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HomeMy WebLinkAbout1204 ak Avez0; MAY 18 2017 BY: CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: o 5 83 Documented Construction Value: $ Job Address: D Historic District: Yes No Parcel ID: Type of Work: New Description of Work: Plan Review Contact Person: Phone: Name Street: City, State Zi Name Street: City, State Zip: Name: Street: City, St, Zip: _ Fax: Alteration Repair D Email: Property Owner Information Phone: Residential Commercial Chance of Use Move Title: a x.•.- Resident of property? @ E 3n try d,'t:;i0 caal i1 1Q(8i r}n, "-', res D; su P-Wil ctor Information / Phone: Fax: 9- q 3b State License No. Arch itect/Eng1neer Information Phone: 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. 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 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 regula ing construction an zoni . W "7 II Signature of Owner/Agent Print Owner/Agent's Name Date Signature of Notary -State of Florida Date Pri Date S-18- '7 V ANNETTE BLAND Noiny Pubtle - swe'01 Pows rm> co"60I68Oi062J M1 comm. from in 16, 2011 Owner/Agent is Personally Known to Me or C e o a n wn 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: Total Sq Ft of Bldg: Occupancy Use: Min. Occupancy Load: New Construction: Electric - # of Amps Fire Sprinkler Permit: Yes No # of Heads APPROVALS: ZONING: ENGINEERING: COMMENTS: UTILITIES: FIRE: Flood Zone: of Stories: Plumbing - # of Fixtures Fire Alarm Permit: Yes No WASTE WATER: BUILDING: Revised: June 30, 2015 Permit Application al", rf,-" 6- 0- 1-7 s ANNETTE BLAND Notary PubUc - State of Florida Commission #r GG 060623 rEOFF,d;;°° My Comm. Expires Jan 16, 2011 OLEE 0 E I VE'4 rJAN 2 6 2011201CITYOFSANFORD JAN 2 B LDING & FIRE PREVENTION PERMIT APPLICATION D By. 3ApplicationNo: lt7 Documented Construction Value: $ Job Address: /'2O5/ - e9149 /4ULf Historic District: Yes No Parcel ID: Residential) Commercial Type of Work: New Addition ZI Alteration Repair Demo Change of Use Move Description of Work: 11,0di7T1941 Plan Review Contact Person: /ge _'Oxl Title: Phone: 4 202 //// 504?1 Fax: Email: V/ef6)j-401P 4.4s(7r26`4-7'lel-. Ce—" Property Owner Information Name r/UY rt/u4 /N-JAIA 5tRleA Phone: /-/07 Street: /20 i .5. OAk Av-f City, State Zip: 5AA)FOoD Fee— 327,71 Resident of property?: i'S Contractor Information Name F o=' /%i•4 Street: S cyHTTo 14 1 City, State Zip: FL 5 2 77/ Name: Street: City, St, Zip: Bonding Company: Address: Phone Fax: State License No.: 3 32-5"y Architect/ Engineer Information 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. 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: 5'h Edition (2014) Florida Building Code Revised: June 30, 2015 Permit Application i 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 Print Owner/Agent's Name Date Signature of Notary -State of Florida Date Owner/Agent is Personally Known to Me or Produced ID Type of ID 6-, /_ Zb h,17W-o Signature of Contractor/Agent Date Print Contractor/Agent's Name Signature of Notary -State of Florida Date 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 APPROVALS: ZONING: ENGINEERING: COMMENTS: of Heads UTILITIES: FIRE: Flood Zone: of Stories: Plumbing - # of Fixtures Fire Alarm Permit: Yes No WASTE WATER: BUILDING: Revised: June 30, 2015 Permit Application Roundcube Webmail :: 1204 Electric quote.jpg https://emaihng.ipage.com/roundcube/?—task=mail&—action=get&—m Q Download IS Print Properties Name: 1204 Electric quot... Type: image/jpeg Size: 570 KB Florida Star Electric, LLC 404 S. Palmetto Avenue Sanford, FL 32771 Phone: 407-416-8001 License # ER 13013250 E-mail: servicefctfloridastarelectric.com Job Estimate FOR: Tony and Maria Sirica 1204 S. Oak Avenue Sanford, FL 32771 Date: January 23, 2017 SCOPE OF WORK Wire all circuits with copper wire per plans Install GFCI receptacles per plans Install lighting package provided by client GENERAL PROVISIONS All work shall be completed in a professional manner and in compliance with all applicable building codes Contractor will provide all materials and all labor necessary to complete job Installation of lighting fixtures is included but lighting package is not included in price PROPOSAL DETAILS The job will be permitted and inspected. The job will take approximately one working day TOTAL COST 650.00 30% deposit due at beginning of job 30% due after rough inspection Balance due upon completion of work and final inspection. Thank you for the opportunity to bid on the electrical portion for this home. If you have any questions, please feel free to contact me. I look forward to working with you soon. _ Close IS Roundcube Webmail :: 1204 Electric quote.jpg https://emaiimg.ipage.com/roundcube/?_task=mail&_action=get&_m... Close Q Download I& Print Properties Florida Star Electric, LLC Name: 1204 Electric quot... 404 S. Palmetto Avenue Sanford, FL 32771 Phone: 407-416-8001 image/jpeg LicenseType: E-mail: serviceEdric.com Job Estimate Size: 570 KB FOR: Tony and Maria since 1204 S. Oak Avenue Sanford, FL 32771 Date: January 23, 2017 SCOPE OF WORK Wire all circuits with copper wire per plans Install GFCI receptacles per plans Install lighting package provided by client GENERAL PROVISKMVS All work shall be completed in a professional manner and in compliance with all applicable building codes Contractor will provide all materials and all labor necessary to complete job Installation of lighting fixtures is included but lighting package is not included in pnca PROPOSAL DETAILS The job will be permitted and inspected. The job will take approximately one working day TOTAL COST 650.00 30% deposit due at beginning of job 30% due after rough inspection Balance due upon completion of work and final inspection. Thank you for the opportunity to bid on the electrical portion for this home. it you have any Questions, please feel free to contact me. I look forward to working with you soon. 1 of 1 1/25/2017 7:29 AM Roundcube Webmail :: 1204 electric quote page 2.jpg https:Hemailmg.ipage.com/roundcube/?—task=mail&—action=get& m... Close Q Download 115 Print Properties Contract Agreement Name: 1204 electric q uot... IN WITNESS WHEREOF, the parties agree to the scope of the service provided and the terms of payment and duly affix their signatures under hard and seal. Type: image/jpeg z, pn oNy s-A (customer) Size: ^-278 KB 7 date nn. t contractor) Florida Star Electric, LLC p/ /7 date 1 of 1 1/25/2017 7:28 AM