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HomeMy WebLinkAbout160 Golfside Cira CITY OF SANFORD (� BUILDING 8 FIRE PREU4ENTION PERMIT APPLICATION Application No: �iO - 14101 Documented Construction Value: $ , U 3 / Job Address: 160 Golfside Cirlee, Sanford, FL 32773 Historic District: Yes ❑ No Parcel ID: 04-20-30-513-0000-0080 Residential © Commercial ❑ Type of Work: New ❑ Addition ❑ Alteration ❑ Repairx❑ Demo ❑ Change of Use ❑ Move ❑ Description of Work: Remove and replace electric water heater Plan Review Contact Person: Pat Espy Title: Phone: 386-775-0909 Fax: 386-774-0048 Email: pespy@fgplumbing.com Property Owner Information Name Stephen Bouzianis Phone: 407-324-7178 Street: 160 Golfside Circle Resident of property? City, State Zip: Sanford, FL 32773 Contractor Information Name First Quality Plumbing Street: 746 N. Volusia Ave. Phone: 386-775-0909 Fax: 386-774-0048 City, State Zip: Orange City, FI 32763 State License No.: CFC050566 Architect/Engineer Information Yes Name: Phone: Street: City, St, Zip: Bonding Company: Address: 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. 1 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 dale of application and the code in effect as of that date: 51" 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 1 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 Print Owner/Agent's Name Date Signature ofNotary-Slate of Florida Date Signature of Contractor/Agent Date Gary W. Evers Print Contractor/Agent's Name , 5/5/ 1�0 of Notary State of niSfL. We DONNAANZAIONE MY cww',SION 5 Ff 011027 EXPIRES: 14)[0 29 2017 Bonded 1 No Kaery Public undon1luels Owner/Agent is Personally Known to Me or Contractor/Agent is X 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: Flood Zone: # of Stories:. New Construction: Electric - # of Amps Plumbing - # of Fixtures Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads Fire Alarm Permit: Yes ❑ No ❑ APPROVALS: ZONING: ENGINEERING: COMMENTS: UTILITIES: FIRE: WASTE WATER: BUILDING: Revised: June 30, 2015 Permit Application ,;,���. ?.15;.x• Date: SEMINOLE COUNTY MULTI -JURISDICTIONAL LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs 5/6/16 I hereby name and appoint: Pat Espy an agent of: _First Quality Plumbing (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): ❑ All permits and applications submitted by this contractor. Or ❑✓ The specific permit and application for work located at: 160 Golfside Circle (Street Address) Expiration Date for This Limited Power of Attorney: License Holder Name: Gary W. Evers State License Number: CFC050566 Signature of License Holder: t —�-- STATE OF FLO &U..)\ COUNTY OFA_, The foregoi"ZI trument w s acknowledged before me this day of , 20, . `W X/1 S who is ersona ly known to me or 0 who has produced as identification and who did (did not) take an oath. Signature of Nota 15-4 �) , tl �I YALQNEa Ff• 01 WPIRil29, 2017�?maryPu6Ucumlurc+tis � _ I lC7 n NN— Print N-Print or type Wary name Notary Public - State of �--L Commission No. F F D o U a rl My Commission Expires: �iT� s eko'Jo son tFA Parcel: 04-20-30-513-0000-0080 Property Record Card PR Owner: BOUZIANIS STEPHEN PATRICIA Property Address: 160 GOLFSIDE CIR SANFORD, FL 32773 Parcel Information i Value Summary Parcel Owner 04-20-30-513-0000-0080 BOUZJANIS STEPHEN & PATRICIA Property Address Mailing 160 GOLFSIDE CIR SANFORD, FL 32773 160 GOLFSIDE CIR SANFORD, FL 32773.4765 Subdivision Name MAYFAIR CLUB PH_j SI-SANFORD Tax District DOR Use Code '01 -SINGLE FAMILY Exemptions 00-HOMESTEAD(1999) rn tD Legal Description LOT 8 MAYFAIR CLUB PH I PB; 53 PGS 768 Taxes 0 50 50.47 50 Seminole County GIS Tax Amount without SOH: $2,729.50 2015 Tax Boll Amount $1,869.46 Tax Esilmato Save Our Homes Savings: $860.04 Does NOT INCLUDE Non Ad Valorem Assessments Taxing Authority 2016 Working Value. 2015 CerUtled Values Valuation Method Cost/Market I Cost/Market y Number of Buildings I Schools $133,143 . . $108,143 Depreciated Bldg Value $ 153,141* 1$147.963 Depreciated EXFT Value $1,425 $1,514 Land Value (Market) $25,000 County Bonds Land Value All $50000 i83'14'3'j Just/Market Value $179,566 I $174.477 Portability Adj Save Our Homes Ad) $46,423 $42,260 Amendment) Adj P&G Adj $o !$o Assessed Value '-'1'$'i'3*3,l43 $132,217 Tax Amount without SOH: $2,729.50 2015 Tax Boll Amount $1,869.46 Tax Esilmato Save Our Homes Savings: $860.04 Does NOT INCLUDE Non Ad Valorem Assessments Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund $133,143 $50,000 $83,143 Schools $133,143 $25,000 $108,143 City Sanford I $133,143 $50,000 ..... ..... --.. - -.-. $83.143 SJWM(Safnt Johns Water Management) $133,1431 $50000 $83.143 County Bonds I $133..14-31- $50000 i83'14'3'j Sales Description Data Book Page Amount Qualified Vacfimp PI SPECIAL WARRANTY DEED 12/1/19981 $137,900 Yes Improved 035 Filld C'q )In I wroblis SFII es Land .. ......... Method Frontage Land Value units L LOT$25,000 $25,000.00 . ......... t Building Information i1% Fkprl/FkAfh rhaint inrnrrar.17 rfirk 14pro Year Built Fixtures Bed Beth Base Area Total SF Living N Description ActuaVEfreclive SF Ext Wall Value Repl Value Appendages I SINGLE 1998 9 21 1,232 2,748 2,336 1 CB/STUCCO 53,141 FAMILY FINISH I I $163,787 Description Area. GARAGE 400.00 0 I a INSTALLER COPY INSTALLATION SERVICES CUSTOMER CONTRACT - PLUMB - WATER HEATER ONLY LOWE'S OF SANFORD, FL, STORE # 1657 STORE PHONE: (407) 430-4060 780 S ORLANDO DR SALESPERSON: EDWARD STARK SANFORD, FL 32773-5614 SALESPERSON ID: 1064845 Document Print Date: 04/30/2016 This is only a Quote for the merchandise and services printed below. This becomes an agreement upon payment and issuance of a Lowe's receipt, upon which the entire agree- ment, including the specifically completed pages of this document, the Terms and Conditions included with this document, the applicable portion(s) of Lowe's receipt, and any other addenda or attachments hereto, shall be referred to herein as this *Contract.' PLEASE READ THIS ENTIRE DOCUMENT, INCLUDING THE "TERMS AND CONDITIONS." BEFORE SIGNING. Lowe's Registration or Contractor License Number/ Lowe's Contractor Name Florida Contractor License Number CGC1508417 MERCHANDISE AND INSTALLATION SUMMARY MERCHANDISE SUMMARY 202645: LET -2: SOS: SOS PRESSURE TANKS: LET -2 - 2 GALLON EXPANSION TANK: A. O. SMITH WATER SYSTEMS - CITY 1 362829: 9008072046: STK: UTIL 2 -CT DIELCTRC NIP (-61403) : UTIL 2 -CT DIELCTRC NIP- (-61403) : AMERICAN WATER HEATER - CITY 1 543481: 20814.0: STK: 26 -IN ALUMINUM WTR HTR DRAIN PAN: 26 -IN ALUMINUM WTR HTR DRAIN PAN: CAMCO MANUFACTURING INCORP. - QTY 1 592529: ES40R9-55 : STK: WHIRLPOOL 40 -GAL 9YR ELEC REG WH: WHIRLPOOL 40 -GAL 9YR ELEC REG WH: AMERICAN WATER HEATER - QTY 1 697986: STK: 5YR EPP WATER HEATER: 5YR EPP WATER HEATER - QTY 1 Materials Price $ 595.2 Store 1657 Project No. 472778306 for STEPHEN BOUZIANIS Pagel of 4 Customer Name Home Phone S STEPHEN BOUZIANIS 407-324-7178 O Customer Address Other Phone 160 GOLFSIDE CIR L City State / Province Zip / Postal Code D SANFORD FL 32773 Installation Address T 160 GOLFSIDE CIR O Installation City Installation State/Province Installation Zip/Postal Code SANFORD FL 32773 MERCHANDISE AND INSTALLATION SUMMARY MERCHANDISE SUMMARY 202645: LET -2: SOS: SOS PRESSURE TANKS: LET -2 - 2 GALLON EXPANSION TANK: A. O. SMITH WATER SYSTEMS - CITY 1 362829: 9008072046: STK: UTIL 2 -CT DIELCTRC NIP (-61403) : UTIL 2 -CT DIELCTRC NIP- (-61403) : AMERICAN WATER HEATER - CITY 1 543481: 20814.0: STK: 26 -IN ALUMINUM WTR HTR DRAIN PAN: 26 -IN ALUMINUM WTR HTR DRAIN PAN: CAMCO MANUFACTURING INCORP. - QTY 1 592529: ES40R9-55 : STK: WHIRLPOOL 40 -GAL 9YR ELEC REG WH: WHIRLPOOL 40 -GAL 9YR ELEC REG WH: AMERICAN WATER HEATER - QTY 1 697986: STK: 5YR EPP WATER HEATER: 5YR EPP WATER HEATER - QTY 1 Materials Price $ 595.2 Store 1657 Project No. 472778306 for STEPHEN BOUZIANIS Pagel of 4 INSTALLER COPY INSTALLATION DESCRIPTION Installation Type: Residential Water Heater Type: Electric Emergency Installation: No New Water Heater Stand Installation: No Earthquake Strap Installation : No / No detail completed Drain Pan / Line Installation Estimate: No / No detail completed Permit Required: Yes Who Will Obtain Permit: Installer Additional Miles Traveled Over 20: 0 Comments: No Comment Number of Water Heaters to replace: 1 Water Heater Size: Less than 75 Gallons Hard Access Installation: No Expansion Tank Installation : Yes Piping Modification Estimate: No / No detail completed Customer Understands Scope of the Heater Project: Yes State Specific Permit: No Permit Fee: Yes Describe other work needed : None / No Detail Completed Additional Specifications: Labor Charges $ Detail Deduction -$ Notation: Lowe's will not make structural modifications or change power sources. Lowes's will not install a water Heater in any location where it would be un- safe or a violation of building code, this also includes any location subject to flooding or installing a gas water heater in living spaces (bedroom, bathroom, etc.). Federal and State regulations require water heaters to be set at 120 degrees Fahrenheit. Additional Specifications: Federal law requires Lowe's to provide you with the pamphlet Renovate Right: Important Lead Hazard Information for Familes, Child Care Providers and Schools. By signing this Contract, Customer acknowledges having received a copy of this pamphlet before work began informing Customer of the potential risk of the lead hazard exposure from renovation activity to be performed in Customer's dwelling unit. PHOTO RELEASE: Customer grants to Lowe's and Lowe's employees and independent contractors the right to take photograghs of the Premises where In- stallation Services will be performed and all work performed at the Premises related to this Contract, and irrevocably grants to Lowe's all right, title, interest in and to the photographs for use in all markets and media, worldwide, in perpetuity. Customer authorizes Lowe's to copyright, use and publish the photographs in print and/or electronically, and agrees that Lowe's may use such photographs for any lawful purpose, including, but not limited to, marketing, advertising, publi- city, illustration, training and Web content. By initialing here, Customer agrees to the foregoing. [Customer to initial to the left). NOTICE TO CUSTOMER - PRICE CALCULATIONS: In order to properly perform the installation of certain Goods, the Contract Price may include more Goods than actually will be installed based on the measured square footage of the Project Area. As a result, the parties agree that the lump -sum Price stated in this Contract is calculated upon both the value of the estimated Goods required to fulfill the Contract (including waste), which may exceed the actual square footage of the Project Area, and the labor which may be estimated based on the amount of Goods required to fulfill the contract (including waste). By signing this Contract below, Customer acknowledges receipt of this notice and agrees and understands that the Price includes these costs which may not be refunded once the Installation Services are performed.. NOTICE OF ARBITRATION AGREEMENT Store 1657 Project No. 472778306 for STEPHEN BOUZIANIS Page 2 of 4 INSTALLER COPY This Contract provides that all claims by Customer or Lowe's wilfbe resolved byG ARBPrtF�ATI� . ustomer and Lowe s GIVE UP THE RIGHT TO GO TO COURT to enforce this ContractEXCEPT for matters that may be taken to SMALL CLAIMS COURT). Lowe's and Customer's rights will be determined by a NEUTRAL ARBITRATOR and NOT a NOT or jury. Lowe's and Customer are entitled to a FAIR HEARING. But the arbitration procedures are SIMPLER AND MORE LIMITED THAN RULES APPLICABLE IN COURT. Arbitrator decisions are as enforceable as any court order and are subject to VERY LIMITED RE- VIEW BY A COURT. FOR MORE DETAILS: Review the section titled ARBITRATION AGREEMENT, WAIVER OF JURY TRIAL AND WAIVER OF CLASS AC- TION ADJUDICATION found in the Terms and Conditions of this Contract. TOTAL CHARGES OF ALL MERCHANDISE AND SERVICES e applicable SUB -TOTAL 'TAX DELIVERY ORDER TOTAL BALANCE DUE Store 1657 Project No. 472778306 for STEPHEN BOUZIANIS Page 3 of 4 STORE COPY PANY THAT HAS PROVIDED TO YOU A "NOTICE TO OWNER." FLORIDA'S CONSTRUCTION LIEN LAW IS COMPLEX, AND IT IS RECOMMENDED THAT YOU CONSULT AN ATTORNEY. WITNES nO HAN A D SEAL(S) BELOW THIS�_DAY OF Lowe ome en rs. LLC i (Seal) Print Name: �~ wnn.C... ,� �,y '��"�"'�' (Seal) Ownir Ctty State / Province Zip / Postal Code Print Name (Seal) Co -Owner or Witness Print Name Customer acknowledges receipt of a true copy which was completely filled in prior to Customer's execution hereof. You the customer may cancel this transaction at any time prior to midnight on the third business day after the date of this transaction. See the attached Notice of Right to Cancel for an explanation of this right. Store 1657 Project No. 472776306 for STEPHEN BOUZIANIS Page 4 of 7 City of Sanford Building & Fire Prevention Division Residential Permit Card PERMIT NO. / / / ISSUE DATE: • CONTRACTOR: JOB ADDRESS: TYPE OF WORK: • Post this permit in a conspicuous location outsideT- • 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 BUILDING IN.SPF.C770N 7YPi.' APPROVED AVECTED INSPECTOR IN.SPECT70N TYPE. ELECTRICAL APPROVED RVEC7£.D INSPECTOR FOOTER INSPECTION ELECTRIC UNDERGROUND i STEMWALL FOOTER/SLAB STEEL BOND FORMBOARD SURVEY T U.G. / PRE POWER SLAB / MONO -SLAB ELECTRIC ROUGH LINTEL / TIE BEAM ELECTRIC FINAL SHEATHING - ROOF INSPFC770N TYPE MECHANICAL APPROVi.D REJECTED /NSPFC7TIR SHEATHING - WALLS FRAME MECHANICAL ROUGH INSULATION ROUGH IN MECHANICAL FINAL DRYWALUSHEETROCK INSPEC770N 77PE PLUMBING APPROV£.D RFJF'CTFD INSPF'C70R LATH INSPECTION FINAL STUCCO/SIDING UNDERGROUND ROUGH FIREWALL SCREW TUB SET FIREWALL FINAL SEWER INSULATION FINAL PLUMBING FINAL FINAL SFR INSPFCrION 7yPi-' GAS INSPECTIONS APPROVED R£JFCTED INSPEC7DR ROOF INSPECTION 77PF APPROVED RFJFCn..'D INSPECTOR GAS UNDERGROUND PIPE ROOF DRY -IN GAS ROUGH -IN FINAL ROOF GAS FINAL INSPEC770NITPE APPROVED MISCELLANEOUS/ FINAL INSPECTIONS RFJE.CTED 1NSPE.C7OR INSM..'C770N77PE APPROVFD REJECTED INSPECTOR PRE -DEMO FINAL DOOR FINAL DEMO FINAL WINDOW FINAL SOLAR PANELS IRRIGATION FINAL FINAL POOL SCREEN FINAL SCREEN ROOM FINAL UTILITY BUILDING FINAL BUILDING OTHER MOBILE HOME TIE -DOWN MOBILE HOME 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: M 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 FBC105.3.3 REVISED: OCrOBER 2014 Impeefion Line: &"341.2112 TO SCHEDULE AN INSPECTION: • Dial 855.541.2112 • 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 BUILDING ELECTRICAL FOOTER 104 ELECTRIC UNDERGROUND 211 STEM WALL 102 FOOTER / SLAB STEEL BOND 221 FORMBOARD SURVEY 147 T.U.G. 216 SLAB / MONO -SLAB 103 PRE POWER FINAL 218 LINTEL / TIE BEAM 105 ELECTRIC ROUGH 212 SHEATHING - ROOF 106 ELECTRIC FINAL 213 SHEATHING - WALLS 115 MECHANICAL FRAME 109 MECHANICAL ROUGH 409 INSULATION ROUGH -IN 110 MECHANICAL FINAL 410 DRYWALL / SHEETROCK 131 PLUMBING LATH INSPECTION 132 UNDERGROUND ROUGH 322 FINAL STUCCO / SIDING 130 TUB SET 312 FIREWALL SCREW 120 SEWER 311 FIREWALL FINAL 143 PLUMBING FINAL 313 INSULATION FINAL 113 GAS FINAL SFR 138 GAS PIPING UNDERGROUND GAS ROUGH -IN 328 314 ROOF ROOF DRY -IN 116 GAS FINAL 315 FINAL ROOF III MISCELLANEOUS / FINAL INSPECTIONS PRE -DEMO 144 FINAL DOOR 136 FINAL DEMO 126 FINAL WINDOW 137 FINAL SOLAR PANELS 134 IRRIGATION FINAL 321 FINAL POOL SCREEN 139 FINAL SCREEN STRUCTURE 127 FINAL UTILITY BUILDING 124 FINAL BUILDING - OTHER 112 MOBILE HOME TIE -DOWN 145 MOBILE HOME BUILDING FINAL 146 Miscellaneous Notes: REVISED: OCTOBER 2014 Inspection Line: 855.541.2112 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 . . . . . 16-00001401 Date 5/17/16 Property Address . . . . . . 160 GOLFSIDE CIR Parcel Number . . 04.20.30.513-0000-0080 Application description . . . PLUMBING PERMIT Subdivision Name . . . . . . Property Zoning . . . . . . . PUD Permit . . . . . . PLUMBING PERMIT-ALTER/ADD/FIX Additional desc . . Phone Access Code 938944 Permit pin number 938944 ---------------------------------------------------------------------------- Required Inspections Phone Insp Seq Insp# Code Description Initials Date ---------------------------------------------------------------------------- 1000 313 PL05 PLUMBING FINAL P.