HomeMy WebLinkAbout185 Venstian Bay CirCITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
a`f Application No:
y ..
Documented Construction Value: $
PSI) ."n
Job Address: j S j u I}N B/1 y C' JkC(.v, S,j p to 41- . 7J Historic District: Yes El No El
Parcel ID: Residential Commercial
Type of Work: New Addition Alteration Repair Demo Change of Use Move
11
o Description of Work: fil/u> StctwiJt Ncre 0 ! 41 y I w % 12'`>l l a" 7u
y,5 cs '11C r1 crea ' a o I a k
Plan Review Contact Person: Pewl R 3 t 0' 1 Title: 6#-p 8 CA -
Phone: L{..07- `i 6 - LO4`1 Fag: `16?- 47S - 72) Email: Dfiyg'OL D_u,090'/ 06i' .,/1
Property Owner Information
Y vRAL Ws you- 32V-'"-s7.3
Name /n PJ o -
Street: 1 S V CU' T 1 8 G'in z
City, State Zip: S,9-i,I Na_D fit -
Name
Street: L7.-
City, State Zip: ---Z
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Phone:
Resident of property?
Contractor Information
4(95, Phone: O `C 0
1/0 Fax:
D i State License No.: /
n6C t)5,301
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-wor-k-and-installations-as-indicated.—I certify -that no -work or-insta-liation-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: 51h Edition (2014) Florida Building Code
Pt3o Revised: June 30,2015Permit Application
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may befoundinthepublicrecordsofthiscounty, and there may be additional permits required from other governmental entities such as watermanagementdistricts, 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 requiredinordertocalculateaplanreviewchargeandwillbeconsideredtheestimatedconstructionvalueofthejobatthetimeofsubmittal. The actual construction value will be figured based on the current ICC Valuation Table in effect at the time the permit is issued, inaccordancewithlocalordinance. 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 Date
M - N4 . AA In M 0- A,-) t
Print O per/Agent's Na e
4Si o ota - ry State ofFlorida Date ANDREA
DA'o,rr VINKEMULDr' My
CMIMISStON # FF 12414. EXPIRES:
September 19, 2018 Bonded7hru
Budget Notary lervicas Signature
of Contractor/Agent Prin
ontractorlAgent's Name ANDREADAWN
AKEMULl9L - MY
COMMISSION # FF 124447 EXPIRES:
September 19, 2018 T`!
QodaetNotary 901ces Date Date
Owner/
Agent
is Personally Known to Me or Contractor/Agent is V Personally Known to Me or Produced ID Type of ID I _ 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: # 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: ENGINEERING: FIRE:
BUILDING: COMMENTS 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 Own /Agent Date ature of Contrac Age Date
Print O er/Agent's Name imt Contractor/Agent's Name
Signatu e o o - tate of Florida Date n ' ure of No ry- tate of Flon
s c
DV Fe C ary 25, 2p1 e s
lrpv r o ary'
ublwUnderv>
n
ao.•,; . ANDFaDAWNaav\Ek4rSi ?a*,,..<: :,AEADA NKEMULU', .*: dedth
N
MY COMMISSION # FF 124W # MY COMM11 I FF i244 7
EXPIRES: September1%2018 r G nrS plember 10,08n"
ar _ ` 504dlfrueudoNotary Service$ Aq.._ u ::ise;Notary$ift Owner/
Agent is Personally., Knowl to Me or Contractor/Agent is V Personally Known to Me or Produced
ID _ Type of ID li Produced ID Type of ID e
v-p • 1 O 1 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: 192S UTILITIES: ENGINEERING: COMMENTS:
rid
l5!
FIRE: Flood
Zone:
of Stories:
Plumbing - # of
Fixtures Fire Alarm
Permit: Yes No WASTE WATER:
BUILDING: GIF-
to- M-1(p 1,J
Revised: June
30, 2015 Permit Application
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No:
Documented Construction Value: S
Job Address: 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:
Phone:
Name
Street:
City, State Zip: -
Name
Street
City, State Zip:
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Fax:
Title:
Email:
Property Owner Information
Phone:
Resident of property?
Contractor Information
Phone:
Fax:
State License No.:
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
Revised: June 30, 2015 Permit Application
REQUIRED INSPECTION SEQUENCE
t Min
nrfF Ira - Z-s--.
PERMIT
Max Insl2ection 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)
Address: I&S t aN T1A,,.1
ELECTRICAL PERMIT'
Min Mays In action Description
Electric Underground
Footer / Slab Steel Bond
Electric Rough
T.U.G.
Pre -Power Final
Electric Final
u.
Min Max jgs ection Descri tion
Plumbing Underground
Plumbing Sewer
Plumbing Tub Set
Plumbing Final
ME(rHANIICAL PERMET
Min Mars 7 Inspection Description
Minn I Marc
Mechanical Roug
Mechanical Final
Gas Unde
Gas Roug
Gas Final
REVISED: June 2014
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
p Date: 10 / A O i (
I hereby name and appoint: "wa
an agent of: R UMY 6 0 9A
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:
1 B vb-,u b'TzAN 8 C/PAGLtt. 94Yuf eD r )_ 3 A> -71
Streh Address)
Expiration Date for This Limited Power of Attorney:
License Holder Name: l,C
State License Number:
Signature of License
STATE OF FLORID.
COUNTY OF
The foregoing instrument was acknowledged before me this 20 day of oc rae-vx- ,
204--, by w u w x &-,,, Y44 6 -( who is personally known to
me or o who has produced pR-sv rn s I-yv * r s n op rio a t a # as identification
and who did (did not) take an oath. Notary
Seal) ANDREA
1 d;N VINKEMUIDER W
eMAiSS-i0N H FF 124447 EXPfFES:
s2plember 19, 2018 coded
Thru Budget Notary 5ervlcar Rev.
08.12) type
name Notary
Public - State of Commission
No. My
Commission Expires:. /
tubberDeWProvidingSafetyOnSolidGround
6W DECORATIVE CONCRETE SERVICES 9) 3
r, f i,rl
6869 Stapoint Court • Suite 115 • Winter Park, FL 32792
Ll 7 Office:407-678-4885 Fax: 407-678=3275
www.oriandoconcrete.com
Project Specifications and Sales Agreement
Cust r Name Email Date
Custom r Addr
m
S di sion
City, State, Zip Installation Date A'F
Base Color Accent...
Field Co AccentHomePhone - / Work Phone Other Contact # t> 1 e
D - Pattern . o lG® Accent
ter G!i r ' J /. ,6 t.' ! tc/P z l i f c / TZ' S fear r
Jr O
000
sv"/S, L°
r
oa-
Payment to be made as follows: job conditions.
REMIT ALL PAYMENTS TO RUBBERDEK, LLC. mrpet, existing
p
00 ` ` not included in
J
TOTAL T /
5
L N charged for on
r /
r
made.
r J 3 1 r 35 ,J jJ "v"
1 % t runoff will not
ither workmen,
DEPOSIT: ( 0 C' f ' ause of a
inst cracks or
Balance Due ' 3 I
5 = N he substrate19
Cash, Check, Visa, MasterCard, Accepted k
Credii Card#:
to installation.
Exp Date: / 3 Digit Code
Billing Address of Card if different: %
Address r charts.
City State ZIP al coloring of
Customer Signature below indicates agreement to pay above total amount
according to card issuer agreement. Initial
ACCEPTANCE OF PROPOSAL: The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as
specified. Payment will be made as outlined above. Construction liens will be placed on property for non-payment. Customer signature below indicates approval of terms and
conditions located on back of agreement.
Customer Signature Date Repr ative Signat a Date
e- m-4
1
j _
PDCS-SN03 04/13 Reorder MSF 407-657-7414
kl W,
eZ — a &wo x
PROPERTY ADDRESS: 185 VENETIAN BAY CIRCLE SANFORD, Florida 32771 SURVEY NUMBER: FL1203.0803
X01 T=rMyn
FIELD WORK DATE: 3/13MI2 REVISION DATE(S): (,-.o 311 V2012)
1203.0803
BOUWARYSURVEY
SEMINOLE COUNTY
I. /
49T
LOT
75 E
0
04537
5 89*57'20' E 1 13.9 1' (M) N
59*59'43' E 1 14.00 (P) In rm NO10G.
I
5TY. In
0
tn i 13.3' RE5 0185 Lr
27.*— 0 n Lr) q LOT 76 t,
cb.K. 6W m
F:
LOT 79 jx in 0b
Z.
5 4 25:4- 1 CATV
In
I
AC 0 L— 5W
FIR Tr. 5 6959'43' W I 14,00'(P) R
IN 59'55'05" W 1 13.8 1 - (M) NO ID F1111D
4937LOT
50 A.
ATgp NOTE5: LOT
ArrEAK5 TO BE 5fWCtD BY CITY WATER AND 5fWM hereby
OPW 'Als Survey offfie hereon FENCE OYNrF,'5MP NOT DETERMINED d—
IbI n
Limier
my direction, and to
0i'my belief, ft Is a bum and rvey
met meets the I so
by this FAoddR Board Of Lars"
described In Chapter 30 0 is 30 5J- 17
of Cods. I UR 0
GRAPHIC SCALE (In Feet) KEITH A.
STEPHENSON I inch = 30' ft. Stan of
FWW lo.%.10" S-VWw .d M.Pp- LI.— No.
6521 Uw aThw
Rev" *w Pup«.s oth. tht,, kw -&-A WlttaM.at.a vttWkWj.' will be m ttm U-1% Sok Pthk xW WVW— Whility to th, S—q- Nod" h— shA
b. Co—cl .ca. ANY Rights ls—f— Any —Omer h.e those C-ftd FLOOD INFORMATION: POIN75
OF INTEREST By performing a
search with the local governing municipality orwww. DRIVEWAY OVER I0'PUBLfC UTILITY EASEMENT fema.gov, the
property appears to bXcated in zone X. This Property was found in the
CITY OF SANFORD, community number 120294, dated I AFFILIATE 09/
28/07-
CLIENT NUMBER: 12-
1913 DATE: MEMBERS BUYER: MAXIMO
MORALES
SELLER: BETTINA DEVIN
A CERTIFIED TO:
MAXIMOMORALES; TITLE ONE FLORIDA, L LLC; CHICAGO TITLEINSURANCECOMPANY; CARRINGTON
MORTGAGE SERVICES, ITS SUCCESSORS AND/OR
ASSIGNS; AS THEIR INTERESTS MAY t m--zn_ APPEAR vttim exactawldcom
Land
Surveyors, Inc.
P (*07)5I7-96O0--F(407)S17-9s" This Is page
I of 2 and is not valid without all pages. 1-8. 7331 1222o Towne Lake Drive, Suite ss - Ft. Myers, FL 33913
Pfef P,,m G1 q 6
61, 1 t D
dale
ESTIMATE SIGN UP SHEET
Date
Name David sanchez
Home Phone
Alternate Phone 321-239-2202
Address 2816 trenton In
City vieldo
Zip 32765
Subdivision Remmington park
Email Address
Source online
Circle all that
apply:
RubberDek Decorative Concrete Curbing
Acid Stain Spray Coat Pavers Epoxy
Driveway Walkway Sidewalk Inside Home
Pool Deck Patio Garage
4, 1. t A .
li.
cY _ aP ICE-Z1by-7
pr A . '° = RECORD COPY
P_1tUVED PLANS
Di- FT ipI-5 Ile
5.0' 19.3'
corn cre. n J 4.4' an d
Co Op W 15 Mcac y CA
C9 CD sepacv. aS
0U1U16.3' Vi0QLj
REVIEWED FOR CODE COMPLIAU$E Q
PLANS EXAMINER
ODATE
O O -
24.7'
u _ v CAP —u
v x
5.0 15.3'
F 4.9'
OL \-DI/VC
i_Tf SANFORD1i
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16-284.7
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RANFORD BUI G DIVISION L 0. 1 ' 1
LICENSEA PERMIT ISSUED SHALL E CON
TO PROCEED WITH THE W 0®00" 17t E 5 0 .00, (P) - -
AUTHORITY TO VIOLATE, CANCEL, ALTER OR SET
ASIDE ANY OF THE PROVISIONS OF THE TECHNICAL
CODES, NOR SHALL ISSUANCE OF A PERMIT PREVENT
THE BUILDING OFFICIAL FROM THEREAFTER OCT 2 2- S
REQUIRING A CORRECTION OF ERRORS IN PLANS,
CONSTRICTION OR VIOLATIONS OF THIS CODE