HomeMy WebLinkAbout121 N Summerline Ave0. CITY OF SANFORD
a'" BUILDING & FIRE PREVENTION
u # '
PERMIT APPLICATION
Application No: A 2 ' /
Documented Construction Value: S "700. c>c>
Job Address: vrrirrl ,_T sa'r ia2 Historic District: Yes No
Parcel ID: Residential Commercial
Type of Work: New Addition Alteration Repair Demo Change of Use Move
Description of Work:
Plan Review Contact Person: Title:
Phone: Fax: Email:
Property Owner Information
Name 1i.-- `rcC i Phone:
Street: lit h2' S0w m'er bi e di?, Resident of property? : A/,e
City, State Zip: &Z-Xyc;
Contractor Information
Name ,4ux*? Phone: Vv7 - ?10V/ J "c/
Street: Fax:
City, State Zip: o r/ 72L State License No.: t' C 13 00q-47 I
Architect/Engineer Information
Name: Phone:
Street: Fax:
City, St, Zip: E-mail:
Bonding Company: Mortgage Lender:
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. 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: 51b 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 regulating construction aoning.
Signature of Owner/Agent
Print Owner/Agent's Tame
Date
ofNotarv-Stat ofPloridA Date
gnature of Contractor/Agent Date
G,
Print Contractor/Agent's Name
PATRICIA A MANN
MY COMMISSION # FF 110411
EXPIRES; Apol 7, 2018
Bonded Thru Notary Publiio Underwriters
Signature of Nota pEB81EBll N
MY COMMISSION # FF 178646E)(PIRES: February 25, 2019
rf .... Bonded Thru Notary Public Urderv+riters
Owner/Agent is /Personally Known to Me or Contractor/Agent is Personall 41nown to Me or
Produced ID Type of ID Produced ID Type of ID t-
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
f,l
THIS INSTRUMENT PREPARED BY:
Name: L
Address: %) U
3477 1
NOTICE OF COMMENCEMENT
Permit Number:
Parcel ID Number:
Lil-; :.)I t;l.R,CU1-1 t;t}I-){;.1 ?. Gtillf'..(F:CIL..L..Eat
CLERK'S 0 .?01L ri14'k_;vlt
FE:E.:r >i.it.trii
The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the
following information is provided in this Notice of Commencement.
1. DESCRIPTION OF PROPERTY: (Legal description of the property and street address if available)
2. GENERAL DESCRIPTION OF IMPROVEMENT:
3. OWNER IVFORMATION OR LESSEE INFORMATIONSF THELESSEE CONTRACTED FOA THE IMPROVEMENT:
IJ Name and address: 57ug V '$" GRO+bi) 12 r S Gtt„y., .,.rQ Lr SAl)r!211
Interest in property:
Fee Simple Title Holder (if other than owner listed above) Nam
4. CONTRACTOR: Name: fil ffoe
Address: _t . /'f-, 4 B
5. SURETY (If applicable, a copy of the payment bond is attached): Nam
Address:
6. LENDER: Name:
Address:
Phone Number. `i'C1Z - ,//_/Ur_
Phone Number:
Amount of Bond:
Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served as provided by Section
713.13(1)(a)7., Florida Statutes. {
H++t-Phone
f w
Name: ) 2 1 Son4»hJ.." ._ -_ Phone Number: % $ /'"T C) 8.
In addition, Owner designates of to
receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Phone number: 9.
Expiration Date of Notice of Commencement (The expiration is 1 year from date of recording unless a different date is specified) WARNING
TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED
IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN 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
COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. igna
ure of Owner or Lessee, or Owner's or Lessee's Authorized
Officer/Director/Partner/Manager) S-
tvu ' C;k00,C H Print
Name and Provide Signatory's Title/Office) State
ofCounty of ' :"] r yr•G- ~=r:,('.- The foregoing
instrument was acknowledged before me this day of 20 by Name
of
person making statement who has
produced identification type of identification produced: F tHf
hit i "FIEDCOFY-
MARYANNE MORSE y, f • lj,, CL ERK.
ncTHE CIPC+-COURTAND w":tS.F'•a C 'TROLL
r i }
q
n, •: EM OLE
C l , F IDL°, 8Y 0EPU"
rY CLERK SEP 14
2016 Who is
personally known to me OR Notary PATRICIA
A.
MAN' MY COMMISSION
ll FF 110411 EXPIRES: April
7, 2018 Bonded Thru
Notary Public Undorwrlters
o }+ . at,y
2.
a"a
Aurora Electric, inc. r - t
33244 co rd: 437 -_
Sorrento; FI.:32776
Ph. 407-219-8275
Re. Electrical work at 121 Summedin Ave. Sanford, FI.
PROPOSAL
We propose to furnish material and laborer for the electrical wiring in accordance With the,
following scope of work:
Inclusions:
1. Rewiring the whole entire house in #12-2 copper.
2. Change out the Interior electrical panel and all breakers. `
3. We will replace all GFCI and Receptacles, we will also add receptacles along the wall space
to meet code.
4. All damaged and out dated switches with be replaced.
f( 5. We will Femove and reinstall all fixtures.
6. Remove all old wiring as best as possible.
7- Electrical permit
Exclusions: a
1. The owner would supply any new fixture that he would. like to replace at the time of the
installation.
2. There are no need for rewiring any 220 circuits.
f i 3. No Telephone or cable TV rewiring or replacements.
l
f 4.We are not responsible for dry wall damages or repairs.