HomeMy WebLinkAbout2101 Cordova Drt CITY OF SANFORD
BUILDING & FIRE PREVENTION
D ti JUN 12OI6 PERMIT APPLICATION
— Application No:
r SY: '
Documented Construction Value: $ /q Z D V/�;—
Job Address: �2 161 CCrYL D u04 D V%- Historic District: Yes ❑ No ❑
Parcel ID: 3G-1 q- 30 , S-1 Y - o yeta _ polo Residential ❑ Commercial ❑
Type of Work: New ❑ Addition ❑ Alteration ❑ Repair ❑ Demo ❑ Change of Use ❑ Move ❑
Description of Work: a a PADU e. *- IZ 0, P ) &;< 'C's¢ ti * 6A;A DCR:i ws
Plan Review Contact Person./'(2t Me ,, Title: b 1., r et,
Phone: !y6-) Q20 '7g7 -SS Fax: %a) 364 b"b7/ Email: 4 CS,CcI
Property Owner Information
Name /Mir_6t%zL BATA -4 Phone: `67 73z 4S-9&
Street: I'D 1 Cow Deva. 'nom Resident of property?
City, State Zip: L„,.,a le 3 2,771
Contractor Information
Name L4- tt r- Phone: Llo 7 92 v c1Ss2S'
Street: 3/DI k 4wt w -s Sir Fax: 5i4o7 3416 S"o7 /
City, State Zip: D ✓I Dc, C-1 *32- 7 bS' State License No.: G 11 e- e o 14 s' 3
Architect/Engineer Information
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
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. 1 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: 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 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 ekecuted'dontract 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 Signatur6flot Contractor/Agent Date
Print Owner/Agent's Name Print Contractor/Agent's Name
' • , / N L A I
Signature of Notary -State of Florida Date
Owner/Agent is Personal ly•Known to Me or
Produced ID Type of ID
Signatureo QIE%ANTON Date.
' = " MY COMMISSION II FF 178648
EXPIRES: February 25, 2019
Bonded 71uu Notary P6bk Undenrritere
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:
Total Sq Ft of Bldg:
Occupancy Use:
Min. Occupancy Load:
New Construction: Electric - # of Amps,
Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads
APPROVALS: ZONING: UTILITIES:
ENGINEERING: FIRE:
COMMENTS:
Flood Zone:
# of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes ❑ No ❑
WASTE WATER:
BUILDING: G. tn• it,
Revised June 30, 2015 Permit Application
Jun 1416 02:20p office 4078750123
•
LB & AJ CONSTRUCTION, LLC
CB C001953
(407) 920-9828
3101 KANSAS STREET
OVIEDO, FLORIDA 32765
AGREEMENT
June 14, 2016
Michael Basila
2101 Cordova Drive
Sanford, FL 32771
Material and Labor to remove and install two (2) 9' x 7' garage door (Heritage 1000) for
the sum of ONE THOUSAND NINE HUNDRED TWENTY DOLLARS ($1,920.00).
LaWy Romer
Contractor
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Date'
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SANFORD BUILDING DIVISION
A PERMIT 196UED SHALL BE CONSTRUED TOB A
LICENSE TO PROCEED WITH THE WORK AND NOt AS
AUTHORITY TO VIOLATE, CANCEL, ALTER OR SET
ASIDE ANY OF THE PROVISIONS OF THE TECHNICAL
CODES, NOR SHALL ISSUANCE OF A PERMIT PREVENT
THE BUILDING OFFICIAL FROM THEREAFTER
REOUIRING A CORRECTION OF ERRORS IN PLANS,
CONSTRUCTION OR VIOLATIONS OF THIS CODE
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REQUIRED INSPECTION SEQUENCE
BP# IG - I LI I Address: ?A v l Coe w t%t,
ButLmKG PERMIT
1Mlnn Max Inspection IIDescre tion
Footer / Setback
Stemwall
Foundation / Form Board Survey
Slab / Mbno Slab Pre our
Lintel / Tie Beam / Fill / Down Cell
Sheathing — Walls
Sheathing — Roof
Roof Dry In
Frame
Insulation Rough In
Firewall Screw Pattern
Drywall / Sheetrock
Lath Inspection
Final Solar
Final Roof
Final Stucco / Siding
Insulation Final
Final Utility Building
Final Door
Final Window
Final Screen Room
Final Pool Screen Enclosure
Mobile Home Building Final
Pre -Demo
Final Demo
Final Single Family Residence
Final Building Other
REVISED: June 2014
ELECTRICAL PERMIT
Nfln Max Inspection Description
Electric Underground
Footer / Slab Steel Bond
Electric Rough
T.U.G.
Pre -Power Final
Electric Final
MECHANICAL (PERMIT
bun Max Inspection Description
Mechanical Rough
Mechanical Final
lM[nn Max 7Ga.sRough on IIDescru tion
erground
Gas Final