HomeMy WebLinkAbout3451 Old Lake Mary Rd 18-593; INTERIOR EQUIP1
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JAN 2 9 2018
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CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No:
Documented Construction Value: S 191,600.00
Job Address: 2451 Old Lake Mary Road, Sanford, FL, 32771 Historic District: Yes No El
Parcel 1D: 35-19-30-300-030C-0000 Residential Commercial X
Type of Work: New Addition Alteration x Repair Demo Chanpe of Use Move
Description of Work: Interior equipment installation
Plan Review Contact Person: Jeremy Morton Title:
Phone: 407-322-6841 Fax: 407-330-0639 Email: Jmorton@cphcorp.com
Property Owner Information
Name: Jax Ice Machine Equipment & Leasing Co. Inc. Phone: 904-384-2013
Street: 5849 Commonwealth Ave
City, State Zip: Jacksonville, FL 32254
Resident of property? :
Contractor Information
Namel_w iJ \ iod2tAa I.NN6 &4ito my, Phone: 35a' - 2452; 1
Street: 1"I i t3 ?_0wV_% L RAI Fax: qq -q Uq
City, State Zip: q1 3q(004 State License No.RiU'lSak4wd l
Architect/Engineer Information
Name: Jeremy Morton - CPH, Inc. Phone: 407-322-6841
Street: 500 West Fulton Street
City, St, Zip: Sanford, FL, 32771
Bonding Company: N/A
Fax: 407-330-0639
E-mail: Jmorton@cphcorp.com
Mortgage Lender:
Address: Address:
N/A
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: 5" Edition (2014(g1orida Building Code
Revised: June 30.2015 ; l r 9 Pl_wit Application
f
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: 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.
26KX r aq 118 a='--A%
Si n ture of Owner/Agent Date Signature of Cont for/Agent Date
Q tJ A OT 1n C , % O.
s7l`'
Print Owner/ gent's Name Print Contractor/Agent's Name
Sign a of Not Sign r ry-Stat W I L K E S Dat
wgwiaWnautindkwmru4lPev e APOooh Commission a FF 201366
IZOZ-6"q0a0:S3tlIdX3^`' My Commission Expires
a° ' UK4000N01SSIV0100AW FebruOry 19, 2019
NSVIMNS
Owner/Agent is Personally Known to Me or Contractor/Agent is Personally Known 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[-] Gas Roof
Construction Type: Occupancy Use: OQc n.r.. Flood Zone:
Total Sq Ft of Bldg: ,-00 -AN Occupancy Load: ej-- # of Stories: a ;yg
New Construction: Electric - # of Amps ANs"7,—.;4 Plumbing - # of Fixtures Alf iw '
Fire Sprinkler Permit: Yes No # of Heads Fire Alarm Permit: Yes No
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
WASTE WATER:
BUILDING:
Revised: June 30. 2015 Permit Application
CITY OF SANFORD
BUILDING-&-FIRE-PREVENTION---- - -
PERMIT APPLICATION
Application No: D 53
Documented Construction Value: $ 191,600.00
Job Address: 2451 Old Lake Mary Road, Sanford, FL, 32771 Historic District: Yes No El
Parcel ID: 35-19-30-300-030C-0000 Residential Commercial El .
Type of Work: New Addition Alteration Z Repair Demo Change of Use Move
Description of Work: Interior equipment installation
Plan Review Contact Person: Jeremy Morton Title:
Phone: 407-322-6841 Fax: 407-330-0639 Email: jmorton@cphcorp.com
Property Owner Information
Name: Jax Ice Machine Equipment & Leasing Co. Inc.
Street: 5849 Commonwealth Ave
City, State Zip: Jacksonville, FL 32254
Phone: 904-384-2013
Resident of property? :
i ((
Contractor Information . - ..
Qt by 1
Name o el, l flNiJ ir o ' Phone:
Street:`Vl1 i.$ R0a1 I Fax:
City; State Zip: e>Pz*06Vt,11F. q1 3q(o0tf State License
Architect/Engineer Information
Name: Jeremy Morton - CPH, Inc.
Street: 500 West Fulton Street
City, St, Zip: Sanford, FL, 32771
Bonding Company: N/A
Address:
Phone: 407-322-6841
Fax: 407-330-0639
E-mail: jmorton@cphcorp.com
Mortgage Lender:
Address:
N/A
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, beaters, tanks, and air conditioners; etc.
FBC 1053 Shall be inscribed with the date of application and the code in effect as of that date: 51" Edition (2014) Florida Building Code
Revised: June 30, 2015 Permit Application
NOTICE:ln-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.
Produced ID Type of ID
as ti
Signatun: of Con for/Agent Date
Print Contractor/Agent's Name
Ory -
State ify W,,KES Dat
Commission q FF: 01366
B• ._
My Commission Expires
February 19, 2019
Contractor/Agent is %Y:2 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: . Occupancy Use:
Total Sq Ft of Bldg:
Flood Zone:
Min. Occupancy Load: # of Stories:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes No
ENGINEERING:
COMMENTS:
Plumbing - # of Fixtures
of Heads Fire Alarm Permit: Yes No
UTILITIES: WASTE WATER: 1
FIRE: BUILDING:
Revised: lune 30, 2015 Permit Application
G-4
Y CITY OF SANFORD
2-9-2018 = -i ---- ---. BUIL-DING-&--FIRE-PREVENTION----- -
I' `/ PERMIT APPLICATION
Application No:
Documented Construction Value: $ 191,600.00
Job Address: 2451 Old Lake Mary Road, Sanford, FL, 32771 Historic District: Yes No X
Parcel ID: 35-19-30-300-030C-0000 Residential Commercial E]
Type of Work: New Addition Alteration El Repair Demo Change of Use Move
Description of Work: Interior equipment installation
Plan Review Contact Person: Jererny MortonDTitle:
Phone: 407-322-6841 Fax: 407-330-0639 Email: jmorton@cphcorp.com
Property Owner Information
Name: Jax Ice Machine Equipment & Leasing Co. Inc.
Street: 5849 Commonwealth Ave
City, State Zip: Jacksonville, FL 32254
Phone: 904-384-2013
Resident of property? :
NameNJll
tt ; (
Contractor Information .
aXc1 1 X -1J' LA06 S VI-tRe ' -I'x- Phone: ')52) a52; 1
Street:n1 t3 RoW7i 1 Ra - Fax:
City; State Zip: q` 3q( oLf State License
Architect/Engineer Information
Name: Jeremy Morton - CPH, Inc. Phone: 407-322-6841
Street: 500 West Fulton Street
City, St, Zip: Sanford, FL, 32771
Bonding Company: N/A
Fax: 407-330-0639
E-mail: jmorton@cphcorp.com
Mortgage Lender: N/A
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. 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-propertythat-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.
Owner/Agent is
Produced ID
Personally Known to Me or
Type of ID
1.asA%
Signature of Co"to /Agent Date
Print Contractor/Agent's Name
ry-state q*Y WILKES Dat
Commission q FF 201366
My Commission Expires
Februor 19, 2019 11y
Contractor/Agent is %/0 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: Occupancy Use:
Total Sq Ft of Bldg: Mn. Occupancy Load:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes No
Flood Zone:
of Stories:
Plumbing - # of Fixtures
of Heads Fire Alarm Permit: Yes No
APPROVALS: ZONING: CA 1 -21 -le UTILITIES:
COMMENTS:
ENGINEERING: FIRE:
WASTEWATER:
BUILDING:
Revised: lune 30, 2015 Permit Application
CITY OF SANFORD
SAN Z-9 ZOji=-j— ----- BUIL-DING-& FIRE -PREVENTION
1' 1 PERMIT APPLICATION
Application No: P 53
Documented Construction Value: $ 191,600.00
Job Address: 2451 Old Lake Mary Road, Sanford, FL, 32771 Historic District: Yes No El
Parcel ID: 35-19-30-300-030C-0000 Residential Commercial El .
Type of Work: New Addition Alteration P9 Repair Demo Change of Use Move
Description of Work: Interior equipment installation
Plan Review Contact Person: Jeremy Morton Title:
Phone: 407-322-6841 Fax: 407-330-0639 Email: jmorton@cphcorp.com
Property Owner Information
Name: Jax Ice Machine Equipment & Leasing Co. Inc. Phone: 904-384-2013
Street: 5849 Commonwealth Ave Resident of property?
City, State Zip: Jacksonville, FL 32254
ii &
A64p,
Contractor InformationNameQ.t y hA LANG Suwiuo 10z, Phone
Street: no t3 nwra Fax:
City; State Zip: 3q(ooq State License
Architect/Engineer Information
Name: Jeremy Morton - CPH, Inc.
Street: 500 West Fulton Street
City, St, Zip: Sanford, FL, 32771
Bonding Company: N/A
Phone: 407-322-6841
Fax: 407-330-0639
E-mail: jmorton@cphcorp.com
Mortgage Lender:
Address: Address:
N/A
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: 51" Edition (2014) Florida Building Code
Revised: lune 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.
Print
A0—F
Name
f /ay /«
I
etlu v n Ila a wNNvl.vav e .^I°j:
tzoa's not o saal a :
Z11't:ttJ J N0ISSIWW00 IN
QsA%
Signature of Con for/Agent Date
C nils o\S
Print Contractor/Agent's Name
Ory -
State o ,i , WILKES Dat
Commission 0 FF 201366
re
F My Commission Expires
February 19, 2019
Owner/Agent is Personally Known to Me or Contractor/Agent is Personally Known 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 Gas[] Roof
Construction Type: Occupancy Use:
Total Sq Ft of Bldg:
Flood Zone:
Min. Occupancy Load: # of Stories:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes No
ENGINEERING:
COMMENTS:
Plumbing - # of Fixtures
of Heads Fire Alarm Permit: Yes No
UTILITIES: WASTEWATER:
FIRE t All $ BUILDING:
Revised: lune 30, 2015 Permit Application
J, 3 ' ' t +; N FIlG! q
C TY OF SANFORD
BUILDING - -
I' PERMIT APPLICATION
Application No: p 53
Documented Construction Value: $ 191,600.00
Job Address: 2451 Old Lake Mary Road, Sanford, FL, 32771 Historic District: Yes No X
Parcel ID: 35-19-30-300-030C-0000 Residential Commercial El .
Type of Work: New Addition Alteration x Repair Demo Change of Use Move
Description of Work: Interior equipment installation
Plan Review Contact Person: Jeremy Morton Title: L/?X3 ?
cPhone: 407-322-6841 Fax: 407-330-0639 Email: 1morton @ Phcor P•com
Property Owner Information
Name: Jax Ice Machine Equipment & Leasing Co. Inc.
Street: 5849 Commonwealth Ave
City, State Zip: Jacksonville, FL 32254
Phone: 904-384-2013
Resident of property? :
0V ?e9-4 39 - pW1,1041
Contractor Information . - ..
NameRw6t FA. 1 a, I.IJN C S.2V iyo ' .)z. Phone: -19
Street:l1 L. ovl \ Ras Fax:
7
City; State Zip: BR+Oo 4 t 1. - 1 now State License No.iiU'lGa.`iwX
Architect/Engineer Information
Name: _Jeremy Morton - CPH, Inc. Phone: 407-322-6841
Street: 500 West Fulton Street Fax:
City, St, Zip: Sanford, FL, 32771
Bonding Company: N/A
407-330-0639
E-mail: !morton@cphcorp.com
Mortgage Lender: N/A
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. 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, beaters, 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: 51" Edition (2014) Florida Building Code
Revised: June 30, 2015 Permit Application
a 0
1
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.
Produced ID Type of ID
Signature of Con tot Agent Date
Print Contractor/Agent's Name
ry-State"911N lri( W I L K E S Dat
114Commission # FF 201366
My Commission Expires
o';,•,q•!;°' February 19, 2019
Contractor/Agent is %o 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: Occupancy Use: Flood Zone:
Total Sq Ft of Bldg: Min. Occupancy Load: # of Stories:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes No
APPROVALS: ZONING:
COMMENTS:
Plumbing - # of Fixtures
of Heads Fire Alarm Permit: Yes No
UTILITIES: ( WASTEWATER: 42-41 8IIT
ENGINEERING: FIRE: BUILDING:
Revised: June 30.2015 Permit Application
UnuTY DEPARTMENT
TRANSMITTAL MEMORANDUM
Utility Review
Permit # 18-593
2451 Old lake Mary Rd, Sanford Fl. 32771
Contact Person: David B.
Office phone: 904-384-2013
Fax: 904-388-6399
Review Comments:
The plumbing drains from the build need to be connected to the City sewer system per the
Florida plumbing code. Drains that handle potable water shall be routed to the sanitary sewer
system. Please correct plans, Sheet A102. Show drain connection to the sanitary system and
indicate drain trap size.
You will need to contact Hope Duncan 407-416-3367 to review pretreatment requirement if
any.
All plan addendum need to be submitted to the building department.
Sincerely
Richard Blake
City of Sanford
Utility Engineer
Phone 407-688-5101
PERMIT # / 2 (7 3
0
CITY OF SANFORD
BUILDING & FIRE PREVENTION DIVISION
EARLY START AUTHORIZATION — APPLICATION/ PERMIT
Project Name: Development Plans for Jax Ice Machine Equipment & Leasing Co. Inc. Date: 3/8/2018
Project Address: 2451 Old Lake Mary Road, Sanford, FI, 32771
Contractor Name: Central Florida Land Services
EARLY START AUTHORIZATION CONDITIONS
City of Sanford and the Owner/contractor listed agree to the following: I. A complete building permit application and plans shall be submitted at the time of the request for Early Start Authorization. 2. This Early Start Authorization is for interior work or other work as determined by the Building Official. 3. Work must comply with any and all other local, state and federal agencies related to the development and construction
proposal and compliance with asbestos NESHAP regulations must occur for all demolition work. 4. Work shall not be concealed and must remain open for all necessary inspections. At the time of inspections, any workconcealedshallbeuncovered.
S. The contractor acknowledges that all subconlydctors will be properly licensed and have current worker's compensationcoverage.
G. All subcontractors are responsible for pulling Ihcir own permits.
7. Inspections of work for any construction trade will not be made until a permit has been issued for the trade. 8. The Early Start Authorization does not guarantee that construction plans will be approved as submitted. All work done priortotheissuanceoftherequiredpermitsshallheattheOwner's/Contractors risk.
9. The Owner/Contractor acknowledge that additional fees, including but not limited to impact and zoning fees, may be due atthetimeofbuildingpermitissuance, and or prior to Certificate of occupancy.
10. The Owner/Contractor acknowledge that additional site improvements, including but not limited to installation of a grease
trap, accessible parking and landscaping, may be required at the time of building permit issuance. 11. The Owncr/Contrdctor agree to indemnify and hold the City of Sanford/Agents free and harmless from any and all claims, causes of action, damages. losses penalties or costs, including but not limited to, all attorneys tees (whether from litigation or
administrative proceeding, including cost and fees on appeal), with respect to any person or govcrnmcnt authority arising outof, either directly or indirectly, the construction or operation at the'premises covered by the Early Start Authorization. whether the liability, loss or damage is caused by, or arises out of, the negligence or the City of Sanford/Agents or its
officers, agents, employees, or otherwise.
12. 1f the City of sanford/Agents shall be subject to any claim, demand or penalty or become a party to any suit or other judicial
or administrative proceeding by reason of any claimed act or omission by any party, or by reason of any act occurring on thesubjectpremises, or by reason of any omission with respect to the construction or operation on the subject premises, the
Owner/contractor shall indemnify and (told City of Sanford/Agents harmless against all judgments, settlements. penalties and
expenses, including attorney's fees, court costs and other expense of litigation of defense relating to such claim or litigation
or administrative proceeding, at lite election of the City of Sanford/Agents, the Owner/Contractor shall also defend the CityofSanford.
13. It is understood and hereby acknowledged between the parties hereto that the City of Sanford/Agents shall not be liable for
any act or other obligation to the Owncr/Contractor.
14. This Early Start Authorization will terminate upon the issuance of a Building Permit for property covered under this EarlyStartAuthorization: however, this agreement shall remain in effect for all events occurring prior to the issuance of theBuildingPermit.
By signing this Early Start Authorization Application, the undersigned acknowledges and agrees to condition 1 through 14.
Contractor Signature Owner !S igna—t bate
Revision O
Response to Comments*
APR - 5 2018
2
City of Sanford
Building & Fire Prevention Division
Ph: 407.688.5150 Fax: 407.688.5152
Email: building@sanfordfl.gov
Permit # / Submittal Date
Project Address: O7 O /C- LIC (Y1 Ot r h -
Contact•
Ph: Fax:
Email:
Trades encompassed in revision:
Building
Plumbing
Electrical
Mechanical
Life Safety
Waste Water
General description of revision:
ROUTING INFORMATION
Approvals
IL
Department
Utilities
Waste Water
Planning
Engineering
Fire Prevention
0 Building
General description of revision:
ROUTING INFORMATION
Approvals
IL
Revision
Response to Commen
MAR 12 2018 ,
BY:_
Permit # 18593
Project Address: 2 qS I old LQh
Contact: IMM I r l
Ph: 407-U74- 721y
Email: .I MDrhii lw Cah rorl2. Cool
Trades encompassed in revision:
Department
Building
Plumbing
Electrical
Mechanical
Life Safety
Waste Water
City of Sanford
Building & Fire Prevention Division
Ph: 407.688.5150 Fax: 407.688.5152
Email: building@sanfordfl.gov
Submittal Date 3/ 1-21m b
Maria l:oaC4 , SAnf Ord + F/ , 32 771
Fax:
Nv i /o All e
r
General description of revision: (K nc-
r
SPS naKls e ('ornm en fr
ROUTING INFORMATION
ApprovalsDepartment
Utilities
Waste Water
Planning
Engineering
Fire Prevention
0 Building
City of Sanford
Building & Fire Prevention Division
Ph: 407.688.5150 Fax: 407.688.5152
Email: building@sanfordfl.gov
Submittal Date 3/ 1-21m b
Maria l:oaC4 , SAnf Ord + F/ , 32 771
Fax:
Nv i /o All e
r
General description of revision: (K nc-
r
SPS naKls e ('ornm en fr
ROUTING INFORMATION
Approvals
DATE: 1 Al /It
BUSINESS/PROJECT NAME:
ADDRESS: 2, YS -1 O/w
CITY OF SANFORD BUILDING AND FIRE PREVENTION DIVISION
FIRE PLAN REVIEW SERVICE FEES
PHONE: 407.688.5052
PERMIT NUMBER: I S' S?3
PHONE:
FAX: 407.688.5051
PLAN REVIEW INFORMATION
ft/cONSTRUCTION [)C/O [ ] FIRE ALARM [ ] FIRE SPRINKLER []HOOD [ ]PAINT BOOTH
DOES 20% REDUCTION IN FIRE IMPACT FEES APPLY: YES (32
TOTAL FEES:
I czs'. CD
TANK
Blanton, Deborah
From: Troast, Debbie <dtroast@seminolecountyfl.gov>
Sent: Wednesday, April 18, 2018 10:28 AM
To: jmorton@cphcorp.com
Cc: Blanton, Deborah; Bland, Annette
Subject: FW: Impact Fee Application Plans - The Ice Man
Attachments: I4601 - 05_A101 -Floor Plan -A-1 - Floor.pdf
Good Morning Jeremy,
Great news! Based on the information provided, no additional impact fees are due at this time. The Impact Fees for The
Ice Man were paid on December 8, 2017 under Impact Fee Statement 17-10000725.
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 I Building Division
1101 E. First Street I Sanford, FL 327711407-665-7356
dtroast@seminolecountyfl.gov
From: Riley, Sandra
Sent: Tuesday, April 17, 2018 10:02 AM
To: Troast, Debbie <dtroast@seminolecountyfl.gov>
Subject: FW: Impact Fee Application Plans - The Ice Man
Bawds RutAj
Program Manager I Electronic Plan Review Administrator
Seminole County Building Division
1101 E. First St. Sanford FL 32771
407-665-7474
Other Helpful Links:
Planning & Development I Building Permitting I ePlan Applicant User Guide I How to Apply Online Guide for Building
Permits I ePlan Video Tutorials [ ePlan Login Page I Planning & Development Review Division Processes I Bldix Div
Forms and Applications
From: Morton, Jeremy (P.E.) [mailto:imorton@cphcorp.comj
Sent: Tuesday, April 17, 2018 10:00 AM
To: Riley, Sandra <SRilev@seminolecountvfl.gov>; Forte, Jami <JForte @seminolecountvfl.gov>; Ebersole, Darren
debersole@seminolecountvfl.gov>
Subject: Impact Fee Application Plans - The Ice Man
I•
Sandy,
As discussed, please see the attached building plan. This project is an existing warehouse in the City of Sanford. The
owner is adding an ice maker to make ice rather than just store it. The total existing storage/warehouse space (not
including the existing office) is 11,469. He is going to use 5,403 SF of the existing 11,469 SF space for the ice
maker/bagger unit.
As discussed, the permit with the City will be ready for pickup today, so please do not hesitate to call us if you have any
additional questions.
Thanks,
Jeremy Morton, P.E.
Sr. Project Manager
CPH
Phone: (407) 322-6841 x 1013
E-mail: jmorton _cphcorp.com
Website: www.cphcorp.com
Celebrating 35 years of Design Excellence
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-mail sent on the County system
will be considered public and will only be withheld from disclosure if deemed confidential pursuant to State
Law.****
trjLPtNvtj f t'$rs93
CITY OF
I S NF" Building 8c Fire Prevention Division
PERMIT APPLICATION
rlRE 0E(ARI'i4lN.' Application No:
DDocumented Construction Value: $.
O jdd
f 110y G
y ,-4
Job Address: Historic District: YesDNoll
Parcel ID:
Type of Work: NeIvE] Addition Alteration
Ot Residential Commercial
Repair Demo[--] Change of Use Move
Description of Work:
Plan Review'Contact Person: A/4 ,`j•0 Sft Title: j`'!°
j''''-
7
Phone: /Oy- 3)L -r -Q 7,0 C Fax: Email: Shti•rRwPa'v I. &l eti"t W
Property Owner Information
Name ;
Street: ;t 491 01 ,s kc- /z101-4
City, State Zip: Siiw- olt'j Ft- 3;L7.7 /
Phone: Vb 7 5'Vff- /•7 70
Resident of property? :
Contractor Information
Name -'Lre' v. f1ji" -'T-r"
Street: 15Y6 Sr•
City, State Zip: s'f• Avrvf•fl.te, I
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Phone: o0 -3JtS =0706
Fax:
State License No.: CC- 1q I C7 Y 7
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 .vork, plumbing, signs, wells, pools,
furnaces, boilers, heaters, tanks, and air conditioners, etc.
FRC 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
Reviscd: January 1, 2018 Permit Application
MA"
Y YOU1 ? V3 A RVA I t
Job name --The Ice Man-- Sanford, FI
We will supply all labor and pernlits to complete the job. We will tic into owner provided
trench drains and run the line to the lift station. We will tic in new ice machine. Owner to
provide all materials There will be a one year warrant- on all plumbing done by Shotgun
Plumbing Inc. The price for the job will be S1.600.00. To be paid when job is complete.
Thanks for your time and consideration.
Michael Silverio/ President
1540a Saint /Marks Pond Blvd
St.Augustine. FI 32095
Phone -904-325-0706
Email- ShotgunPlumbing@,hotmail.com
FL License numbus,> CFC41426747i CUCP- 1224463
www.shotgunplumbing.com
Established 2005
SHERRIASH
MY COMMISSION # GG 113472
R EXPIRES. October 9.2021
Bonded TWu Notary Fabric UndecvmWm
c::,- 11 %
NOTE: 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 die 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 orOwner/Agent Date
Print 0%vncr/Agetn•s Name
Signature of Noiary-State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
5,-?-/
Sian• urc of Cont t. /Agent Date
19
Print Contractor/A Rent *s Name
S'•-7- f8
Si azure of N=4 --State Florida Date
LAURA F. REGISTER
Commission # GG 064053
s sf Expires January 18_2021
P,•'„°•+ Bonded Tlw Troy F nsurance SOp.38S7019
Contractor/Agent 1s FerCsonall ly 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:
Min. Occupancy Load:
New Construction: Electric - # of Amps,
Fire Sprinkler Permit: Yes No # of Heads
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
Flood Zone:
of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
Revised: lanuary 1.2018 Pcrntit Application
SEP 18 2018
REQUEST FOR PRE -POWER
h•b
COMMERCIAL PROPERTIES
Altamonte Springs, Casselberry, Lake Mary, Longwood, Oviedo, Sanford, Seminole
County, Winter Springs
Dat
Project Name lP CP l h Project Address: jg 5I 61C -U K 1 ' ` '4rd 37. 1
Building Permit #:1 44L e7 1? 5 Electrical .Permit # I f 7660(2)66qJC (2)66q 5
In consideration for authorizing the appropriate utility company to energize the facility, we agree with and
understand the following:
1. The facility will not be occupied until a certificate of occupancy has been issued.
2. If the jurisdiction hereafter finds that the facility has been occupied before a certificate of occupancy has
been issued, the jurisdiction will have the unilateral right to direct the utility to terminate electrical service
without notice. Furthermore, we understand and -agree that should the jurisdiction exercise such right, the -
jurisdiction will not be responsible for any damages or costs which may result from the exercise of such
right. Also, in the event any third party claims damages from the exercise of such right, we agree to jointly
and individually indemnify and hold harmless the jurisdiction from all such damages and costs, including
attorney's fees.
3. The building or structure shall be weather tight and secure. The electrical wiring in the area designated for
pre -power shall be complete and in safe order. All electrical services associated with the area will be 100%
complete unless specifically approved by the electrical inspector.
4. Interior electrical rooms shall be lockable, if electrical panels are in an area that cannot be locked by doors,
the panels shall be equipped with a locking mechanism (approved by the AW). The licensed electrical
contractor or his licensed representative shall hold the keys(s) for such access to electrical panels to prevent
energizing circuits other than those that are safe.
S. If provided, the fire sprinkler system must be operational, per the local AHJ requirements, with water on
the system prior to pre -power.
6.. This pre -power approval is valid for a maximum of 180 days from date of approval.
7. Check with the local jurisdiction for fees associated with pre -power.
7:YpAn .Di& %fan,+
Print Name of Qwner/Teu4nt
rgnature of 6;wneYrenant
JURISDICTION'EWLOYEE'NAME:
JURISDICTION:
CALLED INTO:
Rev. 02.10.15)
Central Florida Land Services Inc
Print Name of Gen. Co Aor
vSignature of Gen. Contractor .
CGC- 1524662
Gen. Contractor License #
o Progress Energy o Florida Power and Light
NAme of Eh Contractor
Siknature bf El. Contractor
2 e t -3 L)-o-3 3
EI. Contractor License #
on /
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: tAU
I hereby name and appoint: GScxr )ea V\
an agent of-, C>r rvTi2 L 0 W O)P LA N (J S 1rR v et 5 _lr
Nemo orCompany)
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):
O The specific ermit and application foy work located at:
c S 1 01 d- L f \C 1- (,I P, C(.
Expiration Date for This Limited Power of Attorney:_
License Holder Name:
State License Number:_ a G (2- < J d IA U U of
Signature of License Holder:
STATE OF FL1tIDA
COUNTY OF
Thome fo^r'egoing ' u ' w 1 e before me this day of . W= by who is wiers nail y known
to me or o who has produced as
identification and who did (dj0-ngt)_take an oath.
Sign ,t del
v \.J TIFFANY WILKES
Notary Seal) -Ma ' ° Conrnissoon n FF 201366
ii!?J'° My Commission Eapuos
Print Or type n8 ."VVa11,WW,o'c Februory 19. 2019
Notary Public - State of onit
Commission No.
My Commission Expires:
Rev. 08.12)
INSPECTION SEQUENCE
BP#
ADDRESS:
BUILDING PERMIT
Min Max Inspection Description
10 Footer / Setback
Stemwall
10 Slab / Mono Slab
Lintel / Tie Beam / Fill / Down Cell
10Sheathing — Walls
Sheathing — Roof
Roof Dry In
20 Frame
1000
Insulation Rough
Firewall Screw Pattern
Drywall / Sheetrock
Lath Inspection
Building Ceiling Air Barrier
Insulation Roof (Com'l)
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
ELECTR]CAL PERMIT
Min Max Inspection Description
10
Electric Underground
Footer / Slab Steel Bond
Electric Ceiling Rough
Electric Wall Rough
10 Electric Rough
Pre -Power Final
Tempo Pole
1000 Electric Final
1
rMic in Max Inspection Description
Rough Plumb
Plumbing Underground
Plumbing 2nd Rough
Plumbing Tubset
Plumbing Sewer
Plumbing Grease TrapRough
Plumbing Steam / Chill Water Rough
1000 1 Plumbing Final
PERMIT1MECHANICAL
Min Max Inspection Description
10 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
1000 Mechanical Final
I
THIS INS UNENT PRF ARED BY
lame: a frt ti+
Address• mea o
NOTICE OF COMMENCEMENT
GRANT MALOYr SEMINOLE COUNTY
CLERI', OF CIRCUIT COURT & COMPTROLLER
BY. 8994 P9 1556 (1Pes)
CLERK'S :2017096496
RECORDED 09/26/2017 01:00:38 PM
RECORDING FEES 410.00
RECORDED BY .ieckenro
State of Florida
County of Seminole _ /
Permit Number. 1• ! "IPS7 Parcel ID Number. 1 ' + ' — `O — 0006
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
DES PJPTIOON` F PR_ OpERTY al descjjpftn of the property and street address H even")
GENERAL DESCRIPTION OF IMPkI 0VEMEN •
L1 S Z1 v,'cte N C - era-,
OWN]INFORMATION:
NameAddreSaFee 8te TMe No r than owner) Name:
U(Cec>
AddresS '0210 t JGW,WIS.-
Persona within the State of Florida Deelg Owner upon whom notice or other documents may be served
as provided by Section 713.13(1)(b), Florida too.
Name: vw Zy Au
Address: L — '12 IP•J R O
In addition to hlmsaC Owner Designates 01
IT'g.-Alfft a copy of the Uence, Notioe ss Provided In
J
Section 713.13(1)(b). Florida Statutes. 'T 7
Expiration Date of NoUte of Commencement (The expiration date is 1 =' ate of recording unless a
dinerent date Is specffled)
WARMNG TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER TION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER PART I, SECTION 713.13.
FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPRO TO YOUR PROPERTY. A
NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR ' R 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
of kn
7
and eL
b ow
er, `
v TjQ
Omar% HIM
sr lb 71&1311xeY 'The a+wmr mus Men sm nolto. d mmimranrnt.na noonn dw may w pfd b a0 ti Moor Imr Mand.'
State of { wY k counoU
The foregolInstrument wasacknowledgedforerrothls S.dayof
n
by J '
wa/
VQrn',nq•
Who Is personally known to me
Nano d pawn ma "MalanaM
OR who has produced Identification type of Identification produced:
Afll
iff CCUM 1 FF 7
aEXPIRES: Oetober g. Naar &oma•
tloadM 1Iw Hoar Ilk uMrrwlra
w a&
Book8994/Page1556 CFN#2017096496 Page 1 of 1
j"
k4
ISE
KhTe . 0
1
January 18, 2018
David Bryant
The Ice Man
Re: Ice Man Sanford 2451 Old Lake Mary Road Sanford, FL.
Central Florida Land Services, Inc. ("CFLS") is pleased to quote the above reference site. The
following is our scope of work.
1. Walk-in panels for cooler including installation: $53,000
2. Labor to install ice machine equipment package: $50,000
3. Electrical: $47,000
4. 3" Water line:$8,600
5. Refrigeration for walk-in/bin room/bagging room: $33,000
Total Lump Sum: $191,600
All SPECIAL PROVISIONS have been reviewed and agreed with.
ContractoQ 1i Date: /09 i g
C
Job Address:
Parcel ID:
Type of Work: New 2
Description of Work:
E
Plan Review Contact Person -':J
Phone: q-0 ( 72_
Name
Street: 4
City, State Zip:
Name F?
Street:, IIUL"L fze i3 d' wr
r
City, State Zip: ;C1 t
x
Name: F
Street:
City, St, Zip:
Bonding Company:
Address:
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
ApPlication No: J `
Documented Construction Value: $ `1 ! L5D
l M` {' ,. Historic District: Yes No
Alteration
2 --Ml L -
Residential Commercial
Repair Demo Change of Use Move
4;i 2 c1 '2105s Ph
6- r Title:—
C) u L("
itle:
C)>3t( 51 `1_3Z 32, Email: E S-takr 10 "fQe
Property Owner Information +
Phone:
Resident of property?
Contractor,information
j /
Y / /
f ^
Phone: D(4 jq 4932 lr—
Gt ,.f 2- ?`x•3`'2---- Fax:: D , L ,
2-f= oc5 State License No.: FC. 3 _3cI ?
Architect/Engirleer Information
Phone:
Fax:
E-mail:
Mortgage Lender:
Address:
WARNING TO OWNER: YOUR FAILURE TO RECORDA NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMEG@Na9TS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE
FINANCING, CONSULT WITH YOUR LENDER OR .AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
Application is hereby .made to obtain a peffnit 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 willbeperformed to meet standards of all laws regulating constructionP
in this jurisdiction. I understand thata eparate permit must be secured for electrical work, plumbing, signs, wells, pools,
furnaces, boilers, beaters, tanks, and air conditioners, etc. i
i
i TBC 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
l
i
Revised: June 30, 2015 Perin it Application
I
iE
NOTICE: In addition to the requirements
found in the public records of this county,'.
management districts, state agencies, or fe
Acceptance of permit is verification that l
The City of Sanford requires payment of
in order to calculate a plan review charge
The actual construction value will be figi
accordance with local ordinance.. Should
credit will be applied to your permit fees,N
OWNER'S AFFIDAVIT: I certil
be done in compliance with all al
Signature of Owner/Agent
Owner/Agentis Personally
Produced ID Type of ID
f this permit, there may be additionalrestrictions applicable to this property that may be
Id there may be, additional permits required from other governmental entities such as water
ral agencies.
Al notify the owner of the property of the requirements of Florida Lien Law, FS 713.
Ian review fee at the time of permit submittal. A copy of the executed contract is required
id will be considered the estimated construction value ofthe job at the time of submittal:
d based on the current ICC Valuation Table in effect at the time the permit is issued, in
alculated charges figured off the executed contract exceed the actual construction value,
en the; permits issued.
that all of the foregoing information is accurate and that.all work will
licable laves regulating construction and. zoning.
Date Signature f Contractor/Agent I D to
PrintConiractor/Agent's Name
State atDateSigntooNotary -State of Florida D
y( f2Ll0
M
ist
to Me or. ' c ontractor/Agert ts,. Personally Known to Me or,
Produced ID Type -of. ID
BEL W IS FOR OFFICE USE ONLY
Permits Required: Building Electrical Mechanical Plumbing Gas[:] Roof
Construction Type: Occupancy Use: Flood Zone:
l
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' Fire Alarm Permit: Yes No
APPROVALS: ZONING
ENGINEERING:
COMMENTS'`
UTILITIES:.
FIRE:
WASTE WATER:.
BUILDING:
Revised: June 30,.2015 !:'il - Permit Application
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