Loading...
HomeMy WebLinkAbout420 Oak AveCITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No. Documented Construction Value: S r9qcp Job Address: Dak Historic District: Yes No Parcel ID: Residential Commercial Type of Work: New Addition Alteration M Repair Demo Change of Use Move Description of Work: P L b (,w, , ADV , 12- 6 4xk / Il Plan Review Contact Person: Title: Phone: Fax: Email: Property Owner Information Name Phone: Street: Resident of property? City, State Zip: Contractor Information Name 1 f.a"' ,vwK. Phone: (67 -&I -7,r/ 10 Street:o ; d -{ Fax: L07 -L 1 _7R tL City, State Zip: (9 fi 1' 'GQO . > 5,,L7 (e -State License No.: e d 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: 511 Edition (2014) Florida Building Code Revised: June 30, 2015 Permit Application 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 at the time of permit submittal. A copy of the executed contract is required in order to calculate a plan review charge and will be considered the estimated construction value of the job at the time of submittal. The actual construction value will be figured based on the current ICC Valuation Table in effect at the time the permit is issued, in 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 the permit is issued. OWNER'S AFFIDAVIT: I certify that all of the foregoing informati is accurate and that all work will be done in compliance with all applicable laws regulating constructi#and zoning. 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 5— Sigh of Contractor/Agent Date / C/)((t-Z -1wr-7 Print Contractor/Agent's Name Signature of Notary -State of Florida Date DEBBIE BIANTON W COMMISSION # FF 178848 EXPIRES: February 25, 2019 Bonded Thru Notary Public Uodennriters Contractor/Agent is Personally Known to Me or Produced ID Type of ID Lf - BELOW IS FOR OFFICE USE ONLY Permits Required: Building[ ] Electrical Mechanical PlumbinggL Gas Roof Construction Type: Total Sq Ft of Bldg: Occupancy Use: Min. Occupancy Load: New Construction: Electric - # of Amps. Fire Sprinkler Permit: Yes No APPROVALS: ZONING: ENGINEERING: COMMENTS: of Heads UTILITIES: FIRE: Flood Zone: of Stories: Plumbing - # of Fixtures, Fire Alarm Permit: Yes No WASTE WATER: BUILDING: Revised: June 30, 2015 Permit Application LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: "O / I hereby name and appoint: "/A, an agent of: 1 W Name 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): i The specific permit and apRlication for work located att: Address) Expiration Date for This Limited Power of Attorney: n . License Holder Name: / V I ! j State License Number:- C& DOO 7 Signature of License Holder: cP46A0 STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this day of to 201, byS who is personally known tom r who has produced p? .IA- as identification and who did (did not) take an oa Signature A'"r `"k;= PAMELA JEAN ciumnS Notary Seal) Print or type name Notary Public - State of Commission No. My Commission Expires: Rev. 08.12) MY COMMISSION *FF175829 EXPIRES November 13, 2018DPFes,. 39"153 FloridallotarvService.com 08/13/15 1 2:23PM Landmark 4073235571 Page 1 PROPOSAL - PROPOSAL No. DIME CUSTOM CONT., INC SHEET NO. 465 &Stbfidge Dr. PROPOSAL SUBMITTED TO: OAL-d0,FL. 32765 DATE Wn D V 'rn m = f3 n W NAME ADDRESS OF PERFORMED AT. I DATE OF PLANS I-ARC-P-7-E-C—T — -- -- We t M 1:1prori,)se e a Fri -:': -n co moletion of Vf Q A All material is guaranteed to be as specified, and the above work to be performed in accordance with the drawings and specifications submitted for above work. and cornu' ed in a substantial Wor7kFar- 1111 mannerlpr the sum of Dollars ($ 4" with payments to be made as follows: q Respectfully submitted Any aiterafion or deviation !Torr at.CA-e ipecif!ratiors- :ivvottning extra cos -s11:6 be exe.-wed riniv wore written ooi,4v all* will become on exta chs,( ge Peroverandacmetheestirrale. Al agn!em-ws ca I:rrgent upon strikes;. ac- dclefft- of d6ap bevand cvf E;Dritro;,. Note - This proposal may be withdrawn by us if not accepted within ACCEPTANCE OF PROPOSAL The above price;-, specificati ris and conditions are satisfactory and are hereby accepted. You are authorized to do the work 1: e C) as specified. Payments wili bent;,:ldc., as outlined above. Sigria"ure D8118 PROPOSAL PERMIT # r LANDMARK Building & Construction, Inc. License # CBC1253840 cr- 6 0 /00Z/ '1-y ( : G Xl57JtN{ . j// gVS • GA'/Ir•V 7' V'L./ 37V I1/Iii. 714.fJ O+: iNL /'iT 420 0)4,k Aw" a„Fad Post Office Box 1329 Sanford FL 32772, 3655 Delphini Park Lane, Sanford FL 32771 Office 407-323-5570 Fax 407-323-5571 AUG 6 20195 / RV l nmme- < i All le-) , ®S 4,,A-" 4, i V(- -Y Ku? -to Foe _siSa-- ean-A4_— AUG 12 2015 CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: r ' D Documented Construction Value: $ 7$T) Job Address: V.10 ©'t , Qr,'.' L_ Historic District: Yes No Parcel ID: Description of Work: Zoning: Plan Review Contact Person: Title: Phone: X07 21t, O XA9 Fax: 407-477-11 E-mail: Property Owner Information C ri9J}oo _ Z D•l Name ( _ Street:\ City, State Zip: _ Phone: Resident of property? r Contractor Information Name m,f Ll/ .5el? !// l,FS Phone: %O 7 Street:aj/y % oRs f" if ' Fax: %7' 677- 6G i$ City, State Zip: /Did" fl 3; 79-- State License No.: /--iez o /'q-7 9 Architect/Engineer Information Name: t Street: City, St, Zip: Bonding Company: Address: Phone: Fax: E-mail: Mortgage Lender: Address: PERMIT INFORMATION Building Permit Square Footage: Construction Type: No. of Dwelling Units: Flood Zone: Electrical Plumbing New Service — No. of AMPS: Mechanical (Duct layout required for new systems) No. of Stories: New Construction - No. of Fixtures: 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 securedfor electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and air conditioners, etc:,,: S.,^ OWNER'S AFFIDAVIT: I certify that all of the foregoing information is faccurate,and thatrall 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 FIST INSPECTION:; IF.VbU INTEND TO; OBT ;`FINANCING, CONSULT>;W;ITIf YOUR LENDER OR AST>ATXORNEYLBEFORE 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. C. The City of Sanford requiresypayment,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'calculdte°the plan review f& •ba"sed.\on past permit activity levels. - Should;_calculat&d charges, exceI e, 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: Rev 11.08 A2" /. i /4 5;^ Signature of Contractor/Agent Date Print Contractor/Agent's Name Signature of Notary -State of Florida Date Contractor/Agent is Personally Known to Me or Produced ID Type of ID WASTE WATER: BUILDING: C.R.E.W. ELECTRICAL SERVICES, INC. 2914 N. FORSYTH RU. WINTER PARK.* FL, 32792 004 (407) 677-1155 We propose to furnish all material and labor for the electrical wo c in: Job Name: Vd11_ aa%t,,, _ at: Fox the sum of $ "7W State sales tax include Rough -in draw- 70% $ Trim -out draw- 3 % $ Which shall be done as per the followiuxg schedule: If it should become necessary to place this contract and/or any associated Invoices whit our attorney for collect(on, salt orotherlegalaction, I/ne hereby agree to pay costs otsuch collections; saltor other legal action, Including a reasonableattorney's fee. , Invoices due Not 30 days. This proposal Is good for 10 days only. A /mance charge will be assessed°at a monthly periodic rale of 1.5% (Annual Percentageunpaidbalance, t.rnot pald In full, by the due data hndtcnted above. Rate of 18%) calculated on the Accepted by: By: Customer C.R.E.W. Electrical Services, Inc. License ff EC13001929