2412 Stevens Ave 17-1633; ELECTRICALb JUN017 CITY OF SANFORD
BUILDING & FIRE PREVENTION
By A PERMIT APPLICATION
Application No: % 33
a
Documented Construction Value: $ Q(D
Job Address: Zj I I2 5t4e-V AVM, . Historic District: Yes No
Parcel ID: Residential 17 Commercial
Type of Work: New Addition 19 Alteration Repair Demo Change of Use Move
Description of Work:Dea' o (D\d M'e't ,1/
cxj'tu nstoa\\ ne'u) Z-U) hmp
Plan Review Contact Person: Iv ,1C:haZ\ V'J 1 ey'X ur1 Title/vlre,S'1C\QJ(i
Phone: (1) SS6-(U5-6 Fax: L89)5 -_?2_17 Email: m -W Inif.Y!D 10 Q l'ASs41 . Cs'Y1
Property Owner Information
Name 5c,1 l 't
Z'
a l ag1 Phone: Street: -
12 Resident of property? City,
State Zip: 5aon d) El , 51:11 Contractor
Information p
Name?
l'"iyler Eke tc'PA S l l{" On-5 Phone:088)gb57--IZ:l-1 Street: )
Fno { N HA\o n- -A , S+"C'A Fax: (815a) 9(g!_- -1 2-:1 "1 City,
State Zip: Duyffi . FL51-1 IS1 State License No.: EC13CX 9q -1 1 Name:
Street:
City,
St, Zip: Bonding
Company: Address:
Architect/
Engineer Information 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 INSPECTION. 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 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. FBC
105.3 Shall be inscribed with the date of application and the code in effect as of that date: 5"' 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 verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713.
The City of Sanford requires payment of a plan review fee at the time of permit 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 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.
Signature of Owner/Agent Date Signature of Contractor/Agent Date
Print Owner/Agent's Name
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
M I(, I( IA VQ14kevob()
Print Contractor/Agent's Name ,
CHELSEE K. HALEY
Notary Public - State of Florida
My Comm. Expires FeO 25, 2018
Commission # FF 095909
Contractor/Agent is V Personally Known to Me or
Produced ID Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building Electrical 0 Mechanical Plumbing[] Gas[] Roof
Construction Type:
Total Sq Ft of Bldg:
Occupancy Use:
Min. Occupancy Load:
New Construction: Electric - # of Amps,
Fire Sprinkler Permit: Yes No
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
of Heads
UTILITIES:
FIRE:
Flood Zone:
of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING: SF- C.—C.-t
Revised: June 30, 2015 Permit Application
REQUIRED INSPECTION SEQUENCE
IBP# i ^1 — I & '7,'i Address: Z / r Z Sm%fee— S. h iC
0 ILDINc PERMT
Min Mays Inspection Descri tion
Footer / Setback
Stemwall
Foundation / Form Board Survey
Slab / Mono Slab Prepour, .
Lintel / Tie Beam / Fill / Down Cell
Sheathing — Walls
Sheathing — Roof
Roof Dry In
Frame
Insulation Rough In
Firewall Screw Pattern
Drywall / Sheetrock
Lath Inspection
Final Solar
Final Firewall
Final Roof
Final Stucco / Siding
Insulation Final
Final Utility Building
Final Door
Final Window
Final Screen Room
Final Pool Screen Enclosure
Final Single Family Residence
Final Building (Other)
IEL EC'T.It1 CAL .PlE.RlM i T _
Min Max Ins ec ion Descri tion
Electric Underground
Footer / Slab Steel Bond
Electric Rough
T.U.G.
Pre -Power Final
Electric Final
z
S=
ilw
i A++xi S:+K'-.^}iFete
Min Mays Inspection Descri tion
Plumbing Underground
Plumbing Sewer
Plumbing Tub Set
Plumbing Final
Min Mays Hns ection Descri tion
Mechanical Rough
Mechanical Final ,
All
Minn Mays Inns ., ection Descri $i®n
Gas Underground
Gas Rough
Gas Final
RIEVIISEIID: June 2014