HomeMy WebLinkAbout1205 S Park AveCITY OF SANFORD PERMIT APPLICATION
Application # :�
Job Address: S AR ,
Submittal Date: b v-7 <1
Value of Work:
Parcel ID: 1 Zoning: Historic District:
Description of Work: ��S�LII \ f �i-Xj� ' 1 N dti� �a�r- ^Square Footage: _
..........................................................................................................I.............
Permit Type: Building ❑ Electrical ❑ Mechanical ❑ Plumbing Fire Sprinkler/Alarm ❑ Pool ❑ Sign ❑
Electrical: New Service - # of AMPS
Mechanical: Residential ❑ Non -Resident❑
Plumbing/ New Commercial: # of Fixtures
Addition/Alteration ❑ Change of Service ❑ Temporary Pole ❑
Replacement ❑ New ❑ (Duct Layout & Energy Calc. Required)
# of Water & Sewer Lines
Plumbing/New Residential: # of Water Closets
Occupancy Type: Residential ❑ Commercial Industrial 11
Construction Type: # of Stories: # of Dwelling Units:
# of Oras Lines
Plumbing Repair - Residential ❑ Commercial ❑
Occupancy Use Group(s):
Flood Zone- (FEMA form required)
...................................„......................................... ............................
Property Owner: N Q Iv• Contractor. `✓r _ k * ^'`"��° \'_
Address: -� Address: NJ
Phone:
Bonding
Address:
Address:
Plan Review Contact Person:
Phoneme �' x,30+ State License Number:
Mortgage Lender:
Address:
Phone: Fax:
Phone: LAO -13-1 $Va
Fax:
E-mail:
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 taws 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 a(ZaTesinanagement districts, state agencies, or federal agencies.
Acceptance of permit is verification that I will notify the owner of the property of the
Signature of Owner/Agent
Print Owner/Agent's Name
Signature of Notary -State of Florida
Owner/Agent is _ Personally Known to Me or
_ Produced ID
UTIL: &4�/"*F-D:
APPROVALS: ZONING:
Special Conditions:
Rev 02/2007
Date
Date
of
Signature of Notary -State
�Lu 6'? "A` r
Date
h\W1111111/
o
.���atY16�
P,
-298
Contractor/Agent is P .ter,....
_ Produced ID ce
ENG:�� lISh. I - \ \\\
Lel � t'y r i�, �_ y 4 � �-` •
i,J
CITY OF SANFORD PERMIT APPLICATION RECEIVED
App: uon # : Submittal Date: OJ a OKAY 2 4 2007
Jon Address I a05 S, V �5q n e� Value of Work: $ ], 90c)
Parcel ID: // Zoning: Historic District:
Description of Work: INSICt'I 1P9 + In AT&P � l"�` Square Footage:
........................................................................................................................
Permit Type: Building ❑ Electrical ❑ Mechanical ❑ Plumbing A Fire Sprinkler/Alarm ❑ Pool ❑ ;Sign ❑
Electrical: New Service — # of AMPS Addition/Alteration ❑ Change of Service ❑ Temporary Pole ❑
Mechanical: Residential ❑ Non -Residential ❑ Replacement ❑ .,New ❑ (Duct Layout & Energy Caic. Required)
Plumbing/ New Commercial: # of Fixtures S # of Water & Sewer Lines � I I # of Gas Lines 0
Plumbing/New Residential: # of Water Closets O Plumbing Repair— Residential ❑ Commercial ❑
Occupancy Type: Residential ❑ Commercials Industrial ❑ Occupancy Use Group(s):
Construction Type: # of Stories: # of Dwelling Units: KD Flood Zone: (FEMA form required)
........................................................................................... ij ..... • ............... .
livProperty Owner: Contractor ^ Q �` VL H� t i u X
Address: I �rrOS Address: 56 b eS^[P'LOO l�>,6040
Phone:. E-mail: Phone:6d x140 State License Number: CFC, Igj118I
Bonding Company:
Address:
Architect/Engineer:
Address:'
Plan Review Contact Person:
Phone: ' VFax:
Lender:
E-mail:
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 require nts o Florida Lien w, FS 713.
o� a�-
Signature off Owner/Agent Date Si reLfContraclor/AgentA
q4 Date
/ r lIJ
Print Owner/Agent's Name Print C tractor/Agent's Nam
Signature of Notary -State of Florida Date Signature of Notary -State of Florida �� . O�/////6./
Q ;aly %0
Owner/Agent is Personally Known to Me or Contractor/Agent is Person Kilo01or-O c _
�a ' 0
_ Produced ID _Produced ID e_
APPROVALS: ZONING: UTIL: AD:
Special Conditions: _
Rev 02/2007
N
ENG:
Sig � /3,75`�
'�' �v I ),J�A Ir-
11,YTIJITU
2 CVI
I Water hammer arrestors shall be
t installed where quick -closing valves are
being utilized.
FRC P2903.5
'� FPC 604.9 t
t --
New
A
Code violations found during inspection
,:' are required to be corrected.
r Plan/permit issuance does not grant
approval of a code violation. 2004
- FBC109.1
F
PERMIT
DATE: t7
111
J
Ark .
OFFICE
� � S�, � u r�,.i•\ o ti
?` Venting Requirements: Every trap
and trapped fixture shall be vented in
accordance with one of the methods
specified in FPC chapter 9. FPC 901.2.1
3 JENT
/Z�V-
EA\Si-t) (--AV k ,V 1L
LX, L-1 v7
5A5h.czm ev,
X� f , 1&9��� �,d�q
d%
Project
J1Z
Droner/Com Person:
Address:. S
Utility Department � �'
Date4. /-3 D
_ Phone:
1) TYPE OF DEVELOP, M[ENT: Residential
El Non -Residential
2) TYFt,O'E,
). Sire •
gle Fancily❑ Multi-patniiiy ❑ Comal
3) TOTAL erci, industrial
BOE UMTS or gDINGS: I / I
" " E VT
L
Try cc
a) Mer: Individual Master El
b
Tap Reqs ❑ Tap E)&* El
Sevier- Tag. 1Qdi-viduai L=1 Como
n El *Tap Required ❑ T
ap,Existrng
5) WATER LATER 3/4 -inch
❑ 1 -inch ❑ 1 /,i.6 2 -inch
El ❑ Supplied ley ;.
A Cont�Q . �❑
6) WS MTER.- r . .
None �divid
(Altema&e water spply) ❑ Master El
Supplied by
Meter CMeter(n4ractor
a) Deter Sim: /4 -ii ch Ell -inch
❑ V2 -inch 1 ❑ 2 -inch
❑ Supplied by
NT TM A e.D v ^v" ,� _ Cont aa((
Water impact fees.........
Sewer impact fes........ $ so
'mater Meter set $
Water Meter set and ftp $----_._.
Meter deposit acrd SC.. $
Suer tap ................. $
AWS Meter Set ........,$:
AWS *Meter Tap & Set..$
TOTAL DUE .......... $
Signature ' Utility Doctor or Engineer
Date: 4
Updated: October t, 2,006
Pagel of 2
COMMENTS:
'may of Sanford: Ufty Devutrnent
WUL In ant 1pePQ Equivalent Rtsidential Connection__(9R_�Q— 110 �GaUo�nsPer D�ay����
Residential (GPD)
$12421 Unit Single family structure, or multi -family Unjt,,,Qntaiwng three
$9,31.50/Unit thr (3) bedrooms or more.
Multi unit or Mobile Home unit containing less than three (3) bedrooms. (Thi te
judgme%lassumPti0n, estimation that such family units average re - "I s category is based on
Commercial— Indu&tri .4 1. il on ra quire 75%. 225�GpD.singje
Al Institutional
farnfly, unit.)
$1242 . /ERU F'Xlure unit schedule from Southern Plumbing Code will be used. One EKU will be chned.for conmetion and up
to
twenty (2) fixture units, For projects having more than twenty (20) fixture units, ihe Impact Fee will be
determined by increments of 25% 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 berated as 1.25 EKD;twenty4& (26) fixture
units Will be rated as. 1.5ERIJ.)
Se_ wer System moact Fees Equivalent Residential Connections = 300 Gallons 1?er Day (`Gr•PD}
Iiesidential
$2798/CTnit -Single fainly structure or multi-�mly unit eontainz�g wee (3) bedrooms or more.
Multi:fangii;�' unit or Mobile IIQrTte unit contazn�ng less than three (3) bedrobms. (This is
. . . . . . . . . . . un On average require 751/o of water. and sewer based on
average single family unit.)
such service of an
Commercial — Industrial — Institutional
$2798/ERU - Fixture unit schedule from Southern plumbing Code
will be used. One ERV will be charged for connection and up
to twenty (2'0) fixture units. For projects having more, than twenty (20) fture, Onli the Impact Fee �tbeincrements of 25% based on multiples of five (5) fixture units above the twentY ( . 20) fixt�re unit base for the
ERU' (Example: twenty-five (25) ft—un, units will be rated as 1.25 ER'U; twenty-six 1 (26) fl)dure vnits will be rated as 1.5 ERU
785 L.
I 'u"wraneau over a bathtub or Whirlpool bathtub attachments does not increase the drainage fixture unit value.
See section 709.2 through 709.4 for method
d tows. s Of computing unit value of fixtures not listed in Table 709.1 or for rating of devices intermittent
TraP, size will be consistent with the fixture Outlet size. ' For the purpose of computing urinals shall not be rated at a lower ni ting loads on building drains and se
For the p drainage ffixture unit unless the lower values are confirmed b,, WCM water closets or
urpose of computing loads on burlding drains and sewers, water closets or urinals shall n , testing.
unless the lower Values are Confirmed by testing. not be rated at a lower drainage fixture unit
T
TRAP SME (inches)
UMT V.
1
2
FOR FIXTURE DRAINS OR TRAPS
C TOW ERU�s): — INDUSTRIAL — INS'T'ITUTIONAL FEE CALCULATION:
COMMERCIAL Total F.U. Total Fixture U F.U.
—,r_ divide by 20 #26 ERTJ(s) (F.U./20-ERU) -7-
Water Impact Fee.- $1242 x . 7,5' ERU(s) = $ ?/c> 6"0
Sewer impact Fee. $2798 x ERU(s) = $
Update.&IOctober 1, 2006
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