HomeMy WebLinkAbout1526 S French Ave 04-175 sprinkler revisionPermit #
Job Address:
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 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 Industrial Total Square Footage:.
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required tau. cum-,,e b:han x)
Parcel#: >!q C)—N: L' pvCiC9U "C%G�S
--- (Attach Proof of Ownership &Legal Description)
Owners Name & Address: i2,qP&tC,.J , I / S d t��r�( ;,o uLL( GAG^ WU
Name & Address:
Phone & Fax: Contact Person:
Bonding Company:u��' U')
Address:
Mortgage Lender:
Address:
Architect/Engineer:
Address:
rate License Number.
Phone:
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 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; lay.,s rel ulatia:
construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN V001t I`l:1 ING
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 fund in the public records of
this county, and there may be additional permits required from other governmental entities such as �yater-management districts efd agencies, or federal agencie-s.
Acceptance of permit is verification that I will notify the owner of the property of the requirements of_EIofi/d)a Lien-Zw,,139 Tl"3--->
Signature of Owner/Agent Date
Print Owner/Agent's Name
Signature of Notary -State of Florida Date
Owner/Agent is _ Personally Known to Me or
Produced ID
APPLICATION APPROVED BY: Bldg , 2-0 Zoning:
(Initial & Date)
Special Conditions:
for/Age
�Sienature o.,Notary-State of Florida Date
P� FLORENCE A. DE GRAVE
MY COMMISSION # DD 164280
EXPIRES: November 12, 2006
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roduced ID
Utilities: FD: 1�9Y
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AH pipe 1 to 2" to be schedule 40
STEEL ANGLE RON,—
REVERSIBLE BEAM GLAMP
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blacW steel Mid, st ir(. i fittings
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AR pipe 2 1/2 and, larger tie schedule
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10 black steel wThgrooved type fittings
(LENGTHS VARY)
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Hangers to rneet TWA ij 1999 editiori.
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Sprinklers to ibe Gloc)e model "JA47
F I R E! j P FRI. N f< LE FR 1. ENG E N D'
TOTAL SPRINKLERS =20
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•SAW SPRINUEM TYPE 0. R. QUANT' TOdPERATURE
FACTOR FINISH ORIFICE JK F
NEW PEND. All
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EX18T PEND. A/S 17 15T
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