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HomeMy WebLinkAbout2111 WP Ball Blvd 05-1290 (fr sp)CITY OF SANFORD PERMIT APPLICATION Permit # : -. I Date: —' 7 O Job Address: ' / ! ! % • :. // L Description of Work: Historic District: v-o i 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 Cale. Required) Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # ofGas Lines Plumbing/New Residential: # of Water Closets Plumbing Repair — Residential or Commercial _ Occupancy Type: Residential Commercial Construction Type: # of Stories: Industrial Total Square Footage: of Dwelling Units: Flood Zone (FEMA form required for other than X) Parcel #: (Attach Proof of Ownership & Legal Descripttou) Owners Name & Address: / —* Zol T L /TJ+, -0 Z—c — Phone: Contractor Name & Address: 0 '-- C < Cr G/,y T<r State License Number. Phone & Fax: (I7 — S rr —3tt 7TV ct y & A vim. i 1*26 / Phone: U )— C ` -rr> Bonding Company. Address: Mortgage Lender: - Address: '• f JAN 07 29% Architect/Engineer: s -Se Phone: Address: +PIN Fax: Application is hereby made to obtain a permik to db the wo in 1 a 1 cert4 thai;n ork or installation has commenced prior to the issuance ofa permit and that all work will begerformed to 11 s re I ting can in thisjurisdiction. 1 understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, L , FU NAC 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 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 di 'cts, state agencies, or federal agencies. Acceptance of permit is verification that I will notify the owner ofthe property of the require Flo ' Li , FS 7 Signature ofOwner/Agent Date Signature oo etor/Agent Date 0r Print Owner/Agent's Name Print 6. tractodAgent's Name l- 7As Signature of Notary -State of Florida Date ignature of Notary-StatY of Florida Date -- Owner/ Agent is _ Personally Known to Me or Contractor/Agent is kPersonally Known to Me or Produced ID fted a a 16 APPLICATION APPROVED BY: Bid 1H— 1 Zoning: Utilities: FD:t.i t .. •.; Initial & Date) (Initial & Date) (Initial & Date) (Initial.& Daet) v , ''.4 Special Conditions: LINDA L. PHILLIPS COtary Public, State of Florida S'' My Comm. exp. Sept. 29, 2006 u Comm. No. DD 154192 CITY OF SANFORD FIRE DEPARTMENT FEES FOR SERVICES PHONE # 407-302-1091 * FAX #: 407-330-5677 q DATE: PERMIT #: S \ `O IC it .r BUSINESS NAME / PROJECT: I —9 n It n1a.1 ADDRESS: PHONE NO.Cyn7 CONST. INSP. [ ] C / O INSP.:[ ] REINSPECTION [ ] PLANS REVIEW [ F. A. [ ] F.S. PAN HOOD (] PAINT BOOTH [ ] BURN PERMIT [ J TENT PERMIT ] K PERMIT [ ] OTHER [`}L .1 TOTAL FEES: $ n (PER UNIT SEE BELOW) COMMENTS: Address / Bide. # / Unit # Sauare Footage Fees perBldp-. / Unit 2. 3. 4. 5. 6. 7. 8. 9. 10. 12. 13. 14. 15. 16. 17. 18. 19. 20. 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 Sa_rfsrfi, Florida. Sanford Fife Prevention Division v" Applicant's Signature SANFORD FIRE DEPARTMENT FIRE PREVENTION DIVISION 300 N. Park Ave., Sanford, FI.32771 / P. O. Box 1788, Sanford, Fl. 32772 407 302-2520 / FAX (407) 302-2526 Plans Review Sheet Date: January 14, 2005 Business Address: 2111 W.P. Ball Blvd Occ. Ch. #36 Mercantile Business Name: Shops "D" @ 2111 W.P. Ball Blvd Ph.( ) Contractor: Eagle Fire Protect Ph. (407) 656-8387 FAX (407)659-9405 Reviewed [ ] I' eviewed with comment X Rejected [I Reviewed by: Timothy Robles, Fire Protection Inspector/Plans Examiner / Comment: Instillation of One (1) types of design area. N.F.P.A... # 13 with 10' (ft) ceiling Application— Per N.F.P.A. #13-1999 Ed, i' oimt o Se is - co ectiom o ' sup play i- fro - riser. Design System #1= General Sales Area (No Stockpiles over 10') Viking M'/2" 155 degree chrome recess pendent 24 24 total head install with F.D.C. on wall, ok per S.F.D. Pso_st signs on all fore s ;rinkler valves and (or) frte ectorts test valves Tamper switches required on all inside and outside fire sprinkler valves Two hour above hydro, and flush required Do not block access to fire inspector test valves 1