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
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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
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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
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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