HomeMy WebLinkAbout100 Wilner Cir 825CITY OF SANFORD
BUILDING & FIRE PREVENTION
D MAY 2 4 2016 PERMIT APPLICATION
i� Application No:
4O_jgy3
ov
75MW
nted Construction Value: S
Job Address: �V I C, �a I Historic District: Yes ❑ No El
Parcel ID: Residential ❑ Commercial ❑
Type of Work: New ❑ Addition WAIteration ❑ Repair ❑ Demo ❑ Change of Use ❑ Move ❑
Description of Work:
Plan Review Contact Person:
Phone: q ()) • -1 &() • 1 ST -1 Fax:
Title:
Email: S7��1C�1(030lWM, t-Cjr?
Property Owner Information
Name !' Ilcieu
Street: i W til 1w dr gCyi:Rrd
City, State Zip:
Phone: LICA •2• Rp9 i0
Resident of property? :
Contractor Information
Name d
Street: �1 ni t'rWt a.� i hn.
City, State Zip:
Name:
Street:
Phone: "(J) '-IK-) .
Fax:
State License No.: GOAGUS�D CFI I
Architect/Engineer Information
Phone:
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 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.
J�
FBC 1053 Shall be inscribed with the date of application and the code in effect as of that date: 51° Edition (2014) Florida Building Code
Revised: June 30.2015 Permit Application
,�'L/ J-5?&�-
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
Print Owner/Agent's Name
Signature of Notary -State of Florida Date
4?�t
Signature of Contractor/Agent 9Date
Print Contactor/Agent's Name
Signature
DEBBIE BLWTON
My COMMISSION I FF 17MB
EXPIRES: February 25.2D19
ew*d Ttw tswr Pak ur dmfs
Owner/Agent is Personally Known to Me or Contractor/Agent is Personally Known to Me or
Produced ID Type of ID 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:
Flood Zone:
# of Stories:
Plumbing - # of Fixtures
# of Heads Fire Alarm Permit: Yes ❑ No ❑
UTILITIES: WASTE WATER:
FIRE: BUILDING:
Revised: June 30, 2015 Permit Application
Force Air USA
Randy Boyd, Sr.
Mechanical Contractor
PROPOSAL SUBMITTED TO:
Greystone Properties
Attn: Brenda Boyd
PROPOSAL
DATE OF PROPOSAL: 5-20-16
Lic# CMC056971
PROJECT LOCATION:
Overlook at Monroe
SCOPE OF rESCRIBED BELOW:
Apartments d 112 o be upgraded with new HVAC Systems.
Site will provide condenser, air handler, thermostats (if applicable), front flush panels (if applicable).
Site will repair all drywall, paint, etc. as required.
PROPOSAL COST:
3 units at $875.00 each total contract cost $2,625.00.
Cost includes permitting fees of $50.00 per unit. Site will schedule and manage inspections in
coordination with Mechanical Contractor.
Contractor will schedule and manage inspections for an additional $50.00 per unit.
PROPOSAL EXCLUSIONS AND CLARAFICATIONS:
Includes 90 day labor warranty from startup date. Equipment warranty by manufacturer.
Does not include any new high voltage electric. Does not include any new low voltage electric.
Signature of Acceptance
!:S�DDVU
Date of Acceptance
STATE OF FLARIDA
COUNTY OF,Ie-
'Rie foreg ing ins ru ent wa acknowledged before me this�day of , 249'*, by
f ). who is o personally known to or o who has produced
as identification and who did (did not) take an oath.
Signature
(Notary Seal)
Print or type nameWIt-
o— ole
Notary Public - State oCommission No.My Commission Expire
kATHYA.W CH1MM1-COLE
~ MY coMMISSION V EE1727M
1778 Imperial Palm Dr., Apopka, Florida 32712
Phone 407-780-1547 Page 1
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: 5c2�iJ4
I hereby name and appoint:
an agent of f 4u r S 17 I LL
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):
D T specific permit and application for work located at:�
- .e, ova cu k PA-fAW)i o 0 w► l l r,-e,,r G r scn�
(Street Address)
Expiration Date for This Limited Power of Attorney:
License Holder Name:
State License Number. CACOSI
1 I
Signature of License Holder: e
STATE OF FLORIDA
COUNTY OF
The foregoing ins ent `�`'as acknowl ed bef re me thisAq of
200 b Q1 who is u(Personl \ aMy known
�� Y
to me or o who has produced j-3 aO- ;s3 3 i y v as
identification and who did (did not) take an oath.
Signature
(Notary Seal) L o r 1• y Cbe,1rTj(e
Print or type name
•••.°'� LORI Y.E9EMM
MY COMMISSION 1 EE 211124
EXPIRES: June 26.2016
r'�o.r���a eo�esa TMv��n saaoes
(Rev. 08.12)
Notary Public - State of
Commission No.
My Commission Expires:
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: S L , -�/b
1 hereby name and appoint: Wr(rA40ft ,( -/
an agent of:��j�/'L � �i /,7L1-4 Itf
lNmm� n nm nnnvl
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):
D T e specific permit.and appligation for work locate} at: �.
(Street Address) 9`7
/
Expiration Date for This Limited Power of Attorney:
License Holder Name:
State License Number:
Signature of License Holder: ZZ'e!�&e C
STATE OF FL
RIDA
COUNTY O
The foregoing str
200' by
to me or o who has
identification and m
KATW A VAGK W4 -CO E
MY COMMISSION 0 EEI?2"8
EXPIRES June 09.:016
ry 6eai) _
(Rev. 08.12)
tc�
before me this�day of,
who is ersonaq known
produced - — !117--]Z as
'ho did (did not) take an oath.
5
Notary Public -State of OL
Commission No. E C Vja7$
My Commission Expires: Le I