HomeMy WebLinkAbout104 Brushcreek Dr (2)CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: %
0
Documented. Construction Value: $ I /�
,
Vob Address: /0 � S �� c i-,tfe K- Historic District: Yes ❑ :,To L�J
% Parcel ID:. aj `3 �/ " �u � 13- Residential Z" Commercial ❑
Type of Work: New ❑ Addition ❑1 Alteration ❑ Repair ❑ Demo ❑ Change of Use El move
Description of Work: A/C C ►�1G.t54C Cab' 4—
Phone: 3,56 — 66 <6/— M2, Fax:, 3a `- A " % 9/ Email:
City, State Zip:
Title:
r ) "'j / lG�
n7-3�2 -15gw-
Resident of property?
as , Contractor Information. / y
Name I d, ;a
Z'I Phone: _ (� / �✓
Street: to —7A Fax: "(
ol
City, State Zip: izQ7 r� State License No.: of -A
Architect/Engineer Information
Name: Phone:
Street: Fax:
City, St, Zip: E-mail:
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.
s
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 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
accorda'hce 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.
Qb
Signature of Owner/Agent Date Signature of Contractor/Ag c Date
III s C. `ifs A 3
Print Owner?.Agent's Name Print Contractor/Agent's Name
Signature of Notary -State of Florida Date
Owner/Agent,is Personally Known to Me or
Produced ID Type of ID
r
MIS,
ign'
Ti
=q�
e
ClALR��t 3UES
��y �y,��t���Q /y�y �,p�,p��p
AI`(.COMMMION # FF
oc
StindedTtwWo* PAG Undervm'bM
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:
1
Min. Occupancy Load:
New Construction: Electric - # of Amps
# 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: 4
Revised: June 30, 2015 Permit Application
Dei'tona/DeBary
(386) 668-8752
Daytona
(386) 761-8319
LIC # CAC050422
DeLand/Orange City
(386)734-9770
Brevard County
(321) 723-2040
ORIDA
AIR CONDIT/ONING, INC
Sanford Orlando
(407) 322-0199 (407)'628-5748
New Smyrna
(386) 427-9149
ALL OTHER AREAS: 1-888-MID-FLAC
643-3522J
NAMEy,,r
#
REFERRED BY
'"
INSTALLD
TE
INSPECTION DATE
ADDRESS T a
BILLING ADDRESS IFOIFFERENi
FROM JOB LOCATION
e,.
,..
C"YSTATEILIP, .. i
CnY/STATEOP
HOMEPHONE
CELL
WORK
EMAIL
ITEMS CHECKED APPLY ;0 PERMrr
❑ MANUALJ ❑ MANUAL D
:+El 1 INSTALLER ❑ 2INSTALLERS ,,,,01' HELPER
Ll 2 HELPERS
❑ HORIZONTAL f-l''4ERTICAL
( ). Package Unit tons (If H t.Pump ( ) S. cool
( `j Cohdenser tons ( ) Heat Pump ( ) S. cool
j„- Air Handler '" tons cfm ( ) vert.
( `) Coil tons
( ° )p Heating k.w. strip SEER
Brand I
Brand
Iriz. Model #_
HSPF-
( ) Drain Pan ( ) Condensate Pump
O'Locking Gas Caps (,,,y'`Hurncane Mounting Kit
(.*) Filter Rack ( )Filter EXISTIN(GBREAKERSI, BREAKERS NEEDED
( ) Aprilaire ( ) Shroud Type -' _ + 1: ` `�A " Type
Indoor(- - ( Amps (,I thick ( ) thin Indoor Amps ( j thick, ( ) thin
MISCELLANEOUS
(•—) Thermostat wall e f Outdoor = ' r Amps (" thick.( j thin outdoor ' Amps (' )thick ( )thin
type ( ) non -programmable OV, programmable
(✓) Precast slab for -condenser unit,
(drRef. Lines _�ft_ () ref. line cover
{ ) Flush Kt
( rj Condensate Line
(,:
Plans - Clean-up
(.�
Plywood Top
O,2 x 4 Studs
j
(j Float Switch
Wet Switch
I 'i
DUCT SYSTEM
j New System
- supplies with dampers
( ) Fiberglass Duct
( ) Flex System
( ),.Direct Return
( ) ducted ( ) filterback grill
("UInsulate Platform
G,) Reconnect Plenum
(,,,rMastic
MISCELLANEOUS OR EXTRAS:
ELECTRICAL
G-) Hook -;up by MID-FLORIDA A/C, INC.
( -j;--Ow Voltage by MID-FLORIDA A/C INC
( j Electrical by others if needed not in price_._..._ .__ Initial
LIMITED WARRANTY AND GUARANTEES
( ) Manufacturers�year•warranty on compressor.
('?.) � . f7 year warranty on all other Manufacturers parts.
(�) free service from date of start up
(>) � year warranty on all other parts installed by MID -FL A/C; INC.
Warranty does not cover Filters, Tripped Breakers or Maintenance
Manufacturers warranty for original homeowner only
We agree to furnish and install the above described labor and materials on the terms indicated below.
It is agreed that the purchaser releases the seller from and that the seller assumes no liability and shall not be responsible for any loss, damage or delay
caused by acts of government, strikes, lockouts, fire, explosion, theft, floods, rain, water damage, riot, civil commotion, war, nuclear disaster, fungi, mold,
bacteria, malicious mischief, picket lines, acts of God, or by any cause beyond its control and any event of p6nsequential damages. If any claims or
disputes arise it is agreed to by the purchaser and seller that they will be settled by a mediator. , _
161ASMRURO OR DISCOVER
PAYMENTTYPE: Q`CHECK ❑ CASH "i] CREDIT CARD
The customer acknowledges that prior to signing this proposal he has $ `.. # « a3•
read the terms and conditions contained herein and hereby accepts n : +:�f
this proposal including the conditions on the reverse side hereof which
are a part of the proposal; and further agrees to make payments as 100% WHEN EQUIPMENT 19
follows:'-
INSTALLED # ,
PRICE INCLUDES ALL DISCOUNTS,
f; REBATES AND INCENTIVES
"BUYER'S RIGHT TO CANCEL."
"If this is a home solicitation sale, and if you do not want the goods or services, you may cancel this agreement by mailing a notice to the seller_ This
notice must be postmarked before midnight of the third business day after you sign the agreement. if you cancel this agreement, the seller may keep
all or part of any cash down payment, not to exceed the lesser of 5 percent of the cash price or $50."--
r% ; r, r .>
Date =" f r Purchaser
Estimator <` F* x ` We13e56mmend the Power Company Test Your Ducts For Leaks
�,Q'fPl_ 0 DUKE ENERGY PHONE 1-866-712-3413 ❑
�1.Y OF
SXNFOR:f�
FIRE DEPARTMENT
�t
PERMIT NO. / • 7 ISSUE DA
CONTRACTOR: meet Flor,*a
JOB ADDRESS: /
0
TYPE OF WORK: WO
Building & Fire Prevention Division
Residential Permit Card
S11af pew &4
• 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 7YPE .APPROVED REJECTED INSPECTOR
ELECTRICAL
INSPEC770N TYPE APPROVED REJECTED INSPECTOR
FOOTER INSPECTION
ELECTRIC UNDERGROUND
STEMWALL
FOOTER/SLAB STEEL BOND
FORMBOARD SURVEY
T.U.G. / PRE POWER
SLAB / MONO -SLAB
ELECTRIC ROUGH
LINTEL / TIE BEAM
ELECTRIC FINAL
SHEATHING - ROOF
MECHANICAL
INSPECTION TYPE APPROVED REJECTED INSPECTOR
SHEATHING - WALLS
FRAME
MECHANICAL ROUGH
INSULATION ROUGH IN
MECHANICAL FINAL
DRYW ALL/S H EETROC K
PLUMBING
INSPECTION TYPE APPROVED REJECTED INSPECTOR
LATH INSPECTION
FINAL STUCCO/SIDING
UNDERGROUND ROUGH
FIREWALL SCREW
TUB SET
FIREWALL FINAL
SEWER
INSULATION FINAL
PLUMBING FINAL
FINAL SFR
GAS INSPECTIONS
INSPECTION TYPE APPROVED REJECTED INSPECTOR
ROOF
INSPECTION TYPE APPROVED REJECTED INSPECTOR
GAS UNDERGROUND PIPE
ROOF DRY -IN
GAS ROUGH -IN
FINAL ROOF
GAS FINAL
MISCELLANEOUS / FINAL INSPECTIONS
INSPECTION TYPE APPROVED REJECTED INSPECTOR INSPL•'CT70N TYPE APPROVED REJECTED INSPECTOR
FINAL DEMO
FINAL DOOR
FINAL SOLAR PANELS
FINAL WINDOW
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: 4-17 Inspection Line: 407.792.6069 or 855.541.2112
TO SCHEDULE AN INSPECTION:
• Dial 407.792.6069 or 855.541.2112
• Provide the items requested during the message
• The type of inspection requested must be scheduled under the appropriate permit type
• Follow the prompts
*** To Schedule Fire Inspections: Please call 407.562.2786 ***
PLEASE NOTE: Inspections scheduled by 5:00.p.m. will be conducted the next business
day. If you experience difficulty, please call 407.688.5150 Monday - Thursday 7:30 am -
5:30 pm for assistance.
AUTOMATED INSPECTION SYSTEM CODES
BUILDING
ELECTRICAL
FOOTER
104
ELECTRIC UNDERGROUND
211
STEMWALL
102
FOOTER / SLAB STEEL BOND
221
FORMBOARD SURVEY
147
T.U.G.
216
SLAB / MONO -SLAB
103
PRE POWER FINAL
218
LINTEL / TIE BEAM
105
ELECTRIC ROUGH
212
SHEATHING - ROOF
106
ELECTRIC FINAL
213
SHEATHING - WALLS
115
MECHANICAL
FRAME
109
MECHANICAL ROUGH
409
INSULATION ROUGH -IN
110
MECHANICAL FINAL
410
DRYWALL / SHEETROCK
131
PLUMBING
LATH INSPECTION
132
UNDERGROUND ROUGH
322
FINAL STUCCO / SIDING
130
TUB SET
312
FIREWALL SCREW
120
SEWER
311
FIREWALL FINAL
143
PLUMBING FINAL
313
INSULATION FINAL
113
GAS
FINAL SFR
138
GAS PIPING UNDERGROUND
GAS ROUGH -IN
328
314
ROOF
ROOF DRY -IN
116
GAS FINAL
315
FINAL ROOF
III
MISCELLANEOUS / FINAL INSPECTIONS
FINAL DEMO
126
FINAL DOOR
136
FINAL SOLAR PANELS
134
FINAL WINDOW
137
FINAL POOL SCREEN
139
FINAL SCREEN STRUCTURE
127
FINAL UTILITY BUILDING
124
FINAL BUILDING - OTHER
112
MOBILE HOME TIE -DOWN
145
MOBILE HOME BUILDING FINAL
146
Miscellaneous Notes:
REVISED: 4-17 Inspection Line: 407.792.6069 or 855.541.2112
FIRE INSPECTIONS
CITY
OF SANFORD
407.562.2786
BUILDING & FIRE
PREVENTION
BUILDING INSPECTIONS
300
N PARK AVE
855.541.2112
SANFORD
FL 32771
DRIVEWAYS -SIDEWALK 407.688.5080
----------------------------------------------------------------------------
Page 2
Application Number . . .
. . 18-00000700
Date 2/05/18
Property Address . . . .
. . 104 BRUSHCREEK DR
Parcel Number . . . . . .
. . 33.19.30.516-0000-1370
Application description .
. . MECHANICAL PERMIT
Subdivision Name . . . .
. .
Property Zoning . . . . .
. . PUD
Permit . . . . . . MECHANICAL PERMIT -RESIDENTIAL
Additional desc . .
Phone Access Code 1029586
Permit pin number 1029586
----------------------------------------------------------------------------
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
----------------------------------------------------------------------------
1000 410 MH02 MECHANICAL FINAL / /