HomeMy WebLinkAbout1601 WP Ball Blvd 08-2143 (fire alarm)(� c� I /�� 2� CITY OF SANFORD PERMIT APPLICATION
Permit #: (�(J �yf�- I `T ✓ Date: 07/09/2008
Job Address: 1601 WP BALL BLVD SANFORD, FL. 32771 ,
Description of Work: FIRE ALARM ADDITION Total Square Footage 3136
Historic District: Zoning: Value of Work: $800.00
Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler /Alarm x Pool
Electrical: New Service —# of AMPS Addition/Alteration Change of Service Temporary Pole
Mechanical: Residential Non - Residential Replacement New (Duct Layout & Energy Calc. Required)
Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines
Plumbing/New Residential: # of Water Closets Plumbing Repair— Residential or Commercial
Occupancy Type: Residential Commercial Industrial
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required )
Owners Name & Address: Yokohama Restaurant
1601 WF BALL BLVD SANFORD, FL. 32771 Phone: (407) 417 -2118
Contractor Name &Address: American Fire Company
570 North St. Longwood, Fl. 32750 State License Number:
Phone& Fax: Ph 407- 331 -5566 Fax 407- 331 -5506 Contact Person: Robert Eaton Phone: (407) 331 -5566
Bonding Company:
Address:
Mortgage Lender:
Address:
Architect/Engineer:
Address:
Phone:
Fax:
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. 1 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. 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 ofthis 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 requireme GS F ida Lien Law
`, .i, Z z 7//1
�s
Signature of Owner /Agent Date Signature of tractor /Agent ate
Print Owner /Agent's Name
Signature of Notary-State of Florida Date
Owner /Agent is = Personally Known to Me or
Produced ID
APPROVALS: ZONING: UTIL:
FD:
Prinntt�Contractor /Agent's Name
Signature otary-State of Florida Date
or v&t
Notary Public State of Florida
r Mary McConnell Hall
My Commission DD564595
Contractor /Agent is I' Personal) Kno e or Expires 0611512010
Produced ID
Special Conditions:
Rev 03/2006
CITY OF SANFORD FIRE DEPARTMENT
FEES FOR SERVICES
PHONE # 407 - 302 -1091 * FAX #: 407 - 330 -5677
DATE: '7h7 PERMIT #:
BUSINESS NAME / PROJECT:
ADDRESS: 100 ( W,P.
PHONE NO.: t-%J7 -3 3 I —SSCo FAX NO.:
CONST. INSP. [ ] C / 0 INSP.:[ ] REINSPECTION [ ] PLANS REVI
F. A. [ ] F. S. [ ] HOOD [ ] PAINT BOOTH [ ] BURN RM [ ]
TENT PERMIT ] TANK PERMIT [ ] OTHER ( ]
TOTAL FEES: (PER UNIT SEE BELOW)
COMMENTS:
Address / Bldg. # / Unit #
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
Square Footage Fees per Bldg. / Unit
Fees must be paid to Sanford Building Department, 300 N. Park Ave., Sanford, Fl. 32771 Phone # -407-
330 -5656. Proof of Payment must be made to Fire Prevention division before any further services can take
place. I certify that the above is true and correct and that I
will comply with all applicable codes and ordinances
of the City of Sanford, Florida.
Sanford i e Preve ion Division
Applicant's Signature