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Home My WebLink About904 W 22 StJob Address: e4 Parcel ID: _;?e —/y Type of Work: Ne}v ❑ A Description of Work: Plan Review Contact Persc Phone: S 3 Name Jr2 CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: /Y- WD Documented Construction Value: &'107 f D o- o a Historic District: Yes ❑ No ❑ Residential Ercommercial ❑ dition ❑ Alteration Repair ! rJ Demo ❑ Change of Use ❑ Move ❑ Title: ejGiC/l7�Gy /7// Fax: 4�a7 U/ 9 �Q 7 Email:/5uo/ {i•� s(� h ol6AQ/, cam Property. Owner Information. 7brfi4aV7 Phone -- Street: & 4C�S City, State Zip: Name 96 11 Street: / yD 9 City, State Zip: 0� Name: Street: City, St, Zip: Bonding Company: _ Address. Resident ofproperty? V-4z Contractor Information SjV(:,-/ r(, 32- A3 7 Phone: �/b 7 FS_Y T7 Fax: (/$? Gs'7 0 State License No.: CAf" % Architect/Engineer Information Phone: Fax: E-mail: _ Mortgage Lender: Address: I I WARNING TO OWNER: YOUR FAILURE TO RECORD A.NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR LNIPROO VEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED,ON,,',- THE J.OB'SITE BEFORE THE FIRST IN,SP.ECTION. 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, pinanbtag; signs, wells, pools, furnaces, boilers, heaters, tanks, and air conditioners, etc. ) 01 FBC 105.3 Shall be inscribed with the date of applieation and the code in effect as of that date: -Sill Edition (2014) Florida Building Code O Revised:.hrne 30. 201 i ( Pemlit 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 thanagemetit 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. paytI ent 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 constriction value, credit will be applied to your permit fees when the permit is issued. OWNER'S .AFFIDAVIT: be done in compliance wil ^.tify.:that,all of the foregoing;ifif-.ormation as accurate and that.all work will applicable laws regulating construction.and ;coning. signature ofow r/Agent ci) date Print Owne (�011Et1111fffP!//!! ,12/2 l V, '• Signature of Notary -State of Florida 1' �" 16, g6E740 :y Owner/Agent P/ 3 tJt O a o;,ded%C c°, or • P v is ersc l r Ver Ye or 4 t�N Produced ID Type of�8C1" Permits Required-. Buil Construction Type: Total Sq Ft of Bldg: New Construction: Fire Sprinkler Permit: Yes APPROVALS: ZONING: COMMENTS: ,ew &m, /1 2��(v Signature of Contractor/Agent Date 'a wo /�� Print Contractor/Agent's \\\,`��it siptatatre of Notattatrt�L .'� ?p�a/�N Lte FF 966740 S,� 9•'a�O�dedlbw sbiic Contractor/Ager&,*&, errs }��Known Me or Produced ID !!!!/tr t S FOR OFFICE USE O1VLY ❑ Electrical ❑ Mechanical ❑ Pllumbing❑ Gas❑ Roof Occupancy Use: Min. Occupancy Load: - #` of Amps. No ❑ # of Heads UTILITIES NG: FIRE: Flood Zone: # of Stories: Plumbing, -;r# of Fixtures. Fire Alarm Permit: Yes ❑ No WASTE WATER: BUILDING: Revised: June 30, 2015 1 PeuuitApplication 1 /28/2,018 Mail - Karweemah Adams - Outlook Roto Rooter Services Comp; F" O Ren;it to: 5672 Coileclions Centor Drlve; Chicago IL 60693-0 r- 't YU— For Sem-me Pte:fcn',C�r 1-$00-GET-ROTO t4364 090 a TER General (407)'859 9557 • FAX (407) 857.04� r't rr^rr'rryr' F. ICFC 01429187 r rrnnrro sr.nutr,r' $®$-GET 11170To ! �7 2.305'" ItdVO.ICE Np;,5,� - iUti;t j:R-t'vOr1 �UI"�^retn Technician 411&-5— Z9 9(o AdcirCSS u ( t Llzip Ana C•''Ilwl l c �:1i 'Sile I11�I),,z i.1{� 1 i (�..,fili1t,.TiC. (Sue Binding Tertw,,; (7n Reverslc-i C ' .,:�1 � � , �:�1� �.�'�_ � rLsu P•ht uslomer AccrDecline '� 1�r IF -_ - - -- - n a o - c" �� n. � _�� w ri fir✓ . sN ��i� n. <t 4a b! 0 D D LD — �-.. /%�_-•.a// �-�-- .� _ A s i i. RGtRAUIH0RIZATi0N _tc;.; r , K 7�E* Inc. ?r �� F ,,h. _�.,_ � y❑ Jrx.c a,az, !i i , ,1 v''I (atGSE -T6ld eSttmah? fQ`}E S GtlStOR1C( r ?, � � I�� , [ u r r �,s 7!. !.�r �?r r� . is rh I qr �i,j6 �{ ei� �rr y ,.�t r�yc��'r_lT/f .�ieatinn 3U1h�ZatIOP 01 WDfk 351plflCalBd 0b0YC %++ iPnntName/ iaxnot=includedm_esttmale _ — /.,� �c�CRiPTiOA' OF 4":OR I O BE R�ERFORhiED it , , , , ,at st rt nc tIxe, 0 r $ MI 10r,% Of p-c'at a-c M110 takexfs deeo Parts :$%%O •— - ,I r TOTAL ITSIADJUSTMENTSICHANGES IN WOIK; �r __ _.. ❑ Cash L7,Cher k pCreditCard,° �fluM # .Store 5tamq O�# _.. -- -- :ps://outfook.live.com/mail/#/inboxriid/AQQkADAwATYOMDABLW 14ZmQtOTFkOSOwMAItMDAKABAAzGTdPMzrYk2RVSg6P8Z9og%3D°/a3D/sxs/AQ... 1 /2 THIS INSTRUMENT PREPARED,BY:�,�5�;"�' Name: I< Adams ; !j A°ldress: GRANT l IAL O t SEt1IhaC}LE GOUhIl'Y 1 ` { '217Erw. OF ''CIRCUIT COURT & COMPTROLLERti e;r. Qlv.,� Fe 13 �f (1Fsaj ?TICE {�F COMMENCEMENT GLIRK'S x 201901fM8 F�E.CORDED? 1.11/29/ ^I11; 71:11:0-5,F,I StateafFlorlda}� �:EtOftDING IFEE`1U,itii fECORDED 2 t' 1>i_E:enr,� Gwjnty of'Setninele, { Permit.Number il,:. Parcel ID,Nurriber. 36-19-a&:520 0000-1320 " The undersigned hereby gives nonce that improvement will be made to certain real•property,,and maccordance with Chapter 713, Florid Statutes, the followi lg information is provided in. his Notice of Commencement. 27,71, �CWf=K �INt� �CF'LAIC:CMtIV I NT: OWNER INFORMATION: Name:. VIRGINlA11 J STEPHEN COFFMVAiN Address: i 9t)4 W'-22Np" ST'SANFO,RD, FL 32TT1 Fee Simple Title Holder.,(if other, than owner). Name: NA Address: } CONTRACTOR:�R Name i 20T0d rt2� Address 11404 GEIv1i,NLBLVD "ORLANDO, F,L 32837 Persons within the $tate.of Florida Designated by Owner upon Vvhbm nofoe brother documents may"be,served `as'provid�ed :by Section 713.'I�(1)(b);"FloYida:•Statutes. � ° r� .,Nam: 1 NA } i .I Address: In addition to himself; Owner Designates: of I I To receive a "copy ofjthe-Lienor's Notice as Provided in Section 713.13(1)(b) } lorida Statutes. t Expiratlon Date of Notice of Commencement. (The expiratibn=d ate.is !.year from date o�-reeording. t� less: a=" different"hate ls.spec'fiedj" " WARNING TO OWJVER' COMMENCEMENT ARE FLORIDAESTATUTES',I-AND NOTICE OF COMMENCEMENT INSPECTION. IF YO,U $ i 0f2E �UNIIVIEt�dt�G Under penalties of,I to the best":oi rrrtr knov�ledge:and-belief. ni ANY PAYMENTS CONSIDERED+'IMPROPER CAN RESULT MUST INTEND T., OBTAIN V7dfiiC (iR Ro�ezc jury,. I declare s Sl94ature MADE BY. THE OWNER: AFTER' THE EXPIRATION PAI-MENTS� UNDER,CHAPTEIti713;, IN YOUR PAYING TWICE FOR IMPROVEMENTS BE RECORDED AND POSTED ON THEIJOB FINANCING, CONSULT WITH YOUR YO )it RO11" d_= 0COWt4 Ail that "l Have read the; regoing and that ST PH OF'TME NOTICE OF - PART I SECTION 713:13 , TO YbURi PROPERTY. A SITE. BEFORE THE FIRST LENDER FOR AN ATTORNEY 1�fi. -the facts stated in it are true EN GOFF,M,N" PriMed.Narr+e' CS { •Ownees F.IoriGa`5latute71313(Ij(19�1The*wne ustsi(gnthenaticeofcommenoementandno;one•elsemaype.permitted to sign in. hii-or,her stead' Q'� %� i • FY T; t' v State of� i l : County of�� " j l `•rJ FFF? #instr wkIll tf t � ElTheoregong dayo1. °w CL �lLUL i btf r % Whaispra Cr aaaIlyknown(t6me❑ f� 7 N OR who has produti-Bi S pj ide�itification _ typ; of &ntification produced: ct I 4 ••. y FF 966740 l5 l oonded �f'•. b11CUnaa•, �y N"nnttt►it� Nota - 'Signature j u Uj , I L�s�is Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: i y I `hereby name and appoint: an agent of: (Name of Company) to be my lawfiil 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): The specific permit and a jicgtion for work located at (Street A Tess) Expiration Date for This. Limited Power of Attorney:; Al-t License Holder Name' State License Number: Signature of License 1 i6ider: STATE OF FLORID COUNTY OF hZ The foregoing i 204E, by to me or a who was acknowledged before me thisa ep day Ar who isally known as produced as identification and who did (did not) take an oath. j - Signature `\\\,;��tit1�t�►��//�fJ/, (Notary Seam •r J Print or type name FFft Notary Public - State of COlT1t111SS1(3n No. TF My Commission Expires: (Rev. 08.12) Y OF NFORD 11K Building & Fire Prevention Division FIRE DEPARTMENT1� ZZ Residential Permit Card / 8 '. & ® ISSUE DATE: • PERMIT NO. CONTRACTOR: 0 1 ��jk r - JOB ADDRESS: TYPE OF WORK: • 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 INSPECTION 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 77PE APPROVED REJECTED INSPECTOR SHEATHING - WALLS FRAME MECHANICAL ROUGH INSULATION ROUGH IN MECHANICAL FINAL DRYW ALL/SHEETROCK PLUMBING INSPEC71ON 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 INSPECT70N 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 RFJECTE'D INSPECTOR INSPECTION 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 NOTICEOFCOMMENCEMENT-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 -OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. YOUR LENDER:: NOTICE. IN ADDITION.TO THE REQUIREMENTS OF THIS PERMITS 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 OTHERS GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES OR FEDERAL AGENCIES FBC105.3.3 f REVISED: 4-17 Inspection Line. 407.792.6069 or 855.541.2112 L TO SCHEDULE AN INSPECTION: • Dial 407.792.6069 or 855.541.2112 • Provide the items requested during the message • The type of inspection regitested must be scheduled under the appropriate permit type • Follow the prompts Xx* 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 FOOTER STEMWALL FORMBOARDSURVEY SLAB / MONO -SLAB LINTEL / TIE BEAM SHEATHING - ROOF SHEATHING - WALLS FRAME INSULATION ROUGH -IN DRYWALL /SHEETROCK LATH INSPECTION FINAL STUCCO / SIDING FIREWALL SCREW FIREWALL FINAL INSULATION FINAL FINAL SFR ROOF ROOF DRY -IN FINAL ROOF FINAL DEMO FINAL SOLAR PANELS FINAL POOL SCREEN FINAL UTILITY BUILDING MOBILE HOME TIE -DOWN Miscellaneous Notes: ELECTRICAL 104 ELECTRIC UNDERGROUND 211 102 FOOTER / SLAB STEEL BOND 221 147 T.U.G. 216 103 PRE POWER FINAL 218 105 ELECTRIC ROUGH 212 106 ELECTRIC FINAL 213 MECHANICAL 115 109 MECHANICAL ROUGH 409 110 MECHANICAL FINAL 410 131 PLUMBING 132 UNDERGROUND ROUGH 322 130 TUB SET 312 120 SEWER 311 143 PLUMBING FINAL 313 113 GAS 138 GAS PIPING UNDERGROUND GAS ROUGH -IN 328 314 116 GAS FINAL 315 III MISCELLANEOUS / FINAL INSPECTIONS 126 FINAL DOOR 136 134 FINAL WINDOW 137 139 FINAL SCREEN STRUCTURE 127 124 FINAL BUILDING - OTHER 112 145 MOBILE HOME BUILDING FINAL 146 REVISED: 4-17 Inspection Line: 407.792.6069 or 855.541.2112