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HomeMy WebLinkAbout144 Hidden Lake Dr (2)' 3 � CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No:� Documented Construction Value: $ 3,200 Job Address: 144 HIDDEN LAKE OR SANFORD, FL 32773 Historic District: Yes ❑ No Parcel ID: 10-20-30-50T-OJOO-0100 Residential U Commercial ❑ Type of Work: New ❑ Addition ❑ Alteration ® Repair ❑ Demo ❑ Change of Use ❑ Move ❑ Description of Work: Whole House Re -Pipe Plan Review Contact Pelson: Mark Norman Title: Phone: 407-292-8881 Fax: 407-292-8884 Email: office@shamrockplumbingfl.com Property Owner Information Name Mary & Timothy Thombleson Phone: Street: 14 Hidden Lake Dr Resident of property? : yes City, State Zip: Sanford, FL 32773 Contractor 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, State Zip: Orlando, FL 32811 State License No.: CFC1427181 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. 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 OlV TICS: In addition to the requirements of this permit, there may be additional restrictions applicable to ibis 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 ownor of the property of the requirements of Florida Lien Law, FS 713. The City of Sanford requites 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 cite 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, it, 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 in mahon ' ccurate and that all work will be done in compliance with all applicable laws regulating co struction and ing. �" � ,+%u•"° �.G'7�� �l%1L %L rr�� � j " - ,;;2. ,� ,-.• .�.. C> /� 6/2212018 Signature of Owner/Agent Date Sigma reofconlnotcr(Agcnt Date Marts Norman int QwnerlAgent' ame lint Contractor) en 's N e Q 0" Signature of Notary tate ofFlorida to Signalure ofNo ry-State o F o .�nr •4," Notary Publc State of Fbrlde �vpr °o Notary Public Slate of Plorida gtwfn Jeer GodtroY SherinJeanGodfrey g My Co mmtae,bO0B17t9 y'c �,Q My Commission GG 001719 o wdv 4,Expires 04109►2021 ?or t�° Expires 04/0912021 Owner/A o Contractor/Agent is X Personally Known to Me or Produced ID ✓ Type of ID 19.1"t k; ! 5 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 Plumbing - # of Fixtures Fire Sprinkler Permit: Yes ❑ No ❑ # of Ileads Fire Alarm Permit: Yes ❑ No ❑ APPROVALS: 'ZONING: UTILITIES: WASTE WATER: ENGINEERING: FIRE: BUILDING: COMMENTS: I Revised: Jane 30, 2015 Permit Application THIS INSTRUMENT PREPARED BY: Name: Mark Norman I Shamrock Plumbing & Drain Cleaning Address: 4625 Old Winter Garden Rd Ste. A-7 Orlando, FL 32811 Permit Number: Parcel ID Number: 10-20-30-5CT-OJ00-0100 The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following Information is provided In this Notice of Commencement. 1. DESCRIPTION OF PROPERTY: (Legal description of the property and street address If avallabfe) 2. GENERAL DESCRIPTION OF IMPROVEMENT: Whole House Re -Pipe 3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: Name and address: Mary J Thombleson & Timothy Thombleson - Joint Tenants with right of Survivorship Interest in property: Owner Fee Simple Title Holder (if other then owner listed above) Name: Address: 4. CONTRACTOR: Name:, Mark Norman/ Shamrock Plumbing & Drain Phone Number 407-292-8881 Address: 4625 Old Winter Garden Rd Ste. A-7 Orlando, FL 32811 5. SURETY (if applicable, a copy of the payment bond Is attached): Name: .1 -__-. Amount of Bond: 6, LENDER: Name: Phone Number. Address: 7. Persons within the State of Florida Designated by Owner upon whom notice or other documents maybe served as provided by Section 713.13(1)(a)7., Florida Statutes. Phone Number. 6, lit addition, Owner designates to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Phone number: 9. Expiration Date of Notice of Commencement (The expiration Is 1 year from date of recording unless a different date is specified) WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713,13, FLORIDA STATUTES, AND CAN 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 COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. tv ! Owner (Stgnature of Owner or Lessee, or Owners or Lessees (Print Name end Provide Signatory s McWince) `� �( Aulhwized OMcedDGectw/PartnerRAeneper) Y Il State of Edo' _- County of The foregoing Instru t was acknowledged before me this t� day of (fir ' _. by � m� Son Who is personally known to me ❑ OR Name ar person rnaklnU statement who has produced Identification Ivyipe of Identification produced: {Jl �wRY Pj" Notary Public State of Florida Sherin Jean Godfrey Notary signature My Commission GG 091719 Expires 04/0912021 e Building & Fire Prevention Division Residential Permit Card PERMIT NO. , ISSUE DATE: CONTRACTOR: 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 7TPE 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 DRYWALL/SHEETROCK PLUMBING INSPECTION 7TPE 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 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 FBC 105.3.3 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 pin 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 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