HomeMy WebLinkAbout4085 W 1ST ST 18-4331I
i4FORD SA
FIRE DF. PAR7tviENI
\*-V g�6c�—
Building & Fire Prevention Division
PERMIT APPLICATION
Application No ��Cr,fJjO
Documented Construction Value: $ �,, �C" ="
Job Address: 4085 W 46 SANFORD, FL 32771 Historic District: Yes7No❑
Parcel ID: 28-19-30-506-0000-0090 Residential❑ Commercial
�ype of Work: New❑ Addition❑ Alteration Repair❑ Demo Change of Use❑ Move❑
Description of Work: BATHROOM ADA COMPLIANCE UPGRADES
Plan Review Contact Person: MARIO A. GOMEZ Title:
Phone: 954-214-4087 Fax: Email: mario@greatdanepetroleum.com
Property Owner Information
Name SAAD INV INC Phone:
Street: 4001 E LAKE AVE Resident of property? : _
City, State Zip: TAMPA, FL 33610
Contractor Information
Name GREAT DANE PETROLEUM CONTRACTORS Phone: 954-214-4087
Street: 1330 S. ANDREWS AVE Fax:
City, State Zip: POMPANO BEACH, FL 33069 State License No.: CBC045595
Architect/Engineer Information
Name: NISIT SAPPARKHAO, PE Phone: 813-434-4770
Street: 1208 E. KENNEDY BLVD., SUITE 230 Fax:
City, St, Zip: TAMPA, FL 33602 E-mail: Nisit@iegroup.net
Bonding Company: Mortgage Lender:
Address: 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. 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. 1 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: 614 Edition (2017) Florida Building Code
Revised: January I, 2018
Permit Application
c
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.
1 10111) it
Signature of Owner/Agent Date
Print Owner/Agent's Name late, /,y
I
4`
SigninureofConuactodAgent Date
Print C'ontractoriAgent's Name
ID/lei
`�����` ;�• .nN .;�S�. ���
Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing❑ Gas❑ Roof ❑
Construction Type: Occupancy Use:
Total Sq Ft of Bldg: Min. Occupancy Load:
New Construction: Electric - # of Amps,
Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads
PO
APPROVALS: ZONING: ).3J. UTILITIES:
ENGINEERING:
FIRE:
Flood Zone:
# of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes ❑ No ❑
WASTE WATER:
_ BUILDING: 1( -t -W
COMMENTS: ?1tnni2� hQS nj /sSuse Wit* 2-Ae IN+eritir A011
" Sewn an r) 14k0%.
Revised. January I, 2018 Permit Application
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Contractor/Agent is Personally Known to Me or
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Produced ID Type of ID �yu
Produced ID Type ofID ��'
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing❑ Gas❑ Roof ❑
Construction Type: Occupancy Use:
Total Sq Ft of Bldg: Min. Occupancy Load:
New Construction: Electric - # of Amps,
Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads
PO
APPROVALS: ZONING: ).3J. UTILITIES:
ENGINEERING:
FIRE:
Flood Zone:
# of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes ❑ No ❑
WASTE WATER:
_ BUILDING: 1( -t -W
COMMENTS: ?1tnni2� hQS nj /sSuse Wit* 2-Ae IN+eritir A011
" Sewn an r) 14k0%.
Revised. January I, 2018 Permit Application
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C{TY OF
JRS.__NF0R..D
�6 Building & Fire Prevention Division
�� �' �''' PERMIT APPLICATION
riRE DEPARTMENT
Application No:
Documented Construction Value: $ /� ¢%S1?
Job Address: 4085 W 46 SANFORD, FL 32771 Historic District: Yes Wv]No❑
Parcel ID: 28-19-30-506-0000-0090 Residential❑ Commercial
Type of Work: New❑ Addition❑ Alteration❑✓ Repair❑ Demo Change of Use❑ Move
-Description of Work: PLUMBING FOR BATHROOM ADA COMPLIANCE UPGRADES
Plan Review Contact Person: MARIO A. GOMEZ
Phone: 954-214-4087 Fax:
Name SAAD INV INC
Street: 4001 E LAKE AVE
Email: mario@greatdanepetroleum.com
Property Owner Information
Phone:
Resident of property?
City-, State Zip: TAMPA, FL 33610
Contractor Information
Name GREAT DANE PETROLEUM CONTRACTORS Phone: 954-214-4087
Street: 1330 S. ANDREWS AVE Fax:
City, State Zip: POMPANO BEACH, FL 33069 State License No.: CFC056733
Architect/Engineer Information
Name: NISIT SAPPARKHAO, PE Phone: 813434-4770
Street: 1208 E. KENNEDY BLVD., SUITE 230 Fax:
City, St, Zip: TAMPA, FL 33602
Bonding Company:
Address:
E-mail: Nisit@iegroup.net
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: 6u' Edition (2017) Florida Building Code
Revised: January 1, 2018 pennit Application
r
a ,
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 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 ofOwner/Agent Date Signature ofConnicnn A ant Ddel
_
Print Owner/Agents Name �/• i Print Contractor/Agent's Name
SignatureSignauue of Notary -State Florida
/0191
au -CA ERze`rOr�pp' 9 i
:'�'Ot' �°�Si•
, :M'!."•' MARIOAt;OMEZ
MY COMMISSION#GG153722
_ * • �*
•,:`,,^:°"
p EXPIRES: November 4, 2021
2, •• y #(it;155795
Owner/Agent is Personall}^%?tlJ* ft Me�
Produced ID Type oelD!�
Bonded Thru Notay Publk UrderwrEete
Contrac or gent is rsona v Known to Me or
Produced ID Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building ❑ Electrical ❑ Mechanical
❑ Plumbing❑ Gas❑ Roof ❑
Construction Type: Occupancy Use:
Total Sq Ft of Bldg: Min. Occupancy Load:
Flood Zone:
# of Stories:
New Construction: Electric - # of Amps Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes ❑ No ❑
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
# of Heads Fire Alarm Permit: Yes ❑ No ❑
UTTLiTiES:.'//LC��
FIRE:
WASTE, WATER:
BUILDING:
Revised, January 1, 2018 Permit Application
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crYOF �d
flding & Fire Prevention Division
its,;L'V F V RD e G} �1�t l PERMIT APPLICATION
FIRE DEPAR1'MEE �, -sJ
Application No:
Documented Construction Value: $ �S _
Job Address: 4085 W 46 SANFORD, FL 32771 Historic District: YesFv-]No❑
Parcel ID: 28-19-30-506-0000-0090 Residential❑ Commercial
• Type of Work: New❑ Addition❑ Alteration Repair❑ Demo ❑ Change of Use❑ Move❑
Description of Work: ELECTRICAL FOR BATHROOM ADA COMPLIANCE UPGRADES
Plan Review Contact Person: MARIO A. GOMEZ
Phone: 954-214-4087 Fax:
Name SAAD INV INC
Street: 4001 E LAKE AVE
City, State Zip: TAMPA, FL 33610
Title:
Email: mario@greatdanepetroleum.com
Property Owner Information
Phone: Q a '�
Resident of property? :
Contractor Information
Name GREAT DANE PETROLEUM CONTRACTORS Phone: 954-214-4087
Street: 1330 S. ANDREWS AVE
City, State Zip: POMPANO BEACH, FL 33069
Fax:
State License No.: EC0001046
Architect/Engineer Information
Name: NISIT SAPPARKHAO, PE Phone: 813-434-4770
Street: 1208 E. KENNEDY BLVD., SUITE 230
City, St, Zip: TAMPA, FL 33602
Bonding Company:
Address:
Fax:
E-mail: Nisit@iegroup.net
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. 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.
FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 61° Edition (2017) Florida Building Code
Revised. January 1. 2018 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 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 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 'rabic 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: 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.
������ ►0� II )�� !o �q (19
Signatures of Owner//\Agent Date Signature of Contractor/Agent
--Date
15\ 1� :��
Print Owner/Agent's Name
2'. o �i(i 1557yf
Owner/Agent is Personallye Qr
Produced ID Type of ID% p�ddcodY,
iI:
• V r
Print Contractor/Agent's Name
MARIO A GOMEZ
MY COMMISSION M GG 153771
t7(PIRES: November 4, 2021
/all 9e
Contractor/Agent is _ Personally Me or
Produced ID Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing[] Gas[] Roof ❑
Construction Type: Occupancy Use:
Total Sq Ft of Bldg: Min. Occupancy Load:
Flood Zone:
# of Stories:
New Construction: Electric - # of Amps Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads
APPROVALS: ZONING:
ENGINEERING:
UTILITIES:
FIRE:
Fire Alarm Permit: Yes ❑ No ❑
WASTE WATER: t '4/ -101a 6110
BUILDING:
Revised: January 1, 2018 Permit Application
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: t 1 KFORD
FiRE DEPARTMENT
lg
n Q' ��$uilding & Fire Prevention Division
��� PERMITAPPLICATION
Application No: D
Documented Construction Value: S 7S�•
Job Address: 4085 W 46 SANFORD, FL 32771 - Historic District: YesW1No❑
Parcel ID. 28-19-30-506-0000-0090 Residential❑ Commercial
Type of Work: New❑ Addition❑ Alteration Repair❑ Demo ❑ Change of Use❑ Move ❑
Description of Work: MECHANICAL FOR BATHROOM ADA COMPLIANCE UPGRADES
Plan Review Contact Person: MARIO A. GOMEZ
Phone: 954-214-4087 Fax:
Title:
mario@greatdanepetroleum.com
Property Owner Information
Name SAAD INV INC Phone:
Street: 4001 E LAKE AVE Resident of property?
City, State Zip: TAMPA, FL 33610
Contractor Information
Name MGM EQUIPMENT LLC Phone: 954-214-4087
Street: 5941 SW 21 ST ST Fax:
City, State Zip: WEST PARK, FL 33023 State License No.: CACO44859
ArchitectiEngineer Information
Name: NISIT SAPPARKHAO, PE Phone: 813-434-4770
Street: 1208 E. KENNEDY BLVD., SUITE 230 Fax:
City, St, Zip: TAMPA, FL 33602
Bonding Company:
Address:
E-mail: Nisit@iegroup.net
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. 1 understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools,
furnaces, boilers, heaters, tanks, and air conditioners, etc.
FOC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 611' Edition (2017) Florida Building Code
Revised: January 1, 2018 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 constr tion and oni
Signalme of Owner/AgentDaDa—�1— Signature ofContractar/Agent ate
90i,s�'A W XCo1Ds%,n%
Print Owner/Agent's Name/r Print Contractor/Agent's Name t
�� � 1 111IH111Nrrrr <!: /o�9/�B
fSrgltarre ofNotary-Stare of Florida `�\\�. •,iJ�,r/ Signature ofNotary-State of Florida Date
wo
r \�O•Coo9Eltzq 79 �:rt%° MARIOAGOMEZ
r�o�t ,'.A•;` MYCOMMISSION#GG153722 _
*• •.� 2* a.�� F�IRE3:November4,21121
o 7'GG 1557 ` ''AOP!M1e•P•• Bolded Thm Notary Public UndWMlAem
Owner/Agent is Persorially�dp'dvie r ! �� nown to Me or
Produced ID Type of.ID ioa� Produced ID Type of lD
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing❑ Gas❑ Roof ❑
Construction
Total Sq Ft of Bldg:
Occupancy Use:
Min. Occupancy Load:
New Construction: Electric - # of Amps,
Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads
APPROVALS: ZONING:
COMMENTS:
UTILITIES:
Flood Zone:
# of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes ❑ No ❑
WASTE WATER:
ENGINEERING: FI /a zy BUILDING:
Revised: January I, 2018 Permit Application
INSPECTION SEQUENCE
BP# 18-4331 W
ADDRESS: 4085
BUILDING PERMIT
Min Max
Inspection Description
10
Footer / Setback
Stemwall
10
Slab / Mono Slab
Lintel / Tie Beam / Fill / Down Cell
10
Sheathing — Walls
Sheathing — Roof
Roof Dry In
20
Frame
30
Insulation Rough
Firewall Screw Pattern
40
Drywall / Sheetrock
Lath Inspection
Building Ceiling Air Barrier
Insulation Roof Com'1)
Building Ceiling Grid
Final Roof
Final Stucco / Siding
Final Insulation
Final Firewall
Final Door
Final Window
Final Utility Building
Final Screen Structure
Final Pool Screen Enclosure
Pre -Demo
Final Demo
Final Single Family Residence
Final Commercial —
1000
Final Commercial — Addition / Alteration
Final Commercial — Change of Use
Final Building (Other)
REVISED: June 2014
ELECTRICAL PERMIT
Min Max
Inspection Description
10
Electric Underground
Footer / Slab Steel Bond
Electric Ceiling Rough
Electric Wall Rough
10
Electric Rough
Pre Power Final
Temporary Pole
1000
Electric Final
PLUMBING PERMIT
Min Max
Inspection Description
10
Rough Plumb
Plumbing Underground
Plumbing 2nd Rough
Plumbing Tubset
Plumbing Sewer
Plumbing Grease Trap Rough
Plumbing Steam / Chill Water Rough
1000
Plumbing Final
MECHANICAL PERMIT
Min Max Inspection Description
Mechanical Rough
Mechanical Fire Damper Framing
Mechanical Ceiling Rough
Mechanical Fire Damper Annular Space
Mechanical Insulation Wrap
Mechanical Fire Damper Angle
Light / Water Test Ck Welds
Mechanical Grease Duct Wrap
Mechanical Final
CITY OF SANFORD BUILDING AND FIRE PREVENTION DIVISION
FIRE PLAN REVIEW SERVICE FEES
PHONE: 407.688.5052
FAX: 407.688.5051
DATE: - //zy�n PERMIT NUMBER:
BUSINESS/PROJECT NAME:
ADDRESS: / t5 W. St
CONTACT NAME:
PHONE:
PLAN REVIEW INFORMATION
INSTRUCTION []C/O []FIREALARM []FIRESPRINKLER []HOOD []PAINTBOOTH []TANK
DOES 20% REDUCTION IN FIRE IMPACT FEES APPLY: YES NO
TOTAL FEES: �S
CITY OF
�',$uilding & Fire Prevention Division
SJ �T FO _ �� ����� PERMIT
(APPLICATION
FIRE OEPARTivlitN1 X�-
Application No: O
Documented Construction Value: $ 7S67• '_'zo
Job Address: 4085 W 46 SANFORD, FL 32771 Historic District: YesFv—]No❑
Parcel ID: 28-19-30-506-0000-0090 Residential❑ Commercial
Type of Work: New❑ Addition❑ Alteration Repair❑ Demo❑ Change of Use❑ Move❑
Description of Work: MECHANICAL FOR BATHROOM ADA COMPLIANCE UPGRADES
Plan Review Contact Person: MARIO A. GOMEZ
Phone: 954-214-4087 Fax:
Name SAAD INV INC
Street: 4001 E LAKE AVE
City, State Zip: TAMPA, FL 33610
Name MGM EQUIPMENT LLC
Street: 5941 SW 21 ST ST
Yr
Email: mario@greatdanepetroleJirr
Property Owner Information
Phone:
Resident of property? :
Contractor Information
City, State Zip: WEST PARK, FL 33023
Phone: 954-214-4087
Fax:
State License No.: CAC044859
Architect/Engineer Information
Name: NISIT SAPPARKHAO, PE Phone: 813-434-4770
Street: 1208 E. KENNEDY BLVD., SUITE 230
City, St, Zip:
TAMPA, FL 33602
Bonding Company:
Address:
Fax:
E-mail: Nisit@iegroup.net
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. 1 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: 6" Edition (2017) Florida Building Code
Revised: January I; 2018 Permit Application
i
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 froth 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 conste tion and onin .
119
Signatureo f Owner/Agent Date Signature of Contactor/Agent aze
1�hS�f� W XCo�DS +n%
Print Owner/Agent's Name /f Print Contractor/Agent's Name t
are of Notary -State of Florida �� � ;;0.4/&_.111 Signature of Notary -State of Florida Dat / p -
P 1,19SI0ly ; i
-�06E1i?e i ••y :ii^?li MARIOA. GOMEZ
'mor' �i � y4• MYOOMMIssioNoGG15m
* ; S •:>'•- EJ(PIRE3: Nuvenber 4, 2047
Z'.2 adaG 155Ty6 i*= •''•Fotn?."•A• Bonded7lw NMatY Public Utdww9era
Owner/Agent is V Personallmq�Me�gr F• �� nown to Me or
Produced ID Type of ID %�� Produced ID Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing[]
Construction Type:
Occupancy Use:
Gas[] Roof❑
Flood Zone:
Total Sq Ft of Bldg: Min. Occupancy Load: # of Stories:
New Construction: Electric - # of Amps Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads
APPROVALS: ZONING: UTILITIES:
ENGINEERING: FIRE:
COMMENTS:
Fire Alarm Permit: Yes ❑ No ❑
WASTE WATER:
BUILDING:
Revised: January I, 2018 Permit Application
j
10
r
Great Dane Petroleum Contractors, Inc.
1330 S. Andrews Ave., Pompano Beach, FL. 33069
LETTER OF TRANSMITTAL
City of Sanford
Building Department
Attn: Blanton, Debbie
300 N. Park Ave.
Sanford, FL 32771
RE: 7-11 Store #29920
4085 W. S.R. 46
Sanford, FL
Debbie, per our conversation, enclosed are five sets of drawings, building,
electrical, plumbing and mechanical permit applications for interior ADA upgrades
to be done at this site. Please let me know if you need any additional information.
Mario A. Gomez
Great Dane Petroleum
Cell: 954-214-4087
mario@greatdanepetroleum.com
Phone: (954) 792-1334 www.greatdanepetroleum.com Fax: (954) 792-1335
Court & Comptroller Seminole County, Fl -
IS: 1538;
LIS:1538; (1 PAGES) RCD: 12/6/2018 3:11:23 PM
THIS INSTRUMENT PREPARED BY:
Nam,: GREAT DANE PETROLEUM CONTRACTORS
Address: 1330 5 ANDREWB AVE
POMPANO REACH FL 33060 f h rd
NOTICE OF COMMENCEMENT
CERTIFIED COPY GRAD?T NI.A1 OY
CIERYO T: C' (?i COU'I f
ARDr^
e'f, FLO"I DA
PIP I
SY DEPUTY CLERK
Dat
State of Florida
County of Seminole
Permit Number. Parcel ID Number. 28-19-30-506-0000-0090
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: (L,Bat description of the property and street address if available)
4085 W46. SANFORD. FL 32771
N 225 FT OF W 205 FT OF LOT 9 (LESS RD) SMITHS 3RD SUED
GENERAL DESCRIPTION OF IMPROVEMENT:
INTERIOR & EXTERIOR ADA COMPLIANCE UPGRADES
OWNER INFORMATION:
Name: SAAD INV INC
Address: 4001 E LAKE AVE TAMPA, FL 33610
Fee Simple Title Holder of other then owner) Name:
Address:
CONTRACTOR:
Name: GREAT DANE PETROLEUM CONTRACTORS
Address: 1330 S. ANDREWS AVE, POMPANO BEACH, FL 33069
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 Uenoes Notice as Provided in
Section 713.13(1)(b), Florida Statutes.
Expiration Date of Notice of Commencement-fThe expiration data Is 1 year from date of recording unless a
different data 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, 1 declare that I have read the foregoing and that the facts stated in It are true
to the best of my knowledge and lief. 1
�_`—T= _ 401stt�1
nlcJ
Owners Signature Ownefa PMled Name
Flolide SIeIWe 713.1311ife1: -The or must sign are nu4re a commencement and no One she mey be pmmiaed b sign in his or her, steed. -
State of I0(; dIL Countyof HI +1 j 6Dc DIL `y1
The foregoing instrument was acknowledged before me this _day of QCI�At 4f 20 10
by yA S,.nWho is personally known to me IN
i
�
n El type of identification produced:
caY f,
•et..
nccSim *� NaterySlgneNe
,I
r
�
�-
t
� 4
COUNTY OF SEMINOLE
IMPACT FEE STATEMENT
STATEMENT NUMBER: 18100009
BUILDING APPLICATION #: 18-10000928
BUILDING PERMIT NUMBER: 18-10000928
UNIT ADDRESS: SR W 46 4085
TRAFFIC ZONE:022 JURISDICTION:
SEC: TWP: RNG: SUF:
SUBDIVISION:
PLAT BOOK: PLAT BOOK PAGE:
OWNER NAME:
ADDRESS:
DATE: November 30, 2018
28-19-30-506-0000-0090
PARCEL:
TRACT:
BLOCK: LOT:
APPLICANT NAME: SAAD INV INC
ADDRESS: 4815 E BUSCH BLVD STE 201 TEMPLE TERRACE FL 33617
LAND USE: INTERIOR/EXT ALTERATION
TYPE USE:
WORK DESCRIPTION: CITY-SANFORD
SPECIAL NOTES: 4085 W SR 46 / 7-11 ALTERATION / NO
IMPACT FEES
--------------------------------------------------------------------------------
FEE BENEFIT RATE UNIT CALC UNIT TOTAL DUE
TYPE DIST SCHED RATE UNITS TYPE
-------------------------------------------------------------------------I------
ROADS- ARTERIALS
N/A
.00
ROADS -COLLECTORS
N/A
.00
FIRE RESCUE
N/A
.00
LIBRARY_._
N/A
.00
SCHOOLS
N/A
.00
PARKS
N/A
.00
LAW ENFORCE
N/A
'
.00
DRAINAGE
N/A
.00
AMOUNT DUE .00
PERSONS ARE ADVISED THAT THIS IS A STATEMENT OF FEES DUE UNDER THE
SEMINOLE COUNTY ROAD, FIRE/RESCUE, LIBRARY AND/OR EDUCATIONAL
ISSUANCE OF A BUILDING PERMIT.
PERSONS ARE ALSO ADVISED THAT ANY RIGHTS OF THE APPLICANT, OR OWNER,
TO APPEAL THE CALCULATION OF ANY OF THE ABOVE MENTIONED IMPACT FEES
MUST BE EXERCISED BY FILING A WRITTEN REQUEST WITHIN 45 CALENDAR
DAYS OF THE DATE ABOVE, BUT NO LATER THAN
CERTIFICATE OF OCCUPANCY OR OCCUPANCY. THE REQUEST FOR REVIEW
MUST MEET THE RE UIREMENTS OF THE COUNTY LAND DEVELOPMENT CODE.
COPIES OF RULES OVERNING APPEALS MAY BE PICKED UP, OR REQUESTED,
FROM THE BUSINESS OFFICE: 1101 EAST FIRST STREET,
SANFORD FL, 32771; 407-665-7356.
PAYMENT SHOULD BE MADE TO: SEMINOLE COUNTY OR CITY OF SANFORD
BUILDING DEPARTMENT
1101 EAST FIRST STREET
SANFORD, FL 32771
PAYMENT SHOULD BE BY CHECK OR MONEY ORDER, AND SHOULD REFERENCE
THE COUNTY BUILDING PERMIT NUMBER AT THE TOP LEFT OF THIS STATEMENT.
THIS STATEMENT IS NO LONGER VALID IF A BUILDING PERMIT IS NOT
ISSUED WITHIN 60 CALENDAR DAYS FROM THE DATE ABOVE
:,
� a;
�'
��i
��
;'
r
r
%''
.�
I Mario Gomez
From:
Troast, Debbie <dtroast@seminolecountyfl.gov>
Sent:
Friday, November 30, 2018 3:25 PM
To:
mario@greatdanepetroleum.com
Cc:
Annette.Bland@sanfordfl.gov; Blanton, Deborah
Subject:
RE: Application for Impact Fee Statement
Attachments:
4085 W SR 46 7 -ELEVEN IFS 11.30.18.pdf
Good Afternoon,
Please find the requested Impact Fee statement within the attachment.
If I can answer any additional questions, please do not hesitate to ask.
Thank you,
Debbie Troast I Impact Fee Program Coordinator
Seminole County Business Office I Planning & Development ,Building Division
1101 E. First Street I Sanford, FL 327711407-665-7356
dtroast@seminolecountyfl.gov
From: is--web@seminolecountyfl.gov[mailto:is_web@seminolecountyfl.gov]
Sent: Thursday, November 29, 2018 5:18 PM
To: ImpactFeeApplication <ImpactFeeApplication@seminolecountyfl.gov>
Subject: Application for Impact Fee Statement
A new Application for Impact Fee Statement was submitted online:
SITE INFORMATION
Site City: Sanford
Site Street Address: 4085 W. S.R. 46
Tax Parcel I.D.#: 28-19-30-506-0000-0090
OWNER INFORMATION
Owner Name: SAAD INV INC
Mailing Address: 4001 E LAKE AVE
City:
TAMPA
State:
FL
Zip:
33610
Phone Number:
407-460-4838
Fax Number:
Email:
CONTRACTOR INFORMATION
Contractor Name:
GREAT DANE PETROLEUM CONTRACTORS
1
Mailing Address: 1330 S. ANDREWS AV
City: POMPANO BEACH
State: FL
Zip: 33069
Phone Number: 954-214-4087
Fax Number:
Email: niarioggreatdaiiepet-ro]eLLini.coni
PROJECT INFORMATION
Project/Subdivision SMITHS 3RD SUBD
Name:
Building Name:
Proposed Residential
Use:
Number of dwelling
units:
Number of buildings:
Proposed Nonresidential Use:
List the use and size of the building (Example: rest
them all.)
Use #1: 1104
Use #2:
Use #3:
Use #4: ,
i
Proposed Change of Use:
(Applicant may be entitled to impact fee credits for
This replaces a use of:
This replaces a use of:
t, medical office, general office. If mixed use, list
uses.)
Size: 33078
Size:
Size:
Size:
If within the City of Altamonte Springs, is a fire sprinkler system proposed?
If yes, please submit construction drawings indicating the sprinkler system.
Size:
Size:
****Florida has a very broad Public Records Law. Virtually all written communications to or from State and Local
Officials and employees are public records available to the public and media upon request. Seminole County policy does
not differentiate between personal and business emails. E- ail sent on the County system will be considered public and
will only be withheld from disclosure if deemed confidential pursuant to State Law.****
2
April 17, 2018
Great Dane Petroleum Contractors, Inc.
1330 S. Andrews Ave., Pompano Beach, FL. 33069
To: 7 -Eleven Stores, Inc.
3200 Hackberry Road
Irving, TX 75063
RE: 7-11 #29920
4085 W. S.R. 46
Sanford, FL.
Great Dane Petroleum, Inc. is pleased to provide this proposal/contract for HC parking
space/ramp & bathroom ADA compliance upgrades at above referenced site as per
specifications you provided. -
Bathroom ADA compliance upgrades $9,300.00
HC parking space/ramp ADA compliance upgrades $14,500.00
Total Cost: $23,800.00
Please call if you have any questions or comments.
Great Dane Petroleum Contractors
Steven M. Nale
President/Qualifier
Accepted by:
John Falso
Senior Area Facilities Manager
Phone: (954) 792-1334 www.greatdancpctrolcum.com Fax: (954) 792-1335
Building & Fire Prevention Division
fSXRFORD PERMIT APPLICATION
ri r n�:r�azTa;erar l �, _ ..
Application No: L y 3 I
Documented Construction Value: $ �3_`
Job Address: 4085 W 46 SANFORD, FL 32771 Historic District: Yes INo❑
Parcel ID: 28-19-30-506-0000-0090 Residential❑ Commercial
Type of Work: New❑ Addition❑ Alteration W] Repair❑ Demo Change of Use❑ Move❑
Description of Work: BATHROOM ADA COMPLIANCE UPGRADES
Plan Review Contact Person: MARIO A. GOMEZ
Phone: 954-214-4087
Name SAAD INV INC
Street: 4001 E LAKE AVE
Fax:
City, State Zip: TAMPA, FL 33610
Title:
Email: mario@greatdanepetroleum.com
Property Owner Information
Phone:
Resident of property?:
Contractor Information
Name GREAT DANE PETROLEUM CONTRACTORS
Street: 1330 S. ANDREWS AVE
City, State Zip: POMPANO BEACH, FL 33069
Phone: 954-214-4087
Fax:
State License No.: CBC045595
Architect/Engineer Information
Name: NISIT SAPPARKHAO, PE
Street: 1208 E. KENNEDY BLVD., SUITE 230
City, St, Zip: TAMPA, FL 33602
Bonding Company:
Address:
Phone: 813-434-4770
Fax:
E-mail: Nisit@iegroup.net
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 perforated 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.
FBC 105.3 Shall be inscribed with the dale of application and the code in effect as of that date: tii' Edition (2017) Florida Building Code
Revised: January 1, 2018 Permit Application
m
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 Owner/Agent Date
Print Owner/Agent's Name
Notary -State of Florida
Owner/Agent is K Personally
Produced ID Type of I
o:�i
r
7k
Z
;y �G t557gg
►v�yt�Vle
•• •��
Signature of Contractor/Agent Date
STEVEN M. HALE
Print Contractor/Agent's Name
Sign '
WgWI WW MOAN nmmm .••��'•i3°�•,
tZflZ'i►�I •S3Z�ldXS :s: ..:
ZZ E% 90 # WSSIWWW An i�`' ;•_
Contractor/Agent is Personally Known to Me or
Produced ID Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing❑ Gas❑ Roof ❑
Construction Type:
Total Sq Ft of Bldg:
Occupancy Use:
Flood Zone:
Min. Occupancy Load: # of Stories:
New Construction: Electric - # of Amps
Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads Fire Alarm Permit: Yes ❑ No ❑
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
WASTE WATER:
BUILDING:
Revised. January t, 2018 Permit Application
10 SCITORD
FIRE DEPARTMENT
Building & Fire Prevention Division
PERMIT APPLICATION
Application No: ) 0 " 7.J /
Documented Construction Value: $ %S0.
Job Address: 4085 W 46 SANFORD, FL 32771 Historic District: YesFV]No❑
Parcel ID: 28-19-30-506-0000-0090 Residential❑ Commercial❑
Type of Work: New❑ Addition❑ Alteration Repair❑ Demo❑ Change of Use❑ Move❑
Description of Work: MECHANICAL FOR BATHROOM ADA COMPLIANCE UPGRADES
Plan Review Contact Person: MARIO A. GOMEZ
Phone: 954-214-4087
Fax:
Title:
Email: mario@greatdanepetroleum.com
Property Owner Information
Name SAAD INV INC Phone:
Street: 4001 E LAKE AVE Resident of property?
City, State Zip: TAMPA, FL 33610
Contractor Information
Name MGM EQUIPMENT LLC Phone: 954-214-4087
Street: 5941 SW 21ST ST Fax:
City, State Zip: WEST PARK, FL 33023
State License No.: CAC044859
Architect/Engineer Information
Name: NISIT SAPPARKHAO, PE
Street: 1208 E. KENNEDY BLVD., SUITE 230
City, St, Zip: TAMPA, FL 33602
Bonding Company:
Address:
Phone: 813-434-4770
Fax:
E-mail: Nisit@iegroup.net
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. 1 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: 61t Edition (2D17) Florida Building Code
Revised: January 1, 2018 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 constr tion and onin .
Signature of*Owncr/Af ent Date Signature of Contractor/Agcntate
jolb$h4d
Print Omer/Agent's Name Print Contractor/Agent's Name
� �i�llUtlllf/1
ure of Notary -State of Florida \\ • M� j Signature of Notary -State of Florida Da
.'.�G.�I*ER4 9 i ••A.Pty MAMAWMEZ
. �G �p� t+ :i°• �' W(*MMi8"#fps15=
EXPIRES: ftembel 4, M21
;y Oak-, ISM S �''•"•.°t; ,`°e'� BorxW 11m Notary Pubic Undwatets
Owner/Agent is (/ Personalise r t= �� own to Me or
Produced ID Type of ID % :ceded` Produced ID Type of ID
N 111141 �
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building ❑ Electrical ❑ Mechanica[ ❑ Plumbing❑ 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:
# of Heads
UTILITIES:
FIRE:
Flood Zone:
# of Stories:
Plumbing = # of Fixtures
Fire Alarm Permit: Yes ❑ NoE]
WASTE WATER:
BUILDING:
Revised: January I, 2018 1 Permit Application
Great Dane Petroleum Contractors, Inc.
1330 S. Andrews Ave., Pompano Beach, FL. 33069
LETTER OF TRANSMITTAL
City of Sanford
Building Department
Attn: Blanton, Debbie
300 N. Park Ave.
Sanford, FL 32771
RE: 7-11 Store #29920
4085 W. S.R. 46
Sanford, FL
Debbie, per our conversation, enclosed are five sets of drawings,9 building,
electrical, plumbing and mechanical permit applications for interior ADA upgrades
to be done at this site. Please let me know if you need any additional information.
Mario A. Gomez
Great Dane Petroleum
Cell: 954-214-4087
mario@greatdanepetroleum.com
Phone: (954) 792-1334 www.greatdanepetroleum.com Fax: (954) 792-1335
®11
ki4FORD
FIRE DEPARTMENT
Building & Fire Prevention Division
PERMIT APPLICATION
Application No: � � — 4 _:� 3l
Documented Construction Value: $/ z ¢7-5
Job Address: 4085 W 46 SANFORD, FL 32771 Historic District: YesF.,—/]No❑
Parcel ID: 28-19-30-506-0000-0090 Residential❑ CommercialR
Type of Work: New❑ Addition❑ Alteration Repair❑ Demo❑ Change of Use❑ Move[]
Description of Work: PLUMBING FOR BATHROOM ADA COMPLIANCE UPGRADES
Plan Review Contact Person: MARIO A. GOMEZ Title:
Phone: 954-214-4087
Name SAAD INV INC
Street: 4001 E LAKE AVE
Fax: Email: mario@greatdanepetroleum.com
Property Owner Information
Phone:
Resident of property? :
City, State Zip: TAMPA, FL 33610
ban e. i a { ct Contractor Information
Name GREAT L NE PETROLEUM CONTRACTORS Phone: 954-214-4087
Street: 1330 S. ANDREWS AVE
City, State Zip: POMPANO BEACH, FL 33069
Fax:
State License No.: CFC056733
Architect/Engineer Information
Name: NISIT SAPPARKHAO, PE Phone: 813-434-4770
Street: 1208 E. KENNEDY BLVD., SUITE 230
City, St, Zip: TAMPA, FL 33602
Bonding Company:
Address:
Fax:
E-mail: Nisit@iegroup.net
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. 1 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. fi o Edition (2017) Florida Building Code
Revised January 1, 2018 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 tithe 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 Owner/Agent Date Signature of Contractor/Agent
-han Icy
Print Owner/Agent's Name Print Contractor/Agent's Name
/-0A A, T
of Notary -State of Florida �\ • • � • • J. /y� /��
n Flo .
Signature of Notary -State of Florida
••.Y.P.:Al.��i
MARIOA GOMEZ
MY Co91QNtS m # w ism
=;'� !,= EXPIRES:i�lovember4,2021
Z.tos -L°•-gOttded Thtu Notary P&t tiRQetl ftm
Owner/Agent is Personall 4e r '�;= ,rte Contrac or gent is rsona nown to Me or
Produced 1D
Type of iD % •• A .•' ,�� Produced ID Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing[] GAS[:] Roof ❑
Construction Type:
Total Sq Ft of Bldg:
Occupancy Use:
Flood Zone:
Min. Occupancy Load: # of Stories:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes ❑ No ❑
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
Plumbing - # of Fixtures
# of Heads Fire Alarm Permit: Yes ❑ No ❑
UTILITIES:
FIRE:
WASTE WATER:
BUILDING:
Revised: January 1, 2018 1 Permit Application
CITY OF
FORD
FIRE DEPARTMENT
Building & Fire Prevention Division
PERMIT APPLICATION
Application No: I p — L/ -
Documented Construction Value: $ 9�5'
Job Address: 4085 W 46 SANFORD, FL 32771 Historic District: Yes FV(
Parcel ID: 28-19-30-506-0000-0090 Residential❑ Commercial
Type of Work: New❑ Addition❑ Alteration Repair❑ Demo 11 Change of Use❑ Move❑
Description of Work: ELECTRICAL FOR BATHROOM ADA COMPLIANCE UPGRADES
Plan Review Contact Person: MARIO A. GOMEZ Title:
Phone: 954-214-4087 Fax: Email: mario@greatdanepetroleum.com
Name SAAD INV INC
Street: 4001 E LAKE AVE
City, State Zip: TAMPA, FL 33610
Property Owner Information
Phone:
Resident of property? :
Contractor Information
Name GREAT DANE PETROLEUM CONTRACTORS Phone: 954-214-4087
Street: 1330 S. ANDREWS AVE
City, State Zip: POMPANO BEACH, FL 33069
Fax:
State License No.: EC0001046
ArchitectiEngineer Information
Name: NISIT SAPPARKHAO, PE
Street: 1208 E. KENNEDY BLVD., SUITE 230
City, St, Zip: TAMPA, FL 33602
Bonding Company:
Address:
Phone: 813-434-4770
Fax:
E-mail: Nisit@iegroup.net
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 he inscribed with the date of application and the code in effect as of that date: 61h Edition (2017) Florida Building Code
Revised- January 1, 2018 Permit Application
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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 froib 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.
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Signature orowner/Agent Date Signature of Contractor/Agent ate
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Print Owner/Agent's Name Print Contractor/Agent's Name
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Owner/Agent is Personally:
Produced ZD Type of ID
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Contractor/Agent is Personally Known, to Me or
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BELOW IS FOR OFFICE USE ONLY
Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing[] Gas[] Roof ❑
Construction Type:
Total Sq Ft of Bldg:
Occupancy Use:
Min: Occupancy Load:
New Construction: Electric - # of Amps,
Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads
APPROVALS: ZONING:
ENGINEERING:
CONIMENTS:
UTILITIES:
FIRE:
Flood Zone:
# of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes ❑ No
WASTE WATER:
BUILDING:
Revised: January 1. 2018 Permit Application