HomeMy WebLinkAbout911 S Oak Ave (2)RRC FITV�D
JAN g 1 2012
9 CITY OF SANFORD
BY: BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: d 7 Documented Construction Value: $ 8,500.00
Job Address: 911 South Oak Avenue Historic District: Yes Ex No E
Parcel 1D: 25-19-30-5AG-1104-0030 Zoning:
Description of Work: Remove knob & tube wiring, and rewire residence.
Plan Review Contact Person: Robert Hickey Title: President
Phone: (407) 259-2640 Fax: (407) 358-5157 E-mail: bob@hickeyelectricinc.com
Property Owner Information
Name Ruth Carroll Phone: 407-341-0197
Street: 911 South Oak Avenue Resident of property? : Yes
City, State Zip: Sanford, FL 32771
Contractor Information
Name Hickey Electric, Inc. Phone: (407) 259-2640
Street: 1319 Green Forest Court, Suite 412 Fax: (407) 358-5157
City, State Zip: Winter Garden, FL 34787 State License No.: EC13001379
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Architect/Engineer Information
Phone:
Fax:
E-mail:
Mortgage Lender:
Address:
PERMIT INFORMATION
Building Permit ❑
Square Footage: 1,684 Construction Type: Residential No. of Stories:
No. of Dwelling Units: 1 Flood Zone:
Electrical
New Service —No. of AMPS: 200A/1 PH/120-240V
Mechanical ❑ (Duct layout required for new systems)
�y1 ftw-0 s
f./3
1
Plumbing ❑
New Construction - No. of Fixtures:
Fire Sprinkler/Alarm ❑ No. of heads:
Application is hereby made to obtain a permit to do the work and installations as indicated. 1 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: 1 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 1 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
it
APPROVALS: ZONING /,-V,2XZUTILITIES:
ENGINEERING:
COMMENTS: e
Rev 11.08
FIRE:
1-20-12
Signulu a of 'onlraclor/Agent Date
Robert F. Hickey
Print ContraQor/Agent's Name
aye, a
Signature of Notaryatc I lorida D to
BRITTANY S. ZUCCARO
NOTARY PUBLIC • STATE OF FLORIDA
COMMISSION 0 EE072390
EXPIRES 3/9/2015
BONDED TNRU 1.868 -NOTARY 1
Contractor/Agent is Personally Known to Me or
Produced ID Type of ID
WASTE WATER:
BUILDING:
pra
U 2Z, W, 1 2 M VAT.104 , am
&OR
HICKEY Eslknate No:
Electric Incorporated
PROPOSAL
CUSTOMER: NICK ELIASON DATE: 1/312012
FAX /EMAJL:
ATTN: NO. PAGES: 2
PROJECT: RUTH RESIDENCE 911 S OAK AVE SANFORD FLORIDA
KmkW Becoic, tim proposes to supply the ftDm% electrical work for the above
referenced project.
Time and materia! Not to Exceed.........
- Overlimp lahor.
- Tc -'-W.- &* &F CATV cabqno.
"k*ev irke Un mihank y.m..^ mm m. qup ^iir Pip.mr.m.j %r,,,k.
P os I valid for 3y dpys unless othervAse noted.
�6"L 012.91916 - 0
mu Client Appwal
Robert Hickey, Pres.
Print Name and We
1132012
Data
C"961L , QIVAJi�-q
Pnrd Naiine WW TWe
7�TAA)04KY 30 -2610
Mate I
1319 Green Forest Coact Suitt 412 9 VAnter Garden, FL 34787 9 EC13001379
Offtw. 407.2592W Fac 407358.5I57 * I , I @1 1, keyehm*rlclncxom
Page 1 d 2
Permit No.
x Tax Folio No.—', -2 ( 9 .- 30 511 G/ 104 00 3 0
NOTICE OF COMMENCEMENT
State of Florida
County of Seminole
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.
KAR'YANNE WIRSE, CLEM OF CIRCUIT C011RT
SENINDLE CiIiDIUiN
1111 07704 Pq 1440; tlpg)
CLERK'S 11 2012010963
RECORDED 01130/2012 01:35:09 PH
RECWWING FEES 10.0®
REMRDi;D BY J Eckearoth tal l )
1. Description of property: (legal description of the property, and street address if available) 911 South Oak Ave. Sanford FL 32771
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE
NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I,
SECTION 713.13, FLORIDA STATUTES. AND CAN 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 COMMENCING WORK OR RECORDING YOUR NOTICE OF
COMMEINEME)JT/% �P
Signalure of Owniror Owner's Authorized Officer/Director/Partner/Manager j,,�yh Signatory's TitleJOffice
The foregoing instrument was acknowledged before me this day of ..4 2- (year) , by (name of person) as (type of
authority, ... e.g. officer, trustee, attorney in fact) for (name of party on behalf of whom instrument was executed) .
'. a. (SEAL)
S iglodure of Notary Public
Personally Known OR Produced Identification Type of Identification Produced 0 7757 06V
Verification pursuant to Section 92.525. Florida Statutes: Under penalties of perjury, I declare that 1 have read the foregoing and that
thefa stat t i are true to the best of my knowledge and belief.
U?
Signature of Natural Person Signing Above-
oaAV P�'a BRUCE A. ANONICK
Rau der Notary Public - State of Florida
rnls7��3`�i� My Comm. Expires Nov 30, 2013
.u�• fpr:
MAME Commission N DD 943088
AMR.�
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`�--r�a o •y 3//7
LC
2. General description of improvement: Rewire existin9 residence
v
3. Owner information: Name: PtdhCmrrnll
Address: B (-�ctm A t o 'n `Tg-''r Ti -tl ei Lgev y-;!4,4 -P
(q O O 4 - .3 l 1 l
b. Interest in property:
c. Name and address of fee simple titleholder (if other than Owner): Name:
Address:
Ce
�4. Contractor Name: HirkPy Flprtrir. Inr.
Phone number: (407) 259-264() 5
c. Address: 1319 (seen Fnrest r:nurt Suite 412 Winter Garrien FI 34787
m•
5. Surety Name N/A
-
Address:
b. Amount of bond: $
CERTIFIED COPY `
6. Lender: Name:
Address:
MARYANNE MORSE
b. Lender's phone number:ERK
OF CIRCUIT COURT
7.a. Persons within the State of Florida designated by Owner upon whom notices or other documents m§§%W&PWn• FLORIDA
provided by Section 713.13(1)(a)7., Florida Statutes: Name:
.,., n 4k _ n
Address:
OEM I Y CURK
8.a. In addition to himself or herself, Owner designates of
to receive a copy of the
Lienoes Notice as provided in Section 713.13(1)(b), Florida Statutes.
b. Phone number of person or entity designated by owner:
p'
VAN 3 0 612
9. Expiration date of notice of commencement (the expiration date is 1 year from the 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 COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I,
SECTION 713.13, FLORIDA STATUTES. AND CAN 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 COMMENCING WORK OR RECORDING YOUR NOTICE OF
COMMEINEME)JT/% �P
Signalure of Owniror Owner's Authorized Officer/Director/Partner/Manager j,,�yh Signatory's TitleJOffice
The foregoing instrument was acknowledged before me this day of ..4 2- (year) , by (name of person) as (type of
authority, ... e.g. officer, trustee, attorney in fact) for (name of party on behalf of whom instrument was executed) .
'. a. (SEAL)
S iglodure of Notary Public
Personally Known OR Produced Identification Type of Identification Produced 0 7757 06V
Verification pursuant to Section 92.525. Florida Statutes: Under penalties of perjury, I declare that 1 have read the foregoing and that
thefa stat t i are true to the best of my knowledge and belief.
U?
Signature of Natural Person Signing Above-
oaAV P�'a BRUCE A. ANONICK
Rau der Notary Public - State of Florida
rnls7��3`�i� My Comm. Expires Nov 30, 2013
.u�• fpr:
MAME Commission N DD 943088
AMR.�
- _ivr�2fs�-
`�--r�a o •y 3//7
STANDARD TERMS AND CONDITIONS
GENERAL
AD papmab m age la • paid of 14 dopa, unman oOedp sb4 old Inst be
aaaepb0
in v V*V by Ow Ouabwl ad vAh On saamd capy bJlelled b
lufN El I . k a. IMP) ON& Old enw Peed. AMM Nn Dobe, M pgmd
SW b..4ldem ailed rola.
Tlda paapoud, span ammume. caWM Ow adre Appeases baasam Do
Closure W HEI ad supamds eq ad all palm Ispeaaarma, d'uasdas.
apsmaOa a slrsab I - dalm Saab/ a IN WWW. Nn duro a,
mer0aaGm a walls NO Tama sad Caldera doll be W bop sides
sampled b 10mv by IAEA.
PAYMENT TERMS
Npapas On oda Oi Ag a asy vmMm maddcoOam fossae, doll
be dm dal swig d m' I hoe HEL alms a!e adAaoeaa-
aaslgmaliammeftu mlEl. Allyl As adlpdddOb7100pdauel4
d b.ds ban MIEN, shag baa a rrna dmepe a aw atl o hag poem (1.3'%)
pa mads (duaW rata d ll%) Old deft be adad b M www bdma sad
mads sb paid b W.
b.d�r� MEI ser a afire r naso. Dow astams r dr osl and
mJwy Uneukdkippedagd be) d W ad r rpealb b.eb Odmb9
bedulpL•y sol ab aa0rafae poasdav) Ona Qabma dim IEl Mm In
arllp"b omen of assailsOn board.Ill9 1 cl.11amua a nal e
evsllI a aaElbdkn, - I - Is allrllama'. echos Imldastalld NO
ales OM MEU uM bo senbp a Nora b Ore m Ow lee d M aad papaad
deo Ossa%Oder M PwPed labdlpa mmomad Ihlabams ap%s b
pods r 1B dlaaml of =*=I a Cagy d my Nbrs dCaremaaJo
bsela
Gloved pepdydea MEI ab u1 M dao.
Vasa b may all bpd poo mdkW ambpad of Or mbrd bOlb plpmd
shall be In Oap furry. FMb. B my park of Oft Apmmel b bMd b be
Mnid a maibsdla IN MR reaft ow nsbrgbon mad coemdaRm of
Oda Apeanas doll ammo b tabase ad dleL
INSURAME
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eaadlmr etll MEI► abamdsd Olalr A dh/aie0 bI /El b Dwb soft
drormamansalbas. AMb ommesaewsmW aapmldaeaadabeee
IEh ablldmd rail v/ M brimmed d addOarl ap b Ow Qadme.
SCOPE OF WORK
The sopa ol.al► b o lead m page t d Oi Paope.d. No dla/Ia b Om
sopa d.b%.e t" au0leeaa a p' ', "d.bem Ow pd, paemMdon
d ml and GalIDaoM OVaamad e b M sed d same.
STRAIGHT TIME I OVERTIME
TMs Rapaa! b boned On a lme lata raft mtp. ro2d
IINCMI. b Om pad Dal O6bnln Neale lEl b.emM m dose a d Wee a0e
Oen NENilead bsbeseaa% vsaL filo b bon T sae b O pa. Iboby/mampa
FIIiy. Cubes open b pay all► ad CLD ae0 aae%dd de same bdmdlp
all sols mons, - a NEL
WARRANTY TERMS
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alpbrl YIsblAon. 1¢I nol.eaM nmy podab s odd moat w
Cody les d M oeamaav clew peed
NO d sly as b Ow bur a m NOW a soft mob ae.�aa
AN pew ogee b mmDd sa a0la lune - - spm te'amip amm d
any~ doelm d b Oammyismd Hmdb ad Solid ltd
NOTICE OF CLAW
p1APM SDL FLORIDA STATUES CONTAINS I IVRTANT RLpiElEKFS YOU
==T FOLLON BEFORE YCJ MAY SMXG ANY LECAL ACTION: FOR AIJ ALLECED
CONSTRUCTION DEFECT IN YOUR IIOLE. SIM DAYS BEFORE YOU BRING ANY
LEGAL A0rOK.'i Oil h UST, DSR TO THE OT.EA PARTi OF Tri,& CONTRACT
A WRITTEN NOTICE REFERRING TO CKWTER SW OF ANY CONSTRUCTION
CONDITId6 YOU ALLECIE ARE DEFECTIVE AIDPRWADE SUCH PERSON THE
OPPORTUNITY TO INSPECT TIE ALLEGED CONSTRUCTION DEFECTS AND TO
rr--4r.7SR =ltl.Wr. A`J r!F FFR T n RF PA 21 I`A TAY Flt TYF AI J Ff.Fn
COtCTP.UCTIOH DEFECTF.. YOU ARE NOT OBLIGATED TO ACCEPT ANY OFFER
WKICH MAY BE MADE THERE ARE STRICT DEADLMS AND OPOCEWRES
WDEA TMS FLORIDA LAW WHICH MUST BE MET AD FOLLOI ED TO
PROTECT YOM INTERESTS.
DELAYS
lEl airs mud a Nor b any dlay b Ow palblmlalou cl Ow vs%IasMg
6om a aelldd b am a abosdamss bgod M mrd• YrLsp
bd me Dai4d. b nab d Gal Ids aapeL bu. dab, bba dlapdsa.
bmmalbA aeb m amielaw of b Qadalm. Ocala cl owpaaarky. a darye b
aIII y d my od.dlb b be povldd KW Ob Pllposd by Ow naulbeam m
bdr db/bub. Osbas apws b ubd M Nr b IEA I-1- al1
Iloslm10e b • mesnaNa paled d Ibw b aealplda IEM1 es%llsand/,
bdlb g ealdlr d Dow meprad by IeeYbs b M plopomd es /a0lleaad by
CU§k~.
COMPLIANCE WITH LAWS
MEI vapalm r IoM b aubabrd mampVloa del Ow pals and
apadfars pledddb On WwL MD shag nal be mesponalft b
was a adder an to prm a Wadkoftm ad esa not
.mores M Ow apaYq daadwd by a0lsn. vO burden a debut
by M Orly a M Catraeb.
DIRECTIONAL BORING
NH fit tab nsanbla aid asoeaaay peea/aw b ib/d adRVaad obWutlbo.
IB d.aaslptooadJVosduybalow.dlbmme 164mov.aaaai.
Tho OlmdOmd CarraaR mill; uny brdon Mmredon Ymdubq
aftvaOss drundaiomd19Oes mg lees popum anesneloowad byM
obi as nog asvb. Ban uabloem a- g ,Is'I mwkmd madelVolmd obdnseon
baa1C01aI -a damapd ad dew repab.0awlvIbe to mmpambftd
M Oaab>m. Or Oandommad Oamradb.
HAZARDOl is MATERIAL
UdelOmdealy a bedbasasapd.uLMEI a>r ' nada. allyva%
asambdd db IMmaDe>•sti abarmsil deem up. aa- ' aamoaatadiad
dbaedlm aabldL
MATERIALS
B aedda a0dpm al bmOdad In Od F►tpsd became drW IN, meow
mgmd a m alai eddla/ barb MET, so bommen eme&%"be
**mod 1 01 NoWdebbd MuftlaOd Pnpsdbeamu
peaswey nlalaadft M b no bail d MEI. alallaS ammleb acre to
amIIsOO and aW--dbairy AnappeI plm adjsbed we be
ap0laad b etllg PIIa b Paaddlp
ASSIGNMENT
The Pmpmd OW not be mlWmW by Chemm shed lure eapesaed.alben
alma d HEL ddM aey be vGdmtl d HM ado a>cam.
Thi AFamed shall be bbanu cam HEIn ab Cudmdi IecpedOae hcb%
nsceaaa aro mew.
GOVERNING LAW
Sob pole eA, , 1eape Vat tHa /beamed shell be pvanea by Om bra of ira
Ser of Fedi dbmsaaaa . IDOwpeneddde=d baba.
no ped soadlpOda AVases as baba/ d Counts aAnadedsm and
opus drop ewe alrwm4 m edam deft loured b veWe Olt
AWCmed. MEI stall nal be lop 1 10, Mabla.Dm Ow Clabma n as to
W armed. The pawn ummurg Oft AVeenlm dud b HM pees, OalRadl
vm Ohms ad d paler ural e7 file AVua>•d Pastes a aAepe
b Oi plsp'aad Idea MEI b aaOrd paatilp d Os1em de deep b
RAWER
COMPANY DISCLAIMS ALL OTHER WARRANTEE W►ETHM E)FRESSED
OR I IUM eRl1DINO STATUTORY WAR ItAKIIES AND Cf'Ef,.F' :,ALLY
0190 AUSAMy IMPLIED WARRANTIES OF LERC A TASRITY. FITNESS
FOR PARTICULAR PURPOSE. OR MNRW VIIY OR WORKMAiLNE SEJTJw.E.
FL'RTH R, THE CC_TA."/ 21J4:ADE :0 AFFIRLM71-MJ OF FACT OR
PROWSE RELATING TO THE PRODUCT FOR SERVICE PROVIDED
AERFIWDER rKAT r" CREATED OR AMOiIIITED TO AN EAPRE55
WARRANTY. CU..'10L.C' R EAPTiL.=Y CJA = A.:0'..:.:A:= ANY
CLAIMS IN ANY LIYYSW ARBITRATION OR OTHER LEGAL PROCEEDING
ARARM HEI FOR NEGLIGENCE. TORT&. FER500iFL I AWA. DEATH.
%RM' ATUW f`F ANY nTAn IF, RI O F Nt RFfda ArreS.I MS. IIF I J."S.
DS9NUNON OF VALUE. ECONO!9C. COMPENSATORY, IKIDENTAL,
CCiiSE4WrEhTt4L EXEM.PLAR'i. PUWN-E, LKYADATED. TREBLE OR
SPECML DAMAGES F ANT AND IN NO EVENT SHALL MEI BE LIABLE FOR
ANY AMOUNT GREATER THAN THE AMOUNT PAD BY THE CUSTOMER TO
mil POR M, SF.IVfOR PRO1 urn OWWR THIS PROPIIRA.
Ud/Yl)t2 Hickey Electric, Inc. Page 2 of 2