HomeMy WebLinkAbout2101 Cordova Dr (2)1 > i•
CITY OF SANFORD
.JUIN 1 7 BUILDING & FIRE PREVENTION
Cy_
PERMIT APPLICATION
Application No:
Documented Construction Value: $ 1 1 1 13 C)
Job Address: a�. 1 Cor CW Ck'0r • SanfD rHistoric District: Yes ❑ No ❑
Parcel ID: 3l1. 1ct• 30- 634 - 066- 0010 Residential ED Commercial ❑
Type of Work: New ❑ Addition ❑ AlteratiottJO Repair ❑ Demo ❑ Change of Use ❑ Move ❑
Description of Work: CnoLy- 1 M (A..00N �-
Plan Review Contact Person: (\iCol NY- (Y)'ili,I;t\ Title: q UGC- 0Lae,1+ -
Phone: om - sliO Fax: y.0�• �SCLI- iS�c�� Email: I(1(UU e. fladaLr. Cv»n
Property Owner Information
Name J08 i C110L:QA iq &[Di �G OWA�, fWr Phone:` V R i'� — OL15'5'
Street: x,101 CAY`dDA_ D • Resident of property?
City, State Zip: S an A)rdd , PL Sal i t
Contractor Information
Name FIM Uk 9)(Y- " dVmm
Street: '171 S RVIG 1W
City, State Zip: A �,QYA�
Phone: qV 1_o a q Tlg5s
Fax: 140'1- %G1,P7
State License No.: (AG16159 15'1
Architect/Engineer Information
Name: �T
Street:
Phone:
Fax:
City, St, Zip: E-mail:
Bonding Company: (\1,q_ Mortgage Lender: n 1A
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. 1 understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools,
furnaces, boilers, heaters, tanks, and air conditioners, etc.
FOC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 5i° Edition (2014) Florida Building Code
Revised: June 30, 2015 Pennit 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 coning.
Signature of Owner/Agent
/PrinJ(5._ /Agent's Name
Date
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
Si atur f Conrctor/Agent Date
na c% 000y- So ly+► M s , /1 i CCI Cook
Print Contractor/Agent's Name
Notary Public - State of Florida
Coinmissi" I FF 949428
My Comm. Expires Jan 24, 2020
Contractor/Agent is V Frersonally Kno tb Me or
Produced ID Type o
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 ❑ # of Heads
J0(c)c—
APPROVALS: ZONING: �c-29-I( `�''4UTILITIES:
ENGINEERING:
COMMENTS:
FIRE:
Flood Zone:
# of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes ❑ No ❑
WASTE WATER:
BUILDING: 4=•
Revised: June 30, 2015 Permit Application
Blanton, Deborah
From: M Basila <mbasila2@gmail.com>
Sent: Monday, June 27, 201612:39 PM
To: Blanton, Deborah
Subject: permit
i michael basila fired the company that filed the last permit they had an
attitude,LB and AJ
FLORIDA
DOOR
SOLUTIONS
Mike Basila
2108 Cordova Drive
Sanford, FL 32771
6/27/2016
Proposal
# NC -16-167
777 S Park Ave
Apopka, FL 32703
407-884-5955 - Phone
407-884-7567 - Fax
407 466-8807 - Cell
Nikki@fladoor.com
Replacement Garage Doors
E-mail:
Phone: 407-878-0455
Fax:
Description
Total
Replace (2) each 9' wide x 7' high
1,130.00
Clopay Model 73 Garage Door
'Raised panel, non -insulated sections,
'Baked on polyester finish in White,
'Standard lift track and hardware,
'Solid sections, no windows,
Inside slide locks (required for windload),
'Windload rated for local codes, per 2014 FBC.
Options:
1. Above price does not reflect $150 permit fee, with City of Sanford.
2. Above price does not reflect wood jambs, if required.
3. Above price does not reflect any low headroom or any other site specific track, if required.
Due to the rising costs of fuel, steel and other materials prices
Total includes material, labor and tax.
quoted are good for 30 days from date noted above.
Terms: A 50% deposit is due at time of order, for all special ordered products. By accepting this proposal Client agrees to render payment for the services described
above once installation is complete. Client will pay FDS 18% interest per annum on any amount paid later than 5 days after installation. Client agrees to reimburse
FDS for all reasonable attorneys fees and courts cost associated with collecting past due invoices.
Xw-
Dated:, _ i
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: a1
I hereby name and appoint: CVS lei St ( Kv,,- O 1 C aK M
an agent off j (1Yi (, . A bwf SCJ ((l-h7JYl%)
(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: 6311-1
License Holder Name: ill t (Lj Q061L
State License Number: c e c i ,a S g i s 1
Signature of License Holder:
STATE OF FLORIDA
COUNTY OF n�J
The foregoing instrument was acknowledged before me this day of J U.rUe ,
20ky_�, by NCd �c7� who is ersonally known
to me or o who has produced
identification and who did (didqot) take an oath.
(Notary Seal) A-;nv%, NICOLE MAY
Print or type. Notary Public • Slue of Florida
Commission I FF 949425
My Comm. Expires Jan 24, 2021
Notary Public a
Commission No.
My Commission Expires:
(Rev. 08.12)
as
City of Sanford
Doors - Windows Application Checklist
All permit application packages must be complete prior to acceptance. You must check each box to the
left or indicate n/a on this submittal. A complete application package shall include the following:
All permit applications must be complete prior to acceptance. A complete application shall include the
following:
lV- Building Permit Application completed, signed and notarized. Application must include correct address
and complete parcel I.D. number.
W" Copy of a contract, signed by the contractor and the property owner, indicating the documented
construction value
q� Copy of applicable contractor's license issued by the State of Florida (if the contractor is the
applicant).
A site specific notarized power of attorney shall be required from the licensed contractor if
/ he/she appoints an employee of his/her company to sign the permit application as the contractor.
D Certificate of insurance indicating worker's compensation insurance coverage and naming the City of
Sanford as certificate holder, or a copy of a worker's compensation exemption issued by the State of
Florida (must be submitted with each application if contractor is the applicant).
D Completed and signed Owner Builder Statement /.Affidavit (if the owner is the applicant). Of�
O Two (2) copies of the floor plan indicating size, type and location of windows/doors. 7 ,,,•�
fY
Ql Completed and signed Statewide Product Approval Specification Form.
fX Two (2) copies of the manufacturer's installation instructions.
These guidelines were compiled to assist the applicant in preparing a windows / doors permit application and
may not be complete. The applicant is required to meet all City of Sanford, state, and federal code
requirements.
Revised. February 2015
City of Sanford
Doors - Windows Application Checklist
N�
All permit application packages must be complete prior to acceptance. You must check each box to the
left or indicate n/a on this submittal. A complete application package shall include the following:
All permit applications must be complete prior to acceptance. A complete application shall include the
following:
Building Permit Application completed, signed and notarized. Application must include correct address
and complete parcel I.D. number.
Copy of a contract, signed by the contractor and the property owner, indicating the documented
construction value
Copy of applicable contractor's license issued by the State of Florida (if the contractor is the
applicant).
A site specific notarized power of attorney shall be required from the licensed contractor if
he/she appoints an employee of his/her company to sign the permit application as the contractor.
Certificate of insurance indicating worker's compensation insurance coverage and naming the City of
Sanford as certificate holder, or a copy of a worker's compensation exemption issued by the State of
Florida (must be submitted with each application if contractor is the applicant).
Completed and signed Owner Builder Statement / Affidavit (if the owner is the applicant).
Two (2) copies of the floor plan indicating size, type and location of windows/doors.
(� Completed and signed Statewide Product Approval Specification Form.
�0 Two (2) copies of the manufacturer's installation instructions.
Contact Person information entered in Naviline?
(- Application forms stamped received and initialed
AV
These guidelines were compiled to assist the applicant in preparing a windows / doors permit application and
may not be complete. The applicant is required to meet all City of Sanford, state, and federal code requirements.
Revised: February 2015
RECORD COPY
City of Sanford
Building and Fire Prevention
Product Approval S , ' 'cation Form
# 16 1 7 9 5 sANF°R°
Permit #
�f� �FPAR
Project Location Address � 1 Q 1 Uir'litl Tx n�r SaW\ iTrCL
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 Florida Approval #
Description include decimal
1. Exterior Doors
Swinging
Sliding
Sectional
Roll U
Automatic
REVI D FOR CODE
Other
2. Windows
MANS
Single Hun
DATE
Horizontal Slider
Casement
Double Hun
Fixed
AwningLICENSE
O PRrwp%LL TO 8E A
ANID NO;
Pass Through
Projected
AS
IT TO VIOLATE, CANCEL, ALTER OR SET
CODES, N R SHALL ISSUANCE OF
MullionsR
Wind Breaker
IAL FROM THEREAFTER
CONSUCTION OR VIOLATIONS OF THIS
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 1 1: CM COOL -
(Please Print)
June 2014
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REQUIRED INSPECTION SEQUENCE
]BP# lte . (Z4< Address:
1BUILDMG PERMIT
Min Max IIns econ Descri tion
Footer / Setback
Stemwall
Foundation / Form Board Survey
Slab / Mono 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 1PE.RWIT
Nun I Max I IInslDection Descri®faon
Electric Underground
Footer / Slab Steel Bond
Electric Rough
T.U.G.
Pre -Power Final
Electric Final
MECHANICAL (PERMIT
Nun Max IIns ection Description
Mechanical Rough
Mechanical Final
1�1[i® max IIDn3 ectuon IIDescru noun
Gas Underground
Gas Rou
Gas Final