HomeMy WebLinkAbout110-130 Towne Center Blvd - 98-0022285 (1995) NEW CONSTRUCTION - DOCUMENTSZONE DATE
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CONTRACTOR i
ADDRESS
PHONE # 262 2- " 22 G
LOCATIOP
OWNER
ADDRESS -
7
PHONE # q9 -3
9 k' PLUMBING CONTRACTOR U (-) U
ADDRESS
PHONE #
ELECTRICAL CONTRACTOR
ADDRESS
PHONE #
MECHANICAL CONTRACTOR
ADDRESS
PHONE #
MISCELLANEOUS CONTRACTOR
ADDRESS
SEPTIC TANK PERMIT NO.
SOIL TEST REQUIREMENTS (..
FINISHED FLOOR
ELEVATION REQUIREMENTS
ARCHITECTURAL APPROVAL DATE:
PERMIT #
JOB'Lu
COST S • 7 ,:!;-/
C
FEE
STATE NO. C6c 6
FEE S
FEE $
FEE $
SUBDIVISION:
LOT NO.
BLOCK:
SECTION:
SQUARE FEET:
MODEL:
OCCUPANCY CLASS:
INSPECTIONS
TYPE DATE OK REJECT BY
FEES ERGY SECT. EPI:
CERTIFICATE OF OCCUPANCY
ISSUED # DATE:
FINAL DATE
r Ski L (/fV ITY OF SANFORD, FLORIDA
LICATION FOR BUILDING PERMIT
43 a
PERMIT ADDRESS 34-6- Towne Center Boulevard PERMIT NUMBER
Total Contract Price of Job $251: 700. 00 Total Sq. Ft. 7,030
Describe Work Construction of Retail Center
Type of Construction 13lo ck Flood Prone (YES) (NO)
Number of Stories 1 Number of Dwellings 0 Zoning P.D.
Occupancy: Residential Commercial X Industrial
Lot 44 ACI Income Fund. , P. D.
LEGAL DESCRIPTION (please attach printout from Seminole County)
TAX I.D. NUMBER 59-3333003
OWNER ACI Income Fund, II. Ltc PHONE NUMBER 407-•423--7600
ADDRESS 600 E. Colonial Dr., Suite 100
CITY Orlando STATE Florida ZIP 32803
TITLE HOLDER (IF OTHER THAN OWNER) N/A
ADDRESS
CITY STATE
BONDING COMPANY
ADDRESS
CITY
A
STATE
ZIP
ZIP
ARCHITECT Elaine Miller
ADDRESS 300 SOutal .LOlc^ .--)rive
CITY Orlando STATE Florida ZIP 32801
MORTGAGE
ADDRESS
CITY
LENDER
STATE ZIP
CONTRACTOR ?la_ior Construc';.ion 5: nev. , Inc. PHONE NUMBER 07-30?--2270
ADDRESS 30 Coastl_iyi: S'u.ii--- 1!10 ST. LICENSE NUMBERCCiC 01Y09'3
CITY an`ord STATE Florida ZIP 32771
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, PLUMBING, MECHANICAL, SIGNS, POOLS, ETC.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that
all work will be done in compliance with all applicable laws regulating construction
and zoning. A COPY OF THE RECORDED COPY OF THE NOTICE OF COMMENCEMENT WILL BE POSTED
ON THE JOB SITE WITH PERMITS NO LATER THAN SEVEN (7) DAYS AFTER THE PERMIT HAS BEE14
ISSUED. FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOU PAYING TWICE FOR
THE 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 districts, state agencies, or federal agencies.
ACCEPTANCE OF PERMIT IS VERIFICATION THAT I WILL NOTIFY THE OWNER OF THE PROPERTY OF
THE REQUIREMENTS OF FL IDA LIEN LAW, FS713.
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Signature of Owner/Agent & Date Signature of Contractor & Date 0 D'<
Frank L. Schrimsrer L7U—'
Ty e o Pr' t Ow /Ag t N a Type or Print Contractor's Name d
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Signature of Notary & Date
of Lix-i
WANDA L. PENLAND
Mycommexpires July
btic, State 2619998
No. CC395409
Bonded thru Ashton Agency, Inc.
Signature of Notary & Date
Official Seal)
P, %,F Stephen Pruse
My Commission CC713534
Ove Expires February 4, 2002
Application Approved Y: , a. Date: b 2 7 cry
FEES: Building /J Radon Police Fire
Open Space AWA,Road Im act /P Application /b
PERMIT VALIDATION: CHECK Ll-ASH DATE (Q J BY
ORIGINAL (BUILDING) YELLOW (CUSTOMER) PINK (COUNTY TAX OFFICE) GOLD (CO. ADMIN)
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THIS APPLICATION USED FOR WORK VALUED $2500.00 OR MORE
Component Performance Method for Commercial Buildings
ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION
Florida Department of Community Affairs
FLA/COM-94 Version 2.1A
PROJECT NAME_ACI INCOME FUND, LOT 4
ADDRESS: SANDFORD, FLORIDA
OWNER:
AGENT:
ACI INCOME FUND
Form 400B-94
PERMITTING OFFICE:
Sanford
CLIMATE ZONE: _5
PERMIT NO: G
JURISDICTION NO: 69 50
BUILDING TYPE: _Mercantile (Retail)
CONSTRUCTION CONDITION: New construction
DESIGN COMPLETION: _Shell Building
CONDITIONED FLOOR AREA: _7000 NUMBER OF ZONES: 1
MAX. TONNAGE OF EQUIPMENT PER SYSTEM: 4
COMPLIANCE CALCULATION:
METHOD B DESIGN CRITERIA RESULT
ENVELOPE PERFORMANCE 44.25 73.20 PASSES
OTHER ENVELOPE REQUIREMENTS PASSES
LIGHTING
INTERIOR LIGHTING 0.00 21700.00 PASSES
EXTERIOR LIGHTING 2075.00 2075.00 PASSES
LIGHTING CONTROL REQUIREMENTS PASSES
HVAC EQUIPMENT
COOLING EQUIPMENT
1. SEER 10.20 9.70 PASSES
HEATING EQUIPMENT
1. Et 1.00 N/A
AIR DISTRIBUTION SYSTEM INSULATION LEVEL
1. With Insulated Roof 6.00 6.00 PASSES
WATER HEATING EQUIPMENT
PIPING INSULATION REQUIREMENTS
COMPLIANCE CERTIFICATION:
I hereby certify that the plans and
specifications covered by this calcu-
lation are in compliance with the
Florida Energy Efficiency.Code.
PREPARED BY: f2- gim 7AW(erz-
DATE :
I hereby certify that this building is
in compliance with heorida Energy
Efficiency CodeOWNER/ GEN x rlttil 1-11( Lt—
DATE : [; •. • qy:.
Review of the plans and specifica-
tions covered by this calculation
indicates compliance with the
Florida Energy Efficiency Code.
Before construction is completed,
this building will be inspected
for compliance in accordance wit
Section 554.908, Fl idi atut s:
BUILDING O FIC AL •
DATE:
I hereby certify(*) that the
Energy Efficiency Code.
SYSTEM DESIGNER
system design is in compliance with the Florida
REGISTRATION/STATE
ARCHITECT : j-'if(«a- F-L• Pa,-C4 V SLC'.b
MECHANICAL:
PLUMBING
ELECTRICAL:
LIGHTING
Signature is required where Florida law requires design to be performed
by registered design professionals. Typed names and registration numbers may
be used where all relevant information is contained on signed/sealed plans.
BUILDING INFORMATION COMPLIANCE
CHECK
401.------GLAZING--ZONE 1------------------------------------------------ v-
Elevation Type U SC VLT Shading Area(Sgft)
East Commercial 1.09 .95 .82 Continuous Ove 69
East Commercial 1.09 .95 .82 Continuous Ove 219
South Commercial 1.09 .95 .82 Continuous Qve 114
South Commercial 1.09 .95 .82 Continuous Ove 36
West Commercial 1.09 .95 .82 Continuous Ove 35
West Commercial 1.09 .95 .82 Continuous Ove 109
North Commercial 1.09 .95 .82 Continuous Ove 766
North Commercial 1.09 .95 .82 Continuous Ove 766
Total Glass Area in Zone 1 = 2114
Total Glass Area = 2114
402.------WALLS--ZONE 1------------------------------------------------
Elevation Type U Added R Gross(Sgft)
North 1211CMU W/INSULATIVE F .40 16 560
East 1211CMU W/INSULATIVE F .40 16 300
South L & Hvywt. Concrete Block: 8" Li 0.294 16 1700
West 1211CMU W/INSULATIVE F .40 16 525
Total Wall Area in Zone 1 = 3085
Total Gross Wall Area = 3085
403.------DOORS--ZONE 1------------------------------------------------
Elevation Type U Area(Sgft)
North 1-3/4 Solid Urethane foam core 0.20 21
North 1-3/4 Solid Urethane foam core 0.20 21
West 1-3/4 Solid Urethane foam core 0.20 21
South 1-3/4 Solid Urethane foam core 0.20 105
Total Door Area in Zone 1 = 168
Total Door Area = 168
404.------ROOFS--ZONE 1------------------------------------------------
Type Color U Added R Area(Sgft)
BUILT UP W/INSULATION Medium .22 19 30756
BUILT UP W/INSULATION Medium .22 30 7000
Total Roof Area in Zone 1 = 37756
Total Roof Area = 37756
405.------FLOORS-ZONE 1------------------------------------------------
Type R Area(Sgft)
Slab on Grade/Uninsulated 2 30026
Slab on Grade/Uninsulated 2 231000
Total Floor Area in Zone 1 = 261026
Total Floor Area = 261026
406.------INFILTRATION --------------------------------------------------
CHE K
Infiltration Criteria in 406.1.ABC.1 have been met.
407.------COOLING SYSTEMS-----------------------------------------------
Type No Efficiency IPLV Tons
1. Single Package 1 10.2 0 4.00
408.------HEATING SYSTEMS -----------------------------------------------
Type No Efficiency BTU/hr
1. Electric Resistance 1 1 48000
409.------VENTILATION ---------------------------------------------------
ICHECKVentilationCriteriain409.1.ABC.1 have been met.
410.-----AIR DISTRIBUTION SYSTEM ----------------------------------------
AHU Type Duct Location R-value
1. Packaged Constant Volume With Insulated Roof 6
411.-----PUMPS AND PIPING -ZONE 1 ---------------------------------------
Type R-value/in Diameter Thickness
412.-----WATER HEATING SYSTEMS -ZONE 1 ----------------------------------
Type Efficiency StandbyLoss InputRate Gallons
413.-----ELECTRICAL POWER DISTRIBUTION----------------------------------
CHECK
Metering criteria in 413.1.ABC.1 have been met.
Transformer criteria in 413.1.ABC.2 have been met.
414.-----MOTORS --------------------------------------------------- -----
Motor efficiencies in 414.1.ABC.1 have been met.
415.-----LIGHTING SYSTEMS -ZONE 1 -----------------------------------------
Space Type No Control Type 1 No Control Type 2 No Watts Area(Sgft)
Type D(Gen 1 2
Total Watts for Zone 1
Total Area for Zone 1
Total Watts
Total Area
0 7000
0
7000
0
7000
CHECK
Lighting criteria in 415.1.ABC have been met.
16. HVAC load sizing has been performed. (407.1.ABC.1)
17. Duct sizing and design have been performed. (410.1.ABC.1.2)
18. Testing and balancing will be performed. (410.1.ABC.4)
19. Operation/maintenance manual will be provided to owner.(102.1)
CERTIFICATE OF OCCUPANCY
REQUEST• ' FINAL INSPECTION
DATE:
ADDRESS:
CONTRACTOR/PROJECT NAME: l-•-.-, -- -c
The Building Dept. Has prepared a certificate of occupancy for the
above location and is requesting a final inspection by your
department. After your inspection, please contact the Building
Dept. To sign off on the C.O. or submit an addendum if it has
been denied. Your prompt attention will be appreciated. Thank
you.
Engineering:
Fire Dept:
Public Works:
SE 7 — .- l (-,t
14
Utilities/Cross Connection:
Zoning Department:
M
rf) ley'
f A4[49 i r&cS
C.U./C.C. CHECKI ISS i - U Lit "ES
Request Received 00-9-een-_io U1111 tY 111," Pcc"-t
Utility; Inspector's Ertl __ c- ---- 9 --
FDEr Clearance - Wti.--a1 --------- &VA --------
MEP Clearance - Sewas --------- dj-A---------
City Services Easemerrts -------- -NSA---------
Mob tenana Bad (10% - 20 __------ 64M - -----
Other ---------- ------,//9-- ; ^----- D
CERTIFICATE OF OCCUPANCY
REQUEST nFOR FINAL INSPECTION
r-B Q-
DATE: 9 a
ADDRESS:
CONTRACTOR/PROJECT NAME: J-Ap,Mn,t- CJ.p
The Building Dept. Has prepared a certificate of occupancy for the
above location and is requesting a final inspection by your
department. After your inspection, please contact the Building
Dept. To sign off on the C.O. or submit an addendum if it has
been denied. Your prompt attention will be appreciated. Thank
you.
Engineering: Utilities/Cross Connection:
Fire Dept: Zoning Department:
Public Works:-7 ,
0
CERTIFICATE OF OCCUPANCY
REQUEST FOR FINAL INSPECTION
Y
DATE:g
ADDRESS: I I c) —C 2 L=n j,_ i 'UC'P
CONTRACTOR/PROJECT NAME: ,&Yk->n-i a
The Building Dept. Has prepared a certificate of occupancy for the
above location and is requesting a final inspection by your
department. After your inspection, please contact the Building
Dept. To sign off on the C.O. or submit an addendum if it has
been denied. Your prompt attention will be appreciated. Thank
you.
Engineering. Utilities/Cross Connection:
Fire Dept: Zoning Department:
Public Works:
CERTIFCATE OF OCCUPANCY '
REQUEST FOR FINAL INSPECTION
DATE OF C.O.:
ADDRESS: O- L,2
CONTRACTOR: Aw ZZ 7p
61 CwcN
oE 1%fit Q/s
CHECK BELOW THE TYPE OF C.O.
Commercial Interior Remodel:_
Commercial Addition/Al rations:
New Commercial:=
New Industrial:
New Single Family Residence:
New Multiple Family Residence:_
New Apartments:
New Hotel:
91, "4 kr/moo
The Building Dept. Has prepared a certificate of occupancy for the above
location and is requesting a final inspection by your department. After your inspection,
please contact the Building Dept. To sign -off on the C.O., or submit an addendum if it
has been denied. Your prompt attention will be appreciated. Thank you.
ENGINEERING:
FIRE DEPARTMENT: y
PUBLIC WORKS:
UTILITIES/CROSS CONNECTION:
ZONING :
RECEIVED
DEC 151998
CITY OF SANFORQ
FIRE DEPT.
0.
CERTIFCATE OF OCCUPANCY '
REOUEST FOR FINAL INSPECTION
DATE OF C.O.: /c?- Ig- 4-
A D D R E S S: //0 - 12 L
ONTRACTOR: 4d
CHECK BELOW THE TYPE OF C.O.
Commercial Interior Remodel:
Commercial Addition/Alt tions:
New Commercial:=
New Industrial:
New Single Family Residence:
New Multiple Family Residence:
New Apartments:
New Hotel:
The Building Dept. Has prepared a certificate of occupancy for the above
location and is requesting a final inspection by your department. After your inspection,
please contact the Building Dept. To sign-off on the C.O., or submit an addendum if it
has been denied. Your prompt attention will be appreciated. Thank you.
ENGINEERING:
F WUEPARTMENT:
PUBLIC W >S: A-
UTILITI '6NNECTION:
ZONING :
CERTIFCATE OF OCCUPANCY '
REOUEST FOR FINAL INSPECTION
DATE OF C.O.: 0-
ADDRESS:
to- JC3)-a 1 1
CONTRACTOR: ')A,,kbr (CMOIA
CHECK BELOW THE TYPE OF C.O.
Commercial Interior Remodel:
Commercial Addition/Alt tions:
New Commercial:
New Industrial:
New Single Family Residence:
New Multiple Family Residence:
New Apartments:
New Hotel:
sr..'"The Building Dept. Has prepared a certificate of occupancy for the above
location and is requesting a final inspection by your department. After your inspection,
please contact the Building Dept. To sign -off on the C.O., or submit an addendum if it
has w-denied:—Your pro t attention will be appreciated. Thank you.
ENGfDEP. RIREr
1
PUBLIC WORKS:
UTILITIES/CROSS CONNECTION:
ZONING :
OWNER: /`/2J o2 Cc,..: 7.
ADDRESS: < (o (a 2 7c.Av,-C C6.,,7v, 61 A DATE:
2,(,/,a REASON
FOR DISAPPROVAL: CONDITIONAL
AGREEMENT: y6 /
y/;M%. /'o:r4 c.v 7/>f 9fiCi/j•5 4 i.c,7E L vF JL4rcA7• 'mac
C:'7 21 /}LSc
rvF_tq 7i•! 13iCL 0A J%3o i/ts L'•,•,cFIRE DEPARTMENT PUBLIC WORKS
UTILITIES ENGINEERING
P640Q S.
2C wM B:l! o4'
AL
z`®
a RC wM z yx rx.,;, ao
CERTIFCATE OF OCCUPANCY '
REQUEST FOR FINAL INSPECTION
DATE OF C.O.: /0
ADDRESS: //C/)-- ltl OI,c//}_e 1 r 2 1 4Au
CONTRACTOR: a
CHECK BELOW THE TYPE OF C.O.
Commercial Interior Remodel:
Commercial Addition/Alterations:
New Commercial:
New Industrial:
New Single Family Residence:
New Multiple Family Residence:
New Apartments:
New Hotel:
The Building Dept. Has prepared a certificate of occupancy for the above
location and is requesting a final inspection by your department. After your inspection,
please contact the Building Dept. To sign -off on the C.O., or submit an addendum if it
has been denied. Your prompt attention will be appreciated. Thank you.
ENGINEERING:
FIRE DEPARTMENT:
PUBLIC WORKS:
UTILITIES/CROSS CONNECTION:
ZONING :
4
WD .00 fAU12ec-31S-3(p
01aolu'8 P0''gg-aaa8
U'A- set- 7 1aq (qq v 1 coo. o f2edt'-35;I
ELEVATION CERTIFICATE O.M.B. No. 3067.0077
FEDERAL EMERGENCY MANAGEMENT AGENCY Expires July 31, 1999
NATIONAL FLOOD INSURANCE PROGRAM
ATTENTION: Use of this certificate does not provide a waiver of the flood Insurance purchase requirement. This form is used only to pro-
vide elevation information necessary to ensure compliance with applicable community floodplain management ordinances, to determine
the proper insurance premium rate, and/or to support a request for a Letter of Map Amendment or Revision (LOMA or LOMR). You are not
required to respond to this collection of Information unless a valid OMB control number Is displayed in the upper right corner of this form.
Instructions for completing this form can be found on the following pages.
SECTION A PROPERTY INFORMATION FOR INSURANCE COMPANY USE
BUILDING OWNER'S NAME POLICY NUMBER
M_ AUOR BUILDERS _
STREET ADDRESS (Including Apt., Unit, Suite and/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER COMPANY NAIC NUMBER
OTHER DESCRIPTION (Lot and Block Numbers, etc.) S EM r MO L E C01l N1 T Y. PLAT &-)L)k i 1 . PA&F
LOT y . AC I I NCClM L 1:L1 nl D . (_' D
CITY STATE ZIP CODE
5AJ1I F0'P) FL 37771
SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
Provide the following from the proper FIRM (See Instructions):
1. COMMUNITY NUMBER 2. PANEL NUMBER 3. SUFFIX 4. DATE OF FIRM INDEX 5. FIRM ZONE 1
6. BASE FLOOD ELEVATION
in AO Zones, use depth)
IZUZgN 00N0 E1 C'iPii;It I,liS1 X
7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): [NGVD '29 L.j Other (describe on back)
B: For Zones A or V. where no BFE Is provided on the FIRM, and the community has established a BFE for this building site, indicate
the community's BFE: I I I I I ._ 1. U feet NGVD (or other FIRM datum —see Section B, Item 7),
SECTION C BUILDING ELEVATION INFORMATION
1. Using the Elevation Certificate Instructions, indicate the diagram number from the diagrams found on Pages 5 and 6 that best
describes the subject building's reference level I_ .
2(a). FIRM Zones Al-A30, AE, AH, and A (with BFE). The top of the reference level floor from the selected diagram is at an elevation
of I_ I._LI3..LSJ.[!A feet NGVD (or other FIRM datum —see Section B, Item 7).
b). FIRM Zones V1-V30, VE, and V (with BFE): The bottom of the lowest horizontal structural member of the reference level from
the selected diagram, is at an elevation of 1 1 1 1 1 1.1_..1 feet NGVD (or other FIRM datum —see Section B, Item 7).
c). FIRM Zone A (without BFE). The floor used as the reference level from the selected diagram is UJ 1J feet above or
below 0 (check one) the highest grade adjacent to the building.
d). FIRM Zone AO. The floor used as the reference level from the selected diagram is LU . U feet above or below (check
one) the highest grade adjacent to the building. If no flood depth number is available, is the building's lowest floor (reference
level) elevated in accordance with the community's floodplain management ordinance? Yes No Unknown
3. Indicate the elevation datum system used in determining the above reference level elevations: P NGVD '29 Other (describe
under Comments on Page 2). (NOTE: if the elevation datum used In measuring the elevations is different than that used on
the FIRM (see Section B, Item 77, then convert the elevations to the datum system used on the FIRMand show the conversion
equation under Comments on Page 2.)
4. Elevation reference mark used appears on FIRM: Yes ZNo (See Instructions on Page 4)
5. The reference level elevation is based on: actual construction construction drawings
NOTE: Use of construction drawings is only valid if the building does not yet have the reference level floor in place, in which
case this certificate will only be valid for the building during the course of construction. A post -construction Elevation Certificate
will be required once construction is complete.)
6. The elevation of the lowest grade immediately adjacent to the building is: l l l l 3131.0 feet NGVD (or other FIRM datum -see
Section B, Item 7).
SECTION D COMMUNITY INFORMATION
1. If the community official responsible for verifying building elevations specifies that the reference level Indicated in Section C, Item 1
is not the "lowest floor" as defined in the community's floodplain management ordinance, the elevation of the building's "lowest
floor" as defined by the ordinance is: I I I I I l.0 feet NGVD (or other FIRM datum —see Section B, Item 7).
2. Date of the start of construction or substantial Improvement
FEMA Form 81-31, AUG 96 REPLACES ALL PREVIOUS EDITIONS SEE REVERSE SIDE FOR CONTINUATION
SECTION E CERTIFICATION ,
This certification is to be signed by a land surveyor, engineer, or architect who is authorized by state or local law to certify elevationinformationwhentheelevationinformationforZonesAl—A30, AE, AH, A (with BFE),V1—V30,VE, and V (with BFE) is required.
Community officials who are authorized by local law or ordinance to provide floodplain management information, may also sign thecertification. In the case of Zones AO and A (without a FEMA or community issued BFE), a building official, a property owner, or an
owner's representative may also sign the certification.
Reference level diagrams 6, 7 and 8 - Distinguishing Features —If the certifier is unable to certify to breakaway/non-breakaway wall,
enclosure size, location of servicing equipment, area use, wall openings, or unfinished area Feature(s), then list the Feature(s) not
included in the certification under Comments below. The diagram number, Section C, Item 1, must still be entered.
I certify that the information in Sections B and C on this certificate represents my best efforts to interpret the data available.
I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001.
CERTIFIER'S NAME LICENSE NUMBER (or Affix Seal)
FRANC A, RAYMOND ,0( vo 7
TITLE COMPANY NAME ' SURVEYOR 4M1R/6H7_ SUR EYS OF 4R6441410, INC.
ADDRESS
m12 E: ,evswsw 57. cDAI-RIVDO
SIGNATURE D DATE
z 5-
STATE ZIP
FL 3ZS 03
407) 994 -(03/4
Copies should be made of this Certificate for: 1) community official, 2) Insurance agent/company, and 3) building owner.
COMMENTS:
ON WITH ON PILES,
SLAB BASEMENT PIERS, OR COLUMNS
A V A A V
ZONES ZONES ZONES ZONES ZONES
REFERENCE
REFERENCE LEVELBASE REFERENCE
LEVEL FLOODEVEI
ELEVATION
a P:.
mr+ RO •ADJACENT:;;_
RASE
MOOD REFERENCEf, ). ROOD
ELEVATION REFERENCE ADJACENT GRADE LEVEL ELEVATION
lEVEI
GRADEADMENT
i.::r::.:': :?i::::::•i :.:.:.i •: GRADE
The diagrams above illustrate the points at which the elevations should be measured in A Zones and V Zones.
Elevations for all A Zones should be measured at the top of the reference level floor.
Elevations for all V Zones should be measured at the bottom of the lowest horizontal structural member.
Page 2
11 On 130 Towne Center Bnvd
ACE Income Fundnd
Permit NO: 98=2228
Plans Archived ]Feb 06
CITY jO/F_ SANFORD. FLORIDA `gPC. P 43 O
r
PERMIT NO- R DATE
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO INSTALL THE FOL.
LOWING PLUMBING WORK:
OWNER'S NAME
ADDRESS OF JOB 136
PLUMBING CONTR. &o rrLANlu(As. _ Comm. _
Subject to rules and regulations of Sanford plumbing code.
Residential: I Number
Alteration, Addition, Repair I
I
Amount
New Residential:
One Water Closet
7
1
1
Additional Water Closet
Commercial:
Fixtures. Floor Drain, Trap 00 D rt 9 H
Sewer r d
Water Piping_ OC
Gas Piping
Factory -built housing
Mobile Home
Application Fee
ZfuMinimumCommercialPermit: s25 _ no Total l
Merle number
COMPETENCY CARD NO.
CITY OF SANFORD, FLORIDA
PERMIT NO. /Y O?;` DATE "!
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO INSTALL THE
FOLLOWING H.A.R.V. MECHANICAL EQUIPMENT:
OWNER'S NAME 0-r"k {e
ADDRESS OF JOB
MECHANICAL CONTR. nc : xival C 1±4 OiA IC-, IVY C RESIDENTIAL COMMERCIAL
7e 5 ' Subject to
rules and regulations of Sanford mechanical code. NATURE OF
WORK
C%
ANCIENT CITY HEATING &AIR CONDITIONING HAC
IN
1860A ISHERWOOD TERRACE
ST. AUGUSTINE, FLORIDA 32092-9229
904) 824-0896 FAX: (904) 823.0742
September 2, 1998
L Oy
TO:
Se Government
Sanford, FL
TI•lIS IS ?,IY AUFFIORJZ.1TIOi: FOR rRED R. MILLER, AN E".11PLOYEL' OF A ICIIENT CITY
HEATING AND Aik COND1TION1NG, iNC. , Tv Co iVIPLE iE APPLICATION i iA','iC:AL Li cense & PERMIT FOR:
One-10 Building
110-130 Towne Center Boulevard
Sanford, FL 32771
IF AN`- FUkTHER INFORkIA'i XiiiSNEEDED, PLEASE CONTACT &JY 0rriCE'.
THANK YOU FOR Y01JR HELP IN THIS 1VIM-I'ER.
S,,,.r EREL ., ll. L1. J
KEN
ABELES V
4G
F R OT•9jP"O cl
t
MYCOMM.EXPIRES t JAN.
23, 2001 Na
CC 615592 46
LN
OF
FL Sf
CN700ID2 SEMINOLE COUNTY - BUILDING DEPARTMENT 9/16/98
CONTRACTOR INQUIRY 12:41:59
State Certificate or Registration: CAC033667 Competency Card:
Title....: CERTIFIED A/C CONTRACTOR Renewal code: CA
Last Name: ABELES First: KENNETH Middle:
Address..: P O BOX 831
City.....: DEBARY State: FL Zip: 32713 - 0831
Phone....: 407-668-5961
Company..: ANCIENT CITY HEATING A/C INC
Status...: ACTIVE
SELECT
X)• DATE/MDY TYPE OF ACTIVITY RECEIPT# NOTES & REMARKS
t 7/2 5 / 9 8—R---RENEWAL.---,---- 2 64 3 94-"
9/18/96 R - RENEWAL - 219834
3/28/95 R - RENEWAL 184406
CMD 1 - Exit CMD 2 - Next Contractor Enter - Select Detail Record
o: s,APPLICATION FOR TEMPORARY
CONSTRUCTION ACTIVITIES USE PERMIT
CITY OF SANFORD, Fl. CCG;M.
DATE
To the Building Official:
PERMIT NO. qW- R 3 /3
The undersigned hereby applies for a permit for the
following described work:
OWNER
ADDRESS!NEW aggg"
10 To oonie .6?n4 / S
NATURE OF WORK
OIIs f/CIAC, f'<`M ; 4,*/e iZ-
LEGAL DESCRIPTION
APPLICANT'S NAME lTV9'ilcTcti 1 uP I7"
APPLICANT'S ADDRESS Z34) 6!W74- . ,- 90. -szlri v .S.alrow
APPLICANT'S PHONE NUMBER (-IC1) 3vz-9,7-7c.%
t D
FEE
I certify that the above infor-
mation is true and correct and
that I will comply with all
applicable codes and ordinances
of the City of Sanford, FL.
Building Official ApplicP 's Signature
SS4) Application type = TCAU
Ap UNIVERSAL
ENGINEERING SCIENCES
Consultants In: Geotechnical Engineering - Environmental Sciences -
Construction Materials Testing - Threshold Inspections
Project No.:
Report No.:
Date 1st Issue:
Date 2nd Issue:
Final Issue:
3532 Maggie Blvd. • Oriando, FL 32811 • (407) 423-0504 9 FAX (407) 423-3106
COMPRESSIVE STRENGTH OF
6" X 12" CONCRETE TEST SPECIMENS
Client: A. B. Sanford Limited Partnership
Attn: Mr. Tom Brown
1701 Lee Branch Lane
Birmingham, Alabama 35243
Project: Towne Center Plaza at Seminole Towne Center, City of Sanford, Florida
19574-002-02
C997
June 9, 1998
July 1, 1998
DESIGN
DATA
Specified Strength: 3.000 psi at 28 days
Mix Design No. S091045
FIELD
LAB
DATA
Date Sampled: 5-29-98 Time Sampled: 3:00 p.m.
Sampled By: Vernon Lane Slump: 5 in.
Truck No.: 239 Air Content (by volume): N/S %
Ticket No.: 1358412 Concrete Temperature: 86 °F
Time Batched: 2:12 p.m. No. of Cylinders Cast: 4
Quantity of Load: 110 cu. ds. Ambient Temperature: 88 °F
Water Added At Site: 0 gals. Weather Condition: P-Cloud
Contractor: Niles Construction Admixture: N/S
Supplier: Ewell
Location of Placement: Column Pads, C-5, 4 and 3
RESULTS
of
TESTING
Date Tested
Age in
Days
Type of
Fracture
Test Specimen
X-Sect. Area in'
Max.
Compressive
Load lbs.
Test
Compressive
Stren th(psi) Average(psi)
6-5-98 7 3 28.29 76,000 2,690
6-26-98 28 3 28.32 97,480 3,440
6-26-98 28 3 28.32 94.860 3.350 3,400
H
REMARKS This Form Conforms With ASTM C-39
20 cubic yard of 20 cubic yards
U E11ZF1
1 = Cone, 2 = Cone 8 Split, 3 = Cone 8 Shear, 4 = Shear, 5 = Columnar
H = Hold, CB = Corner Break
cc: Client (2)
R.A. Rogers Construction Company (1)
City of Sanford Building Dept. (1)
ml The Sports Authority (1)
Sampled to ASTM C-172 - Yes
Molded to C-31 - Yes
Initially Cured to ASTM C-31 - unknown
Cured d Tested in Lab to ASTM C-31 8 C-39 - Yes
Sciences, Inc.
Fred-f Sch ` Izer, P.E.
Depaltme' nager - Construction Services
STATE OF' .LORIDA
Registered_Professional Engineers No. 38818
Registered Special Inspectors No. 907
EDUNIVERSALENGINEERINGSCIENCES
Consultants In: Geotechnical Engineering - Environmental Sciences
Construction Materials Testing • Threshold Inspections
Project No.:
Report No.:
Date 1st Issue:
Date 2nd Issue:
Final Issue:
3532 Maggie Blvd. • Orlando, FL 32811 • (407) 423-0504 • FAX (407) 423-3106
COMPRESSIVE STRENGTH OF
6" X 12" CONCRETE TEST SPECIMENS
Client: A. B. Sanford Limited Partnership
Attn: Mr. Tom Brown
1701 Lee Branch Lane
Birmingham, Alabama 35243
Project: Towne Center Plaza at Seminole Towne Center, City of Sanford, Florida
19574-002-02
C942
June 9. 1998
July 1, 1998
DESIGN
DATA
Specified Strength: 3,000 psi at 28 days
Mix Design No. S091045
FIELD
LAB
DATA
Date Sampled: 5-29-98 Time Sampled: 1: 10 P.M.
Sampled By: Vernon Lane Slump: 6 in.
Truck No.: 250 Air Content (by volume): N/S %
Ticket No.: 1358409 Concrete Temperature: 85 IF
Time Batched: 12:12 p.m. No. of Cylinders Cast: 4
Quantity of Load: '10 cu. yds. Ambient Temperature: 88 IF
Water Added At Site: 10 gals. Weather Condition: P-Cloud
Contractor: Niles Construction Admixture: N/S
Supplier: Ewell
Location of Placement: North Wall Footing
Date Tested
Age in
Days
Type of
Fracture
Test Specimen
X-Sect. Area ins
Max.
Compressive
Load lbs.
Test
Compressive
Strength(psi) Average(psi)
5-5-98 7 3 28.29 69.000 2,440
RESULTS
of
TESTING
6-26-98 28 3 28.32 94,500 3,340
6-26-98 28 3 28.32 100,000 3,530 3,440
H
REMARKS This Form Conforms With ASTM C-39
20 cubic yard of 20 cubic yards
171771
1 j M Z R M
1 = Cone, 2 = Cone 8 Split, 3 = Cone 8 Shear, 4 = Shear, 5 = Columnar
H = Hold, CB = Corner Break
Sampled to ASTM C-172 - Yes
Molded to C-31 - Yes
Initially Cured to ASTM C-31 - Unknown
Cured 8 Tested in Lab to ASTM C-31 8 C-39 - Yes
Reviewed EYX,, ill
Universal gv4ering Sciences, Inc.
Eed-J Sehmai eir, P.E.
cc: Client (2) DepartmentI fiiii ger - Construction Services
R.A. Rogers Construction Company (1) STATE OFF ORIDA
City of Sanford Building Dept. (1) Registered Po"fessional Engineers No. 38818
ml The Sports Authority (1) Registered Special Inspectors No. 907
UNIVERSAL Project No.: 19574-002-02
ENGINEERING SCIENCES Report No. 17927
Consultants In: Geotechnical Engineering - Environmental Sciences - Date: July 1, 1998
Construction Materials Testing - Threshold Inspections
3532 Maggie Blvd. 9 Orlando, FL 32811 • (407) 423-0504 • FAX (407) 423-3106
REPORT ON SITE INSPECTION
Client: A. B. Sanford Limited Partnership
Attn: Mr. Tom Brown
1701 Lee Branch Lane
Birmingham, Alabama 35243
Project: Towne Center Plaza at Seminole Towne Center, City of Sanford, Florida
Scope of
Field Work: Reinforcement Steel Inspection
Date Inspected: June 26, 1998 Inspected By: Terry Chissoe Travel Time: .5 Hour
Total Time on Project: 2.5 Hours Inspecting: N/S Testing: N/S
OBSERVATIONS:
On the above date, a representative of Universal Engineering Sciences (UES) was present at the above project site as
requested to perform the referenced work.
Concrete Reinforcement - 03200
UES representative arrived on site to met with representatives of R. A. Rogers, the General Contractor Ron Grubbs,
is the superintendent and Richard Niles, President of Niles Construction Builder, and erector of pre -cast tilt -wall panels.
UES representative reviewed job specifications approved drawings and job related documents and discussed an
inspection schedule most beneficial to maintaining construction scheduled.
cc: Client (2)
R. A. Rogers Construction Company (1)
City of Sanford Building Dept. (1)
ml
f ErjgineAging Sciences, Inc.
DepartTotNanage( -\Construction Services
5_TA-TE:QF;FL01.1q-A
Registered/Professional Engineers No. 38818
Registered Special Inspectors No. 907
UNIVERSAL Project No.: 19574-002-02
ENGINEERING SCIENCES Report No. 17932
Consultants In: Geotechnical Engineering • Environmental Sciences • Date: July 1, 1998
Construction Materials Testing • Threshold Inspections
3532 Maggie Blvd. • Orlando, FL 32811 • (407) 423-0504 • FAX (407) 423-3106
REPORT ON SITE INSPECTION
Client: A. B. Sanford Limited Partnership
Attn: Mr. Tom Brown
1701 Lee Branch Lane
Birmingham, Alabama 35243
Project: Towne Center Plaza at Seminole Towne Center, City of Sanford, Florida
Scope of
Field Work: Concrete Cylinders
Date Inspected: June 27, 1998 Inspected By: Dan Nimlos Travel Time: .5 Hour
Total Time on Project: 1.0 Hour Inspecting: N/S Testing: N/S
OBSERVATIONS:
On the above date, a representative of Universal Engineering Sciences (UES) was present at the above project site as
requested to perform the referenced work.
UES representative arrived on site at 9:15 a.m. to set up for concrete pour. Concrete was scheduled for 10:00 a.m.
UES representative spoke with foreman of Richard Niles Constructor, as he stated that he knows nothing of a concrete
pour today (6/27/98), and was not informed about any concrete until Monday (6/29/98). UES representative remained
on site until 10:25 a.m. and then departed job site.
cc: Client (2)
R. A. Rogers Construction Company (1)
City of Sanford Building Dept. (1)
ml/OT
Review!2," ", 11
tlniuers l,- gin ering Sciences, Inc.
J. Sc"4q&q/P.E. irtmeni}M`anaeer - Construction Services
STATE OF FLORIIaA
Registered Professional Engineers No. 38818
Registered/Special Inspectors No. 907
UNIVERSAL
ENGINEERING SCIENCES
Project No.: 19574-002-02
Report No.: 16442
Date: June 23, 1998
Consultants In: Geotechnical Engineering • Environmental Sciences
Construction Materials Testing • Threshold Inspections
3532 Maggie Blvd. • Orlando, FL 32811 • (407) 423-0504 • FAX (407) 423-3106
IN -PLACE DENSITY TESTS
Client: A.B. Sanford Limited Partnership
Attn: Mr. Tom Brown
1701 Lee Branch Lane
Birmingham, AL 35243
Project: Towne Center Plaza at Seminole Towne Center, City of Sanford, FL
Area Tested: Column Footing Pads, Retail Shop "C" - Native
Reference
Datum: 0 = Bottom of Foundation Footing
Type of Test - Field: ASTM D-2937 Drive Cylinder Method Date Tested: 6/13/98
Laboratory: ASTM D-1557 Modified Proctor
Remarks: The tests below meet the minimum 95 percent relative soil compaction requirement of Laboratory Proctor maximum
dry density. Note: Line B and C is the open area.
TEST LOCATION LABORATORY RESULTS FIELD TEST RESULTS
Test Description Maximum Optimum Dry Field Soil
No. of Test Location Density Moisture Density Moisture Compaction
cf) pcf)
1. B-5, 0-1 Foot 107.2 11.7 102.1 8.4 95.2
2. C-6, 0-1 Foot 107.2 11.7 102.8 8.1 95.9
3. B-2, 0-1 Foot 107.2 11.7 102.6 7.0 95.7
Technician: D.G.
cc: Client (2)
R.A. Rogers Construction Company (1)
City of Sanford Bldg. Dept. (1)
Univ#A.sal iio ring Sciences, Inc.
1
I
Fred . c. r 4.1 l`r, P.E.
Qe a 'gent ger - Construction Services
STATEI, 1rLO A
Registe1 d Plbu sional Engineers No. 38818
Registered Special Inspectors No. 907
UNIVERSAL Project No.: 19574-002-02
ENGINEERING SCIENCES Report No.: D126
Consultants In: Geotechnical Engineering • Environmental Sciences • Date 1st Issue: June 23, 1998
Construction Materials Testing • Threshold Inspections
Date 2nd Issue: EDFinal Issue:
3532 Maggie Blvd. • Orlando, FL 32811 - (407) 423-0504 • FAX (407) 423-3106
COMPRESSIVE STRENGTH OF
6" X 12" CONCRETE TEST SPECIMENS
Client: A. B. Sanford Limited Partnership
Attn: Mr. Tom Brown
1701 Lee Branch Lane
Birmingham, Alabama 35243
Project: Towne Center Plaza at Seminole Towne Center, City of Sanford, Florida
DESIGN
DATA
Specified Strength: 4,000 psi at 28 days
Mix Design No. S090595
FIELD
LAB
DATA
Date Sampled: 6/09198 Time Sampled: 7:30 a.m.
Sampled By: D.N. Slump: 5 in.
Truck No.: 231 Air Content (by volume): N/S
Ticket No.: 1358740 Concrete Temperature: 79 °F
Time Batched: 7:00 a.m. No. of Cylinders Cast: 4
Quantity of Load: '10 cu. yds. Ambient Temperature: 80 IF
Water Added At Site: 5 gals. Weather Condition: N/S
Contractor: Richard Niles Admixture: Fiber
Supplier: Ewell Industries
Location of Placement: Stab -on -grade, approximately northwest side of building.
RESULTS
of
TESTING
Date Tested
Age
days)
Type of
Fracture
Test Specimen
X-Sect. Area ins
Max.
Compressive
Load lbs.
Test
Compressive
Strength(psi) Average(psi)
6/15/98 7 3 28.29 125,000 4,420
7/07/98 28
7/07/98 28
H
REMARKS This Form Conforms With ASTM C-39
250 cubic yard of 250+ cubic yards
A 11k B 11,11711
1 = Cone, 2 = Cone & Split, 3 = Cone & Shear, 4 = Shear, 5 = Columnar
H = Hold, CB = Corner Break
cc: Client (2)
R.A. Rogers Construction Company (1)
City of Sanford Building Dept. (1)
ml The Sports Authority (1)
Sampled to ASTM C-172 - Yes
Molded to C-31 - Yes
Initially Cured to ASTM C-31 - Unknown
Cured & Tested in Lab to ASTM C-31 & C-39 - Yes
Revie B-B,
UpAr r j gineering Sciences, Inc.
Fred-4-- c er, P.E.
Departm nt ager -Construction ServicesllSTATERIDA
Registered Pvofessional Engineers No. 38818
Registered Special Inspectors No. 907
UNIVERSAL Project No.:
Report No.: 93 ENGINEERING SCIENCES Date 1 st Issue:
Consultants In: Geotechnical Engineering - Environmental Sciences • Date 2nd Issue:
Construction Materials Testing - Threshold Inspections Final Issue:
3532 Maggie Blvd. - Orlando, FL 32811 9 (407) 423-0504 • FAX (407) 423-3106
COMPRESSIVE STRENGTH OF
6" X 12" CONCRETE TEST SPECIMENS
Client: A. B. Sanford Limited Partnership
Attn: Mr. Tom Brown
1701 Lee Branch Lane
Birmingham, Alabama 35243
Project: Towne Center Plaza at Seminole Towne Center, City of Sanford, Florida
19574-002-02
C911
June 9, 1998
June 26, 1998
DESIGN
DATA
Specified Strength: 3,000 psi at 28 days
Mix Design No. S091045
FIELD
LAB
DATA
Date Sampled: 5-27-98 Time Sampled: 11:20 a.m.
Sampled By: Vernon Lane Slump: 4-1/2 in.
Truck No.: 425 Air Content (by volume): N/S %
Ticket No.: 1358316 Concrete Temperature: 88 `F
Time Batched: 10:50 a.m. No. of Cylinders Cast: 4
Quantity of Load: 110 cu. yds. Ambient Temperature: 86 'F
Water Added At Site: 0 gals. Weather Condition: Cloud
Contractor: Niles Construction Admixture: N/S
Supplier: Ewell, Inc.
Location of Placement: Column Pads, B-5, 0-5, E-5
RESULTS
of
TESTING
Date Tested
Age in
Days
Type of
Fracture
Test Specimen
X-Sect. Area in'
Max.
Compressive
Load lbs.
Test
Compressive
Strength(psi) Average(psi)
6-3-98 7 3 28.30 97,500 3,450
6-24-98 28 3 28.29 122.000 4,310
6-24-98 28 3 28.29 120,000 4,240 4,280
H
REMARKS This Form Conforms With ASTM C-39
10 cubic yard of 20 cubic yards
Ul Z R M
1 = Cone, 2 = Cone 8 Split, 3 = Cone 8 Shear, 4 = Shear, 5 = Columnar
H = Hold, CB = Corner Break
cc: Client (2)
R.A. Rogers Construction Company (1)
City of Sanford Building Dept. (1)
ml The Sports Authority (1)
Sampled to ASTM C-172 - Yes
Molded to C-31 - Yes
Imlially Cured to ASTM C-31 - Unknown
Cured 8 Tested in Lab to ASTM C-31 8 C-39 - Yes
Revie ed;,
Univ sal - eering Sciences, Inc.
Fr Si e
DepartMent a
STATE'OF, OR
r, P.E.
ger - Construction Services
IDA
Registered Professional Engineers No. 38818
Registered Special Inspectors No. 907
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OFFICIAL titAMKUA ) BOOK
0060
SEMINOLE CO. FL NOTICE OF COMMENCEMENT
TAX PARCEL NUMBER: 29-19-30-504-0000-0040
00 ADDRESS OF JOB: 110 Towne Center Blvd. c-
STATE OF FLORIDA
COUNTY OF SEMINOLE
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real propertzandinaccordancewithChapter713, Florida Statutes, the following informa Commencement. lion is provided in this notice me07
I.
Description of Property: Lot # 4 , ACI Income Fund, P.D. 2.
General Description of Improvement: onstruetion of Retail Center z
O+vner Information: a.
Name & Address: s
i30
I
Income Fund II, Ltd. b.
Interest in Property: _ •Fv `leo 3 Sim
le Name &
Address of fee simple titleholder ( other than owner: 4.
Contractor's Name & Address: Ma or Construction 230
Coastline Rd 9140 5.
Surety Information:nford FL 32771 a.
Name & Address: N/A b.
Amount of Bond:— 6.
Lender's Name & Addr N/
A 7.
Persons within the Slate of Florida designated by Owner upon whom notices or other document maybeservedasprovidedbySection713.13(1) (A) 7, Florida Statutes: Name & Address: Frank L. Schrimsher 6
0 0 8. In addition to himselUherself, Owndesignates oloNone Dr 100 Orl . FL Of ' to
receiveacopyoftheLien 's Notice as provided in Section 713.13 (1) (b), Florida Statutes. 9. ExpirationdateofNoticemencement (the
expiration date is one (1) year from the date of recording unless adiffereaisspecified): Signature of Owner:
Frank L. Schrimsher,
Authorized Agent INUrublic, nd sub
cribed
bef re this `}fday ofJune,19 98 State of Florida
2$A4I y POU41) My Commission Expires:_ WANDA L. PENtAND
Notary Public, State
of Florlde My comm. explres
July 26, 1996 No. CC395409 Bonded
thru Ashton
Agerxy, Inc. PP7puTY ci..F..
RR 1uiN .Y 1;
1
CITY OF SANFORD
FIRE DEPARTMENT
FEES FOR SERVICES
PHONE #: 407-302-1091
DATE: PERMIT #:
6
BUSINESS NAME:
ADDRESS: /4U I5'-!/—
PHONE NUMBER: ( VG7) Z-y t? ,'3 — 9K0 0
PLANS REVIEW TENT PERMIT701
BURN PERMIT REINSPECTION
TANK PERMIT FIRE SYSTEM
r L/OqAMOUNT $ -
COMMENTS: IG c2 2 F 1.41 'Q__
Fees must be paid to Sanford Building Department, 300 N. Park Avenue, Sanford,
Florida. Phone # 330-5656. Proof of payment must be made to Sanford Fire
Prevention before any further services can take place.
V I certify that the above information is
true and correct and that I will comply
with all applicable codes and ordinances
l= of the City of Sanford, Florida,
IV
Sanford Fire Preverilirnr' / 4Applicants Signature