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HomeMy WebLinkAbout618 Palmetto Ave (3)CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: Documented Construction Value: $ a64,5. Job Address: -to $ �)aO jq-,p_-)�o �Ve Historic District: Yes TrNo ❑ Parcel ID: -C �� Residential Commercial ❑ Type of Work: New ❑ Addition ❑ Alteration R Repair ❑ Demo ❑ Change of Use ❑ Move ❑ Description of Work: — Plan Review Contact Person: LD r I_ Title: %.2 C41-, Phone: -J 0-&CA 33%J4Fax: Email: , Property Owner Information Name Phone: Street: (0/ Resident of property? City, State Zip: S A, /1, ,la771 Contractor Information Name i Phone: Aol— Street: Fax: City, State Zip: State License No.: M� 43q, 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: 5th Edition (2014) Florida Building Code Revised: June 30, 2015 Pennit Application 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. OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. 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. 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. A copy of the executed contract is required in order to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the plan review fee based on past permit activity levels. Should calculated charges exceed the documented construction value when the executed contract is submitted, credit will be applied to your permit fees when the permit is released. L4 Signature of Owner/Agent Date Signature of Contractor/Agent Dale r `7� " /I✓�on Print Owner/Agent's Name Print Con ct r/Agent's N me C. Signature of Notary -State of Florida Date Owner/Agent is Personally Known to Me or Produced ID Type of ID APPROVALS: ZONING: NA • I v"UTILITIES: ENGINEERING: COMMENTS: FIRE: LORI LOCKHART MY COMMISSION A GG 0ON97 `' ro EXPIRES: July 5.2020 ,'•~%o �n°��' Bor&d TAru Notary Public Ur+derx6t8ra Contractor/Agent is Personally Known to Me or Produced ID Type of ID WASTE WATER: BUILDING: Rev 11.08 2425 Silver Star Road Orlando, FL 32804 407-291-1644 Dealer Name: TiL Tom,.► ,!e-- + Pl u Nj%jtI Ep Oracle Number: Worksheet Number: Form to :be completed by equipment purchaser: Equipment being purchased by (check one): ❑ Dealer Principal 0"Key Dealership Employee ❑ Dealer Showroom Purchaser Name: S p p-#* ►-I; X01► Title: Qrrst c jE CAje s Address: (019 S. PQLYnETTo AJr- City: 9A-IF0Rb State: rL Zip: 32-77 ) e IIIIIIINIUMIMMMMEMMIQ L SO O o A 7 ►mac K446,N Gas c c"C-iR►L - (Z 4 l 0 z 5y By signing below, the purchaser certifies that all information in this form is correct and the Trane equipment requested is to be installed on their primary residence for personal use, or for demonstration purposes at the dealerships retail showroom. Completed Original Form Retained at DSO 0 Trane 2017 - 5 - Certificate of Product Ratinas AHRI Certified Reference Number: 9100594 Date : 04-12-2018 Model Status : Active Brand Name: TRANE Series Name : XL15c Model Number: 4YCY5030A1070" Rated as follows in accordance with Department of Energy (DOE) furnace test procedures as published in the latest edition of the Code of Federal Regulations, 10 CFR Part 430 AFUE, (%) : 81.0 Output Heating Capacity (MBTUH) : 57 The following data is for reference only and is not certified by AHRI Input Rating (MBTUH) : 70 Ef (MMBTU/yr) : 57.0 Eae including Eso(kWh/yr) : 228 PE (watts) : 71 Lowboy: NO Mobile Home?: NO Single Package Unit : YES Electronic Ignition YES Electro-Mechanical Vent Damper(s) : NO Power Combustion or Power Vent : YES Condensing Type : NO Direct Vent :NO Electrically Efficient : YES Electronically Commutated Motor (ECM) : YES Configuration : Downflow, Horizontal Fuel Type : Natural Gas, Propane Gas t"Active" Model Status are those that an AHRI Certification Program Participant is currently producing AND selling or offering for sale; OR new models that are being marketed but are not yet being produced."Production Stopped" Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still selling or offering for sale. Ratinas that are accompanied by WAS indicate an involuntary re -rate. The new Dublished rating is shown along with the Drevious (i.e. WAS) rating. DISCLAIMER AHRI does not endorse the product(s) listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes no responsibility for, the product(s) listed on this Certificate. AHRI expressly disclaims all liability for damages of any kind arising out of the use or performance of the product(s), or the unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations listed in the directory at www.ahridirectory.org. TERMS AND CONDITIONS This Certificate and Its contents are proprietary products of AHRI. This Certificate shall only be used for Individual, personal and confidential reference purposes. The contents of this Certificate may not, in whole or in part, be reproduced; copied; disseminated; entered into a computer database; or otherwise utilized, in any form or manner or by any means, except for the user's Individual, AM personal and confidential reference. AIR-CONDITIONING, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The information for the model cited on this certificate can be verified at www.ahridirectory.org, click on "Verify Certificate" link we make life better'" and enter the AHRI Certified Reference Number and the date on which the certificate was issued, which Is listed above, and the Certificate No., which is listed at bottom right. ©2018Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 131680210139243411 ..1 � '6IS:' MAwdlfe�S Z`. "'30file•000PKO'6Z89g a'-1a�osY�ad fw9M9 ! 'gN W3 W! ��.� -__.. _._ _.i _ �: i�lWi J00._�4-d i_uF•11-c,owr,.a�-•»�aw:d .y,, .�,�aoov�600b •,. sdpyT �—'') Google 299 E 7th St - Google Maps Page 1 of 2 Go gle Maps 299 E 7th St Sanford, Florida Google, Inc. Street View - Jun 2013 Image capture: Jun 2013 ® 2018 Google https://www.google.comlmaps/place/617+S+Palmetto+Ave,+Sanford,+FL+32771/@28.8062976,-81.2660805,3a,75y,33... 3/28/2018 qkI . . Single Packaged Gas/Electric 15 SEER Convertible 4YCY503OA1070A Note: "Graphics in this document are for representation only. Actual model may differ in appearance." TAG: Only qualified personnel should install and service the equipment. The installation, starting up, and servicing of heating, ventilating, and air-conditioning equipment can be hazardous and requires specific knowledge and training. Improperly installed, adjusted or altered equipment by an unqualified person could result in death or serious injury. When working on the equipment, observe all precautions in the literature and on the tags, stickers, and labels that are attached to the equipment. July 2016 4YCY5030i4-SUB-IA-ENMR)IngersollRand SAFETY SECTION Important — This document contains a wiring diagram, a parts list, and service information. This is customer property and is to remain with this unit. Please return to service information pack upon completion of work. HAZARDOUS GASES! Exposure to fuel substances or by-products of incomplete fuel combustion is believed by the state of California to cause cancer, birth defects, or other reproductive harm. This warning complies with state of California law, Proposition 65. HAZARDOUS VOLTAGE! Failure to follow this Warning could result in property damage, severe personal injury, or death Disconnect all electric power, including remote disconnects before servicing. Follow proper lockout/tagout procedures to ensure the power cannot be inadvertently energized. SAFETYAND ELECTRICAL HAZARD! Failure to follow this Warning could result in property damage, severe personal injury, or death These servicing instructions are for use by qualified personnel only. To reduce the risk of electrical shock, do not perform any servicing other than that contained in these operating instructions unless you are qualified to do so. GROUNDING REQUIRED! Failure to inspect or use proper service tools may result in equipment damage or personal injury. Reconnect all grounding devices. All parts of this product that are capable of conducting electrical current are grounded. If grounding wires, screws, straps, clips, nuts, or washers used to complete a path to ground are removed for service, they must be returned to their original position and properly fastened. UNIT CONTAINS R-410A REFRIGERANT! Failure to use proper service tools may result in equipment damage or personal injury. R-410A operating pressure exceeds the limit of R- 22. Proper service equipment is required. Service using only R-410A Refrigerant and approved POE compressor oil. SAFETY HAZARD! Operating the unit without the access panels properly installed may result in severe personal injury or death. Do not operate the unit without the evaporator fan access panel or evaporator coil access panel in place. Important. Wear appropriate gloves, arm sleeve protectors and eye protection when servicing or maintaining this equipment. Important: Air filters and media wheels or plates shall meet the test requirements in UL 900. ©2016 Trane 4YCY5030A-SUB-1 A -EN Product Specifications MODEL 4YCY5030AI070A RATED Volts/PH/Hz 208-230/1/60 Performance Cooling BTUH la) 28400 Indoor Airflow (CFM) 875 Power Input (KW) 2.12 EER/SEER (BTU/Watt-Hr.) 12.0 / 15.0 Sound Power Rating [dB(A)j (b) 70 PERFORMANCE HEATING(c) Input BTUH-1st Stage (Natural Gas) (a) 56000 Input BTUH-2nd Stage (Natural Gas) (e) 70000 AFUE 81 Temp. Rise — Min/Max (0F) 30 / 60 Orifice Qty/Drill Sz. (Natural Gas) 2 / #33 POWER CONN. — V/Ph/Hz 208-230/1/60 Min. Brch. Cir. Ampacity (f) 21.2 Fuse Size — Max. (amps) 30 Fuse Size — Recmd. (amps) 30 COMPRESSOR SCROLL VOLTS/PH/HZ 208-230/1/60 R.L. Amps — L.R. Amps 12.8/68 OUTDOOR COIL — TYPE SPINE -FIN Rows/F RI 2 / 24 Face Area (sq. ft.) 15.49 Tube Size (in.) 3/8 INDOOR COIL — TYPE MCHE Rows/ERI 2 / 16 Face Area (sq. ft.) 2.7 Tube Size Width (in.) 0.81 Refrigeration Control EXPANSION VALVE Drain Conn. Size (in.) 3/4 FEMALE NPT OUTDOOR FAN — TYPE PROPELLER DIA. (IN.) 23.4 DRIVE/NO. SPEEDS DIRECT/ 1 CFM @ 0.0 in. w.g. M 2800 Motor — HP/R.RM 1/6 / 825 Volts/Ph/Hz 208-230/1/60 4YCY5030A-SUB-1 A -EN MODEL 4YCY5030AI070A F.L. Amps/L.R Amps .85 / 1.65 INDOOR FAN — TYPE CENTRIFUGAL Dia. x Width (in.) 10 X 10 Drive/No. Speeds DIRECT/ VARIABLE CFM @ 0.0 in. w.g, (h) SEE FAN PERFORMANCE TABLE Motor— HP/R.P.M. 1/2 / VARIABLE Volts/Ph/Hz 208-230/1/60 F.L. Amps 4.3 COMBUSTION FAN —TYPE CENTRIFUGAL Drive/No. Speeds DIRECT / 2 Motor — HP/R.P.M. 1/20 / 3350/2600 Volts/Ph/Hz 208-230/1/60 FLA 0.34 FILTER / FURNISHED NO Type Recommended THROWAWAY Recmd. Face Area (sq. ft) (1) 4.0 REFRIGERANT R-410 Charge (lbs.) 7.38 CHARGING SPECIFICATIONS Subcooling 80 GAS PIPE SIZE (in.) 1/2 DIMENSIONS H X D X W Crated (in.) 48 x 45 x 52 WEIGHT Shipping (lbs.) / Net (lbs.) 455 / 385 Karea in accoraance with AHRI Standard 210/240. AHRI standard rating conditions are: 80 D.B.67 W.B. entering air to indoor coil. 95 D. B. entering air to outdoor coil. (b) Sound Power values are not adjusted for AHRI 270-95 tonal corrections. W Ratings shown are for elevations up to 2000 ft. For higher elevations reduce ratings at a rate of 4% per 1000 ft. elevation. (d) Convertible to LPG. (e) Convertible to LPG. M This value is approximate. For more precise value, see Unit Nameplate. (9) Standard Air — Dry Coil — Outdoor. (h) Based on U.S. Government Standard Tests. 0) Filters must be installed in return air stream. Square footages listed are based on 300 f.p.m. face velocity. If permanent filters are used size per manufacturer's recommendation with a clean resistance of 0.051, W.C. Outline Drawing m Figure 1. 2.0 — 3.0 Ton Models 7 (II/16I T SECTION TYPICAL 181 SIDES OF SIDEFLOW DUCT OPENINGS E _L_ 13. 03 18. 29 f 23/J21 !23/321 I A,22 SECTION (9/161 Y TYPICAL 181 SIDES OF DOWNFLOW DUCT OPENINGS LEFT SIDE RECOMMENDED SERVICE CLEARANCE NN/IN. WITH ECDNON12ER BACK SIDE 301.8 1121 762.0 1301 [LET SIDE 762,0 1301 911.1 1361 R16HT SIDE 91,4.4 1361 . FRONT SIDE 1066.8 1/21 BUSTIBLE MATERIAL MN/IN. 0 25.1 III P 152.A 161 304.8 1121 30A.8 1121111.1 1161 4 ' OUTLET I FRONT SIDE BOTTOM SIDE DWG: D673947G01-891 m 4 4YCY5030A-SUB-1 A -EN Ac"Ro lllt.� CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY) 12/1912017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS 7RTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES :LOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER CONTACT Dawn Bennett NAME: Gentry Insurance Agency PHONE (407)886-3301 407 886-9530 A/C No Ext : A/C No): ( ) 175 East Main Street E-MAIL s: Dawn@Gentryins.com ADDRE PO BOX 2046 INSURER(S) AFFORDING COVERAGE NAIC # APOPKA FL 32704-2046 INSURER A: Southern -Owners Ins, Co. 10190 INSURED INSURER B : Owners Insurance Company 32700 Pro -Tech A/C & Heating Service Inc., dba INSURER C : Bridgefield Employers Ins. Co. 10701 Pro -Tech A/C & Plumbing Service Inc INSURER D : 2425 Silver Star Road INSURER E : Orlando FL 32804 1 INSURER F : GUVERAGES CFRTIFICATF kitIMRFR• zuiu Master DMIlainkl sanuoeo. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 7 OCCUR 084682-72736646 01/01/2018 01/01/2019 EACH OCCURRENCE $ 1,000,000 PREMISES Ea occurrence $ 300,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 'AGGREGATE LIMIT APPLIES PER: OLICY 7 jE 7 LOC Gi0THER: GENERAL AGGREGATE $ 2,000.000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ B AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY 9543022601 01/01/2018 01/01/2019 COMBINED SINGLE LIMIT Ea accident $ 1,000.000 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ X PROPERTY DAMAGE'3 Per accident $ A X UMBRELLA UA13 EXCESS UAB I - OCCUR CLAIMS -MADE 4905813300 01/01/2018 01/01/2019 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000.000 DED I I RETENTION $ y C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY � ANY PROPRIETOR/PARTNER/EXECUTIVE YIN OFFICER/MEMBEREXCLUDED? (Mandatory In NH) If yea, describe under DESCRIPTION OF OPERATIONS below NIA 830-29750 01/01/2018 01/01/2019 X STER ATUTE ERH E.L. EACH ACCIDENT g 1,000,000 E.L. DISEASE - EA EMPLOYEE E 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached B more space Is required) CERTIF — City of Sanford Licensing Division P 0 Box 1788 ISanford ACORD 25 (2016/03) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE FL 32772 I ,i4 Un 01988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD "ILIL T/%UR ISDICT/OAIAL LIMITED POWER OF ATTORNEY Date: I hereby name and appoint: C Qrp t �e an agent of: Pro -Tech AC & Plumbing Seivice, Inc. (Name of Company) to be my lawful attomey-in-fact to act for me to apply for, 'receipt for, sign for and do all things necessary to this appointment for (check only one option): ❑ All permits and applications submitted by this contractor. Or ❑✓ The specific permit and application for work located at, - (Street Address) Expiration Date for This Limited Power of Attorney: (` 1 - 1— ` `� License Holder Name: Thomas T. Nixon State License Number: CACO29393 Signature of License STATE OF FLORIDA COUNTY OF O�— The 11foregoing instrument was acknowledged before me this �2 day of _ �L411 20 t , by (fJ ty.Or who is sonally known io me or O who has produced La:ndawhdid (did ot) take an oath. Slgnatu o otary as identification ANGELA L. ROORfGUEZ • int (EjMfttV4W 8"a11. 2,,, .c713®e-010 floAeW�yg�,yw.cwn Notary Public - State ofc�ri r Commission No. My Commission Expires: CITY OF - &kNFORD FLORIDA CERTIFICATE OF APPROPRIATENESS HISTORIC PRESERVATION BOARD CITY OF SANFORD 300 S. Park Avenue Sanford, Florida 32771 407.688.5145 . www.sanfordfl.gov/HP THIS DOCUMENT MUST BE POSTED AT ALL TIMES UNTIL PROJECT IS COMPLETED. ISSUED TO: DATE ISSUED: Sara Nixon April 18, 2018 for 618 S. Palmetto Avenue DATE EXPIRES: Sanford, FL 32771 October 19, 2018 BP#18-1826 Approved to install new Trane 2.5 ton Gas/Electric 15 SEER Convertible AC Unit. Unit is to be installed on north side of the property, screened from view; not visible from the right of way. Christine Dalton, AICP Historic Preservation Officer/Community Planner Please be advised it is the owner and/or agent's responsibility to notify staff of any potential changes from the approved COA that arise and obtain approval prior to commencing the changes. This Certificate of Appropriateness does not constitute final development approval. The applicant is responsible for obtaining all necessary permits and approvals from applicable departments before initiating development. IS A BUILDING PERMIT REQUIRED R ACTIVITY LISTED ABOVE? $ YES ❑ NO Building Departm nt Representative y�ronb � o� �oCITY OF SkKFORD CitY FSI°1811:: •Sanford •. • APPLICATION # APR 1 3 2018 FOR A CERTIFICATE OF APPOPRIATENESS Answer all the questions on this form and submit all required attachments. IIn1RMV19t@k10I0WMj®?lnt not be reviewed. If you have questions about application requirements contact the Historic Preserva ion O icer at 407.688.6146 to ensure your application is complete. General Information Downtown Commercial Historic District❑ Residential Historic District Is this a retroactive request? Yes❑ No[g--. Is this application filed in response to a Notice of Violation from the Code Enforcement Department? Yell No©' Proposed improvements will affect he following elevations: North ❑ South ❑ East ❑ West ❑ Property Address:--Address:--W �j S (�7lrr��cT0 /Q '�,-,rd R, 17 I Property Owner Information Print Name: SoL(-a 1`11st_DC) Mailing Address: _aA-MAL Phone!101 5b 0 - 3to 3 5 Email: Sd.-t-eXA i UA � G �rNw 1. Cb7Y1 Signature: Applicant/Agent ,lnformatio Print Name: J&k-Q. lib Mailing Address: Phone: Email: Signature: BY SIGNING BELOW YOU ACKNOWLEDGE THAT A BUILDING PERMIT MAY BE REQUIRED FOR THE SCOPE OF WORK LISTED BELOW. YOU MUST CONTACT THE BUILDING DEPARTMENT TO DETERMINE IF A BUILDING PERMIT IS REQUIRED. FAILURE TO OBTAIN A BUILDING PERMIT WILL RESULT IN A STOP WORK ORDER, DOUBLE PERMIT FEES, AND POTENTIAL FINES. BY SIGNING BELOW, YOU ALSO ACKNOWLEDGE THAT THE INFORMATION CONTAINED IN THIS APPLICATION IS TRUE AND ACCURATE TO THE BEST OF YOUR KNOWLEDGE. I hereby understand anp agree to the above statements and will pay all city fees related to this application as required by the city's a opted Fee/ R� u Signature: �- "! 9 Date: /V1 ❑ Would you like to receive emails regarding Historic Preservation and Community Planning within your community? Description of proposed work Completely describe the entire scope of work, including changes in material and color, and methods that will be used to accomplish the proposed work. For large projects an itemized list is required. Use the reverse side if necessary. A HISTORIC PRESERVATION BOARD • 300 N. Park Avenue • Sanford, Florida 32771 •407.688.5145 • www.sanfordfl.gov/HP f;SXKFORD FIRE DEPARTMENT Building & Fire Prevention Division Residential Permit Card PERMIT NO. 1 Is 111 ISSUE DATE: %5 6 !1* I C CONTRACTOR: JOB ADDRESS: TYPE OF WORK: A/C cho 4uA • 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 ex Tres 6 months from date of issue or last approved inspection PROTECT FROM WEATHER BUILDING INSPECTION TYPE APPROVED REJECTED INSPECTOR ELECTRICAL INSPECTION 7YPE APPROVED REJECTED INSPFC'70R 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 7YPE APPROVED REJECTED INSPECTOR SHEATHING - WALLS 1 FRAME MECHANICAL ROUGH INSULATION ROUGH IN MECHANICAL FINAL DRYWALL/SHEETROCK PLUMBING RVSPECTION 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 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 RFECTED 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