HomeMy WebLinkAbout2207 Bel-Air Blvd (4)CITY OF SANFORD
DI=G 9 AMD BUILDING & FIRE PREVENTION
._ PERMIT APPLICATION
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Application No: n - 33-1
Documented Construction Value: $ 1 Soo 0
Job Address: ZZ07 bel -Air ibl,d 54nCor0(.1FL �Z7 71 Historic District: Yes ❑ No�K
Parcel ID: 31-19-31-504-IWO-0040 Residential Commercial ❑
Type of Work: New ❑ Addition ElAlteration ❑ Repairo Demo 11Change of Use ❑ Move❑
Description of Work: RerC4 Sh�tvGl�e�
Plan Review Contact Person: (`'j cAge l S kurc_ Title: Pro ; Qcf ti%LAA,�
Phone: 1407-312-7434 Fax: 407-105'-7-333 Email: M57:kor,0D0=CS F/or:dct,Lc.,,-7
Property Owner Information
Name Nickolas Be,:+ie, Phone: 7-1S- L09-Z(-Z(o
Street: Z207 9&1 -H. -C Blvd Resident of property?: Ye -5
City, State Zip: 5c j' -J. rt- 37-771
Contractor Information
Name Rcol'as R Vs &sitrn5 jrnc. Phone: 407-43-§'-3433
Street: PO 80 �• q SU 8q o Fax: NSA
City, State Zip: Lake. I lacy, FL 3Z'7057 State License No.: CCC 13Z687�
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. 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: 5i° Edition (2014) Florida Building Code
Revised: lune 30, 2015 Permit Application A '�'1 ,iS
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.
ignature of Con
tractor/ADale
A) ey,_, l! iv PCrig
Print Contractor/Agent's Name
G��%�✓ � �7-/7/1 G
Signature of Notary -State of Florida Date
Michael Sikora
NOTARY PUBLIC
STATE OF FLORIDA
ConvYI t FF974639
Contractor/Agent isvxnres /2
Personally 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:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
Flood Zone:
# of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes ❑ No ❑
WASTE WATER:
BUILDING:
Revised. June 30, 2015 Permit Application
112- 47-t14;
Signature of
t Date
Print Ownneerr//AAgent's Name
7
' U 7/! 6
Signature of Notary -State of Florida Date
Kwho l SWora
NOTARY PUBLIC
STATE OF FLORIDA
Comm# FF974639
xplres 3/23/2020
Owner/Agent is
Personally Known to Me or
Produced ID
Type of ID
ignature of Con
tractor/ADale
A) ey,_, l! iv PCrig
Print Contractor/Agent's Name
G��%�✓ � �7-/7/1 G
Signature of Notary -State of Florida Date
Michael Sikora
NOTARY PUBLIC
STATE OF FLORIDA
ConvYI t FF974639
Contractor/Agent isvxnres /2
Personally 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:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
Flood Zone:
# of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes ❑ No ❑
WASTE WATER:
BUILDING:
Revised. June 30, 2015 Permit Application
Permit #
City of Sanford
Building and Fire Prevention
Product Approval Specification Form
Project Location Address 7-7-07 &A -Ar 0Ivl S4ftfad I rL 32771
As required by Florida Statute 553.842 and Florida Administrative Code 9N-3, please provide the
information and product approval number(s) on the building components listed below if they are to be
utilized on the construction project for which you are applying for a building permit. We recommend that
you contact your local product supplier should you not know the product approval number for any of the
applicable listed products. Be aware that windows, skylights, and exterior doors must be tested in
accordance with the Florida Building Code, Section 1714.5. More information about Statewide Product
Approval can be obtained at www.floridabuilding.ora.
The following information must be available on the jobsite for inspections:
1. This entire product approval form
2. A copy of the manufacturer's installation details and requirements for each product.
Category / Subcategory Manufacturer Product Florida Approval #
Description include decimal
1. Exterior Doors
Swinging
Sliding
Sectional
Roll U
Automatic
Other
2. Windows
Single Hun
Horizontal Slider
Casement
Double Hun
Fixed
Awning
Pass Through
Projected
Mullions
Wind Breaker
Dual Action
Other
June 2014
Category / Subcategory
Manufacturer
Product
Description(including
Florida Approval #
decimal
3. Panel Walls
Siding
Soffits
Storefronts
Curtain Walls
Wall Louver
Glass block
Membrane
Greenhouse
E.P.S Composite
Panels
Other
4. Roofing Products
Asphalt Shingles
Orta: n fizeR
k, les
I s'- O 7I LI, r 9
Underla ments
37ter %wra
v,dv mew,'-
i4- O o3
Roofing Fasteners
Nonstructural
Metal Roofing
Wood Shakes and
Shingles
Roofing tiles
Roofing
Insulation
Waterproofing
Built up roofing
System
Modified Bitumen
Single Ply Roof
Systems
Roofing slate
Cements/
Adhesives /
Coating
Liquid Applied
Roofing Systems
Roof Tile
adhesive
Spray Applied
Polyurethane
Roofing
E.P.S. Roof
Panels
Roof Vents
Other
June 2014
Category / Subcategory Manufacturer Product
Description
Florida Approval #
include decimal
5. Shutters
Accordion
Bahama
Colonial
Roll u
Equipment
Other
6. Skylights
Skylights
Other'
7. Structural
Components
Wood Connectors /
Anchors
Truss Plates
Engineered Lumber
Railing
Coolers/Freezers
Concrete Admixtures
Precast Lintels
Insulation Forms
Plastics
Deck / Roof
Wall
Prefab Sheds
Other
8. New Exterior
Envelope Products
Applicant's Signature /if i V4�Ml,
Applicant's Name 0 Iemnd Q( Fa
(Please Print)
June 2014
N
Thu instrument prepared by:
Name: C.h,; es GooGQw:fn
Addrar. '115 W Crrw,t }
NOTICE OF COMMENCEMENT
STATE OF D.ORIDA
oCOUNTYOrSeA:eol ;
Permit n:
11661911111611616 HIM 1611161661 IN 1661
MARYANNE MORSEr SEMINOLE COUNTY
CLERK OF CIRCUIT COURT & COMPTROLLER
BK 8819 Ps 1967 (1P9s) t
CLERK'S Y 201612684E
RECORDED 12/07/2016 02:00:4.8 Pli
RECORDING FEES $10.00
RECORDED BY hd;-vora
PARCrLIDfI: 31-19-31-5-04- 1200-00 yo
THE UNDERSIGNED hereby gives nodre that improvements will be made to certain rral property, and In
accordance with Chapter 713, norldo Statutes, the following Information Is provided in thls wlte of Contmcnttment.
I Description of Property: (Legal description of the property and street address if available) L o f
&I-eme PB 3 PG 719 71,4 27-67 &i-A.r Uld
2 General Description of improvements: R eroo•F _
0 3 Owner .lame: WohoI4S e Phone: 21 S— LOy- Z(.Zte
Address: ZZo7 e( -/i,r I„o( 54,,�,d, fL 32771
Interest In property: Q✓•i1 441'
Name & Address of fee simple titleholder: (if other than owner)
4 Contractor's Nance:
Address:
Phone: 407- 1+35 3 1133
5 Surcn• Nome: Phone:
Address: Amount of Bond: S
6 i.ender Name:
Phone:
Address:
7 Persons within the State of Florida designated by Owner upon Nyho noilm or other documents may be served as provided by Section
713.13(1)(0) 7. Florida Statues: Name: Phone:
Address:
d In addition to himself or herself. Owner designates the fo)low ing personts) to receive a copy of the Lienor's Notice as provided in Section
713.13(1)(b), Florida Statutes: Name: Phone:
.address:
4 Expiration Date of Notice of Commencement:
(the expiration date to t year from date of recording unless a different date is spetiftrd)
1YARNING TO OWNER. ANY PAYAIF_\'TS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE
CONSIDERED IMPROPER PAY.NiE\'TS UNDER CHAPTER 713. PART I. SECT ION 713 13. FLORIDA STATUTES. AND CAN RESULT IN YOUR PAYING
TWICE FOR I%1PROVF.ME\TS TO YOUR PROPERTY. A NOTICE OF COMMENCEMEKf MUST BE RECORDED AND POSTED ON THE JOB STM
BEFORE THE FIRST INSPECTION. IF t'OI: INTEND TO OBTAIN FINANCING. CONSULT WITH POUR LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Verirwsdon Punoont to Section 92535. Florids Statutes
Untndv�poull✓its off Wjury. I declare that 1 have read the foregoin a ns atatt3 ir. a ate tote to the best of my t ntmicdgc and belirJ.
G
Signature of Owner or Owner's Authorired Signatory's Title/Office
Officer/ Director., Panner I Hanger n
The foregoing instrument was aeknowicciged berure me this day of bzc- .20j_L by N; CA0(SS o i nQ
(name ofperson) as (type of authority, ...e.g. officer, trustee, attorney in fact) for
_(nameofitanyonbehalforw,•ho�ln7last ru 1► wa ecuted).
(SEAL) U' `"
S1 elute of Notary Public, State orFlorida
Michael Sikora „ S'L& Ct
NOTARY PUBLIC 'tel
STATE OF FLORIDA Print. Type or Stamp Commissioned Name of Notary Public
Cormi# FF.974638 Personally Kao or Produced identification ❑
I o EXPWOS 3G 3 020
CD COr r- MARYAPINE MORSE r> 1;
CLE t( F TiiEetC '
C IT tC/UR1' fiNO
Septembct2014 DEC 072
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Scanned by CamScanner ev__ - OEPUTvriFeW
City of Sanford
Building & Fire Prevention Division
Residential Permit Card
PERMITNO:' l- 3316ISSUE DATE: 1 •'
CONTRACTOI
JOB ADDRESS
TYPE OF WORK:
• Post this permit in a conspicuous location outside
• Approved plans must be posted with permit for inspection
7Leave
all work uncovered until inspected and approved
• Permrl expires 6 months from date of issue or last approved Inspection
PROTECT FROM WEATHER
BUILDING
INSPF.C77ON TYPE. APPROVED RFJF.CTE.D
INSPECTOR
SP. ON TYPE.
[ELECTRIC
ELECTRICAL
APPROVED
REJECTED INSPECTOR
FOOTER INSPECTION
UNDERGROUND
STEM WALL
FOOTER/SLAB STEEL BOND
FORMBOARD SURVEY
T.0 G /PRE POWER
SLAB / MONO -SLAB
ELECTRIC ROUGH
LINTEL/ TIE BEAM
ELECTRIC FINAL
SHEATHING - ROOF
INSPFC17ON TYPE
MECHANICAL
APPROVED
REJECTED INSPECTOR
SHEATHING - WALLS
FRAME
MECHANICAL ROUGH
INSULATION ROUGH IN
MECHANICAL FINAL
DRY W ALUSHEETROCK
INSPE(7770N TYPE
PLUMBING
APPROVED
REJE'CTE'D 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
REJECTED INSPECTOR
ROOF
INSPECTION 7YPF. APPROVED RFJF.CTF.D
INSPECTOR
GAS UNDERGROUND PIPE
ROOF DRY -IN
GAS ROUGH -IN
FINAL ROOF
GAS FINAL
MISCELLANEOUS / FINAL INSPECTIONS
INSPECTION TYPE. APPROVED REJECTED INSPECTOR INSPECTION TTPE.
APPROVED
REJECTED 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. M 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 FBC105 7 7
REVISED: OCTOBER 2014 Inspection Linc: aSSMI.2I I2