HomeMy WebLinkAbout2251 WP BALL BLVD #05-698 (int remodel)CITY OF SANFORD PERMIT APPLICATION
Permit #,_ O' - �A B Date:
Job Address: & 3'Ppct LL j5LV2Z %[ref t -4-v; 4t7RLn UA-AKE D
Description of Work: /J UP 1n,
Historic District: Zoning: J � Value of Wo • S_� 1 Jd l�
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 ,j(Duct Layout & Energy Calc.Required)
Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines__ # of Gras Lines
Plumbing/New Residential: # of Water Closets Plumbing Repair -Residential or Commercial
Occupancy Type: Residential Commercial _J,/-.
JIndustrial _ Total Square Footage: ,b8 3
Construction Type: L_ # of Stories:., # of Dwelling Units: Flood Zone:)(_ (FEMA form required for other than X)
Parcel#:,2,1=- I-1 —002-0
Owners Name & Address: i` AP -HEMI NOL -F AAAW-r-�IpLACC- L
Contractor Name & Address:
Phone & Fax: -7-70 - 522 - 011-70 Contact
Bonding Company.
Address:
Mortgage Lender:
Address:
Architect/Engineer:
Address: �
Proof of Ownership & Legal Description)
Phone: %%'o - 37-6�-- gg 1 Z
Application is hereby made to obtain a permit to do the work and installations as indicated I certify that no work or installation but commenced prior to the
issuance of a permit and that all work will be performed to mat standards of all laws regulaticonstruction in thisjurisdiction. I understand that a ccparate
permit most 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
constructionandmning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT M Yb IJk PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY, IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER Ok 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 disaics, state agencies, or federal agencies.
Acceptance of permit is verification that I will notify the owner oofT
f the property of th
/ f
i nature ofAwner/Agenpate
We"
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ate
'RILDERSicounty, Georgia
MY Expires January 27, 2007
Owner/Agent is V Personally Known to Me or
Prnd ced ID
APPLICATION -APPROVED BY: Bid&: I�r y��y$tt;t1B:
(Initial & Date)
Special Conditions:
mar MNIua Leigh Harley
Y . My Commission DD139530
Contracto tis _ Per (ember 29.2006
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CITY OF S ORD.
UTILITY •- MIN
P.O. BOX 1 88
SANFORD, FL 22j 72-1788
�lG
Project Name: xrofo a -6�. Date 7 / a'
Owner/Contact Person: Phone:,
Address: 7joD
v/--er
Type of Development:
I) RESIDErJ�i'lAL
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"V 2» etc.):
2) AVON -RESIDENTIAL
Type of Units (commercial,
Industrial, etc.): -
Total Number'of Buildings:
M
Number of Fixture Units
3/ �''�5
(each building):
Type of Utility Connection
(individual connections
or central water meter &
common sewer tap):
Water Meter Size (3/4",
1", 2", etc.)
REMARKS: O/U ltm/ rex, i21�Aet
CONNECTIONFEE CALCULATION:
Nam Signature - Date
astnrocn rema
f1l oy
,I
1) Water System Impact Fees
Equivalent Residential Connection (ERC) -300 Gallons Per Day (GPD)
Owl
Residential -
S656fUnit - Single family structure, or multi-4kntily unit
containing three (3) bedrooms or more.
S487.50/Unit - Multi family unit or Mobile Home unit containing
less than three (3) bedrooms. (This category is
based on judgmentlassumption, estimation that
such family units on average require 75%225 GPD
of the water and sewer service of an average single
family unit
Commercial
S6501ERU - . Fixtures unit schedule from Southern Plumbing Code
will be used. 4neERU 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 era: twenty-six (26)
fixture units will be rated as 1.5 ERU.)
2) Sewer Systems Imtaact Fees
Equivalent Residential Connections -270 Gallons Per Day (GPD)
Residential -
$ 1,700 Unit - Single Family structure, or multi family unit
Containing three (3) bedrooms or more.
S1,273lUnit_ - _-Multi-faatily:unit arMobile Home unit containing,
ess ai�bl�it
judgmentlassumphon, estimation that such family units on
average require 75% of water and sewer service of an
average single family unit).
Laundry tray 1 or 2 com artmer
Lavatory. ( l I
Shower compartments, domestic
Sink l,1
Urinal j
ITrinA
on or ess
2 1- y2
1 1 '/4
2 j 2
Z 2 1 V2
y 4 Footnote. d
.ce roomote d---7
-
Wash sink (circular or multiple) each ser of faucets 2 1- y2
Water closets, flushometer tank, public or private 4e Footnote d
Water closets, rivate installation 4. Footnote d
. Commercial- Industrial- Institutional Water closets, public installation � �
$1,700/ERU l -g 6 Footnote d
Fixtures unit schedule from Southern Plumbing Code For Sh 1 hwh-25.4 nun, Sailon�3.785 L {
- -- Tt�T�-�- 31
will be used GnwERU will be charged for connection and up to-- - ------ a -For traps -larger than 3 '
mches; use Table 709.2- - - - - --- -- .
twenty (20) fixtures units. For projects having more than twenty b A•showerhead-over a bathtub or whirlpool bathtub attachments does not increase the drainage unit valve _
(20) units the Impact fee will be increments of 25% based on c See sections 709,2 thought 709.4 for methods of computing unit valve of fixtures not -listed in Table 709.1for rating of devices with intermittent flows,
multiples of five (5) fixture units above the twenty (20) fbdure d Trap size shall be consistent with the fixtures outlet size. :
unit base for the fust ERU (Example: twenty five (25) fixtum units will a For the purpose of computing -loads on building drains and sewers; water closets or urinals shall ot-be rated at a lower -drainage first fixture unit
be •rated as 115 ERU: twenty six (26) fixture units will be rated as 1.5 ERU) unless the lower values are confirmed by testing. TABLE 709.2 DRAINAGE FIXTURES TS FOR FIXTURES DRAINS OR TRAPS
Standard Plumbing codes ®1997
Fixture Drain or Trap
Size inches
FIXTURES TYPE
DRAINAGE MMAES UNIT
VALVE AS LOAD F CTORS
MINIMUM SIZE OF
TRAP(INCHES)
1 '/2
Automatic clothes washers, commercial a).
3
2
2 %2
Automatic clothes washers, residential2
1
2 -
4
Bathibom group consisting of water closets, lavatory,
bidet and bathtub or showers
6
Bathtub (b) (with or without overhead shower or
whirlpool attachments
2 !
1 %2
Bidet
2
1 '/
Combination sink and tray
2
Dental lavatory -
1
1'/4
Dental unit or cuspidor
1 `
1 '/4
Dishwashing machine, (c Aomestic
-
2
1 '/s
fountain j
% 1
1 '/4
Floor drains
2
2
Kitchen sink domestic
2
11/2
Kitchen sink, domestic with food waste grinder and/or
Dishwasher
2
Laundry tray 1 or 2 com artmer
Lavatory. ( l I
Shower compartments, domestic
Sink l,1
Urinal j
ITrinA
on or ess
2 1- y2
1 1 '/4
2 j 2
Z 2 1 V2
y 4 Footnote. d
.ce roomote d---7
-
Wash sink (circular or multiple) each ser of faucets 2 1- y2
Water closets, flushometer tank, public or private 4e Footnote d
Water closets, rivate installation 4. Footnote d
. Commercial- Industrial- Institutional Water closets, public installation � �
$1,700/ERU l -g 6 Footnote d
Fixtures unit schedule from Southern Plumbing Code For Sh 1 hwh-25.4 nun, Sailon�3.785 L {
- -- Tt�T�-�- 31
will be used GnwERU will be charged for connection and up to-- - ------ a -For traps -larger than 3 '
mches; use Table 709.2- - - - - --- -- .
twenty (20) fixtures units. For projects having more than twenty b A•showerhead-over a bathtub or whirlpool bathtub attachments does not increase the drainage unit valve _
(20) units the Impact fee will be increments of 25% based on c See sections 709,2 thought 709.4 for methods of computing unit valve of fixtures not -listed in Table 709.1for rating of devices with intermittent flows,
multiples of five (5) fixture units above the twenty (20) fbdure d Trap size shall be consistent with the fixtures outlet size. :
unit base for the fust ERU (Example: twenty five (25) fixtum units will a For the purpose of computing -loads on building drains and sewers; water closets or urinals shall ot-be rated at a lower -drainage first fixture unit
be •rated as 115 ERU: twenty six (26) fixture units will be rated as 1.5 ERU) unless the lower values are confirmed by testing. TABLE 709.2 DRAINAGE FIXTURES TS FOR FIXTURES DRAINS OR TRAPS
Standard Plumbing codes ®1997
Fixture Drain or Trap
Size inches
Drainage Fixtures
Unit Value,
11/4
1 ;
1 '/2
2
2
3
2 %2
4
3-
5
4
6
Permit # : V"
Job Address: 2
Description of Work:
CITY OF SANFORD PERMIT APPLICATION I I D�
Date:
Mr .?r,tl�
Historic District: Zoning: Value of Work: S '! /S� pas , oD
Permit Type: Building_ Electrical X Mechanical _ plumbing— Fire Sprinkler/Alarm_ pool
4 _
Electrical: New Service – # of AMPS 00 Addition/Alteration _ Change of Service _, Temporary pole
Mechanical: Residential _ Non -Residential _ Replacement _ New T (Duct Layout & Energy Ca1c. 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 X Industrial Total Square Footage: �QtL3
Construction Type: l&_ # of Stories:. # of Dwelling Units: Flood Zone: _(FEMA form required for other thin X)
Parcel #: _
Owners Name &
(Attach Proof of Ownership
C --tractor Name&Address: Y�f/fit E1EL7>Q%G.7n/e
�(,30 K%moi hl EH 04 • Ga oEF� FL 3V?0 State License Number: gEd6WO/i06 _
•Fiaee•&FRE&OZ G�(0– ��j, %3 _ ^ Contact Person: 'WAfh �A(� _phonerfO7),6s(j
Bonding Company:
Address:
Mortgage Lender:
Address:
AteMteeliEngineer:
Fax: _ j–,4I –44q5–O7(.-2_
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 mal standards of all laws regulating construction in tlris 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.
ORNER'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 caning. 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.
TICE: In addition to the requirements of this permit, then may be additional restrictions
this county, and them may be additional permits required from other governmental entities s
Acceptance of Parmit is verification that I will notify the owner of the property of the req
Signature of Owner/Agent Date
Print Owner/Agent's Name
Signature ofNotaryState of Florida Date
Owner/Agent is _ Personally Known to Me or
_Produced ID _
APPLICATION APPROVED BY: Bldg: 7.oning;
(Initial & Date) (initial &
Special Conditions: _
t this mperty that may be found in the public records of ,
distrits, state
agencies, or federal agencies.
rri 3.
j.w,,'FS07I
mtmctorr//{A'g'ent
Date
J �P�I"fo
r/ m's Name
to of Florida
Date
at �Pemomlly Kno
`� Sandra I Sallamn
Meyy My Commission DD03e287
ID
-
ar., Expires July 13, 2006
ities:
FD:
(Initial & Date)
(Initial & Date)
<s
',4z A
POWER OF ATTORNEY
DATE: i I�
I hereby name and appoint 1���
of Amber Electric, c. to be my lawful attorney in fact to act for me and apply to the
�/ )�f"� � &t Building Department for an
electrical permit for work to be performed at the location described as:
ZzSI , Zfl(1 , lbylt �by� wP '344- 3L4.
(address of job)
and to sign my name ani all thing necessary to this appointment.
U
The foregoing instrument was acknowledge before me on by
DANNIEL J. PETRO who is personally known to me and who did not take oath.
State of Florida, County of Ora
N_DTA
RY
Commission: ,, sand2i88118M
My commission DD034287
� � Epims Juty 13.2005
T%o
CITY OF SANFORD PERMIT
Permit # : ��� Illy
Job Address:
Description of Work:
Historic District:
,61Vd
Secowa �oo�ti -4- -7;6 O
PLICATION r�
Date:
Zoning:, Value of Wk: $ 0
Permit Type: Building Electrical Mechanical Plumbing '� Fire Sprinkler/Alarm Pool
Electrical: New Service — # of AMPS Addition/Alteration hange 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 PI mbing Repair — Residential or Commercial
Occupancy Type: Residential Commercial Industrial To Al Square Footage:
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form requireti for other than X)
Parcel #:
Owners Name & Address:
Contractor Name & Address: If / 111Af 4V .l iv S, .
0F44'a , ad. 32 708
Phone & Fax: 907 -Zq,�"237a �jC �%%-223 Contact Person:
Bonding Company:
Address:
Mortnaae Lender:
Address:
Architect/Engineer:
Address:
Proof of Ownership & Legal Descrihrio it)
Phone:
� ZS W. 104f/vF-
License Number:
y /'1/if1: k5 Phone: yo7— �1G6-oa y3
Phone:
Fax:
Application is hereby made to obtain a permit to do the work and installations as indicated. I fy 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 regulatt ig construction in this jurisdiction. I understand that a separate
permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, ACES, BOILERS, HEATERS, TANKS, and
AIR CONDITIONERS, etc.
OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that al work will be done in compliance with all applicable laws regulating
construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NO CE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN INANCING, 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 a plicable 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 s � h as water management districts, state agencies, or federal agencies.
Acceptance of p is verifi tion that I ll notify the owner of the property of the
`ot—�
Signature of Owner/A�giee �j Date
7�vpvrr/ fl�Paks
Print Owner/Agent's Name
tQnaf Notan ttltlo>id�'ON Date
MY COMMISSION # DD 188491
EXPIRES: February 25.2007
_.. wl..a- nisreunt ASsoC. CO.
uk
APPLICATION APPROVED BY: Bldg:
Special Conditions:
lirel t
ents of Florida Lien Law, FS 713.
Si I
ature of Contractor/Agent Date
Prit Contractor/Agent's Name
ture of Notary -State of Florida Date
actor/Agent is Personally Known to Me or
Produced ID
Zoning: 11 Utilities: FD:
(Initial & Date) (Initial & Dat) (Initial & Date) (Initial & Date)
n
CITY OF SANFORD FIRE DEPARTMENT
FEES FOR SERVICES
PHONE # 407-302-1091 * FAX #: 407-330-5677
DATE: L� PERMIT #: QS
_IJ
./41v
PHONE NO.: FAX NO.:
CONST. INSP. [ ] C / O INSP.:[ ] REINSPECTION [ ] PLANS REVIE
F. A. [ ] F.S. [ ] HOOD [ ] PAINT BOOTH ] B R r
[
TENT PERMIT TANK PERMIT [ ] OTHER
TOTAL FEES: $ (ER UNIT SEE BELOW)
A I/
Address / Bldg. # / Unit # Square Footaee
1.
2.
3.
4.
5.
6.
7.
8.
9•
10.
11.
12.
13.
14.
15.
16.
17.
18.
19. �-
20.
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 jhat the above is true and correct and that 1
will comtly with all applicable codes and ordinances
of the Cidy of,6anford..Florida.
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NOTICE OF COINCEMENT
Permit No. Tax Folio No.
State of Florida
County of Seminole
The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with
Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement
2. General description of improvement:
3. Owner information
a. Dame and add
b. Interest in property
c. Name and address
Contractor
a. Name and address
b. Phone_
5. Surety
a. Name and address
b. Phone number
c. Amount of bot
6. Lender
a. Name and adds
b. Phone number I
7. Persons within the State
provided by Section 713
a. Name and address
b. Phone number
8. In addition to himse
of the property and street address if available)
other
Fax number
Fax number
051. (01513 Fax number$, (}-�►, "(p�
ida designated by Owner upon) )whom notices or other documenu may be served as
)7., Florida Statutes:
number
of
to receive) a copy of the Lienor's Notice as provided in Section
P
a. Phone number Fax number 17 0. 164-;3 -q Q
9. Expiration date of notice of commencement (the expiration dat is 1 year from the date of recording unless a different
date is specified)
} C 0" 'Agnature of Owner
Sworn to or affi d)bsc ribed before me this V
Personally Known-/ OR Produced Identification
Type of Identification Produced
TIF/
06r I
MY Cbmmissit
27,
of NQVWB-e? 200� ,by
11111 111111111111111 R u l l 1111111 Kill 1 111 11 1111111 1 11111
MARYANNE MORSE, CLERK OF CIRCUIT COURT
SEMINOLE COUNTY
HK 05550 PS 1422
CLERK'S # 2004144451
RECORDED 12/17/2004 12:10:42 PM
RECORDING FEES 10.00
RECORDED BY G Harford