HomeMy WebLinkAbout2025 WP Ball Blvd 05-403 (elec - build out)2
CITY OF SANFORD PERMIT APPLICATION
TPermit # : ` o J• Date: i zd 3D I o4
Job Address: 7i w Q. .
Description of Work: V—TN INC . 15 7_ — `6V \W OL
Historic District: Zoning: Value of Work:
C-44O
Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool
Electrical: New Service — # of AMPS Z-CO ZA4ddition/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 oCommercial
Occupancy Type: Residential Commercial Industrial Total Square Footage:
Construction Type: !'L•% # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X)
Parcel #: Attach Proof ofOwnership & Legal Description)
4b*oe- r Fax: O" SZZ Contact Person: - OIAi tS Phone: -SZZ-
Bj1ag Company: 'r1-hn hJic = Ell P 72 i L.
Address:
Mortgage Lender:
Address:
ArcM eenogiueer:
Address: SUR
se 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 ofall 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.
MNER'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
this county, and that may be additional permits requited from other governmental entities such
Acceptance ofpermit is verification that I will notify the owner of the property ofthe
Signature ofOwner/Agent
Print Owner/Agent's Name
Date
Signature of Notary -State of Florida Date
Owner/Agent b _ Personally Known to Me or
Produced ID
my that may be found in the public records of
ent districts, state agencies, or federal agencies.
Lew,
gent Date
to
eme
Signs Notary Starp'oj Florida . s&A I Banaron
My Commission DD034287
or Expires July 13, 2005
Contractor/Agent is _ Personally Known to Me or
Produced I[
APPLICATION APPROVED BY: Bldg: I!/loh ( 3oning: Utilities: FD:
Initial & Date) (Initial & Date) (Initial & Date) (Initial & Date)
Special Conditions:
CITY OF SANFORD PERMIT APPLICATION
Permit # :S — `ld Date: 10-2--k• nU
lob Address: O
Description of Work: S,r,ttt2 oZ .na R l Moe C—
listoric District: Zoning: Valuc of Work: S
Permit Type: Building J_ Electrical Mechanical Plumbing Fire Sprinkler/Alann Pool
Electrical: New Service — # of AMPS Addition/Alteration Change of Service Temporary Pole
Mechanical: Residential Non -Residential Replacement New (Duct Layout & Energy Cale. 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 )Q Industrial Total Square Footage: '11%493
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X)
gr 32 °-3+o - Sol - coon- OMo
Parcel #: 32—,i -30 - M30 - 00M (Attach Proof or Ownnerrship & Legal Description) ,!
Owners Name & Address: KJAP SEMI/.ia.> O AR TQI.AGE I•I-C- 4 1p %ci jAgumm 6 fStU kE ZD,
no- SZZ-qo Bonding
Company: N IA r Address:
Mortgage
Lender: NIA Address:
Architect/
Engineer: Pl+11,1PS PAr2TiaEtZSNIP Phone:-00-31`7- 1bl to Address `
M L ?,k4liL !!s ; swtfG LkD, A ytAA iA l b& -ro ala Fax: MD - Sgly- 13 i y 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 ofall laws regulating construction in this jurisdiction. I understand that a separate ` " 70X permit
must be secured for ELECTRICAL WORK. PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and AIR
CONDITIONERS, etc. OWNER'
S AFFIDAVIT. I cenify that all of the foregoing in r io iy cuAftM tfdth I o i I' t liance with all applicable laws regulating construction
and zoning WARNING TO OWNER YOUR I R to T 1 M NT MAY RESULT IN YOUR PAYING TWICE
FOR IMPROVEMENTS TO YOUR PROPERTY. I ND BT I N L WITH YOUR LENDER OR AN ATTORNEY
BEFORE RECORDING YOUR NOTICE OF C MM NE . NOTICE.
In addition to the requirements of this permit, theremay be.additiona tcrion p I this
county, and there may be additional permits required frciy Q Pgovrrnme tititgscF Acceptance
of permit is verification that I will notify the ox m'r o e Property of therequirements of St
ature/ofOwner/Agent : ';,:, DateREC r toI
S
l0?A-oH tCobb
snryrgia My, missionExpires27, 2007 Owner/Agent
is2 Personally Known to Me or Produced ID
to this
property that may be found in the public records of r managrmcra
d victs, slateagencies, or federal agencies. lorida IFe1F1.
3r.V-'.FeS713 o tractor/
Date Signature of
Notary -State of Florida Date Contractor/Agent
is _ Personally Known to Me or Produced I
D APPLICATIONAPPROVED
BY: Bldg 0 Zoning: 4 1. 11' D14 04 Utilities: 6 /'/ P FD: Initial & Date) (Initial &
Date) (Initial & Date) Special Conditions:
I
DEVELOPMENT FEE WORKSHEET
CITY OF SANFORD.
UTILITY — ADMIN
P.O. BOX 1788
SANFORD, FL 32772-1788
Project Name: 5TfA.-;P n4 wh'i7~c A30 0 Ohs e
Owner/Contact Person:
Date Jro
Phone:
Address: 2o26Z: 7 , AIL0/0 M.,,/,z'-, cs 0-31"Ww0G, 7-L Type
of Development: 1)
RESIDENTIAL Type
of Units (single family or
multi -family): Total
Number of Units: Type
of Utility Connection individual
connections or
central water meter & common
sewer tap): Water
Meter Size (3/4", 1",
2", etc.): REMARKS:
2)
NON-RESIDENTIAL Type
of Units (commercial, Industrial,
etc.): Total
Number'ofBuildings: Number
of FixtureUnits each
building): Type
of Utility Connection individual
connections or
central water meter & common
sewer tap): Water
Meter Size (3/4", 1",
2", etc.) REMARKS:
g
f X7v2t..S CONMCJ70NFEE
CALCULA?70N.- G ,.o7t-w /_ s 2 0, ao slgd
cekj-4 Name -
Signature - Date PC-
Mrrn rem*
tw
2)
1) Water System Impact Fees
Equivalent Residential Connection (ERC) -300 Gallons Per Day (GPD)
Residential -
S65WUnit - Single family structure, ormulti —family unit
containing three (3) bedrooms or more.
487.5WUnit ' - Multi -family unit or Mobile Home unit containing
less than three (3) bedrooms. (This category is
based on judAneat/aoumnption, estimation that
such family units on average require 7SVo-225 GPD
ofthe water and sewer service ofan average single
family omit}
Commercial
S65WERU - . Fixtures unit schedule fivin Southern Plumbing Code
will be used. One ERU will be charged for connection
and up to twenty (20) fixtures units.
For projects having more that twenty (20) fixture unit
base for the first ERU. (Example: twenty-five (25)
fixtures units will be rated as 125 err: twenty-six (26)
fixture units will be rated as 1.5 ERU.) .
Sewer Systems Impact Fees
Equivalent Residential Connections-270 Gallons Per Day (GPD)
Residential
51,700 Unit - Single Family structure, or multi -family unit
Containing three (3) bedrooms or more.
S1,27YUnit - Multi -familyomit orMobile Home unit containing -
less thanthree (3) bedrooms. (This category is based on
judgroeat/assumption, estimation that such family units on
average require 75% ofwater and scv er service ofan
average single family trait}
Commercial- Industrial- Institutional
1,70WERU
Fixtures unit schedule from Southern Plumbing Code
will be used. One ERU will be charged for connection and up to
twenty (20) futures units For projects having more than twenty
20) units the Impact fee will be increments of25% based on
multiples of five (5) fixture units above the twenty (20) fixture
unit base for the first ERU. (Example: twenty five (25) fixture units will
be rated as 125 ERU: twenty six (26) fixture units will berated as 1.5 ERU}
FIXTURES TYPE DRAINAGE FDCrURES UNTT
VALVE AS LOAD FACTORS
MINIMUM SIZE OF
TRAP(INCHES)
Automatic clothes washers, commercial (a). 3 2
Automatic clothes washers, residential 2 2
Bathroom group consisting ofwater closets, lavatory,
bidet and bathtub or showers
6
Bathtub (b) (with or without overhead shower or
whirlpool attachments
2 1'A
Bidet 2 1 '/4
Combination sink and tray 2 1 '/2
Dental Uvato 1 1 'A
Dental unit or cuspidor 1 1 'A
Dishwashing machine, (c )domestic 2 1
Drinldng fountain l I A 1 '/4
Floor drains 2 1
Kitchen sink domestic 2 1 '/:
Kitchen sink, domestic with food waste grinder and/or
Dishwasher
2 1 'A
Laundry tin 1 or 2 compartments) 2 1 'A
Lavatory. I 1 1'A
Shower compartments, domestic 2 2
Sink 2 1 'A
Urinal 4 Footnote d
Urinal,l gallon per flush or less 2e Footnote d
Wash sink (circular or multiple) each ser of faucets 2 1 "A
Water closets, flushometer tank, public or private 4e Footnote d
Water closets, private installation 4 • Footnote d
Water closets, public installation 1 6 Footnote d
For SI: t lneb-214 mm, I pllm- .78S L
a For paps larger than 3 inches, use Table 709.2
b A•showerhead-over a bathtub or whirlpool bathtub attachments does not increase the drainage fixtures unit valve
c See sections 709.2 thougbd 709.4 for methods of eomputing unit valve of 5riurm not -listed in Table 709.1 or for tating of devices with intermittent flows.
d Trap size shall be consistent with the fixtures outlet size. .
e For the purpose of computing -loads on building drains and sewers, water closets or urinals shall not -be rated at a lower -drainage first fixture unit
unless the lower values are confirmed by testing. TABLE 709.2 DRAINAGEFIXTURES UNITS FOR FDtTURES DRAINS OR TRAPS
Fixtwe Draw or Trap
Size inches
Drainage Furores
Unit Value
1 '/4 1
1 '/: 2
2 3
2'% 4
3 S
4 6
Stnndmd PUmbing coda 0 1"7
3:7Gi•' •`ri` ?JITj iSP1.wt; '. `y, . • t... _ r t. t 1, t '.
CITY OF SANFORD PERMIT APPLICATION
j• .
ID 403Permit #:
L3
Date:
tl 1JobAddress:,4baro r Ci IJ o to -
Description of Work:
Historic District: Zoning: Value of Work:
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 & $ewer Lines # of Gas Lines
Plumbing/New Residential: # of Water Closets Plumbing Repair — Residential or Commercial
Occupancy Type: Residential Commercial Industrial Total Square Footage:
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X)
Parcel p: (Attach Proof of Ownership & Legal Description)
Owners Name & Address: t4 )A 1 ti S-Amy
Phone:
Contractor Name & Address: YT Y 43 i •_
State License Number. CA L6 Sud4I ._
Phone & FatL4A2
Boading Company:
Address:
Mortgage Leader:
Address:
Architect/Engineer.
Address:
Contact Person:
Phone:
Fix:
Application is hereby made to obtain a permit to do the work and installations as indicated. 1 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 ofthe 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 YOURNOTICE 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 1 will notify the owner of the property ofthe
Signature of Owner/Agent Date
Print Owner/Agent's Name
Signature of Notary -State ofFlorida Date
Owner/Agent is _ Personally Known to Me or
Produced ID
APPLICATION APPROVED BY: Bldg:
Initial & Date)
Special Conditions:
Zoning:
Initial & Date)
MY COMMISSION t DD 164280
a-Aadd Thiu OW961 Nunsc06
Utilities:
S
FD:
Initial & Date) (Initial & Date)
I
54ep C tJ b
CITY OF SANFORD PERMrr APPLICATION
Permit #: 657— y4 Date: / Z '-I& —6(1
Job Address: W P 1 ,6/D•
Description of Work.—X^i 0,4 Po.xj il S_rAC L 0VT jeO, wt
Historic District: Zoning: Value of Work: $ ZC;00, 00
Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool
Electrical: New Service — # of AMPS Add ition/AIteration Change of Service Temporary Pole
Mechanical: Residential Non -Residential Replacement New (Duct Layout & Energy Calc. Required)
Plumbing/ New Commercial: # of Fixtures S # of Water & Sewer Lines # of Gas Lines
Plumbing/New Residential: # of Water Closets Plumbing Repair— Residential or Commercial
Occupancy Type: Residential Commercial Industrial Total Square Footage:
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X)
Parcel #: (Attach Proof of Ownership & Legal Description)
Owners Name & Address: Ablz7h wee, Chi/t>' ,o p
Phone:
Contractor Name & Address: oleo, ct'I ".! fTkie (pZ f %fZ f UL
0C o'00o4 r-74 .3280 State License Number: CPC OZ36Z9
Phone & Fax: %—Z9-Z3'70 9;t Contact Person: 2),yow"y 140k s Phone: _ 07-9eW— 0/1 _?
Bonding Company:
Address:
Mortgage Lender: _
Address:
Architect/Engineer: Phone: _
Address: Fax:
Application is hereby made to obtain a permit to do the work and installations as indicated. 1 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. 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 pernut is ventt tion that 1 will notify the owner ofthe property of the requirements of Florida Lien Law, FS 713.
1 "',b iz-14--0 y
Signature of Owner/Agent Date Signature of Contractor/Agent
Print Owner/Agent's Name Print Contractor/Agent's Name
Signature of Notary -State of Florida
Owner/Agent is _ Personally Known to Me or
Produced ID
APPLICATION APPROVED BY: Bldg:
Special Conditions:
Initial & Date)
Zoning:
Date
Signature of Notary -State of Florida Date
Contractor/Agent is _ Personally Known to Me or
Produced ID
Initial & Date)
Utilities: FD:
Initial & Date) (Initial & Date)
Pd gal,\a{ CITY OF
SANFORD FIRE DEPARTMENT FEES FOR
SERVICES PHONE # 407-
302-1091 * FAX #: 407-330-5677 DATE: O
BUSINESS NAME /
PROJECT: ADDRESS PHONE
NO.:
FAX NO.: PERMIT #: CONST.
INSP.
I 1 C / O INSP.:[ 1 REINSPECTION [ ] PLANS REVIEW F. A. [ ]
F.S. [ ] HOOD [ ] PAINT BOOTH [ ] BURN PFWAIT [ TENT PERMIT
f ] TANK PERMIT (] OTHER [ ] y , 3 cS'J TOTAL
FEES:
S V V (PER UNIT SEE BELOW) COMMENTS: Address /
Bldg. # /
Unit # Square Footage Fees per Bldg. / Unit 1. 2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
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 of anford, F orida. Sanford Fire
Prevention Division Applicant's Signature
SANFORD FIRE DEPARTMENT
F
FIRE PREVENTION DIVISION -
300 N. Park Ave., Sanford, Fl. 32771 / P. O. Box 1788, Sanford, FI.32772
407 302 2520 / FAX (407) 330-5677
Pager (407) 918-0395
s Review Sheet
Date: November 2, 2003 Business Address: 2025 W P. Ball Blvd.
Occ. Ch. 36 New Mercantile
Business Name: White Box @ 2023 W.P. Ball Blvd.
Contractor: Young Contracting
Architect: Phillips Partnership
Ph. (770) 522-9270
FAX. (770) 522-9273
Phone (770) 394-1616
Fax (770) 394-1314
Reviewed [ ] Keel• wed wcl%th Comm, _e-_nt>/ Rejected [ ]
Reviewed by: Timothy Robles, Fire Protection Inspector/Plans Examiner
Comment: Plans reviewed as Mercantile Occupancy Class "C". FD reserves right to require
applicable code requirements if occupancy use changes.
Application — New Building. 1493
1.1 Mixed — N/A
1.2 Special Definitions — N/N
1.3 Classification of Occupancy — C
1.4 Classification of Hazard of Conti
1.5 Minimum Construction — N/R
2.2 Means of Egress Components -?
2.3 Capacity of Egress — OO . Le-ss
2.4 Number of Exits — One (1) See
2.5 Arrangement of Egress — O.K.,
2.6 Travel Distance — Shall not exceed
ft. New Mercantile occupancy
SS "C" (LESS THAN 3,000 sq. ft.)
is — Ordinary per 6.2.2.2. F.F.P.C.
SPECIAL REQUIRMENTS)
xception #36- 2.4. Less than 75' (ft)
illfield verify, per section 7.5>F.F.P.C.
75' 36- 2.4.
1
SA
FIRE
300 N. Park Ave., Sanfo
407 302
2.8 Illumination of Means of Egress
2.9 Emergency Lighting — O.K.; will
2.10 Marking of Means of Egress —1
2.11 Special Features -Reserved
EVENTION DIVISION
FI.32771 / P. O. Box 1788, Sanford, FI.32772
20 / FAX (407) 330-5677
arer (407) 918-0395
O.K.; will field verify
ield verify
K.; will field verify
3.1 Protection of Vertical Openings ! Provide a basic degree of compartments
3.2 Protection from Hazards — N/N
3.3 Interior Finish — Class `B" "A" or "C" allowed per 10.2.8.1
3.4 Detection, Alarm and Communii
3.5 Extinguishing Requirements - a
3.6 Corridors —
4 Special Provisions
5 Building Services
5.1 Utilities — as per sec 9-1
5.2 HVAC — as per sec 9-2
5.3 Elevators, Escalators, Coi
5.4 Rubbish Chutes, Incinera
Sanford City Code — Chapter 9
Monitoring:
Other: NFPA 1
3-5.1 Fire Lanes - Not
3-6.1 Key Box — required
3-7.1 Bldg. Address Number
size
s Systems - Not required
ors (4A-47) — N/A
and Laundry Chutes — N/A
and Legible: Post address on building 6" in
0
LC"IF1ED a;OR
Permit No.
State of Florida
County of Seminole
The undersigned hereby gives notice that inn
Chapter 713, Florida Statutes, the following
1. Description of property. (legal description o
2025 W.P. Ball Blvd., Sanford,* FL 32771 .
2. General description of improvement
3. Omer information
a. Name and address NAP SEMINOLE
1080 Holcomb Bridne Road. Blda. 21
b. baterest in property Ow
c. Name and address of fee
Contractor
a. Name and address YOUNG'CONTRAI
8215 Roswell Road, Bldg. 400, Atlanta
Phone number. 770-522-9270
5. Surety
a. Name and address N/A
MAnYVVE MORSE
CLERK IDF 'CIRCUIT COURT
SEM 0 E 011l iV, OR1Dil
OF C0MNMNCEN1Wr BY
Tax Folio No. , E u art
NOV 2 9 2004
will bo made to certain real property, and in accordance with
i is provided in this Notice of Commencement.
property and street address if available)
LLC.
if other than Owner) Same as above
CO., INC.
Fax number 770-522-9273
i I •
b, Phone number I Fax number
c. Amount ofbond I
6. Lender ;
a. Name and address U S BANK NATIONAL ASSOCIATION, c/o FROST BROWN TODD, LLC
2200 PNC Center, 201 East Fifth Street-, Cincinnati, OH 45202 Attn: Jeffrey Rush
b. Phone number 513-651-6893 ; I Fax number 513-651-6891 _
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served asprovidedbySectionZjL. 3(1)(a)7., FloritiajStatutes:
a. Name and address _ TBD i
i I '
b. Phone number. I Fax number
S. Tn addition to himself or herself, Owner desigroates Jeff Pape of
NORTH AMERICAN PROPERTIES 1 to receive a copy of the LienWs Notice as provided in Section
1,,_(1)(b), Florida Statutes.
a. Phone number 770-325-4913 I I Fax number 770-643-9540
9. Expiration date of notice of commenoennent (the expiration date is 1 year from the date of reeoordding unless a different
date is specified)
Si tore of Owner
Swo6*-& &n e j QpAcobed before nee this2l& of
Personally K
Type of Ideal
OR Produced
VM My`Commisslon Expii
MANYAW MI)WIt', 1,1YNK OF CIRCUIT COURT
SI;MINIJI•F I,UIWIN
BK 05528 FIG 1338
CLERK'S 1t 2004183018
RECUNDED 11/29/2004 WiWi45 PN
RI:MIMIN11 FEkS 10.00
RI11,110-1) NY t holden
r 11/la/zyna yi7:52 ah7bb 4h6
TATEMENT Ni]103ER: 041Q0014
TTibvim •APPLIC;kTTON . 04 IDO
UILDING rgMIIT IiGr? : `04. 1-00
NIT ADDRRgS, W .P ..HALT. BLVD 20 $
TPA-FH1c -zoulr .0,22 ,TIT-tMIC`TI(
SEC: qwp :• RNG:.
GUIiDMSION,
PLAT BOOK: PL +T' Bwyl" P7
WNCR NAM: NOli 'it' AM ICAN .PRO]
ADDRESS: 1UN6 HfJL(:UAb W=m
PPL3:WIT I MM, YOUNG. CONTRh"C..i'TTI(:• 1
ADDRESS! 8215 •ROSWELL RD. ft
RAYS" UVS-z; "Lg'i^n.Ci?T PLACE
30RK ij$$f(T_T%PTf7rT: Cl'lY -.YISIIFVlCU
MCIAL DJOTS.S: NO t.'IsK _I.ry(M'gTi7Tc
SHOP (RC;
EE - - - - - - • • • • BENE[FIT RATR. .
OADB-ARTL8IAL8' N/A
a.*.rS - COLLEECTrRS r.: n
M RESCUE N/A
is tct v,'A
CtiUOLB N/A
A$RB N/A
Aw: EMORCE. N/A
RAINAGE x/h.
3TATEMENT
1ECBI'7E£. SY :
PIAASE T?RT WP MAMMY
q(Yr?t '1'0 'XW.:Kl'Vnq)r.3 SIMTO'.
A FMr,t{ IrTMELY .PAYJdEUT ldAY
3ISTFZBU aI0N- I -•BLDG 13:SY.1'
2 -PINA2 E
THAT .Ar?Y
I. OF ANY
BUST ddEET THE • S OF THE
7-opOT! RTR MR. d1VRRM..M. APPEALS FROM
TK5 PL`.IT IKF!Zl MjhTIC:2 OPPI SsNl
UXV FL, 3,2771; 407-665-735fr. PAi'
MAEti!'" SHOULD 1W MADE TU,: •5 PAYI+
W'*ITSH09L,D, M BY UHW,:X ME -
MM TY SUILDIZ':G 'PPM41T Zvgl #
JLt W, LEV HlV VA(E— b'lOF
SEMTT $Ta DATE:.
November 19, JOLM 3a-
Lv-5,01.0000'-0020' PARCEL: •
T9.
P..?3'': ELbcv:
LOT: GA
30071 ATLhWA
GA 30350 MMTE"
ROX Teti RWI'A la 1` - - -
CAW - ' • UNIT _ 'TOT'AL UUR - Wm - --
allITS _._....TYPA. 00
v.
o. 00
00-
00;
DO
00
AtdoMin,
DUE ...28 DATE,
0 a7 r0 ATOP:
FATT.TTRIC '1'U rN(YMYY OWNER AND N .
YOUR LI.IBILiTY 'POR TM MO. "• AI•
I'I,IMM TaRlID
MKNAGEM...STs'- 3TATFddEM
OF FSBS DUE UNDER -THE- T:TIiLtAaY• AN?wtuv. EUUC:AT OVAL. DUN:
P9 . T.ATiT'1 AY
BE PICK 1101
13.a.S COUNTY
OR CITY OF 6F,n" 70RDL'
L -I,L uiwL,
xArw *310D.MF.BFP, MICE THiE!'OF LEFT OF TIIIS •3TATumn. TI•
II75 :STATEMENT *IS NO LONGER VALID•'IF A'BUILDING"PMMT IS' -NOT*** ISSUED
WITBIN 60 CALENDAR DAYS OF THE RECEIVING SIGNATURE DATE ABOVE DL'
TMLOF ML.MLATION AVAI;EI,LI UPON T,WJBST. CALL A•07- 655- 73.545.
COUNTY OF SEMINOLE
IMPACT FEE STATEMENT
STATEMENT NUMBER: 05100001
BUILDING APPLICATION #: 05-10000176
BUILDING PERMIT NUMBER: 05-10000176
DATE: February 16, 2005
UNIT ADDRESS: W.P. BALL BLVD 2025 32-19-30-501-0000-0020
TRAFFIC ZONE:022 JURISDICTION:
SEC: TWP: RNG: SUF: PARCEL:
SUBDIVISION: TRACT:
PLAT BOOK: PLAT BOOK PAGE: BLOCK: LOT:
OWNER NAME: NAP SEMINOLE MARKETPLACE
ADDRESS: 8160 CORPORATE PARK DRIVE CINCINATTI OH 45236
APPLICANT NAME: HMD ENTERPRISES
ADDRESS: 1280 PRINCE CT LAKE MARY FL 32746
LAND USE: KOI NAIL SPA
TYPE USE:
WORKADESCRIPTION: CITY-SANFORD
SPECIAL INTERIOR BUILD OUT/NO ADDITIONAL IMPACTNOTES:
FEES DUE ddb)
FEE BENEFIT RATE UNIT CALC UNIT TOTAL DUE
TYPE DIST SCHED RATE UNITS TYPE
ROADS-ARTERIALS N/A
00
ROADS -COLLECTORS N/A
00
FIRE RESCUE N/A
00
LIBRARY N/A
00
SCHOOLS N/A
00
PARKS N/A
00
LAW ENFORCE N/A
00
DRAINAGE N/A
00
AMOUNT DUE 00
STATEMENT /1 , , /j p 2RECEIVEDBY: ( D 1 to SIGNATURE: JJIx J `^-._
PLEASE PRINT NAME)
DATE:
NOTE TO RECEIVING SIGNATORY/APPLICANT: FAILURE TO NOTIFY OWNER AND
ENSURE TIMELY PAYMENT MAY RESULT IN YOUR LIABILITY FOR THE FEE. ***
DISTRIBUTION: 1-BLDG DEPT 3-APPLICANT
2-FINANCE 4-LAND MANAGEMENT
NOTE**
PERSONS ARE ADVISED THAT THIS IS A STATEMENT OF FEES DUE UNDER THE
SEMINOLE COUNTY ROAD, FIRE/RESCUE, LIBRARY AND/OR EDUCATIONAL
ISSUANCE OF A BUILDING PERMIT.
PERSONS ARE ALSO ADVISED THAT ANY RIGHTS OF THE APPLICANT, OR OWNER,
TO APPEAL THE CALCULATION OF ANY OF THE ABOVE MENTIONED IMPACT FEES
MUST BE EXERCISED BY FILING A WRITTEN REQUEST WITHIN 45 CALENDAR
DAYS OF THE RECEIVING SIGNATURE DATE ABOVE, BUT NOT LATER THAN
CERTIFICATE OF OCCUPANCY OR OCCUPANCY. THE REQUEST FOR REVIEW
MUST MEET THE REQUIREMENTS OF THE COUNTY LAND DEVELOPMENT CODE.
COPIES OF RULES GOVERNING APPEALS MAY BE PICKED UP, OR REQUESTED,
FROM THE PLAN IMPLEMENTATION OFFICE: 1101 EAST FIRST STREET,
SANFORD FL, 32771; 407-665-7356.
PAYMENT SHOULD BE MADE TO: SEMINOLE COUNTY OR CITY OF SANFORD
BUILDING DEPARTMENT
1101 EAST FIRST STREET
SANFORD, FL 32771
PAYMENT SHOULD BE BY CHECK OR MONEY ORDER, AND SHOULD REFERENCE
THE COUNTY BUILDING PERMIT NUMBER AT THE TOP LEFT OF THIS STATEMENT.
THIS STATEMENT IS NO LONGER VALID IF A BUILDING PERMIT IS NOT***
ISSUED WITHIN 60 CALENDAR DAYS OF THE RECEIVING SIGNATURE DATE ABOVE
DETAIL OF CALCULATION AVAILABLE UPON REQUEST. CALL 407-665-7356.
CM OF SANFORD,
UTJOL171Y - ADIMIN
P.O. BOX 1788
SANFORD, FL 327724788
Project Name: ro,,' i4r s'p/ - /;u-AeA/-* VeW-5 (2 Date Jro
Owner/Contact Person: Phone:
Address:
Type of Development:
1) RESIDENTIAL
to
Type of Units (single family
or multi -family):'
Total Number of Units:
Type of Utility Connection
individual connections
or central water meter &
common sewer tap):
Water Meter Size (3/4",
1" 2" etc.):
REMARKS:
2) NON-RESIDENTL4L
Type of Units (commercial,
Industrial, etc.):
Total Number'ofBuildings:
Number ofFixture Units
each building):
Type ofUtility Connection
individual connections
or central water meter &
common sewer tap):
Water Meter Size (3/4",
1", 2", etc.)
REMARKS:
CTI.CWFEE CALCULA
4-14¢-r.*
54ft U 3
5h4tL idu,Lr
0
ND. gbt,GJ,-•
f
7-L
o7,-*w ZeeWT— le,-YX-.,s ftS eD"
Name - Signature - Date
ar cc n +ma
2)
1) Water System Impact Fees
Equivalent Residential Connection (ERC) -300 Gallons Per Day (GPD)
Residential -
S65MUnit - Single family structure, or multi' -family unit
containing three (3) bedrooms or more.
SM.5th1[init ' - Multi -family unit or Mobile Home unit containing
less than three (3) bedrooms. (Ibis category is
based on on, estimation that
such family units on average require 75°/a225 GPD
ofthe water and sewer service of an average single
family unit}
Commercial
WO/ERU • - Fixtures unit schedule from Southern Plumbing Code
will be used One ERU will be charged for connection
and up to twenty (20) fixtures units.
For projects having more that twenty (20) fixture unit
base for the first ERU. (Example: twenty-five (25)
fixtures units will be rated as 125 eru: twenty-six (26)
fixture units will be tated as 1.5 ERU.) .
Sewer Systems Impact Fees
Equivalent Residential Connections-270 Gallons Per Day (GPD)
Residential -
S1,700 Unit - Single Family Anichue, or multi -family unit
Containing three (3) bedrooms or more.
S1,27YWt - Multi -family unit or Mobile Home wait containing
less than three (3) bedrooms. (Ibis category isbased on
juidgmeat/assutmption, estimation that such family units on
average require 75% ofwater and sewer service of an
average single family unit
Commercial- Industrial- Institutional
1,700IRRU
Fixtures unit schedule fiom Sonthem Plumbing Code
will be used. One ERU will be charged for connection and up to
twenty (20) fixtures units. For projects having more than twenty
20) units the Impact fee will be increments of 25% based an
multiples of five (5) fixture units above the twenty (20) fixture
unit base for the first ERU. (Example: twenty five (25) fixture units will
be rated as 125 ERU: twenty six (26) fixture units will be rated as 1.5 ERU}
Urinal 4 Footnote d
Urinal,l gallon per flush or less 2e Footnote d
Wash sink (circular or multiple) each ser of faucets 2 1-1/2
Water closets, flushometer tank, public or private 4e Footnote d
Water closets, private installation 4 • Footnote d
Water closets, public installation j 6 Footnote d
For SI:1 bwh-2S.4 rnm,1 talloan3.79S L J-6n c
a For traps larger than 3 inches, use Table 709.2
b A showrrhead over a bathtub or whidpool•bathtub attachments does not increase the drainage fixtures unit valve
e See sections 709.2 thought 709.4 for methods ofcomputing unit valve offixtures not•listed in Table 709.1 or for rating of devices witb intermittent flows.
d Trap size shall be consistent with the fixtures outlet size.
e For the purpose ofcomputing -loads on building drains and sewers, water closets or mimis shall not be rated at a lower -drainage first fixture unit
unless the lower values are confirmed by testing. TABLE 7o9.2 DRAINAGE FIXTURES UNITS FOR Fix -runts DRAINS OR TRAPS
Fumxre Drain or Trap Drainage Fixtures
Size inches Unit value
1 'A 1
1 %2 2
2 3
2'A 4
3 5
4 6
I
SWidmd PJurnbing codes 0 1997