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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