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HomeMy WebLinkAbout118 Pine Isle DrCITY OF SANFORD ts.: BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: Documented Construction Value: $ Job Address: • 1 t Pt n e le- -D l V-e-., Historic District: Yes No Parcel TD: 10 — ,0-3b ^Sy ( " 0000 " 1 U70 Residential 5( Commercial Type of Work: New Addition El Alteration El Repair Demo Change of Use Move Description of Work: T)e-mypand -gg_ ofa c e.l- AGtRnv ` Plan Review Contact Person: Pat 5 9 -+ Title: Phone: 3 ro % 7s'd ( Fax: 31&17q-00 a Email: Oe Se!16e ft A"Fl/IGI Property Owner Information Name A uA FL OL&o"(y Phone: 140 4-0&0 Street: f 1 PI ne s's I R IDr' Resident of property? City, State Zip: Gi'l-Yd L- 3 a773 r r ' Contractor Information Name m Phone: t'775,'-O Street: 7 ('j6 usrt Aig • Fag: p6Y77(1-00(V City, State Zip: & 3-- State License No.: C& D6U 6-6 Name: Street: City, St, Zip: Banding Company: Address: 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 Shall be inscribed with the date of application and the code in effect as of that date: 5°i Edition (2014) Florida Building Code Revised: June 30, 2015 Permit Application NOTICE: Iit 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, ITS 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 %viII 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 Omer/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 Contraclor/Agent Dale 661?::, W.evAY-s Print Contract/Agent's Name Aa Signature of Notary•State of Florida bate tiyO1x;°•. D1il tt ti!?:7A1tJ17ki F.Y.PIRE., •ip029 2017 Girt,1•tiwt:,:,:7Potwll.;?ar rt•:w SVDi,iiC .y,iit'satiVf i3+1P' •oos:auxa++oTLRR` Contractor/Agent is Personally Known to Me or Produced ID Tvne of ID BELOW IS FOR OFFICE USE ONLY Permits Requited: Building Electrical Mechanical Plumbing Gas Roof Construction Type: Total Sq Ft of Bldg: Occupancy Use: Min. Occupancy Load: New Construction: Electric - # of Amps. Flood Zone: of Stories: Plumbing - # of Fixtures Fire Sprinkler Permit: Yes No # of Heads Fire Alarm Permit: Yes No APPROVALS: ZONING: UTILITIES: WASTE WATER: ENGINEERING: COMMENTS: FIRE: BUILDING: Revised: June 30, 2015 Permit Application M STORE COPY INSTALLATION SERVICES CUSTOMER CONTRACT - PLUMB _WATER HEATER ONLYMLOWE'S OF SANFORD, FL, STORE # 1657 STORE PHONE: (407) 430-40603780SORLANDODR SALESPERSON: MfCHAEL WILLIAMSSANFORD, FL 32773-5614 SALESPERSON ID: 1814787 Document Print Date: 02/Og/2016 This only a Quote for the merchandise and services printed below, This becomes an agreement upon payment and issuance of a Lowes rece ipt, upon which the entireagree- ment, includingthespecificallycompletedpagesofthisdocument, the Terms and Conditions included with this document, the applicable other addendaorattachmentshereto, shall be referred to herein as this •Contract• Ap portion(s) of Lowe's.receipt, and any PLEASE READTHISEN71REDOGR"ZT INCL3 THE'TERMA ANn rnnNmm^k..- 1, u, N a 0 N O o 0 N Registration or Florida Contractor License Number CGC1508417 S 1HOWARD HOLNEERG 0 Customer Address 1118 PINE ISLE DR L city D SANFORD installation Address T 718 PINE ISLE DR Installation City Installation Type: Residential Water Heater Type: Electric Emergency Installation : No Lowe's Contractor FL FL MERCHANDISE AND INSTALLATION SUMMARY Store 1657 Project No. 464985705 for HOWARD HOLNBERG MERCHANDISE SUMMARY INSTALLATION DESCRIPTION 407- 302-3784 Other Phone Zip / Postal Code 2773 Installation Zip/ Postal 32773 Materials Price Number of Water Heaters to replace: 1 Water Heater Size: Less than 75 Gallons Hard Access Installation : No Page 1 of 7 a 0% o 0 0 M ti 0 Nt ti L Q 0 Ln N Os0 i N0 o 0 N Water Heater Stand installation : No Earthquake Strap Installation : No / No detail completed Drain Pan / Line Installation Estimate : No / No detail completed Permit Required: Yes Who Will Obtain Permit: Installer Additional Miles Traveled Over 20 : 0 Comments: No Comment Tank Installation : No Piping Modification Estimate: No / No detail completed Customer Understands Scope of the Heater Project: Yes State Specific Permit: No Permit Fee. Yes Describe other work needed : None / No Detail Completed Additional Specifications: Labor Charges Detail Deduction STORE COPY Notation: Lowe's will not make structural modifications or change power sources. Lowes's will not install a water Heater in any location where it would be un- safe or a violation of building code, this also includes any location subject to flooding or installing a gas water heater in living spaces (bedroom, bathroom, etc.). Federal and State regulations require water heaters to be set at 120 degrees Fahrenheit. Additional Specifications: Federal law requires Lowe's to provide you with the pamphlet Renovate Right. • Important Lead Hazard information for Familes, Child Care Providers and Schools. By signing this Contract, Customer acknowledges having received a copy of this pamphlet before work began informingCustomerofthepotentialriskoftheleadhazardexposurefromrenovationactivitytobeperformedinCustomer's dwelling unit. PHOTO RELEASE: Customer grants to Lowe's and Lowe's employees and independent contractors the right to take photograghs of the Premises where In- stallation Services will be performed and all work performed at the Premises related to this Contract, and irrevocably grants to Lowe's all right, title, interest inandtothephotographsforuseinallmarketsandmedia, worldwide, in perpetuity. Customer authorizes Lowe's to copyright, use and publish the photographs inprintand/or electronically, and agrees that Lowe's may use such photographs for any lawful purpose, including, but not limited to, marketing, advertising, publi- city, illustration, training and Web content. By initiating here, Customer agrees to the foregoing. [Customer to initial to the left]. NOTICE TO CUSTOMER - PRICE CALCULATIONS: In order to properly perform the installation of certain Goods, the Contract Price may include moreGoodsthanactuallywillbeinstalledbasedonthemeasuredsquarefootageoftheProjectArea. As a result, the parties agree that the lump -sum Price stated inthisContractiscalculatedUponboththevalueoftheestimatedGoodsrequiredtofulfilltheContract (including waste), which may exceed the actual squarefootageoftheProjectArea, and the labor which may be estimated based on the amount of Goods required to fulfill the contract (including waste). By signingthisContractbelow, Customer acknowledges receipt of this notice and agrees and understands that the Price includes these costs which may not be refundedoncetheInstallationServicesareperformed.. NOTICE OF ARBITRATION AGREEMENT This Contract provides that all claims by Customer or Lowe's will be resolved by BINDING ARBITRATION. Customer and Lowe's GIVE UP THE RIGHT TO GOTOCOURTtoenforcethisContract (EXCEPT for matters that may be taken to SMALL CLAIMS COURT). Lowe's and Customer's rights will be determined byaNEUTRALARBITRATORandNOTajudgeorjury. Lowe's and Customer are entitled to a FAIR HEARING. But the arbitration procedures are SIMPLER ANDMORELIMITEDTHANRULESAPPLICABLEINCOURT. Arbitrator decisions are as enforceable as any court order and are subject to VERY LIMITED RE- VIEW BY A COURT. FOR MORE DETAILS: Review the section titled ARBITRATION AGREEMENT, WAIVER OF JURY TRIAL AND WAIVER OF CLASS AC- TiON ADJUDICATION found in the Terms and Conditions of this Contract. Store 1657 Project No. 464985705 for HOWARD HOLNBERG Page 2 of 7 a A A O. o O O M ti O ti L LL O N tL N O% O N O o 0 N Print Name: A takod 1 `l ,A-vVS 9'7,R6 &u4tn o-,Aw,oo AVc Address IPL City $'late / Province Zip / Postal Code STORE COPY Co -Owner or Witness Sea() Print Name Customer acknowledges receipt of a true copy which was completely filled in prior to Customer's execution hereof. You the customer may cancel this transactionatanytimepriortomidnightonthethirdbusinessdayafterthedateofthistransaction. See the attached Notice of Right to Cancel for an explanation ofthisright. Store 1657 Project No. 464985705 for HOWARD HOLNBERG 0 Page 4 of 7 PERMIT NO. /( 0-1 V / 7 ISSUE DA CONTRACTOR: JOB ADDRESS: 'r TYPE OF WORK: ZSI City of Sanford Building & Fire Prevention Division Residential Permit Card 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 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 REIECTED INSPECTORSHEATHING - WALLS FRAME MECHANICAL ROUGH INSULATION ROUGH IN MECHANICAL FINAL DRYWALL/SHEETROCK PLUMBING INSPECTION TYPE APPROVED REJECTED INSPECTORLATHINSPECTION FINAL STUCCO/SIDING UND ROUGH UNESETFIREWALLSCREWTU 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 INSPECTION TYPE APPROVED RE/ECTED INSPECTOR 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 FBC 105.3.3 REVISED: OCYOBER 2014 Inspection Line: 855541.2112 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 407.688.5150 Monday - Thursday 7:30 am - 5:30 pm for assistance. AUTOMATED INSPECTION SYSTEM CODES BUILDING ELECTRICAL FOOTER 104 ELECTRIC UNDERGROUND 211 STEMWALL 102 FOOTER / SLAB STEEL BOND 221 FORMBOARD SURVEY 147 T.U.G. 216 SLAB / MONO -SLAB 103 PRE POWER FINAL 218 LINTEL / TIE BEAM 105 ELECTRIC ROUGH 212 SHEATHING - ROOF 106 ELECTRIC FINAL 213 SHEATHING - WALLS 115 MECHANICAL FRAME 109 MECHANICAL ROUGH 409 INSULATION ROUGH -IN 110 MECHANICAL FINAL 410 DRYWALL / SHEETROCK 131 PLUMBING LATH INSPECTION 132 UNDERGROUND ROUGH 322 FINAL STUCCO / SIDING 130 TUB SET 312 FIREWALL SCREW 120 SEWER 311 FIREWALL FINAL 143 PLUMBING FINAL 313 INSULATION FINAL 113 GAS FINAL SFR 138 GAS PIPING UNDERGROUND GAS ROUGH -IN 328 314 ROOFROOF DRY -IN 116 GAS FINAL 315 FINAL ROOF III MISCELLANEOUS / FINAL INSPECTIONS PRE - DEMO 144 FINAL DOOR 136 FINAL DEMO 126 FINAL WINDOW 137 FINAL SOLAR PANELS 134 IRRIGATION FINAL 321 FINAL POOL SCREEN 139 FINAL SCREEN STRUCTURE 127 FINAL UTILITY BUILDING 124 FINAL BUILDING - OTHER 112 MOBILE HOME TIE -DOWN 145 MOBILE HOME BUILDING FINAL 146 Miscellaneous Notes: REInspection me: .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 . . . . . 16-00000477 Date 2/09/16 Property Address . . . . . . 118 PINE ISLE DR Parcel Number . . . . . . . . 10.20.30.511-0000-1070 Application description . . . PLUMBING PERMIT Subdivision Name . . . . . . Property Zoning . . . . . . . PUD Permit . . . . . . PLUMBING PERMIT-ALTER/ADD/FIX Additional desc . . Phone Access Code 928507 Permit pin number 928507 Required Inspections Phone Insp Seq Insp# Code Description Initials Date 1000 313 PL05 PLUMBING FINAL _/_/