HomeMy WebLinkAbout1461 Travertine TerCITY OF SANFORD
BUILDING, & FIRE PREVENTION
PERMIT APPLICATION
Application No:
Documented Construction Value: S
Job Address:, 4 Historic District: Ves 0 No
Parcel ID: k C) Residential Commercial.r]
Type of Work: NewF] Addition tn Altera'tionn Repairn DcmoEJ Change of UseEl Move n Q (
12 (
a21 Plan
Review Contact Person :'07_iAi '1'1 Title: Phonc:(_
4 V Z_JCj'-xC Fax: CIEmail: R wirckn, Property Owner
information call - Name Y
A u kr c' r-) Phone: Street: i
f-Wip o e Te r, Resident of property? City, State
Zil): T— ILI)
Contractor
Information
1< Name— ,
r '
Phone. St reet::
Z2 1, 0 1 .2,aC\dLLK( Fax: 6(A)U City, State
Zip:", State License No.: NName: Street:
City,
St,
Zip: Bonding Company:
Architect/Engineer
Information Phone: Im
Mortgage
Lender:
Address: Address.
WARNING TO
OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMM ENCEIMENT MAYRESULT IN YOUR PAYING TNV`
ICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT mus,r BE RECORDED AND
POSTED ON THE JOBSITE, BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSIJUT WITH
YOUR LLNDER OR AN ATTORNE1 BEFORE RECORDING YOUR N1OT11(_,'E OF COMMENCEMENT. Applileation is
hereby
made to obtain a perinit 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 perfiorrned to meet standards ofall 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. 113C 105.3
Shall be inscribed with the date of application and the code in effect as of that date: 5` Edition (2014) Florida BuildingCode 30,2015 Permit Applic,&
n
LCYFIC.E: In addition to the requirements of this pernttit, there play be additional restrictions applicable to this property that may be
found in the public records of this county,:arnd there may,be additional permits required from ether governmental entities such as water
managet iem districts, state agencies, or federal.atgcns ics.
Acceptance of permit is verification that I "ill notify theowner of the property of the requ irements of Floridalien Law, FS 713, The
City of Sanford requites payment of a plan re4 iew fee at the time of permit submittal. A copy of the executed contract is required in
order to calculate a plain review charge and will be considered the estimated 6' ftstruction valk of the job at the time of submittal. The
actual construction value will be Fkguredl based on the current [CC Valuatio _`Table in effect at, the time the permit is issued, in accordance
with local ordinance, Should calculated charges figured offthe eze toed contract exceed the actual construction value, credit
will be a0plied' to your permit fees when the permit is issued. OWNER-
S AFFIDAVIT:] certify that all of the foregoing infort`nationis accuraWand that all work will be
done in compliance vvith all applicable laws regulating constru tion and zoning. t
rt
enure ;a{ t,r: Agcrt Date. "' igtta€ttreNt:,r'trac.or(ALcnt Print Ouner
Lgcarot'4 aaYr4 rirtt(untractor/Agent'aName ly i,.
tsatt
n11Notary-Mateort'lorida DaieSignature o rct y-tit tc ol,' 61 ida I tale r { c ASHLEY
NICOLE
ZIEGENGEIST aRro? EXI.11RES
May 7, 2018 afat€ .3[3
i aca tnr'riv hio3 rYServ€a.oa Owner/Anent is
Personally Known to Me or Contractor/Agent is -Ilersonaliv Known to Me or l'rodut ed
ID _._ -y'pe of ID Produced ID Type of ID BLOW IS FOR
OFFICE USE ONLY Permits Required: Builclitt
hiectc ca Mechanic.a Plumbing CrasR Rcr07f Construction Type: occupancy
Use: Florid 'Zones Total Sq Fi
of Bldg;:'. Min. Occupancy Load of Stories: New Construction: :Electric - -
4 of Amps Plumbing - # of Fixtures Fire Sprinkler Permit:
Yes No F 4 of I leads Fire Alarm Permit: "Yes No APPROVALS: ZONINC : ENGINEERING:
COMMENTS: mm
WASTE
IE
WATER:
BlUILDING: k,ev
tsvd.
June 10, 7-0 i 5 1 Permit Atitalicat or
t to do the work ions as 10
Application is hereby made to obtain a pe
c jtl e issuance of aapermittand tthat all indicated,
will
be performed to work
or installation has commenced prior t meet
standards of all laws re ulatin" construction in th s jurisdicnnts, furnaces', tbo boilers,, heaters, rtanks, and must
be secured for electrical work, lalumbin., sinus, tells,. It air
conditioners+ etc. t
bYN IZ'S = AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will becloneincompliancewithallapplicablelawsregultortconstruction, and ran tit" WARNING
TO.OWNER. YOUR FAILURE TO RECORD A NOTICE OF cOMMENCEMi ENT MAY ICERESULT
IN YOUR PAYING TWICE FOR IMPROVE POSTED
CiNr ENTS
TO ®HR, (iI3 SITE BEFORETHE OF COMMENCEMENT
MUST BE RCCURUED AND FIRST INSPECTION.
IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
AT_1_ RNE'S``BEFORE RECORDING YOUR NOTICE OF COM ENCEMENT NC?TIC,F..;
In addition to the requirements of this permit, there may be additional restrictions applicable 'to this property that maybeFoundinthepublicrecordsofthiscounty, and there may be additional permits required from ether overnmcntalentitiessuchaswatermanagementdistricts, state agencies. or federal agencies, r Acceptance of
permit
is yet ication that I will notityr the, owner of tic property of the requirements of Florida L i en
i.aw, F S 7 13. l rhe City of
Sanford requires,pavrnent of a plan review fee, A c4 of the executer[ contract is required in order to calculate ca
plan review charge. If the executed contract is not,spbmitted, we reserve tlae right to calculate the plan review, feebased :ota past permit activity levels. Should icalculated charges exceed the documented permit fees whentheconstructionvaluewhentheexecutedcontractissubmitted, credo t r`i11 be applie to you° permit is released.
ctat of O
n rtA e' qt T)atr C riFtitt}'.
titr rlA€ ent`S Name ti de:'errENa }
1i rEarirt [. Qwner/Agent is
Personally Kno"n to :tote or Contractcsr Ag!i T is Produced iD __..._ T}
peofIL3 Produced ID 1-1ti7GINE1~itIN('
j: Rev 11,08
UTII.ITILS. Im
a i- '
Adjtj
Personally
Known to
Me or e of ID
WASTE WATER: 13UIL;
DING;:
Customer- RUBEN QUINONES
Reference:
Installatign Address:
RUBEN QUINONES
1461 TRAVERTINE TER
Sanford, FL 327,71
386-216-3703
Item # Item Descri
WH-HD-TK-S-bG14 HID New tnstall
Customer M 397743
jbTotal Total
288,28
WH-HD-TK-S-0141 HD Service Fee 1 $36.00 36.00
WH-HD-TK-1-0335, 50 ELEC TALL 6 4500 W (1001301801) RHEEM 1 $401 .28 401.28
PIMT-WH-TIK-EL-0001 Pernt for Electric Tank Water Heater 1 $67.00 67.00
WH-HD-TK-S-0060 HD Permit Processing Fee 1 $50,00 50,00
WH-HD-TK-S-0123 HD Expansion Device 1 $85.00 85.00
Non -Taxable Total: 1,133.56
Taxable Item Total: 0.00
Sales Tax @ 6.000%: 0.00
Total: 1,13M6
A.
Uity of Sanford
Building & Fire Prevention Division
Residential Permit Card
PERMIT NO.
ISSUE
CONTRACTOR:
JOB ADDRESS:
TYPE OF WORK: - AJ !I(4'
Post this permit in a conspicuous location outside
Approved plans must be posted with permit for in
MONO -SLAB
L / TIE BEAM
THING - ROOF
CHING- WAr7
ROUGH IN
FINAL
I'ME WALL FINAL
INSULATION FINAL
FINAL SIR
TYPE
DEMO
POOL
BUILDING
ROOF
APPROVED
to 1.1 (n,
WIN r a iA L
Leave all work uncovered until inspected and approved
Permit expires 6 months from date of issue or last appu
PROTECT FROM WEATHER
ELECTRICAL
U.G. / PRE POWER
ECTRIC ROUGH
ECTRIC FINAL
PEC77ON7YPE
ECHANICAL ROUGH
XHANICAL FINAL
CTTONTYPE
IDERGROUND ROUGH
B SET
WER
JMBING FINAL
ECTION TYPE
S UNDERGROUND PIPE
MISCELLANEOUS/FINAL INSPECTIONS
TION
MECHANICAL
APPROVED REJECTED
PLUMBING
GAS INSPECTIONS
REJECTED
MOBILE HOME TIE -DOWN
MOBILE HOME FINAr
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 ADDITIONALTHISCOUNTY, AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROMM RESTRICTIONS APPLICABLE TO THIS PROPERTY THAT MAY BE FOUND IN THE PUBLIC RECORDSFEDERALAGENCIESFBC105.3.3 OTHER GOVERNMENTALNTENTITIESSUCHASWATERMANAGEMEDISTRICTS, STATE AGENCIES OR FE
EVISED:
OCTOBER 2014 InSPCC60n
Line: 8SS.511.2112
Advantage Restaurant Equipment
560 S. Maple Ave
Sanford, FL 32771
Bill To
The District
Ship To
Invoice
Date Invoice #
9/8/2016 1800
P.O. Number Terms Rep Ship Via F.O.B. Project
10/12/2016
Quantity Item Code ' `` 'Description ua : P"rice-Each' Amount
1 Walk -In ** Walk in cooler refrigeration install 2,500.00 2,500.00T
rk Sales Tax "NonxSale'taxed Servitex
ce
bill 00%a mm 0
00 Total $
2,500.00 Balance
Due $2,500.00