HomeMy WebLinkAbout1711 S Magnolia Ave - e18-004680 - REPLACE FPE PANELroo CITY OF
tt-c SkNFORD6: t:
BUILDING DIVISION
PERMIT APPLICATION
Application No: L4
Y
Documented Construction Value: $ I
Job Address: Historic District: Yes No
Parcel ID: Residential Commercial
Type of Work: New Addition Alteration W Repair Demo Change of Use Move C
Description of Work: /U,/- l A/la-
Plan Review Contact Person: Title:
Phone: Fax: Email:
Property Owner Information
Name il/ xcx q --e— jlel c14Ue r >iz Phone:
t/`/lam lab 5
Street: Resident of property? 1011
City, State Zip: 771
J
Contractor Information
Name J Cz m 1 1 ( Phone: yl -7—
Street: {,$7A i ,r; Cdll Fax: isCity,
State Zip: a La a/ e l State License No.: 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 apermit 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.
oria /
cre bra_ clll
FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 6`h Edition (2017) Florida Building Code
NOTICE: In addition to the requirements ofthis 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 ofthe 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 Owner/Agent
Print Owner/Agent's Name
Date
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
Signature of Contractor/Agent Date
A - u
Print Contractor/Agent's Name
nN
ISignatureo of V?t( 1NM1SSI0N # FF IWMA18
IRES: EXPFebruary 25 2019 y .
Thru Notary Public Underwriters BondedContractor/
Agent is Personally K own to Me or XProducedIDTypeofIDVI - BELOW
IS FOR OFFICE USE ONLY Permits
Required: Building Electrical Mechanical Plumbing Gas Roof Construction
Type: Occupancy Use: Total
Sq Ft of Bldg: / !K Min. Occupancy Load: New
Construction: Electric - # of Amps Fire
Sprinkler Permit: Yes No # of Heads APPROVALS:
ZONING: ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
Flood
Zone: of
Stories: Plumbing - #
of Fixtures Fire
Alarm Permit: Yes []No WASTE
WATER: BUILDIN
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: 6100c
I hereby name and appoint: fAwe. e
an agent of: 13 - j&-e_lf EIe l- 1. 6_ - Name
of Company) to
be my lawful attorney -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): The
specific permit and application for work located at: Street
Address) Expiration
Date for This Limited Power of Attorney: License
Holder Name: (& sn _- 5 13 uj- 14-L State
License Number: 6H:'UQAo Signature
of License Holder: `_- \__) Viw w STATE
OF FLORIDA COUNTY
OF The
foregoing instrument was t-1knowledged
before me this t(dayof IJc 20Q8°
by Cc•,ti..r- u rw a-( who isrsonally known to
me or who has produced as identification
and who did (did not) take an oath. C;
i
gnatureNotary
Seal) Rc2 C_h ec.1(- Print
or type name dot
y Rachel Freeman Cheek Q
NOTARY PUBLIC Notary Public - State of STATE
OF FLORIDA Comm#
GG196884 Commission No. t_6 G Expires
7/12/2022 My Commission Expires: Rev.
08.12)
CITY OF
ki.4FORDBuilding & Fire Prevention Division
P_-L7iLDING DIVISION Residential Permit Card
PERMIT NO. I ISSUE DATE: Id.
CONTRACTOR: it "' I C.
JOB ADDRESS: / t l a a If •a-00-
TYPE OF WORK: FAje
Post this permit in a I.nspicuous 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
IAS'PECTION TYPE APPROVED REJE'CYAD INS'PI'C'TOR
ELECTRICAL
INSPECTION 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 7TPE 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 RFJECTED 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 MAYBE ADDITIONAL RESTRICTIONS APPLICABLE TO THIS PROPERTY THAT MAYBE 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
TO SCHEDULE AN INSPECTION:
Dial 407.792.6069 or 855.541.2112
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 5:00 p.m. will be conducted the next business
day. If you experience difficulty, please call 407.688.5150 Monday - Thursday 7:30 am -
5:30 pm for assistance.
BUILDING
FOOTER
STEMWALL
FORMBOARDSURVEY
SLAB / MONO -SLAB
LINTEL / TIE BEAM
SHEATHING - ROOF
SHEATHING - WALLS
FRAME
INSULATION ROUGH -IN
DRYWALL /SHEETROCK
LATH INSPECTION
FINAL STUCCO / SIDING
FIREWALL SCREW
FIREWALL FINAL
INSULATION FINAL
FINAL SFR
ROOF
ROOF DRY -IN
FINAL ROOF
FINAL DEMO
FINAL SOLAR PANELS
FINAL POOL SCREEN
FINAL UTILITY BUILDING
MOBILE HOME TIE -DOWN
Miscellaneous Notes:
AUTOMATED INSPECTION SYSTEM CODES
ELECTRICAL
104 ELECTRIC UNDERGROUND 211
102 FOOTER / SLAB STEEL BOND 221
147 T.U.G. 216
103 PRE POWER FINAL 218
105 ELECTRIC ROUGH 212
106 ELECTRIC FINAL 213
MECHANICAL115
109 MECHANICAL ROUGH 409
110 MECHANICAL FINAL 410
131 PLUMBING
132 UNDERGROUND ROUGH 322
130 TUB SET 312
120 SEWER 311
143 PLUMBING FINAL 313
113 GAS
138 GAS PIPING UNDERGROUND
GAS ROUGH -IN
328
314
116 GAS FINAL 315
III
MISCELLANEOUS / FINAL INSPECTIONS
126 FINAL DOOR 136
134 FINAL WINDOW 137
139 FINAL SCREEN STRUCTURE 127
124 FINAL BUILDING - OTHER 112
145 MOBILE HOME BUILDING FINAL 146
REVISED: 4-17 Inspection Line: 407.792.6069 or 855.541.2112