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HomeMy WebLinkAbout2700 Height Line AveCITY OF SANFORD MAY 3 2011 BUILDING & FIRE PREVENTION PERMIT APPLICATION Applicationplication No: I Documented Construction Value: 11 Job Address: Q700 Historic District: Yes No Parcel ID: 0L- • k)O - 214 Description of Work: - Plan Review Contact Person: Phone: Name Street: City, State Zip: o.O01©_ e2$ C_ - 4 Zoning: Title: Fax: E-mail: Property Owner Information Phone: Resident of property? Contractor Information Name 2,)S._0__,_ `Qom . Phone: 4o-)- 333_ o2cou S y(to Street: 'O 3.t elc)d cA L.c..1 I-,& Fax: Lo -l_ %51- 104 3 City, State Zip: State License No.: 3 003' S Architect/Engineer Information Name: Phone: E Street: Fax: City, St, Zip: E-mail: Bonding Company: Address: Mortgage Lender: Address: PERMIT INFORMATION Building Permit Square Footage: Construction Type: No. of Stories: No. of Dwelling Units: Flood Zone: ElectricalX1 1 New Service Y No. of AMPS: Mechanical 0 (Duct layout required for new systems) Plumbing New Construction - No. of Fixtures: Fire Sprinkler/Alarm No. of heads: 0 J 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. 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. 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. 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. A copy of the executed contract is required in order to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the plan review fee based on past permit activity levels. Should calculated charges exceed the documented construction value when the executed contract is submitted, credit will be applied to your permit fees when the permit is released. 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 APPROVALS: ZONING: UTILITIES: ENGINEERING: COMMENTS: Rev 11.08 FIRE: Signat of Contractor/Agent Date Print Contractor Agent's Name Signature of Notal -State of -1 MICHELLE SODOSKI rnv a e• Notary Public State of Florida e My. Comm. Expires Jan 26, 2014 Comm ission # DO 955924O955924 onded Through National Notary Assn. Contractor/Agent is ersonally Known to Me or Produced ID Type of ID WASTE WATER: BUILDING: 4 N! 1' CITY OF SANFORD APR 2 0 201 BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: i — , 3 Documented Construction Value: $ Job Address: C C C`1` e.. N) 2-- Historic District: Yes No Parcel ID• Zoning: Description of Work: Plan Review Contact Person: Title: Phone: Name Street: City, State Zip: Fax: E-mail: Property Owner Information Phone: Resident of property? Contractor Information Name DEL :AIR HEATING 11, AIR CONDPhone: 5.31 CCDISCO WAY Fax: L[01- 33 ~ 5 3Street: - City, State Zip: State License No.: CAC 32443 Name: Street: City, St, Zip: Bonding Company: _ Address: Architect/Engineer Information Phone: Fax: E-mail: Mortgage Lender: Address: P.ERMIT.,INFORMATION Building Permit Square Footage: Construction Type: No. of Stories: No. of Dwelling Units: Flood Zone: Electrical New Service - No. of AMPS: Mechanical (Duct layout required for new systems) 7- Plumbing New Construction - No. of Fixtures: Fire Sprinkler/Alarm No. of heads: Z 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'._.. L. understand that a separate permit` must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and air conditioners, etc. 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. 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. 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. A copy of the executed contract is required in order to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the plan review fee based on past permit activity levels. Should calculated charges exceed the documented construction value when the executed contract is submitted, credit will be applied to your permit fees when the permit is released. Signature of Owner/Agent Date Print Owner/Agent's Name Signature of Notary -State of Florida Date Owner/Agent is Personally Known to Me or Produced ID Type of ID APPROVALS: ZONING: ENGINEERING: COMMENTS: Rev 11.08 Signature of Con ctor/Agent Date Print Contractor/Agent's jj IV 1 Signature of Notary -State of Florida Date E MIRINDA C. TURNER MY COMMISSION # EE 080796 EXPIRES: June 14,2015 a Bonded Thru Notary PubN Undervrtiters Contractor/Agent is Personally Known to Me or Produced ID Type of ID LTTILITIES: WASTE WATER: BUILDIN 04/18/2011 11:36 FAX Apr 11"2011 9:23AM ws_ PAM. April 10, 2011 Del Air HP LRSERJET FAX Q1 0001/0001 P.3 P JK PMAERdS1NlFLI014TACAi3EliYBAIWrOFtoLAMB Bfp >6<S'+OPL [7rj.JJ iF1 e-DWY-S A '2 S6$BIS QA—T1C7M THI_ FoLLQWi71G IS INTFXOED To FURYI"M eXftAIN THE SCOPE OP work 1 6"HE PA'0JECT NOTED ADOVE, Offtfl COST SAVINGS 0' ri s, PFda? i OPTIONS AND OTHER POTF.ITIAL C 1MOES SUGGESTED OR REQUESMIi BY YHE CLIENT. IT IS.UNDFR: M05 THAT ALL DATA CONTAINEDHEREINISINGOO]);AITH AND CONFIDENTIAL, OWING ITWS, THE2R ACCm$$OR168 S ALL LAIBOR REQU9tED FOR INSTALLATION ARE 1EXCLUDED FROM Y?' PAOFOSaL INSPECIFICALLYNOTEIDOTA!@R WISE: CERTIFIED DUCT CLEANING, no EXItsTIHO CODE VIOI gTIONB THIS TNQlR lSNTIRP I7Eb, 1pgN7ipICATl4N TAIRAL $tIPPORT, 1,gGpINt3, AIZCHITEGTURgL ACCESS PANELS, tI6CEIVWG, STORING, PRorECIING, HO1971t1p. ii8M3 bRCNtDlA t3Y OTHCUTT AND PATCHING. SECURITY OARS, BELOW GRADE PVC PIPE CHASES, AND ANY ITEMS NOT 3PECiFIGACAY NOTED AS BMH HEREIN. BID BASED ON DATA. 08TAlNED FROM J08 SITE VI$tf ON 4.4-2019ADDITIONAL8ERVICES, ; ANY CHANGES MADE PRIOR TO OR DURING CONSTRUCTION WILL RESULT IN ALL UNERAL,, TOILET, DRYER EXHAUST & OUTSIDE Alli! INTAkEREPRIAD ETRAYIONEA[S PROVIDED 8 lN37ALL Ep By pit1ER TRADt 1, A" C±tcRANTti DRAIN LINE PE I87FiAYtONB, PROVIDED, FURNIBD 6 INSTALLED EY OTHER TRADES. OIQBARED ONPM!tTSHIFT LABOR moURSONLY (NO OVER 7IJIAE.HaupAypRyyE$ KED yOTH RTRADES. BID BASED ON DUCTWORK 1N6TALLATION PRIOR TO INTARIpR PARTITION CbNSTRUCTIOLABOR N. uP11>:S9 SPECIFICALLY NOTED OTHERWISE STANDARD LEAD TIME APPLIES TO CERTAIN PRODUCTS SAND 8ERVICE PROVIDED. I, DU!~ TO THE INSTABILltY OF THE COMMOD"-Y MARKETS, IF IN THE EVENT T[iAT DURING THE PERFORMANCE DF THIS PROJECT, 7Ht3 PRICE OFPRIAEJoFTHIS$UOTATI A 61QNfKfCANT. 1NCREA$E (OF 7% OR MORE) THRt)IlGM NO FAULT OF l3EL,Alii HEATING & AIR CQNDITIOIMyP THENPRICEOFTNtBQUOTATIONt3lfALLBEEgU1TABLYADJUSTF-D EY AfY AMOUiO REASONABLY NECESSARY jE COVER ANY OUCH $ ICIlrNC3, T IPIElm" ES. s)1 r IL 9,725.0m " A8M'EIF4 Idi' ezaa 141A SHOULD YOU HAVE ANY QUESTIONS, PLEASta C NTACT: MARTS UNDE RWOOp 0 (407) 421.4238 PRICING IS FIRM FOR THIRTY (30) DAYS FxROM DATE OF PROPOSALTHERAFTEKESCALATIONCHARGESMAYAPPLYDEPENDINGONCURRENTMARKETPRICINGANDPRWECT SCHEDULE) CLIENT SIGNATURE Therfk You For The Oppwunhy ro quote rhfe Project. Amw p"mxz%a% IITWv =tnu1011llamaAamMOT ImM. I18I1 THIS Name: DEL- ANIQHESTRUMENT RAT-1 EPARED 6 a"- AIR C' t HARYt1 MORE, CLERK OF CIRCUIT L 11RT Address: 53—C--0D1S 6- 11 A SE141NOLE t ITy SUrNOLE COUNTr 113559 Rg 1513,; {lpg} State of Flo 2%% r'aurcIi:RSs La URA r.,rIOWE SK CLE RWI S # 2,61 104.1328 RECORDED 04119/21)11 i1:EWOB AN RECORDING FEES 11).00 NOTICE OF COMM ENC EM ffffDED BY T Saiith Permit Number Parcel ID Number (PID) J /- The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. DESCRIPTION OF PROPERTY (Legal descnpton of the nrnperty and st eet address if vaila e) L r- GENERAL DESCR OWNER INFORMAT`1QN ' Name and address: YC k INC it}rk' lA_I i X UR E COpN E pRb 5,r. pRY ANNco R CLERK u1 L uN1Y • FlaR t. Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served as provided by Section 713.13(1)(b), Florida Statutes. Name and address: 1 g 20AA i In addition to himself, Owner Designates of To receive a copy of the Lienor's Notice as Provided in I Section 713.13(1)(b), Florida Statutes. Expiration Date of Notice of Commencement: The expiration date is 1 year from date of recording unless a different date is specified. WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF B COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER, CHAPTER 713, PART I, S.ECTION_713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR.IMPROVMENTS TO YOUR PROPERTY., A. I 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 i BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. STATE OF ORI A COUNTY OF SEMINOLE OWNERS NA RE - OWNERS PRINTED NAME NOT . Per orida Statute 713.13(1) (g), owner must sign...... and no one else may be per fitted to sign in hcs or her stead./" T e f egoing instrumenywas acknowledged before me this day of 20 by Who is personally known to me Name of rs n making statement OR who has ,produced identification type of identification produced 1 y1 VERIFICATION PURSUANT TO SECTION 92.525, FLORIDA STATUTES. UNDER PENALTIES OF PERJURY, I DE E THAT I HAVE READ THE FOREGOING AND THAT THE FACTS STATED IN IT ARE TR THE BEST OF MY KN EDGE AND BELIEF. ATURE OF NATURAL PERSON SIGNING ABOVE MIRINDA C. TURNER MY COMMISSION # EE 080798 EXPIRES: June 15 Notary SignatureBondedThruNotaryPublicUnderwriters