HomeMy WebLinkAbout5100 Tinley Ter4
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No:
Documented Construction Value: $ 57, 692
Job Address: Building 14- 5100 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 ❑
Description of Work: Whole Building Re -pipe and i-A*rie &0'jial ayo Cd4l,
Plan Review Contact Person: Mark Norman Title:
Phone: 407-292-8881
Name VESTCOR FUND XI LTD
Fax: 407-292-8884
Email: office@shamrockplumbingfl.com
Property Owner Information
Street: 201 SANTA MONICA BLVD STE 550
City, State Zip: SANTA MONICA, CA 90401
Name
Street:
City, State Zip:
Phone:
Resident of property? : No
Contractor Information
Phone:
Fax:
State License No.:
Architect/Engineer Information
Name: Shamrock Plumbing & Drain Cleaning, Inc.
Street: 4625 Old Winter Garden Rd. Ste. A-7
Phone: 407-292-8881
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. 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 (lie date of application and the code in effect as of that date: 5" Edition (2014) Florida Building Code
Revised: June 30, 2015 Perin it Application
v
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.
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.
OWNER'S AFFIDAVIT: I certify that all of the foregoing info ation is accurate
be done in compliance with all applicable laws regulating const uction and zoning.
Signature of Owner/Agent Date Signature of Contractor/Agent
Print Owner/Agent's Name
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
Mark Norman
Print Contractor/Age
that all work will
8/6/18
Date
8/6/18
Signature of of -State fF d i ' t
axY,p Not ry Public st to of Florida
t7 �' . rin Jean d"y
c My Comml GG 09 M
q� to Expires 0410912021
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:
BUILDING:
Revised: June 30, 2015
Permit Application