HomeMy WebLinkAbout122 Brushcreek DrCITY OF
SkNFORD
Building & Firi?. Prevention Division
PERMIT APPLICATION
Application No:
OO
Documented Construction Value: S 00
Job Address:, Historic District: Yes
Parcef ID: nCc""C
) 1(CAL Residentialm Commercialm
Type,of'Wotk: NewElAdditiono Alteration Repair[] Demo.[] Change of Use❑ Move
F
Description,of Work:
—hL
Plan Review Contact Person: Title:
Phone: mc-
6), Fa x: qq- Email. J�, QAC,�,,iveo,
'Property Owner Information
NameGil C 0 Phone:
Street? 1.,)� �' Resident,of property?,: 1,A
City,,:State2iv' - �J' 3 1
,
Contractor Information
Name
o e:
fty-
Name� Phone``
Street:
lan Fax: 3"".
City, State zip: �A�`,_-�%,�11
State License No.: CA
Arch iteqtJEnglneer Information
Name: Phone:
Street:
City, .St; zip.-,�
Bonding Company:,
Address:
Fax:
E-mail:
Mortgage, Under:
Address:
WARNING TO OWNER: YOURFAILURETO 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 111F JOB SITE BEFORE THE FIRST, INSPECTION. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR i NOTICE
ICE OF
Application is hereby made to obtain a,petrifit to do the work- and installations as indicated. Lcertify. that no work- or, installation has
commenced prior to the iissuance of a permit and that all'woik, will be performed tomeet standards of all laws reg
ulating construction
in this jurisdiction- I understand that separate permit must be secured electrical 'work, plumbing, si
gns, gns, Wells, pools,
,furnaces, boilers, heaters, tanks, and air conditioners, etc.
FIRC 105.3. Shall be inscribed *ith the date of application and the code in effect as of that date: 6h Edition (2017) Florida'Buildin- Code,
Revised: January 1,2018
Permit Application
s., hereby Mad tain a permit to: do the work and
Application ih leb e to obtain installations as indicated. I certify that,, no
work, or installation commenced to the issuance
has corrim of a, pprmlt and that all work will be perfori-ned, to
meet
eet of all laws regulating construction in this Jurisdiction. funiderstaild that a. separate P,errnit,
must he secured for electrical work, plurfibing, signs, wells, �p'061s, furnaces, 'b-oilees,,heateirs,, tanks,An(t,
air, conditioners.,, etc.
OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will,
be done in compliance with allapplicatil.eJaws regulating construction and zoning.
WARNING TO OWNER: YOUR FAILURE TO RECORD
A NOTICE OF COMMENCEMENT NT MAY
RESULT' IN YOUR- I PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE,
OF' COMMENCEMENT MUST BE, RECORDED AND POSTED 'ON THE JOB ,SITE BEFORE THE
FIRST INSPECTION:x IF YOU INTEND TO: OBTAIN FIN CJNG; CONSULT. WITH YOUR,
LENDER OR AN ATTORNEY BEFORE RECORDING YOUKNOTICE OF COMMENCEMENT.
NOTICE: In addition to 1t1h,e,requirements1 of this' perrInit, there may lb'eadditioiigl restrictions: applicable, to this,
property that may be found in the pqblic records',oUthis,county, andthere'.may, be additional pemuts required
ff6m othergovernmentalentities such asAVatbr-rhanagernetit districts, state agprities,,or-federal 'agencies.,
Acceptance of.permit is verification- that I will notify the ;owner of the property of the requirements of Florida-lor
Li6mLaw',,FS 7,13.
The.Qty of Sanford requires payment,of aplan review. fee. A copy of the executed contract is required in order
to calculate a;plan review charge. executed contract is riot s'u,b'n'u*tted,"�vo,feser I ve: the',ri,ght,tbx calculate the;
p I lari review
ew, fete based on past permit activity levels'. ho-tild,,calculated 6 d. h d6ciunefitdd
'els. S harges. exceed. t - —e
construction y luQ when the,executed contract '-ls,sub 'tied, credit will beappd 1-cd to your 'permit -fees when the`
pennit is,. --released.
Signature of Qpqler/Agent Date,.
Print Owner/Agem'.,s Name
Signature 'of'Notary-ISfate, of lorida Date
Owner/Agent is Personally Known to Me or
Produced ID, Type of
signature 6flbon Vrfor Agent -15ate
J
�t.,
Contracior/Agent is
Produced jl)-
!rsonally'Known to Me or
,of 10
APPROVALS: ZONING: UTILITIES: WASTE WATER:
ENGINEERING: FIRE: BUILDING:
COMMENTS:
Rev 11.08
Deltona/DeBary,
86) 668-8752_
Daytona
(386)761-8319
DeLaNtOrange. City
(386)734=9770-
Brevard County
(321) 723-2040
LIC # CAC050422'
ADDRESS
iZ�2
CITYWATEop
HO PHONE�7 CELL
-z' ✓
ITEMS CHECKED APPLY • 1 PERMIT O MANUALJJ [IMANUAL D
( ) Package Unit . tons Pump
Condenser _tons ( ) Heat Pump
1_ �f _Air Handler 'L _tons
(!)_cfth
Co,il ( tons
=" Sanford. Orlando
(407) 322=01199 (407) 628-5748
New Smyrna
m (386) 427-9149
ALL OTHER A► - REAS:1 888-MID-FRAC
OUR CONDmONING, INC., t 643-3522
0 2INSTALLERS ❑ 1 HELPER; 112 HELPERS ❑ HORIZONTAL
od
. HSPF
Drain Pan
( ) Condensate Pump
Locking .Gas Caps
'Fill erRack
Apritaire
(:.r Humcane Mounting Kif
{ ,) Filter.,
1ST BR K S BREAKERS NEEDED-
( ) -,Shroud
TYP e , C '
Type
ELLANIOUS
wall type;
��j
�.. ,
IndoorLAm s
{" P. (hide ( )'thin
Outdoor thick
Indoor Am thick `thin e
,,Thermostat
( )non non -programmable rammabte
p 9 (_�ggidmmable
�Am s
P . { ),thin
Outdoor Am s thin
P ( ){hick ( )
st slab condenser unit.
blef Liness ft,
C
{ ) ref; line cover (.)
Flush Kit
EL [CAL-
onden Lme. ook-up by MID FLORIDANG INC.
(Plans Clean AA/C
-up; (; ow Voltage by MID -FLORID, INC;.
( Plywood Top ( ) 2 z 4 Studs (� Electrical by others if needed not in price Initial
(4 Float Switch; ( ) Wet`Switch
DUCTSYSi EM LIMITED `WARRA AND GUARANTEES,
{ ) New System +supplieswith dampers,
( )Fiberglass Duct (1rM cturers year warranty on compressor.
( ) Flex System (`)year warrantyon all other Manufacturers parts:
( Direct Return ( )ducted (;} filter back grill (�-� free service from date of start up
- ) ulate Platform i year warranty on,all other parts installed by MID -FLAIL, INC.
{!j'Reconnect Plenum (.) Mastic
Warranty does not.covee Filters, Tripped Breakers or Maintenance
! Manufacturers warra ty for original home er only
MISCELLANEOUS OR EXTRAS: i. eiza if I Yt )GC '�'�'�� /1 _.
60 .41
We agree to furnish and install the' above described laborand`materials on.theterms:indicated below:
It Is ag `reed thatttie 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, not, civil commotion; war, nuclear disaster, fungi, maid,
bacteria, malicious mischief, picket tines; acts of God, or by any cause beyond its control and any'event:of cons uentiat d es. If any claims or
dis utes arise rt:is a reed to b the ,urchaser_and
P 9 Y P seller thatthe `will be settled,by,a,medator. ,
. ' .V��ISA��ss7FACAFiO OA OtSC°VEA
PAYMENTTYPE: ❑, CHECK. ❑CASH MCREDIT CARD
The customer acknowledges that prior to signing this proposal he has. ( ��
read the terms and conditions, contained herein and hereby accepts
this proposal including the conditions on the reverse side hereof which j! Ny ;t
are a part of -the proposal; .and further agrees to make payments as 100% WHEN EQUIPMENT IS ' follows; -
INSTALLED $
PRICE INCLUDES ALL DISCOUNTS,
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 agreententby malting a noticeto the seller. This,
notice must be postmarked before midnight of the third business day after you sign the agreement if you cancel this agree mt; the seller may,keep.
all or part of `Ca hA wn,payment; not,to exceed the lesser or of 5 percent of the pope $9 "
Date .,
Purchaser
Estimator
We ecommend-,the Power Company Test Your Ducts For Leaks
PL ElDUKE ENERGY PHONE 1.Z6,6-712-3413
31E
FIRE DEPARTMVNT
SXRFORD
PERMIT NO.
CONTRACTOR:
JOB ADDRESS:
TVPTi !1G Wl1R i!•
Building & Fire Prevention Division
Residential Permit Card �
• 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 TYPE APPROVED REJECTED INSPECTOR
SHEATHING - WALLS
FRAME
MECHANICAL ROUGH
INSULATION ROUGH IN
MECHANICAL FINAL
DRYW ALL/SHEETROCK
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 RPECTED 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 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
Inspection Line: 401.792.6069 or 855.541.2112
REVISED: 4-17
k .
I TO SCHEDULE AN INSPECTION:
• Dial 407.792.6009 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
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
111,
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
r_
FIRE INSPECTIONS CITY OF SANFORD
407.562.2786 BUILDING & FIRE PREVENTION
BUILDING INSPECTIONS 300 N PARK AVE
• 855.541.2112 SANFORD FL 32771 Y
` --- --DRIVEWAYS-SIDEWALK 407.688.5080.
-------------------------------
Page 2
Application Number . . . . . 18-00001824 Date 4/17/18
i
Property Address . . . . . . 122 BRUSHCREEK DR
Parcel Number . . 33.19.30.516-0000-1400
Application description . . . MECHANICAL PERMIT
i
Subdivision Name
IProperty Zoning . . . . . . . PUD
Permit . . . . . MECHANICAL PERMIT -RESIDENTIAL
Additional desc
Phone Access Code 1044510
Permit pin number 1044510
----------------------------------------------------------------------------
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
----------------------------------------------------------------------------
1000 410 MH02 MECHANICAL FINAL _/_/_