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HomeMy WebLinkAbout179 Walnut Crest RunCIEIVE CITY OF SANFORD FEB 8 2016 BUILDING & FIRE PREVENTION PERMIT APPLICATION BY' Application No: Documented Construction Value: $ JobAddress: 1 % f POZ,4-14* G''JS¢ 12 &'r7 Historic District: Yes No Parcel ID: ',d CBP' /930 Residential e Commercial Type of Work: New Addition Alteration Repair Demo Change of Use Move Description of Work: 074-14 faa C1 Plan Review Contact Person: ` ea ai(h Title: jc2e& Phone: ' S y- Fax: Email: 1 Miti jai hol Mgcl/- 04 Property Owner Information Name , Ah Q6 aj 19G,4,07Q- 1k- Street: l7 lc 41 14tA-f CJUr7' ilceti City, State Zip: S 16--6Z'17l Phone: Resident of property? Contractor Information Name - - {y ITS o Street: 140 V dgpH-,01 SlJ City, State Zip: dzl-40 C6FL 3z-4r7 Name: Phone: © a PSG' FT9 7 Fax: 440 - 2 F -? o ell f State License No.: Cl-4C OT7 .93% Architect/Engineer Information Phone: Street: of Fax: City, St, Zip: E-mail: Bonding Company: Address: 104 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: 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 construction and zoning. S G Signature of Owner/Agent ate jC/7(;Fj/ lgckC 64,) Print Owner/Agent's Name If yam. oo: KARWEEtdAHADAMS A MY COMMISSION it EE 189929 EXPIRES: April 16, 2016 Qp Bonded Thru Notary Public Underwriters Owner/Agent is ersonally Knowp to Me or Produced ID Type of fff 2,r3_11,4 Signature of Contractor/Agent Date d a cci c Print Contractor/Agent's Name Signature of Notary -State of Florida Date RY::°ice- KARWEEMAHADAMS r r- MY COMMISSION N EE 189929 v EXPIRES: April 16, 2016 gf'1yQe` Bonded Thru Notary Public Underwriters 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: Flood Zone: of Stories: New Construction: Electric - # of Amps Plumbing - # of Fixtures Fire Sprinkler Permit: Yes No # of Heads APPROVALS: ZONING: ENGINEERING: CK97 1 i r 1 611 3 Fire Alarm Permit: Yes No UTILITIES: DZ-074 WASTEWATER: FIRE: BUILDING: Revised: June 30, 2015 Permit Application riffoorsa, Sec+ y mat 859 AL Lk, rOFC067359 RUIK t598VICtr Tif kt3t PIO._ Pro sat Submitted To ,fork To Be performed At Name N In reef Otv ivy ZIP Stk.a ZIP S Roo-Rootcr hcmft pmposas to f iSh a tha mate y's wid' to perfatrsr atl the 13bor neCtssaiy for the complsffgn o4 i` zr xx4`at c . "+"_ ;, r= g.,* i."'.: , 2' t t« f^ s iC+h « z i ems--«-er.-. _ ya Win_ '.. k 4 t t. ADU Wet W-4 pe#fwn ft v+C* &—scrted at a atd. Supply 0 r*z{t !rod Ml=alls fr tj * Stan of S -.. _ ..... _. . ... Gr ww rct K8 p."ynxMI a5 €t AM—s: of ilia cost ES _. u,pw exe*A;m of tb s Agestncoi_ his Of tftt cost upw #:e stare or ft Work. the cost attf w # *ctlm of Oxi job. 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The ptkce urK tr3} i3€t . 1*n'• . }+? .r ;« .'t''e A s's: `'*. j'ik2 +d':C<4 i Cf tsS prcN:i= 4.::h its';:art;?} i i?tit Y W.; rx"r i cuts to .p' ;x ow W06 aqf-bxA U atrx G i.cs wl a2tc0cart a.1 A= Ma., ch:na wed s j"A a rc.v v,, .!izn v-,- k dzwV'er s ktfa"4 Rotc).f UCr beg -n5 ftnC%V w0tk. 7 THE TCPI S ARC MfT OUS ON THE tzr_VERSE'' IM OF THIS PROPOSAL WILL SE BINIENNI G ON THE PARTIES. 8 T11' z.+ ,ssf "i:. t" bed y"t t :. bayttlo-Rocd r if. no. t ;f , :''tCe d'-15 llrN s prst, rc+n- `'Vr Qs the dnt:re V1 ce am" 11 M C. toi W +tt{4..,'' i.z .w ea.n40*13 U113 V4•s. ul'! s in wril--ng .."wf .!'C ,,i .wee i } VnJe Nay c ifi'ylt2 il4Kif.' NW" Xt #w r« -..•..r.u..... .w. t+,.v. mi .. ...w...y +r..•..+..r.w.+w.uww• - w_.w..+ w.w.a nnw.. wwe..' AC CEPPTTANC. E OF PROPOSAL t, ; y y n'a:- " .7 '`. 14 i tt• ,s'.id 'i .S a uR .' i.1 -S !w +1rMi r2' w' jt h.i is re:0 and czy" to tha ji j+17.4 'N ti kC: Ni is Of FJf.7,`-ww.'%+ r i r..h •f f s• i+ii {tNV *i4 Nr„ G[•»++ w•.w+...rw,F_a-...r. W.T f'w.. r date LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: 2- /s o I hereby name and appoint: fC C Lay % '-- an agent of: Af -f - r l=h'3 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): 21' The specific permit and application for work located at: Street Address) Expiration Date for This Limited Power of Attorney: License Holder Name: & (4tC)b ( Cz State License Number: QAC 05'7 9.T-f Signature of License Holder: STATE OF FLORIDA COUNTY OF The foregoing i,st^ ent was ac owledged before me this 'J day of f t , 204 4 , by l mc-i ai j Q ccj,- c- who is personally known to me or o who has produced identification and who did (did not) take an oath. Notary Seal) p1N:Y'•".A,, C' F KARWEEMAH ADAMS MY COMMISSION A EE 189929 a= pa'Y EXPIRES: April 16, 2016 Bonded Thru Notary Public Underwriters Rev. 08.12) Signature b<r J Uj4 A --4-4 q q/ Print or type name Notary Public - State of FG Commission No. Et- My Commission Expires: G l G as C.N This instrument prepared by: MARYANNE HORSE, SEMINOLE COUNTY Name: / CLERK OF CIRCUIT -COURT & COMPTROLLER Address:% ll4i'P!/1 Q6 i?ZJU7 B'K 8629 Pa 1067 (1P9 s ) CLERKS Or 2016013747 RECORDED NOTICE OF COMMENCEMENT RECORDINGtJFEES, 2016 $ 10.002" 7'42 PM RECORDED BY hdevare STATE OF FLORIDA Permit #: j COUNTY OF SEMINOLE PARCEL ID #: L C ` qn- 0 THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1 Description of Property: (Legal description of the property and street address if available) 2 General Description of Improvements: 3 Owner Name: Address: OIL Phone: Interest in property: 0 01J41 Name & Address of fee simple titleholder: (if other than owner) 4 Contractor's Name: f ' 0Phone: cffl .7 Address: 0 %11YdW #0f v cl 'Jrf4:7C6 5 Surety Name: Phone: Address: Amount of Bond: $ 6 Lender Name: Address: Phone: 7 Persons within the State of Florida designated by Owner upon who notice or other documents may be served as provided by Section 713. 13(1)(a) 7. Florida Statues: Name: Address: Phone: 8 In addition to himself or herself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713. 13(1)(b), Florida Statutes: Name: Address: 9 Expiration Date of Notice of Commencement: Phone: the expiration date is I year from date of recording unless a different date is specified) WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARC CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN 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 COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Verification Pursuant to Section 92.525, Florida Statutes Under penalties of perjury, I declare at I have read the foregoing and that the facts stated in it are true to the best of my knowledge and belief. Signature of Owner or Owner's Authorized Signatory's Title/Office Officer / Director / Partner / Manager The foregoing instrument/was , kno ]edged /before me this day of , 26 by k l f ` e of authority, e. officer, trustee, attorney in fact for nameofperson) as (typ ty, ... g. y ) of party on behalf of whom instrument was executed). SEAL) rEraall ana ls my comticSION # EE 199929 EXPIRES: April 1r 3ended TlrruNetar Publicc Undnd erwriters pp sCCtweC: Signature of Notary Public, State of Florida nnt, Type or St Commis`s o'e al tej of Notary Public i `t t c19 j3t7.. tll,,yA IF O _ E IV . jf erson i ` oY I? Nuced Identification [11 CLERK OF THE CIRCUIT -OU tVD F ` . t`t i . COMPTROI' _ r':: c,( n{. : c. SEMINO :COUNTY, FLO September 2014 U CN i PERMIT NO. CONTRACTOR: JOB ADDRESS: TYPE OF WORK*hILZ'/ i City of Sanford Building & Fire Prevention Division Residential Permit Card ISSUE DATE: ® , • Ato C teo se.,aLveo ft;i e AVNW 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 INSPEC7ION 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 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 INSPEC7ION 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 REJECTED 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 FBC105.3.3 REVISED: OCTOBER 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 314ROOF ROOF DRY -IN 116 GAS FINAL 315 FINAL ROOF 111 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