HomeMy WebLinkAbout135 Pinefield Dr (4)CITY OF
Building & Fire Prevention Division
P FORDPERMIT APPLICATION
flply DEPAR hlt
Application No:,..,,
Documented Construction Value: $ 31 �00 ;
Job Address: 115 L i t1e:AoA Dr-m Sanam Ft- sati Historic District: YesF-]No®
Parcel ID: _ -�� - l - �j(�Q(} - j �(�i, Residentiala Commercial
Type of Work: NeWD Addition[] Alteration Repair Demo❑ Change of. Use❑ Move❑
Description of Work:
Plan Review Contact Person: Ma ++1 ew J-6-fy S Title: Mripjaplr
Phone: _163- j 1� - %gg Fax: Email: iAf'o 5e�v ceS4Elt Crnl�►�,ml ck�n�. t aM
Property Owner Information
Name lam eSh is Cci, Phone: 3r21- Ap 'S(o 0
Street:135 P nw_4!�ie_ld , vp Resident of property?: VeS
City, State Zip: SqlflL I
Contractor Information
Name e(v,`Lf Sit( 6&%n nn�nr� ry j inq. zN Phone: -6-69- `6F8
Street: 1835 F. CQIoniG( Drive 5u`¢e IOc Fax:
City, State Zip: Qdnd 6 : E-- 3, 6 L State License No.:
Architect/Engineer Information
Name: Phone:
Street: Fax:
City, St, Zip: E-mail:
Bonding Company.
Address:
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: 611 Edition (2017) Florida Building Code
Revised: January 1, 2019 1' �% Permit 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 fi-om 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 pen -nit 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
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
Signature of Contractor/Agent Date
4c) I V � r 1 z--
Print Contractor/Agent's Name
Signature ofNotary-State of Florida Date
�,�.rrere�.rrr�+r
r�'ftv'4 CATHERINEM. HARRIS
MY COMMISSION # GG 176046
ni EXPIRES: February26,2022
7iVY Public Undw*ftn
Contractor gent 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: Occupancy Use:
Total Sq Ft of Bldg:
Min. Occupancy Load:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads
APPROVALS: ZONING:
COMMENTS:
ENGINEERING:
UTILITIES:
FIRE:
Flood Zone:
# of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes ❑ No ❑
WASTE WATER:
BUILDING:
Revised: January t, 2018
Permit AppGeation
Service Star it Conaditioning & Heating, inc. Invoice
18735 E. Colonfalbr. 4100 - Orlando, FL 32820
Orange/Seminole (407) 568-4688 Brevard (321) 638-4699
Indian River/St. Lucie (772) 770-3733 Palm BeachlBroward (561) 601-4001
Volusia/Flagfer (386) 295.5333 Statewide: 1-844-238-7827
R11111
Marion/Sumter/Alachua (352) 489 -7779 Polk / Osceola (863) 576-9119
Hillsborough I Pinellas (813) 333.5199 Manatee/ Sarasota (941) 222-0886 AIR CONDMONING& NEATWC-, INC
FLORIDA STATE LIC, It CAC055550 Comfort You con 44 quefity You (an fhat Starr 1 "2
NAME,
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all
PRICE
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Y-7,
MAKE CHECKS PAYABLE TO SERVICE STAR AIR CONDITIONING AND HEATING, INC.
AIR HANDLER BREAKER amps, CONDENSER BREAKER amps.
--j
I a0knoiAeoge alai reors r�3 e teen pfelOrmed in a Mann-, * 54slaccry to me In Iris: event payniern Is not
made as agreed, Purchaser agrees to my all costs of collect on. Including a reasonable amount as agerritty's
fees Interest al Ov rate of lfig, Per annum, w,3 l e seam to;l delinquent bmances
CHOICE OF LAW VENUETh,,s agreerrieritshal beiiteipreted so�e�i ur4er (Irs". laws of Ifte Slaleof
Ficirca aril bv Flo, Ida Stale and Fedwal Courts V thee Coo-ty of Otange Cmwl Fianda she have exmwe
funsd-= to resolve any and an (IL14VIPS aRWV cut of INS arvitractual
CHECKLIST rew-n" belwem the paiti's
COMPRESSOR 2. MEDIATION AND ARMTRATION The p5rites hwe to agre-eitaj prior
legvJxVn line
to arri being I&ed in the omms of the Slate of F k7njil,
TID A
C1 10, -Mv--hledtly V*, I icr4a State Bar Asur-rlo,
0 AMPS RATEd
Cl DEFROST SOAPO
(I ELECTRICAL CONNECTIONS
Cl CONTAGTOA POINTS
x
Ll FAN A. RATED
CISOX OILED 08OKSEALED AUTHORIZED SIGNATURE
CONDENSER COIL I certify that I have performed sairvices indicated and inslallia
CREDIT CARD is
AUTHORIZATION 4
L-1CLEAN J- -P parts listed.
C) FIN CON DIVON
PARTS WARRANTY
PARTS
'3 TEMP./ DIFF. - --F
REFRIGERANT
All Palls as recafdad are wariartled
0 LEAK
,70.K nA.22 0410,A TECHNICIANS SIGNATURE
as w manufacturer specifications.
SVC. CALL
I It" RE& lescom
LABOR GUARANTY -SERVICE
DIAGNOSTIC
FAN AND MOTOR OUR T41NED PERSONPFL SUGGEST THE FOLAOWNG JNJPROVEMENTS,
n AMPS
- —i, —PAT
Th labor cha,go as recorded here
0
t&1
— tunes. to
LICHRCUITDOAAD OFUSE
relative to the equipment serviced 83
not", is for a Period Of
TECHNICAL
SERVICE
it
0 PUUEY113ELT
guaranteed
SHOP
I year. No charge, wis"anty work
ELECTRIC HEAT STRIPS C]
will be provided only during normal
woriOnst hours,
LABOR
RMIT
PERMIT
PERMIT
f) INSPECT CONNECTIONS
0 AMPS RATED
r7 K it. OWATTS -
LE
NOT RESPONSIBLE
FOR ANY
TAX
TAX
EVAPORATOR COIL 0
OCLEAN i:)nUS'TED
WATER LEAKS/
)E
0 A In IN 3 YEAR
0 I'll otTT-- 8 SERVICE AGREEMENT S459,0D
OR
WATER DAMAGE OR
57U
C1 (EMP� I D!rF, DUCT DECONTAMINATION $65.00 per VENT
DAMAGE
MOLD/ MOLD DAMAGE
i
0 1xv -I PISTOs
C) PARTS NEEDED
PAID B�� ASH C) CK
CONDENSATE AREA
0 PARTS ORDERED
�)CREDIT CARD 171F1NANCIIIG
ACCTS. REC. O.K*D BY
0 INSPECT OFIX14
QUOTE
L-1 RETURN DATE
.—
� 0 . PLEASE PAY WITHIN 5 DAYS
A 010 A BILLING CHARGE
AIR FILTER
0 CLEANED X --'— A�uthorized to start work
_
-LI PAID
„WHITE -CUSTOMER YELLOW -OFFICE PINK-ACCTS. RECEIVABLE
OY OF
SXNFORD
FIRE DEPARTPAENT
Building & Fire Prevention Division
Residential Permit Card
26 PERMIT NO. _5g%:7I ISSUE DATE: .3--18
CONTRACTOR:
JOB ADDRESS:
TYPE OF WORK: A®C� C 10
• Post this permit in a conspicuous location outside
• Approved plans must be posted with permit for inspection
—T
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
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
INSPEC17ON TYPE APPROVED REJECTED INSPECTOR
SHEATHING - WALLS
FRAME
MECHANICAL ROUGH
INSULATION ROUGH IN
MECHANICAL FINAL
DRYWALUSHEETROCK
PLUMBING
INSPEC77ON 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
INSPEC7ION 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 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 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 Insportion Line: 407.792.6069 or 855541.2112
TO' SCHEDULE AN INSPECTION:
• Dial855.541.2112
• 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 3:30 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
MECHANICAL
SHEATHING - WALLS 115
FRAME .
109
MECHANICAL ROUGH
409
INSULATION ROUGH -IN
110
MECHANICAL FINAL
410
PLUMBING
DRYWALL / SHEETROCK 131
LATH INSPECTION
132
UNDERGROUND ROUGH
322
FINAL STUCCO / SIDING
130
TUB SET
312
FIREWALL SCREW
120
SEWER
311
FIREWALL FINAL
143
PLUMBING FINAL
313
GAS
INSULATION FINAL 113
FINAL SFR
138
GAS PIPING UNDERGROUND
GAS ROUGH -IN
328
314
ROOF
ROOF DRY -IN
116
GAS FINAL
315
FINAL ROOF
I I I
MISCELLANEOUS / FINAL INSPECTIONS
PRE -DEMO
144
FINAL DOOR
136
FINAL DEMO
126
FINAL WINDOW
137
FINAL SOLAR PANELS
134
IRRIGATION FINAL
321
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: OCTOBER 2014 Inspection Line: 855.541.2112