3268 E Lake Mary Blvd; 18-3858; REPIPEBUILDING DIVISION
Fsr, ts'
PERMIT APPLICATION
Application No: d -MsS?_
Documented Construction Value: $ "2L rlr,. —
Job Address: ,(, : L 1K hL l r'k Historic,District: Yes NoQ
Parcel ID: ?z 2D31 - 5pE•/ (Z(? C ResidentiaX 9 Commercial'
Type of Work: New Addition M Alteration Repair Demo Change of Use Move
Description of Work: ` l
Plan Review Contact Title: !_ t(F'
Phone:q 27-? L a-4 o Fax: _ L Cj-) ? C; } -) '3 Email: + n , r.r,rI n l c t ,n% v • c ,ten
Property Owner Information
Namef)js, . ; 1-C c Y-a 2 .. .._ Phone: Street: `
i I -A L fC - 21( Resident of property?:' City,
State Zip Contractor
Information Name _
l=t e e i i 7 I .r-1 Phone: Lkr-Z:) T 3, 2_(.. ,o Street:-
y— Fax: 3t City,
State Zip _ ;-,cFC rz_ZZ . State License.No.: Architect/
Engineer Information Name:
Phone: Street
Fax: _ City,
St, Zip: 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 SIT I- BEFORE THE. FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING, YOUR NOTICE OF COI4MENCEMENT Application
is hcrebl made to obtain a permit to do the work and installations as indicated. I ccrtifv that no work or installation has connnenced prior it)
the issuance of spermit and, that all, work will he performed to iucrt standard ofal lawsrc,rdating construction in this jurisdiction. I understand that a
separate permit must be secured for electrical work, plumbing, signs, wclls, pools, furnaces, boilers, heaters, tanks, and air conditioners, etc.
FBC 1105.3 Shall be inscribed with the date of application and the code in effect as of that date: 6'11'hdition (2017) Florida Building Code
NQTIC :: In addition to the requirenients,ofthis permit: there may be additional restrictions applicable to this property that maybe found in the public
records of this county, and there may he additional permits required from other governmental entities such as water" management districts, state
agencies, or federal agencies.
Acceptance ofpermit 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 of permit 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 thecurrent'ICCC Valuation Table in effect at the.lme the permit is issued, in accordance with local ordinance. Should calculated
charges figured offthe executed contract exceed the actual construction value, credit will he applied to your permit fees iwhcn the permit is issued.
OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that allwork will be
done in compliance with all applicable laws regulating construction and zoning.
67- 3y L4
Signature of Owner/Agent hate Signature of Contractor/Agent Date
1'riilt,Q •ncr/Agent'sName Print Contracutr(A, 's, am"e
5igna!'ure rsl N an- tale off lorida Dilie Signa[nre of it r -SfAie of Flurida Daic
MARE PLE'TT)46iAPS0hJENN1.4GS vrT fiAREJLE7THOAIPSOWENNINGStgyp.;
MY COlAMISSIQN # FF919228' c MY:COhAMI ION # FF979228
ExPIFi Se to e 5 2019 P ROwn >'o $ $5 —f nbwn t Me or Con rMW'35MeSif"t `' f sit y jt`i vnYo Me or
Produced ID T e o
e
Produce rys.,
i YP. )'P11)
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building Electrical Mechanical Plumbing Gas Roof
Construction Type: Occupancy Use: Flood Zone:
Total Sq Ft ofBldg: Min, Occupancy Load: # of Stories:
New Construction: Electric -# ofAmps Plumbing - # of Fixtures
Fire.Sprinkler Permit: Yes .\o # of Heads Fire Alarm Permit: Yes No
APPROVALS: ZONING:
ENGTNE.ERINV:
COMMENTS:
UTILITIES:
FIRE:
WASTE WATER:
BUILDING:
9/11/2018 SCPA Parcel View: 03-20-31-5AY-0000-042E
Dane bmson; crp .Property: RecordCard PAPPP
R
Parcel:
1;
0,; Property Address: 32i8 E L= E R.1r.R'Y BL'.G P,A'tFC K, FL '32?%3 Parcel
Information Parcel
03-20-31'SAY-OODD-042E Owner(
s) HOLCOMB. RICHARD G HOLCOMB,
KATHI A Property
Address 3268 E LAKEMARY BLVD SANFORD, FL 32773 Mailing
MS LAKE MARY BLVD E'SANFORD, FL 32771 Subdivision
Name SANFORD CELERY 7FLT: Tax
District S1-SANFORD DOR
Use Code 01-SINGLE FAMILY Exemptions
00-HOMESTEAD(1997) Value
Summary Valuation
Method Number
of Buildings Depreciated
Bldg Value Depreciated
EXFT Value Land
Value (Market) Land
Value Ag lus, ^
rlarke.t Valu,: Portability;
Adj 2018
Working Values
Cost/
Market Y,
100,
645 1.
759 62,
912 165,
316 2017
Certified Values
Cost/
Market 1
94,
859 1.
168 44,
727 140.
774 Save
Our Homes Adj $49.249 S27,094 Amendment
1 Adj $0 P&
G Adj $0 SD Assessed
Value $116,067 S113.680 Tax
Amountwithout SOH: 51,892.70 u-'
T,r- Rill Amn.tni 51,376.80 ax
Esl-mat:lr Save
OurHorres Savings: $515.90 TRIM
Nei c:c JHol,^. Does
NQT,INCLUDE Non Ad Valorem Assessments, Legal
Description PT
Or LOT 42 DESC AS BEG 20'FT W OF, SE
COR OF W 1/2 RUN E 20 FT N TO $ LI
OF S 254 FT W TO E Ll OF W 109FT S
178.3 FT E TO A PT N OF 13EG S TO BEG (
LESS Rp ON S) SANFORD
CELERY DELTA PB1PGS75&
76 Taxes
Taxing
Authority Assessment Value Exempt Values Taxable Value County
General Fund 116,067 50,000 S66,067 Schools
116,067 25,000 S91,067 City
Sanford 116067 50,100066,067 SJWM(
Saint Johns Water Management) 116.067 550,000 66.067 County
Bonds 116,067 50,000 S66;067 Sales
Description
Date Book Page. Amount Qualified Vacllmp QUIT
CLAIM DEED 2/1/2016 100 No Improved CORRECTIVE
DEED 11/112013 S100 No Improved ORDER
OF TAKING 1111/2003 100 No Vacant QUIT
CLAIM DEED 111111695 4_' 12,000 No Vacant SPECIAL
WARRANTY DEED 101111995 S964.10D Yes Vacant Land
Method
Frontage Depth Units Units Price Land Value http,
11parceldetaii.sepafl.org/ParcelDletailinfo.aspx?PID=0320315AY0000042E 112
ills
197;
5613 East Colonial Drive
Orlando, Florida 32807
407) 273-G260
Ij PROPOSAL Fax (407) 281-7835
September 11, 2018
TOt, Richard Holcomb CUSTOMER: 97944 PHONE: 407-322-9271
3268 E Lake Mary Blvd ESTIMATOR: 32131 EMAIL:
Sanford FL 32773 START DATE:
JOB NAME: Same _ JOB ADDRESS: Same
We propose hereby to furnish material and labor - complete - in accordance with specifications below, for the sum of:
2,400.00
Net Due Upon Completion
All material is guaranteed to be'as specified. All work to be completed in a'workmanlike manner according to standardpractices. Any alteration or
deviation from -specifications -,below involving extra costs will, beexecuted only upon written orders and will become an extra charge over and above the
estimate AI[ agreements contingent upon strikes, accidents or delays beyondour control. Owner to carry fire tornado and other necessary insurance.
Our workers are fully covered by Worker's Compensation Insurance. (Note: Proposal may be withdrawn by us if not accepted within
thirty (30) days.) Ref: FlowGuard,
Gold CPVCRepipe 1. Re.
pipe hotand cold water lines for household plumbing using FI6wGuard,Gold,CPVC;pipe and fittings. 2: Connect
new water lines to existing plumbing fixtures in kitchen, laundry, Water heater; and (2) bathrooms,'incidding new fixture stops.
Note: Due
to the age, condition or quality of some plumbing fixtures, they may not withstand normal disconnection and reconnection during
the repipe: If repair or replacement is necessary, thiswill be done at additional cost. 3. Patch
walls necessary for new pipe installation. This does not include tile, marble, paint or wallpaper repairs. Note: Due
to the nature of the wall patch procedure, we will attempt to match the existing texture finish, however, imperfections are
expected 4. Replace (
2) hose bibbs on exterior walls adjacent to new water lines. 5. This
price does not include replacement of the following water lines (unless specified above): water service/ AC -ECU returns/ swimming
pool -Jacuzzi lines/ solar collectors/ sprinkler -irrigation system( single control faucet supplies/ or shower risers. 6.
Includes
county/city`permit fee. Note: Proposal
does not ensure water supply to any fixtures other than those specified above. Customer will experience temperature fluctuations
in cold water lines due to heat transfer in the attic. All labor
and materials supplied by HERRELL PLUMBING carry a ten year warranty from the date of installation, or per manufacturer's warranty. This
proposal does not include any additional plumbing, electrical, carpentry, patching. or the work not specifically covered herein Upon acceptance
of this proposal, owners should sign and return one copy. Herrell Piuinbing
appreciates the opportunity to serve' you. ACCEPTANCE OF
PROPOSAL: The above prices, specifications and conditions -are satisfactory and are hereby accepted. You are authorized to do
the work as specified. Payment due upon completion of job. Date of
Acceptance Signature: For residential
work in excess of $1 500 Payment may be avadao,e from the ConSVdChon Industries Recovery Fund if you lose money an a project perfo;med urce. contract, where
the less results from specified viclat•ons or Florida Lav: , by a state -licensed contractor For'nfprmaticn about the recovery fund and firrg a claim. cortact the.
Flonaa'Censtrriction Industry Ucens;n3 Boara at tnc follcr;ing le,eohorie riumoel and address 79CO Arl;r.3tbn Express,val Suite 300 Jac,sorv!lle. f f 04;
7-7-3689
i
HERRE'LL PL.-
POWER OF ATTORNEY
Aria -lC, FI-•riCj 3280
r_x 07j 281 835
hereby name and appointam_ of HERRELL
PLUMBING, INC., to be my lawfu—1 attorney in fact to actfor orme and apply to the (
1i l _ Building Department for a PLUMBING permit
for wo obe performed at a location described as - and
to sign my name., nd:do a.11 things necessary to this appointment. Name
of certified contractor: STATE
OF FLORIDA COUNTY
OF ORANGE DANIEL
C. SHAW CFC032627
1
I.
SIGN
E RTIFIED CONTRACTOR T"
e foregoing instrument .,as acknowledged before Ine this day of 20j__.
by DANIEL C. SHAVV. wh s personally known is J!*.
W'•. MagEkE T THOMPSON JEN&INGS MY
COMMISSION ft FF919228 EXPIRES
September lS, 2015 WVh
3M8 ,: '3 FKWnT4MrySamCo.Cut,
CITY OF
Sk14FORD Building & Fire Prevention Division
BUILDING DIVISION Residential Permit Card
PERMIT NO. I ISSUE DATE: 0
CONTRACTOR: Herro / Phco% 6/4 a
JOB ADDRESS:
TYPE OF WORT
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 of issue or last approved inspection
PROTECT FROM WEATHER
BUILDING
INSPECTION TYPE APPROVED REJECTED INSPECTOR
ELECTRICAL
INSPECTION TYPE APPROVED REJECTED 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
INSPECTION TYPE APPROVED REJECTED INSPECTORSHEATHING - WALLS
FRAME MECHANICAL ROUGH
INSULATION ROUGH IN MECHANICAL FINAL 4
DRYWALL/SHEETROCK PLUMBING
INSPECTION TYPE APPROVED REJECTED INSPECTORLATHINSPECTION
FINAL STUCCO/SIDING UNDERGROUND ROUGH
FIREWALL SCREW TUB SET
FIREWALL FINAL SEWER
INSULATION FINAL PLUMBING FINAL
FINAL SFR GAS INSPECTIONS
INSPECTION TYPE APPROVED REJECTED INSPECTORROOF
INSPECTION TYPE APPROVED REJECTED INSPECTOR GAS UNDERGROUND PIPE
ROOF DRY -IN GAS ROUGH -IN
FINAL ROOF GAS FINAL
MISCELLANEOUS / FINAL INSPECTIONS
INSPECTION TYPE APPROVED REJECTED INSPECTOR INSPECTION TYPE APPROVED REJECTED 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, 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: 4-17 Inspection Line: 407.792.6069 or 855.541.2112
TO SCHEDULE AN INSPECTION:
Dial 407.79%.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
STEMWALL 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
GASINSULATIONFINAL113
FINAL SFR 138 GAS PIPING UNDERGROUND
GAS ROUGH -IN
328
314ROOF
ROOF DRY -IN 116 GAS FINAL 315
FINAL ROOF III
FINAL DEMO
FINAL SOLAR PANELS
FINAL POOL SCREEN
FINAL UTILITY BUILDING
MOBILE HOME TIE -DOWN
Miscellaneous Notes:
MISCELLANEOUS / FINAL INSPECTIONS
126 FINAL DOOR 136
134 FINAL WINDOW 137
139 FINAL SCREEN STRUCTURE 127
124 FINAL BUILDING - OTHER 112
145 MOBILE HOME BUILDING FINAL 146
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 . . . . . 18-00003858 Date 9/12/18
Property Address . . . . . . 3268 E LAKE MARY BLVD
Parcel Number . . . . . . . . 03.20.31.5AY-0000-042E
Application description . . . PLUMBING PERMIT
Subdivision Name . . . . . .
Property Zoning . . . . . . . NOT APPLICABLE
Permit . . . . . . PLUMBING PERMIT-ALTER/ADD/FIX
Additional desc . .
Phone Access Code 1076546
Permit pin number 1076546
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
1000 313 PLOS PLUMBING FINAL / /