HomeMy WebLinkAbout113 E 1 StCITY OF SANFORD PERMIT APPLICATION
Permit # : oU(�D - 3[ Date: d 1EcEV p .
Job Address: /A? 1E -////--��¢¢-- - �^, /, MAY %DO
Description of Work: k/� 4,6,; ,, t,2 ' ff,9 rR cJ �)lttir�' Total Square Footage_ 6
Historic District: AL5 Zoning: Value of Work: $ /io�d d IC4
Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool
Electrical: New Service — # of AMPS Addition/Alteration Change of Service Temporary Pole
Mechanical: Residential Non -Residential? Replacement New (Duct Layout & Energy Calc. Required)
Plumbing/ New Commercial: # of Fixtures ? # of Water & Sewer Lines # of Gas Lines
Plumbing/New Residential: # of Water Closets Plumbing Repair — Residential or Commercial
Occupancy Type: Residential Commercial Industrial
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required)
Owners Name & Address: re ✓i
(-21p— Phone:
Bonding Company:
Address:
Mortgage Lender: _
Address:
Architect/Engineer:
Address:
Phone:
Fax:
Z6117
�a7�gY7: 2Y1�
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, TANKS, and
AIR CONDITIONERS, etc.
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. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. 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.
Acceptance of permit is verification that I will notify the owner of the property of the requirements of
Signature of Owner/Agent
Print Owner/Agent's Name
Date Signature
Signature of Notary -State of Florida Date
Owner/Agent is _ Personally Known to Me or
Produced ID
APPROVALS: ZONING: vl� UTIL: S- �D:
Special Conditions:
Rev 03/2006
Signature
tractor/ t Date
Agent's Name
Contractor/ eh@9a
= MY tpppISS10N 20�
ptplRES: Februar1125��. t;o.
•� FL NotON p�count
�SpGY
�,, 3�ersotr;lty Known to Me or
ENG: /1 l'+ BLDG:
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DEVEI.OPM�ENf?� U E WORKSHEET
Utility Department -
Project Name: �w i
Phone:
Owner/Contact .Person:
57
Address: //3
TYPE OF DEVELOPMENT: Residential ❑
Non -Residential ..
1) ❑
' Commercial; Industrial,
Single Family ET Multi -Family
2) TYPE OF UNIT(s)i g
UN
or.BULDINGS:
3) TOTAL NUMBER OF .
4) TYPE OF UTILiTY,CONNE.CI`ION:
/►tivPrGl✓t– Tap Required ❑ Tap Existing
r a) Meter: Individual ❑ Master ❑
! ❑
b) Sewer Tap: Individual ❑ C
ommon ❑ Tap Required ❑ Tap Existing
1 %/ .inch 2 -inch ❑ Supplied by ❑
WATER METER SIZE: '/4 -inch❑ 1-mch ❑ ❑ Contractor,
5)
Individual Master ❑ Supplied by ❑
6) AWS METER: None ❑ . Contractor
(Alternative water supply)
Meter Meter .
3 1 -inch 1 %-inch ❑ 2 -inch ❑ Supplied by ❑
a) Meter Size: /.-inch ❑ ❑ Contractor
sum Y F I ACT FEES METER SE and TAP HARG S
6 CJ
— COMMENTS:
Water impact fees........ $
Sewer impact fees ......... $___—
Water Meter set .......... $
Water Meter set and tap $
Meter deposit and SIC. -
Sewer tap $
AWS Meter Set ...,.....$
AWS Meter Tap& Set.-$
... . -
TOTAL DUE .......... $
Signature -Utility Director or Engi
neer
Date: 2�
City of Sanford Utility Depart ner
Page 1 of 2 P.O. Box 1788, sanford, Fl. 3277
Updated: July, 2005 Phone (407) 330-564
DEVELOPMENT FEE WORKSHEET cont.
City Of Sanford Utility Department
i
lection (ERC) —
300'Gallons Per Day (GPD)
ISqulvtucu..�.,..._..._---
Water S stem Impact Fees bedrooms or more.
Residential or multi -family unit containingthree (3) is based on
$1193/Unit -Single family structure, less
than
$894.50/Unit - Mthree (3) bedrooms. (This category ulti-family unit or Mobile Home unit containing
ud ent/assumption, estimation that such family units on average require 75% - 225 GPD single family unit.)
J 8m up
Commercial — Industria[— Institutional Code will be use One ERU�be�azge ImpacteFeeIIwill be
$1193 /ERU -Fixture unit schedule from'SouthetnoPeumbha having more than twenty (20)20 fixture unit
to twenty (2) fixture units. For projects fixture units above,'the':twenty`( )
determined by increments. of.25% based on multiples of five (5)
base for the first ERU. (Example: twenty-five (25) fixture units will be rated as 1.25 ERU; twenty-six (26) fixture
knits will be rated as 1.5ERU-)
S Wer System Impact Fees
Equivalent Residential Connections =
Gallons Per Day (GPD)
Residential three (3) bedrooms ormore-
$2688/LTnit -Single family structure`or multi -family unit containinging iess than three (3) bedrooms. (This category is based on
$2016/Unit - Multi -family uni�o�eM aL on that; such familit y units on:uverage require 75% of water and sewer service of an
judgrnent/assump
average single family unit) ,
Commercial —Industrial —Institutional act Fee will be
Navin more than twenty (20) fixture Units the imp r the first
Comm$2688/ercial
-Fixture unit schedule from Southern Plumsirig Code will be used: One ERU' be charged for connection anup
to twenty (20) fixture units. For protect g
increments of 25% based on multiples of five (5) fixture units above twenty (20):fixture unit.base
-six (26) fixture units will be rated as 1.5 ERU.)
ERU. (Example: twenty-five (25) fixture units will be rated as 1.25 ERU; twenty,
785 L.
For traps larger than 2 inches, trench type drains and floor sinks use Table 7vy-1. fixture • ;
° A showerhead over a bathtub or whirlpool bathtub attachm unity alue of fixtuoes not res not e thedrainag Tab et unit
or lfor rating of devices intermittent
` Sec section 709.2 through 709.4 for methods of computing
flows.
° Trap size will be consistent with the fixture a onfeixture unit unless the lower values tare confirmed by testing. ms and sewers, water closets or
urinals shall not be rated at a lower dra . g
` For the purpose of computing loads on building drains and sewers, water closets or urinals shall not be rated at a lower drainage f xtwe unit
unless the lower values are confirmed by testing.
T.
,IxTURE DRAIN OR 1)xni1Nn r, r• -
TRAP SIZE (inches) UNIT VALUE
FOR FIXTURE DRAINS OR TRAPS
2 '/2
3 5
4 6
COMMERCIAL — INDUSTRIAL — INSTITUTIONAL FEECS ERU(s)
/ 20talERixture Units (F.U.):
F.U.
Total F.U. divide by 20 _ E ()
Total ERU(s) : .�--
m
Water Impact Fee: $1193 x 2 ERU(s) _ $ 2 0 5-0
6 2"`
Sewer Impact Fee: $2688 x
ERU(s) _ $
Updated: July, 2005
Page 2 or 2
Standard Plumbing Code 1997
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