HomeMy WebLinkAbout1201 W 12 St (3)CITY OF SANFORD PERMIT APPLICATION
Permit N : 40,— 54 6 Date:
Job Address: IaZ;0l
1.
late
Description of Work: C//ir j P cfr Total Square Footage;ram
Historic District: Zoning: Value of Work: S, 4' - y0 /s-
Permit Type: Building -1`-=—
Electrical Mechanical Plumbing _,ZL Fire Sprinkler/Alarm Pool _
Electrical: New Service - N of AMPS Addition/Alteration Change of Service Temporary Pole _
Mechanical: Residential Non -Residential Replacement New (Duct Layout & Energy Cale. Required)
Plumbing/ New Commercial: H of Fixtures N of Water & Sewer Lines N of Gas Lines
Plumbing/New Residential: k of Water Closets Plumbing Repair - Residential or Commercial _
Occupancy Type: Residential _ (j_ Commercial Industrial
Construction Type: _4 N of Stories4 N of Dwelling Units: / Flood Zone: (FEMA form required)
Owners Name & Address: 1YLNCG N% r iPL// O
Person:" 2=94 S - 2 So e) Phone:
Bonding Company:
Address:
Mortgage Lender.
Address:
Architect/Engineer: Phone:
Address: Fax: ,
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. 1 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 acid 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
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 requi cuts of i r Law, FS 713, /
Sig/nature of Owner/Agent Date Signature oft ractor/Agent Date
V iAJLtLyia% t.f'G.QI
Print Owner/Agent's Name 1 Contractor/Agent's Name
z2.6 Z2.
ignalure of Notary -State Florida Date ature pPIT91 ft State alol NBON Date
MY COMMISSION t DD 211 wAAEXPIRES: March 23, 2006
Wed T1w B t Navy S,j,
Owner/ ent is Pyrso`nal Known to Me or Contractor/Agent is Person y noor
rvduccd ID—i. p Produced ID
APPROVALS: ZONING: UTIL: FD: ENG. BLDG:
hl
Special Conditions:
Rev 03/2006
041 yowcd a•
7001¢o.ow r5 J r t 3 7oI .
Pen -nit Ni
State of Florida
County of Seminole
NOTICE OF COMMENCEMENT
Tax Folio No.
0.
1D1ARY
UUTWCU
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.
Nov;'2 r2 2t
1. Descrjptjo % of property: (legal desCriptio S f the prolT and streeg address if available) . 'n 1
2. General de cription f i proveTent: a 'e . It tI'' c co
3. N&r information j
a. Name and address
b. Interest in property /
c. Name and address of fee simple titleholder (if other than Owner)
Contractor nn
Name and address I' >nucRcc (.D
5
b. Phone number 10' t71 t R w 4/0 F num r 07"
5. Surety
a. Name and address 1111i 111111111111111 it IN 11111 to 1111111Im 1111111 b.
Phone number Fax number c.
Amount of bond 6.
Lender PK %493 P4 1094; (Ipg) a.
Name and address 0 F Ru + g, # 2— 0061185T4 2 R10111141)
13/wROW 111141855 AN b.
Phone number Fax number Rl:fylltlliNt, F1.I;it g 7.
Persons within the State of Florida designated by Owner upon whom notices ovp j r-r a served as provided
by Section 713.13(lxa)7., Florida Statutes: a.
Name and address b.
Phone number Fax number 8.
In addition to himself or herself, Owner designates of to
receive a copy of the Lienor's Notice as provided in Section 713.
13(1)(b), Florida Statutes. a.
Phone number Fax number 9.
Expiration date of notice of commencement (the expiration date is 1 year from the date of recording unless a different date
is specified) Signature
of Owner worn
to (or affirmed and subscribed before me this 9,;:L_ day of () _ _ , 20 0 , by Y
cs- v L 1:
ANN M. JQNNSW Personally
Known OR Produced Identification . , MyC0",4MISSIONIDD2W22 Type
of Identification Produced` P:-c.' t>t_ o EXPIRES: March 23, 2006 J4Pn
Fnj Aon(W TAro 8WRI Nofery 89,,I s S'
ture of Notary lic, State of Florida Commission
Expires:
Vincent R. Orlando
342 Fox Hill Drive
DeBary, FL 32713
386) 837 — 3064
November 27, 2006
Re: Scope of Work
Address:1201 W. 12thStreet, Sanford, FL 32771
Exterior Stucco
Fasten beams in attic
Sister supports
Hang drywall throughout interior (first & second floors) NF'-FICE
Upgrade electrical (to code)
Install bathroom on 2nd floor
Install tub/shower — exterior wall
Install sink and toilet (left & right of shower, respectively)
Replace floor in front (left) bedroom
Replace stairs
Seal flooring on second story balcony
Repair roof, as follows:
Replace facial
Install drip edge d® Add/Replace some shingles
MY OF SA FORD
o0
Vincent R. Orlando 99
0
signed) PERMIT IF.=
Florida Building Code Online to( 1 9 " $ Page 1 of 5
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FL #
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F ,. 0 L+L3A1ll
Code Version
p
r%
r
Application Status
Comments
Archived
Product Manufacturer
Address/Phone/Email
Authorized Signature
Technical Representative
Address/Phone/Email
Quality Assurance Representative
Address/Phone/Email
Category
Subcategory
Compliance Method
Certification Agency
Referenced Standard and Year (of
Standard)
Equivalence of Product Standards
Certified By
Product Approval Method
Date Submitted
Date Validated
Date Pending FBC Approval
Date Approved
FL5438
New
2004
Approved
MI Windows and Doors
650 W Market St
Gratz, PA 17030
717) 365-3300 ext 2101
surich@miwd.com
Steven Urich
surich@miwd.com
Windows
Single Hung
Certification Mark or Listing
American Architectural Manufacturers Association
Standard
ANSI/AAMA/NWWDA 101/I.S.2
Method 1 Option A
09/22/2005
10/14/2005
10/07/2005
10/17/2005
a
Year
1997
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Florida Building Code Online Page 4 of 5
Design Pressure: +/-
Other: R-40* DP-50 Per manufacturers
installation instructions.
5438.14 455 Fin Frame 148x84 Insulated DSB Annealed
Limits of Use (See Other) Certification Agency Certificate
Approved for use in HVHZ: Installation Instructions
Approved for use outside HVHZ: Verified By:
Impact Resistant:
Design Pressure: +/-
Other: LC-50 DP-50 Per manufacturers
installation instructions.
5438.15 11455 Fin Frame 54x90 Insulated DSB Annealed
Limits of Use (See Other) Certification Agency Certificate
Approved for use in HVHZ: Installation Instructions
Approved for use outside HVHZ: Verified By:
Impact Resistant:
Design Pressure: +/-
Other: LC-35 DP-50 Per manufacturers
installation instructions.
5438.16 11650 Fin Frame 153x9O Insulated SSB Annealed
Limits of Use (See Other) Certification Agency Certificate
Approved for use in HVHZ: Installation Instructions
Approved for use outside HVHZ: Verified By:
Impact Resistant:
Design Pressure: +/-
Other: LC-30 DP-47.2 Per manufacturers
installation instructions.
5438.17 11650 Fin Oriel 148x84 Insulated 3/16" Annealed
Limits of Use (See Other) Certification Agency Certificate
Approved for use in HVHZ: Installation Instructions
Approved for use outside HVHZ: Verified By:
Impact Resistant:
Design Pressure: +/-
Other: R-35 DP-47.2 Per manufacturers
installation instructions.
5438.18 11650 Flange Fra 148x84 Insulated SSB Annealed
Limits of Use (See Other) Certification Agency Certificate
Approved for use in HVHZ: Installation Instructions
Approved for use outside HVHZ: Verified By:
Impact Resistant:
Design Pressure: +/-
Other: LC-35 DP-47.2 Per manufacturers
installation instructions.
5438.19 11650 Flange Fra 148x84 Insulated 3/16" Annealed
Limits of Use (See Other) Certification Agency Certificate
Approved for use in HVHZ: Installation Instructions
Approved for use outside HVHZ: Verified By:
Impact Resistant:
Design Pressure: +/-
Other: R-35 DP-47.2 Per manufacturers
installation instructions.
5438.2077]1740/3740 Fin Frame 1152x7l Single Glazed DSB Tempered
Limits of Use (See Other) Certification Agency Certificate
Approved for use in HVHZ: Installation Instructions
Approved for use outside HVHZ: Verified By:
Impact Resistant:
Design Pressure: +/-
Other: R-45 DP-45 Per manufacturers
installation instructions.
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Product Approval Menu > Product or Application Search > Application List > Application Detail
FL # FL5262
Application Type New
Code Version 2004
Application Status Approved
Comments
Archived
Product Manufacturer Therma-Tru Corporation
Address/Phone/Email 118 Industrial Drive
Edgerton, OH 43517
419)298-1740
sjasperson@tttechnologies.us
Authorized Signature Steve Jasperson
sjasperson@tttechnologies.us
Technical Representative
Address/Phone/Email
Quality Assurance Representative
Address/Phone/Email
Category Exterior Doors
Subcategory Swinging Exterior Door Assemblies
Compliance Method Certification Mark or Listing
Certification Agency National Accreditation & Management Institute,
Referenced Standard and Year (of Standard Year
Standard) ASTM E1300 2002
ASTM E1886 2002
ASTM E1996 2002
ASTM E330 2002
SSTD 12 1999
TAS 201, 202, 203 1994
Equivalence of Product Standards
Certified By
Product Approval Method Method 1 Option A
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F.orida Building Code Online Page 2 of 4
Date Submitted 09/09/2005
Date Validated 10/06/2005
Date Pending FBC Approval 10/06/2005
Date Approved 10/18/2005
Summary of Products
FL # IlModel, Number or Name IlDescription
5262.1 a. Classic -Craft 6/8 and 8/0 Opaque and Glazed Fiberglass DoorIF--. I with and without Sidelites. Inswing and Outswing
Limits of Use (See Other) Certification Agency Certificate
Approved for use in HVHZ: Installation Instructions
Approved for use outside HVHZ: PTID_5262_I_FL-567.pdf
Impact Resistant: PTID_5262_I_FL-618.pdf
Design Pressure: +/- PTID 5262_I_FL-619.pdf
Other: This product meets the requirements of PTID_5262_I_FL-620.pdf
the 2004 Florida Building Code with the following PTID_5262 I_FL-631.pdf
Limits of Use: Glazed product requires Approved Verified By:
External Protection when used in HVHZ and Wind
Borne Debris Regions. Product must be installed
per drawing FL-618. Approved Configurations: X,
XO, OX, OXO, XX and OXXO See NAMI
Certification Number N1005724, N1005727,
N1005728 and N1005729 for Sizes and Design
Pressure ratings.
6/8 Opaque and Glazed Steel Door with and5262.2 b. Construction Series
without Sidelites. Inswing and Outswing
Limits of Use (See Other) Certification Agency Certificate
Approved for use in HVHZ: Installation Instructions
Approved for use outside HVHZ: Verified By:
Impact Resistant:
Design Pressure: +/-
Other: This product meets the requirements of
the 2004 Florida Building Code with the following
Limits of Use: Glazed product requires Approved
External Protection when used in HVHZ and Wind
Borne Debris Regions. Product must be installed
per drawing FL-631. Approved Configurations: X,
X0, OX, OXO, XX and OXXO See NAMI
Certification Number N1005312, N1005566 and
N1005567 for Sizes and Design Pressure ratings.
5262.3 Fiber -Classic 6/8 and 8/0 Opaque and Glazed Fiberglass Doorc.
with and without Sidelites. Inswing and Outswing
Limits of Use (See Other) Certification Agency Certificate
Approved for use in HVHZ: Installation Instructions
Approved for use outside HVHZ: Verified By:
Impact Resistant:
Design Pressure: +/-
Other: This product meets the requirements of
the 2004 Florida Building Code with the following
Limits of Use: Glazed product requires Approved
External Protection when used in HVHZ and Wind
Borne Debris Regions. Product must be installed
per drawing FL-619. Approved Configurations: X,
XO, OX, OXO, XX and OXXO See NAMI
Certification Number N1005327, N1005329,
N1005330 and N1005331 for Sizes and Design
Pressure ratings.
5262.4 d. Premium Series 6/8 and 8/0 Opaque and Glazed Steel Door with
and without Sidelites. Inswing and Outswing
Limits of Use (See Other) Certification Agency Certificate
Approved for use in HVHZ: Installation Instructions
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Fh)rida Building Code Online Page 3 of 4
Approved for use outside HVHZ: Verified By:
Impact Resistant:
Design Pressure: +/-
Other: This product meets the requirements of
the 2004 Florida Building Code with the following
Limits of Use: Glazed product requires Approved
External Protection when used in HVHZ and Wind
Borne Debris Regions.Product must be installed
per drawing FL-567. Approved Configurations: X,
XO, OX, OXO, XX and OXXO See NAMI
Certification Number N1004951, N1004981,
N1005332, N1005333, N1005334 and N1005335
for Sizes and Design Pressure ratings.
5262.5 e. Smooth -Star 6/8 and 8/0 Opaque and Glazed Fiberglass Door
with and without Sidelites. Inswing and Outswing
Limits of Use (See Other) Certification Agency Certificate
Approved for use in HVHZ: Installation Instructions
Approved for use outside HVHZ: Verified By:
Impact Resistant:
Design Pressure: +/-
Other: This product meets the requirements of
the 2004 Florida Building Code with the following
Limits of Use: Glazed product requires Approved
External Protection when used in HVHZ and Wind
Borne Debris Regions. Product must be installed
per drawing FL-619. Approved Configurations: X,
XO, OX, OXO, XX and OXXO See NAMI
Certification Number N1005327, N1005328,
N1005329, N1005330 and N1005331 for Sizes
and Design Pressure ratings.
5262.6 f. Premium and Construction 6/8 and 8/0 Opaque and Glazed Steel Door with
Series with Transoms Transoms. With and without Sidelites. Inswing
and Outswing
Limits of Use (See Other) Certification Agency Certificate
Approved for use in HVHZ: Installation Instructions
Approved for use outside HVHZ: Verified By:
Impact Resistant:
Design Pressure: +/-
Other: This product meets the requirements of
the 2004 Florida Building Code with the following
Limits of Use: Not for use in the "HVHZ" Glazed
product requires Approved External Protection
when used in HVHZ and Wind Borne Debris
Regions. Product must be installed per drawing
FL-620. Approved Configurations: X/0, XO/0,
OX/O and OXO/O See NAMI Certification Number
N1005567 for Sizes and Design Pressure ratings.
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Tallahassee, Florida 32399-2100
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2000-2005 The State of Florida. All rights reserved. Copyright and Disclaimer
Product Approval Accepts:
eChed:','.
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