HomeMy WebLinkAbout2411 Cedas Ave,y D, �CEIVED CITY Q�� SANFORD
y,r FEB `�'� 1011 BUILDING 8 FIRE��PR'dVENTION
fly, PERMIT APPLICATION
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Application No: Documented Construction Value: $
Job Address•n n �v✓/
6A Gt' I-� i/(�� Historic Dis�fict: Yes ❑ No ❑
Parcel ID:
Description of Work:
Plan Review Contact Person:
Phone: 3h ��� Fax:
Zoning:
or i kms. -�-Or
Title:
E-mail:
Property Owner Information
Name CCom'. .ctS' (1TPbone: //_k� i 7� '7 .5—�93z
Street: ck 4 11 L_ -P &�;�' I\ Ve Resident of property? : WeO
`
City, State Zip: c'v- �'Ofx V1
e
Contractor Information
Name Phone: �
c?31 � Q
' YL�.C',�,� ��/ �D �� �P oC.
Street: /OQ Vnjk_ ,. 5� Fax:
City, State Zip:FU�A&'P_ k ` Y l a l 10 State License No.: CkL Z?X293
o %93
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Architect/Engineer Information
Phone:
Fax:
E-mail:
Mortgage Lender:
Address:
PERMIT INFORMATION
Building Permit O
Square Footage: I Construction Type:
No. of Dwelling Units:
Electrical O
New Service — No. of AMPS:
Flood Zone:
Mechanical I] (Duct layout required for new systems)
Plumbing 13
No. of Stories:
New Construction - No. of Fixtures:
Fire Sprinkler/Alarm O No. of heads:
V 51-06
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
0 -01 -O?� ld
Signature of Contractor/Agent Date
Print Contractor/Agent's Name
00.x, ��-
ateor rVWlE BLANl0N Ud'
Notary Public - State of Florida
My Comm. Expires Feb 25. 2015
Commission # EE 60182
Bonded Through National Notary Assn.
Contractor/Agent is Persona.Qy Known to Me or
Produced ID Type of ID tl t - oI I T
APPROVALS: ZONING: UTILITIES: WASTE WATER:
BUILDING: •; -g.r2
ENGINEERING:
COMMENTS:
Rev 11.08
FIRE:
I"111W �.
Work Write UD for Weatherb atioo Pro¢ram
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OVIKEPICONTRACTOR AGREEMEM and No FLORIDA WEATHER17ATWH HANDBOOK, MATERIALS, INSTALLATION and WOUN ANSHIP STANDARDS.
of Materhhf5erwim.
INm Ya►N MEASURES SPEC COM7rf M Pd - Material
Labrt TOW
4 Y Smlcaaadat 2 I AtUvbgaban HAS i 2D.00
S 30.00 $
50.00
12 Y bwu s ha d bads t N bub 2( vaned b eoarke ) IAS s 75.00
S 125.00 S
200.00
16 Y bout 1 AC Inle, tow I W dkd 1 0 Req, S 15.00
S 15.00 3
30.00
Is Y bwli low now show bed at both 2 i As bub t o bob 2 Req. S 26.00
S 24.00 S
50.00
20 Y ladatt lona assn r brb 2 + N btlb t a bads 2 Ray. $ 12.00
S 14.00 S
26.00
21 Y Immo for meta d thdrm I I At b bene Reg. $ 6.00
S 7.00 t�
13.00
23 Y tnWase H" pipe per -auetrrbo uaodwds 1 Hot A com waw haft Req. S 38.00
S 37.00 S
75.00
.:.25 Y Cadkbea 4 I Crit ev orbm b bad,1 1 $ 2.60
$ 2.00 S
4.60
26 Y Cmltba 20 I cads .emd abs b bads 1 a bads 2 1 S 13.00
S I O.00 S
23.01)
-- 27 Y Canning to I Cadt%tal bate b ban dna uee bads 2 1 S 6.50
S 5.00 S
11.50
' 28 Y Comla 3 QdVacd bola braid doe d bad 2 1, S 1.95
$ 1.50 S
3.45
29 Y Cam. 3 C.dv wl bob bdbd don. D I 1 S 1.95
S 1.50 S
3.45
35 Y Mba Wan Repair 1 Insult saki arae In ban 1 i 8.00
$ 12.00 $
2D.00
-.. 36v- Y Mia wan Rettig 2 ISet plaabbs Fon, d bads 1, bads 2, a Wmm 1 S 16.00
S 24.00 I
40.00
50 Y Rephw SBdoerabdadadeadB 1 I AItlramdna(D3t 1 S 245.00
S 195.00 $
440.OD
52 Y Replaswbdewpma I I AS W2 1 S 00.00
S 60.00 S
130.00
59 Y Widow/Dna F" 1 I fbdm 1 $ 75.00
S 75.00 S
150.00
62 Y But wolbeabd A bald cheat SB 1 I AI ask aoeas 2 S 41.00
S 55.00 S
100.00
64 Y R•30 pa wdsebdim uiaWwd 6 SB 1000 I lasubm ark w b R•30 I S 380.00
S 340.00 S
720.00
73 Y Soto seem. 3 I Ar W 1. W4, w3. W 14 W 11 4 $ 200.00
S 175.00 $
375.00
76 Y tamiallWA rWmbledlrWldseamW 1 o s $ 90.00
S 65.00 S
155.00
77 Y tmlalt CFL bub 17 N Oda, dbbr, a bamn 6' S 46.75
S -34A0 S
80.75
78 Y fns 11specwr,CFLboft 3 Atbtbg 6 S 11.25
S 6.00 $
17.25
93 Y Rralam 21 CoR trigona Idm®lilm calubg F I Rede up I no upgrade I proride &--Huhn Idle a i 745.00
S 80.00 $
825.00
116 Y 2 Too Maark AC 14 SM Htal Pimp 1 I Naw HVAC odhb airs regatemel 9 $ 1,930.00
$ 950.00 S
2,900.00
135 Y 40 to elamle NW11 w/pm a PNab b Casio • I I Protide R.,*n doom> outlet l0 i 470.00
S 305.00 $
775.00
NAME: CarieCia Kcia DATE:
IrMM12 $
7,218.00
1000 SO &tilt 1971 JOB P
in 2-12
ADDRESS: 2411 Cedar Ave. Sanford Ft., 32771 I 407-323.8738 PHONE
407-547.9317
NoUce to Bid
Please inspect the propeaty to risme that pricing is complete and fab. Submit this agrrmmenl NQ LATER THAN January 31, 2012.
Pricing is reflective of the Pricing Schedule. Certain items may require you to visit the site and provide a price not Included in the Prbclllg Schedule. Certain items may be subject
to a price cbange
due to total cost. Cando items may be subject to change due to Incidental Repairs, in which a signed, and dated letter on you company letter bead eaplaboing the incidental repair must be submitted
U the locidental Repair is agreed upon. a Addendum wig be issued back m you reflexive of era ges. The Addendum must be signed, dated, and seat back for ehaages to be effective. An Addendum
b
may be issued if a in item or items can not be eompkted, in which a signed. and dated I your y letter bead explaining reasons why a item or hems can not be completed
mat be
submitted n U reasons tae agreed upoa Addendum will be issued back to you reflective of The must be signed. dated, and sent back for changes to be effective.
1
` 7-
Cootraetor : Slgmture: iDate:
Contractor
mens
L
��
Your Work Write Up for homeowner repairs and upgrades are at the above mentioned address. have been examined and accepted by the Wathms eriratioo Staff. Item have m Pct approval of
the client. Items mentioned above are to be completed within the specified time fume. �� c
You may begin work on February 1, 2012. You shall complete all work on or Wore February 20,4012- v
Timeframe of Completion
1.. , j
' NY
Addendum to Bid Date: \ v ay Corbow I Weatherladoo Maogcr
Agency (changes agreed upon) �. Mesh on Wheels Bra:
Acceptance of 1801 & Flmocial CL Sanford FL, 32773
Addendum to Work Write Up:. Date: Office; 407-3334r" erLI141 Fax 407429.2469
CONTRACTOR (sign dr send back j _ GI: 321-388.4829
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date:
I hereby name and appoint: vU
an agent of
(Name of Company)
to be my lawful attorney-in-fact to act for me to apply for, receipt for, sign for and do all things
:71
to this appointment for (check only one option):
permits and applications submitted by this contractor.
O T specific permit and application for work located at:
Expiration Date for This Limited Power of Attorney:
—31-2a(2 6,121'6u 01/\
License Holder Name.= 2 Acu 15 10 tN`e5 � Ef�f✓ S
State License Number: -A ` 3 2 U
Signature of License Holder:
---ZA��99,?.,ez�
STATE OF FLORIDA
COUNTY OF e I a 4.
The foregoing instrument was ackpQwledged before me_ this 13 day of e 2U� ,
200, by _ who iso personally known
to me or o who has produce` G 6M\M.4- as
identification and who did (did not) take an oath.
(Notary Seal)
FIEI►1HER BAUUM
MY COMMISSION 9 DD 622007
EXPIRES: joueiy 10, 2013
.W eo�a.enwwounPdA
(Rcv. 3/27/07)
Signature
�AI:L-w,\ek & T
Print or type name
Notary Public - State of oti
Commission No. 00 .1 a �7
My Commission Expires: I — 10 - )3.
NOTICE OF PROD; T CERTIFICATION
Company: Masonite International Corporation Certification No.:
1955 Powis Road Certification Date:
West Chicago, IL 60185 Expiration Date:
Revision Date:
Product: Metal -Edge Impact Rated Steel Door w/Hollow Metal Steel Frame
Specifications Tested To: TAS 201/202/203-94/ASTVi E330
N1006591 -R2 Page 2
06/14/2006
12/30/2010
12/18/2008
The "Notice of Product Certification" is only valid if the NAA11 Certification Label has been applied to the product as described within this document. The certification
label represents product conformity to the applicable specification and that all certification criteria has been satisfied. This product has been approved for listing within
NAMI's Certified Product Listing at www.Namicertification.com. NAMI's Certification Program is accredited by The American National Standards Institute (ANSI).
Configuration
Inswing
or
outswing
Glazed
or
Opaque
Maximum
Size
Design
Pressure
Pos/NejZ
Missile
Impact
Rated
Test Report Number
Drawing Number &
Comments
X
Single
I/S
Opaque
3'0" x 6'8"
+80/-80
Yes
NCrt.210-1915-1.2.3
Anchor Detail-MA-FL0150-06
X
Single
O/S
Opaque
3'0" x 698"
+80/-80
Yes
NCrL.210-1915-1� 3
Anchor Detail-MA-FL0I50-06
National Accreditation & Management Institute, IncJ11970 Merchants Walk Suite 202/Newport News, VA 23606
Tel-757.594.8658/Fax-757.594.8659 A ,
NAMI AUTHORIZED SIGNATURE: