HomeMy WebLinkAbout209 Colonial Wayrt
Job Address: L-4 l- J-1 kU
Parcel ID:p
Type of Work: New Addition
Description of Work: ntA, i I
Plan Review Contact Person: d
Phone:
Name
Street:
City, State Zip:
Name
Street:
City, State Zip:
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
WARNING TO OWNER: YOUR FAILUI
PAYING TWICE FOR IMPROVEMEN
RECORDED AND POSTED ON THE Jt
FINANCING, CONSULT WITH YOUR
COMMENCEMENT.
Application is hereby made to obtain a permit
commenced prior to the issuance of a permit a
in this jurisdiction. I understand that a sel
furnaces, boilers, heaters, tanks, and air con
FBC 105:3 Shall be inscribed with the date of
Revised: June 30,2015
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: / - °7
Documented_ Construction Value: $ Iya 0(?
I Historic Distric ; s No El
Residential Commercial
Alteration Repair Demo Change of Use,O Move
i 7i;,.s4r, one Un 0
i r
Title:
Email: (.{ 5 , r r/(i'Y)i " l
roperty Owner Information
Phone:
Resident of property?
Contractor Information ,
f
Phone:
Fax:
31911V State License No.: i
hitect/Engineer Information
Phone:
Fax:
E-mail:
Mortgage Lender:
Address:
TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE
SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN
NDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
do the work and installations as indicated. I certify that no work or installation has
I that all work will be performed to meet standards of all laws regulating construction
rate permit must be secured for electrical work, plumbing, signs, wells, pools; Q
itioners, etc. 9 I
ication and the code in effect as of that date: 5a' Edition (2014), Florida Building Code n
i
Permit Application /
1 j
J( c
t -
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 noiify 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 at the time of permit submittal. A copy of the executed contract is requiredinordertocalculateaplanreviewchargeandwillbeconsideredtheestimatedconstructionvalueofthejobatthetimeofsubmittal.
The actual construction value will be figured based on the current IC Valuation Table in effect at the time the permit c issued, e, accordance with local ordinance. Should calculated charges figured off the executed contract exceed the actual construction value,
credit will be applied to your permit fees when tht6 permit is issued.
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.
of Owner/Agent
Name
Signature
Owner/Agent is Personally Known to
Produced ID Type of ID
Permits Required: Building
Construction Type:
Total Sq Ft of Bldg:
New Construction: Electric - # of
Fire Sprinkler Permit: Yes No
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
Revised: June 30, 2015,
re of Contractor/Agent `Date
Print` i` tractor/Agent's Name
1,14 Pi-
11"
Sig , re of Nota -State of Florida e
uA
acti,nr n e KAREN E- CUNNINGHAM
Notary Public - State 01 Florida
My Co n. Expires Dec 1, 2016
n•• Co I Issi n ,Ri n o Me or
e or Contra torPAt Ertl usen
a .on Notary Assn,
Produce
IS FOR OFFICE USE ONLY,
E
rical Mechanical Plumbing0 Gas Roof
Occupancy Use: i Flood',Zone:
Min. Occupancy Load: , ,# of Stories:
l
s Plumbing - # of Futures
1.
of Heads Fire Alarm Permit: Yes Q No
tE
UTILITIES:
FIRE:
WASTE WATER:
BUILDING:
I
i_
i
t
Permit Application
0
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: '` n n
I hereby name and appoint:
an agent of:
ame of Company
to be my lawful attorney -in -fact to act for me to apply for, receipt for, sign for and do all things
necessary to this appointment for (check only one option):
The specific pe mtt and ap,p ,twat' o n for wor located
q 1' n 1, tOr ti G I
Expiration Date for This
License Holder Name:
State License Number:
Signature of License Holder:
STATE OF FLORIDA
Street Address) — _j
Power of Attorney: _ & 9
COUNTY OF
The foregoing instrument /Ivas cknowledged before me this ay
200, byCh, 6 1 s who is rersonall known
to me or o who has producbd as
identification and who did (did not) take an oath.
KAREN E. CUNNINGHAMPublic - Stale of FloridaILVPViiDiaryDec1, 2016 . lotamy EE 223084
s : • o ` 1 Commission Assn. Through National Notary
Notary Public - State of
Commission No. 3
My Commission Expires:
I
PROPOSAL
k
R
Ce URSMAXx
PLUMBING ELECTRICAL OVAC
I.
U.S.H.A.0 - ORLANDO U.S.HA.0 - TAMFA U.S.HA.0 - MIAMI
624 Douglas Avenue, Suite 1402
Springs. F132714
5418 56 Commerce'Park Blvd.
Tampa, Florida 3300
3911 SW 4701 Ave., Suite 907
Davie, FL 33314Altamonte
407-774-9850 407-774-4419fax 813-6235818-81,3i623-1931 fax 954581.8333 9545813236fax
LICENSES PLUMB MCFC057167 ELEC #EC0000624 M ICH MCMC056240
Customer:
PREMIUM PROPERTIES
564 N SEMORAN BOULEVARD
Oi2LANDO, FL 32807
3
We
TECH !TO CALL JOE GRADY FROM SIR
AS CLOSE TO 2PM OR AFTER IF POc,
TENANT : DON'T LEAVE INVOICE, I
PERFORM : INSTALL 40 GALLON ELE
NEW W/H INSTALLED TO MICKI 4071
TOTAL JOB COST : *840.00
e
AN material Is guaranteed to
specifications involving extrr
upon delays beyond our n
above due date.
Authorized Signa
Page 1 of I
PROPOSAL
Wednesday, August 19, 2015
Reference#: 52503-708880
Due Date: 9/18/2015
Job Name:
TENANT - NATASHA
209 COLONIAL WAY
SANFORD, FL 32771
407 - 865 2203 CELL
y Submit Specifications And Estimates For:
E: 407 — 952 5449** PLEASE CALL W/ 30 MIN NOTICE RUN AS
SIBLE***
ION'T DISCUSS SERVICE CALL
CT. MEDIUM W/H, PAN & EXP. VALVE*** SEND PIC OF OLD &
722 9594
AN work to be completed in a professional manner according to standard practices. Any alteration or deviation from abovexecutedonlyuponwrittenordersandwillbecomeanextrachargeoverandabovetheestimate. AN agreemerds ContingentagreestopayhNCostsofcollection, including attorneys fees. This proposal may be withdrawn by us N not accepted by the
Acceptance Signature
Date
htt://server9/WorkOrderPrintForm asp?ID=708880&CN=52503&IN=1852&rpt=P 8/18/2015
p 1