HomeMy WebLinkAbout303 W 1st ST 01-2257 HVACCGM services 8132476595
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Ju1,31. 2001 I2 3'Ph1 SEVk L OPEN 6181
08!01/01 11:22A P.002
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t;c•4994 P• 1%1
CITY OF SANFORD MECHANICAL PERMIT APPLICATION
PermitNumba� l��''� ` Date:
The undersigned hereby applies fo_r`2 p]erm�itl,to install the following equipment:
Owner's Name: rhe"W
Address of Job: 30-�3
n /('��r
Mechanical Contractor. [ lh Y in
Residential Non-Residenlial
AIA
���a�r���.�'.. � _ ■tip■
,Application...
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By signing this application, I am stating that I in compliance rt ity of Sanford
Mechanical Code. _
Applicant Signature `
C
State License License Number
Tb
4S PR0`FO
CGM�SER
AIR CONDITIONING AND
August 1, 2001
CITY OF
REFERENCE: CACO26444
SUBJECT: AUTHORIZED SIGNER
PROJECT: SANFORD MRI, 303 ]s.i. STREET WEST,
Gentlemen:
I, Michael G. Charles, hereby give my authorization for P
paperwork for CGM Services, Inc., for the purpose of
permits, with the City of Sanford.
attention to this matter i�eatly appreciated.
MICHAEL G. CHARLES (CACO26444)
MR. ROBERT CLARK
32771
Robert Clark to sign for all necessary
3ining and/or picking up mechanical
Before me personally appeared Mr. Mike Charles and Robert Clark, to me well known to be
person(s) described in and who executed the fcre,oin instrument and acknowledged to and
before me that he/she executed said instrument for the purpose herein expressed.
/ 4
Witness: My hand and official seal this tO qday of LLC 2001.
Z
Notary Public, State of Florida
pxal, CDWeis II
*f * My Commission CC942256
k !10 Expires June 05, 2004
1015 E. M.L. King Jr. Blvd, Tamp , Florida 33603
(813)AIR-COOL (247- 665)
Commercial & Residential Pinellas 894-77 Indoor Air Quality
Sales & Service FAX (813) 247-653 Heat Pipe Dehumidification
DEVELOPMENT FEE kRKSHEET
CITY OF SAN ORD
UTILITY - A MIN.
P. 0. BOX 788
SANFORD, FL 32 72-1788
(tl?6 14 00
511
Project Name: 0104- L
Owner on ac Person: Q7
Address: -_3 �� W
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",
lit 1 2", etc.):
REMARKS:
2) NON-RESIDENTIAL
Type of Units (commercial,
industrial, etc.):
Total Number of Buildings:
Number of Fixture Units
(each building):
Type of Utility Connection
(individual connections
or central water meter &
common sewer tap):
Water Meter Size (3/4"
1", 2", etc.)
REMARKS:
CONNECTION FEE CALCULATION:
REVISED _3•'�$icT�
/a.197
7/3z�c/
Date:
Phone:
Wo7� e i�P�-7
— �� 2
Name - Signature - Date.
1) Water system impact Fees
Equivalent Residential Connection (ERC) - 300 Gallons Per Day (GPD)
Residential -
5650/Unit - Single family structure, or multi -family unit
containing three (3) bedrooms or more.
$487.50/Unit - Multi -family unit or Mobile Nome unit containing
less than three (3) bedrooms. (This category is
based on judgement/assumption. estimation that
such family units on average require 751 - 225 GPD
of the water and sewer service of an average
single family unit.)
Commercial -
$650/ERU - Fixture unit schedule from Southern Plumbing Code
will be used. one ERU will be charged for
connection and up to twenty (2) fixture units.
For projects having more than twenty (20) fixture
units the Impact Fee will be determined by
increments of 251 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 1.25 eru:
twenty-six (26) fixture units will be rated as 1.5
ERU.)
2) Sewer S stem Im act Fees
Equivalent Residential Connections - 270 Gallons Per Day (GPD)
Residential -
$1700 Unit - Single family structure, or multi -family unit
containing three (3) bedrooms or more.
$1275/Unit - Multi -family unit or Mobile Home unit containing
less than three (3) bedrooms. (This category is
based on judgement/assumption/estimation that such
family units on average require 751 of water and
sewer service of an average single family unit.)
Commercial - Industrial - Institutional
$1700/ERU - Fixture unit schedule from Southern Plumbing Code
will be used Ane—Mt}t
S"�w62
connection and up to twenty (20) fixture units.
For projects having more than twenty (20) fixture
units the Impact Fee will be increments of 251
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 1.25 ERU; twenty-six (26) fixture
units will be rated as 1.5 ERU.)
TABLE 709.1
DRAINAGE FIXTURE UNITS FOR FIXTURES AND GROUPS
FIXTURE TYPE DRAINAGE FIXTURE UNIT VALUE
Automatic clothes washers, commercials AS LOAD FACTORS3
Automatic clothes washers, residential 2
Bathroom group consisting of water closet, lavatory, bidet and 6
n Ih b
a to or shower
l3ithtub (with or without overhead shower or whirlpool
2
attachments)
Bidet
Combination sink and tray
2
Dental lavatory
2
Dental unit or cuspidor
1
Dishwashing machinc,c domestic
I
Drinking fountain
2
1/ 2
Emergency floor drain
Floor drains
2
Kitchen sink, domestic
Kitchen sink, domestic with food waste grinder and/or dishwasher
2
2
Laundry tray (1 or 2 compartments)
Lavatory
2
1
Shower compartment, domestic
2
Sink
2
Urinal
4
Urinal, 1 gallon per flush or less
_
Wash sink (circular or multiple) each set of faucets
2°
2
MW
MINIMUM SIZE OF TRAP (Inchespt
2
11/4
11/2
11/4
11/a
11/2
11/4
2
2
11/2
11/2
11/2
2
11/2
Footnote d
Footnote d
Water closet, private installation rootnote u
4 Footnote d
Water closet, public installation 6
For SI: 1 inch = 25.4 mm. I gallon = 3.785 L. Footnote d
For traps larger than 3 inches, use Table 709.2.
b A showerhead over a bathtub or whirlpool bathtub attachments does not increase the drainage fixture unit value.
c See Sections 709.2 through 709.4 for methods of computing unit value of fixtures not listed in Table 709.1 or for rating of devices with intermittent flows.
12 Trap size shall be consistent with the fixture 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 fixture unit unless the lower values
are confirmed by testing.
(DRAINAGE FIXTURE UN TS FOR FIXTURE DRAINS OR TRAPS
I TABLE 709.i
FIXTURE DRAIN OR TRAP SIZE
�.�((inches)
c. c x �` y S 11/4
11/2
2
21/2
3
I4
For Si: I inch= 25A mm.
DRAINAGE FIXTURE UNIT VALUE
l
2
3
4
5
6
Standard Plumbing Code01997
DATE: "/)/Dl
BUSINESS NAME /
CITY OF SANFORD FIRE
FEES FOR SER`
PHONE # 407-302-1091 * FA
1
PHONENO.: 813-$8S- S -5-'0J" FAXNO.:
CONST. INSP. [ ] C / O INSP.:[ ] REIN
F. A. [I F.S. [ ] HOOD [ J
TENT PERMIT [ ] TANK PERMIT [ ]
TOTAL FEES: S .. ,S 0"
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
Address / Bldg. # / Unit #
,3D-;3 Gu . ly sT
ARTMENT
407-330-5677
iPECTION, [ ] PLANS REVIEW [ ]�
PAINT BOTH [ ] BURN PERMIT [ 1
OTHER ]
ER UNIT SEE BELOW)
�t
Fees per Bldg / Unit
Fees must be paid to Sanford Building Department, 300 N. Par
kl ve., Sanford, FI. 32771 Phone # -407-
330-5656. Proof of Payment must be made to Fire Prevention di inion before any further services can take
place. I certify t1i t the above is true and correct and that
Will conipj with all applicable codes and ordinances
of the CiN of Sanford, Florida.
/ � c
Sanford Fire Prev�Division icant's Sif
07/30/2001 15:52 4073228436
30 July 2001
SPOLSKI
saaaa coflftma, Mo.
1425 E. Airport
Ft= 407 W -SW 9 Fc 4U -U2 -M
RE: Sanford Open MRI' Iirtedor Improvements
303/305 West First Street
Sanford, Florida
TO WHOM IT MAY CONCERN:
As owner of the captioned property; I, KEVIN J. SPOLSK
CONSTRUCTION SERVICES GROUP to sign the permit aF
obtain the required City of Sanford building permit for the capti
Should you ve any questions, please f o contact me.
s
Kevin J. Pols ' R
ST=F FLORIDA
COUNTY OF SENIINOLE
The foregoing instrument was acknowledged before, me
J. SPOLSK.I, who t X is personally known to
N/A as identification.
A J�'he--
L1
Signature of Notary Public
Print Name:.Ck_ais bsj
Notary Public - State of Florida
My Commission Expiures: ob /
Commission No: Cr.
PAGE 02
Blvd.,! Sanford, FL 32773
i
s
1
;
t
hereby authorize JOAN HUFF of
fication oh my behalf as required to
reed project.
r
I �
t
's 3& dby of July, 2001 by KEVIN
me or ] has produced
(NOT, RX SEAL)
`a. wee
togr P�Rao •ct Fieddo
;oesnr�len
Ca+�,aG'
hIS INSIkUIvitNT FKEF Wfr
AME r NOTICE OF CONWEEN
Permit // a V�
State of Flori
GTheCounty of Seminole �rm&n p Fl-
The
undersigned hereby gives notice that improvement will be made
Chapter 713, Florida Statutes, the following information is provided
description of the property and
2. General description of improvement:
3. Owner information
a. Name and address
b. Interest in property (=GuN t=�re--
c. Name and address of fee simple titleholder
4. Contractor
a. Nameandaddress�/o�
b. Phone number
5. Surety
a. Name and address
b. Phone number
c. Amount of bond
6. Lender �\/
a. Name and address _V
Is,
Tax Folio No.
certain real property, and in accordance with
this Notice of Commencement.
address if available) �a 4c,T
CA�-'>Zfe-/e /,qVc--:
xnum ber
Flax number
212 Un2ic
MARYANNE MORS@
b. Phone number Fax number
7. Persons within the State of Florida designated by Owner upon who lr: notices or other documents may be served as
provided by Section 713.13(I)(a)7., Florida Statutes:
a. Name and address -
b. Phone number
Fax
8. 1n addition to hi self or herself, Owner designates ( JUtYV
L}q p 5 Tot L—S ,4t,1= = }(► /� 336 i 5
7 3. 3(1)(b), Florida Statutes.
a. Phone number
9. Expiration date of notice of commencement (the expiration date is
date is specified)
Sw m to (or affir ed) and subscribed before me this day of
Cc.a( uJ�
Personally Known OR Produced Identification ✓
Type (#ldeptification Produced kjj1L �f/D/)• 5`9 /0
Signature of Notary F
Commission Expires:
MY COMMISSION 9 CC 805963
EXPIRES: February 2, 2003
Bwdee Thru Notary Public uedermeen
`'/
Notice as
of
in Section
ix number &/3— vR q9—) ?3-S
year from the date of recording mess a different
Signatu e of O —Z'an HuF�
20 /)-/ , by
11111111 a N 1 irl 1111
MARYANNE MORSE, CLERK OF CIRCUIT COURT
CMINOLE COUNTY
04140 PG 0718
CLERK'S # 2001729969
RECORDED 08/02/2001 09:50:47 AM
RECORDING FEES 6.00
RECORDED BY L McKinley
CITY OF SANFORD
Permit No.: -0
JobAddress:
Parcel No.:
Description of Work:
Type of Construction:
APPLICATION
Date: 7-20-0/
(Attach Proof of Ownership & Legal Description)
— C)V 1 - SCPJFJ , 1-6 L',
Flood Zone:
Valuation of Work: $ a00 Occupancy Type: Residential ✓ Commercial _ Industrial
Number of Stories: --_L_ Number of Dwelling Units: Zoning: Total Square Footage: 400
Owner: �� e / n/ I
Address: ,;? e tis —t Pff-?q%Z1C (Z 71W1!!F .
City: State:
Zip: 23
Phone No.: Fax No.:
O
Contractor: o/�
Address: u G.ry u -3—
City: ��/�/aO� Stater Zip:
State License No.: �Z2
Phone No.: 4 Fax No.:
e-17 2 ��7 - �% 373—
Contact Person: ` ✓'{ 1^I v�G
P one No.:6T-1 3) %Q/ —e; —12 -
2Title
Title Holder (If other than Owner):
Persona 1p Knowa to Me or
/ q
AAddress: J v
Bonding Company:
Address: N
Mortgage Lender: V
Address: 560 YD R 1�-- 120 v�M 1
Pt'9- 1 ,9
Architect: ✓E 4eN %
L Phone No.: g /3 — q 8S 6 5—)
I '� 7 I Fax No.: 13 —q 9C
as indicated. I certify that no work or installation has
Address: � ��.� (%S
/ �IX&Ii�� %
Application is hereby made to obtain a permit Co do the Urk edd installation
commenced prior to the issuance of a permit and that all work will be perforn
ied to meet standards of all laws regulating construction
in this jurisdiction. I understand that a separate permit must be secured for E
ECTRICAL WORK, PLUMBING, SIGNS, WELLS,
POOLS, FURNACES, BOILERS, HEATERS, TANKS, and AIR CONDITI
NERS, etc.
OWNER'S AFFIDAVIT: I certify that all of the foregoing information is ac
rate and that all work will be done in compliance with
all applicable laws regulating construction and zoning. WARNING TOO
ER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IM
ROVEMENTS TO YOUR PROPERTY. IF YOU
INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER
R AN ATTORNEY BEFORE RECORDING YOUR
NOTICE OF COMMENCEMENT.
NOTICE: In addition to the requirements of this permit, there may be additi
al restrictions applicable to this property that may be
found in the public records of this county, and there maybe additional perm
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 prope
i of the requirementsofFloridarien
Li�Law, FS 713.
_ 'Z Isisr��
1 -el
APPLICATION APPROVED BY:
tractor)//Age it's Name
kA, Y�
of Notary -State of Flt
Susan M. Hall
_? F Comnlledon Y CC 823498
J Expires Apr. 4, 2003
Bonded Th -u
,�»%.�:.•'�� Atlantic Bonding Co., Inc.
Contractor/Agent is _ Personally Known to Me or
roducedID
i
Special Condition e5 r'i
Alec_ Plan wine c5�*�Mi Ind �jy e��c1�!C.aq
Date: _ e - L4 -
a
14+
Wu4
1EXPIRES:
�•
February2,2003
Boneed ThN Nolery Public UneernnMm
Owner/Agent is
Persona 1p Knowa to Me or
✓Produced IDjL/�(_
p
/00- 417 % Sc7 /V 90 D
APPLICATION APPROVED BY:
tractor)//Age it's Name
kA, Y�
of Notary -State of Flt
Susan M. Hall
_? F Comnlledon Y CC 823498
J Expires Apr. 4, 2003
Bonded Th -u
,�»%.�:.•'�� Atlantic Bonding Co., Inc.
Contractor/Agent is _ Personally Known to Me or
roducedID
i
Special Condition e5 r'i
Alec_ Plan wine c5�*�Mi Ind �jy e��c1�!C.aq
Date: _ e - L4 -
a
14+
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