HomeMy WebLinkAboutOELC PERMITCITY OF WINTER SPRINGS
Building Division
1126 East SR 434
Winter Springs, FL 32708
Office: 407-327-5963 Inspection Line: 407-327-7596
Permit #: OELC 201100700
Issue Date: 31-MAR-2011
Parcel #: 03213050104000230
Site Address: 60 S FAIRFAX
Owner: (OWN) Shannon Brayton Llc
8960 Clairton Ct
Las Vegas, NV 89117
Permit Name:
ORPHAN ELECTRICAL RESIDENTIAL
Lot #: 023 ��'�������.d
� � �°
Phone:
Contractor: (ER) DANIEL CHELLIS LLC
8042 RIDGE WAY, ORLANDO, FL 32817
License #: ER0005970
Work: ORPHAN ELECTRICAL WORK
Deacription: REPAIR METER LUG PER POWER CO.
Value of Work: $100.00
Square Footage: Floor Footage
Total:
Construction Type and Occupancy: Code
Sprinklers:
Description
Fees: Fee Code Chrg Code Deacription
ELEC IVO AM pERMEL ELECTRICAL NO AMPERAGE
SURAIFC SURCTY �MIN INSPECTION FUND - CITY
SURAIFS SURBCA �MIN INSPECTION FUND - STATE
SURDCAC SURCTY DCA-OTF SURCHARGE - CITY
SURDCAS SURFSS DCA-OTF SURCHARGE - STATE
Total:
Phone: 407-310-6149
Amount
$40.00
$0.20
$1.80
$0.20
$1.80
544.00
Paid
$40.00
$0.20
$1.80
$0.20
$1.80
$44.00
Due
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Notice
This permit becomes null and void if work or construction is not begun within
six (6) months after its issuance, or if the work authorized by this permit
is suspended or abandoned for a period of six (6) months after the time the
work is commenced.
Certification .
I hereby certify that I have read and examined this document and know the same to be true and correct. All
provisions of laws and ordinances governing this type of work will be complied with whether specified
herein or not. Granting of a permit does not presume to give authority to violate or cancel the provisions of
any state or local law regulating construction or the performance of construction.
�
Signature o Con rac or Authorized Agent
�/�/ % 1
Date
�
Cp,n, �r�0 r d2� o� 5�� n� � (`.o � 1
COPYRIGHT KIVA 1997 - 2011
Permit #
0
CITY OF WINTER SPRIN(
PERMIT APPLICATION
Date
C, Other
Type of Permit: (Check all that apply) Building Electrical • Plumbing' � Mechanica]
Fence Pool ;•. � • Shed : ' ��'� °Roofing ;
Contract Value: ���,� Orphan R.O.W. Pods Sign .
Arbor Permit # � � � • : : � • � Se tic Permit #; � �' �
-�
(Fee Simple) Owner's Name ����' `��� �QX �-S`�°� Phone # �
Mailing Address sQ ' m � `'� -- '�
�-- Construction Address �0� ?, f""�1���' ��+X � • Lot #
Living sq.ft. 1 floor 1 Living sq. ft. 2" floor Living Other sq: ft.
Sq. ft. Of: Garage Entry Rear Porch Othar non-conditioned
Subdivision Zoning Section Township Range
�ontractor Company Name: �C'.w� it� � �V�4—1 �I s �— �- c--
Address �c7 � Z �. �cQ Q� � c�.,.� Phone # �o"� '3�� t
—�
License #��(�. S`'t�? Expires Workman's Comp Expires
Bonding Company Address
Architect/Engineer Address
Mortgage Lender Address
Work De,scription
Electrica : Address
License #�L �'�l O Expires Phone # Amperage
Work Description ����.;,., � �v� C k�Q,�
Amperage Voltage Phase T-Pole: Yes
Mech.�nical Contractor Address
License # Expires Phone #
Work Descriptio
System Type EER SEER
Plumbin� Contractor Address
License # Expires Phone #
Work Description
6�v 1�"�u V`•tiw:ca ►;iNsL� azru�
�Cww�ee��u q ,�p gl7;c3
Nai�� b�P�!L - �lsto ol klml4h
KIW E' i.tfEb'Ci+
No
Contract Amount $
Contract amount $
# of: Fixtures to be added
Sewer Water Heaters Vacuum Breakers UG Water Drains
Commercial Fiatures: As defined by 2004 Florida Building Code Fixture Unit-Table 709-T709
OTHER: Type_
License#
Work Description
Contractor ;Address
Expires Phone Contract Amount:
Lot Grading Type: A, B,
Will Existing Drainage Be Altered? Yes, _
Distance from edge of pool to: Rear Yard,
Engineering Division may require a survey for final inspection.
No.
Side Yard l, Side Yard 2.
S:\CONIlVIUMTY DEVELOPIv1ENT1BUILDING�FORMS�PERMIT APPLICATION REVISED 110305.DOC
Fence
Type of Material for Fence Fence Height
Linear Feet of Fence to be Installed Contract Amount $
Sign: Name of Busines
Owner/Manager
hone #
Phone #
Instailer/Sign Co. Phone #
Existing Sign (Y/N) Descripti
Proposed Sign Description
Size of Sign X Contract Amount $
Type of Sign Outdoor Advertisement (on-site) Construction Real Estate
Outdoor Advertisement (off-site) Identification
OFFICE USE ONLY
CALCULATED VALUE
PERMIT FEES
Building Permit
Plan Review
Electrical Permit
Mechanical Permit
Plumbing Permit
Right-of-Way Permit
Arbor Permit
Other
PERMIT TOTAL:
IMPACT FEES
Transportation Impact
Police Impact
Fire Impact
Other
IMPACT FEE TOTAL
Other
Community Dev: Reviewed By Date: Approved
Engineering: Reviewed By
Date:
_Approved:
Fire Marstiall: Reviewed By Date: Approved:
Building: Reviewed By Date: Approved:
YES NO
YES NO
YES NO
YES f�i0
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMNIENCEMENT MAY RESULT IN YOU PAYING
TWICE FOR IIvIPROVEIV�NTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT YOUR LENDER
OR ATTORNEY BEFORE RECORDING A NOTICE OF COMI��NCEMENT.
APPLICANT: I CERT'IFY THAT ALL THE FOREGOING 1NFORMATION IS ACCURATE AND THAT ALL WORK W1LL BE
DONE IN COMPLIANCE WITH ALL APPLICABLE LAWS REGULATING CONSTRUCTION AND ZONIIVG. I FURTI-3ER
iJNDERSTAND THAT WORK MUST COMMENCE WITf-IIN 60 DAYS AND BE COMPLETED WITHIN ONE YEAR FROM
DATE OF ISSUANCE OR TI-IE PERNIlT WII.,L EXPIRE.
COMPLIANCE CERTIFICATION: I CERTIFY THAT TI-IE POOL CONSTRUCTION WILL COMPLY WITH ALL APPLICABLE
N.S.P.I. DESIGN REQUIREIv�NTS AND TI-3E POOL COMPL�S WITH SECTION 424 OF Tf-lE 2004 FLORIDA BUII.,DII�IG
CODE. OWNER MUST SIGN ALL PERMIT APPLICAT[ONS. EXCEPTION: CONTRACTOR PROVIDE AN "OWNER SIGNED"
CONTRACT OR A NOTARIZED POWER OF ATTORNEY, FROM THE OWNER, GRANTING AUTHORITY TO THE
CONTRACTOR. /J �,
SIGNATUItE -
(Owner/Agent)
The foregoing instrument was acknowledged
Before me this day of •"
20 By
who is personally known to me and/or has produced
. � ,.
as identification and who did (did not) take an oath.
Notary
(seal) ��
SIGNATURE
(Contractor)
The foregoing instrument was acknowledged
Before me this�_day of M��Ctrb
20 { I By A�+Pbi� l�E� C� Et_!_lS
who is ersonally known to me and/or has � odu �
Fc. � 1c.
as identifi�tian an�who��j�}i not) take an oath.
Notar
(seal)
S:\COMMUMTY DEVELOPMENTIBUILDING�FORMS�PERMIT
KIM E. TRENCH
Notrry PubNt - 8tete ot Fbrida
� �.�2011
� !I 00 879393
8anded Throup� Natlonel Nolary Asfn.
�
ona
m
LIMITED POWER OF ATTORNEY
v ...
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: 3 " 3 �` Z o) �
��
I hereby name and appoint: ���— L,n i�
an agent of: ��'1^ 1 h� � 1�� . � \ l� s �-- �-- �
(Name of Company)
to be my lawful attorney-in-fact to act for me to apply for, receipt for, sign for and do all things
necessary to this appointment for:
The specific permit and application for work located at:
� (�o S ���Y t ��
csV�t
Expiration Date for This Limited Power of Attorney:
License Holder Name:
State License Number: �\2 S� � o
Signature of License Holder:
STATE OF FLORIDA
COUNTY OF S� �''� � N��--�-
The foregoing instrument was acknowledged before me this 3 i day of h-a �2�� ,
�0 ?o� �, by 17 � u� t- l. C � C H � � �.� who is ❑ personally known
to me o� who has produced F� � as
identification and who did (did not) take an oath. �
/� ;:
f e1 �. � 1
Sigriature
(Notary Seal)
(Rev. 3/27/07)
Print or type name
Notary Public - State of _
Commission No.
My Commission Expires:
�`�� P „ � KIM E. TRENCH
,;� `"�¢; Nota�r Pubtic - Stete of Flaida
° I�ryr Catuidsiion Expkes Ma1r 9. 2011
�h
�►,, � Canmisslon � �D 671983
�''71R; B01�dEdTh011ohNBli011�11�lo18fyA�i11.
03/30/2011 10:02
�
19414089006
IREO
,Ferrcc.
Typc of ialaterial f[rr Fence Pencc Neight
Lineer Fcet oFFencc tn be installed ContrBCt Amoimt $
Sign: Nome of SuBiness_, , PNnnc }t
OwncNMIInaRer P�° �
instnllcrlSign Co. Phonc #
ExisNng Sign (XM} Description
propnsM SiAo DescripNoa
Sia�c of Sian 3C Contract Amoimt $ ..,
Typc of 5igtt Qutdoor Advertiscment (on-site)
Construdion Real Eatate
Idctrtification Other
E pNLY
IMPACT FEFS
Trnnsportaticm impact
Police Impxt
Firo Impntt
Other
CALCULATBD VALIJF,
PERMiT FEE9
Building �ermit
Plnn Revicw
Electricel Pctmit ,�....__
Mech.anicnl Permit
Ptumbing Pcrmit
Rigfit-of-Way Perfnit ,�,�
Arbor Permit
Othcr�_
AC1'
Commuoify I)ev: ltevicwed By Dnte: App�ovcd:
En�eipeerirtg: Rcviewed By Dete:��Approvcd'
YES NO
YBS� NO
Fipe �Iqsl�shsll: RCViewed By Dtite;___ Y6S NU
BatldFnR: Reviewed �y Dtrt�: Approved: YES NO
Ch�tdcwr Advatisement (off-site)
• YOUR FAILURE TU R�CORn A N077CI3 OP COMM�NCEMENT MAY R�.+UI.T ►tJ Yp�1 PAYiNG
TWICE FOR IMPRO�MEN1'S "i�D.YUUR PROPERTY. IF YOU lN'fENp TOOgTAtN FINANCING, CONSULT YOUR 46NDER
OR ATTORNEY BEFORE RECORDfNG A NOTICE OP C4MMENCEMEN7',
� t C�x'nF'v'r�tn'1' n►.i Fo�GOnvG �FORMnT10N �3 nccim.a7E nND �AT n�_� wo�x wILL BE
DONE IlV COMPLIANCE WT'!�� ALL APPUCAB4E LAWS REGULA17N0 CON97RUCITON AND ZO1dING. I F�1R7HER
UNDERSTnND ?'HAT wpruc MU57 COMME�vCE wiTHrN �rf nAVS nriD BE COMPLL�f'ED WC(HtN ONE YEAR PROM
bATE OF 15SUANCe OR'TIiE 1'6RM1T W1LL IXPIRE.
(,�"QMPLIANCE CL�R'1'IF7CA�Ol�I: I CF.RTfFY TH�T THE POOL CONSTRUCRON WfLL COMPLY WITH A�4 �PPLICABLB
N.5.P.L Dr,.S�GM REQtFIRF,MEM's a,lvv tl�tE PWL, cC�MPLtFS wrTH sECttoN al4 pF THB zo04 F1.ORIbA BUtLDiN�
CODE. OWN�R M1NST SEON AR.1, aE[�nT APPLtcnTloNS. EXCL•'P'RON: ooN'fRaC7�DR PROVins nN �bWrv6R S►GN�D"
CON'f RACY OR A NOTAijJ7.f� POWER OF ATfORNEY. FROM 7HE OWNEE� GRAN77NG ACI'iHdRlTY TO THE
CONTRACMR. / 1
SIGIVA'fIIRE SIGNATIIRE
(�?wnn�lAgent) �N (Cnntrncrorl
'fl�e fnregoing inst ent wa.9 acknowlcd '�'hc foregoinR ir�trument was acknowltdged
[iefbre me this�dny of _ eefore me d�is d�ty of ____ _. —
2U�,By 20_,[3y
wfio is rsorsali kn n to mc Rndlor h�s praduccd who is personalty knnwn to me and/or hns produccd
,�a ;dentifc�t�n�and - w�} - � y did ( e tak�,/� an idmtffication Pnd who did (did not} take an aath.
N��isry �� ,�`� .f.�4G�.rriCti Vc�r;uy
(seal) (sea!)
S:�OMMUN�'['Y nEVeLOPMENT16lJILbINGIFQR�1$IpER►vilT AI`Pf,ICAT[ON REVIC� I �03(15.UOC
�e'�� .�,r- ANNETTE�L CROUCH
:'; ; ; '; MY C!lMMI3310N �1 EEO�a852
EXPIRES M�rch 1T, 2015
�07)3�A1�3 FbrIC traw rvks.tan �
PAGE 01/0S
• •
r.. 1 . `,'!� + .
• • f•� _
� City of Winter Springs
� Building Division
1126 East State Road 434
Winter Springs,�FL 32708
Inspection Report
Customer Senrice Office: (407)327-1800 Ext. 255, 305, 307
Schedule Inspection Line: (407)327-7596
Contractor: DANIEL CHELLIS LLC ,
Pertnit Type - OELC-201�100700
Number:
Lot Number: LEG LOT 23 BLK 4 NORTH ORLANDO 2ND ADD PB 12 PG 56
Address: 60 S FAIRFAX
Winter Springs, FL, 32708
Inspection ELEC_FINAL-ELECTRIC FINAL
Performed:
Date: 2011-04-01 • �
Inspector: JON DAVIS
Inspection Result: FAILW
Remarks/Comments: 1-The wires for the light at the back door of the garage needs to be in a electrical work box
with a approved cover plate.
2-the gfci receptacle at the back sliding glass door needs to be anchored and sealed to the
wall as per NEC.
Required Action
ELECTRICAL-ELECTRICAL INSPECTION CORRECTlONS
FEE-RE-INSPECTION FEES
Note: Re-Inspection Fees Must Be Paid Prior to Re-Inspection ,
This Notice Must Be On Site for All Inspections and Re-Inspections.
Inspector Contact Available 7:30 a.m. - 8:00 a.m. -(407)327-5974
0