HomeMy WebLinkAbout30 Morre Loop 41 ORPHAN PLUMBING PERMITh
S
Permit # .2-Co
CITY OF WINTER SPRINGS
PERMIT APPLICATION
Date `'1-
Time JL%10 F- r?r,.,r
Plumbing, Mechanical
Shed,
Sign, Roofing,
_ Septic Permit #
Type of Permit: (Check all that apply) Building, Electrical,
I'ellec' .Pool,
?/?,?? Orpvan, ROW,
Coiitract Value: ;7 Arbor Permit # (Fee Simple) Owner's N
Mailing Address
#
? Construction Address A?(?l /?y?n ??7
Lot #-`? Z.
Living: sq.ft, l8`.Fl Living sq,ft, 2"d.Fl. Other Fl, sq.ft. sq.ft, of Garage Entry Rear Porch Other non-coriditioned
Subdivision Zoning Section-3_4 Townshi
. p? Range-_30
Contractor t Address
?
". aj-Ui4+
:Phone # License # Ex ires ?
? ? ? ? p W. Comp.Exp:"?Bonding?Company Address
,ArcliitectlEngineer . Address ? .
Mortgage Lender Address
W:ork.Descrip'tion • F Q?Z
:.?,,;?
ons[ :i ype • Occ Class (Y/N) Unprotected _ Protec ei? $
. lElectrical Contractorl Address .
License Expires Phone #
.. ? W.C.
Work Description :
Voltage Phase T-Pole: Yes r1o
?NIcc1,;1nical Cc,n[ r:?c(or: Address
License # Expires Phone # Contr?ct $ ,
Wo?•k Description System Type EER
? SEER
Plumbin Concr,jcror: Address
License # Expires Phone # - -
No. oP Fistures
Worlc Description-jg-?J.,?, Sewer Water Fie
Commercial Fixtures:
Vacuum Breakers ' UG Water Drains
As defined by 2001 Florida Plumbing Code Fixture Unit-Table 709.1
Other: Type Contractor
Address
License # Expires Phone # . Contr•act imount $ VVorl: Description
. . .
Swim Pool: Lot Grading Type' ` ' q B C
Wi1l,Existirig Drainage Be Altered? Yes No '
Distance &om edge of pool to: ' Rear Yard Side Yard
Enginccring Division may require a survey for final inspection Other
Side Yard
a,
BUILDING DIVISION '
Revised: 03/07/02 : (407) 327-5963 1126 EAST SR 434 WINTER SPRINGS, FL 32708
. .?.• .. ,.,...... ,. ?
,????.?'r`... . . , • ? . . . .
?
t
:
FtLiofMaterialforFence FenceHeight
riear-Feet of Fence to be Installed Contract Amount $ Sign: ` Name of Business
Owner/Manager
Installer/Sign Co.
Existing Sign (Y/N) _
Description
Phone #.
Phone #
Phone #
Proposed Sign Description
Size of Sign X [Contract Amount $
Type of Sign Outdoor Advertisement (on-site) Construction Real Estate
Outdoor Advertisement (off-site) Identification Other
OFFICE USE ONLY . . .
CALCULATED VALUE .
)?ERMIT FEES IMPACT FEES' ,
Building Permit Transportation Impact
Plan Review Police Impact
Electrical Permit Fire Impact
Mechanical Permit Other
Plumbing Permit
Right-of-Way Permit
Arbor Permit
Other
PERMIT.TOTAL: IMPACT FEE TOTAL
Community Dev; Reviewed By
Engineering:
Fire Marshall:
Reviewed By
Date: Approved: Yes No Comment
Date: Approved: Yes No Comment
Reviewed By Date: . Approved:
Building: Reviewed By
Date: Approved:
Yes No
Yes No
Comment
Comment
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOU
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT YOUR
LENDER OR ATTORNEY BEFORE RECORDING A NOTICE OF COMMENCEMENT.
APPLICANT: I CERTIFY THAT ALL THE FOREGOING INFORMATION IS ACCURATE AND THAT ALL WORK WILL BE
DONE IN COMPLIANCE WITH ALL APPLICABLE LAWS REGULATING CONSTRUCTION AND ZONING. I FURTHER
UNDERSTAND THAT WORK MUST COMMENCE WITHIN 60 DAYS AND BE COMPLETED WITHIN ONE YEAR FROM
DATE OF ISSUANCE OR THE PERMIT WILL EXPIRE.
COMPLIANCE CERTIFICATION: I CERTIFY THAT THE POOL CONSTRUCTION WILL COMPLY WITH ALL
APPLICABLE N.S.P.I. DESIGN REQUIREMENTS AND THE POOL COMPLIES WITH SECTION 1803.1.3 OF THE 1997
STANDARD BUILDING CODE. OWNER MUST SIGN ALL PERMIT APPLICATIONS. EXCEPTION: CONTRACTOR PROVIDE AN "OWNER
SIGNED" CONTRACT OR A NOTARIZED POWER OF ATTORNEY. FROM THE OWNER, GRANTING
SICNATURC
, , .. (Owncr/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)
i3UILDING DIVISION
Revised: 03/07/02
(407) 327-5963
SIGNATURL ??a?.•? a-e- `
(Contractor)
The foregoing instrument was acknowledged 'Before me this ?a of
2002By
who is ersonally known me and/or has produced
as identif atio - oath.
NOt1I'y otticial eal "
? '
(seal) NoteryPublic, Stete of Florida ?
My comm. expires August S. 2004 ?Comm No. CC967409 - Issue Date 8I6/00 ,..
1126 IsAST Slt 434 W1NTClt SPRiNGS, I132708
F
l
POWER OF ATTORNEY
Date q - 12-6. - (/)...
I hereby name and appoint / '
of to be my lawful attorney in fact
to act for me and apply to the Building Department for
a plumbinpri-ni t for w ork to be erformed at a catio described as:
Section Township .?>(D Range ? Lot5J-"Z Block__2.QO?
Subdivision
A'PN
(Ad r s of Jo V?
O.1? tte-f .
(Owner of Property and Address)
and to sign my name and do all things necessary to this appointment.
Frank Paul Rainaldi
Type or print name of Registered Contractor
Signature of Registered Contractor
The fore oin instrument was acknowledged before me this 14!day
of by Frank Paul Rainaldi who is personally known to
me/who produced N/A as identification and who did not take an oath.
State of Florida -Az ,aq.a.e
Offlcial eal
Commission # Q ?QA1? e.s.,?,~"''?? I I
Notary Public, State of
My Commission
RECEIVED
SFp 1 F 2002
CIIY OF 1MNTER SPRING$
Pertnitting & Licensinp
I . p
RAtNALDI PLClMBlNG ' << =
SUPPLIES AND SERVICE ?
6111 Uld Cheney Highway (3280 7)
P.U. Box 574557 -
Orlandu, Florida 32857•4557
24 Hour SPwice (407) 282-2900 ?
I
?
JOB INVOICE ;, ? g pp o o ???
BEST A1iAlLABLE C O!'Y ° o ?''_
71665 ? y?m
?
R'S ORDER NO. DATE ORDERED .
? j
? ?
co
I _/ _ _ • jepl__ 10 P-1 I ' - . I I I
?s
Dra' 'leanirlg?
Special Equipment,r-
• Sub-Contractors
. Pxtching of drywall and/or concrete not include(i unless olheiwise
. specified. When collection is necessary, deblor agrees to pay
, collection costs. .
Late chanle, I:_ io per month, 18°1. par year.
HOURS AMOUN 7 TMAL ?
MATERULS
MECHANICS
TOTAL
.
?
HELPERS. ?
LABOR
Service
• ' Chrrge
'I hereby'acknowledge the satistactory TOTAL LABOR Tqx
COnipletion ot the above described work:
?
r EDATE COMPLETED
?
g
•
c7 ??1 ??1. TOTAL ?l.f?J
.
-?l•.I
EI)
N N
t?j ° ?? cn
?.:
1 .'\ .
,
. %
Rainaidi
Plumbing
6111 Old Cheney Highway w? . Telephone: (407) 282-2900
Orlando, Florida 32807 Facsimile: (407) 380-7780
State Reg. Master Plumber F? ?Z Same Day Service
#RF 0038681 e0ND19 - Since 1974 -
REGARDING DISINFECTION AND PRESSURE TEST OF POTABLE WATER SUPPLY
SYSTEM
AFFIDAVIT
GOMPANY: RAINALDI PLliiVIBNG LICENSE: RF0038681
PROJECT IVFORMATION
SUBDIVISION:
ADDRESS:
,6?11~
. _Z2 760.
PERMIT NO:
LOT:
I? Paul Rainaldi , Affiant, hereby affirm that I am a duly licensed contractor, that all of the
foregoing information is true and accurate, and that the potable water supply system at the above
referenced address/lot has been "disinfected" in accordance with procedures set forth in Section 610.1 of
the Florida Buildiirg Code/Pliunbing, 2001, and that the potable water system has been pressure tested to
the required amount of, but not less, than the w.orkin; pressure of the system as stated in Section 312.5 of
the Floritlct Builclirrg Code/Pltunbing, 2001.
C'UVTRACTOR: Paul Rainaldi
(Printed Name) ,.
?Q?iC // 1 CX?s Zi 1
(Signattire)
STA1'E OF FLORIDA
COLJNTY OF Orange '
rd- L-`
This instn?ment was acknowledoed before me this? day of B?" ,_,?Q'_?Z
by the above refrrenced individual, Paul Rainaldi who acknowledged that he is a duly licensed
contractor with Rainaldi Plumbing , and who acknowledged that he was authorized to execute
this document. He is either personally known to me or produced
as valid identification. tv
WITNESS my hand and official seal this 23day of ?Lf.-,2z Z
Pu ic
Notary
icie ea ?
Printed Na R. CRAIG PARKS
Q
?fy Commis ion ?lt?[Yc?blic, State ciFiorida
My comm. expirea AuQuet 5, 2004
Comm No. CC957408 - laeue Dete 8/8I00
COMPLETE PLllMBING SERVICE • REPIPING • SEWER 8. DRAIN CLEANING • RESIDENTIAL 8. COMMERCIAL