HomeMy WebLinkAbout115 W 16 StCITY OF SANFORD
MAR 212016, BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: /_ 7 3
Documented Construction Value: $
Job Address: LAI i6?ylj7,,Pi4T Historic District: Yes No
Parcel ID: Residential Commercial
Type of Work: New Addition Alteration Repair a Demo Change of Use Move
Description of Work: ,PIJFtE /'Sld,yr/r- wi7lY / ,,,,P S dPa,L
Plan Review Contact Person: Title:
Phone: Fax: Email: 4;tc- 7we,14A5TifR EcF<re.-. -rcP ,
Property Owner Information
Name IA'_>Ar"f0rL- ZF<i.s t r Phone:
Street: // r _ W. /f >'r 57iP F4i Resident of property?
City, State Zip: Re PL 3277 i
Contractor Information
Name Phone: IW7 'lL
Street: 4yIr% s. 10+A_- r.F T7y A/le Fax:
City, State Zip:- S•tn/f,-W d %L 32-77 / State License No.:" i3y1 32s'7>
Name:
Street:
City, St, Zip:
Bonding 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. 1 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" Edition (2014) Florida Building Code
Revised June 30, 2015 Permit Application 4 1.
r
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 1 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 ]CC 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.
3 •Zt-2A'G
Signature of Owner/Agent Date gnature o Cont for/Agent Date
Print Owner/Agent's Name Print Contractor/Agen I Name
f '
Signature of Notary -State of Florida Date ignature of N to -State of Florida Date
LISA ANTONINI
c Notary Public - State of Florida
V nti,,
MyCommExpires May 21, 2018
Commission #FF 12524Owner/Agent is Personally Known to Me or CKn toMeor
Produced ID Type of ID P------ dID Type of I nL
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building Electrical Mechanical Plumbing Gas Roof
Construction Type: Occupancy Use: Flood Zone:
Total Sq Ft of Bldg: Min. Occupancy`Load:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes No # of Heads
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
i
Revised June 30, 2015 Permit Application
Florida Star Electric, LLC
404 S. Palmetto Avenue
Sanford, FL 32771
Phone: 404-416-8001
License # ER 13013250
E-mail: serviceCD_floridastarelectric.com
Job Estimate
FOR: Rachel Delinski
115 W. 16th Street
Sanford, FL 32771
Date: February 19, 2016
INSPECTION REPORT
Main Disconnect is older fusible type and should be replaced
Wire connecting A/C subpanel is double -tapped. This subpanel needs to be put
on a breaker for overcurrent protection.
SCOPE OF WORK
Replace fusible disconnect with 100 Amp subpanel.
Install 100 Amp breaker for interior panel
Install 70 Amp breaker for the A/C subpanel.
GENERAL PROVISIONS
All work shall be completed in a professional manner and in compliance with all
applicable building codes.
Contractor will provide all materials and all labor necessary to complete job.
PROPOSAL DETAILS
The job will be permitted and inspected.
The job will take one day.
1 will have to schedule a service disconnect with FPL. Power will be restored the
same day.
TOTAL COST
650.00
Owner agrees to a 30% deposit upon the beginning of work.
Balance due immediately following final inspection.
Quote valid for 30 days from date of estimate.
Thank you for the opportunity to bid on the wiring upgrade for this home. If you have
any questions, please feel free to contact me. I look forward to working with you soon.
s
Thanks — Bob Hearn
Contract Agreement
IN WITNESS WHEREOF, the parties agree to the scope of the service provided and the
terms of payment and duly affix their signatures under hand and seal.
6 4 C*1,cl r>e-[ i n S kA
customer)
3/2tl tom; date
y!_--_. (
contractor)
Florida Star Electric, LLC
date
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SCPA Parcel View: 36-19-30-506-0000-0120
L
Page 1 of 2
00vldJohnson. CFiA Property Record Card PROPERTY
Parcel: 36-19-30-506-0000-0120 APPRAISER
Owner: DELINSKI RACHEL L SEMWOLECOUNTY,
FLoRiDA Property Address: 115 W 16TH ST SANFORD, FL 32771 Parcel:36-
19-30-506-0000-0120 Property Address:
115 W 16TH ST Owner: DELINSKI
RACHEL L Mailing: 115
W 16TH ST SANFORD, FL
32771- Subdivision Name:
SANFORD HEIGHTS Tax District:
SI-SANFORD Exemptions: DOR
Use
Code: 01-SINGLE FAMILY N Land
Value (
Market) 25,944 25,944 Land Value
Ag Just/Market
Value 07 va
1 85,346 Portability Adj
Save Our
Homes Adj 0 3,700 Amendment 1
Adi 0 Assessed Value
107,278 81,646 Tax Amount
without SOH: $905.39 2015 Tax
Bill Amount $830.09 Tax Estimator
Save Our
Homes Savings: $75.30 Does NOT
INCLUDE Non Ad Valorem Assessments http://www.
scpafl. org/ParcelDetailinfo.aspx?PID=36193 050600000120 3/21/2016
SCPA Parcel View: 36-19-30-506-0000-0120 Page 2 of 2
Permits
Permit # Type Agency Amount CO Date Permit Date
No data to display
Extra Features
Description Year Built Units Value New Cost
CARPORT 1 7/1/2001 1 250 500
SHED 7/1/2001 1 200 500
SCREEN PATIO 1 7/1/1983 1 600 1,500
FIREPLACE 1 7/1/1961 1 600 1,500
http://www. scpafl.org/ParcelDetailInfo.aspx?PID=36193050600000120 3/21 /2016