1405 Bell Ave - P18-004278 - SEWER LINE44y
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BUILDING •
PERMIT APPLICATION
Application No: < 9 a 7
Documented Construction Value: $ a 0,60
Job Address: 14 bs- & N (P Historic District: Yes No
Parcel ID:
Type of Work: New
Description of Work:
Addition Alteration N Repair Demo
Plan Review Contact Person:
Phone: ` oZ J p`j Fax:
Residential Commercial
Change of Use Move
G. Title:
Email: 1 aYYI l ( ''_cZ Y1'1
n
Property Owner Information
Name (7 (Y 7ye-S-(rs C-I io e: Street:
U 0on S l Resident of property?: City,
State Zip: Contractor
Information Name
Phone: `I U`% - 9-5-b " 7 Street:
t ... &L4I (- City,
State Zip: Name:
Street:
city,
St, Zip: Bonding
Company: Address:
Fax:
State
License No.: Uc-1 "I DC2 Architect/
Engineer Information Phone:
Fax:
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. I understand that
a separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and air conditioners, etc.
f'- .gp
FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 6' Edition (2017) Florida Building Code
NOTICE: In addition to the requirements of this permit, there may be 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.
Acceptance ofpermit 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 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 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 when the permit is issued.
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 ofNotary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
nature of Contractor/Agent Date
Print Contractor/Agent's Name
0' 91
Signature of Not
oe•.r a., DEBBIEBtA
MY COMMISSION # FF 178648
a•. EXPIRES: February 25, ZV I1F6FV,,, Bonded Thru Notary Public Undenwite„
Contractor/ gen is ersona y nown to Me or
Produced ID Type of ID L_
BELOW IS FOR OFFICE USE ONLY ' }
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 # of Heads
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
Plumbing Maintenance & Installations, Inc.
CFC1430011
407) 256-8380
admin@pmi-corp.com
ESTIMATE
ADDRESS
1405 Bell Ave
1405 Bell Ave
Sanford, Ft
ESTIMATE # 1022
DATE 09/17/2018
PRODUCT%SERVICE -_
Flat Rate -Labor and Materials 1 2,250.00 2,250.00
Permit Fee 1 200.00 200.00
This is an estimate to excavate and remove
existing sewer line and roots in its path and
replace with 4" schedule 40 pvc pipe.
Installations will include (2) clean outs up to
grade at both ty-ins. New sewer will be tied
into existing cast iron exiting house and
downstream to city lateral. This estimate is
also inclusive of pulling permit, having sewer
inspected and returning to back fill trench upon
completion of permit.
Note: approximate downtime will be one day
while sewer is being installed. Estimated time
to back fill and cover after install and
completed inspection and permit approx 3
days.
Accepted
K911F: 2,450.00
Accepted.Date
In
IV /I,? (Iva
THANK YOU FOR YOUR BUSINESS!
No Warranty on drain calls and/or customer supplied parts. PM1, Inc. is not liable for existinq