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HomeMy WebLinkAbout1 Red Cleveland Blvd #205 - 96-001127 (1996) (documents) Interior RemodelZONE CONTRACTOR ADDRESS PHONE # G aZfJ LOCATION OWNER ADDRESS PHONE # PLUMBING CONTRACTOR ADDRESS PHONEIV ELECTRICAL CONTRACTOR --` - Joz, ADDRESS PHONE # MECHANICAL CONTRACTOR ADDRESS PHONE # MISCELLANEOUS CONTRACTOR ADDRESS SEPTIC TANK PERMIT NO. SOIL TEST REQUIREMENTS FINISHED FLOOR ELEVATION REQUIREMENTS ARCHITECTURAL APPROVAL DATE: DATE %- cco- (-' 4 Ley"t-) SUBDIVISION: 40 PERMIT• # JOB COSTS ram! lZ' FEE $ STATE NO. FEE S FEES FEE $ LOT NO. BLOCK: SECTION: SQUARE FEET: MODEL: OCCUPANCY CLASS: INSPECTIONS TYPE DATE OK REJECT BY FEES ENERGY SECT. _ ql—) 3U—&c iGi"I4,i EPI: CERTIFICATE OF OCCUPANCY ISSUED # DATE: FINAL DATE U"IVERSAL ENGI EfERING SCIENCES Consultant n: Geotechnical Engineering Environmental Sciences - Construction Materials Testing Project No.: Report No.: Date 1st Issue: Date 2nd Issue: Date 3rd 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: Mark Construction Company Attn: Mr. Ron Bryan P.O. Box 521728 Longwood, Florida 32752-1728 Project: International Departures Building, Central Florida Regional Airport, Sanford, Florida 15347-009-01 G 102 March 12, 1996 March 14, 1996 March 19, 1996 April 2, 1996 DESIGN DATA Specified Strength: 4,000 psi at 28 days Mix Design No. P4065V FIELD LAB DATA Date Sampled: 03/04/96 Time Sampled: 10:35 a.m. Sampled By: V. Lane Slump: 4 in. Truck No.: 765 Air Content (by volume): N/S % Ticket No.: 2732811 Concrete Temperature: 72 OF Time Batched: 10:05 a.m. No. of Cylinders Cast: 4 Quantity of Load: '10 cu.yds. Ambient Temperature: 78 OF Water Added At Site: 5 gals. Weather Condition: Sunny Contractor: Advanced Site & Paving Admixture: N/S Supplier: Rinker Location of Placement: Gateway foundations 5A - 4A/1 B1 - 1 B2 RESULTS of TESTING Date Tested Age Days Type of Fracture Test Specimen X-Sect. Area Sq.ln.) Max. Compressive Load (Ibs.) Test Compressive Strength (psi) Average (psi) 03/07/96 3 3 28.12 88.000 3,150 03/11/96 7 3 28.03 103,000 3.670 03/18/96 14 3 28.17 120,000 4,260 04/01/96 28 3 28.10 130.000 4,630 E I I I I I I REMARKS This Form Conforms With ASTM C-39 10 cubic yards of 20 cubic yards 1 = Cone. 2 = Cone & Split. 3 = Cone & Shear, 4 = Shear. 5 = Columnar H = Hold, CS = Corner Break cc: Client (2) B.R.P.H (1) Cityof Sanford (1) gdv E. partment Manager Sciences, Inc. ARK"' co. C 0 N S T R U C T 1 0 N PHONE (407) 831-6275 FAX (407) 332-5311 Mailing Address Location P.O. Box 521728 1969 Corporate Square Dr. Longwood, Florida 32752-1728 Longwood, Florida 32750 CG C001227 #CG CO25899 Building Dept. — City of Sanford 300 N. Park Ave. Sanford, Florida 32771 GENTLEMEN: WE ARE SENDING YOU 13 Attached Shop drawings Submittals Copy of letter Change order dETIrEQ (OF'TRANSMOUITAL GATE JOBNO April 4 1996 734 ATTENTION Ga Under separate cover via Plans Samples the following items: Specifications I COPIES I DATE I NO. I DESCRIPTION I 1 I I I Structural Steel Certification Affidavit (original to follow) I THESE ARE TRANSMITTED as checked below: For approval Approved as submitted Q For your use Approved as noted As requested Returned for corrections For review and comment FORBIDS DUE 19 REMARKS Resubmit copies for approval Submit copies for distribution Return corrected prints PRINTS RETURNED AFTER LOAN TO US COPYTO Nelson Blankenship, Todd Jorgensen SIGNED. ilip D/ Jd'rgohsen IF ENCLOSURES ARE NOT AS NOTED. KINDLY NOTIFY US AT ONCE Preside t ii l: pia. 96 u9: 29 a BRIAN ,MIEKLE STRUCTURAL STEEL CERTIFICATION AFFIDAVIT STATE OF FLORIDA COUNTY OF ORANGE REFERENCE ADDRESS: Welcome Center Building, Central Florida Regional Airport, One Red Cleveland Boulevard, Sanford, Florida 32772 I, FRED J. SCHMALZER, P.E., DO SOLEMNLY SWEAR THAT 1 AM A STATE OF FLORIDA REGISTERED ARCHITECT OR ENGINEER. I HEREBY CERTIFY THAT THE STRUCTURAL STEEL ERECTED IS IN CONFORMITY WITH THE APPROVED PLANS AND WITH THE STRUCTURAL PROVISIONS OF THE TECHNICAL CODES. SIGNATUAE OF WHITECT/AR ENGINEER Frarl .I RrhmnlZer P E Name of Architect/Engineer Printed Personally appeared before me, the undersigned authority, Fred J. Schmalzer, P.E., who, after being duly sworn by me say on oath that they have read the foregoing, and that the matters and things contained herein are true and correct. Subscribed and sworn to (or affirmed) before me this 4th day of Aoril , 1996 , who is personally known to me or ed cation . State of Florida Shni nn IBe% nnlrlc Name of Notary Typed, Printed or Gtampsd 0. 0t•0y. LEE REr c° 9';• KC 215675 ; e AlARK'' qo. C O N S T R U C T I O N PHONE (407) 831-6275 FAX (407) 332-5311 Mailing Address Location P.O. Box 521728 1969 Corporate Square Dr. Longwood, Florida 32752-1728 Longwood, Florida 32750 CG C001227 #CG CO25899 Building Dept. - City of Sanford 300 N. Park Ave. Sanford, Florida 32771 GENTLEMEN: WE ARE SENDING YOU 13 Attached Shop drawings Submittals Copy of letter Change order DATE April 3 1996 JOB NO 737 ATTENTION Gary LI4 Ole- h n Orlan o an or Air ort Under separate cover via Plans Samples El the following items: Specifications COPIES DATE NO DESCRIPTION Steel Tnspections 1 Structural Steel Certification Affidavit signed & sealed from Advanced Visual Concepts, Ltd. Structural Engineer THESE ARE TRANSMITTED as checked below: For approval Approved as submitted For your use Approved as noted As requested Returned for corrections For review and comment FORBIDS DUE 19 REMARKS Resubmit copies for approval Submit copies for distribution Return corrected prints PRINTS RETURNED AFTER LOAN TO US COPYTO SIGNED: Philip D. Jorgensen IF ENCLOSURES ARE NOT AS NOTED. KINDLY NOTIFY US AT ONCE President 8 ARCHITECTURE 8 CONSTRUCTION MANAGEMENT 8 ENGINEERING RECEIVED Advanced Visual Concepts, Ltd. APR 0 3 1996 6265 WEST SAMPLE ROAD 39 LAFAYETTE AVENUE SUITE 198 AMITYVILLE. NY 1 1 701 CORAL SPRINGS. FL 33067 5 1 6)789-1 700 800)723-341 8 5 16)789-3452FAX 305)344-7799FAX Attn: Mr. Philip D. Jorgensen April 2, 1996 Mark Construction Co. 1969 Corporate Square Dr. Longwood, FL. 32750 Re: Alpha Flight Services Project Orlando / Sanford Airport In -Flight Facility Dear Phil, Pursuant to our conversation today, I have enclosed a completed "STRUCTURAL STEEL CERTIFICATION AFFIDAVIT", signed and sealed by our Structural Engineer, which as I understand it, will be hand carried to the Building Department by yourself or someone from your firm. According the Building Inspector, this Document should be the final item required for the Certificate of Occupancy. If for some reason this is not the case, please contact me at the 800 # listed above. Thank you for your continued help on this project. Sincer, , homas R. Conlon cc: Mark Davidson STRUCTURAL STEEL CERTIFICATION AFFIDAVIT STATE OF FLORIDA SENIINOLE COUNTY REFERENCE ADDRESS: 77 6 Zia n elf Aardl 1, -rR OMA-5. l7. RE IL L,y , DO SOIMMLY SWEAR THAT I AM A STATE OF FLORIDA REGISTERED ENGINEER. I HEREBY CERTIFY THAT THE STRUCTURAL STEEL ERECTED IS IN CONFORMITY WITH THE APPROVED PLANS AND WITH THE STRUCTURAL PROVISIONS OF THE TECHNICAL CODES. PSD•R F IC,yTF No. 16481 F( p vow OF ARCHITECT Tt•6oM0-s D- R e (L L-( M NAME OF ARCHITECT/ENGINEER PRINTED Personally appeared before me, the undersigned authority, Tho >r7 a s D. lfe l lAe, who, after being duly sworn by me say on oath that they have red the foregoing, and that the matters and things contained herein are true and correct. Subscribed and sworn to (or affirmed) before me this 2,v day of Am M- 19 Vp , who is personally known to me or has produced -(type of i.dentif i.c?tion) . DEBORM D YELVINGTONZLAMv_2 — NOTARY KIBLIC Stale of NewYork Cwt1w a: Sd k& Count' Nc v?YEeMMsighaitureof1,46taVy Public Commissar EV*es Feb 21. 199kState of NEW YO2K De8OR- A14 D. *fCOINGTOW Name of Notary typed, printed or stamped UNIVE-ISAL I, ENGINEERING SCIENCES Project No. Consultants In: Geotechnical Engineering Environmental Sciences - Construction Materials Testing Report No. 3532 Maggie Blvd. - Orlando, FL 32811 - (407) 423-0504 - FAX (407) 423-3106Date: Client: Project: Scope of Field Work: Date Inspected: REPORT ON SITE INSPECTION Mark Construction Company Attn: Mr. Ron Bryan P.O. Box 521728 Longwood, Florida 32752-1728 15347-010-01 61228 February 10, 1996 Alpha Flight Services, Job No. 737, Central Florida Regional Airport, Sanford, Florida Deck Weld Inspection, Level II Roof February 6, 1996 Inspected By: S. Kirkpatrick Total Time on Project: 11/4 Inspecting: N/S Travel Time: 1 Hour Testing: N/S OBSERVATIONS: On February 6, 1996, a representative of Universal Engineering Sciences (UES) was present at the above project site as requested to perform the referenced work. Area deck installed Level II Roof 22 gauge, 11/2 deep galvanized Type B. Fastened to steel supports with % puddle welds with washes - weld pattern 18/3 - 1 corrugated over lap on seams. All side laps welded at mid -point span. Area: A—C (1-6), C->E (1-1.5). Level II complete. All installations and welds as per project plans and specifications in accordance with AWS Standards. Level II Bolt Torque inspection to be scheduled. cc: Client (2) mlr J Fred . Sc ig -JUMaterialsst - rtment Manager Universal gineering Sciences, Inc. UNIVEfrTISAL ENGINEERING SCIENCES Project No. 15347-010-01 Consultants In: Geotechnical Engineering - Environmental Sciences - Construction Materials Testing Report No. 61227 3532 Maggie Blvd. - Orlando, FL 32811 - (407) 423-0504 - FAX (407) 423-3106Date: February 10, 1996 REPORT ON SITE INSPECTION Client: Mark Construction Company Attn: Mr. Ron Bryan P.O. Box 521728 Longwood, Florida 32752-1728 Project: Alpha Flight Services, Job No. 737, Central Florida Regional Airport, Sanford, Florida Scope of Field Work: Bolt Torque Inspection Level 2 Roof Deck Structural Steel Date Inspected: February 7, 1996 Inspected By: S. Kirkpatrick Travel Time: 1 Hour Total Time on Project: 1.75 Hours Inspecting: N/S Testing: N/S OBSERVATIONS: On February 7, 1996, a representative of Universal Engineering Sciences (UES) was present at the above project site as requested to perform the referenced work. Areas: A (1 B (1-6), C (1-.6), D (1-5), E (1-5), Line 1 (A-+E), Line 2 (A-,.E), Line 3 (A-E), Line 4 (A—E), Line 5 (A—C), Line 6 (A-*C). All columns to beams at Level 2 and perimeter inclusive. Bolt size 3/4, Grade (A-325TC). All locations meet project plans and specifications. All connections in accordance with details (A+B) project plans. Bolt tension (28 Kips) AISC Table 3. cc: Client (2) mlr J. malzer, P.E. Jal esting - Department Manager arsa Engineering Sciences, Inc. EDUNIVLEASALENGINEERINGSCIENCES gE'' ' L. Project No. 15347-010-01 Consultants In: Geotechnical Engineering - rr pEnvironmentalSciences • Construction Materials Te&890 5 EM Report No. 60636 3532 Maggie Blvd. • Orlando, FL 32811 • (407) 423-0504 - FAX (407) 423-3106Date• January 31, 1996 REPORT ON SITE INSPECTION Client: Mark Construction Company Attn: Mr. Ron Bryan P.O. Box 521728 Longwood, Florida 32752-1728 Project: Scope of Field Work: Date Inspected: Alpha Flight Services, Job No. 737, Central Florida Regional Airport, Sanford, Florida Deck Inspections January 26, 1996 Inspected By: S. Kirkpatrick Total Time on Project: N/S Inspecting: N/S Travel Time: 1 Hour Testing: N/S OBSERVATIONS: On January 26, 1996, a representative of Universal Engineering Sciences (UES) was present at the above project site as requested to perform the referenced work. Deck Area: Installed A-B-C (1-6) D-E (1-+5). Line 1 (A-+E), Line 5 (A-C), Line 6 (A-*C). Type B 1 5/16 D, 26 gauge galvanized form deck. Fastened with 5/8 puddle welds 3/24 pattern - minimum end laps 2 inches over steel supports. All installation and welds as per plans and specifications in accordance with AWS Standards. cc: Client (2) mlr artment Manager Sciences, Inc. UNIVE-ISAL ENGINEERING SCIENCES Consultants In: Geotechnical Engineering - r Project No. 15347-010-01 Environmental Sciences - Construction Materials Testing Keport No. 3532 Maggie Blvd. - Orlando, FL 32811 - (407) 423-0504 • FAX (407) 423-3106Date: REPORT ON SITE INSPECTION Client: Mark Construction Company Attn: Mr. Ron Bryan P.O. Box 521728 Longwood, Florida 32752-1728 Project: Scope of Field Work: Date Inspected: 60573 January 31. 1996 Alpha Flight Services, Job No. 737, Central Florida Regional Airport, Sanford, Florida Structural Steel Inspection, Joists - Welds - Bolt Tension January 25, 1996 Total Time on Project: 2 Hours OBSERVATIONS: Inspected By: S. Kirkpatrick Travel Time: 45 Min. Inspecting: N/S Testing: N/S On January 25, 1996, a representative of Universal Engineering Sciences (UES) was present at the above project site as requested to perform the referenced work. Structural Steel Placed Level I complete A (1-6), B (1-6), C (1-6), 0 (1--5), E (1-5), - Line 1 (A-+E), Line 2 (A—E), Line 3 (A-E), Line 4 (A-E), Line 5 (A-*C), Line 6 (A—C). All columns to beam at Level I perimeter. Bolt size 3/4 inch, grade A325. All locations meet project plans and specifications. Bolt tension (28 Kips) AISC Table 3. Joists: 161<5 placed 24 inches on center all areas as above. Level I minimum end laps = 4 inches over steel perimeter beams Horizontal bridging L 11/2 x 8 (T&B) Welded in all areas as per plans and specifications in accordance with AWS Standards. Note: 1. Deck inspections to be scheduled 2. Level II Structural Steel and Bolt Tension to be scheduled cc: Client (2) mlr Fred r, P.E. Mate tir - Department Manager e arl_Engi eying Sciences, Inc. CITY OF SANFORDf, FLORIDA APPLICATION FOR BUILDING PERMIT PERMIT ADDRESS 2 G 'y , C(`, 61 k c.J PERMIT NUMBER Total Contract rice of Job . 11,A .-i V Describe Work L . Type of Construction Number of Stories Occupancy: Residential LEGAL DESCRIPTION TAX I.D. NUMBER 1 Sq. Ft. Flood Prone (YES) QTNW Number of Dwellings Zoning Commercial Industrial _ lease attach printout from Seminole Count OWNER WW,4 ADDRESS CITY STATE TITLE HOLDER (IF OTHER THAN OWNER) ADDRESS CITY STATE PHONE NUMBER ZIP ZIP BONDING COMPANY _ ADDRESS _ CITY STATE ZIP ARCHITECT ADDRESS _ CITY STATE ZIP MORTGAGE LENDER _ ADDRESS _ CITY STATE ZIP CONTRACTOR ADDRESS CITY k PHONE NUMBER L) ST. LICENSE NUMBER 66 ri STATE ZIP 3a7S`L s*tws,twst****tt*tw:tw*wt trtttrtt:t*,r,r,r****+r*+:w*:**r*:,**,r,r+**,*sw,r,r*ss**,r** 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 BEEN 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 FLORIDA LIEN LAW, FS713. s,rt tr+***sw*s*trt*w*::s:w****:***trw*tr:s***#*tww*s***:ww***ttsss,r*t**s,t:*wwa*ta*:*s::* „3 ,v z 0 I 41 c 4 a 3 O ro ' c z >• N o ° A N e) O d aa• z As E+ 7 m O rOr Signature of Owner/Agent b Date 1 ure o ontra for & D to M Vnoo'< z Type or Print Owner/Agent Name Type or Prine Contracior's Nime c 3 Signature of Notary & Date Signature/of Notary & Date Z / 2 Official Seal) (Official Seal) l/? o`P% Y s r1NDr L. JORDAN ur•e: t I ublic 'State of Florida My Comm. Exp. May 31,1998 q o o°° Comm. No. CC 376989 Application Approved BY! Date: FEES: Building (.00 Rad Police Fire O.( Open Space Road Impact Application PERMIT VALIDATIONS CHECK CASH DATE hBY ORIGINAL ( BUILDING) YELLOW (CUS R) PINK (COUNTY TAX OFFICE) GOLD (CO. ADMIN) 0 u c THIS APPLICATION USED FOR WORK VALUED $2500.00 OR MORE CITY OF SANFORD. FLORIDA PERMIT NO- 96 I0 DAT J// THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO INSTALL THE FOL- LOWING ELECTRICAL WORK: OWNER'S NAME — ADDRE ELEC. Subjed to roles and regulation: of Ae cify and national eled ic codes. Nuntbo AMOUNT Alteration Addition Re air Chanae f Service Residential Commercial Mobile Home Factory Built flousiniz New Residential 0-100 Amp Service 101-200 Ame Service 201 Amp and above New Commercial Amp Service Onlication Fee zu r i TOTAL II By signing this application Iam stating I will be in compliance with the NEC including Arwle 110. Section 110.9 and 110.10 evildinq Official Motlor Cloclritian STATE COMPETENCY NO. Electric ServicesAnc, INDUSTRIAL 6 COMMERCIAL ELECTRICAL CONTRACTORS ECROOO141 S 306 S. Sixth Street, Leesburg, FL 34748 TELEPHONE (352) 787-1322 / FAX (352) 787-7871 POWER OF ATTORNEY I hereby name and appoint James L. Thompson of Electric Services. Inc. -to be my lawful attorney in fact to act for me and apply to the City of Sanford Building Department for a Electrical permit for work to be performed at a location described as: D6, 020-' address of job) owner of property and address) and to sign my name and do all things necessary to this appointment. Steven W. Strona Certified Contractor Signature 306 S 6th St. Leesbura, FL 34748 Address Acknowledge: Sworn and subscribed before me this 8th day of March 1996. by Steven W. Strong President of Electric Servic ST=_PHANiE S. J0114ER N01a"', PUN:c. SIF:e of Flel:da My co rm expl-(-S 140y 15. h; f; No =408)? kBomieci Py Stmvice ins. sonNly ^rn:n I .I Omer 1 D nc., who bnally known to me. NoTaV Public, StatiUf Florida Stephanie S. Joiner My Commission Expires: 11/15/96 CITY OF SANFORD EIRE:DEPARTMENT FEES FOR SERVICES PHONE #: 407-322-4952 DATE:; L PERMIT #: BUSINESS NAME: ADDRESS: PHONE NUMBER:( ) PLANS REVIEW TENT PERMIT BURN PERMIT REINSPECTION TANK PERMIT FIRE SYSTEM AMOUNT $y o C'© COMMENTS: C-S JC e.,2- ,— S, 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. I certify that the above information is true and correct and that I will comply with all applicable codes and ordinances of the City of Sanford, Florida. Sanford Fire Pre ention A,y0 Lfcants Sign)aC CITY OF SANFORD, FLORIDA APPLICATION FOR BUILDING PERMIT PERMIT ADDRESS 1 Red Cleveland Blvd. 2. oy PERMIT NUMBER (q(pw 1101 Total Contract Price of Job V,9 m, D Q Total Sq. Ft. b O Q Describe Work Tenant Build -out Type of Construction Tenant Build -out Flood Prone (W) (NO) _ Number of Stories N/A Number of Dwellings N/A Zoning R1-1 Occupancy: Residential Commercial X Industrial _ LEGAL DESCRIPTION (please attach printout from Seminole County) TAX I.D. NUMBER OWNER Alpha Flight Services, Inc. PHONE NUMBER407/324-9681 ADDRESS 1 Red Cleveland Blvd. CITY Sanford STATE FL ZIP 32772 TITLE HOLDER (IF OTHER THAN OWNER) Sanford Airport Authority ADDRESS 1 Red Cleveland Blvd. CITY Sanford STATE FL ZIP 32772 BONDING COMPANY N/A ADDRESS CITY STATE ZIP ARCHITECT E.Q.A. (Environmental Quality Assurance) ADDRESS 452 Osceola St. CITY Altamonte Springs STATE FL ZIP 407 8 -88 8 MORTGAGE ADDRESS LENDER N/A CITY STATE ZIP Philip D. Jorgensen CONTRACTOR Mark Construction Co. PHONE NUMBER407/831-6275 ADDRESS 1969 Corporate Square Dr. ST. LICENSE NUMBER CGC 001227 CITY Longwood STATE FL ZIP 32750 wt**:*swtr*+:,r*s*sf*,r sn***t*+r,rsw**,rs*:t:***w***t+:,r,re*,r*s*+r+rww,r**www**+r:*,r:,rrr**s,r+wi 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 BEEN 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 THE REQUIREMENTS OF FLORIDA LIEN LAW, FS71 s,*,rst+w**fy+fF****ww**.:,r:***/r*w**s*:isw} I WILL NOTIFY THE OWNER OF THE PROPERTY OF ttrt,/tt*t•tttt*,apt*t Signature of" Ow`neo/Agent & e ignatui NELso 'aL.AAu .7 _ Dxa,. Type or PrintOywner/Agent Name Signa re of Notary & Date / afficial Seal) (=,Z`,2A90 Type dr Print Con l** r**:•:ww**s*wws*:twtr N O 2 o for & Date 0 a ,< phr N k tor's Name x 3 gnatur of Notary & Date 0 is i T. VALENTINE Ulm - state of Rondo MV Commission Expires Aug 6.1999 Commission * CC 486282 rt' g••,y MARY 0. VWLLIAMSON- s Notary Public. State of noride Irty Comm. expire May 23. I NGA 1 Y: Date: Z FEES: Building Rado /[7. Police ire .0-2) Open Space Road Impact Application 16-trb PERMIT VALIDATIONt CHECK CASH DATE . "/ BY ORIGINAL ( BUILDING) YELLOW (CUSTOMER) PINK (COUNTY TAX OFFICE) GOLD (CO. ADMIN) c Z q THIS APPLICATIONI USED FOR WORK VALUED $2500.00 OR MORE CITY OF SANFORD FIRE -DEPARTMENT FEES FOR SERVICES PHONE #: 407-322-4952 DATE: %-72-A61 PERMIT BUSINESS NAME: CC -e-- ADDRESS: `i IL Na PHONE NUMBER:( ) PLANS REVIEW a TENT PERMIT BURN PERMIT REINSPECTION TANK PERMIT FIRE SYSTEM y AMOUNT COMMENTS: / LA 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. U 1p I certify that the above L information is true and correct and that I will comply with all applicable and ordinances of the js f Sanf orida. anford Fire Preventionica is S' nat. e