HomeMy WebLinkAbout1000 Tinley TerCITY OF SANFORD
BUILDING & FIRE PREVENTION
ry `' PERMIT APPLICATION
Application No:
C)��3
Master Permit # 18-2053 Documented Construction Value: $ 57, 692
Job Address: Building 10- 1000 TINLEY TERRACE CIR SANFORD, FL 32773 Historic District: Yes ❑ No ❑
Parcel ID: 12-20-30-300-012P-0000 Residential 0 Commercial ❑
Type of Work: New ❑ Addition ❑ Alteration 0 Repair ❑ Demo ❑ Change of Use ❑ Move ❑
Description of Work: Whole Building Re -pipe (Jt," t n-fe i oY 0)taMb"'C�A 1(e..r aod-J
Plan Review Contact Person: Mark Norman Title:
Phone: 407-292-8881 Fax: 407-292-8884 Email: office@shamrockplumbingfl.com
Property Owner Information
Name VESTCOR FUND XI LTD Phone:
Street: 201 SANTA MONICA BLVD STE 550 Resident of property? : No
City, State Zip: SANTA MONICA, CA 90401
Name
Street:
City, State Zip:
Contractor Information
Phone:
Fax:
State License No.:
Architect/Engineer Information
Name: Shamrock Plumbing & Drain Cleaning, Inc. Phone: 407-292-8881
Street: 4625 Old Winter Garden Rd. Ste. A-7 Fax: 407-292-8884
City, St, Zip: Orlando, FL 32811 E-mail: office@shamrockplumbingfl.com
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.
Application is hereby made to obtain a permit to do the work and installations as indicated. l 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 Pennit 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 fiom 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 113.
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 infooation is accurate
be done in compliance with all applicable laws regulating const uction and zoning.
Signature of Owner/Agent
Date
Signature of Contractor/Agent
that all work will
8/6/18
Date
Mark Norman
Print Owner/Agent's Name Print Contrac or Agent's am
0 8/6/18
Signature of Notary -State of Florida Date Signature'f ota -State F i t
00r3 Not ry Public S to of Florida
AP t.
fin Jean fray
NMy Comm) GG 091719
9F00 Expires 04/0912021
Owner/Agent is Personally Known to Me or Contractor/Agent is X 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: Flood Zone:
Total Sq Ft of Bldg: Min. Occupancy Load: # of Stories:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes ❑ No ❑
WASTE WATER:
BUILDING:
Revised; June 30, 2015 Permit Application