HomeMy WebLinkAbout1901 WP Ball Blvd 05-1448 (fr alarm)Permit #:
Job Address:
Description o
Historic Distt
CITY OF SAlti J'ORb 1VERMIT APPLICATION ;- lsCf ter'
r Date: / I -
Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm 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 Z Plumbing Repair — Residential or Commercial
Occupancy Type: Residentiaa Commercial Industrial Total Square Footage: 0 40 3 Jt
n
Construction Type: ?: ' # of Stories: -- # of Dwelling Units: Flood Zone: (FEMA form required for other than X)
GParcel #: r " ' Y= `zO` _ `10 (
Attach Proof qf Ownership &j al.
D`escrip on) Owners
Name & Address: %4AC71"i (t e _ StM/NG ice'• G /n.r fv -%' - - T v
e o 40 L M / b' rS L"LL GA 3 a m (o Phone: [ 0 3 25 4`T/ Z.._ Contractor
Name & Address: l me:r1 ca F' /Z e5 Go - 5714 46K —779 'S - l
Q606A-P V State License Number: Phone &
Fax: 4191— 3 d C,.tM P rsbu Phone: G% ^ 31 Cj ' 9 / 72 Bonding
Company- Address:
Mortgage
Lender: Address:
r r, t t 1 t) Arebitect/
Engineer: a Phone: Address:
Fax: Application
is hereby made to obtain a permit tq do the wo to certify that n6 work or Installation has commenced prior to the issuance
of a permit and that all work will be peifo to f a 1 re la ' g construction in this jurisdiction. 1 understand that a separate permit
must be secured for ELECTRICAL WOR C;j vMB , WE , l S, FURNACES; BOQ ERS, 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 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 ederal genies. 11Acceptance
of permit is verification that I will notify the owner of the property of therequire o lo11 rida
Lirn
IF 7713. / Signature of
Owner/AgentDate Signatu of Contractor/Agent Date V148 M
mm 2 Print Owner/
Agent's Name ctod t ame Signature of
Notary -State of Florida Date Date Owner/Agent
is _ Personally Known to Me or Produced ID
APPLICATION APPROVED
BY: Bldg: Initial & Date)
Special Conditions:
Plonk pN
f OD 164260 EXX PIRES: November12,2006 Foc noa`O Bonded7hru Bud get NoSetractor/Agentis _ rso Kno M r_y, Ir ProducedaZoning:
Utilities:
FD: Initial & Date) (
Initial & Date) Onitial & Date'
CITY OF SANFORD FIRE DEPARTMENT
FEES FOR SERVICES
PHONE # 407-302-1091 * FAX #: 407-330-5677
G_ PERMIT #: DATE: ^-
6, h rBUSINESSNAME / PROJECT:
ADD SS:
PHONI : TL rp FAX NO.:
CONST. INSP. [ ] C / O INSP.:[ ) REINSPECTION [ ] PLANS REVIEW
F. A. F.S. [ 1 HOOD [ ] PAINT BOOTH [ ] BURN PERMIT [ ]
TENT/PERMIT I 1 /I TANK PERMIT [ 1 OTHER [ *1 _to L,,.) -p—'rzo
TOTAL FEES: $ 4jSO • (PER UNIT SEE BELOW)
COMMENTS:
Address / Bldg. # / Unit #
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
H.
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, FI. 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 Sanford, Florida.
Sanford Fire Prevention Divi n A plicant's Signature
t7'f/l.P/
Special Hazards Engineered Fire Systems
January 19, 2005
This letter serves as authorization for the below listed persons employed by American Fire
Company to apply for, pick up and drop off plans and permits on my behalf:
6 ad a ,c , F(- 3z-7 -7I Authorized
Persons: Wayne
Moore Chris
Revis Mike
Gagnon Donnie
Moore Thank
You, 7
a.. P' Terry
Hall License #
EF0000760 i.
NYPAP MY
COMMISSION a DD 037282 EXPIRES: Septemper28 2005 9on0ouThrueuftalP40 ,y Servl P.
O. Box 520218 . Longwood, Florida 32752-0218 • (407) 331-5566
Special Hazards Engineered Fire Systems
January 19, 2005
This letter serves as authorization for the below listed persons employed by American Fire
Company to apply for, pick up and drop off plans and permits on my behalf for the following
job:
Dress Barn
1901 WP Ball Blvd.
Sanford, FL 32771
Authorized Persons:
Wayne Moore
Chris Revis
Mike Gagnon
Donnie Moore
Thank You,
ZD
Terry Hall
License # EF0000760
SUSANNE JANSONS
i W COMMISSION W DD 037282
EXPIRES: September 28, 2005
eoc mdv,g
eondod 7hm Budpot Nolery SerAM
P.O. Box 520218 • Longwood, Florida 32752-0218 9 (407) 331-5566