HomeMy WebLinkAbout170 Country Club Cir7DEC
EIVED
0 5 Nii CITY OF SANFORD
:3 _ BIJILDING & FIRE PREVENTION
PERMIT APPLICATION
A70OW WO No: 2-' �l �1 , Documented Constrartion Value:—
Job Address: j =kO C c, kc,&vA C\.��� Historic District: Yes ❑ No ❑
Parcel ID: _�s - \X = �c�=`� a\ -0SROo-cam\S <2 Zoning:
Description of Work: 'Sh Se ci\c+zC� 30 sqg , \\� r \� c'rz� ls� vac A r
Plan Review Contact Person: �e�\��Ce�.\e Tide:�-
phone: -1-5etp _ \A 1� -yayck Fax: - 4 may` &mail:
Property Owner Information`\�
Name Phone: `-kms _ 3av:) -
Street C�� C \vim C`.� Resident of property?-; 4e�
City, State Zip:.
Contractor Information .
Name ���h\Q 4�•��`;.ti-r,. ;—�C _ Phone:
Street: �_�- ,,c �?�3` Z�- _ Fax:
City, State Zip: "�:- 3a \ -,s State License No.:
Architect/Engineer hMornation
Name: Phone:
Street:
Fax:
City, St, Zip: E-mail:
Bonding Company: Mortgage Lender: _
Building Permit O
Square Footage:
Address:
PERMIT INFORMATION
Construction Type: No. of Stories:
No. -of Dwelling Units: Flood Zone:
Electrical D Plumbing
New Service = No. of AMPS:
New Construction - No. of Fixtures:
Mechanical O (Dint layout required for new systems) Fire Sprinkler/Alarm 13 Na of beads:
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
mast be secured for ell work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tangs, and
air conditioners, eta
OWNER'S AFFIDAVIT: I certify that all of the foregoing information is serurate 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 WfTH 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
SWUNWO WAOAgw Dete
sis a m eMomy-s to of Florida Date
a
� �
S CMtl 4MdAgeot Date
Fritrt Comm WAgmes Now
Y SCOTT RAIRJWND
Y COMMISSION N DD 794345
'a,: EXPIRES: June 3, 2012
ar Bonded ThN Notary PUW Und,wftre
Owner/Agent is Personally Known to Me or Contractor/Agent is 'Personally Known to Me or
Produced ID Type of ID Produced ID Type of ID
APPROVALS: ZONING. UTILITIES: WASTE WATER:
ENGINEERING: FIRE:
COMMENTS:
Rev 11.08
BUILDING:
Kehle Plumbing, Inc.
PO Box 353511
Palm Coast, F132135
(386) 447-4249 Office
(386) 437-8488 Fax
Date: December 2, 2011
Proposal Submitted To:
Kehle Construction, Inc
PO Box 353511
Palm Coast, FL 32135
Worked to be performed at:
170 Country Club Cir
Sanford, FL 32771
WE HEREBY PROPOSE TO FURNISH MATERIALS AND PERFORM THE LABOR
NECESSARY FOR THE COMPLETION OF: PLUMBING AT THE ABOVE ADDRESS,
FIXTURES TO CONSIST OF:
TO FURNISH AND INSTALL (1) 30 GALLON ELECTRIC WATER HEATER AS NEEDED.
All materials is guaranteed to be as specified, and the above work to be perfonned in accordance with the
drawings and specifications submitted for above work and completed in a substantial workmanlike manner
for the sum of:
FIVE HUNDRED FIFTY DOLLARS ($550.00) WITH PAYMENT TO BE AS FOLLOWS: $550.00
DUE UPON COMPLETION OF JOB.
RESPECTFULLY SUBMITTED:
PER KEHLE PLUMBING, INC.
Any alteration or deviation from above specifications involving extra costs will be executed on upon written order, and
will become an extra charge over and above the estimated. All agreements contingent upon strikes, accidents, or delays
beyond our control
ACCEPTANCE OF PROPOSAL
THE ABOVE PRICES, SPECIFICATIONS, AND CONDITIONS ARE SATISFACTORY AND ARE
HEREBY ACCEPTED. YOU ARE AUTHORIZED TO DO THE WORK AS SPECIFIED. PAYMENTS
WILL BE MADE AS OUTLINED ABOV
litE.SIGNATURE: /DATE: a
SIGNATURE: DATE: