HomeMy WebLinkAbout3017 Mellonville Ave 12-1664MAY 2 4 2012 CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: I I 11 Documented Construction Value: $1,20.00
Job Address: 3017 Mellonville Avenue, Sanford Historic District: Yes No El
Parcel ID: 06-20-31-300-0010-4000 Zoning:
Description of Work: Installing a new electric feeder to modular unit (MOU)
Plan Review Contact Person: Charles Lundquist Title: Electrician
Phone: 407-5854183 Fax: 407-585-4045 E-mail: mlundquist(&,osaa.net
Property Owner Information
Name Sanford Airport Authority Phone: 407-585-4017
Street: 1200 Red Cleveland Blvd. Resident of property?:
City, State Zip: Sanford, Fl 32773
Name: Charles Lundquist
Street: 1200 Red Cleveland Blvd.
Contractor Information
Phone: 407-585-4183
Fax: 407-585-4045
City, State Zip: Sanford, FL 32773 State License No.: ER13013100
Architect/Engineer Information
Name: Phone:
Street: Fax:
City, St, Zip: E-mail:
Bonding Company: Mortgage Lender: N/A
Address: Address:
PERMIT INFORMATION
Building Permit 0
Square Footage: Construction Type: No. of Stories:
No. of Dwelling Units: Flood Zone:
Electrical "N Plumbing 0
New Service — No. of AMPS: New Construction - No. of Fixtures:
Mechanical 0 (Duct layout required for new systems) Fire Sprinkler/Alarm 0 No. of heads:
DIANA M. MUNIZ-OLSON
MY COMMISSION #DD907145
WIRES: OCT 02, 2013
Bonded through 1st State Insurance
Je rio 'fer Taylor
Prin
Signature of Not -State of Florida )
0 ner/Agent's N e it
cLU
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.
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.
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.
--/Z
Date Signature of Contrac or/Agen ignatur of Owner/Age
Charll Lundquist
5-/29/Q
Print r actor/Agent's N
Signature of tate of orida AI Date Date
DIANA M. MUNIZ-OLSON
MY COMMISSION #DD907145
EXPIRES: OCT 02, 2013
Bonded through 1st State Insurance
Owner/Agent is L.—Personally Known to Me or
Produced ID Type of ID
Contractor/Agent is 1.------Persollia ly_Known_to_Me_02.
Produced ED Type of ID
APPROVALS: ZONING: UTILITIES: WASTE WATER:
ENGINEERING: FIRE: BUILDING:
COMMENTS:
Rev 11.08
e
M-126721
1.c.?
MANUFACTURER'S DATA PLATE
WIRE 60HZ
1—sec.
E T & T ENTERPRISES
28816 VENTURA DRIVE
ELICHART, IN. 46517
—LISTED INDUSTRIALIZED BUILDING—
Model: 40'_CONTAINER
Pac—Van Serial No.: GL040-0662
Container No.: OKQU-704018-8
Manufac. Serial No(s): 07-4543
Date of Manufac.: 9/20/07
Data Plate .Attached: 9/20/07
Permissible Gas Type(s):
Electric Rating: 120/240 3 Pt,
Test Voltage/Time: 1080 volts
Water Supply Test Procedure:
Floor Design L.L.: 50
Roof Design L.L.: 30
Design D.L.: 10
Design Wind Speed: 90 mph
Exterior Wall Fire Rating:
Seismic Av.:
Winter Design Temp. 'Iriside: 72
Winter Design Temp. Outside:-1
Uo Ceiling:
Wall:
Floor:
—FACTORY INSTALLED EQUIPTMENT—
Equipment Manfacturer Model No.
Heating: 9,500 THRU WALL HEAT/COOL
Cooling: 9,500 THRU WALL HEAT/COOL
Water Heater.
MISC
MISC
Shipping Weight(s): 6,300 # APPROXIMATE
3rd Party Label No(s).: Factory Inspected
State Insignia No(s).: See Power Box
Follow preoisely allinatruotions with this building.
Foundations, Installation and Utility, Connection. ass subJeot to inspection by local authoritiee.
Codes: 1685 INDIANA MOBILE STRUCTURE CODE
Codes: 2005 (NEC) NATIONAL ELECTRIC CODE
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