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Home My WebLink About114 W 2 StI t CITY OF SANFORD PERMIT APPLICATION Permittt: 07..6 T Date: 1 wD RECEIVED lob Address: 1 /e \ _ C-4 V 2 O oOV Description of Work:. n CC10 n J.\^a rd i,JroN Total Square Footage Historic District: "Zoning: Value of Work: S Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm __ Pool Electrical: New Service - a of AMPS Addition/Alteration Change of Service Temporary Pole Mechanical: Residential Non -Residential Replacement New (Duct Layout & Energy Caic. Required) Plumbing/ New Commercial: N of Fixtures _ A of Water & Sewer Lines q of Gas Lines Plumbing/New Residential: k of Water Closets Plumbing Repair - Residential or Commercial Dccupancy Type: Residential Commercial Z Industrial ' Construction Type: # of Stories: H of Dwelling Units: F1ood,Zone: (FF.MA form required ) waers Name & Address: M\lJ `\ < < n-7 k outracior Name & Address: Phony. %Up%, ROE QIl c10\9-o\ Qyuz, S State License Number: C F&.O -7;t1n hone & Fax: ys a>1\131 Contact Person: Phone: 3onding Compauy: ddress: _ Mortgage Lender. 1 r ddress: y t rebi(ecUEngincer: Phone: ddress: Fax: pplicatiou is hereby made to obtain a permit to do the work and installations as indicated. 1 mnify that no work or installation has commenced prior to the ssuancc 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 UR CONDITIONERS, etc. WNER'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 onstnrction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING WICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN TfORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. 40TICE: 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 his county, and true may be additional permits required from other govemmental entities such *-w—dempanagenicrit districts, state agencies, or federal agencies. cceptance of permit is verification that I will ratify the owner of the property of the of 3. Ob Signature of Ownu/Agent Date Print Owner/Agent's Name Signature of Notary -State of Florida Date Owna/Agent is Produced ID Personally Known to Me or APPROVALS: ZLmff G: UTI : >< FD: Print of of Notary -State of Florida Contractor/Agent is Produced ID ENG: pecial Conditions: ev 03/2006 r WDO $ 31 r.wti.11l SW $ 99 t, S-\,\\Z, AO 4 Es oo VAT4 YTLMU to aw Water Sa0m hnnact Fees Equivalent Residential Connection RC — 300 Gallons Per Residential ) Day (GPD) S 1242/Unit - Single family structure, or multi -family unit containing three (3) bedrooms or more. 931.50/Unit - Multi -family unit or Mobile Home unit containing less than three (3) bedrooms. (This category is based on jud8mentlessumption, estimation that such family units on average require ,75% - 225 GPD single family unit.) Commercial - Industrial — Institutional S1242 / ERU Fixture unit schedule from Southern Plumbing Code will be used. One ERU will be charged for connection and up totwenty (2) fixture units. For projects having more than twenty (20) fixture units, the Impact Fee will be determinedbyincrementsof25% based on multiples of five (5) fixture units above the twenty (20) fixture unit baseforthefirstERU. (Example: twenty-five_(25) fixture units willbe rated as.1.25 ERU;,twenty-six (26) fixture unitswillberatedas1.5ERU.) Sewer velar MMq Fees Equivalent Residential Connections = 300 Gallons Per Day (GPD) Residential2798/ Unit - Single family structure or multi -family unit containing three (3) bedrooms or more. 52098.50/tJnit - Multi -family unit or Mobile Home unit containing less than three (3) bedrooms. j8ment/asstmmption/estimation that such family units on averso (T>gory is based on average single family unit.) average require 75 /o of water and sewer service of an Commercial — Industrial — Institutional 2798/ERU - Fixture unit schedule from Southern Plumbing Code will be used. One ERU will be charged for connection and up to twenty (20) fixture units. For projects having more than twenty (20) fixture Units the Impact Fee will be increments of25% based on multiples of five (5) fixture units above the twenty (20) fixture unit base for the first ERU. (Example. twenty-five (25) fixture units will be rated as 1.25 ERU; twenty-six (26) fixture units will be rated as'1.5 ERU.) R AND GROUPS DRAINAGE FIXTURE UNIT IvIINl A M SIZE VALUE AS LOAD FACTORS OF TRAP inches 3 2 2 2 6 2 1 '/ a 2 1 % 4 2 1 % a 1 1 % 4 1 1 % 4 2 1 Vs Y3 1 % 4 0 2 2 2 Footnote' her 2 2 1 / a 1 ya 2'. 1'/ a 1 1 ' h 2 2 I '/a 4 Footnote 2e Footnote 2 1 '/ a. 4c Footnote 4 Footnote 6 Footnote For traps larger than 2 inches, trench For SI: I inch - 25.4 mm,1 gallon - 3.785 L. b typedrainsandfloorsinksuseTable709.2. A showerheadoverabathtuborwhirlpoolbathtubattachmentsdoesnotincreasethedrainage fixture unit value. See section709.2 through 709.4 for methods of computing unit value of fixtures not listed in Table 709.1 or for rating of devices intermittent e flows. Trap size will be consistent with the fixture outlet size. ° For the purpose of computing loads on boil ' urinals shallnotberatedataIowadrainagefixtureunitunlessthelowervaluesareconfirmedbyngdrains and sewers, water closets or For the purpose of computing loads on building drains and sewers, water closets or urinals shad not be rated at a Iowa unless thelowervaluesareconfirmedbytesting. drainage fixture unit TRAP SIZE ( inches) UNIT VALUE FOR FIXTURE DRAINS OR TRAPS COMMERCIAL — INDUSTRIAL — INSTITUTIONAL FEE CALCULATION: Total Fixture Units (F:U.):. Y F.U. Total ERU(s) : Total F.U. Y_ divide by 20 = . Z ERU(s) (F.U, / 20 =ERU ) Water ImpactFee: $1242 x . ZS ERU(s) = S / O Sewer Impact Fee: $2798 x • L 6 ERU(s) = Updated: October 1, 2006 Page 2 or 2 Standard Plumbing Code 1997 DEVELOPMENT FEE WORKSREET Utility Department Project Name: Lviyi Date Owner/ Coact Person: Phone: Address: 7Ax 1) TYPE'OF DEVELOPMENT: Residential Non -Residential Re 2) TYPE OF UNI'T(s).- Single Family Multi -Family Commercial, Industrial Eoo 3) TOTAL NUMBER OF UNITS or BUILDINGS: 4) TYPE OF UTI uff CONNECTION: i) Meter: Individual Master b Tap Required Tap Existing b) Sewer Tap: Individual Common Tap Required Tap Existing 5) WATER METER SIZE: '/.-inch 1-inch 1 "--inchE] 2-inchE] Supplied by Contractor 6) AWS METER: None Individual Master[] Supplied by Alternativewatersgply) Meter Meter Contractor a) Meter Size: %-inch 1-inch 1 Y--inch 2-inch Supplied by Contractor SUMMARY OF IMPACT FEES METER SET and TAP CHARGES Water impact fees........ $ 310 COUIlVIENTS: Sewer impact fees........ $ 44 9? Water Meter set .......... $ Water Meter set and tap $ Meter deposit and S/C.. $ Sewertap ................ $ AWS Meter Set .........$ AWS Meter Tap & Set..$ TOTAL DUE .......... $ Signature _ U • 'ty Director or Engineer Date: UPS October 1, 2006 Page 1 of 2 City of Sanford Uti1 ' Department P. O. Box 1788, Sanford, FL 32772 Phone ( 407) 330-5641 SA-y\z PLANS REVIEWED CITY OF SANFOR OFFICE PERMIT # 02•441 0