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
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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
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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
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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
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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 _/_/