1005 W 8 St BR17-2751 Demo structureCITY OF SANFORD
E PREVENTION
Rs o 2 17u
BUILDIN PERMRT APPLICATION
By, — Application No:
DErteGrTle l
LoT C' to TQ l3 Documented Cau trnz+,nn Value: $
SEin o le,PRkK f 4 f P6 />
Job Address: 100.S W. 3x- T fgtl OLpI FL 327?/
Parcel ID: 25_—t l — 30 —,54 / —103 00 (0
Type of Work: New Addition Alteration Repair
24600.
00
Historic District: Yes No
T Residential commercial
Demo Change of Use Move
Description of Work: 40CM6Z-tTraA1 !Vt9-y1-t 14G OF S.IA(64E SS UV
rfree eA-M4-6t0 A_0J E. iy ofE
Plan Review Contact Person: (!hWPW E- /i1Cc 7( Title: .BrJrlLQ z
Phone: _M—,M-1Q$2 Fax: Email: /NcHBylLoE QfLtec4 f1-al •6M
Property Owner Information
Name C#i9--R."?rE /c,2 DER(eK
Street: ! 0 0 ( W • $ — ST
City, State Zip: 5#APC0,eD, Phone:
32/— 377— -7712 Resident
of property? : IfyArC Contractor
Information Name
E - I1 1lGGlr Street:
S/S 19%EL . City,
State Zip: Q, t*A(QQ, FL . 3zyo Name:
Street: `
City,
St, Zip: Bonding
Company: Address:
Phone: (
1107— 1)1q2-' 1192- Fax:
State
License No.: CIiC 0 _57 07q 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 COMMENCEMENT.
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:
Jute 30, 2015 Permit Application
xJ
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.
JC
l •
Signature of Owner/Agent Date S gnatu e of Contractor/Agent Date
ff{a CEf E: ,LyArelt
PrintOwner/Agent's Name Print nttracttoor//Aggent'sName
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
of N
DEHBIE ?l ftKIUNrpYFOGF ' g .*: Ml' COMhh13SICN ai'r"r 17854$
EXPIRE& Fabrinry 25, 2019
I "•',': ,; . ;' bonded7htu Noiarr Public Undenvnte.*s
Contractor/Agent is Personally Known to Me or
Produced ID Type of ID tf
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BELOW IS FOR OFFICE USE ONLY
Permits Required: Building Electrical Mechanical Plumbing Gas Roof
Construction Type: Occupancy Use: Flood Zone: -
Total Sq Ft of Bldg: Min. Occupancy Load:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes No # of Heads
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
Revised: June 30, 2015
UTILITIES:
FIRE:
of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
Pennit Application
j
I
i-.
L & S Hauling
8710 Garden Way Road
Groveland, Florida 34736
407-402-0593
Contract submitted to: Date 9-15-17
Mr. Keith Humphry
1005 W 8th St.
Sanford, Florida
321-377-7712 Pg. 1 of 1
We hereby submit specifications and estimates for:
The complete demolition and hauling of the existing house located at:
1005 West Bch St. Sanford, Florida
Completion time: work will be substantially completed (5) working days
Monday to Friday) from the day work begins.
We contract hereby to furnish labor and materials - complete in
accordance with the above specifications for the sum of:
Two Thousand Four Hundred dollars $2,400.00
Payment to be made as follows:
20% when this contract is accepted.
Balance due on completion.
Acceptance of contract - The above prices, specifications and
conditions are satisfactory and are hereby accepted. You are authorized
to do the work as specified. Payment will be made as outlined above.
Note: This contract may be withdrawn by the builder if not accepted
within seven (7) days. ,, n
Demolition/Hauling Contractor.
Owner Owner