119 Poplar Ave; 17-2503; PLUMBINGlow
6
IL
JAN 0 3 CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No:3-1
Documented Construction Value: $ p •
Job Address: _ L 1 G PO"D QLC LC \F Q,, Historic District: Yes No
Parcel ID: Jam' -- Q - _5 gco — 075 a— aesidential
l__LL Commercial
Type of Work: New Addition Alteration KJ Repair Demo Change of Use Move
Description of Work:
Plan Review Contact Person: Title:
Phone:`Z—D 1-1Fax:l.C`1
Property Owner Information l rc- • C Y`r1 /
Name
Street: j Resident of property?
City, State Zip:
Contractor Information
Name Y'aSG C Sj4 ZS_ v-1 Phone: f—)
Street: C 0l
City, State Zip: State License No.:
A`rrchiteect/Engineer InformationName: 1 1 Q 1 V 11.( Phone:
Street: Fax:
City, St, Zip: C/ Jo. E-mail: v
Bonding Company:
Address:
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: 5th Edition (2014) Florida Building Code
Revised: June 30.2015 Pennit Ap lication
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
Print Owner/Agent's Name
Signature of Notary -State of Florida Date
a-t
re o .ontractor Agent Date
G, d r -Y -r
Print Contractor/Agent's Name
re of Nota—ry45We of Florida Date
te of
FloftF049mA0Owner/Agent is Personally Known to Me _Personally Known to Me or
Produced ID Type of ID Produced 1D Type o
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building Electrical Mechanical Plumbing Gas Roof
Construction Type:
Total Sq Ft of Bldg:
Occupancy Use: Flood Zone:
Min. Occupancy Load: of Stories:
New Construction: Electric - # of Amps Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes No # of Heads
APPROVALS: ZONING: UTILITIES:
ENGINEERING: FIRE:
COMMENTS:
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
Revised: June 30, 2015 Permit Application
305 E. 4th Street, Unit 101
Sanford, FL 32771
407) 688-2317.
MI S; INC,
Fax (407) 688-2397
CFC057228
December 21, 2017
This is a contract between Exact Plumbing and Strasberg Construction. Exact Plumbing
will be doing the interior plumbing work for 119 Poplar Ave Sanford, Florida 32771
Total of job is S 2,000.00
Thank you,
t- 7
Jason S Turner rasberg Construction
Owner/President
Exact Plumbing
State of Florida
County of Seminole
Sworn to or affirmed) and subscribed before me this
day of -D e- 201.7 by
Who is personallv_k-nown _ or produced as identification.
NotaryPubk State of Fbrfda Lynn
M Merd Z,
l;
omrMsalon FF 949333 w,
w t5 ires wn,rro2o printed
name of Notary •n i `C
F-
RICK SCOTT, GOVERNO R
KEN LAWSON, SECRETARY
STATE OF FLORIDA
DEPARTMENT
CONS RUCTIONESSAND PROFESSIONAL REGULATION INDUSTRY
LICENSING BOARD CFC057227
The
PLUMBING CONTRACTOR Named
below IS CERTIFIED Under
the provisions of Chapter 489 FS. "Y Expiration
date: AUG 31, 2018 " !' TURNER,
JASON SCOTT EXACT
PLUMBING ING 305
E 4TH ST, UNIT. SANFORDr
ISSUED:
07/2512016 DISPLAY AS REQUIRED BY LAW SEQ # L1607250000971