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
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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
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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