136 Mangolia Park Trl 17-1042; RE-PIPER
Job Addre
Parcel ID:
F.GEIVE
APR CITY OF SANFORD
BUILDING & FIRE PREVENTION
A PERMIT APPLICATION
Application No: I-1- 0 H R
Documented Construction Value: $ 3 r -9_9 4
Type of Work: New Addition Alteration
Description of Work:
Historic District: Yes No
Residential Commercial
Repair ZDemo Change of Use Move
Plan Review Contact Person: t A I-Q,_*C4,Aj rbt ` Title:
Phone: `` (07-153- kL Fax: Email: P e c,rArt, - e7arcrk 0 IcsaY
Property Owner Information
Name Loyla, _P;1ahan Phone:
Street: n6 je ( Resident of property?
City, State Zip: ?a -
Contractor Information
St1`.2.rS, coYl`
Name C.. - Phone: 3q 3- a U k4?
Street: I 4ULP f0fAS C Fax:. (4 0 " _)aJD r 3 1
City, State Zip:Of'I CL F State License No.: 0 CC 651 (Caw
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Architect/Engineer Information
Phone:
Fax:
E-mail: _
Mortgage Lender:
Address:
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
COMMENCEM,JENT.
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.
FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 5" Edition (2014) Florida Building Code
Revised: June 30, 2015 Permit Application
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 at the time of permit submittal. A copy of the executed contract is required
in order to calculate a plan review charge and will be considered the estimated construction value of the job at the time of submittal.
The actual construction value will be figured based on the current ICC Valuation Table in effect at the time the permit is issued, in
accordance with local ordinance. Should calculated charges figured off the executed contract exceed the actual construction value,
credit will be applied to your permit fees when the permit is issued.
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.
Signature of Ow//n''cr/Agent Date
l 1 lick hea M
Print Older/Agent's Neste
0",-Z... 1IMALIA I PEREZ
i MY COMMISSION *FF139237
EXPIRES July 7, 2018
407) 398-0153 FloridallotarySery
Owner/AgentOwner/Agent is ersona'iiy' Produced
ID L- Type of ID A Me
or ature
of Contra Agent Date anti •
Caw Print
Contractor/Agent's Name q
13 /I Signa
re of Not ry-State of Florida Date KELLEY
R ALLMAN NOTARY
PUBLIC STATE
OF FLORIDA COMMAS
FF037374 Contractor/
Agent is Personally nown1 PtoMe or Produced ID
Type of ID BELOW IS
FOR OFFICE USE ONLY Permits Required:
Building Electrical Mechanical Plumbing[2/Gas Roof Construction Type:
Total Sq
Ft of Bldg: Occupancy Use:
Min. Occupancy
Load: New Construction:
Electric - # of Amps Fire Sprinkler
Permit: Yes No APPROVALS: ZONING:
ENGINEERING: COMMENTS:
of
Heads
UTILITIES: FIRE:
Flood
Zone:
of Stories:
Plumbing - # of
Fixtures Fire Alarm
Permit: Yes No WASTE WATER:
BUILDING: Revised:
June
30, 2015 Permit Application
4
ji
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date:
I hereby name and appoint: Jo6kLA 0 h W
an agent of:
Name
to be my lawful attorney -in -fact to act for me to apply for, receipt for, sign for and do all things
necessary to this appointment for (check only one option):
D The specific permit and application for
Street Address)
Expiration Date for This Limited Power of Attorney:
License Holder Name:
State License Number:
Signature of License Holder:
1
STATE OFFWCOUNTYOF
t
The foregoing ; strument was a ow dged before me this IYtnday of
200, by Ci who is erso ally known
to me or o who has produced
identification and who did (did not) take an oath.
Signature
Notary Seal)
KELLEY R ALLMAN Print or type name
NOTARY PUBLIC
STATE OF FLORIDA
Comm# FF037374
Exp1m 7/18=17
Rev. 08.12)
Notary Public - State of (-- l
Commission No.
My Commission Expires: - %
as
f 111111111H 1111I P 11111111111111i 1111VTHISINST . MENT PRE RED BYj., r—
Name: t Vic. 1 ""
Address: o Cr i C—'all a0
L r/ C)
NOTICE OF COMMENCEMENT
State of Florida
County of Seminole
Permit Number: _' I — 1 C /%
u
1
C)—
Parcel ID Number:
iFii°thll i°ti._tJ`r !f:'I:I:i''IGI_I:: i.;i;)I)i'Ij';'
CL.EI"K OF C:]:Iti UI'i COtj[:1
CLERK 21)17 i3737y.
Rf.-_i 0 R D E D 1_I'i
i:EC:r)RCi:i i4G I=[ ES >1i C)A
5LJ7-0000_ )`7o
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.
DESCRIPTION OF PROPERTY: (Legal description
0( .(VA Cc5nnie4. 0cv-K 1; L.
GENERAL DESCRIPTION OF IMPROVEMENT:
LA\01z how f Y r fS
OWNER INFORMATION:
Name:
Address: 1 3
Fee Simple Title Holder (if other than owner)
CONTRACTOR:
Name:
Address: 6 2C or 2
Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served
as provided by Section 713.13(1)(b), Florida Statutes.
Name:
Address:
In addition to himself, Owner Designates of
To receive a copy of the Lienor's Notice as Provided in
Section 713.13(1)(b), Florida Statutes.
Expiration Date of Notice of Commencement (The expiration date is 1 year from 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 COMMENCEMENT.
Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in it are true
to the best of my knowledge and belief.
C L -D A L
Owner's Signature
y
Owner's Printed Name
Florida Statute 713.13(1)(g): "The owner must sign the notice of commencement and no one else may be permitted to sign in his or her stead."
State of County of
The foregoing instrument was acknowledged before me this day of zI / / , 20
by /L G%
Who is perspnally known to me
Name of person making statement /
OR who has produced identification 2 type of identification produced: 7i1 '
ISABEL FIDALGO
Notary Public - State of Florida
My Cornnnjxpires Oct 10, 2017
I
Commission # FF 062127 Notary Signature
Bonded Through National Notary Assn.
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PLUMBING / A/C .SERVICE / ELECTRIC / DRYWALLfjo. 24614
PH: (407) 293-2642 6206 Forest City Road
FAX: (407) 532-3370 Orlando, Florida 32810
CF-0057624
24 Hour Service SERVICES, INC. 40 Years in Business:
Proposal Submitted To: t
ARAM
Home Phone•
3q0%--72S1
DATE:
3 7-7
Street Address: - # WorkPhone: -- Technician:
City, State 8 np: N ee:
REPIPE MATERIAL: PEX OR'. CPVC *Labor & Materials Warranties:
If we use only our Materials NOT Owners
WARRANTY: LABOR 3 YEARS 3 TIMES LONGER THAN A NEW HOMES WARRANTY OR AS PER
MATERIALS 10 YEARS MANUFACTURER'S WARRANTY. MUST KEEP INVOICE FOR WARRANTY
SCOPE OF WORK EXTRA WORK
REPIPE WILL INCLUDE THE FOLLOWING •
PLUMBING PERMIT OWNER MAY PULL PERMIT
FIXTURES & OUTLETS: a 300.00:
HOT COLD •
DRYWALL (PATCHING ONLY) NO TEXTURING OR PAINTING
NO MATCHING OF OLD PAINT IF WE TOUCH UP PAINT
WATER HEATER • REPLACING OF OLD FIXTURES, SUPPLYING NEW ONES
WATER CLOSET j \ WATER CLOSET
LAVATORIES \ LAVATORY
TUB & SHOWER VALVE14 TUB & SHOWER VALVE
KITCHEN SINK LAVATORY FAUCET
DISHWASHER I KITCHEN FAUCET
WASHING MACHINE , HOSE BIBBS
ICE MAKER
UTiLlTY SINK •
REPLACE WASHING MACHINE HOSE 59.00
t (NECESSARY IF OLDER THAN 3 YRS.)
BAR SINK • REPLACE ICE MAKER LINT RUN THROUGH CABINETS 150.00
HOSE BlBB --•-REPLACE°ICE,MAKER LINE.OVERHEAD 250.00
REPLACE SHOWER RISER & TUB RISER TOMISC. LEtt MAINFEEDEXISTING VALVES (NO TILE REPAIR, NOT RESPONSIBLE
FOR BROKEN TILE) TOTAL
ATTIC DROPS @ Sims $ 7S • REPLACE MAIN WATER LINE FROM METER TO HOUSE DOUBLE
LAV DROPS Fi---7 a $155 31 a IN PVC PIPING. (DRYWALL COST TO BE ADDED NO TEXTURING
OR PAINTING.) We
can install at an added cost armflex insulation'to hel control f Li11 ^ p heating
of the piping in attic space at an added cost. ask for estimate. • OTHER We
hereby propose to furnish materials and labor — in accordance with specifications above for the sum of: DROP
TOTAL L q, 4 gg • °O• EXTRA WORK Poo ° TOTAL PRICE REPIPING
PRICE BASED ON SCOPE OF WORK, LISTED ABOVE WITH THE FOLLOWING CLARIFICATIONS: NO
SPRINKLER SYSTEM LINES, POOL SUPPLY LINES, WATER SOFTENER OF ECU LINES ARE INCLUDED. ASK FOR SEPARATE PROPOSAL. NO
PATCHING OF CONCRETE, BLOCK, BRICK, STUCCO, WOOD OR SIDING ARE -INCLUDED, ASK FOR SEPARATE PROPOSAL. NO
PAINTING OF TEXTURE WORK WILL BE DONE. THIS IS EXTRA COST (NOTE: PAINTING MAY NOT MATCH OLD PAINT). NO
WALLPAPER OF TILE WORK WILL BE DONE. OUTSIDE
HOSE BIBBS WITH ELECTRICAL GROUND WILL HAVE TO REMAIN IN EXISTING METAL PIPING. ASK
EXTRA PRICE TO INSTALL YOUR NEW ARMFLEX INSULATION ON HOT AND COLD LINES LIC CAG 1816620 LIC # CFG057624
OVER YOUR WATER LINE! TO HELP CONTROL HEAT ON PIPES. I
HAVE READ AND UNDERSTAND THE ABOVE CLARIFICATIONS PAYMENT
IS DUE ON COMPLETION OF WORK ^ J This
price will include cold water lines from house valve throughout your home. Hot and cold water supply lines and stop valves will be replaced through
the use of your attic space. You may have a temperature rise on cold water tubing because of the heat in your attic. Ask for additional price on
armflex Ask for price to install ARMFLEX over PVC lines to control heat, cold and hot. Also in cooler months, hot water temperature will be less for ore.,,
fl ,
A forpri price
PLUMBING. A/C. HEATING. REfRIGERRTION. fLECTRICRL. WATER REMEDIRTION. BOILERS. WATER HEATERS. GENERAL CONTRRCTING.
A A PRICE
JJVVIV
6206 forest City Rd. RJUMIK
e
Orlando, FL 32810
GM,Orlando (407) 293-2642
PLUMBING. A/C. HEATING, REFRIGERATION. Tampa (813) 814-4477
ELECTRICAL WATER REMEDIRTION. BOILERS. Fax (407) 532-3370
WATER HEATERS. GENERAL CONTRACTING.
WARRANTY NORMAL
DATE
CONTRACT RES.COMM. DATE ORDERED
SERVICE CCAPPROVAL # 3 `-
k ` l
PHONE
DATE SCHEDULED Y
EMAIL
BILLING
NAME I
STREET
13
aa:
i r . C TY n _CSTATE jJP f JOBLOCATION
STREET CITY
STATE
ZIP PAYMENT: CHECK
NO.: CREDIT CARD
NO.: CASH: 77
D6TTIPT1061
rJF WOAk 7 1 41,
11A
M- t Gk
I
REFERRED BY:
SAW TRUCK GOOGLE YAHOO TV RADIO / INTERNET RADIO Rate our Company Pow Good Excellent RCtUALFi01f1 SWliOR((
bJiACi(ED OlN2rtEl4 ,;,. LABOR H CHARGES @
IHRs Date In
Out Approval PP TECHNICUINSIGNATU TOTLj%ECGE51' I agree
to allow Frank Gay Plumbing, Inc. or Frank Gay Services to
work on my property. If this invoice is not paid in full,
I override all laws of Florida and allow them to remove any parts
they put in. Venue Orange County, Florida. Payment due when
work completed. I agree to pay all collection costs, attorney fees,
and 18% interest or max allowed by Florida law. art t
PARTS' r
TRIP
CHARGE
TAXFlat
Rate
Hours Charged MISC. CONSOUNTE
3
00 AU ORM
SIGNATURE AMOUNT TOTAL 40WARRANTY
ONSTOPPAGES
IR96f M4 LIUCC161tl6ti11XIi M 1011111114 lfJfCln= rank Gay Plumbing, Inc.
is not responsible for any sewer cables that fray become lodged or broken in sewer system. Ve do not have
X-Ray vision. We do not know what is in the line. ARTS WARRANTY: AN parts
FOP or FGS (which is referring to Frank Gay Plumbing, Inc. and Frank Gay Services, Inc.) are limited oly to giving credit
as per manufacturer terms and oondifions.Any delays of credits or delays are not the responsibility of FGP or FGS, Any slocktn9 fees owner must
pay FGP 8 FGS all costs. Cannot guarantee owner provided parts. If we are delayed by damages of these parts GP 8 FGS notresponsible! ff sewer cable breaks oriodass in env Dart of sewer system ortank. owner is to Dav FGP hm,rly In remnva Dlaa ABOVE ORDERED WORK HAS
BEEN COMPIETHIAND IACIOIOWLEDGERECEIPT OFMYCOPY. X - DATE ie cost of broken
cable.
We
do riot have X-ray vision. Also, any bad checks mustjbe paid in 3 days with a charge of $75100 bank fee and cAeclions fee. Any monies unpaid to FGP or FGS, owner agrees to pay all collection costs, all rttomay costs, judgment' Gen casts, plus
18Yo loterest from due date or max albwad by Florida law. This is a binding contract between FGP Inc. or FGS Inc. with consldemtion of $10,00 value. Venue: Orange County, Florida. Owner waives -" it rob of non-payment if
not on job site. LABOR GUARANTEE: The laboecharge as recorded here relative to the equipment serviced as noted is guaranteed for a period of 30 days. We do not, of mum, guarantee other Ian those We install. If repairs
later become necessary due to other defective perils, they will be charged separately. TERMS 8 CONDMONS OF SALE: No warranty on sewer stoppages and pad fry lays owner plus de. Not responsible itsewerabebrakes n I:ne -Owner
is q pay us b get A ouL Wwmty ofpals by manufa wm Hams and specs. Terms and mMi6ons as follows: Any defeclive part owner must save and show to Frank Gay Plumbing I Services and give us notice T written form will: tlentiun: RaYc 6ayr wihin ten(1g)
drys. AN returned decks must be pail within three ((33) days pots a SI00 banknig fee. If not pad in full within popasal terms or upon completion, owner agrees that all collection=is, a8omey fees, murtcosh, adrninerwr e mxedng costs, smaq claims court costs,
etc. wO be paid byovner plus 18% interest almex atmred by Florida Law from due date on bad deck or any unpaid muses due. A taken to any Small as rns Court or other Court owner wiT pay all collection costs. his oxrbai has consideration of $10.
9) and by mutual signing of this contract exchange of work and materials in exchange of monies. This is a binding contact. Venue Orange County, Flanda. If cornpanyor owner not on site you waiver your right not to pay.