3204 Stonebrook Dr - M17-002661 - AC PANCAKE SYSTEM1
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
j
Application No. I -- G
Documented Construction Value: $ ,-O, -0
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Job Address: ori Vf
Parcel iD: n-
Historic District: Yes 0 No
Residential Commercial
Type of Work: New Addition Q Alteration Repair Demo Change of Use Move
Description of Work:
Plan Review Contact Persot
Phone, :`»I Y,i t'-;
Name
Street: ,
City, State Zip; t7t'
Name
Street: tom- n 1 If
City, State Zip: Qr)C
Name,
Street:
City, St, Zip:
Bonding Company:
Address: __
Title:
property Owner Information
Phone: 3
gC,10 Resident of property?:
C-3
Information
Phone:
Fax:
State License No.: L)1-Q W
Architect/Engineer Information
Phone:
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 OBTAINFINANCING, 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 hascommencedpriortotheissuanceofapermitandthatallworkwillbeperformedtomeetstandardsofalllawsregulatingconstrictioninthisjurisdiction. I understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools,
furnaces, boilers, heaters, tanks, and;air conditioners, etc.
FRC 105.3 stsll be inscribed with the date of application and the code in effect as of that date: 51h Edition (Z014) Florida Building Code
Permit Application
Revirrtl: lmnc 30, 2015
t
Application is hereby nladtr to Obtain a permit to do the worts and installations as Indicated. I certify that nowortorliistathtionhascroinmcncedpriortotheissomwcorpermittiledthatailworkwillbeperformedtomeet "Wha+ds of all laws rogulaling construction in this jurisdiction. I moderstand that a separate permit
mud be secured lbr.Antrhal work, plumbing, signs, wells, pooh, fug, bellm, heaters, tasks, and
tiir "affit auu-s, mc.
QJYM I&MDAVIT: t eeMfy that all or the foregoing iniamatioa is accurate and that an work willbsdvaebt (IMP lathe with all applicable laws regalating construction and zoning.
WARNING TO OWNER.- YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMEKt' MAY
Rii LT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE
OF COMUtiEXCEMOM MUST BE RECORDED AND POSTED ON THE JOB SITE HEPORE THE
FOOT INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR
LE ER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
NOTICE: WaMiCon to the requirements of this permit, there may be additional restrictions applicable to this
ptopcdy that may be found in the public records of this county. and titers may be additional permits required
f,+on aaer grivemmental endless such as water management districts, stale agencies, or federal agencies.
Aomptance of permit is verification that I will notify the owner ofthe property ofthe requiremeto orFloridu
Lien Law, M 713.
The CityofSanford requires payment ofa plan review fee. A copy ofthe exteuted Contract is required in order
to.coicatate a plan review charge. if the exceutedcontract is not submitted. we reserve the rISM M calculate tlx:
plan review &e based on past pcanh activity levels. Should eaioulated charges exceed the d% mmtocl
construction value: wbcn the cxccutrd contract is submitted, credit will be applied to your petrttit fees when Me
pctntitlt rckatxc!_
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IAY COM MSMN OFF163745
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OwncdA&M is a:''Persmnnily Known to Wee or
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Coalracla50A eat is orally Knawn to Me or
Produced ID ype ofID
APPROVALS; ZONING: tfrJUIIES: WASTE WATER!-----
ENC;NFL'rkIN 3: FiRE: BUILDING
COMMENTS:
SW be Ib OVA thedate order pad th. Cade rn CIT.- t c. atio &ctt:wk20MfltC> 731-I )iOX0 fk,ritk Ittltuti RSV
V 1.1
SACITNY
OF FORD
FIRE
IDEPARTMENT Building &
Fire Prevention Division Commercial -
MEP Permit Card PERMIT
NO. I 1 001' a (PLO' ISSUE DATE: CONTRACTOR:
JOB
ADDRESS: TYPF.
OF WORK- I la*'Ofa IAVAr— Post
this pennit in a conspicuous location outside Approved
plans must be posted with permit for inspection Leave
all work uncovered until inspected and approved Penn
itexpires 6 months from date of issue or last approved inspection PROTECT
FROM WEATHER ELECTRIC
INSPECTION
TYPE APPROVED REJECTED INSPECTOR PLUMBING
INSPECTION
TYPE APPROVED REJECTED INSPECTOR FOOTER /
SLAB STEEL BOND SEWER ELECTRIC
UNDERGROUND PLUMBING UNDERGROUND ELECTRIC
WALL ROUGH PLUMBING ROUGH ELECTRIC
CEILING ROUGH PLUMBING 2ND ROUGH PRE -
POWER INSPECTION PLUMBING FINAL CHANGE
OF SERVICE ROOF STORM DRAIN INSPECTION
TYPE APPROVED REJECTED INSPECTOR TEMPORARYPOLEELECTRIC
FINAL ROOF STORM DRAIN ROUGH MECHANICAL
INSPECTION
TYPE APPROVED REJECTED INSPECTOR ROOF
STORM DRAIN FINAL GAS
INSPECTION
77PE APPROVED REJECTED INSPECTOR MECHANICALROUGHMECH
FIRE DAMPER ANGLE GAS UNDERGROUND PIPING MECH
FIRE DAMPER FRAME GAS ROUGH -IN MECH
FIRE DAMPER ANNULAR GAS FINAL MECH
CEILING ROUGH MEDICAL GAS ROUGH -IN MECH
INSULATION WRAP MEDICAL GAS FINAL MECHANICAL
FINAL SPECIAL / MISCELLANEOUS INSPECTION
TYPE APPROVED REJECTED INSPECTOR HOODSYSTEMINSPECTION
TYPE APPROVED REJECTED INSPECTOR PIPE INSULATION HOOD
SYSTEM ROUGH GREASE DUCT WRAP HOOD
SYSTEM INSULATION STEAM / CHILL WATER ROUGH LIGHT/
WATER TEST GREASE TRAP ROUGH IN HOOD
SYSTEM FINAL IGREASE TRAP 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 MAYBE ADDITIONAL RESTRICTIONS APPLICABLE TO THIS PROPERTY THAT MAYBE 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 FBC 105.3.3 REVISED:
04/17 Inspeelion Line 407.792.6069 or 855.541.2112