HomeMy WebLinkAbout1006 S Palmetto Ave (2)Ty 11 "' i i IFL,,
rG -V%l 11 1rn CITY OF SANFORD
BUILDING & FIRE PREVENTION
o JAN PERMIT APPLICATION
t: Application No: 3 "7 B
r
Documented Construction Value:r/'00(-q
Job Address: 5. ac_e Historic District: YesPq No
Parcel ID: _ — Residential Commercial
Type of Work: New Addition Alterationo Repair5 Demo Change of Use Move
Description of Work:
Plan Review Contact Person:
Phone:
Title:
Fax: Email: TOHat eo.yTR /CTt''i 8&7 V
f .o0/V
Property Owner Information %4/'i .COa'j
Name ` , Phone: (7% .39 /—GO / 8
Street - rob 6 s, G' Gjd Residentof prtipety!? • y
City, State Zip:
Contractor Information
Name Phone:
Street: Fax:
City, State Zip: State License No.:
Architect/Engineer Information
Name: %— Phone:
v
Street: Fax:
City, St, Zip: E-mail:
Bonding Company: NX47 Mortgage Lender: 4211
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 YOF 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. 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: 51h 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 re uired 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.
JJ / Ag /M
ignatu a of Owner/Agent Date
Print Owner/Agent's Name
IIrv,' -, . Z9'
Date
JO ANN M. JUMMKM
MY COMMISSION # EE 159467
EXPIRES: March 23, 2016
Bonded Thru Notary Pulft Underwriters
Owner/Agent is Personally Known to Me or
Produced ID Type of ID /5, P&
Signature of Contractor/Agent Date
Print Contractor/Agent's Name
Signature of Notary -State of Florida Date
Contractor/Agent is Personally Known to Me or
Produced ID Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building Electrical Mechanical Plumbing[] Gas Roof
Construction Type:
Total Sq Ft of Bldg:
Occupancy Use:
Min. Occupancy Load:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes No # of Heads
APPROVALS: ZONING: 00 S- l'201119 UTILITIES:
ENGINEERING:
COMMENTS:
FIRE:
Flood Zone:
of Stories:
Plumbing - # of Fixtures,
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING: q I - •-%
Revised: June 30, 2015 Permit Application
OWNER BUILDER STATEMENT/AFFIDAVIT
Altamonte Springs, Casselberry, Lake Mary, Longwood, Oviedo, Sanford,
Seminole County, Winter Springs
Florida Statutes are quoted here in part for your information to indicate the authority for exemptions for
homeowners from qualifying as contractors and to express any applicable restrictions and responsibilities.
OWNERS MUST PERSONALLY APPEAR AT THE BUILDING DIVISION TO SIGN THIS DOCUMENT
BY SIGNING THIS STATEMENT, I ATTEST THAT: (Initial to the left of each statement)
I understand that state law requires construction to be done by a licensed contractor and have applied for
an owner -builder permit under an exemption from the law. The exemption specifies that I, as the owner of
I„ the property listed, may act as my own contractor with certain restrictions even though I do not have a
license.
I understand that building permits are not required to be signed by a property owner unless he or she is
responsible for the construction and is not hiring a licensed contractor to assume responsibility.
I understand that, as an owner -builder, I am the responsible party of record on a permit. I understand that I
may protect myself from potential financial risk by hiring a licensed contractor and having the permit filed
in his or her name instead of my own name. I also understand that a contractor is required by law to be
n ^ licensed in Florida and to list his or her license numbers on all permit and contracts.
I understand that I may build or improve a one -family or two-family residence or a farm outbuilding. I
may also build or improve a commercial building if the costs do not exceed $75,000. The building or
residence must be for my own use or occupancy. It may not be built or substantially improved for sale or
lease. If a building or residence that I have built or substantially improved myself is sold or leased within
in 1 year after the construction is complete, the law will presume that I built or substantially improved it
for sale or lease, which violates this exemption.
I understand that, as the owner -builder, I must provide direct, onsite supervision of the construction.
I understand that I may not hire an unlicensed individual person to act as my contractor or to supervise
persons working on my building or residence. It is my responsibility to ensure that the persons whom I
employ have the licenses required by law and by city ordinance.
I understand that it is a frequent practice of unlicensed persons to have the property owner obtain an
owner -builder permit that erroneously implies that the property owner is providing his or her own labor
and materials. I, as an owner -builder, may be held liable and subjected to serious financial risk for any
injuries sustained by an unlicensed person or his or her employees while working on my property. My
homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an owner -
builder and am aware of the limits of my insurance coverage for injuries to workers on my property.
I understand that I may not delegate the responsibility for supervising work to a licensed contractor who is
not licensed to perform the work being done. Any person working on my building who Is not licensed
must work under my direct supervision and must be employed by me, which means that I must
comply with laws requiring the withholding of federal income tax and social security contributions
under the Federal Insurance Contributions Act (FICA) and must provide workers' compensation
for the employee. I understand that my failure to follow these laws may subject me to serious financial
risk.
Rev. 9.14.2009
I
I agree that, as the party legally and financially responsible for this proposed construction activity, I will
abide by all applicable laws and requirements that govern owner -builders as well as employers. I also
understand that the construction must comply with all applicable laws, ordinances, building codes, and
zoning regulations.
I am of aware of construction practices and I have access to the Florida Building Codes.
I understand that I may obtain more information regarding my obligations as an employer from the Internal
Revenue Service, the United States Small Business Administration, the Florida Department of Financial
Services, and the Florida Department of Revenue. I also understand that I may contact the Florida
Construction Industry Licensing Board at 1-850-487-1395 or at www.myflorida.com/dbpr/pro/cilb/ for
more information about licensed contractors.
I am aware of, and consent to, an owner -builder building permit applied for in my name and understand
that I am the party legally and financially responsible for the proposed construction activity at the address
listed below.
I agree to notify the building department immediately of any additions, deletions, or changes to any of theiinformationthatIhaveprovidedonthisdisclosureorinthepermitapplicationpackage.
Licensed contractors are regulated by laws designed to protect the public. If you contract with a person
who does not have a license, the Construction Industry Licensing Board, the Department of Business and
Professional Regulation and the building department may be unable to assist you with any financial loss
that you sustain as a result of a complaint. Your only remedy against an unlicensed contractor may be in
civil court. It is also important for you to understand that, if an unlicensed contractor or -employee of an
individual or firm is injured while working on your property, you may be held liable for damages. If you
obtain an owner -builder permit and wish to hire a licensed contractor, you will be responsible for verifying
whether the contractor is property licensed and the status of the contractor's workers' compensation
coverage.
Property Address: l00 ` F
I, do hereby state that I am qualified
and able of performing the requested construction involved with the permit application filed and agree to the
con tions specified above.
d / Z 14
SWafdre of Owner -Builder Date
Form of Identification
Must be Photo ID)
A violation of this exemption is a misdemeanor of the first degree punishable by a term of imprisonment
not exceeding 1 year and a $1,000.00 fine in addition to any civil penalties. In addition, the local
permitting jurisdiction shall withhold final approval, revoke the permit, or pursue any action or remedy
for unlicensed activity against the owner and any person performing work that requires licensure under
the permit issued.
Rev. 9.14.2009
1/25/2016 SCPA Parcel View: 25-19-30-5AG-1202-0040
OwldJohnGon,CFA Property Record Card
PROPERTY Parcel: 2S-19-30-SAG-1202-0040
APPRAISER Owner: MARSHALLJOHN A LIVING TRUST FBO
SEMINOLE COUNTY, FLORIDA Property Address: 1006 PALMETTO AVE SANFORD, FL 32771
Parcel: 25-19-30-SAG-1202-0040
Property Address: 1006 PALMETTO AVE
Owner: MARSHALL JOHN A LIVING TRUST FBO
Mailing: 1006 PALMETTO AVE
SANFORD, FL 32771
Subdivision Name: SANFORD TOWN OF
Tax District: Si-SANFORD
Exemptions:
DOR Use Code: 0102-SINGLE FAMILY - SANFORD HISTORICAL
DISTRICT
Value Summary
2016 Working 2015 Certified
T—
Values Values
Valuation Method Cost/Market Cost/Market
Number of Buildings 1 1
I
Depreciated Bldg Value 102,290 90,806 I
I
Depreciated EXFT Value 938 950
Land Value (Market) 13,500 13,500
Land Value Ag
Just/Market Value
116,728 105,256
I
Portability Adj
Save Our Homes Adj 0 0
Amendment 1 Adj 0 0
Assessed Value 116,728 105,256
Tax Amount without SOH: $2,142.10
2015 Tax Bill Amount $2,142.10 i
Tax Estimator
Save Our Homes Savings: $0.00 j
Does NOT INCLUDE Non Ad Valorem Assessments i
Legal Description
LOT 4 BLK 12 TR 2
TOWN OF SANFORD
PB1PG59
Taxes
Taxing Authority Assessment Value Exempt Values Taxable Value
County General Fund 116,728 0 $116,728
Schools 116,728 0 $116,728
City Sanford
SJWM(Saint Johns Water Management)
CountyBonds 116,
728 116,
728 116,
728 0 $
116,728 0 $
116,728 I
0 $
116,728 Sales
Description
Date Book Page j Amount Qualified Vac/Imp WARRANTY
DEED 12/1/2015 08606 1751 156,700 Yes Improved QUITCLAIM
DEED 8/1/2003 04973 1094 100 No Improved WARRANTY
DEED 6/1/2002 04440 0435 130,500 Yes Improved I
WARRANTY
DEED 5/1/1997 03243 0436 55,000 Yes Improved QUIT
CLAIM DEED 1/1/1997 03184 0066 300 No Improved WARRANTY
DEED 11/1/1996 03163 1670 45,000 Yes Improved WARRANTY
DEED 5/1/1987 01848 1466 29,500 No I
Improved
WARRANTY
DEED 11/1/1986 01811 1637 100 No Improved WARRANTY
DEED 11/1/1986 01787 0246 27,000 Yes Improved Find
Comparable Sales within this Subdivision —^ Land
http://
www.scpafl.org/Parce]Detail lnfo.aspx?PID=2519305AG12020040 1/2
10
1$IR31 1p1
APPLICATION # 433(,
FOR A CERTIFICATE OF APPOPRIATENESS
Answer all the qt estions on this form and submit all required attachments. Incomplete applications will not
be reviewed. If yc u have questions about application requirements contact the Historic Preservation Officer
at 407,688.6145,to ensure your application is complete.
General Informs ion
Downtown Commercial Historic District Residential Historic District Is this a retroactive request? Yes No
Is this application filed in response to a Notice of Violation from the Code Enforcement Department? Yeso NoXIProposed
improv ments will affect the following elevations: North South East LNest Property
Address: 00K S J7AC oei F rrb rQ Property
Owner Information Print
Name: - Mailing
Address: PO BD Phone : -
W Email: Applicant(
Agent Print
Name: Mailing
Address: Phone:
BY
SIGNING BE SCOPE
OF W( DETERMINE
IF, RESULT
IN A S BELOW,
YOU Al TRUE
AND ACCI i9/
VC<9Vev PiP„ Gem! Email:
Signature:
Signature:
W
YOU ACKNOWLEDGE THAT A BUILDING PERMIT MAY BE REQUIRED FOR THE tK
LISTED BELOW. YOU MUST CONTACT THE BUILDING DEPARTMENT TO BUILDING
PERMIT IS REQUIRED. FAILURE TO OBTAIN A BUILDING PERMIT WILL P
WORK ORDER, DOUBLE PERMIT FEES, AND POTENTIAL FINES. BY SIGNING O
ACKNOWLEDGE THAT THE INFORMATION CONTAINED IN THIS APPLICATION IS LATE
TO THE BEST OF YOUR KNOWLEDGE. Signature:
Q Date: Would
you like to receive emails regarding Historic Preservation and Community Planning within your community? Description
of proposed work Completely
describe the entire scope of work, including changes in material and color, and methods that will be used to accomplish
the pror osed work. For large projects an itemized list is required. Use the reverse side if necessary. vV ,
Ll HISTORIC
PRESERtTION BOARD • 300 S. Park Avenue . Sanford, Florida 32771 •407.688.5145 • www.sanfordfl.gov/HP
761 in .white :with 3 pane
windows, hinges and handles
1111 11111111110,11 1
M
Page 1 of 5
RECORD COPY
i 1 1 • !f • i
FWW' Dept 2iltof BCIS Home Log In User Registration Hot Topics Submit Surcharge Stats & Facts Publications I FBC Staff BCIS Site Map Links Search
Busines
Professi al USER:PProduyucUser al
Regulation
Product Approval Menu > Product or Application Search > Application List > Application Detail
FL # FL16660-R5
Kj
Application Type Revision
REVIEWED POR CODE COMPLIANCECodeVersion2014
Application Status Approved 5 _
PLANS EXAMINER
IC- Comments G-,F
DATE
Archived
Product Manufacturer Haas Door Company
Address/Phone/Email 320 Sycamore St.
Wauseon, OH 43567
419) 337-9900 Ext 243
mschweitzer@haasdoor.com
Authorized Signature Mark Schweitzer SANFORD BUILDING DIVISIONmschweitzer@haasdoor.con
A PERMIT ISSUED SHALL BE CONSTRUED TO BE A
Technical Representative LICENSE TO PROCEED WITH THE WORK AND NOT AS
Address/Phone/Email AUTHORITY TO VIOLATE, CANCEL, ALTER OR SET
ASIDE ANY OF THE PROVISIONS OF THE TECHNICAL
CODES, NOR SHALL ISSUANCE OF A PERMIT PREVENT
Quality Assurance Representative THE BUILDING OFFICIAL FROM THEREAFTER
Address/Phone/Email REQUIRING A CORRECTION OF ERRORS IN PLANS,
CONSTRUCTION OR VIOLATIONS OF THIS CODE
Category Exterior Doors
Subcategory Sectional Exterior Door Assemblies
Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed
Florida Professional Engineer
Evaluation Report - Hardcopy Received
Florida Engineer or Architect Name who developed John E. Scates
the Evaluation Report
Florida License PE-51737
Quality Assurance Entity Architectural Testing, Inc.
Quality Assurance Contract Expiration Date 12/31/2018
Validated By Kurt Dietrich PE
Validation Checklist - Hardcopy Received
Certificate of Independence FL16660 RS COI Cert of Ind Scates 2015 s.pdf
Referenced Standard and Year (of Standard) Standard Year
ANSI/DASMA 108 2012
ANSI/DASMA 115 0J\I-D/yG, 2005
Equivalence of Product Standards SANFORDCertifiedBy
Sections from the Code
p
PA
Product Approval Method Method 1 Option D
1 6 • 3 T8 a1
2/8/2016
Page 2 of 5
Date Submitted
Date Validated
Date Pending FBC Approval
Date Approved
Summary of Products
Go to Page F-- a
08/20/2015
08/24/2015
08/25/2015
10/16/2015
Pagel /20
FL # Model, Number or Name Description
16660.1 01. HT 5000 Series HT Series sectional Aluminum sandwich type garage door
9'2" wide
Limits of Use Installation Instructions
Approved for use in HVHZ: No FL16660 R5 II WL-5000-0110-08-40-45 RevD said
Approved for use outside HVHZ: Yes Verified By: John E. Scates 51737
Impact Resistant: Yes Created by Independent Third Party: Yes
Design Pressure: +40.0/-45.0 Evaluation Reports
Other: FL16660 R5 AE EvalReot r5 s.odf
Created by Independent Third Party: Yes
16660.2 02. HT 5000 Series HT Series sectional Aluminum sandwich type garage door
16'2" wide
Limits of Use Installation Instructions
Approved for use in HVHZ: No FL16660 R5 II WL-5000-0194-08-31-35 RevD s.odf
Verified By: John E. Scates 51737ApprovedforuseoutsideHVHZ: Yes
Impact Resistant: Yes Created by Independent Third Party: Yes
Design Pressure: +31.3/-34.9 Evaluation Reports
Other: FL16660 R5 AE EvalReot r5 s.odf
Created by Independent Third Party: Yes
16660.3 03. HT 5000 Series HT Series sectional Aluminum sandwich type garage door
18'2" wide
Limits of Use Installation Instructions
Approved for use in HVHZ: No FL16660 R5 II WL-5000-0218-08-30-34 RevC s.odf
Verified By: John E. Scates 51737ApprovedforuseoutsideHVHZ: Yes
Impact Resistant: Yes Created by Independent Third Party: Yes
Design Pressure: +30.0/-33.9 Evaluation Reports
Other: FL16660 R5 AE EvalReot r5 s.odf
Created by Independent Third Party: Yes
16660.4 04. HT 600, 700, 2000, 800, & 900
Series
HT Series sectional sandwich type garage door 9'2" wide
Limits of Use Installation Instructions
Approved for use in HVHZ: No FL16660 R5 II WL-0600-0110-08-25-28L RevD s.odf
Verified By: John E. Scates 51737ApprovedforuseoutsideHVHZ: Yes
Impact Resistant: No Created by Independent Third Party: Yes
Design Pressure: +24.8/-28.0 Evaluation Reports
Other: Glazing is an available option for the 600, 700, FL16660 R5 AE EvalRept r5 s.odf
2000, 800 & 900 Series product only but it does not meet Created by Independent Third Party: Yes
the impact resistant requirement for windborne debris
regions.
16660.5 05. HT 600, 700, 2000, 800, & 900
Series
HT Series sectional sandwich type garage door 16'2" wide
Limits of Use Installation Instructions
Approved for use in HVHZ: No FL16660 R5 II WL-0600-0194-08-24-27L RevD s.odf
Verified By: John E. Scates 51737ApprovedforuseoutsideHVHZ: Yes
Impact Resistant: No Created by Independent Third Party: Yes
Design Pressure: +23.9/-26.7 Evaluation Reports
Other: Glazing is an available option for the 600, 700, 2000 FL16660 R5 AE EvalReot r5 s.odf
800 Series product only but it does not meet the impact Created by Independent Third Party: Yes
resistant requirement for windborne debris regions. Glazing
is not an available option for the 900 Series product.
16660.6 06. HT 600, 700, 2000, 800, & 900 HT Series sectional sandwich type garage door 18'2" wide
Series
Limits of Use Installation Instructions
Approved for use in HVHZ: No FL16660 R5 II WL-0600-0218-08-24-27L RevE s.odf
Approved for use outside HVHZ: Yes Verified By: John E. Scates 51737
Impact Resistant: No Created by Independent Third Party: Yes
Design Pressure: +23.9/-26.7 Evaluation Reports
Other: Glazing is an available option for the 600, 700, 2000 FL16660 R5 AE EvalReDt r5 s.odf
800 Series product only but it does not meet the impact Created by Independent Third Party: Yes
resistant requirement for windborne debris regions. Glazing
is not an available option for the 900 Series product.
2/8/2016
Page 3 of 5
16660.7 07. HT 600, 700, 2000, 800, & 900 HT Series sectional sandwich type garage door 187' wide
Series
Limits of Use Installation Instructions
Approved for use in HVHZ: No FL16660 R5 II WL-0600-0218-08-30-34 RevC s.odf
Approved for use outside HVHZ: Yes Verified By: John E. Scates 51737
Impact Resistant: Yes Created by Independent Third Party: Yes
Design Pressure: +30.0/-33.9 Evaluation Reports
Other: FL16660 R5 AE EvalReot r5 s.odf
Created by Independent Third Party: Yes
16660.8 08. PAN C2000, C2400, C2410, PAN Series sectional pan type garage door 9'2" wide
R2410, C2460, R2460, C2461,
R2461, C2471, R2471, C2472,
R2472, C2480, R2480, C2481,
R2481, C2482, R2482, C2500,
R2560, R2561, R2571, R2572,
R2580, R2581, R2582
Limits of Use Installation Instructions
Approved for use in HVHZ: No FL16660 R5 II WL-2000-0110-25-28L RevD s.pdf
Verified By: John E. Scates 51737ApprovedforuseoutsideHVHZ: Yes
Impact Resistant: No Created by Independent Third Party: Yes
Design Pressure: +24.8/-28.0 Evaluation Reports
Other: Glazing is an available option for all the Pan Series FL16660 R5 AE EvalReot r5 s.odf
product listed but it does not meet the impact resistant Created by Independent Third Party: Yes
requirement for windborne debris regions.
16660.9 09. PAN C2000, C2400, C2410, PAN Series sectional pan type garage door 9'2" wide
R2410, C2460, R2460, C2461,
R2461, C2471, R2471, C2472,
R2472, C2480, R2480, C2481,
R2481, C2482, R2482, C2500,
R2560, R2561, R2571, R2572,
R2580, R2581, R2582
Limits of Use Installation Instructions
Approved for use in HVHZ: No FL16660 R5 II WL-2000-0110-35-39 RevC s.odf
Verified By: John E. Scates 51737ApprovedforuseoutsideHVHZ: Yes
Impact Resistant: No Created by Independent Third Party: Yes
Design Pressure: +35.0/-39.0 Evaluation Reports
Other: FL16660 R5 AE EvalReot r5 s.odf
Created by Independent Third Party: Yes
16660.10 10. PAN C2000, C2400, C2410, PAN Series sectional pan type garage door 16'2" wide
R2410, C2460, R2460, C2461,
R2461, C2471, R2471, C2472,
R2472, C2480, R2480, C2481,
R2481, C2482, R2482, C2500,
R2560, R2561, R2571, R2572,
R2580, R2581, R2582
Limits of Use Installation Instructions
Approved for use in HVHZ: No FL16660 R5 II WL-2000-0194-24-27L RevD s.odf
Verified By: John E. Scates 51737ApprovedforuseoutsideHVHZ: Yes
Impact Resistant: No Created by Independent Third Party: Yes
Design Pressure: +23.9/-26.7 Evaluation Reports
Other: Glazing is an available option for all the Pan Series FL16660 R5 AE EvalReot r5 s.odf
product listed but it does not meet the impact resistant Created by Independent Third Party: Yes
requirement for windborne debris regions.
16660.11 11. PAN C2000, C2400, C2410, PAN Series sectional pan type garage door 16'2" wide
R2410, C2460, R2460, C2461,
R2461, C2471, R2471, C2472,
R2472, C2480, R2480, C2481,
R2481, C2482, R2482, C2500,
R2560, R2561, R2571, R2572,
R2580, R2581, R2582
Limits of Use Installation Instructions
Approved for use in HVHZ: No FL16660 R5 II WL-2000-0194-31-35 RevC s.odf
Verified By: John E. Scates 51737ApprovedforuseoutsideHVHZ: Yes
Impact Resistant: Yes Created by Independent Third Party: Yes
Design Pressure: +31.3/-34.9 Evaluation Reports
Other: FL16660 R5 AE EvalReot r5 s.odf
Created by Independent Third Party: Yes
16660.12 12. PAN C2000, C2400, C2410, PAN Series sectional pan type garage door 18'2" wide
R2410, C2460, R2460, C2461,
R2461, C2471, R2471, C2472,
R2472, C2480, R2480, C2481,
R2481, C2482, R2482, C2500,
R2560, R2561, R2571, R2572,
R2580, R2581, R2582
2/8/2016
Page 4 of 5
Limits of Use
Approved for use in HVHZ: No
Approved for use outside HVHZ: Yes
Impact Resistant: No
Design Pressure: +23.9/-26.7
Other: Glazing is an available option for all the Pan Series
product listed but it does not meet the impact resistant
requirement for windborne debris regions.
Installation Instructions
FL16660 R5 II WL-2000-0218-24-27L RevE s.odf
Verified By: John E. Scates 51737
Created by Independent Third Party: Yes
Evaluation Reports
FL16660 R5 AE EvalReot r5 s.odf
Created by Independent Third Party: Yes
16660.13 13. HT 600, 700, 2000, 800, & 900
Series
HT Series sectional sandwich type garage door 97' wide
Limits of Use Installation Instructions
Approved for use in HVHZ: No FL16660 R5 II WL-0600-0110-08-41-46 RevB s.odf
Verified By: John E. Scates 51737ApprovedforuseoutsideHVHZ: Yes
Impact Resistant: Yes Created by Independent Third Party: Yes
Design Pressure: +41.1/-46.4 Evaluation Reports
Other: FL16660 R5 AE EvalReot r5 s.odf
Created by Independent Third Party: Yes
16660.14 14. HT 600, 700, 2000, 800, & 900
Series
HT Series sectional sandwich type garage door 9'2" wide
Limits of Use Installation Instructions
Approved for use in HVHZ: No FL16660 R5 II WL-0600-0110-08-41-46L RevD s.odf
Verified By: John E. Scates 51737ApprovedforuseoutsideHVHZ: Yes
Impact Resistant: Yes Created by Independent Third Party: Yes
Design Pressure: +41.1/-46.4 Evaluation Reports
Other: Glazing is an available option for the 600, 700, 2000 FL16660 RS AE EvalReot r5 s.odf
800 Series product only. It does meet the impact resistant Created by Independent Third Party: Yes
requirement for windborne debris regions. Glazing is not an
available option for the 900 Series product.
16660.15 15. HT 600, 700, 2000, 800, & 900
Series
HT Series sectional sandwich type garage door 16'2" wide
Limits of Use Installation Instructions
Approved for use in HVHZ: No FL16660 R5 II WL-0600-0194-08-31-35 RevB s.odf
Verified By: John E. Scates 51737ApprovedforuseoutsideHVHZ: Yes
Impact Resistant: Yes Created by Independent Third Party: Yes
Design Pressure: +31.3/-34.9 Evaluation Reports
Other: FL16660 R5 AE EvalReot r5 s.odf
Created by Independent Third Party: Yes
16660.16 16. HT 600, 700, 2000, 800, & 900
Series
HT Series sectional sandwich type garage door 16'2" wide
Limits of Use Installation Instructions
Approved for use in HVHZ: No FL16660 R5 II WL-0600-0194-08-31-35L RevD s.odf
Verified By: John E. Scates 51737ApprovedforuseoutsideHVHZ: Yes
Impact Resistant: Yes Created by Independent Third Party: Yes
Design Pressure: +31.3/-34.9 Evaluation Reports
Other: Glazing is an available option for the 600, 700, 2000 FL16660 R5 AE EvalReot r5 s.pdf
800 Series product only. It does meet the impact resistant Created by Independent Third Party: Yes
requirement for windborne debris regions. Glazing is not an
available option for the 900 Series product.
16660.17 17. PAN C2000, C2400, C2410, PAN Series sectional pan type garage door 9'2" wide
R2410, C2460, R2460, C2461,
R2461, C2471, R2471, C2472,
R2472, C2480, R2480, C2481,
R2481, C2482, R2482, C2500,
R2560, R2561, R2571, R2572,
R2580, R2581, R2582
Limits of Use Installation Instructions
Approved for use in HVHZ: No FL16660 R5 II WL-2000-0110-41-46 RevB s.odf
Verified By: John E. Scates 51737ApprovedforuseoutsideHVHZ: Yes
Impact Resistant: Yes Created by Independent Third Party: Yes
Design Pressure: +41.1/-46.4 Evaluation Reports
Other: FL16660 R5 AE EvalRept r5 s.odf
Created by Independent Third Party: Yes
16660.18 18. PAN C2000, C2400, C2410,
R2410, C2460, R2460, C2461,
R2461, C2471, R2471, C2472,
R2472, C2480, R2480, C2481,
R2481, C2482, R2482, C2500,
R2560, R2561, R2571, R2572,
R2580, R2581, R2582
Limits of Use
Approved for use in HVHZ: No
Approved for use outside HVHZ: Yes
Impact Resistant: Yes
PAN Series sectional pan type garage door 16'2" wide
Installation Instructions
FL16660 R5 II WL-2000-0194-37-42 RevB s.Ddf
Verified By: John E. Scates 51737
Created by Independent Third Party: Yes
2/8/2016
Wi IF lei Alm
Page 5 of 5
Design Pressure: +37.4/-41.7 Evaluation Reports
Other: FL16660 R5 AE EvalReot r5 s.Ddf
Created by Independent Third Party: Yes
16660.19 19. HT 600, 700, 2000, 800, & 900 HT Series sectional sandwich type garage door 9'2" wide
Series
Limits of Use Installation Instructions
Approved for use in HVHZ: No FL16660 R5 II WL-0600-0110-08-21-24L RevC s.Ddf
Verified By: John E. Scates 51737ApprovedforuseoutsideHVHZ: Yes
Impact Resistant: No Created by Independent Third Party: Yes
Design Pressure: +21.3/-24.1 Evaluation Reports
Other: Glazing is an available option for the 600, 700, 2000 FL16660 R5 AE EvalReot r5 s.Ddf
800 Series product only but it does not meet the impact Created by Independent Third Party: Yes
resistant requirement for windborne debris regions. Glazing
is not an available option for the 900 Series product.
16660.20 20. HT 600, 700, 2000, 800, & 900 HT Series sectional sandwich type garage door 16'2" wide
Series
Limits of Use Installation Instructions
Approved for use in HVHZ: No FL16660 R5 II WL-0600-0194-08-37-42 RevB s.pdf
Verified By: John E. Scates 51737ApprovedforuseoutsideHVHZ: Yes
Impact Resistant: Yes Created by Independent Third Party: Yes
Design Pressure: +37.4/-41.7 Evaluation Reports
Other: FL16660 R5 AE EvalReot r5 s.Ddf
Created by Independent Third Party: Yes
Go to Page = a
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0 Page l/ 2 8 0
Contact Us :: 1940 North Monroe Street, Tallahassee FL 32399 Phone: 850-487-1824
The State of Florida Is an AA/EEO employer. Copyright 2007-2013 State of Florida.:: Privacy Statement :: Accessibility Statement :: Refund Statement
Under Florida law, email addresses are public records. If you do not want your e-mail address released in response to a public -records request, do not send
electronic mail to this entity. Instead, contact the office by phone or by traditional mail. If you have any questions, please contact 850.487.1395. -Pursuant to
Section 455.275(1), Florida Statutes, effective October 1, 2012, licensees licensed under Chapter 455, F.S. must provide the Department with an email address If
they have one. The emails provided may be used for official communication with the licensee. However email addresses are public record. If you do not wish to
supply a personal address, please provide the Department with an email address which can be made available to the public. To determine if you are a licensee under
Chapter 455, F.S., please click here .
Product Approval Accepts:
goLRIM-DiM
CreditSi4VE
2/8/2016
Door Width 9' - 2" Shown
See chart below for other
Top Bracket door widths
DETAIL A (sheet 2 of 3)
7-- NOTE: For lite options see Sheet 3 of 3.
SINGLE STEEL END STILE
16 Ga Galvanized Steel
NOTE: Track configuration above
the door opening does not affect
the wind food rating of the door.
I Slide Lock or Lock Bars
Door Height Detail G (sheet 2 of 3)
8' - 0" Shown Manual door locks ore
See chart required unless an automatic
below for Other V operator is installed.
66Z" 3"
door heights
A.
382J" +/- 3„
I
Bottom Bracket End Hinge Strut & Strut Attachment Intermediate Hinge 102" +/- 3"
Detail C (sheet 2 of 3) Detail B (sheet 2 of 3) Detail E (sheet 2 of 3) Detail D (sheet 2 of 3)
This product has been evaluated per ANSI/DASMA 108-05 (and -12) for static air pressure.
HT_61 & 261 SERIES
HT _63 & 27_63 SERIES
HT 64 & 2_64 SERIES
HT-70 & 2_70 SERIES HT_10 & 2_10
HT_71 & 2_71 SERIES HT_12 & 2-12
HT _80 & 2_80 SERIES HT _72 & 2_72 SERIES HT _14 & 2_14
HT_81 & 2_81 SERIES HT_73 & 2_73 SERIES HT-16 & 2_16
HT_82 & 282 SERIES HT_74 & 2_74 SERIES HT_32 & 2-32
HT _90 & 27_90 SERIES HT 900 SERIES w/o 1.ITEs HT _33 & 2 33
Door Width Des n Pressuresasss
End
Backers
Center Center Center Impact
ResistantStIlesHingesStilesHingesStilesHinges
8'-2" 23.9 27.0 Single 1 1 1 1 1 1 NO
9'-2" 21.3 24A Single 1 1 1 1 1 1 NO
10'-2" 17.3 19.6 Single 2 2 1 1 2 2 NO
12'-2" 12.1 13.6 Single 2 2 2 2 2 2 NO
Jamb bracket quantities shown are for use
with grade 2 or better southern pine jambs.
Supporting structural elements are to be
designed by a registered professional
engineer for specific wind loads.
Door
Height
Total
No of
Sections
Total # of Struts
w"e"e...dlm1°ft
nmD."m1
JambBrkts/Side
6'-0" 3 3 3
6'-0" 4 3 3
6'-3" 4 3 3
6'-6" 4 3 3
6'-9" 4 3 3
7'-0" 4 3 3
7'-3" 4 3 3
7'-6" 4 3 3
7'-6" 5 4 3
7'-9" 4 3 3
7'-9" 5 4 3
8'-0" 4 3 3
NOTICE:
These drawings are a supplement to
the installation instructions for a
standard door and only covers those
procedures that vary from standard
door installation. If these specific
procedures are not followed, the
door may not perform as designed.
NOTICE:
The lite section of this door may be
replaced with a section with another
lite style or a solid section. In either
case the strut end stile configuration
should remain the some.
NOTICE:
Only one lite section per door is
permitted. The lite section can be
used anywhere except for the
bottom section. If the lite section
is not the top section then the
struts must be located as shown in
the STRUT CONFIGURATION on page
3of 3.
This product is designed and sold by PSF. The AHJ or Engineer of Record is responsible for determining the Maximum section height is 24 in.
PSF required for any given site. Maximum door height is 16 ft.
All doors, even those above the tested height, are available
with jamb brackets or commercial full angle. The maximum
spacing of the jamb brockets/trock clips should be
maintained.
I Bracket
sheet 2 of 3)
racket
eat 2 of 3)
Digitally signed b'John E. Scates, P.E.
Date: 2015.08.18 15:49:06-05'00'
p,peNr:F•,t9
i
No.51137
STATE OF l Q
Z/i;, PONl ; 0``
John E Scales, P.E.
3121 Fairgote Drive
Carrollton. Texas 75007
Florida P.E. # 51737
FL #16660.19 Professional Engineer seal provided only forverificationofwindloadconstructiondetails.
OPEr
HEIC
FASTENER TO CONTINUE
do PAST HEADER
0
0
2 X 6 GRADE 2 OR BETTER SOUTHERN
0
PINE JAMBS.
SEE CHART FOR WOOD JAMB ATTACHMENT
o TO BUILDING STRUCTURE. o
41NG
o 0
3HT
o 0
MAXIMUM ON
CENTER SPACING
0
FIRST FASTENER 4" to 10"
0
ABOVE THE FLOOR
4 0
OPENING
WIDTH
BuildingStructure Fastener TYPe EmhMN—edml
Mrd—
DkW
Minimum
6padogCentw MaximumoSpadngnCorner AllowableTwo
Min. 2000 PSI
Concrete
Tepeon 114" wl
1" OCT washer
1.75' 2.50' 4.00" 24" 443
Min. 3000 PSI
Concrete
Tapeon 1/4" w/
1" OD washer 1.75' 2.50' 4.00' 24" 508
Min. 40DO PSI
Concrete
Tapcon 114" wl
1" OD washer 1.75" 2.50" 4.00' 24" 538
Southern Pine 3/8' Lag w/ 11/8 OD washer 1.50' 1.50' 1.50" 24- 620
Spruce Pine Fir 318' Lag W/ 1 1/8' OD washer 1.50" 1.50' 1.50' 24" 482
NOTE: 2X6 mounted to the wall must be Southern Pine Grade 2 or better.
MODEL NUMBERS AND LITE OPTIONS
NOTE: GLASS OPTIONS ARE AVAILABLE IN DSB MINIMUM, TEMPERED AND INSULATED GLASS UNITS.
HT_14 & 2_14 SERIES
HT 16 & 2 16 SERIES
HT 32 & 2 32 SERIES
HT_33 & 2_33 SERIES
HT _10 & 2 10SERIES
HT_12 & 2 12 SERIES
HT_60 & 2_60 SERIES
HT_61 & 2 61 SERIES
HT_63 & 2 63 SERIES
HT 64 & 2_64 SERIES
HT_71 &2_71 SERIES
HT 72 & 2_72 SERIES
HT 73 & 2 73 SERIES
HT_74&2 74SERIES
HT 80 & 2 80 SERIES
HT_81 &2 81 SERIES
HT 82 & 282 SERIES
HT _90 & 2 90 SERIES
HT 900 SERIES W/O LITES
LITE OPTIONS AVAILABLE
CARRIAGEHOUSE RANCH STANDARD 25 xTL 12 SMALLTL24x6
X X
X X
X X
X X
X X X X X
X X
X
X
X
X
X
X
X
X
X
X
X
X
I X
38112"
x 1212'
1 381/2' x1012' 171114• x10114- 24710• x10718" 211Wx31/4"
DAY LIGHT OPENING (DLO)- WIDE x TALL
L I E z z L[tIE MODEL NUMBERS AND SINGLE
SEC I ION SE ION PANE ACRYLIC LITE OPTIONS
NVH
LLAZLE
SE ON SE ON
MODEL NUMBERS R STANDARDsr
LEV&
HT 610 710SERIES XcH XARa `\!$1\ ,
v.0 E+ (rllll'T:
HT 670 & 770 SERIES X
No. 51737
4'
iHT671 & 771 SERIES X
r
LIE
SEC I ION
LIIE
SEC I ION
HT 672 & 772 SERIES X * e
HT 673 & 773 SERIES X .p' STATE OF ; u—
HT 674 & 774 SERIES X p0'. R t. 2
c *"• 4OR%O Q\ HT 680 & 780 SERIES X \\\
SERIES X /Z//;,
ISEONSEONSEONHT681 & 781 S910HT682 & 782 SERIES X
HT 690 & 790 SERIES X John E Scales, P.E.
17 1Drive
L E LIE LIE 1% OIZ x10Carrollton.r1/4' Caollton. Texas75007 SEC I
ION SEC I ION SEC I ION MY Law oPerrmo (CLOT Florida P.E. # 51737 WIDE xTALL
FL #16660.
19 Professional Engineer seat provided only for verification ofwindloadconstructiondetails. DESCRIPTION: I
9'
2"HT 6D0, 700, 2000& 800 SERIES WiLITES&HT 900 SERIES WITHOUT
LITES WIND LOAD SECTIONAL DOOR 3 SECTIONS
4 SECTIONS 5 SECTIONS 8 SECTIONS 7 SECTIONS 3 SECTIONS 4 SECTIONS 4 SECTIONS 7 SECTIONS 7 SECTIONS 7 SECTIONS 7 SECTIONS 7 SECTIONS DESIGN PRESSURE+2131.24.1 15F WITH LITE
SECTION AT TOP WITH LITE SECTION ANYWHERE MINING 110-W1,06MIIWa21-24LSKU..3OF3 REV. C EXCEPT THE
TOP AND BOTTOM SECTION rms... DATE
v14 T: MVS STRUT CONFIGURATION
nnFtN l- h—tlDRAWN m r...Rl.,r°tlinb: 17s1nnFLrS1 cue Sl,e r a
1 2 3 4 5 6 7 8
23. PUS6H NUT 4PUSHNUT END HINGE TEK SCREW
F Seeee DETAIL K for push nut See DETAIL K for—-- push nut 14 Go Galvanized Steel 1/4" X 3/4" Hex Washer Head F
placement. placement. , Self Drilling (3 per Bottom Bracket)
ADJUSTABLE TOP FIXTURE TEK SCREW ° ® BOTTOM BRACKET
O12Go1/4" X 3/4" Hex Washer Head
Self Drilling (2 per. Bracket)
TEK SCREW
1/4" X 3/4" Hex Washer Head
A 13 Go Galvanized Steel
X
a
TEK SCREW Self Drilling (6 per Hinge) PUSH NUT
1/4" X 3/4" Hex Washer Head
LOW HEADROOM TOP 7 16"
Self Drilling (4 per Bracket) BRACKET
O PUSH NUT See DETAIL K for push nut
0 0 0 7/16" placement.
See AI K for push nut
DETAIL A DETAIL B
placement.
DETAIL C
BOTTOM SEAL
E LOW HEADROOM E
TOP BRACKET
24rr T 2" x 2" E STRUT
Go 33120
INTERMEDIATE HINGE
KSI Minimum
Galvanized Steel
18 or 14 Go Galvanized Steel JAMB BRACKET
TEK SCREW 2" 12 Go Galvanized Steel a a a SLIDE LOCK or LOCK BARS
o ®0 1/4" X 3/4" Hex Washer Head a
not required with operator)
Self Drilling (4 per Hinge)
D o p/o
UU
TEK SCREW
o 0 1/4" X 3/4" Hex Washer D
2" BOLT & NUT Head Self Drilling (4 per
NOTE: The location of the TEK SCREW
1/4" X 3/4" Hex Washer
1/4-20 X 5/8" Carriage
Bolt & I/4-20 Hex Washer
Slide Lock)
intermediate hinges is
DETAIL D indicated by the toggle DETAIL E Head Self Drilling (1 per End DETAIL F Nut (1 per Jamb Bracket) DETAIL G
lock dimples of the top of Stile & 2 per Intermediate Stile)
each section.
NOTE: Details on some views omitted for clarity.
Double end stiles and end hardware may be
C required on wider or heavier doors. C
31 n2 i 0o oomad
ROLLER
FLAG BRACKETNo
J p o eaF•Fa4
51 DETAIL K
There should be a space of 2" liNDiameteromno0
1/4" between the roller hub
Eleven Ball Nylon or
Ten Ball Steel with a
BOLT 0 STATE OF
and the outside edge of the
a Minimum Workablehn.
5/16 X 1 5/8" Log Bolt x-".,FLOR Q2 B
roller
holder which is set by the
nut. Shaft
Length Shown. 4 per Flog Bracket). 4p •`
s/ONAL B push1111110
1
3/B', 1 3/4% 2" & 3' John E Scales, P.E. Min.
POLYURETHANE FILLED DOOR SECTION Min. BOLT & NUT 3121 Fairgale Drive Minlmol
26 Go Galvanized Painted Steel Skins— ~of 1" 1/4-20 X 5/8" Track Bolt Carrollton.
Texas 75007 Florida
P.E. # 51737 1/
4-20 Hex Washer Nut 2
for Horizontal & 2 for 117
Vertical Track) FL 16660.19 Professional Engineer seal provided only for verificationofwindloadconstructiondetails. VERTICAL
TRACK 2"
Nominal 13 Go Galvanized Steel WOOD JAMB DESCRIPTION.
A
BOLT & WASHER The vertical wood jomb fasteners 7
2" HT 600. 700, 2000 & 8W SERIES W,'UTES & HT 900 a "
SERIES WITHOUT LITES WIND LOAD SECTIONAL DOOR 1
1 A 5/
16" X 1 5/8' Lag Bolt & 2" O.D. x 7/16" may flatbe counter sunk to provide a mountingsurface. See jamb DESIGN
PRESSURE+213/.24.I PSF ID.
Flat Washer NOTE:
Jamb bracket must be in direct contact attachment details on sheet 3 for BRAWM0 NIL- WL-06000110U&21.24L SHEET: 20F3 REV. C with
the 2x6 (No drywall allowed). attaching jambs to the structure. DETAIL H an pww, DATE DU: 712FV14 I fMAW11 BY: MVS uc""
M o+44 MODEL(S): See Sheet 3 1
2 3 4 5 6 7 18
P .
ti
pin%-*
CERTIFICATE OF APPROPRIATENESS
HISTORIC PRESERVATION BOARD
CITY OF SANFORD
300 S. Park Avenue
Sanford, Florida 32771
407.688.5145 • www.sanfordfl.gov/HP
THIS DOCUMENT MUST BE POSTED AT ALL TIMES UNTIL
PROJECT IS COMPLETED.
ISSUED TO:
John Marshall
for
1006 S. Palmetto Avenue
Sanford, FL 32771
BP#16-336
DATE ISSUED:
January 25, 2016
DATE EXPIRES:
July 25, 2016
Approved for new 9' carriage style garage door, per details provided in Figure 1(attached).
Christine Dalton, AICP
Historic Preservation Officer/Community Planner
Please be advised it is the owner and/or agent's responsibility to notify staff of any potential changes from
the approved COA that arise and obtain approval prior to commencing the changes. This Certificate of
Appropriateness does not constitute final development approval. The applicant is responsible for obtaining
all necessary permits and approvals from applicable departments before initiating development.
IS A BUILDING PERMIT REQUIR FOR THE ACTIVITY LISTED ABOVE? P/YES NO
Building Department Representative
REQUIRED INSPECTION SEQUENCE
DP# / /,. 2,7P.
RuILDING iPERMIT
Minn Max Inspection Description
Footer / Setback
Stemwall
Foundation / Form Board Survey
Slab / Mono Slab Prepour
Lintel / Tie Beam / Fill / Down Cell
Sheathing — Walls
Sheathing — Roof
Roof Dry In
Frame
Insulation Rough In
Firewall Screw Pattern
Drywall / Sheetrock
Lath Inspection
Final Solar
Final Roof
Final Stucco / Siding
Insulation Final
Final Utility Building
Final Door
Final Window
Final Screen Room
Final Pool Screen Enclosure
Mobile Home Building Final
Pre -Demo
Final Demo
Final Single Family Residence
Final Building (Other)
Address: ME& S_ I" fxrrn
E+ LECTRICAL PERMIT
Min Maas Inspection Description
Electric Underground
Footer / Slab Steel Bond
Electric Rough
T.U.G.
Pre -Power Final
Electric Final
Wm, NmWG
Minn Max Inspection Description
Plumbing Underground
Plumbing Sewer
Plumbing Tub Set
Plumbing Final
3MECMN tCXL fRE,RMiT
Man Maas Inspection Description
Mechanical Rough
Mechanical Final
min Max Inspection Description
Gas Underground
Gas Rough
Gas Final
REVISED: June 2014
41."Irw
C
CITY OF SANFORD
VIM- " ! BUILDING & FIRE PREVENTION
FEB 0 261 I PERMIT APPLICATION
7 'lt•• I V/
r 3` h BY: Application No: f
Documented Construction Value:
Job Address: Yh.e 40 It A V,, e_ Historic District: Yes R] No n
Parcel ID: 15-• let - 30- 5-AG, - IaC7a Oo`io Residential [rCommercial
Type of Work: New El Addition Alteration Repair Demo Change of Use Move
Description of Work: )e1,04-C ant 1 g -(kQ_ l I I A-e— O 7ooY3e5s u.+a.ie/ Rect4•er
n#4' rc;+. :tnS{a(L '03) INa er KeaJ ri Co vieG} -fr.nkttss k)ai e_ lltw crt-
PIan Review Contact Person: rNr i'- 1 iDrt o.' 1 Title:
Phone: 3&-??`I-Sd\N , tFax: 386-'1,2S.Email: g s J-':ct @ l.r.cum
Property Owner Information
I1NameJOhA
Street:t e e-
City, State Zip: 40,OrLi
Name C /Gtt'1 r
Street: 570 W ra. rig -
City, State Zip: 6=e4Nc
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Contractor I
Phone: 9a2- 321- 00
Resident-of-property?!_._Ies'
i33(lAF1S if3FlPA0.1310AC!
S
821120 1 il? i'i.J71i:l,hr'.Ari:} . *. a ` y-',
M
fps
nation
Phone:
Fax: 3,06- 175- 1 `? y q
State License No.: ! , f -Co
Architect/Engineer Information
Phone:
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. 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 Sliall be inscribed with the date of application and the code in effect as of that date: 51h 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'eQnktruction and zoning.
ignature of Owner/Agent Dat
Print Owner/Agent's Name _
Date
ot pv EENDMA
FF58YCOMMI0992W'
k!
o*.• EXPIR March 2018 i
a o Con for/Agent ' Date Print
Contractor/Agent's Nam Signature
Of fotary-Staie of Florida Date 407)
398-0153 Fa)naalloraryservmce.com wn
o e or Contractor/Agent is —K Personally Known to Me o`r, Type
of ID Produced ID Type of ID r
BELOW
IS FOR OFFICE USE ONLY Building
Electrical Mechanical Plumbing Construction
Type: Total
Sq Ft of Bldg: Occupancy
Use: Min.
Occupancy Load: Gas
Roof Flood
Zone: of
Stories: New
Construction: Electric - # of Amps Plumbing - # of Fixtures Fire
Sprinkler Permit: Yes No # of Heads APPROVALS:
ZONING Z.Z' i UTILITIES: ENGINEERING:
COMMENTS:
FIRE:
Fire
Alarm Permit: Yes No, EWIV11Il&
i21:1111:09 BUILDING:_
k,) - - I Revised:
June 30, 2015 Permit Application
1AN IIIIi71iNlYAI W+ll1Y I1Mll t'YIW IMYIIYWIIAItldlfiAf I11111NY YYw i1 I I A
Gas Plum
590 W. Main
Lake Helen, I
Office: 386-
John Marshall
1006 South Palmet
Sanford, FL. 32771
PLEASE NOTE:
Prices are subject to
notify the customer I
responsibility of the s
inpsections not due t
appliances returned.
contract. All custom
This estimate is
to change.
Services Inc,
32744
8244 Fax: 386-775-1749
Proposal
sue
1/15/2016 5898
C- v_-"..,{'.n T#.._.}..s •
U;-xut tie: ., '4..-'.. .
Y5v,ii: R. rs• 1u $01 ., a;i zY:.3..`. h.•.
L..r' w; ; : -•';Y y ^ If Permit; information°.is shot nstdd;, G.P s:'afill
Mom' S 'rk r+ ? Yt 3 3ssS^
4 '
Fs: "'Yyf. ? 4•ja.r.`<y'Y
A i- _ herequlyd3r 'not lie resPonsible'for-,dulling t
p®cmitThis ;will be uPito=tie ;signer of the
Avenue if,+:-Kb<sa?;i _•; .;L :: _Cont
A terms and conditions document must be signed and
returned to G.P.S. prior to getting on our schedule.
range if changes are made to a job after signing the contract If the footage changes due to any unforseen reason G.P.S. will
mediately. Any footage costs not previously quoted due to changes, such as mother nature or personal preference will be theneroncontract. Any additional trips required by our company not due to G.P.S. error are billable to the contract signer. Any failed
G.P.S. error will be billed to the contract signer before final inspection Is performed. A restocking fee will apply to all parts and/or
any labor or parts that are not covered under your equipments manufacturer warranty will be billed directly to the signer of the
rders are final sale.
1006 SOUTH PALMETTO AVENUE- SANFORD ***
1 piping DELIVER AND INSTALL 45FT OF UNDERGROUND FUEL LINE
10FT ) TO TANKLESS WATER AND FIREPIT
1 Water Heater DELIVER AND INSTALL CUSTOMER. SUPPLIED NORITZ 5.0
EXTERIOR TANKLESS WATER HEATER OR NORITZ NR66-OD
EXTERIOR TANKLESS WATER HEATER WITH GFI PLUG AND
10FT OF HOT AND COLD PLUMBING UNDER THE HOUSE AND
GAS CONNECT
1 Appliances CONNECT CUSTOMER SUPPLIED FIREPIT
PERMIT INCLUDED
for 30 days. After the expired date, the price maybe subject
Total
NOTICE TO CONSUMERI BY SUBMITTING CHECKS FOR PAYMENT. I AGREE AND AUTHORIZE MERCHANT, OR ITS AGENT, UPON RECEIPT OF MY CHECKS, TO CONVERT THECHECKSTOELCCTRONiPAYMENTITEMSORDRAFTSANDTOSUBMITANYONEORALLOFTHEMFORPAYMENTASACHDEBITENTRIESTOMYACCOUNT, IN
ACCORSAME TERMS AND CONDITIONS AS THE CHECKS SUBMITTED, E-
mail Customer Contact Customer Phone john@contradtorbeancounter.
com 727-
391-0018
APPLICATION #
FOR A CERTIFICATE OF APPROPRIATENESS
Answer all the questions on this form and submit all required attachments. Incomplete applications will not
be reviewed. If you have questions about application requirements contact the Historic Preservation Officer
at 407.688.5145 to ensure your application is complete.
General Information
Downtown Commercial Historic District C Residential Historic District Is this a retroactive request? Yes No
Is this application filed in response to a Notice of Violation from the Code Enforcement Department? Yes No
Proposed improvements will affect the following elevations: North South East []West
Property Address:_ia)6 S /Glny iio AutntAe-
Property Owner Information
Print Name: 5-'Ok l
Mailing Address: LUl (0
Phone: 711-311-0010 Email: Signature:
Cf '
Applicant/Agent Inform tion
ii
Print Name: I '11yFwT
Mailing Address: W• i/ha;n S cw.. Kz N-1 en 3a 1 ``l
Phone%&- 77&1-b)-y`=mail: 5?5; 04' a e.9 CA. (e. CO— Signature:
BY SIGNING BELOW YOU ACKNOWLEDGE THAT A BUILDING PERMIT MAY BE REQUIRED FOR THE
SCOPE OF WORK LISTED BELOW. YOU MUST CONTACT THE BUILDING DEPARTMENT TO
DETERMINE IF A BUILDING PERMIT IS REQUIRED. FAILURE TO OBTAIN A BUILDING PERMIT OR
DEVIATION FROM AN APPROVED CERTIFICATE OF APPROPRIATENESS WILL RESULT IN A STOP
WORK ORDER, DOUBLE PERMIT FEES, AND POTENTIAL FINES. BY SIGNING BELOW, YOU ALSO
ACKNOWLEDGE /HAT THE INFORMATION CONTAINED IN THIS APPLICATION IS TRUE AND
ACCURATE T03441E\13EST OF YOUR KNOWLEDGE.
Signature: A/ Date: ` ) j I
Yes, I would you like to receive emails regarding Historic Preservation and Community Planning within your community.
Description of proposed work
Completely describe the entire scope of work, including changes in material and color, and methods that will be used
to accomplish the proposed work. For large projects an itemized list is required. Use the reverse side if necessary.
HISTORIC PRESERVATION BOARD • 300 N. Park Avenue • Sanford, Florida 32771 •407.688.5145 • www.sanfordfl.gov/HP
r
Gas Plumbing Services, Inc.
590 W. Main Street - Lake Helen, FI 32744
Office: (386) 774-8244 Fax: (386) 775-1749
STATE LICENSE # : CF-CO57948 LP LICENSE # : LP-17000
PERMIT # :
BUILDER :
ADDRESS: /00
MODEL # :
GASTYPE: f"Al d
L
i/
DELIVERY PRESSURE:
PIPE TYPE: CSST / GALVANIZED
LONGEST RUN:
FURNACE:
RANGE:
WATER HEATER: `JU k-
DRYER :
FIREPLACE:
GRILL:
SPA/POOL HEATER:
OTHER: p'IP VA -
DATE :
0 Z G
c+
a 5
v 0tiT X
OD
l6 &-pyi5D
TOTAL LOAD : P014 i
SIZING TABLE USED: 1
CREATED BY 1I41
y
dot
v
REQUIRED INSPECTION SEQUENCE
TWO & - 3-7Q
BUILDINGPERMIT '
Min Max Inspection Description
Footer / Setback
Stemwall
Foundation / Form Board Survey
Slab / Mono Slab Pre our
Lintel / Tie Beam / Fill / Down Cell
Sheathing — Walls
Sheathing — Roof
Roof Dry In
Frame
Insulation Rough In
Firewall Screw Pattern
Drywall / Sheetrock
Lath Inspection
Final Solar
Final Roof
Final Stucco / Siding
Insulation Final
Final Utility Building
Final Door
Final Window
Final Screen Room
Final Pool Screen Enclosure
Mobile Home Building Final
Pre -Demo
Final Demo
Final Single Family Residence
Final Building (Other)
Address: /&OICD S. 19iLA4fr77)
ELECTRICAL :ER'M17
Min Max Inspection Description
Electric Underground
Footer / Slab Steel Bond
Electric Rough
T.U.G.
Pre -Power Final
Electric Final
iPR_lummmo
Min Max Inspection Description
Plumbing Underground
Plumbing Sewer
Plumbing Tub Set
Plumbing Final
1MyECDA`1YICALIPLERN[IT
Min Max Inspection Descri $ion
Mechanical Rough
Mechanical Final
Max Inspection Descriptionmin
D Gas Underground
Gas Rough
Gas .Final
REVISED: June 2014