HomeMy WebLinkAbout202 Sanford Ave 17-1610; TENT RENTAL1
JUN CITY OF SANFORD
f
BUILDING & FIRE PREVENTION
PERMIT APPLICATIONk
Application No: f
Documented Construction Value: $
Job Address: l `o r/A t.1 Historic District: Yes M--No
Parcel ID:
Type of Work: New ddition
Description of Work: 20 ^4 3 d 4ei
d 4;&!C
Flan Review Contact Person:
Phone: Fax:
Residential Commercial
tion Repair Demo Change of Use Move
Email:
Title:
Property Owner Information
Name Q11/ 1 1 ` ; CAAN Phone:
Street: (Oat %' LC., f ` d!i Resident of property?
City, State Zip: -L(\, r
Contractor Information
C I
Name (RArl 11\
a, Phone:
Street: I C6 Fax:
City, State Zip: c ' ' State License No.:
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Architect/Engineer Information
Phone:
Fax:
E-mail:
Mortgage Lender:
Address:
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
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 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.
FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 5'h Edition (2014) Florida Building Code
Revised: June 30, 2015 Permit Application
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 I will notify the owner of the property of the requirements of Florida Lien Law, FS 713.
The City of Sanford requires payment of a plan review fee at the time of permit submittal. A copy of the executed contract is required
in order to calculate a plan review charge and will be considered the estimated construction value of the job at the time of submittal.
The actual construction value will be figured based on the current ICC Valuation Table in effect at the time the permit is issued, in
accordance with local ordinance. Should calculated charges figured off the executed contract exceed the actual construction value,
credit will be applied to your permit fees when the permit is issued.
OWNER'S AFFIDAVIT: I certify, that all of the foregoing information is accurate and that all work will
be done in co liance 11 a ale s regulating construction d zonih g.
R
SignatureofOwner to Sig atP WKiYAgcKt Date
Print Owner/Agent's Name Paint Contractor/Agent's Name
I , l
e of Flor*NETTE BLAND . Da
Notary Milli is - State of Florida
Commission N *623
My Comm. Expires Jan 16, 2011
ANNETTE BLAND.
Notary po lic . Stab of Flo* Commission # GO 06063, MY Comm. Expires Jan 10, 2011
Owner/Agent is Personally Known to Me or Contractor/Agent is - 'PeTsr
Produced ID Type of ID Produced ID Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building Electrical Mechanical Plumbing[-] Gas[] Roof
Construction Type:
Total Sq Ft of Bldg:
Occupancy Use:
Min. Occupancy Load:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes No # of Heads
APPROVALS: ZONING: ;CTILITIES:
ENGINEERING:
COMMENTS:
FIRE:
Flood Zone:
of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
Revised: June 30, 2015 Permit Application ,
I
Limited Power of Attorney
Date: —
I hereby .name and appoint: Joshua Wilde
an agent of: Rentaland Tents & Events
name of company)
to be my' lawful attorney -in -fact to act for me to apply for, receipt for, sign for and do all
things necessary to this appointment for (check only one option):
V I All permits and application submitted by this contractor,
One specific permit and application for work located at:
street address)
Expiration date for this Limited Power of -Attorney:
License Holder Name: Robert Williams 000 OCL 1110
State License Number: N/A
Signature of License Holder:
09/30/17
STATE OF FLORIDA
COUNTY OF:
The foregoing instrument was acknowledge before me this day of
20'A , by V-j- SR e 4. [,r ho is personally
known to me or [ j who has produced _
Identification and who did (did not) take an oath.
Notary Seal)
IEV -tz", ILEANA M. COVERT
Notary Public - State of Floridat
My Comm. Expires Nov 20, 2017
Commissionmission # FF 072172
as
Signature
1-7 Print name
Notary Public State of: 1.0
Commission No. -rr C-' 'I
My commission expires:
TENTS AND EVENTS
Sanford -Festival 3 0x3 0
Client resposnsible for set up under the tent..
I I I
I I I I
I I 1
I 1 I I
I 1
0 ner:Rentaland.
I I I I
Designer:Ileana
I ...... ..I
Event Name:Sanford-Festival 30x3O
Titrifficate of Flame ReMotance
STea` REOISTt2RM USEMEMT
APPLICATION
Oa1e vearee
d@,AIVA$ manufactured
CONCERN No. TFITTERS # 40607
a F-4 19.01 Tent Renters SupplyPPv November 2016
5008 E Hanna Ave. Tampa, FL 33610
80D/865-5064 Fax;813/740.8370
This is to certify that the materials described on this certificate have been flame-
retardant treated or are inherently nonflammable and were supplied to
NAME: Rentaland AT 118 - S. Orange Blossom Tra L_
CITY Orlando STATE FL, 32837 _
Certification is hereby made that:
The articles described on this Certificate have been treated with a flame-retardant approved
chemical and that the application of said chemical was done in conformance with Federal
Specification NFPA 701-2014/ CSFM/ ASTM E84-81A/ CAN/ULC-S109/ CPAI 84/ MVSS302 -
Method of application: INHFRFNTI Y FI AMF RFSISTANT _-
Trade name of flame -resistant fabric or material used —kit=GLCaSS- -
Chem. Reg.
The Flame Retardant Process Used WILL NOT Be Removed By Washing
twill or will not)
and is good for the life of the fabric. Renewal Certification unnecessary.
Color and weight of fabric: _Suablock-w1ait"13 ozpsy Description
of item certified: r Q O p ofF nle- I Matt
Perra (Tent Renters Supply) y PRODUCTION SUPERVISOR Name
of Applicator of Production Superintendent Title We
hereby certify this to be a trace copy of the original "CERTIFICATE OF FLAME RESISTANCE"
Issued to us, "original copy" of which has been flied with the California State (
fire Marshal. Signed
by Waleska Rodag 7