HomeMy WebLinkAbout194 Lake Side CirSCE 3
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CITY OF SANFORD
J. DING 8 FIRE PREVENTIONTVEtPERMITAPPLICATIONMAR222016
B•Y, ApplicationNo: /&-FU0
703 00
Documented Construction Value: $
Job Address: 1 1? " LOKE S 1-66 ra , Historic District: Yes No'R
Parcel ID: Residential VCommercial
Type of Work: New Addition Alteration Repair Demo Change of Use Move
Description of Work: QI%_ Q IQ Jf QCo g1 Lr-JG L X r 2QQ-e2
Plan Review Contact Person:
Phone: Fax: Email:
Property Owner Information
Title:
Name J)UUC1%CIS r iL Phone:
Street: ID4 5G7Cf / r Resident of property? : s
City, State Zip: -J46z'p 3 a-7 73
Contractor Informatione5/ /
sr' m al l 77,EoNamePhonStreet: Zq-- • D $Fax:(v 77 4dfll
City, State Zip:jlC1,P State License No.:
Architect/Engineer Information
Name: Phone:
Sheet:
City, St, Zip:
Bonding Company:
Address:
Fax:
E-mail:
Mortgage Lender:
Address:
WARNING TO OWNER: YOUR FAILURE. TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOURPAYINGTWICEFORIMPROVEMENTSTOYOURPROPERTY. A NOTICE OF COMMENCEMENT MUST BE
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAINFINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OFCOMMENCEMENT.
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation hascommencedpriortotheissuanceofapermitandthatallwortswillbeperformedtomeetstandardsofalllawsregulatingconstructioninthisjurisdiction. 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
ReAsed: June 30, 2015
Permit Application
14 .
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may befoundinthepublicrecordsofthiscounty, and there may be additional permits required from other govenunental entities such as watermanagementdistricts, state agencies, or federal agencies.
Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida Licu Law, FS 713
The City of Sanford requires payment of a plan review fee at the time of pennit submittal. A copy of the executed contract is requiredinordertocalculateaplanreviewchargeandwillbeconsideredtheestimatedconstructionvalueofthejobatthetimeofsubmittal. The actual construction value will be figured based on the current ICC Valuation Table in effect at the time the pennit is issued, inaccordancewithlocalordinance. Should calculated charges figured off the executed contract exceed the actual construction value, credit will be applied to your pennit 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 Owner/Agent Date
Print Owner/Agent's Name
Slgnatnre 017NOtaq%State of Florida Date
Siguature of Contractor/Agent Date
6 vy to - S
Print Con(r. for/Agent's Name
1,1Y cbj&SMN Y FF 011027
EXPIRES: April28, 2017
Borded Thnu Notary Pubrn Underw Rers
31'daj I(eDate
Owner/Agent is Personally Known to Me or Contractor/Agent is Personally Known to Me orProducedTDTypeofTDProducedIDTypeofID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building Electrical[] Mechanical
Construction Type: Occupancy Use:
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:
Plumbing Gas Roof
Flood Zone:
of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
Revised: June 30, 2015
Permit Application
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Print Name:
7 S_ d{1oCo /Jr
Address
Jo-17[ 32773
State / Province ZeP / Postal Code
Seal)
STORE COPY
Owner (Seal)
Print Name
Co-owner or wetness Seg
Print Name
Customer acknowledges receipt of a true copy which was completely filled in prior to Customers execution hereof. You the customer may cancel this transactioithisanytimepriortomidnightonthethirdbusinessdayafterthedateofthistransaction. See the attached Notice of Right to Cancel for an explanation ofthisright.
Store 1657 Project No. 4438773918 for KEVIN HILL
Page 4 of 7
TOTAL CHARGES OF ALL MERCHANDISE AND SERVICES
Store 1 W Project No. 468773918 for KEVIN HILL
INSTALLER COPY o
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N
e applicable
SUB -TOTAL 803.0
0.0 0
DELNERY
0.0
ORDER TOTAL 803.0
Page 3 of 4
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a
Emergency Installation: No INSTALLER COPY o
HardNewWaterHeaterStandlnInstallationAccess Installation : No °% Installation : No c
Earthquake Strap Installation : No / No detail completed Expansion Tank Installation :Yes w
Drain Pan / Line Installation Estimate: No I No detail completed Piping Modification Estimate : No / No detail completed N
Permit Required: Yes Customer Understands Scope of the Heater Project: Yes
Who State Specific Permit: NoWillObtainPermit :Installer
Additional Miles Traveled Over 20 : 0 Permit Fee :Yes co
Comments: No Comment Describe other work needed : None / No Detail Completed
Labor Charges $
edDetailDuction _sF_-
Additional Specifications:
Notation: Lowe's wofill 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
ra
a violation
rebuilding code, this also includes any location subject
a 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 informingCustomerofthepotentialriskoftheleadhazardexposurefromrenovationactivityPHOTORELEASE: Customer grants to Lowe's and Lowe's employees and independent contracrmedtors the right t
dwelling
photograghs of the Premises
o
stallation Services will be performed and ali work performed at the Premises related to this Contract, and irrevocablywhere In-
randtothephotographsforuseinallmarketsandmedia, worldwide, in perpetuity. Customer authorizes Lowe's to
grants to
and publish
all right, title, interest in
w
print and/or electronically, and agrees that Lowe's may use such photographs o
ographs for any lawful purpose, including,but not limited to marketin aedvpehrottr,innephs incity, illustration, training and Web content. BY initialing here, Customer agrees to the foregoing. g g, publi- NOTICE TO CUSTOMER - PRICE CALCULATIONS: In order to Properly [
Customer to initial to the left].
Goods than actually will be installed based on the measured square footageofthe Project Area. tlAsa renof
sult, the pares agree that the lum
vtheContractPricemayincludemorethisContrailiscalculateduponboththevalueoftheestimatedGoodsrequiredtofulfilltheContract (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 ANDMORELIMITEDTHANRULESAPPLICABLE1NCOURT. Arbitrator decisions are as enforceable as any court order and are subject to VERY L1
erm
RE-
VIEW BY A COURT, FOR MORE DETAILS: Revlew the section titled ARBITRATION AGREEMENT, WAIVER OF JURY TRIAL AND WAIVER OF CLASS RETIONADJUDICATIONfoundintheTermsandConditionsofthisContract -
v
Store 1657 Project No. 468773918 for KEVIN HILL
Page 2 of 4
LowE's
INSTALLATION SERVICES CUSTOMER CONTRACT - PLUMB - WATER HEATER ONLYLOWE'S OF SANFORD, FL, STORE 9 1657 STORE PHONE: (407) 430.4060
3780 S ORLANDO DR
SALESPERSON: WILLIAM DAVIDSANFORD, FL 32773-5614
SALESPERSON ID: 1897750
Document Print Date: 03/21/2016
rns is only a Quote for the merchandise and services printed below. This becomes anment, including the specifically completed pages of this document, the Terms and Cotheraddendaorattachmentshereto, shall be referred to herein as this 'Contrac .*
o
01 Gwec draw__ -_--
or Contractor
Florida Contractor License Number CGC1508417
S KE1/IN HILL
O Customer Address
194 LAKESIDE CIR
L city
D SANFORD
Installation Address
T` [!?4 LAKESIDE CIR
O 1Installatio•n City
LovWs Contractor
FL
FL
INSTALLER COPY
antincluded withthistdocument, the appliapplicable poRfon(s)of Lowes eceipt,
the ra d any
MERCHANDISE AND INSTALLATION SUMMARY
MERCHANDISE SUMMARY
407,415-5934
Other Phone
407-310-7696
32773
592515 : E40H6-45 : STK : WHIRLPOOL 40-GAL 6YR ELEC TALL WH ; WHIRLPOOL 40-GAL 6YR ELEC TALL WH : AMERICAN WATER HEATER - QTY 1
Materials Price 1$ 3;
Installation Type: Residential
Water Heater Type: Electric
Store 1657 Project No. 468773918 for KEVIN HILL
INSTALLATION DESCRIPTION
Number of Water Heaters to replace: 1
Water Heater Size: Less than 75 Gallons
Page 1 of 4
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City of Sanford
i D Building &Fire Prevention Division
Residential -Permit. C''nrd
PERMIT NO. /V _ ISSUE DATE: • /0
CONTRACTOR
JOB ADDRESS:
TYPE OF WORK: Aw / liwh
Post this permit in a conspicuous location outside
Leave all work uncovered until inspected and approved
Approved plans must be posted with permit for inspection Permit expires 6 months from date of issue or last approved inspection
PROTECT FROM WEATHER
BUILDING ELECTRICAL
INSPECTION TYPE APPROVED REJECTED INSPECTOR INSPECTON 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
SHEATHING - WALLS
INSPECTION TYPE APPROVED REIECTED INSPECTOR
FRAME MECHANICAL ROUGH
INSULATION ROUGH IN MECHANICAL FINAL
DRYWALUSHEETROCK
PLUMBING
LATH INSPECTION
INSPECTION TYPE APPROVED REJECTED INSPECTOR
FINAL STUCCO/SIDING UNDERGROUND ROUGH
FIREWALL SCREW TUB SET
FIREWALL FINAL SEWER
INSULATION FINAL PLUMBING FINAL
FINAL SFR
GAS INSPECTIONS
ROOF INSPECTION TYPE APPROVED REJECTED INSPECTOR
GAS UNDERGROUND PIPEINSPECTIONTYPE " APPROVED REJECTED INSPECTOR
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 RECORDSOFTHISCOUNTY, AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES OR FEDERALAGENCIESFBC105.3.3
oven . nrr ..n..
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
GASINSULATIONFINAL113
FINAL SFR 138 GAS PIPING UNDERGROUND
GAS ROUGH -IN
328
314ROOF
ROOF 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: 855.541.2112