HomeMy WebLinkAbout2620 San Jacinto Cir 17-173; ACp p ORIF place i%f OF
SAf1FORD BUILDING &
FIRE PREVENTION ECEIVE,. '
E RMI T APPLICATION JAN
17 2017 Application No: ks
Blf
LocumentedZenstruction Job
Address: Parcel
ID: c R") " Type
of Work: New Addition Alteration Description
of Work: np
JA-) l: Plan
Review Contact Person: ' }Y Phonc:
0 O-Zo ('X Fax: Value: $
Q Historic
District: Yes No Residential
Commercial Demo
Change of Use Move Vraw
Property
Owner InformationName Phone:QLA Street:
C r01 Resident of property? CINJ City,
State Zip: Contractor
Information Name
i i. Phone: Street:
P5-,'-i ` (-A T.o-) Fax: Q()Q 37 3 . -_30S7:i City,
State Zip:-C\-I L •'`+fix L! State License No.: U TvcName:
Street:
City,
St, Zip: Bonding
Company: Address:
Architect/
Engineer Information Phone:
Fax:
E-
mail: Mortgage
Lender: Address:
WARNING
TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OY 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'h Edition (2014) Florida Building Code q_
dD Revised: June 30, 2015 Permit Application
NOTICE: In•addition to the requirements of this permit, there in Y be additional restrictions applicable to this property that maybefoundinthepublicrecordsofthiscounty, and there may be additional permits required from other governmental entities such as waterrdiliagemontdistricts, 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 requiredinordertocalculateaplanreviewchargeandwillbeconsideredtheestimatedconstructionvalueofthejobatthetimeofsubmittal. The actual construction value will be figured based on the current ICC Valuation Table in effect at the time the permit is issued, inaccordancewithlocalordinance. Should calculated charges figured off the executed contract exceed the actual constr"uction- value, credit will be applied to your permit fees when the permit is issued. l >
OWNER'S AFFIDAVIT: I certify that all of the foregoing information is a' rate
be done in compliance with all applicable laws regulating construction zonin .
Signature of Owner/Agent Date gnatureofContractor/Agent
rant Owner/Agent's Name
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
tx( l V • %
Contractor/Agent's
Signature of Not -State ofFloridn
a^ CHERYL D AKERS
MY COMMISSION # FF998962
EXPIRES June 05, 2020
1407)39"153 F1c6d5N01UrySdvic0.00m
that all work will
134 7
Date
O
I l31 `7
Date
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 n
Construction Type:
Total Sq Ft of Bldg:
Occupancy Use:
Min. Occupancy Load:
New Construction: Electric - # of Amps:
Flood Zone:
of Stories:
Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes No # of Heads_ Fire Alarm Permit: Yes No
APPROVALS: ZONING: UTILITIES: WASTE WATER:
ENGINEERING: FIRE: BUILDING:
COMMENTS:
Revised: June 30, 2015
Permit Application
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be
found in the'public records of this county, and there may be additional permits required from other governmental entities such as water
management districts, state agencies, or federal agencies.
Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713.
The City of Sanford requires payment of a plan review fee at the time of permit submittal. A copy of the executed contract is required
in order to calculate a plan review charge and will be considered the estimated construction value of the job at the time of submittal.
The actual construction value will be figured based on the current ICC Valuation Table in effect at the time the permit is issued, in
accordance with local ordinance. Should calculated charges figured off the executed contract exceed the actual construction value,
credit will be applied to your permit fees when the permit is issued.
OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will
be done in compliance with all applicable laws regulating construction and zoning.
Signature of O%%mer/Agent Date
Print Owner/Agent's Name
I)Ia—
Signa5 re, " -., . t o i A hsl Date
j
MY COMMISSIDtN A FF 120904
EXPIRES: August 25, 201E
9onded fltru Notary Public Underar?,ers
d +w.. ..+ :w5.+...apt.:.-;t-w-ca+cr.,+n.+rt•: ,+.o-t f
Owner/Agent is Personally Known to Me or
Produced ID Type of lD
Signature of Contractor/Agent Date
Pod H , tlAd
Print Contractor/Agent's Name
Signatur • a; ate
PAT SUSI
i;i;Mtr-0ISSIQV tt FF t209N
r+T • XPIRES: AuQusl 25, 2018
j l''•,.,'''"'', P,erdrdTtwfJotar Pu1 ieUnden%ai;ers (
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:
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: June 30. 2015
Permit Application
City of Sanford
Building & Fire Prevention Division
Residential Permit Card
PERMIT NO. ! • ` 113 ISSUE DATE:
CONTRACTOR: be I • ' t Neck t; tj 4 1cm
JOB ADDRESS: Q ID A0 501 _ )Q WCI m - - I
TYPE OF WORK: RGM I ate f-NFr M 11 1 - 82-S
Post this permit in a conspicuous location outside
Approved plans must be posted with permit for inspection
Leave all work uncovered until inspected and approved
Permit expires 6 months from date of issue or last approved inspection
PROTECT FROM WEATHER
BUILDING
INSPECTION TYPE APPROVED REJECTED INSPECTOR
ELECTRICAL
INSPEC71ON TYPE APPROVED REJECTED INSPECTOR
FOOTER INSPECTION ELECTRIC UNDERGROUND
STEM WALL FOOTER/SLAB STEEL BOND
FORMBOARD SURVEY T.U.G. / PRE POWER
SLAB / MONO -SLAB ELECTRIC ROUGH
LINTEL / TIE BEAM ELECTRIC FINAL
SHEATHING - ROOF MECHANICAL
INSPEC77ON TYPE APPROVED REJECTED INSPECTORSHEATHING - WALLS
FRAME MECHANICAL ROUGH
INSULATION ROUGH IN MECHANICAL FINAL
DRYWALLISHEETROCK PLUMBING
INSPEC77ON TYPE APPROVED REIECTED INSPECTORLATHINSPECTION
FINAL STUCCO/SIDING UNDERGROUND ROUGH
FIREWALL SCREW TUB SET
FIREWALL FINAL SEWER
INSULATION FINAL PLUMBING FINAL
FINAL SFR GAS INSPECTIONS
INSPEC770H TYPE APPROVED REJECTED INSPECTORROOF
INSPEC770N TYPE APPROVED REJECTED INSPECTOR GAS UNDERGROUND PIPE
ROOF DRY -IN GAS ROUGH -TN
FINAL ROOF GAS FINAL
MISCELLANEOUS FINAL INSPECTIONS
INSPEC77ON TYPE APPROVED REJECTED INSPECTOR INSPECTION TYPE APPROVED REJECTED INSPECTOR
PRE -DEMO FINAL DOOR
FINAL DEMO FINAL WINDOW
FINAL SOLAR PANELS IRRIGATION FINAL
FINAL POOL SCREEN FINAL SCREEN ROOM
FINAL UTILITY BUILDING FINAL BUILDING (OTHER)
MOBILE HOME TIE -DOWN MOBILE HOME FINAL
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
NOTICE: IN ADDITION TO THE REQUIREMENTS OF THIS PERMIT, THERE MAY BE ADDITIONAL RESTRICTIONS APPLICABLE TO THIS PROPERTY THAT MAY BE FOUND IN THE PUBLIC RECORDS
OF THIS COUNTY, AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES OR
FEDERAL AGENCIES FBC105.3.3
REVISED: OCTOBER 2014 rutocclion Unt: M511.2112