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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