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HomeMy WebLinkAbout2003 Jefferson Ave (3)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 ----------------------------------------------------------------------------- I Page 2 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 ---------------------------------------------------------------------------- Required Inspections Phone Insp Seq Insp# Code Description Initials Date ---------------------------------------------------------------------------- 1000 410 MH02 MECHANICAL FINAL _/_/_