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Home My WebLink About205 Ballagio Cir04/20/2011 13:08 4078517009 RENTALAND TENTS PAGE 02/08 1V FlN W # 37 9 CITY OF SANFORDL11IThiG & FIRE PREVENTION Y;—` PERMIT APPLICATION Application No: IZg Documented Construction Value: $ Job Add 0 0 sW ! /D__ / C l'. historic District: Yes No Parcel ID: q- 30 — f Ro d 0 O 0 - O / ?0 Zoning: Description of Work: w 61 s d C.%c2 c r-S Plan Review Contact Person:. m L lckf l.Ca It t 5 Title: dUmn o 51- boa E-mail: fKOKFla t llcacey,(" rL.4 Phone: 3G: Y Property Owner Information Name bU n 4I n 4.Je Y. nn/- C' .e. Phone: Street' oq 1 Q ! O `"1 IrC_/-X Resident of property? : nU City, State zip: iQ'w r eve 7 7 r' Contractor Information Name 1! Phone: Street: b'o S lu S 7AlQ Fax: -7- City, State Zip: I[ 1 69 7 State License No. Arch itectlEngineer Information Name: Phone: Street: Fax: City, St, Zip: E-mail: Bonding Company: Mortgage Lender: Address: Address: PERMIT INFORMATION Building Permit 0 Square , Footage: M60 Construction Type: ikN No. of Stories: No. of Dwelling Units: Flood Zone: Electrical Plumbing New Service ^ No. of AMPS: New Construction - No. of Fixtures: Mechanical 13 ()3uct layout roquired for new sys1:c=) Fire Sprinkler/Alarm 13 No. of heads: 04/20/2011 13:08 4078517009 RENTALAND TENTS PAGE 03/08 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 ofi a permit and that all work will be performed to meet standards of all laws regulating construction in. this jurisdiction.. II understand that a separate permit roust be secured for electrical wolrk, plumbing, signs, wells, pools, furnaces, boilers, beaters, tanks, and air eanditioners, etc. O __ WS AFFIDAVd'1<': I certify that all of the foregoing information is accurate and that all work will he donne 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- A NOTICE OF COMMENCEMENT MUST BE RECORDED .AND POS'Il'lED ON THE ,TOR SITE BEFORE T11E FIRST INSPECTION. 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 tray be additional permits required from. outer governmental entities such as water management districts, state agencies, or federal agencies. Acceptance of pernnit is verification, that I will notify the owner of the property of the requirements of Florida Lien Lave, FS 7.13, The City of Sanford requires payment of a plan review fee, A, copy of the executed contract is required in order to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the plan. review Fee' based. on past permit activity levels. Should calculated charges exceed the documented construction value when the executed contract is submitted, credit will be applied to your permit fees when the_ permit is released. 1IA4 f10fre of a /Agent pate gignatum of Contra r//+,mr D o 444 lti///f 11M- Print Owner/Agent's Namo Ptiet Contractor/AgLnVs Name Sia& Te of Notary-Srate of 4ari— Date Rv Pun JO 16%M• VNSON MY COMMISSION# DO 761978 202m \ aQ Brinde4lh u BiId9E Owner/ Agent is Pmemally Tnawn o lie or Produced TD Type of ID 'K--- APPROVALS: , ZONING: YJ'Z'ILITTES: ENGINEERING: FME: COMMENTS; rr Sigaaturi" ol'N ryState of Florida f)aCe ' 4. 0NANCY L LANdi x MY COMMISSION # EE000287 EMPIRES July 31, 2014 39P 0153 FIONCnNo a t3orvlcocu Contractor/ Agent is Personally Known to Me or Produced, ID _ Type of ID WASTE WATER: D3U' II.DING: tev 11.08 m _ _ OD fl CD w Q Q4%a< tea, REGISTERED USEMENT APPLICATION Dale Treated or ANVAS y= ' COiiCEFIN 04o. TF'ITTERs 1089 T?VnYi1225 AETfP P F-d19=Oi Tent Renter's Supply FEBRUARY 20013723NebraskaAveTampa, FL 33603 8WAM-5064 813/248-9911 Feat 247-6369 This is to certify that the materials described on this certificate have been flame- retardant treated or are inherently nonflarnr6ble and We surppliedto: z NAME:RENTALANt? AT 1 /7-A URANGE BLOSSOM TRAIL OCITYRLANDOSTATEQ Certification is hereby made that: a The articles described on this Certificate have been treated with a flame-retardant approved achemicalandthatr#]ap i cTtion of said chemical was done in conformance with FederalLU SpecificationIf! Method of application: NHERENTLY LAME LESISTANT Trade name of flame -resistant fabric or material used ;EATHERSPAN I GLOSS LUS Chem. Reg, No. F-419..0 _ The Flame Retardant Process Used MILL NbT Be Removed By Washing and is goad for the life of the fabric. y, ill 4or t CTI Renewalll Certification unnecessary. mm Color and weight of fabric: SUN13LOCK WHIT£ 16 0Z. Description of item certitie x oP i 30 THOMAS Jul un,T I NO _ ®y SHOP FOREMAN OD ! Name or APpkcalar or P.-nduclron Supe,1nlendent m i it Ip m We hereby certify this to be a trite co copyo9 the original "'CERTIFICATE OF FLAME CA RESISTANCE" Issuedto um, "original copy" of which has boon filed with the California' StateFireMarshal. m Signed by ' D DIiD 1ND 510.Y'COIM.MtGTE"KRH' _ _' _ _ _ _ ....... _ ............ rML I 12GC,t 0 T;utj-f j tits Address .Plan L - _ 2$C! 7$.5 Z`I1245 Z4! 2 2S? 3Z` ZZiZz1 2t Zt'.> 2t`'t 2os ?o 05 06 07 08 09 10 11 12 14 15 16 17 1 S 19 20 04 1' 03 - 2-73 02 i;, r r U-------- - _ ..... ... ... ... . f}t ' DRDU/D ux CDONG]NtE M1TN PP E PD%FR WD MIN'M79t Cd1xEL11005 AS xee'D ai Nsc. S3 I41 I fs THl 13 133 129 IZS { ( C 2122 23 24 25 26 27 28 29 ' R1 31ip 3210 33 10 Illlllllllllllh llllllllllllllllflllllllll\ MYzrt's I ' uE Pri owrrturar++owiaP.nac .r i¢cri 0.WS fOR NRSIAiri1 YOf SNWN NOE ImAPICHRECT M SRE PLAN xono D E - NORfH 04/20/2011 07:39 4078517009 1ENTALAND TENTS PAGE 02/06 Application is baeby made to obtain a permit to do the work and installations as indicated. I cerdify that no work or installation has commenced prior to the issuance of a permit and that all wads wilt be performed to meet standards of -all laws regulating construction in this jn isdcti= I umderstaud that a separate permit most be secured for electrical work, plumbing, signs, weEb% hoots, farnaces, bothers, heaters, tanks, acid air conditioners, etL OW R'3 VIT: I ceaffy that an of the foregoing Information is aec unite and that all. work will be done in compliance with all applicable Ion ring corustraedo® and xoning. WARNING TO OWNER: YOUR, FAELURE TO RECORD A NOTICE OF COMUNCEMENT MAY RESULT IN YOUR PAYING TWICE FOR ndpROVEMINTS TO YOUR PikOPERTY. A NOTICE OF COM(ENCENJENT MUST BE RECORDED AND pOSTE D ON TISE JOB SITE BEFORE THE FIRST INS)PECI10N. EF YOU INTEND TO OBTAIN FINANCINQT 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 additianal restrictions applicable'to this property that may be found in the public records of this county, and there may be addkionai permits required from other governmental entities such as water manage>nmoat districts, state agencies, or federal agencies. Acceptance of permit is verificatiou that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713. The City of Sanford mquires payment of a plan review fee. A copy of the examted contract is required in order to calculate a 131au review charge. If the executed contract is not submitted, we reserve the right to calculate the plan review fee based on past permit activity levels. Should calculated charges exceed the documetrted construction value when the executed contract is submitted, credit will be applied to your permit fees when the permit is retgsed. A /ti AVnes Nme vQ wL AXM 4-7 0 •1 1 Sionam of Nomry %ft of t w;& Date Ow=/ Agent is PersomIly Known to Me or Produced ID Type of 1D APPROVALS: ZONING: COMMENTS: tl' n ITMS- 3tg mhae of 0x&ACMdA9= Dadc Print O ditmrsNary Sign um of "norasm of eto" DW Conmtor/ AgcM is Personally Known to Me or Produced ID _'type of ID WASTE WATER: Fes• BUILDING: Rev 11.08 04/20/2011 13:08 4078517009 RENTALAND TENTS PAGE 04/08 LIMITED PQ.WER OF ATTQ.RNEY Date: Aa I hereby name and appoint. X an agent of Nnine oekA-) ( A to be my lawful attorney -in -fact tc? act ror me to apply For, Mee ipt for. sign tvr and do all tltinbs necessarytothisappointatrent: for (check only one Option): 61 All permits and aplatications stibmitted this contractor. or. Q The speciffe permit and application 'for work ImIted at: Expiration . Fate for This Limited .Power of Attorney: License Holder Name: ^j?a26?r f 44 State License Number: Signature of License Holder:, STATE OF FLORIDA COUNTY OF oa me - 1a- Of/- // a / A .5 e G /!/) The foregoing instrument was acknowledge berore me this p?Q day of A Nj , 2001by :Pr l F14 ' to rxie or wha i as produacd —.4 4h _,—_ w110 is -., En known identification and who did (did not) )take an oatli. Notary Seal) Er, NANCY L LANGSMYCOMMlS310N #A =006207EXPIR -8July31, 2014oro ri__._._..EoaoaH Sigr] A.1:rirC l' rirllt or ty a rramr: Notary Pu blic - StEtc of-'L Commission No.. my Commission E-vires_- 0 1 mot/ Rev. 3127/07 1 04/20/2011 07:39 4078517009 RENTALAND TENTS PAGE 04/06 V- E)OVIdz p-Val Sufi-c ep , hst - Cle CO vrGtih o— Nir® aaaw. w oa a la,'R 1 Jy®0 IAP if9@aaaaa° CJ$ yr 1 Y' 0N M- : 00"' P`s$ Notary Public State of Floriia Michiko Mills J. p My Commission EE017467yr "44 Expires 08/16/2014 P. pdnk •pe or No* CaTmiftm Y TM of IdendfWadW ftftwd Page 1 of 1 Johnson, JoAnn From: Gibson, Russell Sent: Thursday, April 21, 2011 2:48 PM To: Brooks, Jennifer; Hinson, Eileen; Johnson, JoAnn Cc: Scott, Annette; Blanton, Deborah; Ellenburg, Julie Subject: RE: Open House - Florida Oral Surgery Planning Department has no objection to the issuance of the Special Event permit or a building permit for a tent. From: Brooks, Jennifer Sent: Thursday, April 21, 2011 2:24 PM To:. Brooks, Jennifer; Hinson, Eileen; Johnson, JoAnn Cc: Gibson, Russell; Scott, Annette; Blanton, Deborah; Ellenburg, Julie Subject: RE: Open House - Florida Oral Surgery She's here. Issue permit? Jennifer J. Brooks Supervisor of Special Events City of Sanford 407.688.5120 From: Brooks, Jennifer Sent: Thursday, April 21, 2011 2:20 PM To: Hinson, Eileen; Johnson, JoAnn Cc: Gibson, Russell; Scott, Annette; Blanton, Deborah; Ellenburg, Julie Subject: Open House - Florida Oral Surgery As you can see in the attached application, I have everything that I need to approve this special event. In addition to the application, I have received an insurance certificate, permission from the landlord, permission from an adjacent business that the event will negatively impact and a location map of the placement of the 20x60 tent. Upon approval notice from Planning, we will advise applicant to come in and apply for their tent permit. If you have any questions, please do not hesitate to call. I am on my way to a meeting away from the office, but my cell is 321.377.4967. Jennifer J. Brooks Supervisor of Special Events City of Sanford 0300 N. Park Avenue Sanford, FL 32771 9407.688.5120 A407.688.5121 F)Jennifer.Brooks(cpsanfordfl.gov. 4/21/2011