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Home My WebLink About2439 Poinsetta AveCITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: 7 7 7 ocumented Construction Value: $ Job Address: y i q PU �2 -t�'�t� �HAis'�tonc stnc` ct Yes No 21 Parcel ID: Residentiaa Commercial ❑ Type of Work: New ❑ Addition ❑ Alteration ❑ Repair 14 Demo ❑ Change of Use ❑ Move ❑ Description of Work:s�GToIC. 4r-> '2a kka&) - Plan Review Contact Person: iJ ice• -44 1 -' Title: G-F' Phone: ?:::P—\ ��Y- 126XFax: Email: M t --A�a6, A o Property Owner Information Name Phone: �2� -_ !2!!2,2�/S� Street: L 21-> l Qr Resident of property? City, State zip:'� rA 14-� c Contractor Information Name s J LZt:2Q,�,�rr)6phone: � Fax: State License No.: �► i'�E- y GZ Architect/Engineer Information 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 trade 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 1053 Shall be inscribed with the date of application and the code in effect as of that date: 5t° Edition (2014) Florida Building Code D -.deal• T,,. -%A 7A14 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 Signature of C ractor Date Print Owner/Agent's Name Print Contractor/Agent's Naalfce 097U Signature of Notary -State of Florida Date Signatur - tate of Fpt;BBiE at � wR? MY CAMMISSION 4 FF 178648D EXPIRES: February 25.2019 Via' amn,tatanP" Owner/Agent is Personally Known to Me or Contractor/Agent is Personal) nown to Me or Produced ID Type of ID Produced ID Type of ID. � 3/4 BELOW IS FOR OFFICE USE ONLY Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing❑ Gas[] Roof ❑ Construction Type: Occupancy Use: Flood Zone: Total Sq Ft of Bldg: Min. Occupancy Load: I# of Stories: New Construction: Electric - # of Amps Plumbing - # of Fixtures Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads APPROVALS: ZONING: ENGINEERING: COMMENTS: UTILITIES: FIRE: Fire Alarm Permit: Yes ❑ No ❑ WASTE WATER: BUILDING: Revised: June 30, 2015 Permit Application CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION D Application No: Documented Construction Value: S Job Address: Parcel ID: Type of Work. Description of New ❑ Addition ❑ Alteration ❑ Repair Plan Review Contact Pelson: Phone: \ Name Street: City, State Zip: Name Street: City, State Zip: Name: Street: City, St, Zip: Bonding Company: Address: Historic District: Yes ❑ No ❑ / Residential ❑ Commercial ❑ Demo ❑ Change of Use ❑ Move ❑ Title: Fax: Email: Property,Owner Information :/ Phone: Resident of property? : ctor Information Address: Lender: WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMM NCEMENT MAY RESULT IN YOUR PAYING TWICE/OR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDEDZ'ONSULT POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTI tq. IF YOU INTEND TO OBTAIN FINANCINGWITH YOUR LENDER OR AN ATTORNEY BEFORE R CORDING YOUR NOTICE OF COMMENCT. 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. FBC 105.3 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 Phone: Fax: State License No.: :ngin er Information Phone: Fax: E-mail: Address: Lender: WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMM NCEMENT MAY RESULT IN YOUR PAYING TWICE/OR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDEDZ'ONSULT POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTI tq. IF YOU INTEND TO OBTAIN FINANCINGWITH YOUR LENDER OR AN ATTORNEY BEFORE R CORDING YOUR NOTICE OF COMMENCT. 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. FBC 105.3 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 I�:i,.::s''•uKss::=Yn��'�G•}�,'�S:S': `.i"i-i= ♦f•• ''' �'' s.wN, MET •.... 'h... t .��'VC .�.,.� .r+-��Y'�'��4i1LvsAl h �BIJANfITY ITEM OR PART DESCRIPTIONPRICE DATE ORDERED / � Orlando, Florida 32805 CFC # 1426822 BILLING NAME '[� M aj — — G DATE SCHEDULED -scc' I- 610 1 CITY STA ZIPD WARRANTY D CONMCI SENMCECONTRACr DNORMAL D RES. D comm. JOB LOCATIONO h ' STREET D r CITY STATE ZIP A CREDIT CARD NO.: EMAIL ADDRESS: DESCRIPTION OF WORK II 1 /LABOR a Cfv7c/ d% 541 111I I STOPAGES IWARRANTIES PARTS WARRANTY: All parts as recorded are warranted as per manufacturer specifications. .WBOR GUARANTY: The labor charge as recorded here relative to the equipment serviced as noted, is PataAteed for a period of 30 days. We do not, of course, guaranty other parts than those we Install. repairs later becoine necessary due to other defective parts, they will be charged separately. TERMS @ CONDITIONS OF SALM As a condition precedent to Choice Plumbing being obligated to the giving of credit or replacement, Cholce Plumbingg must be given written notice Identifying the defective good and specifying the defect within ten (•10)'dayt.after receipt of the good by customer. Cholce Plumbing must also be given the oppportunity to Inspect the allegedlydefective good and, if requested by Choice Plumbing, the allegedlydefective good must be returned to.Choice Plumbing. Cjlstomer agrees to pay Choice Plumbing all cost and expenses of collection, suit or other legal action, including a reasonable attorney's fee, and shall also pay cost, expenses and attorney's fee Incurred on appeal or any administrative proceedings. mann p0OODMIni "ow the 9y fi" We eedorw to dwos�C� 18875 3550 Old Winter Garden Road Phone: (407) 422-7443 DATE 3 / 9, f-11 (6 DATE ORDERED / � Orlando, Florida 32805 CFC # 1426822 BILLING NAME '[� DATE SCHEDULED STREETPHONE CITY STA ZIPD WARRANTY D CONMCI SENMCECONTRACr DNORMAL D RES. D comm. JOB LOCATIONO h ' STREET D r CITY STATE ZIP PAYMENT: CHECK NO.: CREDIT CARD NO.: EMAIL ADDRESS: DESCRIPTION OF WORK II 1 /LABOR CHARGES L /iN pS MR. TECHNICIANv J �.L TOTAL OTHER CHARGES SIGNATURE `� SUBTOTAL 1 HAVE THE AUTHORITY TO ORDER THE ABOVE WORK AND DO $O ORDER AS OUTLINED ABOVE. IT IS AGREED THAT THE SELLER WILL RETAIN TITLE TO ANY EQUIPMENT OR MATERIAL FURNISHED UNTIL PARTS FINAL At COMPLETE PAYMENT IS MADE, AND IF SETTLEMENT IS NOT MADE AS AGREED, THE SELLER SHALL HAVE THE RIGHT TO REMOVE SAME AND THE SELLER WILL BE HELD HARMLESS FOR ANY DAMAGES TRIP CHARGE RESULTING FROM TNT REMOVAL THEREOF. TAX X TOTAL AMOUNT AUTHORIZED SIGNATURE ORDREDD WORK HAS BEEN COOMPLETED{1\AND IAACKNO IfDG RF.CEIP1 OF MY COPY. "�� C7 `,