HomeMy WebLinkAbout217 W 12 St (3)AUG
CITY OF SANFORD
BUILDING & FIRE PREVENTION
111
L PERMIT APPLICATION
A as
Application No:
Documented Construction Value: $
J/ 750- a o
Job Address: 2 7 7 1 Historic District: Yes [0 No
Parcel ID: 19. w Residential0 Commercial
Type of Work: New Addition Alteration Repair 59 Demo Change of Use Move
Description of Work: -3' W-nn,o r e W+ r t AI C g Aj4-ire f`e s•l dem Ce oo 41np.
Elect 1. em l S ervi ee Qaue (,e!Ae '5A n&
Plan Review Contact Person: bA OS et , Title:
Phone: YO/)' (0040 1 Fax: Email: r)h ne.
Property Owner Information
Name War K W vJOht o Phone: /l5G I - qO0 (0,2 7S-
Street: ('1 6g S , 1'41 ivol: ac 4ye , Resident of property? : Na
City, State Zip: Sa_w, •oz,nQ1 FL., 3PL7-1 1
Contractor Information
Name :YO ,25e p h Lr, A b ro M 3 Phone: yd 97- V 47 or *7- Qy7- t A192
Street: P 6. Rox A0 1 U Fax: Ku?- kk 0 - 16 y
City, State Zip: A pd p ka R, 3 2 7 o tt State License No.: CC 0 O o D S
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
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" Edition (2014) Florida Building Code 1
r.
Revised: June 30, 2015 Permit Application ti y
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
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: Occupancy Use: Flood Zone: _
Total Sq Ft of Bldg: Min. Occupancy Load:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes No # of Heads
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING: !;Aj S• it'. «i
Revised: June 30, 2015 Permit Application
Abrams Town& Country Electric
1309 Golf Course Dr., Apopka, FL 32712
407)687-8097 (Cell)
License #ER0011299
PROPOSAL
Page No. , of ,
PROPOSAL SUBMITTED TO TODAY'S DATE DATE OF PLANS/PAGE #'S
Mark W son
PHONE NUMBER FAX NUMBER JOB NAME
561-400-6275
ADDRESS, CITY, STATE, ZIP JOB LOCATION
1718 S Magnolia Ave Sanford FL 32771 1201 & 1203 Myrtle Ave 32771
We propose hereby to furnish material and labor necessary for the completion of:
Electrical Work
Owner agrees to the following:
For Duplex #1:
1. Removal of old existing wiring.
2. Replacing old Federal Pacific service Panel in unit.
3. Installing all new wiring.
4. Install all necessary electrical devices.
5. Owner supplies all light fixtures, including range hoods, bathroom exhaust fans, & smoke detectors.
We propose to furnish & install all necessary material, labor, equipment and permits in accordance.
Total Cost of labor and materials $4,750.00 (Does not include permit costs)
Any extras will be billed accordingly.
A mobilization draw of $ 2,500.00 (Two Thousand Five Hundred Dollars) is required prior to
commencement of the work. Final payment due,upon completion.
Thank you.
We propose hereby to furnish material and labor - complete in accordance with above specifications for the sum of:
As written above dollars ( $ 4,750.00 )
Payment as follows: As written above
All material is guaranteed to be as specified. All work to be completed in a substantial workmanlike manner according to specifications submitted, per standard
practices. Any alteration or deviation from above specifications involving extra costs will be executed only upon written orders, and will become an extra
charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado and other
necessary insurance. Our workers are fully covered by Workmen's Compensation Insurance. If either party commences legal action to enforce its rights
pursuant to this agreement, the prevailing party in said legal action shall be entitled to recover its reasonable attorney's fees and costs of litigation relating to
said legal action, as determined by a court of competent jurisdiction.
Authorized Note: this proposal may be withdrawn by us
Signature if not accepted within 30 days.
ACCEPTANCE OF PROPOSAL The above prices, specifications and Signature , jl
conditions are satisfactory and are hereby accepted. You are authorized
to do the work as specified. Payment will be made as outlined above. Signature
Date of Acceptance
RECORD COPY
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t A PERMIT ISSUED SHALL BE CONSTRUE TO BE A
LICENSE TO PROCEED WITH THE WORK D NOT AS
AUTHORITY TO VIOLATE, CANCEL, ALTE OR SET
ASIDE ANY OF THE PROVISIONS OF THE CHNICAL
CODES, NOR SHALL ISSUANCE OF A PER IT PREVENT
I rHE BUILDING OFFICIAL FROM THER AFTER
LIVING ROOM I '-OUIRING A CORRECTION OF ERRORS N PLANS,
y, C ;:.ONSTRUCTION OR VIOLATIONS OFT IS CODE
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BUILDING PERMIT
Min Max Inspection Description
Footer / Setback
Stemwall
Foundation / Form Board Survey
Slab / Mono Slab Prepour
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 Firewall
Final Roof
Final Stucco / Siding
Insulation Final
Final Utility Building
Final Door
Final Window
Final Screen Room
Final Pool Screen Enclosure
Final Single Family Residence
Final Building (Other)
REQUIRED INSPECTION SEQUENCE
Address: ?_%'I c.a• t`2-` ST
ELECTRIxCAL PkERMIT
Min Max Inspection Descri tion
Electric Underground
Footer / Slab Steel Bond
p Electric Rough
T.U.G.
Pre -Power Final
Electric Final
r
Min Max Inspection Descri tion
Plumbing Underground
Plumbing Sewer
Plumbing Tub Set
Plumbing Final
COHA=N€I1CA§L P'ERMIT
Min Max Ins ection Description
Mechanical Rough
Mechanical Final
Ill 0
Min Max Inspection Description
Gas Underground
Gas Rough
Gas Final
REVISED: June 2014
Ill 11M fell ll fill lllf li l
THIS INSTRUMENT PREPARED BY:
Name: 17A
Address: .2a7 G?
NOTICE OF (0®111 MENCEMENT i<I.t-{,,.<i.!=.! ;,: Ii ,,r:t
Permit Number: Z 2 7 %
Parcel ID Number: 1 s! 9. —70 f 8 Q 114 d T 0 O Ce a
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) t1 115
2. GENERAL DESCRIPTION OF IMPROVEMENT: i6,/r'%'r"Arf Bp i% > re5'ideovCe,
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name and address: /014 /C 4V-1.f o ff174e S l9ar AZ -VA' 7 a SAS
Interest in property: 0 /A/e "
Fee Simple Title Holder (if other than owner listed above) Name:
Address:
r14. CONTRACTOR: Name:aL()4.s atila - dIOA'arm s rwa daiwkj Phone Number: ya7 Co l - ea ?7
Address: +1o,l?er owl lw Ago pka F4 32 7e y
5. SURETY (If applicable, a copy of the payment bond is attached): Name:
6. LENDER:
Address:
Phone Number:
Amount of Bond:
7. 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.
8. In addition, Owner designates
Phone Number:
m
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.
WlF
Pent Name and Provide Signatory's Titl Office)
State of County of I S
The foregoing instrument wasacknowledged before me this 1 r day of 4 , ze 5 20 by
Ar 1A/) Who is personally known to me OR Name
f person m i g statement \ who
has produced identification type of identification produced: RACHEL
FREEMAN CHEEK c
NOTARY
PUBLIC - MARY r r nn STATE
OF FLORIDA K OFTHE CIRCUITNota IsSlg i e Comm#.
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7112=18 AUG
1.0 2016 BY iUNi
g+ DEPUTY
CLERK