2545 Myrtle Ave; 17-2842; REPIPECITY OF SANFORD
BUILDING & FIRE PREVENTION
x PERMIT APPLICATION
Application No-
Documented Construction Value: $d J
Job Address: Historic District: Yes No 9
Parcel ID: t,41 a J r ,% f v ResidentialO Commercial
Type of Work: New .Addition. Alteration Repair Demo Change of Use El Move El
Description of Work: 6 —
Plan Review Contact Person: Caa + ( Title:
Phone: f s/ oy, Fax: Email: trr7KI G6co-,, Property Owner
Information Name Street:
City,
State
Zip: 2 7i1 v Phone.:
Resident
of
property?': Contractor-Infor-
mation Name 6
if ab. 1 Phone: Street: ,(
l.?
l/r Fax:
7
o City, State
Zip: State License No.: Name.: Architect/
Engineer
Information 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 COKMENCEMENT 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 Nvitl. 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, Neils; 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: S'h Edition (2014) Florida Building Code Revised: Juice
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 pen -nit is issued.
OWNER'S.AFFMA'VIT: 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.
2e;_
Siggna=6 o Owner/Agent Date Signature of Contractor/Agent Date
114 f
Print Owned exit's Name Print Contractor/Agent's Name
1llltll// r
5
yt
A,///,, _ __ s z „ rl)lll,//
5igmature of Notary -State of Floiida
4
FF 9i:8740
j • c. 'P adad n t ; r; 9U 40
Owner/Agent is personally Know si e`oirr un ;Q ••` Contractor/Agent is Persti nown to Meo_T
e 1 1 ' 1)dd r° Produced
ID Type of ID t , sCA p\`, Produced ID Type of IIVlitt`
1C, BELOW
IS FOR OFFICE USE ONLY Permits
Required: Building Electrical Mechanical Plumbing Gas[] Roof Construction
Type: Total
Sq Ft'of Btdg,: Occupancy
Use: Min_
Occupancy Load - New
Construction:. Electric - # of Amps, Fire
Sprinkler Permit: Yes No # of Heads APPROVALS: ,
ZONING: ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
Flood
Zone: of
Stories:. Plumbing,-#
of Fixtures: Fire
Alarm Permit: Yes No WASTE
WATER: BUILDING:
Revised:
June 30, 2015 PLnriit Application..
7l7mvoicA. 53
t
echnican.,
ttstorne 10 ;rQ- . CL i
Addres -- —
Comrriercral e tnspecfiar & Csfirti tat'(s ee B ding Terms On Reverse) CUs Omet
Parts DiscountTotal Accept Decline Q
ocaiionlDescn tlon Labor _p p r1 .—
T. T C ^:n 3° }•---`...-`- "*.. .rye .l= Sewett
me = '_ L
s;y'V` '
Sri
r` E ~O odeCleanOuCoO " tide
VenfGoers=. t G
o
w
nor'
W$teErgy_cets ' x
CIS `!
f'7 - g w ,
El
is
Room:t)rmal(Sl = =` .' , j 2 • D s3Room '
o(ei(s)w G-=-----yJ _ iias'
Roam Stnkts _J
vi?c7v- f'` -'r Q lak[
3ay Strainers , . ---- ( D TOW ' ` -
u CO f . or
DrainGov'e'` Q
itldSSOkj?8 Wfl5 j0ii' , ; Y ay, . CktitletL
ne ttorrt rease" utgotng
t me tfrom Suiln9) C7 r Bay
Faucet El rt, _
he
ainounls speiafisd •I ha+;e read and agree to'Ifie tennis
lackni dgeihatistderPara9ragi!?{b)of(hose TOE3l2Stirtt8l2rCfleCtS CUstoiTlet ing
that eq pment, ifxtudi g a[ty regUued e stcavahan = authonia8en nfi+Qrk a, utdlc8ted above Name/
2 /C i! r Tanotmctuded i es_hmate Late
stadIng date is and nexgectea
cnndillans o-problems could cause delays
THIS INSTRUMENT PREPARED BY: -
Name: K Adams
Address:
NOTICE; OF GC MMENGEMENT
State. of Florida
County"of, em)n"ole:
1111111111 if 1111111111111111111111111111
GRANT HALOY? SEMINOLE COUNTY
CLERK OF GT.RCUIT COURT t CONFTROLLER
BK 8994 Fg 668 (1Pss')
CLERK'S Y 2017096231
RECORDED 09/25, 017 02:47.32 PN
RECORDING FEES ;10.00
RECORDED BY tides: or=
Permit Number: Parcel ID Number: 01-20-30-504=0200-0060
The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with
Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement.
T°o D PU ralfopjo k°: ° e'arr°ra2 7gdp e' t.pg 3 rtle.Ave
GENERAL DESCRIPTION OF IMPROVEMENT:
re -pipe
OWNER: INFORMATION=
Name'. Indra.Ral
Address: '2545' MyrtleAve Sanford32771 Fee,
Simp.le:Title:,Holder (ifother than owner) Ns NAr. CONTRACTOR:
Name:
Roto Rooter Address:
1404 G.em-ini $lud Orlando 32837 Persons,
withinth'e'State of"Florlda Designated by Owner upon:whom notice. -or other documents may b"e•served as
provided by'_SectFon7?3.1;3(1)(b'); Flontla:SQatutes. Name:
NA Address:
In
addition to himself, Owner Designates of To
receive a copy of the Lienor's Notice as Provided in SeCIIOM713:
13(-IXbr Florid. -..Statutes. Expiration,
Date of Notice o :CommencemenIt (TKe'e)(piration' date is. I year from.date•ofrecording, untesTa different.
date is: specified) WARNING
TO O.WiVER' ANY PIA:YMI NTS MADE BXTHE OWNER AFTER•THE EXPiRAeTION OF THE NOTICE OF COMMENCEMENT
ARE CONSIDERED IMPROPER PAYMENTS! UNDER CHAPTER 7.13';::PART I'.." SECTION 71111 FLORIDA
STATUTES, AND CAN 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
COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. 1Jnder
penalties-&perjury;1".dedlare'that'i'have feadthe,for"egoingsand -Thal;the1actsstated in it:are true to th.
e best.-."y know dge.and belief. 2 Indra
Rai 0wner!s:
5ign8ture Owner?s Printed Name Ftoridat.5lat4te
owner must:sign the notice otcommencemenLand no one.else may be permitted tobign in his nr herstead: State -of-
Gounty:of: h Theforegoing instrument
wasacknowledge`>jgrHme tttis dayofY ,20 bX. ,t ` . •..'
9 j / Who i%persionallykno4`m to, me Q. Name ofperson
making me L icy-•:• OR
who has
produced identificatiotr deht Iicbtlon p6duced: 2 FF 966740
O 4r Notary;
Signature Ol11111ititl
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselb.erry,, Lake Mary,. Longwood,, Sanford,.
Seminole County, Winter Springs
Date: j < l
I hereby name and appoint: E Cu v/ ,
an agent of:
Nalre dr,company)
to be my lawful attomey-in-fact to act for me to apply for, receipt for, sign for and do all things
necessary to this appointment for (ebeek only one option):
The spe .ific permit and applicatio fo work ate t:
Street Address)
Expiration Date for This Limited Power of. Attorney.:
License Holder Name: iA4 t r_Li 1-V J9/
State License Number:C
Signature of License Holder:
STATE OF FLORIDA
COUNTY OF
The foregoing instrument wasacknowledgedbefore me thisday of , 200,
by / jc-Ag zJ J7'1 who i ovally known to
me or who has produced as identification
and -who did (did not) take an oath. Signature
y
gclfn i. • Print
or type name FF
sez740 no
dedoet; Notary 'Pubilic - State of iD • a O i,
q,.'•.., CommissianNo. o \, girt
f' My Commission xpires: Rev.
08.12)
SXRFORD
fIRE DEPARTMENT
Building & Fire Prevention Division
Residential Permit Card
PERMIT NO. /4 j A1ISSUEDATE:
CONTRACTOR: 40* RO -0*0e
w
JOB ADDRESS: os 44g m;f e
TYPE OF WORK: I&A ,JNSM000'
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 ex ires 6 months from date of issue or last approved inspection
PROTECT FROM WEATHER
BUILDING
INSPECTION TYPE APPROVED REJECTED INSPECTOR
ELECTRICAL
INSPECTION 7TP£ 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
INSPECTION TYPE APPROVED REJECTED INSPECTORSHEATHING - WALLS
FRAME MECHANICAL ROUGH
INSULATION ROUGH IN MECHANICAL FINAL
DRYWALL/SHEETROCK PLUMBING
INSPECTION TYPE APPROVED REJECTED INSPECTORLATHINSPECTION
FINAL STUCCO/SIDING UNDERGROUND ROUGH
FIREWALL SCREW TUB SET
FIREWALL FINAL SEWER
INSULATION FINAL PLUMBING FINAL
FINAL SFR GAS INSPECTIONS
INSPECTION TYPE APPROVED REJECTED INSPECTORROOF
INSPECTION TYPE APPROVED REJECTED INSPECTOR GAS UNDERGROUND PIPE
ROOF DRY -IN GAS ROUGH -IN
FINAL ROOF IGAS FINAL
MISCELLANEOUS / FINAL INSPECTIONS
INSPECTION 7TPE APPROVED RfJECTF_D INSPECTOR INSPECTION TYPE APPROVED REJECTED INSPECTOR
FINAL DEMO FINAL DOOR
FINAL SOLAR PANELS FINAL WINDOW
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 Inspection Line: 407.792.6069 or 855.541.2112
TO SCHEDULE AN INSPECTION:
Dial 407.792.6069 or 855.541.2112
Provide the items requested during the message
The type of inspection requested must be scheduled under the appropriate permit type
Follow the prompts
To Schedule Fire Inspections: Please call 407.562.2786 ***
PLEASE NOTE: Inspections scheduled by 5:00 p.m. will be conducted the next business
day. If you experience difficulty, please call 407.688.5150 Monday - Thursday 7:30 am -
5:30 pm for assistance.
AUTOMATED INSPECTION SYSTEM CODES
BUILDING ELECTRICAL
FOOTER 104 ELECTRIC UNDERGROUND 211
STEMWALL 102 FOOTER / SLAB STEEL BOND 221
FORMBOARD SURVEY 147 T.U.G. 216
SLAB / MONO -SLAB 103 PRE POWER FINAL 218
LINTEL / TIE BEAM 105 ELECTRIC ROUGH 212
SHEATHING - ROOF 106 ELECTRIC FINAL 213
MECHANICALSHEATHING - WALLS 115
FRAME 109 MECHANICAL ROUGH 409
INSULATION ROUGH -IN 110 MECHANICAL FINAL 410
PLUMBINGDRYWALL / SHEETROCK 131
LATH INSPECTION 132 UNDERGROUND ROUGH 322
FINAL STUCCO / SIDING 130 TUB SET 312
FIREWALL SCREW 120 SEWER 311
FIREWALL FINAL 143 PLUMBING FINAL 313
GASINSULATIONFINAL113
FINAL SFR 138 GAS PIPING UNDERGROUND
GAS ROUGH -IN
328
314ROOF
ROOF DRY -IN 116 GAS FINAL 315
FINAL ROOF III
FINAL DEMO
FINAL SOLAR PANELS
FINAL POOL SCREEN
FINAL UTILITY BUILDING
MOBILE HOME TIE -DOWN
Miscellaneous Notes:
MISCELLANEOUS / FINAL INSPECTIONS
126 FINAL DOOR 136
134 FINAL WINDOW 137
139 FINAL SCREEN STRUCTURE 127
124 FINAL BUILDING - OTHER 112
145 MOBILE HOME BUILDING FINAL 146
REVISED: 4-17 Inspection Line: 407.792.6069 or 855.541.2112
FIRE INSPECTIONS CITY OF SANFORD
407.562.2786 BUILDING & FIRE PREVENTION
BUILDING INSPECTIONS 300 N PARK AVE
855.541.2112 SANFORD FL 32771
DRIVEWAYS -SIDEWALK 407.688.5080
Page 2
Application Number . . . . . 17-00002842 Date 9/26/17
Property Address . . . . . . 2545 MYRTLE AVE A
Parcel Number . . 01.20.30.504-0200-0060
Application description . . . PLUMBING PERMIT
Subdivision Name . . . . . .
Property Zoning . . . . . . . GENERAL COMMERCIAL
Permit . . . . . . PLUMBING PERMIT-ALTER/ADD/FIX
Additional desc . .
Phone Access Code 1003722
Permit pin number 1003722
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
1000 313 PLO5 PLUMBING FINAL / /