HomeMy WebLinkAbout126 Kelly Cir; 17-2303; PORCH ENCLOSURE1,
lCITY OF • a
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application t _ .
Construction,Documented
fob Address: 10 w Historic District: Yes No,0
Parcel ID- 0 -- 30 ,... _57/ -~ Residential Commercial
Type of Work: New Addition N Alteration Repair Demo Change of Use Move
Description of Work: 0 1'es - P.0 e,
Plan Review Contact Person: Title: joL Z/ty
Phone: /e1,; L 2-'? Fax:
Property Owner Information ;
i 88ZSName G! [L_.rr t th Lc w Phone: - ( 15 k 3—
Street: z W14n1M_ St • Resident of property? :
City, State Zip: P_eaC.on
Contractor Information
ii
Name 4* 0 4_0( a. wre6d, LJA ,} UIVC Phone: V10 2- 0302 r? /
Street: 0. n , Q @ n ( a y3 Fax: g4 7 (? 7 / — 3 % !
City, State Zip: „ r 4 in r / 3 a Z (v Z State License No.: Lee- 0 sQ % Arch
ltect;rEngineer Information Name: '
r Phone: Street:
8.a4ay1040; Fax.- G/e! ;! - — 92 .,'? 7, City,
St, Zip: & IA'e xa E-mail: h e_."q f, h crrlcI* "f teo' Bonding
Company: Address:
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 1-
issuanceof 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, welts, pools, furnaces,
boilers, heaters, tanks, and air conditioners, etc. SRC
WSJ Shaft be Inscribed with the date of application and the code in effect as of that date: 6" Edition (1014) Viorido Building Code Revised:
June 30. 2015 Permit Application AL.® i
00
O ICE: In addition to the requirements of this permit, there may be additional reatictlritts applicable to this property that inay 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 payi Tent of a plan review fee at the time of permit submittal. A copy of the executed contract is requiredinordertocalculateaplanreviewchargeandwillbe -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.
owNEWS AFFIDAVIX: 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 zoning.
gtloture of Owner/Agent Date gna e ;1tontmetor/Agent Nate
TO k-0 _1C wi rvL u-r-ck- / lr .( /" ; V. / C - - .
Print Ownert'AgenCs Name riot C'o raetor/Agent'/Came
V
Qualified in Bronx County
Commission Expires._Jul 7, 2018
Owner/Agent is Personally :Known to Me or
Produced IVD Type of ID
LISA ANTONINI
Notary Public - State of Florida
My Comm. Expires May 21, 2018
Commission # FF 125242
Produced ID &-1 Type Uf.1D
n to Me or
Permits Required: Building Electrical Mechanical Plumbing[] Gas Roof.
Construction Type: Occupancy Use: Flood Zone:
Total Sq Ft of Bldg: Min. Occupancy Load: of Stories:
New Construction: Electric - # of Amps Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes No # of Heads _ Fire Alarm Permit: Yes No
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
WASTE WATER:
BUILDING:
Revised: June 30, 2015
Permit Application
PA l k e 40
Business Name: J e- br,1r -A- S -13 W, r.1r@
CITY OF SANFORD
Contractor Registration Application
P. Q. Box 1.788, Sanford, FL 32772-1788
Phone: 407.688.5150 Fax 407.688.5152
Email: building@sanfordfl.gov
Date: 71 - 12
Business Mailing Address: f02 l 14
City: —nV i C4 n State: F Zip: 3 2 7/,P
Business Phone: L/67- Fax: e107-fN-37/l Email: Ilir%&C [ !./ci e-DtJ 42d,h.
Name of Qualifier on State License: _ / e n : w G. Lj -c-b -e r
State License Classification: (I B e--M 7
State License Number:
A registration fee is not required. We do not mail confirmation of registration.
State Certified Contractors:
State license from Department of Business and Professional Regulation.
Certificate of workers compensation insurance AND general. liability with the City of Sanford listed as the
certificate holder. If faxed or emailed it MUST come from the insurance agent/company. Certificates from
contractor's offices are not accepted.
Copy of valid business tax receipt
State Registered Contractors:
State license from Department of Business and Professional Regulation.
Current Seminole County Comp Card
Certificate of workers compensation insurance AND general liability with the City of Sanford listed as the
certificate holder. If faxed or emailed it MUST come from the insurance agent/company. Certificates from
contractor's offices are not accepted.
Copy of valid business tax receipt
Specialty Contractors
Certificate of workers compensation insurance AND general liability with the City of Sanford listed as the
certificate holder. If faxed or ernailed it MUST come from the insurance agent/company. Certificates from
contractor's offices are not accepted.
Copy of valid business tax receipt
Control # City Registration #
Rev. 07.16
ENGINEERINGL'1w"Nm'"rN&' DESIGN
P.O. Box 140024, Orlando, FL 32814
Phone:407-252-6433 • Fax:407-392-2776
clinn®linnengineering.com • www.LinnEngineering.com
July 8, 2017
City of Sanford
300 N. Park Ave.
Sanford, FL 32771
Re: Residential Addition Inspection
Toko Ichimura
126 Kelly Circle
Sanford, FL 32773
The above referenced existing rear enclosure was inspected on July 4, 2017 and
determined that the structure in substantial compliance with the 2010 Florida
Building Code when the structure was constructed.
If you have any additional questions., please feel free to call.
Thank you .'`°s.. a`'s Digitally signed by Chad S Linn
EM;F`+ DN: c=US, o=ldenTrust ACES
Unaffiliated Individual, cn=Chad
S Linn,
Aso n tiG'' 0.9.2342.19200300.100.1.1=A01
097C00000.1501472541.90000DE.
7E
Date: 2017.07.0815:00:29-04'00'
x
Chad S. Linn, F.E.
Project Engineer
FL Registration No. 57524
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