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