HomeMy WebLinkAbout714 Cypress AveCITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: 49 1& do
Documented Construction Value: $ 1,800
Job Address: 714 CYPRESS AVE SANFORD, FL 32771 Historic District: Yes No
Parcel ID: 25-19-30-5AG-090A-003A Residential ® Commercial
Type of Work: New Addition Alteration Repair 0 Demo Change of Use Move
Description of Work: Remove and Replace Rotten wood siding boards on exterior
Plan Review Contact Person: Roderick Waller
Phone: 772-201-2850 Fax: 772-907-0420
Title: CEO
rodwallerl @gmail.com
Property Owner Information
Name HARPER ROSA BALDWIN & SMITH ALLEN phone: 407-732-8326
Street: 714 CYPRESS AVE
City, State Zip: SANFORD, FL 32771
Name Sunrise City CHDO, Inc
Street: 800 Virginia Ave Suite 61
City, State Zip:
Resident of property? :
Contractor Information
Fort Pierce FL 34982
Phone: 772-201-2850
Yes
Fax: 772-907-0420
State License No.: CGC1515114
Architect/Engineer Information
Name: Phone:
Street: 'Fax:
City, St, Zip: E-mail:
Bonding Company:
Address:
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 regulating construction and zoning.
Signature of Owner/Agent D to
Print Own(g4Agent's Name A
Signature
SOPHIA HARRIS
MY COMMISSION # FF997093
EXPIRES May 30, 2020
Owner/Agent is Personally Known to Me or
Produced M Type of ID
All
Sid ontractor/Agent Date
Radtc c 6L sec
Print Con for/Agent's Name
g' Ilo
Signature Notary -State of lorida at
p°'"
Y`
Nh. SOPHIA HARRIS
T. MY COMMISSION # FF997093
oe
11Y" EXPIRES May 30, 2020
NQ7)39A.gt53 %rioallotarySerwe.o M
Contractor/Agent is Persona y own 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:
Total Sq Ft of Bldg: Min. Occupancy Load: of Stories:
New Construction: Electric - # of Amps Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes No of Heads Fire Alarm Permit: Yes No
APPROVALS: ZONING: UTILITIES: WASTE WATER:
F401111040 lM"
COMMENTS:
101;1 BUILDING:
Revised: June 30, 2015 Permit Application
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: 8/8/201 s
I hereby name and appoint: ALLEN SMITH
an agent of SUNRISE CITY COMMUNITY HOUSING DEVELOPMENT ORGANIZATION, INC'
Name of Company)
to be my lawful attorney -in -fact to act for me to apply for, receipt for, sign for and do all things
necessary to this appointment for (check only one option):
The specific permit and application for work located at:
714 CYPRESS AVENUE, SANFORD AVENUE
Street Address)
Expiration Date for This Limited Power of Attorney:
License Holder Name: RODERICK WALLER
State License Number: CGC1515114
Signature of License Holder:
STATE OF FLORIDA
COUNTY OF,e potC
The foregoing instrument was acknowledged before me this Aay of ,
200, by who is mpersoilally known
to me or o who hasproduced identification
and who did (did not) an oa Sign
ture Notary
Seal)w i1^l.S Print
or type name X
SOPHIA HARRIS MY
COMMISSION # FF997093 EXPIRES
May 30, 2020 FloritlalloSkySan•
ce,com Notary
Public - State ofEbridj Commission
No. FEqg zoq_? My
Commission Expires: M8 W20 A
SOPHIA
HARRIS MY
COMMISSION # FF997093 Rev.
08.12) o,
EXPIRES May 30, 2020 407)
398-0153 FbndallocaryService.com as
Sunrise City CHDO
PO Box 3582
Fort Pierce, FL 34948
ertuv. r,vct.
Name / Address
Allen Smith
714 Cypress Ave
Sanford FL 32771
Estimate
Date Estimate #
1/3/2011 5942
Project
Description Qty Rate Total
Remove and Replace Damaged Siding on Exterior of House 1 L800.00 1,800.00
AUTHORIZED SIGNATURE 0.00 0.00
R((O DERICK WAL LER CEO
DATE 08-8-2016
ACCEPTANCE OF PROPOSAL
THE ABOVE PRICES, SPECIFICATIONS AND CONDITIONS
ARE 14EREBY ACCEPTED.
CUSTOMER SIGNATURE
CGC1515114 CCC1327208
Total $1,800.00
1 ? Sunrise City CHDO
PO Box 3582
Fort Pierce, FL 34948
Ctint), INC.
Name / Address
Allen Smith
714 Cypress Ave
Sanford FL 32771
Estimate
Date Estimate #
8/3/2016 1 5942
Project
Description Qty Rate Total
Remove and Replace Damaged Siding on Exterior of House 1 1,800.00 1,800.00
AUTHORIZED SIGNATURE 0.00 0.00
RODERICK WALLER CEO
DATE 08-8-2016
ACCEPTANCE OF PROPOSAL
THE ABOVE PRICES, SPECIFICATIONS AND CONDITIONS
ARE HEREBY ACCEPTED.
CUSTOMER SIGNATURE
CGC1515114 CCC1327208
Total $1,800.00