HomeMy WebLinkAbout1119 W 12 St41tiY[L TIMM1M7 CUM kit r IJIHIIWIIIWI
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
D ;
lCo - Application No. Yl
Documented Construction Value: $ L, D U SJ
Job Address: U 1 al W `% " A r-1. historic District: Yes No El
Parcel ID: Residential Commercial
Type of Work: New Addition 9`711teration Repair Demo Change of Use Move
Description of Work: X,Aa C,'(CX a X - C ". ($j v >( Plan
Review Contact Person: P`, Title Phone:
Ljo-1 - 49 S '- 4 7 S q Fax: Email: QR-7i e- 5- @ C p Property
Owner Information Name
Phone: Street:
Resident of property? City,
State Zip: Contractor
Information Nam
L Phone: Street:
9 I Fax: (Dig 5 City,
State Zip: \ «-- 33` State License No.: Architect/
Engineer Information Name:
Phone: Street:
Fax: City,
St, Zip: E-mail: _ Bonding
Company: Mortgage Lender: Address: _
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 JOBSITE '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, eta pne 1053
9ha11 be lnscAbed wlth the date of appHesitton and the code In effect as of that date: i"t Edition (2014) Florida Batldtng Codd Revised: June
30, 2015 Permit Appliea6an Q o
l• N i•i 1 it 1 I I i•1 1
NOITCE: In addition to'the requirements of this permit; there maybe 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 _federalagencies. -
Acceptance.of permit is verification that I will notify flit ownerof the property ofthe requirements ofFlorida Lieu Law, FS 713.
The City of Sanford requires payment:of aplan ieview.fee atlhe time of permit submittal, A copy of the executed contract is required-
in -order to calculate a plan review charge and will bevonsidered the estimated construction value of the job 8i 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, information is accurate and that' all work will
be_ done incompliance with all applicable laws regulating co traction an Qmng.
Signature of Owner/Agent' Date SigrAbre of Conuuctar/Agent Date
C-_0-(-AiZ
Print owner/Agent's Name . Piinf Con r/Agenf's Name
ate of DMIE COBS
MY COMMISSION N FF919521
EXPIRES Sepambw 17 2019
Owner/Agent is Personally -Known to Me or
Produced ID : Type` of ID
I 1A 1 0 J1
Signature Lq v cotF91952!" MYCOMMISSION'N
EXPIRES.SepIN#t 17, 2019
as/1 9Mo:atI FimbWoMrIdentmom
Contractor/Agent is Person lly Known to Me or
Produced ID Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required:. Building Electrical 0 Mechanical Plumbing Gas Roof
Construction Type: . Occupancy Use: Flood Zone:,
Total Sq Ft of Bldg: Min. Occupancy Load: # of Stories:
New Construction: Electric --#.of Amps Plumbing; - 4-of Fixtures.,
Fire Sprinkler Permit: YesEl No. - # of Heads Fire Alarm Permit: Yes Q - No Q APPROVALS: -
ZONING: UTILITIES: _ WASTEWATER. ENGINEERING:
FIRE: BUILDING: - `f - it9 COMMENTS:
Revised:
7urie 30, 2015 Permit Application
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Creative Lighting & Power, LLC
916 Wildflower Road
DavenportFL: 33837
Phone: 407: 832-1700
Fax: 863-547-6245
office@clpllc.net
Narr e / Address I
Total Realty Corp
Rebecca.Panosso
2683'S Woodland Blvd
DeLand, FL 32720
Estimate,
Date Estimate # .
1/28/2016 1126
Project
1119 w,12th St Sanford
Description . , ,,1 Y Qty.:... .
Work Location:
1119-W. 12th Street
Sanford, FL
Add 33Dedicated'20 Amp Circuits four space heat
Add 3 Spec djy
rp
Plovrde and install the below mentioned Heater.
724nch 20vVolt 1500-Watt Standard Electric Baseboard Heater
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Provide and install the'below mentioned Thermostat 3
Thermostats7CFZ1062 Thermostat kit, Single Pole, White to be mounted to the wall
per instructions r.,.a>,••. , .. - ••
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Permitting and Inspection
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Labor, materials, permits and taxes are included in the pricing.
V od', notspecified inithis esti aeshould aot beassumed'Ttu asgreeme" nu cludes onlytheitem 1" ;'• '"-,-
specifically nteritioned in this.pioposal. ,No otherpromises, work; warranties or services are binding
unless otheiwritten and duly signed agreements are,hWe between Contractor and Purchaser.`
100% of payment due at completion ofjob.
Thepnccs00 ncd in this agreemcnt arevalidSon30 days"fmmtlnc date of We proposal _ , , _. _E
We the undersigned, Have mad, understood and agreedto the ppiices, terms and conditions specified above.
CLP is authorized to execute the wonic as stated. Payment will be made as outlined in this agreement.
Customer,Signature and DateHere
Total
Zg , 2,065.00
SCPA Parcel View: 25-19-30-5AH-0000-004D Page 1 of 2
DavIdJW n3on.C.FA Property Record Card
cpse, Parcel: 2S-19-30-SAH-0000-004D
Owner: ASGT HOLDINGS LLC
Property Address: 1119 W 12TH ST SANFORD, FL 32771
Parcel- 25-19-30-SAH-0000-004D
Property Address: 1119 W 12TH ST
Owner: ASGT HOLDINGS LLC
Mailing: 8184 NARROW LEAF POINT
SANFORD, FL 32771
Subdivision Name: ROBINSONS SURVEY OF AN ADD TO SANFORD
Tax District: Sl-SANFORD
Exemptions:
DOR Use Code: 0803-MULTI FAMILY 3 UNITS
n
Value Summary
2016 Working
Values
2015 Certified
Values
Valuation Method Cost/Market Cost/Market
Number of Buildings 2 2
Depreciated Bldg Value 42,362 27,752
Depreciated EXFT Value
Land Value (Market) 8,091 8,091
Land Value Ag
Just/Market Value
50,453 35,843
Portability Adj
Save Our Homes Adj 0 0
Amendment 1 Adj 0 0
Assessed Value 50,453 35,843
Tax Amount without SOH: $729.46
2015 Tax Bill Amount $729.46
Tax Estimator
Save Our Homes Savings: $0.00
Does NOT INCLUDE Non Ad Valorem Assessments
http://www.scpafl.org/ParcelDetaillnfo.aspx?PID=2519305AH0000004D 2/4/2016
Detail by Entity Name Page 1 of 2
Detail by Entity Name
Florida Limited Liability Company
ASGT HOLDINGS, LLC
Filina Information
Document Number
FEI/EIN Number
Date Filed
State
Status
Principal Address
8184 NARROW LEAF POINT
SANFORD, FL 32771
Changed: 03/04/2013
Mailing Address
8184 NARROW LEAF POINT
SANFORD, FL 32771
Changed: 03/04/2013
L11000099932
N/A
08/30/2011
FL
ACTIVE
Reaistered Aaent Name & Address
LOWMAN, WILLIAM RJR ESQ
SHUFFIELD, LOWMAN & WILSON P.A.
1000 LEGION PLACE, STE. 1700
ORLANDO, FL 32801
Authorized Person(s) Detail
Name & Address
Title MGR
GREGG, AMANDA S
8184 NARROW LEAF POINT
SANFORD, FL 32771
Annual Reports
Report Year Filed Date
2014 03/20/2014
2015 01 /10/2015
http://search. sunbiz.orglInquiry/CorporationSearchISearchResultDetail?inquirytype=Entity... 2/4/2016
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Landlord/Owner(s), hereinafter Owner(s), hereby grants Broker or Broker's agent(s)
Total Realty Corp and their associates, who hold a current, valid real estate Sales
persons or Brokers license, hereinafter Agent(s), the specific power of attorney to sign
lease(s) and/or lease renewals (unless specifically not authorized by Owner(s) in
writing by certified mail at least 60 days prior to any renewal period) on managed or
finder fee rental properties on behalf of Owner(s) and thus bind Owner(s) to the terms
of the lease agreement(s). Owner(s) agree that they alone own the managed
properties and that there are no other undisclosed owners of the properties. Agent(s)
are given the exclusive right to screen and approve or disapprove prospective
tenant(s). Owner(s) warrant that the unit to be managed is a legal rental unit and
rental of same will not be in violation of any rules, laws, or ordinances. Owner(s)
agree to indemnify agent(s) in the event that the unit managed is not a legal rental unit
or is in violation of any rules, codes, ordinances or laws.
Property Address 1119 W. 12th St. Units A,B,C Sanford, FL 32771 & 1062 Eagles Nest Ave
e tona, FL 32725-
OWNER NAME PER DEED ASGT Holdings, LLC
Owner
t7.C.t plf-opw
Witness MNe-a-
01 —1 0
DATE
Owner
Witness
Witness
SWORN TO AND SUBSCRIBED BEFORE ME THIS `i' DAY OF 0 2017 THE ABOVE
SIGN ORIES WHO DI O TAKE AN OATH AND ARE PERSONLLY KNOWN TO ME OR
R UC L OWING FORM F I „_,\/I,1
N A Y BLI IG RE (SEAL HERE) Sabrina D. Johnson
7 Notary Public
PRINTED NAME State of Florida
My Commission Expires 1211912017
COMMISSION # I COMMISSION EXPIRATION DATE Commission No. FF 68481
Form provided to agent by:
LAW OFFICES OF HEIST, WEISSE, & WOLK, P.A.
1-800-263-8428
INSPECTION SEQUENCE
BP# 16-419
ADDRESS: 1119 West 12" Street
BUILDING PERMIT
Min Max Inspection Description
Footer / Setback
Stemwall
Slab / Mono Slab
Lintel / Tie Beam / Fill / Down Cell
Sheathing — Walls
Sheathing — Roof
Roof Dry In
Frame
Insulation Rough
Firewall Screw Pattern
Drywall / Sheetrock
Lath Inspection
Building Ceiling Air Barrier
Insulation Roof (Com'l)
Building Ceiling Grid
Final Roof
Final Stucco / Siding
Final Insulation
Final Firewall
Final Door
Final Window
Final Utility Building
Final Screen Structure
Final Pool Screen Enclosure
Pre -Demo
Final Demo
Final Single Family Residence
Final Commercial —
Final Commercial — Addition / Alteration
Final Commercial — Change of Use
Final Building (Other)
ELECTRICAL PERMIT
Min Max Inspection Description
Electric Underground
Footer / Slab Steel Bond
Electric Ceiling Rough
Electric Wall Rough
Electric Rough
Pre -Power Final
Temporary Pole
1000 Electric Final
PLUMBING PERMIT
Min Max Inspection Description
Rough Plumb
Plumbing Underground
Plumbing 2"d Rough
Plumbing Tubset
Plumbing Sewer
Plumbing Grease Trap Rough
Plumbing Steam / Chill Water Rough
Plumbing Final
MECHANICAL PERMIT
Min Max Inspection Description
Mechanical Rough
Mechanical Fire Damper Framing
Mechanical Ceiling Rough
Mechanical Fire Damper Annular Space
Mechanical Insulation Wrap
Mechanical Fire Damper Angle
Light / Water Test Ck Welds
Mechanical Grease Duct Wrap
Mechanical Final
REVISED: June 2014
1t 1' 1 I I I I I 11 I
City of Sanford
F D Building & Fire Prevention Division
Commercial -MEP Permit Card
PERMIT NO. AP ""' L/ / t?-
CONTRACTOR: OrdanlyVe.
JOB ADDRESS: w
J/
mvnc nc wnnLAd d Qi r6&. * No
ISSUE DATE:
f
OC2. 15.) 40
e haseh&teac h e44e
Post this permit in a conspicuous location outside
Approved plans must be posted with permit for inspection
Leave all work uncovered until inspected and approved
Permit expires 6 months from date of issue or last approved inspection
PROTECT FROM WEATHER
ELECTRIC
INSPECTION TYPE APPROVED REJECTED INSPECTOR
PLUMBING
INSPECTION TYPE APPROVED REJECTED INSPECTOR
FOOTER / SLAB STEEL BOND SEWER
ELECTRIC UNDERGROUND PLUMBING UNDERGROUND
ELECTRIC WALL ROUGH PLUMBING ROUGH
ELECTRIC CEILING ROUGH PLUMBING 2ND ROUGH
PRE -POWER INSPECTION PLUMBING FINAL
CHANGE OF SERVICE ROOF STORM DRAIN
INSPECTION TYPE APPROVED REJECTED INSPECTORTEMPORARYPOLE
ELECTRIC FINAL ROOF STORM DRAIN ROUGH
MECHANICAL
INSPEC770MTYPE APPROVED REJECTED INSPECTOR
ROOF STORM DRAIN FINAL
GAS
INSPECTION TYPE APPROVED REJECTED INSPECTORMECHANICALROUGH
MECH FIRE DAMPER ANGLE GAS UNDERGROUND PIPING
MECH FIRE DAMPER FRAME GAS ROUGH -IN
MECH FIRE DAMPER ANNULAR GAS FINAL
MECH CEILING ROUGH MEDICAL GAS ROUGH -IN
MECH INSULATION WRAP MEDICAL GAS FINAL
MECHANICAL FINAL SPECIAL / MISCELLANEOUS
INSPECTION TYPE APPROVED REJECTED INSPECTORHOODSYSTEM
INSPEC77ONTYPE APPROVED REJECTED INSPECTOR PIPE INSULATION
HOOD SYSTEM ROUGH GREASE DUCT WRAP
HOOD SYSTEM INSULATION STEAM / CHILL WATER ROUGH
LIGHT/WATER TEST GREASE TRAP ROUGH IN
HOOD SYSTEM FINAL GREASE TRAP FINAL
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 MAYBE ADDITIONAL RESTRICTIONS APPLICABLE TO THIS PROPERTY THAT MAYBE FOUND IN THE PUBLIC RECORDS OFTHIS COUNTY, AND THERE
MAYBE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES OR FEDERAL AGENCIES FBCI05 3.3
REVISED: October 2014 Impcctioe Line 855.541.2112
TO SCHEDULE AN INSPECTION:
Dial855.541.2112
Provide the items requested during the message
The type of inspection requested must be scheduled under the appropriate permit type
Follow the prompts
To Schedule Fire Inspections: Please call 407.562.2786 ***
PLEASE NOTE: Inspections scheduled by 3:30 p.m. will be conducted the next business
day. If you experience difficulty, please call 407.688.5150 Monday - Thursday 7:30 am -
5:30 pm for assistance.
AUTOMATED INSPECTION SYSTEM CODES
ELECTRIC
FOOTER/SLAB STEEL BOND
ELECTRIC UNDERGROUND
ELECTRIC WALL ROUGH
ELECTRIC CEILING ROUGH
PRE -POWER
CHANGE OF SERVICE
TEMPORARY POLE
ELECTRIC FINAL
221
211
220
219
218
214
215
213
PLUMBING
SEWER
PLUMBING UNDERGROUND
PLUMBING ROUGH
PLUMBING 2ND ROUGH
PLUMBING FINAL
311
322
316
317
313
ROOF STORM DRAIN
ROOF STORM DRAIN ROUGH
ROOF STORM DRAIN FINAL
326
327
MECHANICAL
MECHANICAL ROUGH
MECH FIRE DAMPER ANGLE
MECH FIRE DAMPER FRAME
MECH FIRE DAMPER ANNULAR
MECH CEILING ROUGH
MECH INSULATION WRAP
MECHANICAL FINAL
HOOD SYSTEM
HOOD SYSTEM ROUGH
HOOD SYSTEM INSULATION
LIGHT/WATER TEST
HOOD SYSTEM FINAL
Miscellaneous Notes:
409
413
415
414
411
416
410
420
421
418
419
GAS
GAS UNDERGROUND PIPING
GAS ROUGH -IN
GAS FINAL
MEDICAL GAS ROUGH -IN
MEDICAL GAS FINAL
SPECIAL/MISCELLANEOUS
GREASE TRAP ROUGH -IN
PIPE INSULATION
GREASE DUCT WRAP
STEAM/CHILL WATER ROUGH
328
314
315
324
325
319
135
417
412
REVISED: OCTOBER 2014 Inspection Line: 855.541.2112
fill tl 1 rtutr:___ 11""L!N'Y. YA Ydl'171111'rs I'I"119
FIRE INSPECTIONS CITY OF SANFORD
407.562.2786 BUILDING & FIRE PREVENTION
BUILDING INSPECTIONS 300 N PARK AVE
855.541.2112 SANFORD FL 32771
DRIVEWAYS -SIDEWALK 407.688.5080
Page 2
Application Number . . . . . 16-00000419 Date 2/10/16
Property Address . . . . . . 1119 W 12TH ST
Parcel Number . . . . . . . . 25.19.30.SAH-0000-004D
Application description . . . ELECTRIC PERMIT APPLICATION
Subdivision Name . . . . . .
Property Zoning . . . . . . . GENERAL COMMERCIAL
Permit . . . . . . ELECTRIC PERMIT-ALTER/ADD/FIX
Additional desc . .
Phone Access Code 928549
Permit pin number 928549
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
1000 213 EL02 ELECTRIC FINAL _/_/_
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