911 Park Ave; 17-2860; GAS LINESlam/" CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: /
Documented Construction Value: $ 2.,400 °b
Job Address: 111 5 , -Pgry- & . Historic District: Yes No 0
Parcel 111): 25 - 19 -30- SA 61 - 1103 - 00q() Residential [M Commercial
Type of Work: New Addition Alteration 1 Repair Demo Change of Use Move
Description of Work: j'LI 1 1l0 % ()F Qqs 1tQc, FYGvn th•L}-er 4V IFulur•e, qA5
Stove DYTt - grill la Iy (yip
Plan Review Contact Person: _-{iCtIV1
Phone: l q 07 y 53 - J$q Q ''-Faiixx::
Title; _PR_rrrlt i- E-fffd ifvY
Email: EhytJhVmtZV11'CS'{grMV_F1.Gom
Property Owner Information
Name ItM111-1' *l7i eof 407-11i -y- Phone:
Street: g it S•-Pq rk AVC - Resident of property?
City, State Zip: San Fbrd, P . 3271-72—
Contractor Information
Name 1 Gk- _DI Ia rIA
Street: 1411 S . (l''aingL-610ssorrl Trl .
City, State Zip: 0041n1.F) . 3-.)-.10C=1
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Phone:
Fax:
State License No.:
Architect/Engineer Information GFC b S it4 S
Phone:
Fax:
E-mail:
Mortgage Lender:
Address:
WARNING TO OR'NER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TRICE 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 taws 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 1053.Shall be inscribed with the date of application and the code In effect as of that date: 51 Edition (2014) Florida Building Code
eRevised: June 30, 2015 Pemit Application
t
s
Scanned by CamScanner
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 requiredinordertocalculateaplanreviewchargeandwillbeconsideredtheestimatedconstructionvalueofthejobatthetimeofsubmittal. 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.
WNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will
be e in compliance with all applicable laws regulating construction and zoning.
Signature of
Print 0%%ner/Agent's'Name
Signature
Date
ell 17
Signature o ntractodAgent Date.
nn.(' tCnntractor/Age 'sName
BUD Pub ly,r late CJ
Florida
cmmis4, iL 4
try Comm Expirc5 Jul J, 2di g
Ec "ed hrouo.) anRf h,atary F,ssn'
Owner/Agent is Personally Known to ivI Contractor/Agent is 1 Personally Known to Me or
Produced ID Type of ID Produced ID Type of AID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building Electrical Mechanical Plumbing[] Gas Roof
Construction Type: Occupancy Use:
Total Sq Ft of Bldg: Min. Occupancy Load:
New Construction: Electric - # of Amps Plumbing -,# of Fix
Flood Zone:
of Stories:
Fire Sprinkler Permit: Yes No # of Heads Fire. Alarm Permit: Yes
APPROVALS: ZONING: 1... I ®° (PTILITIES:
ENGINEERING:
COMMENTS: V—
Revised: June 30,2615
WASTE WATER:
FIRE: BUILDING:
P%
Scanned by CarnScanner
Application Number: 17-2860
Project Description: Gas Piping
Job Address: 911 S Park Ave
Building &Fire Prevention Division
PLAN REVIEW COMMENTS
Date: 10/19/2017
Contact Name: Elizabeth Hayhurst
Contact Email: Ehayhurstna,westbrookfl.com
This is a general overview for code compliance in accordance with the minimum plan review required by the Florida Building Code. It is not a
complete detailed review. The comments noted in this review must be addressed before the plans can be approved. Changes to plans shall be
submitted on the same size format as the original submittal — changes in letter form are not permitted. All references to FBC Chapter 1 are as
amended by City of Sanford ordinance viewable on our website at www.sanfordfl.gov. Provide two copies of affected plan sheets and/or
supplemental information as requested Permit submittals will not be accepted without two copies.
COMMENTS:
1. The gas riser is missing required information needed for review. Please provide two (2) copies of a riser that includes the gas type,
BTU's of each appliance served, length of each pipe run, etc.
FBC 107
Any error or omission in this plan review shall not be construed to grant approval of any violation of any of the adopted codes or municipal
ordinances of this jurisdiction.
Office meetings with the plans examiner to discuss comments will require an appointment, arranged by phone or email prior to arrival.
Respectfully,
Steve Fiorey, CBO
Residential Plans Examiner
1411 SOU'FlJORANUr
ORLANDO, FLORIDAU32805
432B
407)
841-3310 • FAx (407) 34 W
ww. W estbrookfl. corn State
Uc. CFC 056645 CUSTOMER AGREEMENT Str•
et 1
yCl ^'.&'*^D ,4SAas1 strrH (,4 U hJ ass K CttY,
Stag, Zq Coa• i'
V f
city,
stale. Z,P code N
F Ptbn•
Fay:
r
3 _ _ Drywall /
Concrete Repairs included? DYes G No DNA Parts &
labor warranty by Westbrook -- Yr Labor -- Yr Parts Standard
Manufacturer's Warranty Parts Total
Price Price
quoted is good for 30 days from date of proposal. We
propose to furnish the above as specified, for the sum of.9 dollars ($
00 Ito Payment
terms wi;! [,7,11ponCompletion CjCredit Card Check Finance per month (approx.) pDeposit BUYER'
S RIGHT -0 CANCEL - YOU THE BUYER MAY CANCEL THIS TRANSACT/ON PRIOR TO ANY WORK BEING INITIATED WITHOUT'y PENALTY
OR C CATION ANYTIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION. As
fu t t r a,,d;tions to this estimate, it is understood that we will not be responsible for delays caused by conditions beyond our cratrol;
thnI pr-,^;Sal (nay be withdrawn by us if not accepted within 30 days from this day, that any alteration or deviation from the move
r zrr e ' +fen ..-r ei,her of them will incur additional charges. All warranty work will be done during regular business hours. i
p,ave au;)>,rity to order the work as outlined above and agree furthermore to pay a service charge of f Y, (t 8%o A.P.R.) on the unpaid tfw beyond
let -js ststod. I also agree to pay all court and attorney fees should collection efforts ever become necessary. I
1 hereby authorize the work outlined above using the equipment listed. d.
A!-V iNSign Date Ih STBROOK
REPRESENTATIVE) (CUSTOMER) Signature Date
a CUSTOMER) N54
541
W7) WHITE -OFFICE "' YELLOW - CUSTOMER Scanned by
CamScanner
POWER OF ATTORNEY
Site Address: q i' s' ASa116r4, 3217 2-- Street
City State Zip Description
of work: T1gmW!M 1 GiaS Contractor:
F—iGIL i'bIIAt14 License#: /c`+'""' Print
Name of License Holder) Vrt S tP s Phone#
C4V7 qy(-33 1) As
contractor for the above referenced permit, I hereby a
thorize a
hyr-C4- o sig documents related to the above mentioned address. Print
Na ) Signature
of License Holder) State
of P pr' 4 County of O1 a'AThe
foregoinginstrument was acknowledged before me this 13 i_ dayof
d7 221 by P-ity— —Pb llah4 Whois
personally known to me or has produced as identification,
and did take an oath did not
takf. q oath. I J CNZiSTY tltiE'
M%1E Print name: a'
seaN ta,
Pu ii dale of Flcrida Cc miss on #
FF 214512 y Corn. Expires
Jul 11, 2019 Notary Sign tU
Bonded trieu9hhat3anw+Notary"sso. CN.R!STY
N. NEWSOME Notary Public - State
of Florida h ; • Ccmmission t1
FF 214512 Comm. Expires Jul
17.2019 t° 'oo r:
a?ia:.atikuSary-.ssn. 407) 841-33201
FAX (407) 425.9934 I riww.westbrookfl.com 1 1411 S. CR%.:'IGE PLOSSOM TRAIL GRLA*1D0, FLORIDA KS05 Scanned by CamScanner
BP006U01 CITY OF SANFORD 10/12/17
Edit Narrative 11:17:51
Application number, type . . . 17 00002862 PLUMBING PERMIT
Property address . . . . . . 911 PARK AVE
Type information, press Enter.
All work limited to interior, lines for plumbing, gas,
electrical may not be run along exterior walls.
More...
F3=Exit FS=Copy F6=Insert F7=Delete F8=Time stamp
F12=Cancel F21=User defaults
i t
CAD T t
yy
t Cis Ave z c m sp m x U) (
n
I
TmC(i • Zcm D0m D "'
aoz0z- Z v _
cG)-70 O-
n-v d 9 D o= o, o
02>-4OOm 77 v n Vi
ZOO m<no > O
OmOr-vO-MT W m
3
0
TCo i r C m
OpDZrn-
tt--
m
r rZTmZzxoD-Im
ZmO0Ommz
Z d
Z DTrO
A. T77m7pm C C Rv
2TT MmDm7 (
z 4 C) - CO
cn O-vm-oZmZo p
G
v o m(n z >,) M>> ,O _•t'C
OA c?
OD
N
z
vc o
YL r
ofie
0
L TJ,CC
TC
IBC
Ctn S vet tic s
inGC«"Le
C
119 .19
2
2
lop
q I 1 S. pptzK-
Ave"OE
II, rR.
4D PT poor
Scanned
by CarnScanner
R EQUMRED INSPECTION SEQUENCE
I$1P4 I-1-7-2-( - _ Address: q ! I S . AAe— A114
OUILDING )PERMIT
milm Max .. Inspection Description
Footer / Setback
Stemwall
Foundation / Form Board Survey
Slab / Mono Slab Pre our
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)
ELECTRICA.L F. IE 2MIT
min Max IIns ection Description
Electric Underground
Footer / Slab Steel Bond
Electric Rough
T.U.G.
Pre -Power Final
Electric Final
t
min Max IIns ection Descri flon
Plumbing Underground
Plumbing Sewer
Plumbing Tub Set
Plumbing Final
iCCHANI A
ZRA.
T.r
I III I.I \ Inspection Description
Rou—
Mechanical
a f
1.._.G_. 1 'D ^ 1
i r•.. :. t
4('
V rJ % 1
L•: :`
v, c=P ::i ,7 C::•.'::. t rut. {tt.("•.r- ' {yam:y l.c 't>;:r`tIS::""i Sn1 $.... P • 3%t •ft r'•r eS.``:ii 1+. f t` r+.. I .iM b'riJ( Kfr. '. f j•7y: , ',. r+;.'.. ..I.9;:, ' '..,`r' .J' euj N% L+sa.r_r.A.c`a;C„i?A.L...r:evlt<_, 5i,:_...JS`-.msY._.suf..:.:.;:t.:r t:
IIIsI4i t I I'P lil Di sqI I PI I'1'III
Gas Underground
I m. • , .
REVISED: June 2014