HomeMy WebLinkAbout1100 French Ave - 12-736 sprinklersV
CITY OF SANFORD
JAN 2 5 2012 BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: j— Documented Construction Value: $. 221 60.00
Job Address: 1 1 0 0 FRENCH AVE, SANFORD FL 32771 Historic District: Yes ❑ No ❑
Parcel ID: 2 5 —1 9 -3 0 —5AG -1 3 0 9 —0 01 0 Zoning:
Description of Work: INSIDED FIRE SPRINKLER SYSTEM
Plan Review Contact Person: SAMY MENDOZA Title: DESIGNER
Phone: 407 - 323 -4200 Fax: 407 - 328 -8931 E -mail: smendoza @southernfire.net
Property Owner Information
Name TANDON MUKESH Phone:
Street: 329 BARTON STREET`. Resident of property?
City, State Zip: PAWTUCKET, RI 02860
Contractor Information
Name SOUTHERN FIRE PROTECTION OF ORLANDO Phone: 407 - 323 -4200
Street: 3801 EAST STATE ROAD 46 Fax: 407- 328 -8931
City, State Zip: SANFORD, FL 32771 State License No.: 74072300011990
Architect/Engineer Information
Name: Phone:
Street: Fax:
City, St, Zip: E -mail:
Bonding Company:
Address:
Building Permit El
Mortgage Lender:
Address:
PERMIT INFORMATION
Square Footage: Construction Type:
No. of Dwelling Units: Flood Zone:
Electrical ❑
New Service - No. of AMPS:
Mechanical ❑ (Duct layout required for new systems)
No. of Stories:
Plumbing ❑
New Construction - No. of Fixtures:
Fire Sprinkler /Alarm M No. of heads: aY
p3cd,o2,
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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.
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.
WARMING 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.
Acceptance of permit 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. A copy of the executed contract is required in order
to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the
plan review fee based on past permit activity levels. Should calculated charges exceed the documented
construction value when the executed contract is submitted, credit will be applied to your permit fees when the
permit is released.
Signature of Owner /Agent
Print Owner /Agent's Name
Date
Signature of Notary-State of Florida Date
Owner /Agent is Personally Known to Me or
Produced ID Type of ID
APPROVALS: ZONING:
ENGINEERING:
SigWature of Contractor /A Date
Print Contractor /Agent's Name / 7
Si
�oV 01i NotatytPublic State of Florida
Carmen Ramirez
My Commission DD844434
'soF po Expires 04130/2012
1.
Contractor /Agent is A Personally Known to Me or
Produced ID Type of ID �' �� 6�7&26ol_
UTILITIES: WASTE WATER:
FIRE: BUILDING:
COMMENTS: 1-240 - /Z_
Rev 11.08
Date: / — Z—G , /
Business or Project Name: 0
City of S-anford
Building ,& Fire -P—re'verrdoff URFs-10V
Fire Plan Review Service Fees
Tel: 407.688.5050
Fax: 407.688.5051
Permit 9--. 4-2
Address:
Contact Nam Contact PC -/ 7
Plan Revlevv Information
❑ Construction ❑ C/O El Fire Alarm 1
,�'Fire Sprinkler ❑ Hood ❑ Tank 0 Paint Booth
Total Fees: