HomeMy WebLinkAbout78 Rock Cove CtJob Address:
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: 16-3630
Documented Construction Value: S
7 L k 6 D i/ e. C / Historic District: Yes ❑ No ❑
Parcel ID: Residential ❑ Commercial ❑
Type of Work: New ❑ Addition ❑ Alteration ❑ Repair Ff Demo ❑ Change of Use ❑ Move ❑
Description of Work: K eel a
e
Plan Review Contact Person: Title:
Phone: Fax: Email:
Property Owner Information
Name -�C V ell "e H -exAA, et D e- z.
Street: 7$ R o c k C o e- C
City, State Zip: .S014 F04 D FL '32773
Phone:
Resident of property? :
Contractor Information
Name ��r��S �iar+r �3.�.cJG Phone: %07 3 7 Sr 0'7 7
Street: 1F D Fax:
City, State Zip: q PC RKc, rG 32 ?o 3 State License No.: C. F:�-- / y2 7 7 3 q
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
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: 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 Date
Print Owner/Agent's Name
Signature of Notary -State of Florida Date
Print Contractor/Agent's Name
Signature of Notary -State of Florida Date
—/ <,Z'
DEBBIE BLANTON
MY COMMISSION t FF 178648
^�= EXPIRES: February 25, 2019
T R: Bonded TAN Notiq Public Undere iters
Owner/Agent is Personally Known to Me or Contractor/ o Me or
Produced ID Type of ID Produced ID Type of ID i'�
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: Mn. 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, 201 S Permit Application
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No:
Documented Construction Value: S
Job Address: historic District: Yes ❑ No El
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:
Fax:
Title:
Email:
Property Owner Information
Phone:
Resident of property? :
Contractor Information
Phone:
Fax:
State License No.:
ArchitectfEngineer Information
Name: Phone:
Street:
City, St, Zip:
Bonding Company:
Address:
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: 51" Edition (2014) Florida Building Code
Revised: lune 30.2015 Permit Application
Contractors Invoice:
DESCRIPTION OF WORKPERFORMED
�. V /V
RINDA VALLEJO
EXPIRES December 20, me
aom
1 op
L_.
All Material is guaranteed to be as specified, and the above work was performed in accordance with the drawings and specifications provided for the above
work and was completed in a substantial workmanlike manner for the agreed sum of
00
Dollars ($
This is a E) Partial El Full invoice due and payable by:
in accordance with our ❑Agreement ❑Proposal No. moo Dated 0-Y YM
4?Nedwnr NCU22 "Month Day Year
09-11
wenn rcnrurnncu Nr
T0:
�iG
cT O c o
�%?
DATE
YOUR WORK ORDER NO.
OUR BID N0.
DESCRIPTION OF WORKPERFORMED
�. V /V
RINDA VALLEJO
EXPIRES December 20, me
aom
1 op
L_.
All Material is guaranteed to be as specified, and the above work was performed in accordance with the drawings and specifications provided for the above
work and was completed in a substantial workmanlike manner for the agreed sum of
00
Dollars ($
This is a E) Partial El Full invoice due and payable by:
in accordance with our ❑Agreement ❑Proposal No. moo Dated 0-Y YM
4?Nedwnr NCU22 "Month Day Year
09-11