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HomeMy WebLinkAbout132 Bella Rosa Cir 17-1214; WATER HEATER4 CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: Documented Construction Value: S Li .00 Job Address: R. j Historic District: Yes No Parcel ID: ResidentiabV Commercial Typeyp Work: New Addition Alteratton"O Repair Demo Change of use El ElMove Description of Work: 1 SLa.4..i'1,eo_Q n Q (- Q.4c c .Q r 1 1 4 iL k_notm a Plan Review Contact Person:- Phone: 4U_)- LC1C('C0 (0g Fax: L10? -Z`t9 -Cb3ab Email: 5t ttR pnn Ot-iJ. c¢Jc't') Property Owner Information Name A4-twx 't n t,)OGtt Phone:'i I3 -. a tl ' — ( j Street: (tea. fit?R.c.... 1Q,6Sa- C;-, Resident of property? City, State Zip: Contractor Information Name Phone: 907 - Z`79 -O U (0 S Street: Fax: City, State Zip: _ i C t"iy 0+ frG- '2))'SD O State License No.: 0 Apt C- Architect/Engineer Information Name: Phone: Street: City, St, Zip: Bonding Company: Address: 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 regulating construction in this jurisdiction. 1 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 or application and the code in effect as of that date: 511 Edition (2014) Florida Building Code Revised: June 30. 2015 Permit Application it 4_1"z' (6 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 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 information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Signature of Ownet/Agernt Print Owner/Agent's Name Date Signature of Notary -State of Florida Date 1 Signature of Contractor/Aoit to J JRt1 S Print Contractor/Agent's Name 7 rv-StnteofFlorida __—.._ Date MY CQMMISSIQtt g GG ORM3 e A• EXPIRES: December 19, 2020 NO' krKIW Tltrtt &APt BmHa: Owner/Agent is Personally Known to Me or Contractor/Agent is 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: Occupancy Use: Total Sq Ft of Bldg: Min. Occupancy Load: New Construction: Electric - # of Amps Fire Sprinkler Permit: Yes No # of Heads APPROVALS: ZONING: COMMENTS: Revised: June 30. 2015 ENGINEERING: Flood Zone: of Stories: Plumbing - # of Fixtures Fire Alarm Permit: Yes No UTILITIES: WASTE WATER: FIRE: BUILDING: Permit Application I y ! tl tTYl(:'tuLI tYL. ''M vv""uuW ORLANDO, I_ 32WB (866) 803-0879 ARRIVAL INVOICE - m n R of Figida, Inc- CMC1249753, CFC1428283 wwwAsz8RS.=n _-1512zl? L' . PH# BILLTO C1Rp OMT DATE v, r1 ADDt 3 - _ x >> Ala G'Y PH # I l 3 - - i _ BIEL ADD _ _ o YoCAW 10 21 8 Crstr ,,,, `L 3 z I EMAIL c1sr2P COT T>wcla t# lkift vim s t1c1 1d_. a G X.1 l l a-h 3J1 S (o 7Q l }L3 (s}- Z ID__ 5$Dbl I$?14 11 S ON PSI SUPERHEAT LIO IQ PRESS SUB-C - C,p P+AMPS T Q( _oW9 1 _. 5 t11 v 5 DB FAN AI in GAS PRESSURE 13E==TAM! S TE&(P RISE REc04r1rRFD REFRIGERANT M, LasDAMAGE? 0 NO YES -See sepmft Repoif. Tech (ram r - 4RIGIN SERVICE _ REQUEST ` cvo - Sep Recommendations Addendum Optioh # Written customer authorization will be obtained SUBTOTAL before beginning any unforeseen additional or extended -- ARTEN'S PARTS: LABOR FEE fC work. RRSrfTYI B YEIrS RIGHTTO CANCEL -"This is a home solicitation - - sale, and if u do not want the goods or services, you SAL - -- SUBTOTAL you {+SALESTAX),PARTS: may cancel thls agreement by providing written notice to-- the seller in person, by telegram, or by mail. This notice Est- Start date — — ' = e!r p RERS!ASE must indkatethatyoudonotvivantthegoodsorservicesEst. date of ccm — H CH # PO # _ ., a and must be delivered or postmarked before midnight of - thetttlyd business day after you sign this agreement if you cancel this agreement, the VISA MfG IIiSG AMEX 047HER c APc 1h selIer may riot keep aft or part of any cash down payment See the reverse side hereof for neon of - this right GC LAST 4# ._ __ _ ffXP ___AtITFi # r t M TAX edge that my right+to cancel has been explained to me orally and in writing, and flatfe M has n t;wanring my right to cancel I authorize the performance of the work, subject to all and l r to t l offtccha terms tdn ons set forth on & reverse side hereof, plusany taxes upon completion. C Tt? SENi1ER - Do not sign this home Improvement contract In blank, print _ Y Pease contact me at;ut to a copy of the contract at the time you sign. Keep It to protect your le al b hire 04fM. a Yati, gg gg t rig home improvement contractmay contain a mortgage or otherwise create a lEen D712016 + 1 1516 F 1tX 1 Y*tW pis try that could be foreclosed on if you do not pay. Be sure you understand all 5eryns LLC.AII ngh (L i the contractbefore you sign. Date: City of Sanford Building & Fire Prevention Division Residential Permit Card PERMIT NO. 171 - I a I ISSUE DA CONTRACTOR:AORS VII Or6a 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 TYPE APPROVED REJECTED INSPECTOR ELECTRICAL INSPFC77ON 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 INSPECTORSHEATHING - WALLS FRAME MECHANICAL ROUGH INSULATION ROUGH IN MECHANICAL FINAL DRYWALL/SHEETROCK PLUMBING INSPECTION TYPE APPROVED REJECTED INSPECTORLATHINSPECTION FINAL STUCCO/SIDING UNDERGROUND ROUGH FIREWALL SCREW TUB SET FIREWALL FINAL SEWER INSULATION FINAL PLUMBING FINAL FINAL SFR GAS INSPECTIONS INSPECTION TYPE APPROVED REJECTED INSPECTORROOF 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 INSPEC77ON TYPE APPROVED REJECTED INSPFCTOR PRE -DEMO FINAL DOOR FINAL DEMO FINAL WINDOW FINAL SOLAR PANELS IRRIGATION FINAL 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 FBC105.3.3 REVISED: 4-17 Inspection Line: 407.792.6069 or 855.541.2112