HomeMy WebLinkAbout2003 Jefferson Ave (2)G' 1�
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
1
Application No: 3C)
h Documented Construction Value: S 51790.00
Job Address: 200.E J rsarl AVe . &f1 rJ - FL .32771 Historic District: Yes ❑ No ❑
Parcel ID: Residential ® Commercial ❑
Type of Work: New ❑ Addition ER Alteration ❑ Repair ❑ Demo ❑ Change of Use ❑ Move ❑
Description of Work: Tris+a I l Radage- ASC Ssyslem - 3 TdlJ - Iti SEER
W1 5 KW Neal Ki�
Plan Review Contact Person: rorre5+ 'RUsSeI( Title: n 1
Phone: X86- Rd _ ORS3 Fax: 467-32�-5559 Email: d,�V e1?er� . SEr1/i[etfG�DAleti
'' ff Property Owner Information
Name I C �t2e H6,4111C h Phone: 4o7 323
Street: a Ir M l401 ;A A✓e Resident of property? : do
City, State Zip: ,a_n ark . FL 32%71
Contractor Information
Name AjymeejCi-ler-au t ryke; ', TIC. Phone: 47-32.1-5575
Street: 40F, ee n hr Fax: x{47- s23 -6 SR
City, State Zip: &I h Ord . FL 32771 State License No.: LTC 191 A.99 0
Architect/Engineer Information
Name: _��Yle Phone:
Street:
Fax:
City, St, Zip: E-mail:
Bonding Company: Reyit'_ Mortgage Lender: None
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. 1 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: 51" 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
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
cj�� A5g� 1�7
Signature of Contractor/Agent Dite
Forrest h. Russe I l
Print Contractor/ cot's Name
A��/,, b
10 Si re oJNotary-State of Florida Dite
TRACY S. PRICE
NOTARY PUBLIC
STATE OF FLORIDA
` Comm# EE872051
Contractor/ gent isE� er�sonally 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:
Total Sq Ft of Bldg:
Occupancy Use:
Min. Occupancy Load:
Flood Zone:
# of Stories:
New Construction: Electric - # of Amps Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
Fire'Alarm Permit: Yes [] No[]
UTILITIES: WASTE WATER:
FIRE:
BUILDING:
Revised: lune 30.2015 Permit Application
Advanced Energy Services, Inc.
405 Central Park Drive
Sanford, FL 32771
Office (407)323-5503 <> Fax (407)323-5558
Name / Address I Phone
Michael Hostnick
2003 Jefferson Ave
Sanford, FL 32771
Terms Due At Completion
ESTIMATE
Date 8/23/2016
Estimate # 1407
Job Site
Michael Hostnick
2003 Jefferson Ave
Sanford, FL 32771
Description
Qty
Rate
Total
Package System Installation
5,790.00
5,790.00
Install Goodman Air Conditioner - 3 TON - 14 SEER w/ 5KW Heat Kit
Install New Digital Thermostat
This Unit has a 10 Year Parts Warranty Included
Install New Ductwork System
This Quote is good for 30 Days. Total
$5,790.00
Note:
This estimate does not cover any drywall or ceiling finish, or mechanical or electrical permits. Initial
All the above work to be completed in a substantial and workmanlike manner according to standard practices.
Any alteration or deviation from the above specifications; involving extra cost of labor or materials will be executed on
written orders of same, and will become an extra charge over the sum of this contract. All agreements must be
made in writing.
I have read this contract and agree to its terms.
o
Signed: o�
Date: it I bo f It
QUESTIONS or CONCERNS
Forrest Russell, Owner
(386)804-0853
Licensed * Bonded * Insured
CAC1813380 * ER0015"3
City of Sanford
Building & Fire Prevention Division
Residential Permit Card
PERMIT NO. AV r 30 19 ISSUE DATE: 1%4,106 ' 6
CONTRACTOR:
JOBADDRESS:V3 00 01 %".) e 44 Cris 0
TYPE OF WORK:
• Post this permit in a conspicuous location outside
• Approved plans must be posted with permit for inspection
Leave all work uncovered until inspected and approved
Permit expires 6 months from date of issue or last approved inspection
PROTECT FROM WEATHER
BUILDING
INSPECTION TYPE APPROVED RFJF'CTiA
INSPECTOR
INSPECTION TYPE
ELECTRICAL
APPROVED
WECTF.D INSPECTOR
FOOTER INSPECTION
ELECTRIC UNDERGROUND
STEMWALL
FOOTER/SLAB STEEL BOND
FORMBOARD SURVEY
T.0 G. / PRE POWER
SLAB / MONO -SLAB
ELECTRIC ROUGH
LINTEL / TIE BEAM
ELECTRIC FINAL
SHEATHING - ROOF
INSPECTION TYPE
MECHANICAL
APPROVED
RFJECTED INSPECTOR
SHEATHING - WALLS
FRAME
MECHANICAL ROUGH
INSULATION ROUGH IN
MECHANICAL FINAL
DRYWALUSHEETROCK
INSPECTION TYPE.
PLUMBING
APPROVED
RFJECTED INSPECTOR
LATH INSPECTION
FINAL STUCCO/SIDING
UNDERGROUND ROUGH
FIREWALL SCREW
TUB SET
FIREWALL FINAL
SEWER
INSULATION FINAL
PLUMBING FINAL
FINAL SFR
INSPECTION TYPE
GAS INSPECTIONS
APPROVED
RFJFCTFD INSPECTOR
ROOF
INSPECTION TYPE APPROVED REJECTED
INSPECTOR
GAS UNDERGROUND PIPE
ROOF DRY -IN
GAS ROUGH -IN
FINAL ROOF
GAS FINAL
MISCELLANEOUS/ FINAL INSPECTIONS
INSPECTION TYPE, APPROVED RFJF.CTED INSPECTOR INSPECTION TYPE
APPROVED
RFJECTF.D INSPECTOR
PRE -DEMO
FINAL DOOR
FINAL DEMO
FINAL WINDOW
FINAL SOLAR PANELS
IRRIGATION FINAL
FINAL POOL SCREEN
FINAL SCREEN ROOM
FINAL UTILITY BUILDING
FINAL BUILDING OTHER
MOBILE HOME TIE -DOWN
MOBILE HOME FINAL
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.
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 FBCI05.3 3
REVISED: OCTOBER 2014 Inspection Line: 855311.2112
TO SCHEDULE AN INSPECTION:
• Dial 855.541.2112
• Provide the items requested during the message
• The type of inspection requested must be scheduled under the appropriate permit type
• Follow the prompts
*** To Schedule Fire Inspections: Please call 407.562.2786 ***
PLEASE NOTE: Inspections scheduled by 3:30 p.m. will be conducted the next business
day. If you experience difficulty, please call 407.688.5150 Monday - Thursday 7:30 am -
5:30 pm for assistance.
AUTOMATED INSPECTION SYSTEM CODES
BUILDING
ELECTRICAL
FOOTER
104
ELECTRIC UNDERGROUND
211
STEM WALL
102
FOOTER / SLAB STEEL BOND
221
FORMBOARD SURVEY
147
T.U.G.
216
SLAB / MONO -SLAB
103
PRE POWER FINAL
218
LINTEL/ TIE BEAM
105
ELECTRIC ROUGH
212
SHEATHING - ROOF
106
ELECTRIC FINAL
213
SHEATHING - WALLS
115
MECHANICAL
FRAME
109
MECHANICAL ROUGH
409
INSULATION ROUGH -IN
110
MECHANICAL FINAL
410
DRYWALL / SHEETROCK
131
PLUMBING
LATH INSPECTION
132
UNDERGROUND ROUGH
322
FINAL STUCCO / SIDING
130
TUB SET
312
FIREWALL SCREW
120
SEWER
311
FIREWALL FINAL
143
PLUMBING FINAL
313
INSULATION FINAL
113
GAS
FINAL SFR
138
GAS PIPING UNDERGROUND
GAS ROUGH -IN
328
314
ROOF
ROOF DRY -IN
116
J1
GAS FINAL
315
FINAL ROOF
111
I
MISCELLANEOUS / FINAL INSPECTIONS
PRE -DEMO
144
FINAL DOOR
136
FINAL DEMO
126
FINAL WINDOW
137
FINAL SOLAR PANELS
134
IRRIGATION FINAL
321
FINAL POOL SCREEN
139
FINAL SCREEN STRUCTURE
127
FINAL UTILITY BUILDING
124
FINAL BUILDING - OTHER
112
MOBILE HOME TIE -DOWN
145
MOBILE HOME BUILDING FINAL
146
Miscellaneous Notes:
REVISED: OCTOBER 2014 Inspection Line: 855.541.2112
FIRE INSPECTIONS CITY OF SANFORD
407.562.2786 BUILDING & FIRE PREVENTION
BUILDING INSPECTIONS 300 N PARK AVE
855.541.2112 SANFORD FL 32771
DRIVEWAYS -SIDEWALK 407.688.5080
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Application Number . . . . . 16-00003019 Date 11/10/16
Property Address . . . . . . 2003 JEFFERSON AVE
Parcel Number . . 31.19.31.504-1000-0010
Application description . . . MECHANICAL PERMIT
Subdivision Name . . . . . . BEL -AIR
Property Zoning . . . . . . . SINGLE FAMILY
Permit . . . . . . MECHANICAL PERMIT -RESIDENTIAL
Additional desc . .
Phone Access Code 961748
Permit pin number 961748
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Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
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1000 410 MH02 MECHANICAL FINAL _/_/_