HomeMy WebLinkAbout8107 Stonebrook DrtitSS' '
Job Address:
4U6 v
Parcel ID:
Type of Work: New Addition Alteration
Description of Work:
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: 5-- 53 0
Value: $ CQO(zto . (? /
r, Historic District: Yes No
Residential Commercial
Repair Demo Change of Use Move
Plan Review Contact Person: ` Title:
Phone:
l`" ,M Y:S gSD ax: -qq\4— Email: l l h rV'i -(% t• ; ,i O,,
rt oProperty Owner Information \ _ Name
Phone: Street: _
Resident of property? City,
State Zip: 1,Qf-orN M Pv-'r C C3 Contractor
Information Name \
J i ' /Ti-CPhone: Street:
OAq 43 e,Fax: rn -90 uTL L/ g City,
State Zip: ) 1 State License No.: Architect/
Engineer Information Name:
Street:
City,
St, Zip: Bonding
Company: Address:
Phone:
Fax:
E-
mail: Mortgage
Lender: Address:
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.
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. FBC
105.3 Shall be inscribed with the date of application and the code in effect as of that date: 5" Edition (2014) Florida Building Code Revised:
June 30, 2015 Permit Application
t
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that noworkorinstallationhascommencedpriortotheissuanceofapermitandthatallworkwillbeperformedto
meet standards of all laws regulating construction in this jurisdiction. I understand that a separate permitmustbesecuredforelectricalwork, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and
air conditioners, etc.
OWNER'S AFFIDAVI : 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 FloridaLienLaw, 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.
Si a• or0wncOASM We
01Ct I Sful' 1
VIILEIDYS M C"ILLAS
My COMMISSION #FF1837e5
EXPIRES Sap w t w 28.2018
Owner/Agent is Personally Known to Me or
Produced 1D Type of ID
We -
or
KAREN E. CUNNINGHAM
Notary Public - Sta lorida
E My Comm. Exp' s Dec 1, 016
Commissl # EE 223084
gel f§17h o tional la Assn.
to Me or
ype of ID
APPROVALS: ZONING: UTILITIES: WASTE WATER:
ENGINEERING FIRE: BUILDING:
COMMENTS:
Shalt be inscribed with the date ofwncation and the code in effect as of that date (Code 2010 F8C) 731.135(Sx6) Florida Statutes. RGV 07,14
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: — ,/
I hereby name and appoint:
an agent of:
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 s ecific permit gpd appl•cation for work located a
S--trorle-h-wL. On. ')aJa.-Jo l, ) treet Ad66ssj —
Expiration Date for This Limited Power of Attorney:L"
License Holder Name:
State License Number:
Signature of License Holder: bQ 24 " AyC,llk
STATE OF FLORIDA
COUNTY OF
The fore oing instrument was acknowledged before me this ay o
200 byu who is personall known
to me or who has produced as
identification and who did (did
Y-7
e an oath.
nature
KAREN E. CUNNINGHAM
o ar Puqq w -State of Florida
xpires Dec 1, 2016
s,91 P Commission # EE 223084 Prl t or type name
Bonded Through National Notary Assn.
Notary Public - State of
Commission No.
My Commission xpire . Jv/j e
Rev. 08.12)
PROPOSAL
r IT
Page 1 of 1
CO U.S.H.A.C.
PLUMBING ELECTRICAL HVAC
U.S.H.A.0 - ORLANDO U.S.H.A.0 - TAMPA U.S.H.A.0 - MIAMI
624 Douglas Avenue, Suite 1402 5418 56 Commerce Park Blvd. 3911 SW 47th Ave., Suite 907
Altamonte Springs, FI 32714 Tampa, Florida 33610 Davie, FL 33314
407-774-9850 407-774-4419 fax 813-623-5818 813-623-1931 fax 954_581.8333 954-581-3236 fax
LICENSES PLUMB #CFC057167 ELEC NEC0000624 MECH #CMC056240
Customer:
STONEBROOK APARTMENTS
1000 STONEBROOK DRIVE
SANFORD, FL 32773
INSTALLER:
PROPOSAL
Wednesday, August 05, 2015
Reference* 28480-705900
Due Date: 9/4/2015
S/C $75.00HR
Job Name:
STONEBROOK -BLDG. 8
1000 STONEBROOK DE APT. 107
SANFORD, FL 32773
407 - 322 9556
We Hereby Submit Specifications And Estimates For:
BLDG. 8 APT. 107 — SUPPLY & INSTALL GOODMAN 2 TON PANCAKE STYLE AIR HANDLER WITH 5 KW
HEAT. INSTALL SS2 FLOAT SWITCH AND PROGRAMMABLE T—STAT. SET CONDENSER ON PAD AND SECURE
WITH HURRICANE CLIPS AND LOCKING CAPS
TOTAL JOB: $ 2,250.00
All material is guaranteed to
specifications involving extra
upon delays beyond our COYaboveduedate.
Authorized
work to be completed in a pr tonal manner according to standard practices. Any alteration or deviation from above
led only upon written ord and will become an extra charge over and above the estimate. All agreements contingent
ies to pay all costs ection, including attorney's fees. This proposal may be withdrawn by us if not accepted by the
Acceptance Signature Date J
http://server9/WorkOrderPrintFonn.asp?ID=705900&CN=28480&IN=566&rpt=P 8/6/2015