HomeMy WebLinkAbout315 Borada RdFEB 16 2016 CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: lb —SArb
Documented Co nstruction Value: $
Job Address: a •
Parcel ID: 10- 2Q— 6-5FR-IX&— 1150
Z- 44SO .
Historic District: Yes No
Residential 5Commercial
Type of Work: New Addition Alteration Repair Demo
Description of Work:2'pl .1 Q , ,2, 4+Or1%_0'
Change of Use ove
Plan Review Contact Person: Kl*R) Title:
II
Phone: 46-7-VuflO Fax:41?4(— S 4hEmail: lYy)1)bC
v
COrin
L
roperty Owner Information
Name d I( ?a -k Phone:
Street: Resident of property?
City, State Zip: L. 3Z71-1 3
Contractor Information
Name umb
Street: 5r!4
City, State Zip: GIX IGLU PC -,329b—"l
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Phone:
Fax: -4-0-7-2-" 2.8
State License No.: e.T C
Architect/Engineer Information
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: 51h Edition (2014) Florida Building Code
Revised: June 30, 2015 Permit
Applicatione6D
p0 LUck cfrICHAELSPLUMBIN1r__
IL OF CENTRAL FLORIDA.., the trisr
P. O. Box 574597 * Orlando, FL 328574597 * Telephone (407) 249-2200 * Fax (407) 249-2285
State Certified Master Plumber CFC1426370
PROPOSAL SUBMITTED TO PHONE DATE
Felix & Patricia Rodriguez 917) 421-0544 February 16, 2016
STREET JOB NAME
315 Borada Road Felix & Patricia Rodriguez
CITY, STATE, AND ZIP CODE JOB LOCATION
Sanford, Florida 32773 315 Borada Road, Sanford, Florida 32773
TECHNICIAN DATE OF PLANS JOB PHONE
John Myers February 16, 2016
We propose hereby to furnish material and labor - complete in accordance with the above specifications, for the sum of:
Two Thousand Four Hundred and Fifty Dollars 00/100 $2,450.00
Payment to be made as follows:
Payment Upon Completion of Repipe Phase of Project.
All material is guaranteed to be as specified. All work to be completed in a
workman manner according to standard practices. Any alteration or deviation Authorized Signature Z
from the below specifications involving extra costs will be executed only upon
written orders, and will become an extra charge over and above the estimate. All
agreements contingent upon strikes, accidents or delays beyond our control. NOTE: This proposal may be withdrawn by us if not accepted within
Owner to carry fire, tomado and other necessary insurance. Our workers are 30 Days.
fully covered by Workmen's Compensation Insurance
WE HEREBY SUBMIT SPECIFICATIONS AND ESTIMATES FOR:
SCOPE OF REPIPE
1) Repipe 2 Bath Home Complete with Cross -Linked Polyethylene (PEX) pipe.
2) Run new Hot/Cold water lines to all fixtures to include:
2)— 3PC Bath, Kitchen Sink, Water Heater, Washer and New Main Shutoff, Ice Maker Line and
Supply Line.
3) Install customer supplied Tub/Shower Valve for hallbath.
4) Replace (3) Hose bibbs on exterior of home.
5) Repair all drywall pertaining to repipe.
Price includes All Discounts, Permit Fees and Inspections
WARRANTY ON WORKMANSHIP*
25 Year Manufacture Warranty on Piping & 10 Year Warranty on Isolation Valves and Labor
PLEASE NOTE: Due to the installation of new water lines in the attic customer may briefly experience hot water coming out of cold lines during warmer weather.
THIS PRICE DOES NOT INCLUDE REPLACEMENT OF THE FOLLOWING, UNLESS SPECIFIED ABOVE:
1) AIR CONDITIONER WATER LINES. 2) SHOWER RISER WATER LINE. 3) FIXTURE PARTS OR FAUCETS. 4) SPRINKLER OR IRRIGATION WATER LINES. 5) NO
PATCHING OF TILE, WALLPAPER REPLACEMENT OR PAINTING OF ANY KIND. 6) GROUNDING OF ANY KIND. 7A.BrrPLACEMENT OF MAIN WATER SERVICE FROM
METER TO HOUSE. 8) SOD OR SHRUBBERY.
CONCEALED CONDITION E
Michael's Plumbing, Inc will require a change order in writing should conditions exist in the ground or in an existin Wdur which are un sual i natu or are different from conditions ordinarily encountered.
There would be an extra charge on a change order which would be over and above this quoted estimate. In the a ent an ag eement can t be r ch this contract vpll be considered completed as of that date.
All materials u to that date and time will be due and able.
Acceptance of Proposal -THE ABOVE PRICES, SPECIFICATIONS AND CONDITIONS ARE
SATISFACTORY AND ARE HEREBY ACCEPTED. YOU ARE AUTHORIZED TO DO THE
WORK AS SPECIFIED. PAYMENT WILL BE MADE AS OUTLINED ABOVE. SIGNATURE)
DATE OF ACCEPTANCE
SIGNATURE
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 information is accurate and that all work will
be done in co lia ce with all applicable laws regulating construction and zoning.
ture of Owner/Ag t
nn
Date
WOZ
Signature ofContractor/Ageent Date
c.. t C cAmtOwnAgent's Name t's Name
01-
Ignature of Notary -State of Florida Date Signature of Notary -State of Florida Date
tir'e RUTH TORRES
Commission # EE 833988
Expires September 10, 2016
RfirF` Bo W Thru Tm/ Fan Insurance 8003a5.7019
Owner/Agent isPersonally Known to Me or ontrac or gen Is ersona y Known to Me or
Produced ID 17 Type of ID '-D L • F-_. . Produced ID Type of ID
ROSS WILLIAM CLARK
NOTA. RV PUBLIC
S'L'ATE OF FLORIDA
C=nv*FFo46431 BELOW IS FOR OFFICE USE ONLY
Fires 8/18/2017
Permits Required: Building Electrical Mechanical Plumbing[] 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
2/11/2016 SCPA Parcel View:10-20-30-5FR-0000-1150
D 'td Jarinrcx,/,C A Property Record Card
I Parcel: 10 -20 -30 -SFR -0000-1150 _ -
Ai1FtA SER Owner: RODRIGUEZ FELIX R & PATRICIA
stItJOLECOtJtJ11 i WRIDA Property Address: 315 BORADA RD SANFORD, FL 32773
Parcel: 10 -20 -30 -SFR -0000-1150
Property Address: 315 BORADA RD
Owner: RODRIGUEZ FELIX R & PATRICIA
Mailing: 315 BORADA RD
SANFORD, FL 32773-5594
Subdivision Name: HIDDEN LAKE PH 2 UNIT 2
Tax District: SS-SANFORD
Exemptions: 00 -HOMESTEAD (2000)
DOR Use Code: 01 -SINGLE FAMILY
Legal Description
LOT 115
HIDDEN LAKE PH 2 UNIT 2
PB 25 PGS 62&63
Taxes
wrrwri
s u
i
Value Summary {
Tax Amount without SOH: $937.26
2014 Tax Bill Amount $663.47
Tax Estimator
Save Our Homes Savings: $273.79
Does NOT INCLUDE Non Ad Valorem Assessments
Taxing Authority
2015 Working 2014 Certified
Taxable Value
Values Values
Valuation Method Cost/Market Cost/Market
F. ----------- ................ .............. .„......_
45,194
25,000
25,000
Number of Buildings 1 1
Depreciated Bldg Value 67,345 58,622
Depreciated EXFT Value 9,440 9,790
Land Value (Market) 21,000 18,000
Land Value Ag
Improved
Just/Market Value 97,785 86,412
002075 1154
Portability Adj
No Improved
Save Our Homes Adj
Amendment
27,591 16,706
1 Adj
0594 43,400
Assessed Value 70,194 69,706
Tax Amount without SOH: $937.26
2014 Tax Bill Amount $663.47
Tax Estimator
Save Our Homes Savings: $273.79
Does NOT INCLUDE Non Ad Valorem Assessments
Taxing Authority Assessment Value Exempt Values Taxable Value
County General Fund- 70,194__.._ 45,194 25,000
Schools 70,194
70,194
70,194
25,000 45,194
25,000
25,000
City Sanfordm_.__.___.__.
SJWM(SaintJohns Water Management)
194
45,194
County Bonds 70,194 45,194 25,000
Sales
Description Date Book Page Amount Qualified Vac/Imp
WARRANTY DEED 7/1/1999 03693
02172
1417
1719
83,500
51,600
Yes
No
Improved
WARRANTY DEED 4/1/1990 Improved
WARRANTY DEED-- 7/1/1989 02146
i
10437 100
m ^^$
1,000
ImprovedNo
TmTT
CERTIFICATE OF TITLE 6/1/1989' 002075 1154 No Improved
WARRANTY DEED 4/1/1983
i
01454 0594 43,400 Yes Improved
Find Comparable Sales within this Subdivlslon
Land
Method Frontage Depth Units Units Price ( Land Value
LOT 0 0 1 $21,000.00 - $21,000
Building Information
http://www.scpafl.org/Parcel Detail I nfo.aspx?PID=1020305FR00001150 1/2
2/11/2016 SCPA Parcel View: 10-2030-5FR-0000-1150
httpJ/www.scpafl.org/ParcelDetaillnfo.aspx?PID=1020305FR00001150 212
j
OF CENTRAL FLORIDA
DATE: ' IS- 16
I hereby name and appoint OSS
POWER OF ATTORNEY
C, r K
to be my lawful attorney in fact to act forme and apply to the
building permit for work to be performed at a location described as:
Section:
Parcel Number: tD—
Township:
Cl dt--
Lot:
R DOco -- 11 S6)
Address of Job)
3+ jC1
Owner of Property and Address)
And to sign my name and do all things necessary to this appointment.
Michael J. Reynold
Owner to Type or Print nam
J
Owner's Signature)
STATE OF FLORIDA COUNTY OFOranize
of Central Flor.
Block:
3-277:5
Department for a
c,Q,—,-n3
This instrument was acknowledged before me this—b—day of`t J ,r by the
above referenced individual, and who is personally known to me br who produced
as valid identification and who did not take an oath.
WITNESS by my hand and officia his day of karA
Signature of Notary
I -
11j
Printed Name of Notary ;-rry-5
Commission Number
Commission Expiration
SEAL:Commission # EE 833988
Expires September 10, 2016
Bc1&eM Thu Tmy Fan Inswanw8oa385d019
PO Box 574597 * Orlando, Florida 32857-4597
407) 249-2200 * (407) 249-2285 Fax
ACC)R b®,
v
CERTIFICATE OF LIABILITY INSURANCE
DATE(MM/DD/YYYY)
12/18/2015
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
PRODUCER
Gentry Insurance Agency
175 East Main Street
PO BOX 2046
APOPKA FL 32704-2046
CONTACT Amanda BonVentreNAME:
PHCN o Ext: (407) 886-3301 FA/C No: (407)886-9530
E-MAILADDRESS:Ananda@gentry:Lns.com
INSURERS AFFORDING COVERAGE NAIC S
INSURERA:White Pine Insurance Company 11932
INSURED
Michaels Plumbing of Central Florida, Inc.
P O Box 574597
Orlando FL 32857
INSURER BAuto—OWners Ins Co 18988
INSURERC:Conifer Holdincrs, Inc. AMBEST 052626
INSURER D:Bri efield Em to ers Ins. Co. 10701
INSURER E:
1 INSURER F:
r`nvConr•C¢ f`CRTICIr_ATP MI1111IRFR•2016 WC REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSRLTR TYPE OF INSURANCE
AD
Sanford, FL 32772-1788
POLICY NUMBER
POLICY EFF MMID//YYY1' LIMITS
A
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE OCCUR 7WPCP004560 6/20/2015 6/20/2016
EACH OCCURRENCE $ 1,000,000
AGE TO RENTED
PREMISES Ea occurrence S 100,000
MED EXP (Any one person) $ 5,000
PERSONAL &ADV INJURY $ 1,000,000
GEN'LAGGREGATE LIMIT APPLIES PER:
X POLICY JET F-1 LOC
OTHER:
GENERAL AGGREGATE $ 2,000,000
PRODUCTS - COMP/OP AGG $ 1,000,000
Employee Benefits $ 1,000,000
BANY
AUTOMOBILE LIABILITY
AUTO
ALL OWNED SCHEDULEDXAUTOSAUTOS
NON -OWNED
X HIRED AUTOS X AUTOSI 9543024200 6/20/2015 6/20/2016
COMBINEDEaaccident)SINGLE LIMIT $ 1,000,000
BODILY INJURY (Per person) $
BODILY INJURY (Per accident) $
PROPERTY DAMAGE $
Per accident
C
X UMBRELLA LIAB
EXCESS UAB
X OCCUR
CLAIMS -MADE CICIL000163 6/20/2015 6/20/2016
EACH OCCURRENCE $ 5,000,000
AGGREGATE $ 5,000,000
DED RETENTION $ 10,000
D
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY NANYPROPRIETOR/PARTNER/EXECUTIVE YIN
OFFICER/M(
Mandatory In N)
EXCLUDED?
Mandatory In NH)
If yes, descnbe under
DESCRIPTION OF OPERATIONS below
N / A
830-52299 1/31/2016 1/31/2017
X STATUTE ERH
E.L. EACH ACCIDENT $ 1,000,000
E.L. DISEASE - EA EMPLOYE $ 1,000,000
E.L. DISEASE - POLICY LIMIT $ 1,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required)
f%C0T1C1f`ATC 41!11 111=0 CANCELLATION
W 1985-2094 ACUKU GUKI'UKA I ION. All rights reserveo.
ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD
INS025 (201401)
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
City of Sanford
P 0 Box 1788
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
Sanford, FL 32772-1788
AUTHORIZED REPRESENTATIVE
D Liebknecht/AMANDA'
W 1985-2094 ACUKU GUKI'UKA I ION. All rights reserveo.
ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD
INS025 (201401)
u'
IApplication for Paved Driveway, Sid6walk or
Walkway Including Right -of -Way use &
7 Landscaping in Right -of -Way
wWW.sanfordfl.gov Department of Planning & Development Services
300 North Park Avenue, Sanford, Florida 32771
ohnnn• dn7 RRA 54dn Fax- dn7 RSR5141 N
This permit authorizes work to be done on the subject property or in the City of Sanford's right-of-way in accordance with the
City's regulations and the attached construction plans approved as part of this permit. The permit is required for driveway or
sidewalk construction over 100 square feet of concrete or other material on the subject parcel and / or any construction of a r '
driveway, walkway or landscape improvements within the city right-of-way. It does not approve any work within any other
jurisdiction's right=of--way. All requested information below as well as a current survey, ,site plan or plat clearly identifying the anowwharabelow
size and location of the existing right—of-way and use phall be provided or application could be delayed. Callbetoreroudig.
1, Project Location/Address: J 6 ,
2, Proposed Activity: ® Driveway Walkway Other:
3. Schedule of Work: Start Date Completion Date FlEmergency Repairs
4, Brief Description of Wolk: e L1 wr l u-2 ' L'`ICC I I o tqa)
This application is submitted by:
Property Owner.
Signature:
Address:
r
Phone: 0> /
Print Name:
r .
r r I -e
v
Email: Date: G'/ -'
Maintenance Responsibilities/indemnification
The Requestor, and his successors and assigns, shall be responsible for perpetual maintenance of the improvement installed under this Agreement This
shall include maintenance of the improvement and unpaved portion of right-of-way adjacent thereto. Requestor may, with written City authorization,
remove said installationfimprovement fully restoring the right-of-way to its previous condition. In the event that any future construction of roadways,
utilities, stormwater facilities, or any general maintenance activities by the City becomes in conflict with the above permitted activity, the permittee shallremove, relocate and/or repair as necessary at no cost to the City of Sanford insofar as such facilities are in the public right-of-way. if the Requestor doesnotcontinuouslymaintaintheimprovementandareainaccordancewithpreviouslystatedcriteria, or completely restore the right-of-way to Its previouscondition, the City shall, after appropriate notice, restore the area to its previous condition at the Requestor's expense and, if necessary, be a Nen on the
Requestor's property to recover costs of restoration.
To the fullest extent permitted by law, Requestor agrees to defend, indemnify, and hold harmless the City, its councilpersons, agents, servants, or employ- ees (appointed, elected, or hired) from and against any and all liabilities, claims, penalties, demands, suits, judgments, losses, expenses, damages (direct,
Indirect or consequential), or injury of any nature whatsoever to person or property, and the costs and expenses incident thereto (including costs of
defense, settlement, and reasonable attorney's fees up to and including an appeal), resulting In any fashion from or arising directly or Indirectly out of or
connected with the use of the City's right-of-way.
I have read and undewtand the above statement and by signing this application I agree to its terms.
Signature:s ,
G. Date:
This pernfllt/shall be posted on the site during construction.
Please call 407.688.5080 24 hours in advance to schedule a pre -pour inspection.
Pre -pour Inspection by: Date:
i r
Official ,U.
ts'
e Only
Application No: IV Fee: Lx Date: 2-- 1
Reviewed:
Public Works Date:
Utilities Date:
Approved: `%(
Engineering Date:
Site Inspected by: Date:
Special Permit Conditions:
November2015
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