3506 S Park Ave 17-1462; DRAIN LINE REROUTESJob Address:
MAY
7'
LRtii
BY:
Application No:; 17- / k1
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Documented Construction Value: S S2 iS- 0y v
cS (
I ti /c Historic District: Yes No Parcel
ID: Residential [' Commercial Type,
of fork: Ne-%v Addition Alteration Repair Demo Change lof Use Move Description
of Work: Plan
Review Contact Person: %' Title: Phone:
5SVSYC1130_ / Fax: Email: Q `i01AK(l cot-1 ScProperty.-Owner
Information
d Name-
O r `/ Phone: Street:
r
t Resident of property?': U-/ Jr City, State
Zip: / / 3 2-7 7,3 nn / Contractor
Information
Name t7
A Ka -a%K / / .Phone: 51a 7 FsffSS7 C Street: '&
L/ . ! /`! /ill JC L Pc Fax: Y e 7 FS? e W f City, State
Zip: l t' , % 3 -37 State License No.: Architect/Engineer
Information Name: If
Street: z/_
City, St,
Zip: Bonding Company:
Address: Phone:
Fax:
E-
mail:
Mortgage Lender:
Address: 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 IN;SPECT.ION. IF YOU .INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. 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;
toft. issuance of a permit and that all work will be performed. to meet standards of all laws regWati ng, corrstruction in this
jurisdiction. I understand that a separate permit must he secured for; electrical work, pittmbingi signsi wells, pools, furnaces, boilers,
heaters,: tanks, and air conditioners, etc. FBC 105.
3 Shall be inscribed with the date of application and the code in,effect as of that date: 31 Edition (2014) Florida- Building Code Revised: June
30, 2015 Permit Application
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 veriftcatiou:that I will notify the owner of the property of the requirements of Florida: Lien Law, FS 7 k3.
The City of Sanford requires payment of a plan review fee at the time of penlut submittal. A• copy of the executed contract is required
in order to: calculate a plan review charge and will be considered the estimated construction value of the job, at the time of submittal.
The actual construction value will be figured based on the current ICC Valuation Table in effect at the time the permit is issued, in
accordance with local ordinance. Should calculated charges figured off the executed contract exceed the actual construction value,
credit will be applied to your permit fees when the permit is issued.
OWNER'S AFFIDAVITy I.certify,that all of the foregoing information is .accurate and-thatA. work will be
done in compliance with. -all applicable haws re;gulating.constra.ction.and zoning. Signature
o O mer/Agent Date Signature of Contractoor/Agent Date e /
C f L (C/ /17(ch l h,
tlkill1111; /J Print
Owner/Agent's Name ll Nlll Print Contractor/Agent's Name 51t111)l iB
LP ttsSIQN
o i . Z 7 - os Signature :
f Notary-Stata of Florida, ate .V ' z0 AWN. • igi Are of Votary -State of flo Date u' FF
966740 z Off•
a ' i0
o ii
fp°•4"McWdaded c- to.z; O Owner/
Agent is Personally Krlown t tI;`; .. `oF>>\\ Contractor/Agent is"Pers b'>1a y la+iVrt to Me or Produced
ID Type of ID • J lfijl ltli\g` Produced ID Type of ID BELOW
IS FOR OFFICE USE ONLY Permits
Required: Building Electrical Mechanical[] Plumbing0 Gas RoofEJ Construction
Type: Occupancy Use: Flood Zone: Total
Sq Ft of Bldg: Min. Occupancy Load: New
Construction: Electric - # of Amps_ of
Stories: Plumbing, - #
of Fixtures: Fire
Sprinkler Permit: Yes No #'of Heads Fire Alarm Permit: Yes No[_] APPROVALS:
ZONING: UTILITIES: WASTE WATER: ENGINEERING:
COMMENTS:
FIRE:
BUILDING: Revised:
June 30, 2015, Permit Application„
a City of Sanford
4 4 r .iP
Building & Fire Prevention Division
Residential Permit Card
PERMIT NO. t b a ISSUE DATE: •
CONTRACTOR:
JOB ADDRESS:
TYPE OF WORT
Post this permit in a conspicuous location outside
Approved plans must be posted with permit for inspection
Leave all work uncovered until inspected and approved
Permit expires 6 months from date of issue or last approved inspection
PROTECT FROM WEATHER
BUILDING
INSPECTION TYPE APPROVED REJECTED INSPECTOR
ELECTRICAL
INSPECTION TYPE APPROVED REJECTED INSPECTOR
FOOTER INSPECTION ELECTRIC UNDERGROUND
STEMWALL FOOTER/SLAB STEEL BOND
FORMBOARD SURVEY T.U.G. / PRE POWER
SLAB / MONO -SLAB ELECTRIC ROUGH
LINTEL / TIE BEAM ELECTRIC FINAL
SHEATHING - ROOF MECHANICAL
INSPEC77ON TYPE APPROVED REJECTED INSPECTORSHEATHING - WALLS
FRAME MECHANICAL ROUGH
INSULATION ROUGH IN MECHANICAL FINAL
DRYWALUSHEETROCK PLUMBING
INSPEC77ONTYPE APPROVED REJECTED INSPECTORLATHINSPECTION
FINAL STUCCO/SIDING UNDERGROUND ROUGH
FIREWALL SCREW TUB SET
FIREWALL FINAL SEWER
INSULATION FINAL PLUMBING FINAL
FINAL SFR GAS INSPECTIONS
INSPEC77ON TYPE APPROVED REIECT£D INSPECTORROOF
INSPECTION 77PE APPROVED REJECTED INSPECTOR GAS UNDERGROUND PIPE
ROOF DRY -IN GAS ROUGH -IN
FINAL ROOF GAS FINAL
MISCELLANEOUS/FINAL INSPECTIONS
INSPECTION TYPE APPROVED REJECTED INSPECTOR INSPECTION TYPE APPROVED REJECTED INSPECTOR
PRE -DEMO FINAL DOOR
FINAL DEMO FINAL WINDOW
FINAL SOLAR PANELS IRRIGATION FINAL
FINAL POOL SCREEN FINAL SCREEN ROOM
FINAL UTILITY BUILDING FINAL BUILDING (OTHER)
MOBILE HOME TIE -DOWN MOBILE HOME FINAL
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 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 FBC105.3.3
REVISED: 4-17 - Inspcction Linc: 407.792.6069 or 855541.2112
The undersidned herebv aives.notic-a that improvement will be rn tle to certain rbal,prpperty, ;and in accordance with
INFORMATION: OWNER
y
0 l / I! . 2 a z c cisAddressn.
Fee simpieTitie-Hoiden (if other than owner) Name: -
Ad&dss`
W
CONTRACTOR a
Name.
J 1Address:
withmahe State of Flonda oesignate&by Owner upon '"horn notice>orrotheraocuments may besenred r \
Persons
as -provided by:Section 713.13(1.)(b), Florida;Statutes.
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