HomeMy WebLinkAbout2014 Elizabeth StK
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: 1 S- 23 ? S
Documented Construction 'Value: $ L f e o
Job Address: Z 0 ) E t ahe { 1. C -}- Historic District: Yes No
Parcel ID- Residential 2- Commercial
Type of Work: New Addition Alteration 'Repair Demo Change of Use Move
Description of Work: W ;,., ^ _, t,,, 4+c , 1,,IC4.} e,r
Plan Review Contact Person: Title:
Phone: Fax': Email: Ljcrlaen, Cc'
n(
Property Owner Information
dame TAmed&r .«. Phone:
Street: 2 I y I: z 4 bEt L. G 4- _ Resident of property?: yes
City, State Zip: ls
Contractor information
Name w s ncr'I i a'r:cc I W -4kf Phone: 3 26-
Street: eb &)c 35-0 -g I Fax:
City, State Zip: _ g w, Cast FL' 2 I State License No.: 1101 K(-I -t )
Arch"<ectlEngineer m.formation
Name: _ Phone:
Street: - _ Fax:
City, St, Zip: -maii:
Bonding Company:
ddress:
Mortgage Leader:
Address:
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMIXENTCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEibfENTS TO YOUR PROPERTY. A NOTWE 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
COMMMENCEMENT:
Application is hereby made to obtain a permit to do the ,%,drk and installations as indicated. I certify that no work or installation has
commenced prior to the issuance ofa permit and that all work :vill be perfornmcd 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, ate
F.SC 105.3 Shall be inscribed with the date of applicaeion and the code in effect as of that date: 51 Edition (2014) Florida Building Code
Revised -June 30, 2015 Pennit Application
2015-08-03 10:39 WellsFargo Bank, NA 3864454245 >> P 2/3
h )TICH' In addition to the requirements orthis permit, there may be additional restrictions applicable to this property that may bedlitindinthepublicrecordsol'this county. and there may be additional permits required kom other governmental entities such as watermnaBementdistricts. state agencies, or Icdcral agencies, Aciceptance
of permit N verification that I will notify the owner ol'the property ol'the requirements of plorida I,icn l,aw. PS 713 Th :
City ofSunford requires payment of a plan review fee at the time of permit submittal, A copy of the executed contract is required illordertocalculateaplanreviewchargeandwillbeconsideredtheestimatedconstructionvltlueofthejobatthetimeol'submittal. Theactualconstructionvaluewillberiguredbasedonthecurrent (CC Valuation Table in CI'Icct at the time the permit is issued. in accordancewithlocalordinance. Should calculated charges figured Off the executed contract exceed the actual construction value. creAwillbeappliedtoyourpermitfeeswhenthepermitisissued. n
RR'S AFFIDAVIT: I certify that all of the foregoin^ information is accurate and that all work will bedoneincompliancewithallapplicablelawsregaintingconstructionandzoning. I
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SigngentDat~— 'AV 3 zo/'r Signature
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Contractor/Agent's Nan SSigns
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FOR OFFICE USE ONLY PeritsRequired: Building[]
Electrical Co New Fire
CO
Mechanical
D
Plumbing
GasC1 Roof ruction Type: Occupancy
Use: Flood Zone: Sq Ft of
Bldcy: Min. Occupancy Load: of Stories: onstruction: Electric - # of
s Am P Plumbing - # of Fixtures prinkler Permit: Yes
No D # of Heads Fire Alarm Permit: Yes O No ALS: ZONING: UTILITIES:
WASTE: WATER: ENGINEERING: DIRE; BUILDING:
NTS: Rew 4d:
unc
30, 2015 Permit Application
Werner's Electrical Werks LLC
Estimate
PO Box 350791
Palm Coast
Florida. 32135
Name / Address
Al Faron Plumbing
AI Faron
Date Estimate #
7/8/2015 213
Project
Description Qty Rate Total
Proposal for work to include, run 2 new 60a circuits to water heater
and hookup
Above price does not include permit & fees
Job loc;2014 Elizabeth Ct, Sanford FLA
425.00 425.00
Thanks for the opportunity to bid this job
Total $425.00