323 San Lanta Cir - E18-003619 - WIRINGCITY OF
t' "" ,' Sjk 40RD PERMIT APPLICA'rION49BUILDINGDIVISION
Application No: 1 a 10
Documented Construction Value: S Gov . o0
Job Address: 3 Z3 C- aX. LAr 3229 Historic District: Yes[] Nog)
Parcel ID: 3/-19-3 ' S-0,-oa00 -'Q 06 Residential J, Commercial
Type of Work: New Addition Alteration Repair Demo Change of Use Move
Description ofWork: TA sail (orc.e.1 L-1 R)( JT4
ST4 u LreL , , -on fo,..., Q X-zr 8axcn i + At Cond2. [ Plan Review Contact
Person: t,-L/,c, 'L./ 4
s
Title: 6 ci Phone: tiIC?-yP`
Fax: Property Owner Information
Name t A
RaA t,:Li-J (/ -Tci 111 Phone: Street: 25,3
AvE_S.9ond2cs xJ,k.Vol Resident of property? City, State Zip:
d QCA"-tom 4 329n 1 Contractor Information Name
5TL. r:---
c- - u L Phone:_ '%- Y(> Street: r'7o7
i'.'f'2c,04-4 - Fax: `1d %' i%6 %•2 City, State Zip:
QI-Z6147 C FL• 3-22U State License No.: l / 60 Architect/Engineer Information
Name: Street: City,
St,
Zip:
Bonding Company: Address:
Phone: Fax:
E-
mail: _
IN•
lorlbage Lender:
Address: WARNING TO
OWNER:
YOUR FAILURE TO RECORD A NOTICE OF COMtMENCEXIEN't'.MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. A NOTICE Oh CO I'lliNCli lliN'I' ,IUa'1' HE IMCOROED AND POSTED ON THE
JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINA\'C:I,N6. CONSULT WITHYOUR LENDER
OR AN ATTORNEY BEFORE RECORDING YOUR NO'I'RA:OF C:OAI NIli\CEMENT Application is hereby
made to obtain a permit to do the work and instnllations:u indicated. I ccrtilj• that m, tt,irl or ilwallation has commenced prior to the issuance
of permit and that all work will be perlimned to meet standards of all laws rcgulaiiul; construction in this iuristliction. I understand that a separate
permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and air conditioners, etc.
I:BC 105.3 Shall be inscribed with the date of application and the code in effect us of that date:6"' lidition (2017) I'lorida Building Code
N )rl ' -: In addition to the requirements of this permit, there maybe additional restrictions applicable to this property that may he lound in the public
records of this county, and there may be additional permits required from other governmental entities such as water managen ew districts, state
agencies, or federal agencies.
Acceptance of permit is verification that I will notify the owner of the property ofthe requirement; of Florida Lich Law, I:S 71.3.
11he City of Sanford requires payment of a plat review fie at the time of permit submittal. A copy of the executed cu tract is required in order to
calculate n plan review charge and will be considered the estimated construction value ol'the joh at the time of submittal. I'he actual construction value
will he figured based on the current ]CC Valuation'I'able 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 %vork will be
done in compliance with all applicable laws regulating construction and zoning.
Signature of Owner/Agcni
Print Owner/Agent's Name
Datc
Signature of Notary -State of FloriJa Date
1-2311,E
Sigt atftrc oft:omracwr/Agent Dale
16.E.1 dick 9,5 --
Prim Cumr.aur/:1gem s .'ante
signature of NotaryS atc of Flori.la Date
Owner/Agent is Personally Known to Me or Contractor/Agent is _X Personally Kjiown to Me or
Produced ID Type of ID ProducedIU Type of III BELOW
IS FOR OFFICE USE ONLY Permits
Required: Building Electrical Mechanical Plumbing Gas Koof Construction
Type: Occupancy Use: Total
Sq Ft of Bldg: Min. Occupancy Load: Flood
zone: of
Stories: New
Construction: Electric - # of Amps Plumbing - # of Fixtures -- Fire
Sprinkler Permit: Yes []No # of Heads APPROVALS:
ZONING: UTILITIES: ENGINEERING:
COMMENTS:
Dire
Alarm Permit: Yes No WAS"
l'L• WA'fliR: FIRE:
BUILDING:
etIII INdift
ANMERITRUS
RESIDENTIAL SERVICES
SUBCONTRACTOR
WORK AUTHORIZATION FORM
Project Name and Address:
323 San Lanta Cir, Sanford FL 32771
Project Manager:
Alexis Sanchez
Project Owner:
LSF9 Master Participation Trust
Contractor Name and Address:
Ameritrust Residential Services, LLC
3525 Piedmont Rd, Building 7 Ste 700
Atlanta, GA 30305
Subcontractor Name and Address:
JTL Electrical LLC
This Work Authorization Form supplements and amends the Master Subcontract Agreement ("Agreement")
between Ameritrust Residential Services, LLC ("Contractor') and
JTL Electrical LLC ("Subcontractor'), dated August 22, 2018 with respect to
the Project identified above.
This Work Authorization Form between Contractor and Subcontractor modified and supplements the
provisions contained in the Agreement and all other Contract Documents incorporated therein by reference
with respect to the Project identified above. Terms that are not defined in this Work Authorization Form shall
have the same meaning as in the Agreement. In the event ofany conflict, inconsistency, or ambiguity
between the terms and provisions of this Work Authorization Form and any other Contract Documents, this
Work Authorization Form shall control.
ARTICLE I
PAYMENT SCHEDULE
I.I. Contract Payment. In consideration for the performance of the Work (defined below), Contractor
shall pay Subcontractor, in current funds, the following Contract Payment, subject to additions or deletions by
Change Order, as provided in the Agreemcnt. Total Price for the Work
described in this Work Authorization Form is $600.00 , which shall be paid in accordance
with the provisions of the Agreement.
1.2. Final Payment. A final payment of $600.00 shall be made by Contractor upon
Subcontractor's one hundred percent (100%) completion of all Work and other requirements under the
Agreement and the Contractor's acceptance of that work. Once the above conditions are satisfied, Final
Payment shall be made to the Subcontractor within thirty (30) days aftcr the Contractor's rcccipt of an invoice
and a full release of all Subcontractor claims from the Subcontractor.
1.3. Invoices. The Subcontractor shall submit an invoice to Contractor referencing the Project and obtain
the Contractors approval on invoice for Final Payment to: Ameritrust Residential Services, LLC, 3500
Piedmont Rd, Ste 725, Atlanta, GA 30305
ARTICLE Il
CONSTRUCTION SCHEDULE
2.1. Schedule. All construction activities will be completed within 1 days starting on
8/29/2018
ARTICLE III
SCOPE OF WORK
3.1. Scope of Work. Subcontractor shall perform the following work ("Work") in connection with the
Project: See Exhibit A attached.
3.2. Requirements. Subcontractor shall furnish all labor, equipment, material, and services incidental to,
related to, or necessary to complete the above Work, for the above Work to be functional, or where typically
provided under industry custom and practice, even if the Work described in the above scope is discussed in
other provisions of the Contract Documents or is not specifically called out in any Plans or Specifications
referred to herein. All Work shall strictly comply with the Contract Documents for the Project, and with all
applicable, codes, regulations, laws and ordinances.
ARTICLE IV
CONTRACT DOCUMENTS
Ameritrust Master Subcontract Agreement
Exhibit A — Scope of Work
Exhibit B — Waiver and Release Upon Final Payment
Exhibit C — Contractor's Final Payment Affidavit
IN WITNESS WHEREOF, this Agreement has been signed and delivered as of the date first written
above.
Signed, sealed and delivered in the
presence of:
Witness
Signed, sealed and delivered in the
presence of:
Witness
GENERAL CONTRACTOR: Ameritrust
Residential Services, LLC
Alexis Sanchez . Project Manager
CONTRACTOR:
JTL Electrical LLC
ukhm"'uNh(ft%•m16) , Authorized Signer
Exhibit A —Scope of Work
AMERITRUST
HE S I or N 7 SAL S L R V I C E S
Property Address,
Subcontractor
Job Total;
Contract Start Date;
Days In Contract;
Amerltrust PM
County
Owner
323 San Lanta Cir, Sanford FL 32771
JTL Electrical LLC
600.00
8/29/2018
1
Alexis Sanchez
Seminole
Hudson LSF9
Building & Fire Prevention Division
CITY OF
SANFORD
BUILDING DIVISION Residential Permit Card
PERMIT NO. ( 9 ISSUE DATE: OlrakV • p .'
CONTRACTOR: 3 T Lum lec+r 1,
JOB ADDRESS:
TYPE OF
23
Item f a/C G.Ai4'
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 expires 6 months from date ofissue or last approved inspection
PROTECT FROM WEATHER
BUILDING
INSPECTION TYPE APPROVED RFJF.CTF.D INSPECTOR
ELECTRICAL
INSPECTION 77PF. APPROVED RFJFC77.D 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
WSPEC170N7TPE APPROVED REJECTED ASPECIORSHEATHING - WALLS
FRAME MECHANICAL ROUGH
INSULATION ROUGH IN MECHANICAL FINAL
DRYWALUSHEETROCK PLUMBING
INSPFC7ION77PF' APPROVED RE/EC)`FA INSPECTORLATHINSPECTION
FINAL STUCCO/SIDING UNDERGROUND ROUGH
FIREWALL SCREW TUB SET
FIREWALL FINAL SEWER
INSULATION FINAL PLUMBING FINAL
FINAL SFR GAS INSPECTIONS
INSPEC7I0N77PF. APPROVED REJECTED INSPEC717RROOF
INSPECTION7TPE APPROVED REJECTED INSPECTOR GAS UNDERGROUND PIPE
ROOF DRY -IN GAS ROUGH -IN
FINAL ROOF GAS FINAL
MISCELLANEOUS / FINAL INSPECTIONS
INSPECTION TYPE APPROVED RFJFCTED INSPECTOR INSPECTION 7TPB APPROVED RiJF.CT.'D 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, ANDTHERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTALENTITIES SUCH AS WATERMANAGEMENT DISTRICTS, STATE AGENCIESOR FEDERAL
AGENCIES FBC105.3.3
REVISED: 4.17 ImpM,on Lim; 407.792.6069 a, 855S11.2112
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
STEM WALL 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
INSULATION FINAL 113 GAS
FINALS R 138 GAS PIPING UNDERGROUND
GAS ROUGH -IN
328
314ROOF
ROOF DRY -IN 116 GAS FINAL 315
FINAL ROOF 111
MISCELLANEOUS / FINAL INSPECTIONS
FINAL DEMO 126 FINAL DOOR 136
FINAL SOLAR PANELS 134 FINAL WINDOW 137
FINAL POOL SCREEN 139 FINAL SCREEN STRUCTURE 127
FINAL UTILITY BUILDING 124 FINAL BUILDING - OTHER 112
MOBILE HOME TIE -DOWN 145 MOBILE HOME BUILDING FINAL 146
Miscellaneous Notes:
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 . . . . . 18-00003619 Date 8/23/18
Property Address . . . . . . 323 SAN LANTA CIR
Parcel Number . . . . . . . . 31.19.31.505-0000-0490
Application description . . . ELECTRIC PERMIT APPLICATION
Subdivision Name . . . . . . SAN LANTA 3RD SECTION
Property Zoning . . . . . . . SINGLE FAMILY
Permit . . . . . . ELECTRIC PERMIT-ALTER/ADD/FIX
Additional desc . .
Phone Access Code 1073444
Permit pin number 1073444
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
1000 213 EL02 ELECTRIC FINAL / /