178 Lakeside Cir; 17-1897; SIDING REPAIRCITY OF SANFORD
BUILDING & FIRE PREVENTION
SUN 2 2011
PERMIT APPLICATION
Application No: 1-7- IQ 7 BY - -
Documented
Construction Value: $ -- Job
Address: / Te LAke s,a E Historic District: Yes No Parcel
ID: Residential Commercial Type
of Work: New Addition Alteration Repair Demo Change of Use Move Description
of Work: Plan
Review Contact Person: /%A Title: O Phone:
1'47- 611- —S3.z9 Fax: Email: 41 if_ /Vz ' . •1 Y' Property
Owner Information Name
C `/Ti i4', List/ Phone: Street:
Resident of property? :S City,
State Zip:'22 iy3 Contractor
Information Name
JR' Lo,dS/i aC'TGe..S c Street:
4So A;G-7- /- 40*' City,
State Zip: 5.,.d, , L • 47-71Y Phone:
6 7 G -S3z9 Fax:
State
License No.: C9C l RS-68I 7 Architect/
Engineer Information Name: ,
a . Phone: Street:
Fax: City,
St, Zip: Bonding
Company: 4* Address:
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
Print Owner/Agent's Name
Date
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
Signature of Contractor/Agent Date
Print Contractor/Agent's Name
Signature of Notary -State of Florida Date
Contractor/Agent is Personally Known to Me or
Produced ID Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building Electrical Mechanical Plumbing Gas[-] Roof
Construction Type: Occupancy Use: Flood Zone: -
Total Sq Ft of Bldg: Min. Occupancy Load:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes No # of Heads
APPROVALS: ZONING:
COMMENTS:o
UTILITIES:
ENGINEERING: FIRE:
of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
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
round in the public records of this county, and there may be additional pennits 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 tile 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 actualconstruction value will be figured based on the current [CC Valuation Table iti effect at the time permit is issued, in accordance
with local ordinance. Should calculated charges Figured off tile 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, Signatt
cf.Owner/Agent Date SiQnaturr el' ontractor/Agent Rite Print
06nct/Agent's' Mime JESSICA
V. ROSARIO Notary
Public'- Stile of Florida Commission
M FF 946262 Ay
Comm. Expires Dec 2S: 2019 Produced
ID Type Date
s—
itn6KU Print
ContractoPagent's Namc KAR.
d4m STATON yMyCOMMISSIONItFF224139EXPIRES:
August 23, 2019 BMW
Ttnu Notary Public Undww mrs Contractor/
Agent is /.Personally Known to Me or Produced
I.D, Type of"ID BELOW
IS F O z OFFICE USE ONLY Permits
Required: Builtiinc Electrical Mechanical Plumbing[] Gas Roof Construction
Tyne: Occupancy Use: Flood Zone: Total
Sq Ft of. Bldg: Min. Occupancy :Load: New
Construction: Electric - # of Amps Fire
Sprinkler Permit: Yes No APPROVALS:
ZON.INCr- ENGINEE
NG: COMMT:
NTS:* of
Stories: Plumbincy - #
of. Fixtures of
Heads Fire Alarm Permit: Yes No UTIi (
TIES: WASTE WATER: t'
IRE` BUl.L.DING: ZZ-(7 CS% Revised:
June 30, 2015 , Permit .Applicarion
01EVLEN ENGINEERING, Inc. 4021 Church Street
Stru` tural Engineering
Project Management
June 21, 2017
DE Project No. 2017-240
City of Sanford
300 N. Park Ave.
Sanford, FL 32771
Subject: Open/expired bldg. permit - 499-1277 (siding replacement)
178 Lakeside Cir
Sanford, FL 32773
Sanford, FL 32771
Phone: (407) 324-5300
Fax: (407) 324-5999
Email: ron@devleneng.com
Web: www.devleneng.com
Per Owner's request, Mr. Ronald Devlen, PE visited the site on June 21, 2017 to observe the conditions of
the house siding (1999 permit) at the subject single family one-story residence in Sanford, Florida.
The house siding is observed to be in good condition, and in my professional opinion its construction,
fastening and current condition meets the requirements of the current Florida Building Code 51h Edition
2014).
If you have any questions, or if we may be of further assistance, please do not hesitate to contact me.
Sincerely;
06=2112017 0 7
Ronald D. Devl,en, PE
FL Reg. No. 49782