rev 11.08
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Scott and Mary Vogenitz
101 Hays Drive
Sanford, FL 32771
400 S Sanford Ave
Sanford Fl , 32771
407) 688-2317
407) 688-2397
July 18, 2011
Repipe
101 Hays Drive
Sanford, FL
SPO 1130
CFC-057227
Work to be perform shall include: the replacement of all hot and cold potable water
distribution system with Dura Pex piping. Each fixtures shall have new chrome stops
escutcheons and pex supply lines.
Fixtures to be repipe shall include: (1) water heater, (1) washer, (1) tub & shower, (1)
toilet, (1) lav, (2) hose bibbs, (1) kitchen, (1) laundry tub and (1) exterior main shut off
valve. Exact Plumbing shall include any and all drywall and concrete repairs (paint by
others if needed.) Exact Plumbing Inc will furnish permit per City of Sanford
requirement and (2) two years labor warranty.
NOTE: Dura Pex piping and fittings shall have limited lifetime warranty(see
attachment)
Total Amount of Quote: $850.00
All work will be in accordance with state and local es will be quality
workmanship. We look forward to working with you on this project and should you have
any questions, concerns, please do not hesitate to contact us.
Sincerely,
Jason Turner
President
Acceptance of Proposal
The above referenced, price, specifications and conditions are satisfactory and are hereby
accepted. You are authorized to do the work as specified.
Date of Acceptance: -211P// / Signature