HomeMy WebLinkAbout228 Pine Winds Dr09-02-'16 11:33 FROM -Hughes Electric 352-483-4845 T-475 P0003/0006 F-863
CITY OF SANFORD
BUILDING & FIRE PREVENTION
P15RMIT APPLICATION
Application No: _I p—`-I 14a
Documented Construction Value: $1"7-"5(0 s M
Job Address: (9a & Pire winds f)Igi Ng , Historic District: Yes No
Parcel YD: -0 - - C oo - O I ci o Residential Commercial
Type of Work: New Addition Alteration Repair Demo Change of Use Move
Description of Work:
Phone: Fax: Email: 0&0 U rvLkJW LgLp S Q(-ectr i C
Property Owner Information
Sar'i Ce
Name-Hick,ele-nL /I In
Street:&aG PinewindsdrivP-
City, 0D •
Phone:
Resident of property? : JJ&__
Contractor Information
Name$ C,, Phone: 3 Jam'
o -
Street: ! Fax: 3SQ — q S 3 - L-1 Sg5'"
City, State Zip: EU S -1S FL 3ZnQ Lo State License No.:
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. 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, taroks, and air conditioners, etc.
FSC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: SIB Edition (2014) Florida ]Building Code
Revised: June 30, 2,015 Permit Application q C5 -(-)O
09-02-'16 11:34 FROM -Hughes Electric 352-483-4845 T-475 P0004/0006 F-863
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.
signature of Owner/Agent
Print Owner/Agent's Name
Date
gac—
q01
IIjie
Signatum of Contractor/Agent Date
Mal ool m PA l l to
Print Contractor/Agent's Name
Signature of Notary -State of Florida Date Date
Lioxo.)'Ilf-
JENNA ASHLI MINKEMA
Commtaslon# FF 94)608
MV Commib6lon Esolres
January 04, 2020
Owner/Agent is Personally Known to Me or Contractor/Agent is K Personally Known to Me or
Produced ID Type of ID Produced ID Type of ID
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: # of Stories:
New Construction: Electric - # of Amps Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes No # of Heads
APPROVALS: ZONING: UTILITIES:
ENGINEERING:
COMMENTS:
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
Revised: June 30, 2013 Permit Application
09-02-'16 11:34 FROM -Hughes Electric 352-483-4845 T-475 P0005/0006 F-863
11:58:31 AM 9/1/2016
Licensee Details
Licensee Information
Name: ALLIO, MALCOLM HAROLD (Primary Name)
HUGHES ELECTRIC SERVICES LLC (DBA Name)
Main Address: 15519 US HWY 4418805
EUSTIS Florida 32726
County: LAKE
License Mailing:
License Location: 15519 US HIGHWAY 441, STE 2058
EUSTIS FL 32726
County: LAKE
License Information
License Type: Certified Electrical Contractor
Rank: Cert Electrical
License Number: EC0002427
Status: Current,Active
Licensure Date: 09/12/2000
Expires: 08/31/2018
Special Qualifications Qualification Effective
Alternate Names
View Related License Information
View Licgnse Com I aint
2601 Blair Stone Raad, Tallahassee FL 3239 :: Email: Customer Contact Center ::Customer Contact Center; 850.487.1395
The State of Florida is art AA/EEO employer. CARY Wht AQ07'ZQIo 'LN of Florida. Privacy Statement
Under Florida law, email addresses are public records. If you do not want your email address released In response to a public -records request, do
not send electronic mad to this entity. Instead, contact the office by phone or by traditional mail. If you have any questions, please contact
850.4137.1395, "Pursuant to Section 455.275(1), Florida Statutes, effectiYe October 1, 2012, licensees licensed under Chapter 455, F.S. must
provide the Department with an email address If they have one. The emalls provided may be used for official communication with the licensee.
However email addresses are public record, If you do not wish to supply a personal address, please provide the Department with an email address
which can be made available to the public. Please see our rhaetpr ass page to determine if you are affected by this change.
09-02-'16 11:34 FROM -Hughes Electric 352-483-4845 T-475 P0006/0006 F-863
11:58:14 AU91112016
Licensee Details
Licensee Information
Name: ALLIO, MALCOLM HAROLD (Primary Name)
HUGHES ELECTRIC SERVICES LLC (DBA Name)
Main Address: 15519 US HWY 441 B805
EUSTIS Florida 32726
County: LAKE
License Mailing:
License Location: 15519 US HIGHWAY 441, STE 2058
EUSTIS FL 32726
County: LAKE
License Information
License Type: Certified Electrical Contractor
Rank: Cert Electrical
License Number: EC0002427
Status: Current,Active
Licensure Date: 09/12/2000
Expires: 08/31/2018
Special Qualifications Qualification Effective
Alternate Names
View Related License Information
View License Complaint
2601 Blair Stone Road, Tallahassee FL 32399 ;; Email; Customer Contact Center ;; Customer Contact Center; 850.487.1395
The State of Florida is an AA/EEO employer. CooXrIght 2007-2010 State of Florida. Pdvacv Statement
Under Florida law, email addresses are public records, If you do not want your email address released In response to a public -records request, do
not send electronic mail to this entity. Instead, contact the office by phone or by traditional mail. If you have any questions, please contact
850.487.1395. *Pursuant to Section 455.275(1), Florida Statutes, effective October 1, 2012, licensees licensed under Chapter 455, F.S. must
provide the Department with an email address if they have one. The emalls provided may be used for official Communication with the licensee.
However email addresses are public record. If you do not wish to supply a personal address, please provide the Department with an email address
which can be made available to the public. Please see our Chapter 455 page to determine if you are affected by this change,
City of Sanford
gUBuildin & Fire Prevention Division
Residential Permit Card
PERMIT NO.' (0- 42 4 tp2 ISSUE DATE:
CONTRACTOR:
JOB ADDRESS:
U-ice
TYPE OF WORK:
eVfp stat 9m eMS, aq 1 5 0 Q m A ®FPN'ti"ke,
Post this permit in a conspicuous location outside
Approved plans must be posted with permit for inspection I 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 INSPECTION TYPE
ELECTRICAL
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
INSPECTION TYPE
MECHANICAL
APPROVED REJEC'T'ED INSPECTORSHEATHING -WALLS
FRAME MECHANICAL ROUGH
INSULATION ROUGH IN MECHANICAL FINAL
DRYWALUSHEETROCK
INSPECTION TYPE
PLUMBING
APPROVED REJECTED INSPECTORLATHINSPECTION
FINAL STUCCO/SIDING UNDERGROUND ROUGH
FIREWALL SCREW TUB SET
FIREWALL FINAL SEWER
INSULATION FINAL PLUMBING FINAL
FINAL SFR GAS
INSPECTION TYPE
INSPECTIONS
APPROVED REJECTED INSPECTORROOF
INSPECTION TYPE APPROVED REJECTED INSPECTOR GAS UNDERGROUND PIPE
ROOF DRY-fN 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
P.
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: 855.541.2112