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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