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HomeMy WebLinkAbout2011-2081 WP Ball Blvd (fr alarm) (a) (2)Permit # : c' -s- Job Address: Description of Work: Historic District: _ Zoning: r UEIVED MAY - 51005 CITY OF SANFO��R,DppPERMIT APPLICATION 1�-c)"UDate: S�S-pS r -o 20 F(-- 3 2'77 Value of Work: $ (-1 -� sc� W 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-Residcndal Replacement__ New (Duct Layout &Energy Calc. 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 for other than X) Parcel #: (Attach Proof of Ownership & Legal Description) Owners Name & Address: ,�1 Phone: Contractor Name & Address: 4111/t i ��� S7p /\(.04tT?4 54. &P,,J6� State License Number: tG 1= d O O <o-7fo 4 Phone & Fax: 331 ^Jc 5(a�a S ! Contact Person: W0fJC- M"4& Pbone: '¢07 ` 310 -- 91_7 7 Bonding Company: Address: Mortgage Lender: Address: Architect/Engineer: Address: 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 laws regulating construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING 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 app this county, and there may be additional permits required from other governmental entities such Acceptance of permit is verification that I will notify the owner of the property of the Signature of Owner/Agent Print Owner/Agents Name Date Signature of Notary -State of Florida Date Owner/Agent is _ Personally Known to Me or Produced ID this property that may be found in the public records of nanagement districts, state agencies, orf eral a envies. coda Lien 13. ntractor/Agent Date Wr4M /7-001CL Print Contractor/Agent's Name Signature of Notary -State of Florida Date Contractor/Agent is ____ Personally Known to Me or Produced ID APPLICATION APPROVED BY: Bl ( 5 t L ) 5P Zoning: (Initial & Date) (Initial & Date) Special Conditions: tI Utilities: FD:--17Z-- (Initial D:/ (Initial & Date) (Initial & Date) as - - - FIDE .ALARM ZONE LEGEND ZONE •'Y' Z' s •^s 2 SPRINKLER MISER WATERT' LOW SWITCH ZONE 3 SPRINKLER RISER TAMPER ZONE 4 PULL STATION rr , 5 A ZONE 6 SPARE ZONE 7 SPARE ZONE 8 SPARE ZONE 9 SPARE r7 10 ., • `GNI 1 / BILK OF MATERIALS ITEM. NE} SYMBQL PART NO. DESCRIPTION ; ; ? r ALAR SPINKLER MONITORING PANEL.. " K-520 1RE ;. BAT-�,21.Q• 1.V�: 12AM BATTERY; 3 2W -B . i3 PHOTOELE,QTRIQ SMOKE DETECTOR .... PS�-A PULL STATION QTY. 1 2 1 1 3 1 1 1 1 f PHONE LINES BY OTHERS 0 0 NC c 115cd OVERNPANEI-2 C NO c Q, ' 1 }5cd SK -5208 NC c 115ca ON 2 NO SPR& ONE _IN NC ZONE 3 0 a NO SPRNK TAMPER o NC C ZONE 4 MDL SYNC MODULE 1.0665A FIDE .ALARM ZONE LEGEND ZONE 1 SMOKE OVER PANEL ZONE 2 SPRINKLER MISER WATERT' LOW SWITCH ZONE 3 SPRINKLER RISER TAMPER ZONE 4 PULL STATION ZONE 5 LOCK QQX ZONE 6 SPARE ZONE 7 SPARE ZONE 8 SPARE ZONE 9 SPARE ZONE 10 SPARE f PHONE LINES BY OTHERS 0 0 NC c 115cd OVERNPANEI-2 C NO c Q, ' 1 }5cd SK -5208 NC c 115ca ON 2 NO SPR& ONE _IN NC ZONE 3 0 a NO SPRNK TAMPER o NC C ZONE 4 MDL SYNC MODULE 1.0665A