627 San Lanta Cir - E18-002710 - PanelV
CITY OF
Building 8c Fire Prevention DivisionSikNFORDJuN142018PERMITAPPLICATION
FIRE DEPARTMENT
iv- V'S Application No: ' a
Documented Construction Value: S t,
7JobAddress: rneL -ra t o rG t' Historic District: Yes [INo
Parcel ID: Residential Commercial
Type of Work: New Addition Alteration El Repair DemoT Change of Use Move
i
Description of Work: ( n F Ser t, i In l) Q ua
Plan Review Contact Person: Title:
Phone: Fax: Email:
Property Owner Information
Name J-vItA `alewA, Phone:<</4e_/'/
Street: 7z4^1a n"fcL /vt' Resident of property? : f
City, State Zip:t,
Contractor Information
Name )-t F -b, trlttl avt r-grFn S 41-4f Phone: 3a.1 - 1-25-11- lld
Street: 6 ,s 4 Fax:
City, State Zip: _F1/itm S-1- 50 g1h,d F1_ 5a77/State License No.: I t 0 % 9 1 i10
Architect/Engineer Information
Name: Phone:
Street:
City, St, Zip:
Bonding Company:
Address:
Fax:
E-mail:
Mortgage Lender:
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: 611 Edition (2017) Florida Building Code
Revised: August 1, 2017 Permit Application
s
t
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 fedeialragencies.
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 41an review fee at the time of permit submittal. A copy of the executed contract is required
in order to calculate a plan review chargetand will be considered the estimated construction value of the job at the time of submittal.
The actual construction value will be figuj4d 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 whenthe permit is issued. 1
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 Print
Owner/Agent's Name Date
Signature
of Notary -State of Florida Date Owner/
Agent is Personally Known to Me or ProducedAD
Type of ID Signature
of Cont ctor ent Date Oa
vI ovLL*,Ptw Print
Contractor/Agent's Name Z=
9n Signature
Notary -St aLr__ DEBBIE EANTON MY
COMMISSION # FF 17WB EXPIRES:
FaUntary?_5,20t9 Bonded
Thnu Notarf Pubic Undentnleis Contractor/
Agent is Personally Known to Me or Produced
ID Type of ID BELOW
IS FOR OFFICE USE ONLY J
Permits
Required: Building Electrical Mechanical Plumbing Gas[-] Roof 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 APPROVALS:
ZONING: ENGINEERING:
COMMENTS:
of
Head's` Fire Alarm Permit: Yes No UTILITIES:
FIRE:
WASTE
WATER: BUILDING: -
d.F 6•-;"7-' g Revised:
August 1, 2017 Permit Application
RECORD COPY
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REQUIRED INSPECTION SEQUENCE
1RaD#. Id_ '2 7 / .n
B' f f mG PERMT Men
Max Ins ection IDescri tion 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
Roof Final
Stucco / Siding Insulation
Final Final
Utility Building Final
Door Final
Window Final
Screen.Room Final.
Pool Screen Enclosure Mobile
Home Building Final Pre -
Demo Final
Demo Final
Sin le Family Residence Final
Building Other Add
Tess - Mean
Max Inspection Description e
Flectria
Underground Footer /
Slab Steel Bond Electric
Rough T.
U.G. Pre -
Power Final Electric
Final 14MECHAWCAL
ftk kt, mn
Max- Inspection IDescri tion Mechanical
Rough Mechanical
Final Max
Inspection IIDescri tion tMGasUndergroundGas
Rough Gas
Final REVISED:
June 2014