313 W 15 St - P17-002861 - WATER HEATERNU
GjJ CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: %--
Documented Construction Value: $ 1,400
Job Address: 313 W. 15th St. Historic District: Yes No
Parcel ID: 36-19-30-503-0000-0080 Residential ® Commercial
Type of Work: New Addition Alteration ® Repair Demo Change of Use Move
Description of Work: Install new Tankless W/H and run gas line to range
Plan Review Contact Person: Elizabeth Hayhurst Title: Permit Tech.
Phone: (407) 841-3310 Fax: (407) 425-9934 Email: 9
Property Owner Information G.hAy hur eS brDD I Go"I
Name Jennifer Fitzhugh
Street: 313 W. 15th St.
Phone: 912-660-0147
Resident of property? : Yes
City, State Zip: Sanford FI 32771
Contractor Information
Name Rick Polland/Westbrook Service Corp. Phone: (407) 841-3310
Street: 1411 S. Oranae Blossom Trail Orlando. FI
City, State Zip: Orlando, FI.32805
Name:
Street:
City, St, Zip:
Fax: (407) 425-9934
State License No.: CFC056645
Architect/Engineer Information
Phone:
Fax:
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 COMMENCEMENT MUST BE
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO' OBTAIN" ro
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF, ,in
COMMENCEMENT. s
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 work, plumbing, signs, wells, pools;, ,_, :
furnaces, boilers, heaters, tanks, and air conditioners, etc. ;
FBC 1053 Shalt be Inscribed with the date of application and the code in effect as of that date: 5121 EditIon (2014) Florida Building Codey
Revised: June 30, 2015 PermitApphcanon
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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 ofthis 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 ofSanford requires payment of a plan review fee at the time ofpermit 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 aill 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 th tall work will
e done in compliance with all applicable laws regulating construction and zoning; ,
Sigwttusof `. Date
Stephen
09/08/17
Date
12
F;.PIR s:c3
Owner/Agent is — Personally Kno to Me or Contractor/Agent is nally Known to Me or
Produced 1D Type of ID Produced ID Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building Electrical Mechanical Plumbing[]
Construction Type: Occupancy Use:
Gas Roof
Flood Zone:
Total Sq Ft of Bldg: Min. Occupancy Load: # of Stories:
New Construction: Electric - # of Amps Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes No # of Heads Fire Alarm Permit: Yes No
APPROVALS: ZONING: UTILITIES: WASTE WATER:
ENGINEERING:
COMMENTS:
FIRE: BUILDING:_-,r t k-9.- t-7
Revised: June 30, 2015 Permit Application
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REQUIREDRED INSPECTION SEQUENCE
Address: S\
B-UILIDING ]PERMITT
Min Max., ., Inspection IIDesca2flon Footer /
Setback Stemwall
Foundation /
Form Board Survey Slab /
Mono Slab Prepour 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) Electric
Underground Footer /
Slab Steel Bond Electric
Rough T.
U.G. Pre -
Power Final Electric
Final ew.
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h. "•... 'lWul'i=. +t i 1 1M[
nn Max Ins ection IDesc!2 fllon Plumbing
Underground Plumbing
Sewer Plumbing
Tub Set Plumbing
Final 1M[
cxArilcaL:IP Rn aa Min
Max Ins ecfn®n IlDesc!2 flon Mechanical
Rough Mechanical
Final Wn
1Max Gas
Unde Gas
Roug Gas
Final REVISED:
June 2014
From* ElizabOrth Hayhurst aho—Urstf ,44W xom
Swbject 2ndpOgeoft, Vreledsto be sionect go rotaTkad. Date,
TociajiIA-17M To-
jerv0,-xf&hughQmw-c= CC-
Jackfifutray VnurTe—jZ"ves.1b=0 o=Chftty Newswv Hello,
Jennifer! I
want to apologize for the delay. I was away on vacation and came back Just in time
for the hurricane. I hope all is well and you had no damage and were one of the
lucky ones who either didn't loose power or got the power turned back on quickly.
Please
find attached the 2nd page of the permit application that needs to be signed.
Once you have signed it can you please scan and email it back to meas soon as
I receive it I Will apply for the permit, and get this taken care of for you. Wapu Elizabeth
Hayhurst
Westbrook Service
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LIMITED POWER OF ATTORNEY
Date: 09/08/17
I hereby name and appoint: _ Stephen Williams
an agent of: Westbrook Service Corp.
Y
to be my lawful attomey4n-fact to act for me to apply for; receipt for. sign for and do all things necessary to ttus
appointment for (check only one option):
All permits and applications submitted by this contractor.
The specific permit and application for work located at:
313 W. 15th St.
Street Address)
36-19-30-503-0000-0080
Parcel)
License Holder Name: Rick P011and
State License Number:
Signature of License
STATE OF FLORIDA
COUNTY OF Orange
The foregoing Instrument was acknowledged before me this L day of
2017 by Rick Polland who Is hU personally known to me or
rCA10a
s produced as Identification
did not) take an oath.
t!4r 3 t7hcz G /fir
Signature or Notary Print orMm Notary name
CR ir1 L.C;.O,c?fi 3
r
Notary Public - State of r— L "
Commission No. f—;c O CO .ram
My Commission Expires: /1 7
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RECORD COPY
kVIEWED FOR CODE COMPLIANCE
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PLANS EXAMINER
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DATE
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SANFORD BUILDING DIVISION
A PERMIT ISSUED SHALL BE CONSTRUED TO BE A
LICENSE TO PROCEED WITH THE WORK AND NOT AS
AUTHORITY TO VIOLATE, CANCEL, ALTER OR SET
ASIDE ANY OF THE PROVISIONS OF THE TECHNICAL
CODES, NOR SHALL ISSUANCE OF A PERMIT PREVENT
THE BUILDING OFFICIAL FROM THEREAFTER
REQUIRING A CORRECTION OF EPIRORS IN PLANS,
CONSTRUCTION OR VIOLATIONS OF THIS CODE
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