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Home My WebLink About110 - 120 W Lake Mary Blvd 17-93 (elec)ki'5 CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION V It .1 Value: e "q 'IDocumentedConstructionaue: I Job Address: ;_77Historic District: YeSE] No R Parcel ID: Residential 0 Commercial F-1 Type of Work: New 9 Addition 11 Alteration El Repair D Demo 0 Change of Use El Move El Description of Work: I L1,1 Vc G--H, Q i- , I Kcotfz trIA4 f 6 - d6j'5 Application No: V_-e Plan Review Contact Person: Title: 5 Phone: Fax: "i3-6Email: r(- Property Owner Information Name Phone: Street: City, State Zip: Resident of property? : Contractor Information Name - B Q 0LJrfa4,5,JA CC Phone: '7171_"C_LL Street: Fax: City, State Zip: State License No.: Arch itecVEng ineer Information Name: Street: City, St, Zip: Bonding Company: Phone: Fax: E- mail: 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 RECORDIr YOUR NOTICE OF COMMENCEMENT. 5' (? 0 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: 511 Edition (2014) Florida Building Code Revised: June 30, 2015 Permit Application 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. I,,kV" Signature of Omer/Agent D Sigitature of Contractor/Ageiit Date ticPrintONvner/Agcnt's Nw Print Contractor/Agent's Name Signature of Notary -State of Florida Date Sign ure State 4tol- 7 I-- ' i- Owner/Aeznt is KDPWMI-0-y e or Contract gent is Personally Kqow-n to Me or d IDProducedAbf;glix- Produced ID Type of ID bY Kaylin miglin NOTARY PUBLIC STATE OF FLORIDA BELOW IS FOR OFFICE USE ONLY -'. %Ev Cornm# FF203951 Expires 2126/2019 Permits Required: Building [] Elecuical r-1 Mechanical [] PlumbingM Gas[] Roof [] Construction Type: Occupancy Use: Total Sq Ft of Bldg: Min. Occupancy Load: Flood Zone: of Stories: New Construction: Electric - # of Amps Plumbing - # of Fixtures Fire Sprinkler Permit- Yes D NoEl # of Heads Fire Alarm Permit: YesE] No APPROVALS: ZONING: ENGINEERING: COMMENTS: UTILITIES: FIRE: WASTE WATER. BUILDING: Revised: June 30, 2015 Permit Application Installation Services Work Order Part/Response information W/O #: 2859 Priority: Tech Only (S-Tech) Site: WINGSTOP #1205 installation Task: Cable & install Site #: 1205 Required Deliverables: Checklist, Pics, SQS, WO Site Address: 110-120 W LAKE MARY BLVD, SANFORD, FIL 32773-5921 NCR Project; Wingstop - Brand Site hone: ProTask: Wingstop - Cable & Install - NRO NCR WO Project Manager: Matt Stenuis Tech Information: Tech Company: NCR Installations- N,,America Tech Company Dispatch Phone: Tech Assigned: MStenuis Matt Stenuis Tech Phone: 413-813-8542 Installation WO Notes: Please contact Daniel Szigety at 770-623-7571 with any questions or concerns. Contact Matt Stenuis at 413-813-8542 with any escalations. Please close out your work order/s on the day the work is completed, Send the work order number/s and site times tow/|Z30016@ncrzom Required Deliverables for this WO are as follows: Checklist, Pictures, SQS Form, Signed WO Site Specific Notes: Dave White Digital South Communications, Inc. 2030 Weaver Park Drive 11 Clearwater, FL 33766 Pull Low voltage data cabling permit for Aloha POS solution. Install, test, certify low voltage cabling for NCR Aloha POS solution. WO Time Details Date and Times (Milita timesrequested) Miles Start Arrive Complete Customer initials Engineer Signature Date Customer Signature Has the issue been resolved muyour satisfaction? YES NO Please complete the Corrective Action Form ifany issues occur unsxe. PERMIT NO. Low 401 to je City of Sanford Ruildin Ar Firi, Privpntian Division15 Commercial - MEP Permit Card ISSUE DATE: It 01 0— so . CONTRACTOR: Amass 0 -W JOB ADDRESS: It-6 W • Lake. M oru It TYPE OF WORK: Post this permit in aconspicuous location outside Approved plans must be posted with permit for inspection ELECTRIC FOOTER / SLAB STEEL BOND ELECTRIC UNDERGROUND ELECTRIC WALL ROUGH ELECTRIC CEILING ROUGH PRE -POWER INSPECTION CHANGE OF SERVICE TEMPORARY POLE ELECTRIC FINAL MECHANICAL fNSI'ECI70,V TYPE' .41'PROV1,I) R1,11,C77,I) tNSI'E('701? MECHANICAL ROUGH MECH FIRE DAMPER ANGLE MECH FIRE DAMPER FRAME MECH FIRE DAMPER ANNULAR MECH CEILING ROUGH MECH INSULATION WRAP MECHANICAL FINAL HOOD SYSTEM 7'YI'E AI'PROVU) HOOD SYSTEM ROUGH FLOOD SYSTEM INSULATION LicatuWATER TEST HOOD SYSTEM FINAL tACke.) Vie.* —10k L.6vc all work uncovered until inspected and approved Permit expires 0 months front date of issue or last appro OM WEATHER PLUMBING Al'I'ROV1,J) R1111111('77iD INSPECTOR SEWER PLUMBING UNDERGROUND PLUMBING ROUGH PLUMBING 2ND ROUGH PLUMBING FINAL ROOF STORM DRAIN WSI'ACTION TYPE APPROrkI) RI.:JECIIJ) INSPECTOR ROOF STORM DRAIN ROUGH ROOF STORM DRAIN FINAL, GAS ITI'F' APPROVED R1,*,(*7F1) INSPECTOR GAS UNDERGROUND PIPING GAS ROUGI HN GAS FINAL MEDICAL GAS ROUGH -IN MEDICAL. GAS FINAL, SPECIAL l MISCELLANEOUS INS1'EC770v IT/1, AITkOVE-1) RVIFC71-7) IvS7'I,('70R INSPECTOR PIPE INSULATION GREASE DUCT WRAP STEAM / CHILL WATER ROUGH GREASE TRAP ROUGH IN GREASE TRAP FINAL iw WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAVING 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. NOWE IN ADDITION FO THE REQUIREMENTS OF THIS PERMFr,THFRF MAY BE ADDITIONAL RESTRICTIONS APPLICABLETO THIS PRO4+RTY ITAT MAY BE FOUND IN THE PUBLIC RECORDS OF THIS COUNTY. AND U14FRE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES OR FEDERAL. AGENCIES FBC105 13 REVISED: October 2014 W1,Mi- Li- SiS,541.2112 TO SCHEDULE AN INSPECTION: Dial855.541.2112 Provide the items requested during the message The type of inspection requested must be scheduled under the appropriate permit type Follow the prompts To Schedule Fire Inspections: Please call 407.562.2786 *** PLEASE NOTE: Inspections scheduled by 3:30 p.m. will be conducted the next business day. If you experience difficulty, please call 407.688.51.50 Monday - Thursday 7:30 am - 5:30 pm for assistance. AUTOMATED INSPECTION SYSTEM CODES ELECTRIC PLUMBING FOOTER/SLAB STEEL BOND 221 SEWER 311 ELECTRIC UNDERGROUND 211 PLUMBING UNDERGROUND 322 ELECTRIC WALL ROUGH 220 PLUMBING ROUGH 316 ELECTRIC CEILING ROUGH 219 PLUMBING 2ND ROUGH 317 PRE -POWER 218 PLUMBING FINAL 313 ROOF STORM DRAINCHANGEOFSERVICE214 TEMPORARY POLE 215 ROOF STORM DRAIN ROUGH 326 ELECTRIC FINAL 213 ROOF STORM DRAIN FINAL 327 MECHANICAL GAS MECHANICAL ROUGH 409 GAS UNDERGROUND PIPING 328 MECH FIRE DAMPER ANGLE 413 GAS ROUGH -IN 314 MECH FIRE DAMPER FRAME 415 GAS FINAL 315 MECH FIRE DAMPER ANNULAR 414 MEDICAL GAS ROUGH -IN 324 MECH CEILING ROUGH 411 MEDICAL GAS FINAL 325 MECH INSULATION WRAP 416 SPECIAL/MISCELLANEOUS MECHANICAL FINAL MO GREASE TRAP ROUGH -IN PIPE INSULATION 319 135HOODSYSTEM HOOD SYSTEM ROUGH 420 GREASE DUCT WRAP 417 HOOD SYSTEM INSULATION 421 STEAM/CHILL WATER ROUGH 412 LIGHT/WATER TEST 418 HOOD SYSTEM FINAL 419 Miscellaneous Notes: RE .2112 FIRE INSPECTIONS CITY OF SANFORD 407.562.2786 BUILDING & FIRE PREVENTION BUILDING INSPECTIONS 300 N PARK AVE 855.541.2112 SANFORD FL 32771 DRIVEWAYS -SIDEWALK 407.688.5080 Page 2 Application Number . . . . . 17-00000093 Date 1/09/17 Property Address . . . . . . 110 W LAKE MARY BLVD Parcel Number , . . . . . . . 11.20.30.518-0000-0050 Application description . . . ELECTRIC PERMIT APPLICATION Subdivision Name . . . . . . Property Zoning . . . . . . . GENERAL COMMERCIAL Permit , . . . . . ELECTRIC PERMIT-ALTER/ADD/FIX Additional desc . . Phone Access Code 967976 Permit pin number 967976 Required Inspections Phone Insp Seq Insp# Code Description Initials Date 1000 213 EL02 ELECTRIC FINAL