HomeMy WebLinkAbout4100 Tinley Ters
Master Permit # 18-2057
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: I S - d
Documented Construction Value: $ 57, 692
Job Address: Building 13- 4100 TINLEY TERRACE CIR SANFORD, FL 32773 Historic District: Yes ❑ No ❑
Parcel ID: 12-20-30-300-012P-0000 Residential ❑X Commercial ❑
Type of Work: New ❑ Addition ❑ Alteration 0 Repair ❑ Demo ❑ Change of Use ❑ Move ❑
. % , . t i,
Description of Work: Whole
Plan Review Contact Person: Mark Norman
Phone: 407-292-8881
Fax: 407-292-8884
0
Title:
Email: office@shamrockpiumbingfl.com
Property Owner Information
Name VESTCOR FUND XI LTD Phone:
Street: 201 SANTA MONICA BLVD STE 550 Resident of property?
City, State Zip: SANTA MONICA, CA 90401
Contractor Information
Name Phone:
Street: Fax:
City, State Zip:
State License No.:
Architect/Engineer Information
Name: Shamrock Plumbing & Drain Cleaning, Inc.
Street: 4625 Old Winter Garden Rd. Ste. A-7
City, St, Zip: Orlando, FL 32811
Bonding Company:
Address:
Phone: 407-292-8881
Fax: 407-292-8884
Im.
E-mail: office@shamrockplumbingfi.com
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: 5"' Edition (2014) Florida Building Code
Revised: June 30, 2015 Permit Application
A A
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 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. r-
OWNER'S AFFIDAVIT: I certify that all of the foregoing infoydnation is accurate a d that all work will
be done in compliance with all applicable laws regulating const •uetion and zoning.
Signature of Owner/Agent
Print Owner/Agent's Name
Date
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
'A 1 8/6/18
Signature of Contractor/Agent Date
Mark Norman
Print Contraclor/Age
8/6/18
Signature of ota -State of F i t
t ,,raY9 Not ry Public St to o1 Florida
rin Jean dfrey
r My ComMtl Go 091718
o� oval Explms 04109=21
Contractor/Agent is X Personally Known to Me or
Produced ID Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing[-]
Construction Type: Occupancy Use:
Total Sq Ft of Bldg:
Min. Occupancy Load:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes ❑ No ❑
APPROVALS: ZONING:
COMMENTS:
ENGINEERING:
Gas ❑ Roof ❑
Flood Zone:
# of Stories:
Plumbing - # of Fixtures
# of Heads Fire Alarm Permit: Yes ❑ No ❑
UTILITIES: WASTE WATER:
FIRE: BUILDING:
Revised: June 30, 2015
Permit Application