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HomeMy WebLinkAbout131 Walnut Crest RunCITY OF SANFORD BUILDING &' FIRE PREVENTIONMAR1 + 2 16 PERMIT APPLICATION Application No • Documented Construction Value: Job Address: .1/,Historic District: Yes No Parcel ID: 2;z-) 9 30 - 50a- 0oop --1 ?2 O Residential Commercial Type of Work: New Addition Alteration RepairKDemo Change of Use Move Description of Work: Plan Review Contact Person: S S.,,F.-. "p) a, cl-;- Title: '-- Phone:53'( --585'- a ,_ Fax: 5SG % 2 1- (o 31 Email: L m P 3-7 ASV er-rK 61nn,n, Property Owner Information Name .,P Pv_. i, Phone: — d l— 3- o 1qa Street: 131 LJ at)w4 U_vt Resident of property? City, State Zip: ,) flnrto a•J . 3 a-)-7 1 Contractor Information Name l 1 IQr1auGa & kA)- Phone: `1a? F00 - Street: %I ' 4011 A 1) s p Q % r-C_ Fax: City, State Zip: 13174--nde-A 3 3-!; /(-) 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 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 constructioninthisjurisdiction. 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 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 compliance with all applicable laws regulating construction and zoning. Signature of Owner/Agent Date &ftre Contractor/Agent Date/ b Print Owner/Agent's Name Signature of Notary -State of Florida Date Owner/Agent is Personally Known to Me or Produced ID Type of ID Prmt Contractor/Agent's Name b CLIFFORD S SNYDER MY COMMISSION S FF931019 EXPIRES October 26, 2019 007o394,1'53 rbrl4Na*S&v". om Contractor/Agent is Personally Known to Me or Produced ID Type of ID BELOW IS FOR OFFICE USE ONLY Permits Required: Building Electrical Mechanical Plumbing Gas Roof Construction Type: Occupancy Use: Total Sq Ft of Bldg: 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 fawn 6;iiqi@e4 of rw woo,* Wji;l NMLBN 0-8-ft bww.A aw waft ddwAp : %a smovNIDWIPIPWIV. ARMA WMa gerarip Opp" "" w4pe-fe sib"FASM A" ftwAp on I into aid ar 04 Upen,81 04 nFdWW W#" WWMW PrA as 4 veneer wmoi., Mir o, 4 pie aft""C"" AlAlu d 11 " T iiA, 9. I - 7 lip ..... WORK ' AGREEMENT 4 A6wOMTfMiistali ip;iKL,& PSVW4KLOWIAWES *_AIi "MA 4"Otled b a copy d the CM a *C at the W" VOU Keep It topot- W. WO Mallynner/'Ok a*- ncwjKgi AjM Mrs 9—.iiw Add P, Storm "- w(& he, ftnm Date Tam ft -8 Ap nquirtd Vii,.9 Mtaotea d'-'If,w. for"Dwra4s) Ile- A.) - 3.2 7 71 swims" I& CA it- 3 "*rM -w Q!wwin jjjkq ' _ - IWIf"ra- M A* Me, Comm a. If It b sb ( P 77, tJlorttge Costar ('416- 07, 01L, sm ' MISCOW up Cd6, Ak-, 7w- so AJAWbows [P' All Wtillerulolam 44 Cleft P" bf CUPP" C4101 61ed Kj9s6o=ow'jO6f4,&; j ftW br WAMW do IOR - _ Fald bi Wirer a Onlems" 04 bww Owedessi, ftdbrL%WW ftW4 , Of COMM ASSIGNMENT. OF BENRRITC acdon LwWw the above pDkjor my spole" kmnr4o p m-P to heWmIter referred to as'Cwwnn for wvKn rendered ortobenwWow byCOMP". LIft "ON4 I waive MY wv 4ft I Mal*" su*menownsderatinof Company's aV"nwm toperformwows &W$up*mat"WS'wd*&*fwIw'P&fim ft Obftatiom wid1j" cwwaM wWudWS Ow InwtiIon PW *Mmadw ofrepMWnot "ohm hA mmewit the Ims of wvIce. . 1, *0 WibV dro t wq bww,& CarrWis) to ftW;s& "Y WW 44 Worwatichre"Wed by Company, in roWnemadnk WW*r Its Avort" for the PwpGM'0*6"sCtud to be PW V,irly Insurs be Ibibmthe pp spjvt jg/Ze , Ok&rfte ftowq. payment qorproceeds to comol" "A snit * IC* to compliq and SI demUnd that I am FOWW"I for OrPWIt IWORIFS&VIC)n provided by Cow4"for wtkh payment PIM WOMAN any MPPIk&Mt dedKOW DATEOTM-LI-DAYOF DtQAM, in, 20T. Floft r:, V- 0- 9~00010"1 IDAA— Scanned by CamScanner n City of Sanford Building and Fire Prevention Product Approval Specification Form Permit # Project Location Address 131 LdgJncv- &:&- As required by Florida Statute 553.842 and Florida Administrative Code 9N-3, please provide the information and product approval number(s) on the building components listed below if they are to be utilized on the construction project for which you are applying for a building permit. We recommend that you contact your local product supplier should you not know the product approval number for any of the applicable listed products. Be aware that windows, skylights, and exterior doors must be tested in accordance with the Florida Building Code, Section 1714.5. More information about Statewide Product Approval can be obtained at www.floridabuilding.org. The following information must be available on the jobsite for inspections: 1. This entire product approval form 2. A copy of the manufacturer's installation details and requirements for each product. Category / Subcategory Manufacturer Product Description Florida Approval # include decimal 1. Exterior Doors Swinging Sliding Sectional Roll U Automatic Other 2. Windows Single Hun Horizontal Slider Casement Double Hun Fixed Awning Pass Through Projected Mullions Wind Breaker Dual Action Other June 2014 Category / Subcategory Manufacturer Product Description(including Florida Approval # decimal 3. Panel Walls Siding Soffits Storefronts Curtain Walls Wall Louver Glass block Membrane Greenhouse E.P.S Composite Panels Other 4. Roofing Products Asphalt Shingles Underla ments Roofing Fasteners Nonstructural Metal Roofing Wood Shakes and Shingles Roofing tiles Roofing Insulation Waterproofing Built up roofing System Modified Bitumen Single Ply Roof Systems Roofing slate Cements/ Adhesives / Coating Liquid Applied Roofing Systems Roof Tile adhesive Spray Applied Polyurethane Roofing E.P.S. Roof Panels Roof Vents Other June 2014 Category / Subcategory Manufacturer Product Description Florida Approval # include decimal 5. Shutters Accordion Bahama Colonial Roll u Equipment Other 6. Skylights Skylights Other 7. Structural Components Wood Connectors / Anchors Truss Plates Engineered Lumber Railing Coolers/Freezers Concrete Admixtures Precast Lintels Insulation Forms Plastics Deck / Roof Wall Prefab Sheds Other 8. New Exterior Envelope Products Applicant's Signature Applicant's Name JCS ",-g 6,a Please Print) June 2014 LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: .5 /it // r I hereby name and appoint: SI S,Ayt lC"-' _'%aA0&2 an agent of: (9 CZ S'-0 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): The specific permit and application for work located at: Street Address) Expiration Date for This Limited Power of Attorney: License Holder Name: State License Number: Signature of License H STATE OF FLORIDA COUNTY OF (3 rc,—q CAL J/- // k The foregoing instrum nt was acknowledg before me this 200_Lb, byy QS "-1 to me or who has produced identification and who did (did not) take an oath. Notary Seal) CLIFFORD S SNYpER MY COMMISSION N FF931019 y EXPIRES October 26, 2019 407139"- S7 :brdaNawServi ewn, Rev. 08. 12) day of " rr/f , who is Xpersonally known P% ' ' W2. ir6iPrintor type name Notary Public - State of Commission No. My Commission Expires: as This instrument prepared by - Name: lP— 6 11 (.LU-- --`_' Address. _j 1 S -1 It /S / )c MARYANNE MORSE? SEMINOLE COUNTY NOTICE OF COMMENCEMENT CLERK OF CIRCUIT COURT & COMPTROLLER BK 864E Ps 1053 (1Pss) STATE OFFLORIDA Pennit P-. CLERK'S T 2016026158 RECORDED 03/11/2016 03:31: -S'd P11 e COUNTY OF PARCEL ID t): -Its - 'j U ` 50 1- 00 00 -•R ' - ¢J NG FEES $ 1.0.00 KLCUKULD BY hdevore THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information Is provided in this Notice of Commencement. 1 Description of Property: (Legal description of the property mid street address if available) 2 General Description of Improvements: a 3 Owner Name: ;\ofn S'At. Nt, — ]off _ ___ Phone: `Zl "203.r7gQ2 Address: 2 TAR.-j 9r S)t- C.I A,tg (10 (67301 Interest in property: awNt-tti Nance & Address of fee simple titleholder: (if other than owner) 4 Contractor's Name: 0 t V"*% 0. AJ c .tr. `-/ V Gt 1 `71' ` Phone: G= Addret s: %j - C[.' . L-L . J CJ rr-v 5 Surety ;Name: Phone: Address: .Amount of Bond: $ 6 Lender Name: Phone: Address: i 7 Persons within the State of Florida designated by Owner upon w ho notice or other documents may he served as provided by Section 1?.13i1)(aj 7. Florida Statues: Nume: n. Phone: Address:-----...-1 / . •- - , __. --- — --- S In addition to himself or herself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(1)), Florida Statutes: Name: Phone: address: 7 9 Expiration Date of.Notice of Commencement fie expiration date is : year from date of recording unless a different date is specified) 15•AP-NING -r0 OWNER ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF TffE NOTICE. OF COMMENCEMENT ARE CONSIDERED [IMPROPER PAYMENTS UNDER CHAPICR 713, PARTI, SECTION 713.13, FLORIDA STATUTES. AND CAN RESULT IN YOUR PAYING TWICE FOR l7NPROVF.MF.NTS TO YOUR PROPER1 Y, A NOTiCF OF COM..VENCEMENT MAST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. 1F 1'01; INj'FND 10 OBTAIN FINANCING, CONSI'LT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF C•061MLNC E:Mlti:l 1Veerinestlon Pursuant to Section 92 $25 Florida Statutes Underpenaltiesof perjury i declare that I have read the foregoing and that the facts smtcd in it arc true to the best of my knowledge and belief Signature of Owner or Owner's Authorized Signatory's Title/Office — Officer / Director Partner/ Manager The foregoing instrument was acknowledged before me this _ day of CC C 20 jy_, by ' &Vvi name of person) as -hype of authority, ...e.g. officer, trustee, attorney in fact) for name of pang on behalf of whom nt instrumew exec ,ed) SEAL) _ Si lature t y Pub11C, at of Florida s' CLIFFORD 8 SNYDER Print, Type or Stamp Commissioned Name of Notary Public: MY COMMISSION S FF931019 Anrivrif lr+= 4 SCt18iiV `,; tirv[ahCc, ;tjpt7i;F il EXPIRES October 26, 2019 _ a07 otiryStavtu.wn f't'1' iFi Clt'r"t=s,JIARY,!III IEIMO ,' 1398A:53 FlorklaY i i CL[RK•OFT:IECiR i ^LIKCAND or+ COMP1ftOLLEI' g, o° '° SEMNOLi: F_oR A ii Septcnher 1M.: 'li la e'w'LH! licit, BY _____DCPtMCISHM 'J 40A0r.*6 SEMINOLE COUNTY 1Sl xv Q-"_Ycx- 1181111111111111111 IN 1111111111111 IN RI 101 BUILDING DIVISION THIS AFFIDAVIT MAY BE USED WITH AN IN -PROGRESS B163 (reroof dry -in & sheathing nailing) INSPECTION FOR RE - ROOFS OF SINGLE FAMILY RESIDENCES PERMITTED PRIOR TO 3-01-2002 PERMIT. / — BOG . DATE: O k . o w - 2©l4/ JOB ADDRESS: LOT / SUBDIVISION: COMPANY: L licensed as a Contractor, license Please pant name number 'CGjL y. ,did personally inspect the roof deck nailing and/or License number secondary water barrier on or about, :3 - -1 G - 2- 1 Based upon that Date a T,. examination I have determined the installation was done in accordance with the current Florida Building Code — Existing B i ing lame. Contrador Signature a Date STATE OF FLORIDA COUNTYOF t)ic,,-G, e,__ Sworn to nd subscribed before a this Dom& day of il 'i L 20)4 by: s1 .Who is personally known or Produced Identification. Type of identification: NotaqjjFu2tgA'f'4 p. CLIFF YDER t notary/ MY COMMISSION N FF931019 Commission No.:EXPIRES October26.2019 o sae-0 sa Fgrrd.t+a. ".Can, 1101 EAST FIRST STREET SANFORD FL 32771-1468 PHONE (407) 665-7050 FAX (407) 665.7486