HomeMy WebLinkAbout2539 Poinsetta AveCITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMITAPPLIgATION
Application No:
+
Documented Construction Value: $ �r
i
Job Address: -,Z r-53q F. 1���'la �t/� Historic District: Yes ❑ No
Parcel ID: Residential ❑ Commercial ❑
Type of Work: Ne Addition ❑ Alteration ❑ Repair emo ❑ Change of Use ❑ Move ❑
Description o ork: r✓
Plan Review Cm tact Person: f'•,h.kj—y Title:
Phone: 4>1-io�'';�'13 Fax: -Email:'k3G k>a` des-(GcrRtG7"
Name
Property Owner Information
Phone:
Street: Resident of property?
City, State" Zip,:
Contractor Information
Name 5,c__r,EPhone: Ltyl ` M '2-4(:3
Street q'�16ti' aex'& Y '-!J D '�/ - Fax
City, State Zip: FLU 3rtin State License,No.: CcC t S(. S02�
Architect/Engineer Information
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Phone:
Fax:
E-mail:
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 regulati na construction
in this jurisdiction. l understand that a separate permit must be secured for electrical work, plumbing, signs; wells, pools,
furnaces, boilers, heaters, tanks, and air conditioners, etc.
0
FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 50' Edition (2014) Florida Building Code o
Revised: June 30, 2015 Permit 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 he 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 owner of the property of the requ ir'ements of: Florida Licii Law, hS 713.
The City of Sanford requires payment of a planreviewfee 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 cif 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 pennit 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
he dome in compliance with all applicable laws regulating construction and zoning.
Signature of OWtier/Agent
Date
q-1 I-
! _o �.ContraetodAgc c Date
nno %H v A
Print Ottner/Agent s Name Print Co,phor Agent' jName
Signature of Notary -State of Florida pate Sianatuo;af D1J�itary-Slat ' ' 'Y r Date
i1 5A�. IER
* MY•COMMISSIA11 FF 1913V
•EXPIRES: March,12, 2019
���h6Fa�Pt k9Fl4l4�NBu4ge1_NogryServlces
Owner/Agent is Personally Known to Me or Contractor/Agent is t;/r 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:
Total Sq Ft of Bldg:
Occupancy Use:
Min. Occupancy Load:
New Construction: Electric - # of Amps
Flood Zone:
# of Stories:
Plumbing # of Fixtures
Fire Sprinkler Permit: Yes ❑ No ❑ t; of Heads hire Alarm Permit: Yes ❑ No ❑
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
WASTE WATER:
BUILDING:
Revised: June 30, 2015 Permit Application
City of Sanford
Building & Fire Prevention Division
T-Pole Permit Card
1-76PERMIT NO. � w ISSUE DATE: 04, r/ to
CONTRACTOR: Peak 6 /e c*' Oc.
JOB ADDRESS: sit?
TYPE OF WORK: / A0,
• Post this permit in a conspicuous location outside Leave all work uncovered until inspected and approved
• Approved plans must be posted with permit for inspection Permit expires 6 months from date of issue or last approved inspection
PROTECT FROM WEATHER
All T-Poles limited to 60 amps MAX (unless authorized by the Building Official)
ELECTRIC
INSPECTION TYPE APPROVED REJECTED INSPECTOR
T-POLE FINAL -L] J
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 Inspection Line: 407.792.6069 or 855.541.2112