1514 Mangoustine Ave 01-877 com additionPERMIT ADDRESS 1) e
ki-e-
CONTRACTOR
ADDRESS !' . (� , P)
LK nckr� r(,
PHONE NUMBER `� - 3� - U
PROPERTY OWNER Ck
ADDRESS ISM LA N C f, C-,LA5-A-�f)C- l -
r) r70 r F L &I-)
PHONE NUMBER U �' -) �-A6 5),
ELECTRICAL CONTRACTOR � Adis d O(OL,
MECHANICAL CONTRACTOR
PLUMBING CONTRACTOR
MISCELLANEOUS CONTRACTOR
PERMIT NUMBER FEE
MISCELLANEOUS CONTRACTOR
PERMIT NUMBER
FEE
SUBDIVISION
PERMIT # 0 1 -30' 1 DATE
PERMIT DESCRIPTION Double l,W'.*de l )G,
PERMIT VALUATION '-0 ) a 0 L u
SQUARE FOOTAGE 1 -Lo C)
I
r�
H
(�J / FEMA REC'd
• l �! n I SLAB REC' d
• ` - INSPECTOR
a
REQUEST FOR FINAL INSPECTION cL
Lu
RTIFICATE OF OCCUPANCY/COMPLETIpN
****NEW COMMERCIAL BUILDING""
DATE 0-01 '
PERMIT # I
.ice i c a
V r' CS
w i w. 3: cr, E v
ADDRESS i5N KCkf� CIAO u�5�`r1 e- .,
PROJECT 1Ytf)1 Z 2 Q 5 v%A
1P
CONTRACTOR ' m Coons+ u cyo n �
U 4 CL a y a,
C Z' a t
The Building Division has received a request for a final inspection and a
Certificate of Occupancy for the above referenced address. We would appreciate
a final inspection of the site by your department. Approval by your department
would result in a granting a C:O. for the address. If you have any issues that the
contractor will need to address, please submit a statement for denial of C.O. or a
conditional agreement to be attached to the C.O.
Thank you for your cooperation.
Engineering Fire
Public Works Zoning
Utilities
Conditions: (to be completed only If app oval Is con 'tional)
SW� d ! /Q/ /
Li�t2 nxv �� /70ei
8L
N�,,,s-7fN- DV�.
� s/G�
FEMA i
D d U SIA B i
•. INSPE(
•. a o r
REQUEST FOR FINAL INSPECTION
CERTIFICATE OF OCCUPANCY/COMPLETION .
:.:.r r
****NEW COMMERCIAL BUILDING
i r
ATE l�
ERMIT#
DDRESS 1,5N on IJ'S-k�Y) e-
• r ti c°s a
ROJ ECT l ► (1 (' CU��; r: c
��
ONTRACTOR_ m Pon's u C� � n � 4.a . u
r a.
LIJ W
Cr0 0
The Building Division has received a request for a final inspection and
ertificate of Occupancy for the above referenced address. We would appre
final Inspection of the site by your department. Approval by your departm(
ould result In a grunting a G.O. for the address. If you have any Issues that
)ntractor will need to address, please submit a statement for denial 'of C.O.
)nditional agreement to be attached to the C.O. /
lank you for your cooperation.
igineering Fire
iblic Works Zoninq
:ilities_ I/ Licens
DEVELOPMENT FEE WORKSHEET
CITY OF SANFORD'
UTILITY - ADMIN.
P. 0. BOX 1788
SANFORD, FL 32772-1788
ffQ0;7.'v-.
7.P,�;TY CH�RcN, /4o0�69R Qvlcoi^�6
Date
Project Name:
\
Phone:
Owner/Contact Person:
Address: S /. 1-7 ,VGovs7'!E
4
Type of Development:
1) RESIDENTIAL
Type of Units (single•family
or multi -family):
Total Number of Units:
Type of Utility Connection
(individual connections
or central water meter &
common sewer tap):
Water Meter Size (3/4",
2", etc.):
REMARKS:
2) NON-RESIDENTIAL
Type of Units (commercial,
jNs 7
industrial, etc.):
Total Number of Buildings:
Number of Fixture Units
S
(each building):
Type of Utility Connection
(individual connections
or central water meter &
- Ctv-74#.
common sewer tap):
Water Meter Size (3/4"
Ex,r�l✓G
2", etc.)
REMARKS:
jr.
P.
CONNECTION FEE CALCULATION:
lv�}ii.2 jrlp9c7 rsc
=(
OS-0
;`
S/wGR i•rPgc7 /cCE
_ �/ 70 0
Name - Signature
- Date.
-7/-
REVISED �96
0/y-7
00
UTILITIES DEPARTMENT �l 3,p(
CITY OF SANFORD, FLORIDA o. 4783
RESIDENTIAL a��•1 Q ,
a: � �-a5
•
COMMERCIAL Q
\
AMOUNT
//M06
c
sD
SEWER GROWTH
1
WATER GROWTH
METER SIZE
SEWER TAP
STREET CUT SW 7 WA
TOTAL
CITY OF SA ORD ..
b
BY— sh�
;f
FEMA REC'd
SLAB REC'd
INSPECTOR
REQUEST FOR FINAL INSPECTION
CERTIFICATE OF OCCUPANCY/COMPLETION
****NEW COMMERCIAL BUILDING****
DATE _ D-01
PERMIT #
ADDRESS
PROJECT 10 F
P
CONTRACTOR (Y] h cons+ it& O O
The Building Division has received a request for a final inspection and a
Certificate of Occupancy for the above referenced address. We would appreciate
a final inspection of the site by your department. Approval by your department
would result in a granting a G.O. for the address. If you have any issues that the
contractor will need to address, please submit a statement for denial of C.O. or a
conditional agreement to be attached to the C.O.
Thank you for your cooperation.
Engineeri
Public Works_ Zoninq
Utilities Licensing
Conditions: (to be completed only if approval Is conditional)
Z)
C� kC cc�^
s
CENTERLINE OJ
F W. 15TH ST.
- - �--- _........ .......
io
of
rn
0
0
v
ER LINE OF BLDG.
m SHED y
36" OAK TREE
LEGAL: LOTS 10 & 13 FLA.
LAND & COLONIZATION ADD.
TO SOUTH SANFORD, PB. 1
PG. 73
PLOT PLAN
PLAN FOR: HOLY TRINITY CHURCH OF
GOD IN CHRIST_
ADDRESS: 1514 S. MAGOUSTINE AVE.
DATE:4/8/98 SCALE:1" = 40- PAGE:
PROP. I.D.# 35-19-30-503-0000-0100 1
FLORIDA ENERGY EFFICIENCY CODE POR BUILDING CONE
FORM 500-e-91l: . SECTION 5 6 BUILDING DESIGN W COMPONENT PERFORM
Non-Residentlal Buildings ADMINISTERED BY THE DEPARTMENT OF COMMUNITY A
Residential Buildings over 3 stories
-
PRO •
ALL CLIMATE N
PROJECT NAME:
GA 194Z 19 4- 3 A lik T-5
ZONE
ADDRESS:
BUILDING CLASSIFICATtO
CITY ZIP CODE:
BUILDING PERMIT NO.: V00
BUILDER: Acno,.j
1�k vEf25 t FI O INo. IN c .
PERMITTING OFFICE
'
OWNER 9 2
- 8
JURISDICTION NO- ka.
BUILDING
INFORMATION 1
Ea,
GLASS
WALLS
ROOF/CEILING
I FLDORJJDO
RS
TYPE
U
AREA
TYPE
U
TYPE
U
AREA
TYPE
U
AREA
TYPE
U
AREAConcrete
(CBS)
wood Items
Metal frame
Insulation R-value
Under attic
Single Assembly
Other:
Insulation R-value
.0p
Slob4"rods
Raised Wood
Raised concrete
Insutollon A-volus
wood
Metal
Insulated
Other
Single. wall
Double. wag
Single, tool
Double, roof
13
.0
OG
!AREA
p
fd,
1
I
(h
SYSTEMS INFORMATION
AIR CONDITIONER
HEATING SYSTEM
TYP
FFI I N Y TONS
TYPE EFFICIENCY .. BTUIH
TYPE
llnf ,y a Hnat Pure
L PACKAGE)
t
Central a Most Pump
Electric
.65.000etwb
8.6 SEER
(2)
<85.000Bluth HSPF
Resistance 811,
Z65.01:10 Bluer
EER
rPLV
Z 65.000 Bluth COP
Oedkaled Hest Pump ❑
Water Coded
EER
tPLy
Water cooled COP
Gas
Evaporattvely cooled COP
Natural ❑
Ew�patfhaly Cooled
EER
Electric Resislance COP
LPG ❑
PTAC
EER
Gas 1011(circle one)
Og ❑
Choirs
COP
rPLV
< 225.0001300.000 Btu Ih AFUE
HRU ❑
Other:
Z 225,0001300.0tO Btu Ih Et
Other
LIGHTING I I ZO Lighting Budget (from Table 5.13): •
Total Wattage 1900 + Total Araa 1-7
Lighting
Conditioned Floor = Waltslsq. It:
PRESCRIPTIVE MEASURES (Mutt be met or exceeded by all buildings.)
COMPONENTS
SECTION
REQUIREMENTS
CHECK
Windows
502.4
Marri um of .37 cfm per linear foot of operable sash txadl
Door
502.4
Maitimum of 1.25 dm per lguare Pool of door thigh,
X
Joints/Cracks
502.4
To be caulked, gasketed, weathheratrtpped Of otherwise sealed.
Reheat
503.3
Supply air restricted to set coldRwt deck temperan to meet bad of worst ease zone. Resistance reheat prohibited.
Ventilation
503.4
Supplied with readily accessible switch for shut-off and/or volume reduction when ventilation is not required.
HVAC Efficiency
503.4
Minimum effi loncies-Heating: Tables 54. 5.5 a 56. Cooling: Tables 5.7A, 5.78. 5-8 a 5-9.
X
Transport Energy
503.5
Minimum of 8.0.
X
Baland2g
503.6
Provide means for balancing HVAC air system a water distrttxrtion am.
HVAC Controls
503.7
Separate readily accessible manual or automatic thermostat for each tam.
HVAC Ducts
503.8
Air ducts, fittings, mechanical equlpmhemt and plenum chambers &hall be mechanically attached, sealed,
503.9
Insulated and Inatanad In accordance with fhe alteAa of sections 503.8. 503.9 and 503.10.
503.10
k
Piping Insulation
503.11
In accordance with Table 5-10.
Water Heaters
5042
Automatic electric storage water heaters 5120 gations and gas a oil -fired storage water heaters
175.000 Btu/h shin meet performance minimum In Table 5.11. Larger sized water heaters shin
meet minimums In Table 11.1 of Standard RS-9 after 111192.
k
Swimming Pools
5042
Spas a heated pods must have covers. Noncommercial pools oust have pump timer.
A Spas
Gas spa a pool heaters must have minimum thermal emdency of 76%. -
N/A
Hot Water Pipe
504.4
Piping hest loss Is limited to 17.5 Btu/h linear foot of pipe for recirculating systems (see.Table 5.12).
Insulation
N/A
Water FlAvres
501.5
Water flaw restricted to maximum of 3 gpm at 80 prig; toilets maximum 3.S gallon Flush.
Public lavatory firturs maximum flow of .5 gpm at .5 gallon If has self -dosing vehro.
k
Lighting
505.1
Lighting power budgets are fisted In Table 5.13. Minimum Ballast Efficacy Factors are fisted In Table 5.14.
X
U l wen Allowable
0
U wen Actual • I
o
n eaTatMk9 under the prwbero d S. 502.1, eryer the eanbned Uo vehres to the entire erwabpe
Uo rod leaning Anoweble
Uo root/ceiling Actual b
in BIb section.
ZS
Uo fear Allowable
Uo near Actual
Uo envelope Allowable • Uo erwebpe Actual .10
OTTV well Allowable
OfTV wan Actual
OM rad Icellirg Allowable R _ 5
OfTV rod /celll4 Actual
Compitartm with S6-ctlon 5 was demonstrated by a Prescriptive Measures methodology:
(� S08.0 (A) Ootached Commercial buildings 508.0 (b) Skyboxes or sports stadium buildings
t 16s tt`an 100 feet. EJ
.J' square that atA used only seasonally.
-I hcrtry orety Oat
wn h 0*4 Fivkla E
dun and
Coda.
V�Ted
by the COW& re in compnenee Re few d plins and toed echo a owwed by edit calculation I dlrJI" eornpnanee with the
nonds Err,gy Code. "ore I
PnEPAREO BY:
cor+uuabn y oorplehed. Ohre bA*V Ma be apex for
�OAT : oompaano* In aooddanoe rah Seakli SS3.e06. F.S.
; thareby,00nrfy
In mrnpda Err.py Code. BUILDING OFFICIAL:
GATE: DATE:
m
FLORIDA
MODEL ENERGY EFFICIENCY BUILDING CODE
OTHER THAN "R" BUILDINGS
MANUFACTURER_ -IC jip,� ��V -S/F/E'Q p -TV C.
MFR. MODEL A= l94 Z / 154 3 A F B HWC PLAN NO._ 19 Z9 - 989
Gross Wall AOW - 1159
_
Net Wall A = 1 Q (0 8 U =
W .09
Glass AG
Doors A = 4w
D
Gross Roof AOR = I 1 ZO U OR -
Gross Floor AOF - 11Z - • 05 O U OF -
Og•
Gross Envelope A = A + A + A - 3399
0 OW OR OF -
Wall UOW = (AW UW) + (AG UG) + (AD UD)
AOW
Wall UOW = (10GS)('09) + (45 )(1.13) + (46
Envelope Allowable UO = .36 (AOW)+ .10 (AOR)+ .30 (AOF)
AO
Envelope Allowable UO = .36 (11 59) + .10 (1120) + . 30 (I
25
Envelope Actual UO = (UOWAOW) + (U-- A-- + (UOFAOF)
AO
Envelope Actual U=
O (.IS) (11Sg) + (,OS) (1120) + (,09) (1120 =
( 332) ) ) •�� < •25
Wall OTTV = (UW A TDEG) + (AG SF SC) + (UG AG AT) + (UD AD TDEG)
AOW
Wa 11 OTTV = (. 09) (1068) (4 4) + (4S) (16 3) (.7) + (I.13
)(45)(15) + (4L)(44)
( 1159 )
ROOF OTTV = U
• OR �R TDE R
NR
ROOF OTTV = (.OS ) (i) (80) _
a•0 -<, 8.5
= 9--7 _ 29.0
e
? JUL 2 1992 10
o
0
°y
J
DEVELOPMENT FEE
WORKSHEET
CITY OF SANFORD-
UTILITY - ADMIN.
P. O. BOX
1788
SANFORD, FL 32772-1788
Project
Name • . 7 Pemr rK Cf —101 /5o aut.1,Q
Rw-Lol-6 f�d 0:7..`v-•
Date:
/
Owner/Contact Person:
Phone:
Address:
l s 14 17,q V6ous7.vE
Type of
Development:
1)
RESIDENTIAL
r
Type of Units (single -family
or multi -family):
Total Number of Units:
Type of Utility Connection
(individual connections
or central water meter &
common sewer tap):
Water Meter Size (3/4",
1" 2" etc.):
REMARKS:
2)
NON-RESIDENTIAL
Type of Units (commercial,
industrial, etc.) :
/'ems-7
Total Number of Buildings:
f
Number of Fixture Units
. (each building):
S
Type of Utility Connection
-
(individual connections
or central water meter &
common sewer tap) :
Water Meter Size (3/4"
Ekir7��G
1", 2", etc.)
REMARKS:
�
CONNECTION FEE CALCULATION:
7- 144_
I /
/
�/ 70 0v/
Name - Signature -
Date.
7/W
REVISED
�96
. _ n�cw [mNaCC tCC"
Equivalent Residential Connection (ERC) - 300 Gallons Per Day (GPD)
Residential
$650/Unit - Single family structure, or multi -family unit
containing three (3) bedrooms or -more.
$487.50/Unit - Multi -family unit or Mobile Home unit containing
less than three (3) bedrooms. (This category is
based on judgement/assumption, estimation that
such family units on average require 75% - 225 GPD
of the water and sewer service of an average
single family unit.)
Commercial -
$650/ERU -. Fixture unit schedule from Southern Plumbing Code
will be used. One ERU will be charged for
connection and up to twenty (2) fixture units.
For projects having more than twenty (201 fixture
units the Impact Fee will be determined by
Increments of 251 based on multiples of five (5)
fixture units above the twenty (20) fixture unit
base for the first ERU. (Example: twenty-five
(25) fixture units will be rated as 1.25 eru:
twenty-six (26) fixture units will be rated as 1.5
ERU.)
2) Sewer System Impact Fees
Equivalent Residential Connections - 270 Gallons Per Day (GPD)
.Residential•-
S1700 Unit - Single family structure, or multi -family unit
containing three (3) bedrooms or more.
$1275/Unit - Multi -family unit or Mobile Home unit containing
less than three (3) bedrooms. '(This category is
based on judgement/assumption/estimation that such
family units on average require 751 of water and
sewer service of an average single family unit.)
Commercial - Industrial - Institutional
$1700/ERU - -Fixture unit scheduli.from Southern Plumbing Code
will .be used.. One ERU will be charged for
connection and up to twenty (20) fixture units.
For projects having more than twenty (20) fixture
units the Impact Fee will be increments of 251
based on multiples of five (5) fixture units above
the twenty (20) fixture unit base for the first
ERU. (Example: twenty-five (25) fixture units
will be rated as 1.25 ERU; twenty-six (26) fixture
units will be rated as 1.5 ERU.)
t
TABLE 7U9.1
DRAINAGE FIXTURE UNITS FOR FIXTURES AND GROUPS
FIXTURE TYPE
DRAINAGE FIXTURE UNIT VALUE
AS LOAD FACTORS
MINIMUM SIZE OF TRAP (Inches)
Automatic clothes washers, commerciala
3
2
Automatic clothes washers, residential
2
2
Bathroom group consisting of water closet, lavatory, bidet and
6
bathtub or shower
Bathtub (with or without overhead shower or whirlpool
2
1 /2
attachments)
Bidet
2
11/4
Combination sink and tray
2
0/2
Dental lavatory
1
11/4
Dental unit or cuspidor
Dishwashing machine c domestic
1
2
11/4
Drinking fountain
1/2
) /2
11/4
Emergency floor drain
U
2
Floor drains
2
2
Kitchen sink, domestic
2
l /z
Kitchen sink, domestic with food waste grinder and/or dishwasher
2
l /2
Laundry tray (1 or 2 compartments)
2
1 /2
Lavatory
1 >e ( 1
11/4
Shower compartment, domestic
2
2
Sink
2
1 /2
Urinal
4
Footnote d
Urinal, 1• gallon per flush or less
2°
Footnote d
Wash sink (circular or multiple) each set of faucets
2
1)/2
Water closet, flushometer tank, public or private
4e
Footnote d
Water closet, private installation
4 k I = i
Footnote d
Water closet, public installation
6
Footnote d
.� llull, � gallon = I.raa L. S
For traps larger than 3 inches, use Table 709.2.
b A showerhead over a bathtub or whirlpool bathtub attachments does not increase the drainage fixture unit value.
See Sections 709.2 through 709.4 for methods of computing unit value of fixtures not listed in Table 709.1 or for rating of devices with intermittent flows.
d Trap size shall be consistent with the fixture outlet size.
For the purpose of computing loads on building drains and sewers, water closets or urinals shall not be rated at a lower drainage fixture unit unless the lower values
are confirmed by testing.
TABLE 709.2
DRAINAGE FIXTURE UNITS FOR FIXTURE DRAINS OR TRAPS
FIXTURE DRAIN OR TRAP SIZE
(Inches)
DRAINAGE FIXTURE UNIT VALUE
11/4
1
11/2
2
2
3
21/2
4
3
5
4
6
Standard Plumbing Code@1997
[-wl w: 1 Inca = U.4 (jtrtL
'DEPARTMENT OF INSPECTION
City Of Sanford, Florida
Address:
Date Rea
Date / Time Inspection Needed: A171a'O
Permit No.:
Owner:
Requested By:
Inspected By: Date: e_zv
Building: O Foundation
❑ Frame
❑ Roof Shingle
Electric:
❑ C.O.S
❑ Rough -In
Plumbing:
❑ Sewer
O Tub Set
Insulation:
❑ Rough -In
Mechanical:
❑ Rough -In
Pool Install.:
❑ Foundation
Occ. License:
❑ Preliminary
Remarks:
O Slab ❑ Lintel
O Firewall ❑ Roof Decking
❑ Final
❑ Temporary
❑ Final
O Rough -In
❑ Final
❑ Final
0 Final
❑ Final
❑ Final
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P.O. Box 1788.32772-1788 d
Telephone (407) 330-5673
Fax (407) 330-5679
Department of Engineering, Planning and Zoning
July 1, 1998
Holy Trinity Church of God In Christ
Attn: Rev. Jeffery Williams
1514 S. Mangoustine Avenue
Sanford, Florida 32771
Re: 1514 S. Mangoustine Avenue
Tax Parcel No: 35-19-30-503-0000-0100
Dear Rev. Williams:
At its regular meeting of June 18, 1998, the Planning and Zoning Commission considered a
request for a Conditional Use for property located at 1514 S. Mangoustine Avenue for the
purpose of establishing a church office and multi -purpose building with an associated Dimensional
Variance for a reduction in side yard building setback requirements within an MR-2, Multiple
Family Residential Zoning District.
The action of the Commission was to approve the request based on the existing character of the
immediate area at the present time and the fact that the proposed building setbacks are similar to
setbacks provided by other properties in the general area.
If I may be of further assistance, please do not hesitate to contact me.
Very truly,
Russ Gibson, AICP
Land Development Coordinator
RG: mca
"The Friendly City"
D("3— /,jl
CITY OF S AFFORD ELECTRICAL APPLICATION
PERMIT NO. C'J1 (1 �jjJ ' I DATE: z `W — 0
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO INSTALL THE
FOLLOWING ELECTRICAL WORK: , / /•
OWNER.: "y 7-/'ihi 7-t� �I�ilub-C, Qt Od0 i1�1 C.�/iS�
ADDRESS OF JOB: �S/� %��dL��s„/r//f P
ELECTRICAL CONTRACTOR: Sk4 ' "' � �C RES NON-RES�
Subject to rules and regulations of the city electrical code:
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By signing this application I am stating I am in compliance with the C Elec cal Code
App cants Si nature
States License#
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CITY OF SANFORD
FIRE DEPARTMENT
FEES FOR SERVICES
PHONE #: 407-302-1091 �J
DATE:7)Z&?' PERMIT #:
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BUSINESS NAME: 7
ADDRESS: IS
PHONE NUMBER: ( ) �30
PLANS REVIEW TENT PERMIT ❑
BURN PERMIT ❑ REINSPECTION ❑
TANK PERMIT ❑ FIRE SYSTEM ❑
AMOUNT $
COMMENTS:
Fees must be paid to Sanford Building Department, 300 N. Park Avenue, Sanford,
Florida. Phone # 330-5656. Proof of payment must be made to Sanford Fire
Preven ' n before any further services can take place.
I certify that the above information is
true and correct and that I will comply
with all applicable codes and ordinances
of the City of Sanford, Florida.
Sanfor ire revention
Applicants Signature
ROUTING MEMO
ACTION: 4. Please Call Me 8. Note and Return 12. Re Our Conversation
1. Your Information 5. Please Handle 9. Signature 13. Your Comments or
2. Approval 6. As Requested 10. Please Reply Recommendations
3. Please See Me 7. Please File 11. See "Remarks" 14. Read and Pass On
REMARKS (Use Reverse Side for More Space)
Pam: I S I �.-
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pPef
h�r�dl� acolt-cj in�[
FROM DATE
�,&� I 1-I-- I-�- c5z:)
o� Sanford,
°rld
P.O. Box 1788 •32772-1788 d
Telephone (407) 330-5673
Fax (407) 330-5679
Department of Engineering, Planning and Zoning
July 1, 1998
Holy Trinity Church of God In Christ
Attn: Rev. Jeffery Williams
1514 S. Mangoustine Avenue
Sanford, Florida 32771
Re: 1514 S. Mangoustine Avenue
Tax Parcel No: 35-19-30-503-0000-0100
Dear Rev. Williams:
At its regular meeting of June 18, 1998, the Planning and Zoning Commission considered a
request for a Conditional Use for property located at 1514 S. Mangoustine Avenue for the
purpose of establishing a church office and multi -purpose building with an associated Dimensional
Variance for a reduction in side yard building setback requirements within an MR-2, Multiple
Family Residential Zoning District.
The action of the Commission was to approve the request based on the existing character of the
immediate area at the present time and the fact that the proposed building setbacks are similar to
setbacks provided by other properties in the general area.
If I may be of further assistance, please do not hesitate to contact me.
Very truly,
Russ Gibson, AICP
Land Development Coordinator
RG: mca
"The Friendly City"
Permit Application [Manufactured Home Installation
Permit #
Applicant V
Address 4 Name of Licensed Dealer/Installer �Ll��a-soL�c/,ariSr,1a�,
Sea► TiY�, 3 27?/ License Number Cl1—GlJS7�/2,
Installation Decal # %94 ,6 9�-e?
Manufacturers NameA�77//,
Roof Zone Wind Zone
Number of Sections +WIDTH _ _LENGTH 1�'S YEAR 19f�L SERIAL #
Installation Standard Used: (Check One) MANUFACTURERS MANUAL 15C-1
SITE PREPARATION: 1#4 —
Debris and Organic Material Removal 2,6V1� Compacted Fill
Water Drainage: Natural /S- Swale Pad Other
FOUNDATION:
Load Bearing Soil Capacity or Assumed 1000'PSF
Footing Type: Poured in Place Portable — Size and Thickness
I -Beam or Mainrail Piers: Sipgle Tiered —2K Double Interlocked
Size of Piers 9"XL",y16 Placement O/C
Perimeter Pier Blocking: Sizes- IQ t'lacement O/C �42 219-5'
Ridge Beam Support Blocking: Siz&r8``, Numbery Location(s)
Ridge Beam Support Footer: Sizeku& lumber Location( )
Center Line Blocking:Number �� Wn —�_ Size/4 6 Location(s)
Special Pier Blocking Required: (Fireplace, Bay Window, Etc.) YES NO zi
Mating of Multiple Units: Mating Gasket Type Used
Fasteners: ROOFS Type and Size �� Spacing 0/C
ENDWALLS Type and Size Spacing O/C
FLOORS Type and Size "�3 Spacing `�$ O/C
ANCHORS
Type 3150 Working Load 4000 Working Load —"\ Ar
Height of Unit: (Top of Foundation or Tooter to Bottym of Framc) 36)
Number of Frame Tics: — Spacing 0/C Angle of Stmll�)cbr-
Number of Over Roof Tics: (If Required) ,
Number of Sidcwall Anchors /.one
Number of Ccn(erlinc Anchors Nunihcr ol' Suihihi.cr 1)cV1cc\-
Vents Itcquircd for Underpinning (I SI:/l 50 SI: ol' Hoor nrca) Numhcr
d0*1/VJjW4M CITY OF SANFORD, FLORIDA
APPLICATION FOR BUILDING PERMIT '
•
PERMIT ADDRESS rihnr Vd, PERMIT NUMBER
Total Contract Price of Job gm
Total Sq. Ft.
Describe Work r.� fQ'JM
Type of Construction Flood Prone (YES) (NO)
Number of Stories Number of Dwellings Zoning m,Q^
Occupancy: . Residential Commercial industrial
LEGAL DESCRIPTION (please attach printout from Seminole County)
TAX I.D. NUMBER-
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OWNER _
ADDRESS
CITY
TITLE HOLDER (IF OTHER THAN OWNER)
ADDRESS h IX
CITY STATE ZIP
BONDING COMPANY
ADDRESS O
CITY STATE ZIP
ARCHITECT
ADDRESS
CITY
MORTGAGE
ADDRESS
CITY
LENDER AA
CONTRACTOR
ADDRESS
CITY
*******************************
STATE
ZIP
STATE ZIP
\ or,-* Hoy
PHONE NUMBER -
ST. LICENSE NUMBER
STATE 1 Z I P1`]��>�
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, PLUMBING, MECHANICAL, SIGNS, POOLS, ETC.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that
all work will be done in compliance with all applicable laws regulating construction
and zoning. A COPY OF THE RECORDED COPY OF THE NOTICE OF COMMENCEMENT WILL BE POSTED
ON THE JOB SITE WITH PERMITS NO LATER THAN SEVEN (7) DAYS AFTER THE PERMIT HAS BEEN
ISSUED. FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOU PAYING TWICE FOR
THE IMPROVEMENTS TO YOUR PROPERTY. 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.
ACCEPTANCE OF PERMIT IS VERIFICATION THAT I
T
rSigna
WILL NOTIFY THE OWNER OF THE PROPERTY OF
THE REQUIREMENTS OF FLORIDA LIEN LAW, FS713.
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Sig re.af_-,NaUaxy_&.mot? e� —�
(ARL�E1 K�.e MKEY
•`ioP!.. . Mary L. Muse
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NOTARY PU3LIC, STATE OF FLORIOA
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; f�< Expires Aug. 4, 2003
MY COMMISSION # CC476424
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EXPIRES: June 2r, 1Qr9
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Application Approved BY: i%U' Date7"g
FEES: Building / Radon Q Police Fire
Open Space Road Impact Application Vel
PERMIT VALIDATION: CHECK CASH DATE /-7' BY
ORIGINAL (BUILDING) YELLOW (CUSTOMER) PINK (COUNTY TAX OFFICE) GOLD (CO. ADMIN)
**** THIS APPLICATION USED FOR WORK VALUED $2500.00 OR MORE
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