HomeMy WebLinkAbout1900 Washington Ave (3)CITY OF SANFORD PERMIT APPLICATION
Application #: 0-7-1 0 ,2_ 5 Submittal Date:
Job Address: 9 0 t'b! r ' .CQ S` ,'f Value of Work: $ �
Parcel ID: Zoning: Historic District:
Description of Work: Square Footage:
........................................................................................................................
Permit Type: Building &/ Electrical ❑ Mechanical ❑ Plumbing ❑ Fire Sprinkler/Alarm ❑ Pool ❑ Sign ❑
Electrical: New Service — # of AMPS Addition/Alteration ❑ Change of Service ❑ Temporary Pole ❑
Mechanical: Residential ❑ Non -Residential O Replacement ❑ New ❑ (Duct Layout & Energy Calc. Required)
Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines "` # of Gas Lines
Plumbing/New Residential: # of Water Closets Plumbing Repair — Residential ❑ Commercial ❑
Occupancy Type: Residential ❑ Commercial ❑ Industrial ❑ Occupancy Use Group(s):
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required)
.................. ..../...................... too .............. .............................................. ..........0
Property Owner: 4�e7 67 k. i� Contractor:
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Address: 9 r�[ t/* Address:
a x_ 3 7%
Phone: Ufa E-mail: Phone: State License Number:
Bonding Company: _ ..... , ,. Mortgage Lender:
Address: Address:
Architect/Engineer: Phone:
Address: Fax:
Plan Review Contact Person: Phone: Fax: E-mail:
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. IF YOU INTEND TO OBTAIN FINANCING; CONSULT WITH YOUR LENDER OR AN
i ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
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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.
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Signature of Owner/Agent Date Signature of Contractor/Agent Date
P ' t Owner/k ent'sa Print Contractor/Agent's Name
lgnatureofNott Date Signature of Notary -State of Florida Date
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Owner//int is -' Wrsdhql_f� Knomtt Fe or Contractor/Agent is _ Personally Known to Me or
_ Prode�ID � 07296 � • d _Produced ID
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APPROVALS: ZONI1 9 p".""��"� FD: ENG: BLDG:
Special Conditions: ///�//;J fruuc'
Rev 02/2007
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City of Sanford
Owner/ Builder Affidavit
Construction Contracting
State law requires construction to be done by licensed contractors. You have applied for a permit under an
exemption to that law. The exemption allows you, as the owner of your property, to act as your own
contractor with certain restrictions even though you do not have a license. You must provide direct, onsite
supervision of the construction yourself. You may build or improve a one -family or two-family residence
or a farm outbuilding. You may also build or improve a commercial building, provided your costs do not
exceed $75,000. The building or residence must be for your own use or occupancy. It may not be built or
substantially improved for sale or lease. If you sell or lease a building you have built or substantially
improved yourself within 1 year after the construction is complete, the law will presume that you built or
substantially improved it for sale or lease, which is a violation of this exemption. You may not hire an
unlicensed person to act as your contractor or to supervise people working on your building. It is your
responsibility to make sure that people employed by you have licenses required by state law and by
county or municipal licensing ordinances. You may not delegate the responsibility for supervising work to
a licensed contractor who is not licensed to perform the work being done. Any person working on your
building who is not licensed must work under your direct supervision and must be employed by you,
which means that you must deduct F.I.C.A. and withholding tax and provide workers' compensation for
that employee, all as prescribed by law. Your construction must comply with all applicable laws,
ordinances, building codes, and zoning regulations.
1, , do hereby state that I am qualified and capable of performing the
requested construction involved with the permit application filed.
I will assume full responsibility as an Owner/Builder Contractor, and will personally supervise all work
allowed by law on the permitted structure.
Owner/Builder Signature Date
Owner is Personally „mown to Me or has Produced ID )R2
Signature of Nab ,s to of gbrj;0M = Date
My Commissic_ xpires'�'- �a o _
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Consulting'and Eh' 'ne r g §�"s ust
P.O. Box 230 Valrico, FL 33595 Phone 813.659.9197 Facsimile 813.754.9989
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Florida Board of Professional Engineers Certificate of Authorization No. 9813
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Product Evaluation Report
Report No. -
Date:
Product Category:
FL4411 1;Rl,,,'
September 2, 2005
Windows
Product sub-categ6ry: Double Hung
Product Name: 9500 Series, Model 9500
Eitrdded Vinyl Tilt Double, Hung Window with Flange'
Maniifa6 r S`ii'vdilffie'Building Products Corporation
One Silv'e'rlme Drive
Noiih'Bfuns
wick, NJ 08902
Phone — 732.435.-1000 Facsimile — 732.247.6820
Scope, This is a Product Eyaluation-report issued by R W Building Consultants, Inc. and Wendell W. Haney,
(System ID # 1993) for Silverline Building Products based on Rule Chapter No. 9B-72.070,
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3- Method 1 (]',of the State of Florida Product Apprdval,'Department of Community Affairs -Florida,
Commission. 21",
BuildingCommission. �_ 214 1
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RW Building Consultants. and Weffdell W. Haney,P.E. do not have nor -will acquire financial interest
in the company manufacturing or distributing the product or in any other entity involved in the
approval process of -the product named herein.
._.,_.This.,product, has been evaluated for.use in locations adhering.to the Florida Building Code (2004
Edition) and where pressure requirements, as determined by Chapter 16 of The Florida Building
Code, do not exceed the following design pressures:
Design Pressure Rating:
Maximum Design Pressure Rating Positive 45.0 PSF Negative 45.0 PSF
(See Limitations for size restrictions)
See Drawing No.: FL -500 prepared by R W Building Consultants, Inc. 'and signed'and sealed by
Wendell W. Haney, P.E. (FL # 54158) for specific use parameters.
Wendell W. Maneylo
FL NO.' 5415
Siptembei 2, 2005'
Uproj6,50e-.8Qft;Q-44 9ci ts11 L441 1.1 R.I,.,d.oc Sheet I of 3
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R W Buildffi Consultants, Inc..
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Consulting and Engineering Services for the Bu Idmg Industry,
C..M P.0 Bo'x 230 Valrico, FL 33595 Phone 813,659:9I97 Facsimile 813.754.9989
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Boazd of Professional `Fagineer's'Cerhficate of Auttiorizatibn No 9813 `
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Product Evaluation Report
Report No::' "" FL 6114.1
Date: February 20, 2066'
Product Category: Windows
Product sub;catego?
Horizontal Slider,
Product Name: 8700/8800 Series
Extruded Vinyl Horizontal Slider
Manufacturer: Silverline Building Products Corporation
One Silverline Drive
North Brunswick, NJ 08902
Phone— 732.435.1000 Facsimile— 732.247.6820
Scope: This is a Product Evaluation report issued by R W Building Consultants, Inc. and Wendell W.
Haney, P.E. (System ID # 1993) for Silverline Building Products based on Rule Chapter No. 9B-
72.070, Method I of the State of Florida Product Approval, Department of Community Affairs -
Florida Building Commission,
RW Building Consultants and Wendell W. Haney, P.E. do not have nor will acquire financial
interest in the company manufacturing or distributing the product or in any other entity involved
in the approval process of the product named herein.
This product has been evaluated for use in locations adhering to the Florida Building Code (2004
Edition) and where pressure requirements, as determined by Chapter 16 of The Florida Building
Code, do not exceed the following design pressures:
Design Pressure Rating:
Maximum Design Pressure Rating Positive 35.0 PSF Negative" 35,0 PSF
(See Limitations for size restrictions) {
See Drawing No.: FL 837 prepared by R W Building Consultants, Iris anq'`;�lgned and sealed by''
Wendell W. Haney, P,E:.(FL # 54158) for specific use parameters. ,
Wendell e E.
FL No. 54158
February 20, 2006
FL 6114.1 YF 898;,,, Sheet 1 of 3
BuIding Consultants, Inc.
I Y, ? ns s ing ,and Engineering, Services for, the Building Industry.
t',' lka" `; . 4 1, sP.0 7B . , Ualritbpn 33593 , P6one:
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KW Building Consultants, Inc.
F - rvl s gF G r' a a r a " ,
Consuittng and Engineering Services for the Building industry
:i� zM1, ° a P.O.ox 230 Valrico FL 33595 Phone 813.
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3.654,91497 Facsimile 813.754.9989
Fjprida Board of Professional Engineers Certificate of Authorization No. 9813
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Product Evaluation Report
Report N6."-"'- FL6163:1
£' . i k3
Date: February 21, 2006
Product Category: Windows
Product sub -category: Single Hung
L�. i fli S _
Pi M1 Y .'..; T 'A(: 4 if •f'}5,1 fl. �k T1
Product Name 2100 Seises -Model 2110`
Extruded Vinyl Single Hung Window - Flange
Manufacturer: Silverline Building Products Corporation
One Silverline Drive
North Brunswick, NJ 08902
Phone— 732,435.1000 Facsimile— 732.247.6820
Scope: This is a Product Evaluation report issued by R W Building Consultants, Inc. and Wendell W.
Haney, P.E. (System ID # 1993) for Silverline Building Products based on Rule Chapter No, 9B-
72,070, Method 1 d of the State of Florida Product Approval; Department of Community Affairs-
FIorida Building Commission.
RW Building Consultants and Wendell W. Haney, P.E. do not have nor will acquire financial
interest in the company manufacturing or distributing the product or in any other entity involved
in the appiovai process of the product named herein.
This product has been evaluated for use in locations adhering to the Florida Building Code (2004
Edition) and where pressure requirements, as determined by Chapter 16 of The Florida Building
Code, do not exceed the following design pressures:
Design Pressure Rating:
Maximum Design Pressure Rating Positive 50.0 PSF Negative 50.0 PSF
(See Limitations for size restrictions)
See Drawing No.: FL 849 prepared by R W Building Consultants, Inc ,-and signed.andsealed by
Wendell W Haney, P.E---(FL # 54158) for specific use parameters r"
Wendell Han ;, ;E.
FL No: 54158
February 21, 2006
FL 6163. L PF. 907; Sheet I of 3