HomeMy WebLinkAbout223 W 3rd St monitoring wellbc\
AUG 13 2012CITY OF SANFORD
VED,
VE
1 BUILDING & FIRE PREVENTION
` BY. PERMIT APPLICATIO
G�
Application No:^.� f� r] Documented Construction Value: $ �. S
f
Job Address: 3 lA� 2` d S Historic District: Yes ❑ No ❑
Parcel ID• Zoning:
Description of Work: bi e i 1
Plan Review Contact Person: W aj Title:
Phone: i �S13�'�`�_7 Fax: E-mail: W H a, I h 11 I
co -it - alai—R(00-01 e7 Property Owner Information
Name ; Ga T_30Lc(c. -r •Shy r lei
Street:
City, State Zip:
Phone:
Resident of property? :
Contractor Information
Name J' e- J i�tS
Street: 3 I as Ci _ k 0 vw.oa.
City, State Zip: ��CL tg„(_f 3 3 U
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Building Permit ❑
Square Footage:
No. of Dwelling Units:
Phone: S- I �, L/ L-/& , to "� 3 1
Fax:
State License No.:
Architect/Engineer Information
Phone:
Fax:
E-mail:
Mortgage Lender:
Address:
PERMIT INFORMATION
Construction Type:
Flood Zone:
Electrical ❑
New Service — No. of AMPS:
Mechanical' ❑ (Duct layout required for new systems)
No. of Stories:
Plumbing ❑ :..
New. Construction - No. of Fixtures:
Fire Sprinkler/Alarm ❑ No. of heads:
00
.I;qq
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
c�
Signature of Contractor/Agent Date
Print Contractor/Agent's Name
Signature of Notary -State of Florida Date
Contractor/Agent is Personally Known to Me or
Produced ID Type of ID
APPROVALS: ZONING: Oh &S, 13-12- UTILITIES: i� •76 /Z WASTEWATER:
BUILDING:
ENGINEERING: J'1-" Z FIRE:
COMMENTS:
Rev 11.08
rir ill ���ii���l■ ■
0
Permit #
Workers Camp. Verified:
BUILDING DIV/5/ON
COMMERCIAL PERMIT APPLICATION
« RITF PLANS RPOUIRE13 FOR ALL COMMERCIAL PERMITS "
Job Street Address:
I Life Safety Code in effect:
Date:
Type of Construction per FBC:
City & Zip:
Name of Bldg I Complex:
Proposed Use:
Parcel ID: - - -
-
-
Square ft. of Cond. Space:
Owner Name: „t
Affected Square ft.:
AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERMANENCE OF CONSTRUCTION.
Address: —1 VTll
f City:
.4sr .Co State: 2.1
Zip: 7 7/
Phone:
Fax:
❑ Mechanical
❑ Plumbing ❑
Fee Simple Titleholder's Name (if other than owner's):
Address:
I City:
State:
Zip:
Contractor Company: Ae, ,eo0
ey.,e
License Holder Name: ,p /
//
License Number.
Address:
City:
,a State:
ZIp:
Phone: / -/o
Fax:
Architect/Engineer's Name:
Phone:
Address:
City
State:
Zip:
CONTACT PERSON: ,t
PHONE:/ 'L/
lO-l08
EMAIL: ,Q c
FAX:
Florida Building Code In effect:
I Life Safety Code in effect:
PLUMBING
Type of Construction per FBC:
Occupancy Classification:
Automatic Sprinklers:
YES ❑ NO
Existing Use:
Proposed Use:
Other:
Valuation of Work (Estimate): $ !o
GRANTED BY THE BUILDING OFFICIAL IF REQUESTED IN WRITING AND JUSTIFIABLE CAUSE IS SHOWN.
Square ft. of Cond. Space:
Total Square ft.:
Affected Square ft.:
Work Description:
MECHANICAL
PLUMBING
ROOFING
LOW VOLTAGE
GAS
IRRIGATION
OTHER
NOTICE: THIS APPLICATION BECOMES NULL AND VOID 180 DAYS AFTER THE DATE OF FILING, UNLESS SUCH
APPLICATION HAS BEEN PURSUED IN GOOD FAITH OR A PERMIT HAS BEEN ISSUED. EXTENSIONS MAY BE
GRANTED BY THE BUILDING OFFICIAL IF REQUESTED IN WRITING AND JUSTIFIABLE CAUSE IS SHOWN.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND
CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE
AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERMANENCE OF CONSTRUCTION.
New Construction ❑
Addition ❑ Alteration
❑ Change of Use
❑ Demolish ❑
Well W
Roof ❑ Electrical
❑ Mechanical
❑ Plumbing ❑
Sign ❑ 1 Security Alarm ❑ I Fire Alarm ❑ 1 Fire Sprinkler ❑ Other ❑
Utilities: Check all items that apply, if other than Seminole County water & sewer, a Utility Letter is
required
Septic Tank ❑ Well ❑ Existing Well ❑ Public Water ❑ Public Sewer ❑
Subcontractors License # gusiness Name angor License noruers
Name
ELECTRICAL
MECHANICAL
PLUMBING
ROOFING
LOW VOLTAGE
GAS
IRRIGATION
OTHER
NOTICE: THIS APPLICATION BECOMES NULL AND VOID 180 DAYS AFTER THE DATE OF FILING, UNLESS SUCH
APPLICATION HAS BEEN PURSUED IN GOOD FAITH OR A PERMIT HAS BEEN ISSUED. EXTENSIONS MAY BE
GRANTED BY THE BUILDING OFFICIAL IF REQUESTED IN WRITING AND JUSTIFIABLE CAUSE IS SHOWN.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND
CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE
AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERMANENCE OF CONSTRUCTION.
THE VALUATION FOR THIS PERMIT WILL BE CALCULATED USING THE ICC BUILDING VALUATION DATA USING THE
GOOD CATEGORY. BY MY SIGNATURE, I ACKNOWLEDGE THIS FACT AND WAIVE ANY RIGHTS TO APPEAL SAID
VALUATION AND OR PERMIT FEES.'
Printed Name < <. \
/
Signature ofon c r --
Date
1101 EAST FIRST STREET SANFORD FL 32771-1468 PHONE (4071665-7050 FAX (407) 665-7486
COMMERCIAL WORKSHEET
ELECTRIC
ELECTRIC COMPANY: (Check box) Florida Power & Light ❑
Progress Energy ❑
SERVICE
SIZE:
Old Amps:
I Volts:
Single Ply ❑
Single Phase ❑ Three Phase ❑
New Amps:
Volts:
Single Phase ❑ 1 Three Phase ❑
Items
# of Units
Outlets & Switches (each)
Lighting Fixtures
AIC outlets
Cnnnnnn— Par nfanla Sfrin Ppr Outlet
Service & Feeders
Motors (list individually
r,pnpratnr Tvnp tin HP)
Air Conditioners (list indi
Exhaust Fans up to 1HP
Attic and Paddle Fans
Motors & Generator
HVAC Equipment
MISC. Electric
Electric Elevator ❑ Electric Range ❑ Water Heater ❑ Pump Service ❑
Change of Service ❑ Dryer ❑ Cook Top ❑ Dish Washer ❑
Welder <50A ❑ Welder >50A ❑ X -Ray [3Dental Units ❑
Oil Burner Units ❑ Transformer ❑ Transfer Switch ❑ Misc. (List Below) ❑
Total
Number
OTHER TRADES
MECHANICAL: Valuation of Work $
PLUMBING: Valuation of Work $
RnnFR.
Asphalt / Fiberglass Shingles ❑
Tile ❑
Slate ❑
Wood Shingles / Shakes
❑
Flat/ Built Up ❑
Single Ply ❑
Liquid Applied ❑
Metal ❑
WELLS:
Deep Well 131 Shallow Well 10 1 Pump/Plumbing Equipment Installation ❑ 1 Well Abandonment ❑
NOTE: For water systems supplying more than 25 people, a Construction Permit through St. John's River Water
Management District must be obtained and have approval through the Department of Environmental Services at the
State level.
All wells over 4" diameter shall have a construction permit and consumptive use permit through St. John's River
Water anagemyE)[sturit prior to a permit bein issued by the Building Division.
4� -.,VIa
Sip rxe e d primed name of Contraolor Dale
s
Enviroprobe Service, Inc.
Payments & A/R to:
Enviroprobe Service, Inc.
908 N Lenola Road
Moorestown, NJ 08057
856-858-8584
Deliveries/Warehouse:
Enviroprobe Service, Inc.
3125 Old Tampa Highway
Lakeland, FL 33803
863-393-9321
Name /Address I
AEI
Accounts Payable
2500 Camuno Diablo
Walnut Creek, CA 94597
Estimate
Date
Estimate #
8/7/2012
3122
Project
Description
Qty
Rate
Total
Mobilization to site
1
200.00
200.00
Geoprobe 661ODT W/Operator & Helper (full day)
1
1,500.00
1,500.00
2" X 15' Flushmount well installation
1
375.00
375.00
Monitorng Well Permit
1
80.00
80.00
55 -Gallon Reconditioned Drum (Place soil and or water into drum)
2
55.00
110.00
Site Location: Jacks Cycle & Salvage - 223 3Rd Street West,
Sanford, Seminole County, Florida 32771
Contact: Mike Cross
SOW: Install one (1) 2" monitoring well to a depth of 15' bgs. The
well will be finished at the surface with a flushmount well protector.
The attached General Terms & Conditions have been incorporated into and made part of this
propoosal.
Subtotal $2,265.00
Sales Tax (0.0%) $0.00
Total $2,265.00
S MINOZE
GOLIN7Y
FLORIDA'S - NATuRAL CHOICE .
Revlred-December T010
Uli
:.. : Altamonte Springs Building Department O
Casselberry Building Department 40
Lake Mary Building Department
Longwood Building Department.-
Oviedo Building Department
Lake
Sanford Building Departmento
�sHarney
Geneva
r�
Seminole County Bldg. Dept. O
i� `Winter Springs Building Dept. Q
Health Department -Septic O
Water & Sewer Department.
- Recording Office
Chuluota
.. Public Safety Building 0
t' , r
Department
Full address listing on the other side
11
ALTAMONTE SPRINGS
BUILDING DEPARTMENT
225 Newburyport Ave
� Altamonte Springs, FL 32701
407-571-8433
CASSELBERRY BUILDING
DEPARTMENT
95 Triplet Lake Dr
Casselberry, FL 32707
407-262-7700 ext. 1103.
LAKE MARY MARY BUILDING
DEPARTMENT
911 Wallace-Ct
Lake Mary, FL 32746
407-585-1360 or 1361 or 1362
LONGWOOD BUILDING
DEPARTMENT
174 West Church Ave
Longwood, FL 32750
407-260-3464
ft.vljea-D.ceaiher'2010. .... .
SEA111NOZ C
FLORIDA'S NATURAL CHOICE
OVIEDO BUILDING
DEPARTMENT
420 Alexandria Blvd
Oviedo, FL 32765
407-971-5755
SANFORD`BUILDING
DEPARTMENT
300 North. Park Ave
Sanford,. FL 32771
407-688-5150
SEMINOLE COUNTY
BUILDING DEPARTMENT
.•.1101 East First Street
Sanford, FL 32771
407-665-7050,
WINTER SPRINGS -BUILDING
DEPARTMENT
1126 East SR 434
Winter Springs, FL 32708
407-327-1800
HEALTH DEPARTMENT
` SEPTIC
not 54sT Fir,,4 54n-_
54ti-P-54., )1. 3277/
407-665-3605
WATER P SEWER
DEPARTMENT
500 West L.ake'Mary Blvd
Sanford, FL, 32773
407-665-2143
RECORDING OFFICE.
1750 E. Lake Mary Boulevard ;
Sanford, FL 32773
407-665-4340
PUBLIC'SAFETY BUILDING
FIRE DMSION
150 Bush Blvd. `
Sanford, FL 3277.3
407-665-1575
or 407-665-5180
SCPA Parcel View: 25-19-30-5AG-0505-0060
0avki Jolvvicn.. CFA Parcel: 25-19-30-5AG-0505-0060
"
PROPERTY Owner: RIGGAN JACK F & SHERRY A
APPRAISER
SEPAWOLECOIROY, FLORIDA Property Address: 223 W 3RD ST SANFORD, FL 32771
< Back Save Layout Reset Layout New Search
Parcel: 25-19-30-5AG-0505-0060 I Value Summary
Property Address: 223 W 3RD ST
Owner: RIGGAN JACK F & SHERRY A
Mailing: 145 E 6TH ST APT 1
MOUNT DORA, FL 32757 - 5502
Subdivision Name: SANFORD TOWN OF
Tax District: SI-SANFORD
Exemptions:
DOR Use Code: 11 -STORES GENERAL -ONE STORY
rt3 I I
¢ W 3RD ST
W
Lui
dot
V)
W_ 4TH ST
Map Aerial Both Footprint + - Extents ICenter
Larger Map I I Dual Map View - External
Tax Amount without SOH: 54,280
2011 Tax Bill Amount
Tax Estimator
Save Our Homes Savings:
* Does NOT INCLUDE Non Ad Valorem
Assessments
54,280
so
Legal Description
2012 Working
2011 Certified
Values
Values
Valuation
Method
Cost/Market
Cost/Market
Number of
2
2
Buildings
Find Comparable Sales within this Subdivision
Land
Depreciated
$68,403
$75,445
Bldg Value
Building Information
Depreciated
# Description BIr Stories Total SF Ext Wall dj Rep[ Value Value Appendages
1 WOOD 1959 12,005.00 WOOD -HARDBOARD WITH $33,720 576,635
BEAM/COLUMN WOOD OR METAL STUDS
EXFT Value
Land Value
$139,390
$139,390
(Market)
Land Value Ag
Just/Market
$207,793
$214,835
Value **
Portability Adj
Save Our Homes
s0
SO
Adj
Amendment 1
s0
SO
Adj
Assessed Valuel
$207,793
$214,835
Tax Amount without SOH: 54,280
2011 Tax Bill Amount
Tax Estimator
Save Our Homes Savings:
* Does NOT INCLUDE Non Ad Valorem
Assessments
54,280
so
Legal Description
LOTS 6 7 & 8 & THAT PART OF MYRTLE STREET N OF 4TH ST & S OF RY BLK 5 TR 5 & E 1/2 OF VACD R/W ADJ ON W TOWN OF
SANFORD PB 1 PG 58
Tax Details
Taxing Authority Assessment Value Exempt Values Taxable Value
County General Fund 5207,793 s0 S207,793
Schools 5207,793 so 5207,793
City Sanford 5207,793 $0 5207,793
SJWM(Saint Johns Water Management) 5207,793 $0 $207,793
County Bonds 5207,793 s0 S207,793
Sales
Deed Date Book Page Amount Vac/Imp Qualified
WARRANTY DEED 03/2001 04022 1566 $160,000 Improved No
Find Comparable Sales within this Subdivision
Land
Method Frontage Depth Units Unit Price Land Value
SQUARE FEET 0 0 27,878.000 5.00 5139,390
Building Information
# Description BIr Stories Total SF Ext Wall dj Rep[ Value Value Appendages
1 WOOD 1959 12,005.00 WOOD -HARDBOARD WITH $33,720 576,635
BEAM/COLUMN WOOD OR METAL STUDS
Page 1 of 2
http://www.scpafl.org/ParcelDetails.aspx?PID=25-19-30-5AG-0505-0060 8/10/2012
Vacant Land
L ��tJ2�ae 20- C 4
er.mn_:........_.....id5:b3 _......._..._...»
:rye. �IW
CIWTMLfAC Or N• N.AML
5
214 - 220 Oak Avenue
Mulls-Tenent Commerclel
EOwned by Jack & Shirley
Not Included In Asset
QSubject Buildings
SFR
UR )4--••STf;EE-F—_
SFR
SFR
SITE MAP N
223 3rd Street West, Sanford, Florida 32771
Lg�gend
Approximate Property Boundary -
Proposed Monitoring Well FIGURE 2
AE1
Project Number: 306123 Cpt•lSll,1ltants
D 111111
• �= �.
PERMIT# /A q:;-) ir-I
PROPERTY OWNER A 1 Q Q
INSPECTION REQUEST LINE - 407.688.5151
ADDRESS aA !� w 3,d s&+
CONTRACTOR -9 rj -,) j r o Q r•O 6 e. E;er UI '-L es
DESCRIPTION OF WORK M O /1 i �f 1 n Q 1A)G
*MANUFACTURE SPECIFICATIONS OR INSTALL INSTRUCTIONS NEED TO BE ON SITE*
BUILDING
ELECTRICAL
PLUMBING
HVAC*
* Florida energy code requires
verification of matched systems
FINAL SIDING
TEMP POLE
ROUGH -IN / PRESSURE TEST
ROUGH IN
FINAL SOFFIT/FASCIA
ROUGH IN
SEWER TEST
FINAL
RE - ROOF
FINAL
IRRIGATION
SHEATHING/DECKING
CHANGE OF SERVICE
FINAL
DRY -IN
INSULATION
MITIGATION AFFIDAVIT
FINAL
INSPECTION CARD SHALL BE DISPLAYED ON STREET SIDE OF LOT
DO NOT REMOVE CARD UNTIL FINAL INSPECTION IS APPROVED
SANITARY FACILITIES REQUIRED ON SITE
"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 OF COMMENCEMENT REQUIRED: YES Pe`� NO
BUILDING OFFICIAL rn' • TECH INITIALS ISSUED 0 9' -9 A. /
Issued permits must have an approved inspection within 6 months of the date of.issuance or they will expire.
An extension must be requested in writing, approved and paid for prior to expiration.
89*58'20V" E 4
52.00'
C-
5
214 - 220 Oak Avenue
Multi -Tenant Commercial
Vacant Land
------ — - — - — - — - — - — - — -- -q—THREI
1—Y `r69'50'ZVW- N8958'2=W-
4'�4 Unpaved
Lar i PA%Parking
SLOCK 5 PARCEL #1 j" 8337 sowerreer 6
nee PARCEL #8
6 303 W. d Street n. 302 Oak Avenue
Com rc lal
Residence
-------------
Commercial - Vacant I ,
4 Area
Lor & Bldg Bldg
7
ALDCK 7 PARM J 112
8792 -rIER 6 7 312 Oak Avenue
Residence
- ----------------- -�i i�— -
.............. . .........
Aacir
LLOT 2 5 Bldg. Bldg. x
3 MW
2
Trasw 3
318 Oak Avenuo
Residence
Engine
Storage "—led Z;4111 I
0
9 4
Bldg. 318 Oak Avenue
5 M Residence
36 ...... . .....
a m 212 4th Street
4 1 10 r 5
1 320 Oak Avenue
r I Residence
i
ED Owned by Jack & Shirley Rigg
n
Not Included In Asset
ElSubject Buildings q--FGUR' 14--ST-REE-T--
SFR SFR SFR
SITE MAP N
223 3rd Street West, Sanford, Florida 32771 A
Legend
Fpe�e_n
pr,oxim
Approximate Property Boundary
-
Proposed
roposed Monitoring Well FIGURE 2 A
Project Number: 306123 Consultants