3524 Palmway; 17-2123; STUCCOFV'
EcEIVIEP
CITY OF SANFORD
BUILDING & FIRE PREVENTION
JUL t 3 2017 PERMIT APPLICATION
BY Application No • 1 -7 —,9L >
Documented Construction Value: $ I ` y o
Job Addre;
Parcel ID:
Type of Work: New Addition Alteration
Description of Work:
INJ-0 k Q Historic District: Yes No x
Q 0 Residential r, Commercial
Repair X Demo Change of Use Move
Plan Review Contact Person: Title: CQ A.{'
n-
1 4 C 0 L-°
Phone: V6 jai ` J6S-s Fax: Email: `PA r (. 1` f ,44-A1 L
ff
Property Owner Information
Name t '%CJ'J 1'Y llf--Clo Phone: a
treet:, p i' oZ?i.S' Resident.of,property? : !Y
L
C>t`ty, State Zips
Contractor Information
Name 1 t ltl ,.0 V'AU 1 U t fa Phone: Street:
Fax: City,
State Zip: 7rKNI iA 4 rA w State License No.: T
Architect/
Engineer Information Name:
Phone: Street:
Fax: City,
St, Zip: E-mail: Bonding
Company: Mortgage Lender: Address:
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. 1 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: 51h 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 Da e Signatu ractor/Agent Date
tom- , I I- ') L i. 4 I t) (l
Print Owner/Agent's a Print act gent's Name
3
Si lure of of tat lorida Date Sig ary- to of Florida Date
oo Pub* PAMELAROWLAND PAMELAROWLANDOSYPUMyCOMMISSION # GG 046272 ? My COMMISSION # GG 046272EXPIRES: November 29,020
Ny ° Bonded Thu Budget Notary $
2020
y c EXPIRES: November 29, 2020
t R! !`ot Bonded Thra Budget Notry Services
Owner/Agent is / Personally Known to Me or Contractor/Agent is /Personally Known to Me or
Produced ID Type of ID Produced ID Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building Electrical 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:
Flood Zone:
of Stories:
Plumbing - # of Fixtures
of Heads Fire Alarm Permit: Yes No
UTILITIES: WASTE WATER:
FIRE: BUILDING:
Revised: June 30, 2015 Permit Application
Proposal
Na me: J: - e %r`Q/l f G-IF-OUF
Address: I J N-M w F V '1
City: - 1i St: L, Zip: J —7 /
Phone: Cell: Email:
Invoice No. 0 0
Date: -
a
1
Start:
Terms:
Qty Description Unit Price Total
f Ito l fl t
S
Sub Total
Deposit
Total Ci
Comments:
Contact: Pat Vandivier
114 No Name Drive
Deland, FL 32720
Phone: (386)-233-4655
PatGodBK@gmail.com
Detail by Entity Name Page 1 of 2
Florida Department of State
rA
Y1 4ras t !lJ
fill affx1al . tur. fvf Flrrrtftts sv lrrlfe
Department of State / Division of Corporations / Search Records / Detail By Document Number /
DIVISION OF CORPORATIONS
http://search. sunbiz.org/Inquiry/CorporationSearchISearchResultDetail?inquirytype=Entity... 7/ 13/2017
Detail by Entity Name Page 2 of 2
221 W. STATE ROAD 434
LONGWOOD, FL 32750
Annual Reports
Report Year Filed Date
2015 01/12/2015
2016 01/28/2016
2017 01 /05/2017
Document Imaues
01/05/2017 — ANNUAL REPORT View image in PDF forma[
01/28/2016 -- ANNUAL REPORT View image in PDF format
01/12/2015 --ANNUAL REPORT View image in PDF format
04/03/2014 -- ANNUAL REPORT View image in PDF format
09/17/2013 -- AMENDED ANNUAL REPORT View image in PDF format
01/30/2013 -- ANNUAL REPORT View image in PDF format
04/09/2012 -- ANNUAL REPORT View image in PDF format
02/21/2011 --ANNUAL REPORT View image in PDF format
02/23/2010 -- ANNUAL REPORT View image in PDF format
03/24/2009 -- ANNUAL REPORT View image in PDF format
01/03/2008 -- ANNUAL REPORT View image in PDF format
04/12/2007 -- ANNUAL REPORT View image in PDF format
03/29/2006 -- ANNUAL REPORT View image in PDF format
04/25/2005 -- ANNUAL REPORT View image in PDF format
04/08/2004 -- ANNUAL REPORT View image in PDF format
04/10/2003 -- ANNUAL REPORT View image in PDF format
07/26/2002 -- ANNUAL REPORT View image in PDF format
03/27/2002 --ANNUAL REPORT View image in PDF format
04/19/2001 --ANNUAL REPORT View image in PDF format
04/03/2000 -- ANNUAL REPORT View image in PDF forma
10/15/1999 -- Domestic Profit View image in PDF format
Florida Department of State, Division of Corporations
http://search. sunbiz.orglInquiry/CorporationSearchISearchResultDetail?inquirytype=Entity... 7/ 13/2017
RECORD COPY
REVIEWED FOR CODE COMPLIANCE
PLANS EXAMINER
1 l4 1 7
DATE
A PNE UED SHALL BE CONSTRUED TO 13E A
LICEOCEED WITH THE WORK AND NOT AS
ALIO VIOLATE, CANCEL, ALTER OR SET
ASIDTHE PROVISIONS OF THE TECHNICAL
CODEALL ISSUANCE OF A PERMIT PREVENT
ING OFFICIAL FROM THEREAFTER
REQCORRECTION OF ERRORS IN PLANS,
CION OR VIOLATIONS OF THIS CODE
SAN`ORD
1 7 - 2 115
REQUIRED INSPECTION SEQUENCE
BUILDING PERMIT
Min Max I[ns ection Description
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)
Address:
ELECTRICALPERMIT Min
I Max I Insvection Descrintion Electric
Underground Footer /
Slab Steel Bond Electric
Rough T.
U.G. Pre -
Power Final Electric
Final Min
Max xIus ecti®n Descri tion Plumbing
Underground Plumbing
Sewer Plumbing
Tub Set Plumbing
Final MECHANICAL:]?,.
E.RMIT Min
Max Ins ection Descri tion Mechanical
Rough Mechanical
Final II
Min 1Max I Innstcection Descrintion Gas
Unde Gas
Roug Gas
Final REVISED:
June 2014