HomeMy WebLinkAbout114 S Sanford Ave (2)t , ,CITY OF SANFORD PERMIT APPLICATION
Permit # :y r
V , Date:
Job Address:
Description of Work:
Historic District:
1'-X,) ti.7
Zoning:
0
Value of Work: S S UJ =
Permit Type: Building Electrical Mechanical Plumbing _Z 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 3 # of Water & Sewer Lines # of Gas Lines
Plumbing/New Residential: # of Wafter Closets Plumbing Repair- Residential or Commercial
Occupancy Type: Residential / Commercial Industrial Total Square Footage:
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X)
Parcel #:
Owners Name & ddress: _
Contractor Name & Address:
Phone R. ce
Bonding
Address:
Mortgag4
Address:
Architect
Address:
Attach Proof of Ownership & Legal Description)
Phone: yT1 >`>>-+
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
perrrit 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 witetmanagement districts, state agencies, or federal agencies.
Acceptance of permit is verification that I will notify the owner of the property of the requirements Af Flydda`1Q\enJAw, FS
Signature of Owner/Agent Date Signature
Print Owner/Agent's Nam
Signature of Notary -State of Florida Date
Owner/Agent is _ Personally Known to Me or
Produced ID
APPLICATION APPROVED BY: Bldg — 18 .0 Zoning:
Initial & Date)
Special Conditions:
Nam
a- % 0,5
Date
el0-r DEBBIE
BLANTON MY
COMMISSION # DD 18MI Contra
rQD EXPtlW&*11gd1w7M,20ffe or yyyy')
T RY F fJotery Dive ,M aee,r__ Do. _ A Initial &
Date) U
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ate) itial & Date)— ` C
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DEVELOPMENT° FEE WORKSHEET
CITY OF SANFORD
UTILITY— ADMIN.
P.O. BOX 1788
5ANFORD, n 32772-1788
Project Name:
Datems--
Phone'::
Owner/Contact_ Person:
Address:
Type of Development:
arr4prarn i+ais
I) ,RESIDENTM
Type of Units (single family
or multi -family):
Total Number of Units:
Type of Utility Connection
individual connections
or central water meter &
common sewer tap):
Water Meter Size (3/4",
l" 2"
REMAPM:
Type of Units (commercial, '
Industrial, etc.):
Total NumberofBuildings:
Number of Fixture Units
each building):
Type of Utility Connection
individual connections ,
or central. water meter &
common sewer tap):
Water Meter Size (3/4 "
111, 2", etc.)
REMARKS:
CONNECTIONFEE CALCULAHON.• . t`' —
Name - Signature - Date.
04
1) Water System Impact Fees
r
Equivalent Residential Connection (ERC) 300 Gallons Per Day (GPD)
FIXTURES TYPE DRAINAGE FDCIum UNIT MINIMUM SIZE OF
4+ Residential -
clothes washers, commercial (a),
VALVE AS LOAD FACTORS
3
TRAP (INCHESAutomatic2565011Jnit - Single family stiucau+e, a multi' -fancily emit Automatic clothes washers, residential 2 2containingthree (3) bedrooms or man
481SWUnit - Multi -family unit a Mobile home emit containing Bathroom group consisting of water closets, lavatory, 6
less than there (3) bedroomxs. (Ibis category is bidet and bathtub or showers
based on judgmeal/assnmption, estimation that Bathtub (b) (with or without overhead shower or 2 1 1'A
such family units an average require 75'/r225 GPD whirlpool attachments
of the water and sews service of an average single
Bidet
Y =4 2 1
Commercial Combination sink and 2 1'
A
S6SWMU - . Fbdures unit sdhedale from Soathem Phmobing Code Dental lavatory 1 1'A
will be used. OneERU will be dmged far connection Dental unit or cuspidor 1 1'/4
and uP to tune arty (24) fixtmesunits. Dishwashing machine, (c)domestic, 2 1'/s
For projects having more that twenty (M) fixture unit Dfinking fountain r, 1'/4baseforthefizaERU. - Mw*m twenty-five (25) •
fixtures units will berated as 125 ern: twenty-six(26) Floor drains MD 9 t + 2 2 .
fixture units will be rated as 1.5 ERU.) Kitchen smk domestic 3 Cori r—:t- 2 1'h
Kitchen sink domestic with food waste grinder and/or 2 144
2) Sewer Systems Impact Fos Dishwasher
4dnlent Residential Coonections-270 Galloon Per Day (GPD) 1 or 2 2 i t
Lavatory 1 1'A
Residential - Showa cTSnqTSwj domestic 2 2
1,700 Unit - Single Family shvelom of mnKtamily unit Sink 2 1'/sContainingthrep (3) bedrooms cc mom
S1,275Nnit - MuNtarnily unit a Mobile Home unit containing Urinal 4 Footnote d
less than duce (3) bedrooms. (INs category is based on i on flash or less 2e Footnote djud8xxeat/assmhption,estimation ffiatsuch fatnilyunits an
average require 75% of water and sewn service of an Wash sink (circular or multiple) each set of faucets 2 I JA
avemp single family Vail water closets, flusbometa tank public or private 4e Footnote d
Commercial- Industrial- Institutional
S1,7OWMU
Fib =it.scbednk from Southern Plumbing Code .
will be used. One ERU will be charged for connection and up to
twenty (20) fihdara units. Fee projects having mare.own twenty
20) traits the %pad foa will be increments of 25% based on
multiples of five (5) fntbae wits above the twenty (20)-fRUue '
omit base fa the fast ERU. Mmm* twenty five (2S) fixdmo units will
bea kd as 12S ERU: twenty six (26) ffh: units will be noted as 1.S ERUI
want posets, private tasw2 ion 4 • Footnote d
Water closets, public installation 6 Footnote d
For SIr I lu b-n4 mm i galWor- .72S L
a For traps larger thanIbxhM use Table 709.2
b A•shaae sbead-ovex a bathtub at whirlpool batblhib at W me nts does not increase -the drainage fihmmes unit valve
t Sin sections 709.2 thoa& 709.4tr methods of comparing nut valve of fixtures not listod is Table 709.1 or for rating of devices wi& intermittent flaws -
d Top size "be consistent with the f ewd sin
e For the purpose of computimg•leads an bmldmg drams and sewem water closets or annals shall notbe rated at a bwer drainage first fihturreudd :
unless the lower values are confirmed by tenting. TASLE 709.2 DRAINAGI3 FDCr M UNITS FOR FDC rURES DRAINS OR TRAP3
Fixture Drain or Tap Drainage IrLih res
Siff mchn Unit Vahw
2
2 3
2'h 4
3 5
4 6
SwaviPlunrbint codes 0I997
KA. 1977 LAWS SEMINOLE FORM 408
FS 713.13 NOTICE Off' COMMENCEMENT
1 R[AR6 IN DVKICATS/
State of Florida 1
County of f
The undersigned hereby informs all concerned that improvements will be made to certain real property, and in accordance
with section 713.13 of the
FloridalStatutes, the following information is stated in this NOTICE OF COMMENCEMENT. Description
of property .. . ! `` .. V ....n ... 1"1 l.'i 1 t" r I 1. I ..................... .................
I.` ........................ I.. .... ....... + K
General
description of improvements ... .'. ........... 11n,.± (tn k 1 Owner.
J.!G. J .1'•........ .w2i 1 ......................................T. _............................................ .
Address ."
t:'.C) . ., Cr-1 .)C'....... F'`r'c4 TL T2 f Owner'
s interest in site of the improvement................................................IN1S. li1STRUP,M1.IVT. PREPARED BY: Fee
Simple Title holder (if other than owner) NAME
Name....................................................................................
ADDR .'•' 0,;
Address.........................................................................................................................
1
Contractor...........................................................................
8U110WR
ifl6....11111113R®1 ............113....Ifit .. I - a -aim- I.ills Address....................................................................... VAVW
Iiwl .L'.W.QF CtRw Cl'1RT MUNOLE (UOJM
BK 4
IS 14f;ID Surety (if
any) CLERK'S •f'at- - jc-I t14 M 2 5 NRM i:
Pjatdco-fAddress.. .... ........................................................RUIG n .t .oe...
Any
person
making a-
loan for the construction of the improvements: ,6- RECORDED BY D Thum .
LNp Name........................................................................................... .........\ Address............................................................................................... ...Qc;2 ` `, /,`
l
Person within the
State
of Florida designated by owner upon whom notices or other documents may be .r$e r`K1: t 3 y i Name......................................................................................................... Address.............................................................................................................. ........
In
addition
to
himself,
owner designates the following person to.receive a copy of the Lienor's Notice as provided in Section 713.13 (1) (h),
Florida Statutes. (Fill in at Owner's option). Name.......................................................................................................................... Address......................... •„`• 1 "5...; .......................... .
THIS
SPACE FOR RECORD@I%
S VG0gIVLY.. -•• L/!• i ! . • wn fNIS IDS : .'- • • ':.; ..
J Sc
TRUMENT P K SCottTAY. Yk4 PARED Y Sworn toandsubsabedbefoamethis ................ . NAME day of z`
ati / .................
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4
OS "A8b COUNTY OF SEMINOLE
IMPACT FEE STATEMENT
STATEMENT NUMBER: 05100001 DATE: February 02, 2005 - BUILDING APPLICATION #: 05-10,n00160 .
BUILDING PERMIT NUMBER: 05-1,EOO15U
UNIT ADDRESS: SANFORD AVE S 114 25-19-30-5AG-0301-002A"
TRAFFIC ZONE:022 JURISDICTION:
SEC: TWP: RNG: SUF: PARCEL:
SUBDIVISION:
PLAT BOOK: PLAT BOOK PAGE: BLOCK:
TRACT:
LOT:
OWNER NAME: EXACT PLUMBING INC
ADDRESS: 308 E 4TH ST SANFORD FL 32771
APPLICANT NAME: JASON TURNER
ADDRESS: 308 E 4TH ST SANFORD FL 32771
LAND USE: ANGELIS CATERING
TYPE USE:
WORK DESCRIPTION: CITY-SANFORD
SPECIAL NOTES: CHANGE OF USE RETAIL TO RESTAURANT/ddb
FEE BENEFIT RATE UNIT
TYPE DIST SCHED RATE
CALL
UNITS
UNIT
TYPE
TOTAL DUE
ROADS -ARTERIALS CO -WIDE ORD
Restaurant - Sit Down* 4,340.00
ROADS -COLLECTORS NORTH ORD
1.344 1000nsft 5,832.96
Restaurant - Sit Down* 878.00
FIRE RESCUE N/A 1.344 1000nsft 1,180.03
LIBRARY N/A 00
SCHOOLS N/A 00
PARKS N/A 00
LAW ENFORCE N/A 00
DRAINAGE N/A 00
CREDIT FEES: 00
SCI ROAD ARTERIALS
Retail < 50K Square Feet* 2,963.00
SCI ROAD COLLECTORS NORTH 1.344 1000gsft 3,982.27-
Retail < 50K Square Feet* 600.00 1.344 806.40-
AMOUNT DUE 2,224.32
STATEMENT a1
RECEIVED BY: C SIGNATURE:
PLEASE PRINT NAME)
DATE:
NOTE TO RECEIVING SIGNATORY/APPLICANT• FAILURE TO NOTIFY OWNER AND
ENSURE TIMELY PAYMENT MAY RESULT IN YOUR LIABILITY FOR THE FEE. ***
DISTRIBUTION: 1-BLDG DEPT 3-APPLICANT
2-FINANCE 4-LAND MANAGEMENT
NOTE**
PERSONS ARE ADVISED THAT THIS IS A STATEMENT OF FEES DUE UNDER THE
SEMINOLE COUNTY ROAD, FIRE/RESCUE, LIBRARY AND/OR EDUCATIONAL
ISSUANCE OF A'BUILDING PERMIT.
PERSONS ARE ALSO ADVISED THAT ANY RIGHTS OF THE APPLICANT,. OR OWNER,
TO APPEAL THE CALCULATION OF ANY OF THE ABOVE MENTIONED IMPACT FEES
MUST BE EXERCISED BY FILING A WRITTEN RE&UEST WITHIN 45 CALENDARDAYSOFTHERECEIVINGSIGNATUREnATF. AAA AMP WrVP r.nmFv MURM
MUST MEET THE REQUIREMENTS OF THE COUNTY LAND EVELOPMENT CODE.
COPIES OF RULES GOVERNING APPEALS MAY BE PICKED UP OR REQUESTED,
FROM THE PLAN IMPLEMENTATION OFFICE: 1101 EAST FIRST STREET,
SANFORD FL, 32771; 407-665-7356.
PAYMENT SHOULD BE MADE TO: SEMINOLE COUNTY OR CITY OF SANFORD
BUILDING DEPARTMENT
1101 EAST FIRST STREET
SANFORD, FL 32771
PAYMENT SHOULD BE BY CHECK OR MONEY ORDER, AND SHOULD REFERENCE
THE COUNTY BUILDING PERMIT NUMBER AT THE TOP LEFT OF THIS STATEMENT.
ISSUEDSWITHIN 60 CALENDAR DAYS VOALTHEIRECEIVINGISIGNATTUURE DATEOAB*OVE DETAIL
OF CALCULATION AVAILABLE UPON REQUEST. CALL 407-665-7356.