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Permit No.: 0Z1398
CITY OF SANFORD PERMIT APPLICATION
Date: 5/31/02
Job Address: 110 West. Lure Mare Boalevard, Sanford, Florida
Parcel No.: 11 20 30 5.18 00000050 (Attach Proof of Ownership & Legal Description)
Description of Work: Relocate 14 snr!J n;clers to the roof declz and install ur)right
Type of Construction:
sprin.clers. install -,)enden;: sp_inklers at nfl d0A Wpll soffit.
Valuation of Work. $ 1, 15 0 .0 0 Occupancy Type: Residential X Commercial Industrial
Number of Stories: Number of Dwelling Units: Zoning: Total Square Footage:
Owner: Sandefur and .`.ssociutes / Jer zy' s Coffee
Address:
City:
Phone No.:
State:
Fax No.:
Contractor: So-u-'_-nern Fire Protection of Orlando, inc.
Address: : ;G=_ East Sate Road 46
Zip:
City: Sanford State: FL Zip: 32771 State License No.: 740723000190
PhoneNo.: 407-323-4200 FaxNo.: 407-328-0931
Contact Person: Carol Anne Murchison PhoneNo.: 407-323-4200
Title Holder (If other than Owner):
Address:
Bonding Company: N/A
Address:
Mortgage Lender:
Address:
Architect: Iz/: Phone No.:
Address: Fax No.:
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 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, FS 713.
Signature of Owner/Agent
Print Owner/Agent's Name
Date
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID
5 31 02
Signature of Contractor nt Date
Robert H. Caldvaell; Jr.
Print Contractor/Agent's Name
C. '-M 5-31 v -?
Signature of Notary -State of Florida Date
CAROL ANNE MURCHISON
votary Public, State of Florida
My comm. exp. July 119 2DO5
Comm. No. DD 037233
Contractor/Agent is X Personally Known to Me or
Produced ID
APPLICATION APPROVED BY: 'Gs-;c "f Date: c--'e— Z
Special Conditions:
93,
CITY OF SANFORD )FARE DEPARTMENT
FEES FOR SERVICES
PHONE # 407-302-1091 * FAX #: 407-330-5677
DATE: C G^ — PERMIT #: Dc;l
BUSINESS NAME / PROJECT: e- r Z Y S Cc>g --Z=
ADDRESS: 110 1')-
PHONE yaCO FAX NO.:
CONST. INSP. [ ] C / O INSP.:[ 1 REINSPECTION [ ] PLANS REVIEW
JT[1' F. A. (j F.S. [ ] HOOD [ ] PAINT BOOTHl ] BURN P
TENT PERMIT ]ANK PERMIT [ ] OTHER i j2`
C
TOTAL FEES: S O (PER UNIT SEE BELOW)
COMMENTS:
J,ro r m
Address / Bldg. # / Unit # Sauare Footage Fees per Bldg. / Unit
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11,
12.
13.
14,
15.
16.
17.
18.
19.
20.
Fees must be paid to Sanford Building Department, 300 N. Park Ave., Sanford, FI. 32771 Phone # -407-
330-5656. Proof of Payment must be made to Fire Prevention division before any further services can take
place. I certify that the above is true and correct and that I
will comply with all applicable codes and ordinances
of the City of Sanford, Florida.
r
Sanford Fire Preventn Division ppl canrs gig7naiVrel
RECEIVED -
J U N 0 4 2002
RE VIEW D
By:
Sanford Fire Pr ve tion Div.
Date: a
4,J e
eoty
0
i-
C-CLAMP WITH
LOCKNUT
SANFORD BUILDING DEPT,
THESE PLANS ARE REVIEWED AND CONDITIO ALLrACCEPTEDFORPERMIT. A PERMIT ISSUED SHALL QrTOCNSTRUEDTOBEAICE
WORK AND NOT AS AUTHORITY TO VIOLATE. CANCEL. ALTER, OR SET' ASIDE ANY OF THE C-rt= f! _
OF
THE TECHNICAL CODES, NOR SHALL, J ---- SR0A-
P`CE OF A PERMIT PREVENT THE BUG ILDIN DEPI' "OMTHEREAFTER
REQUIRING A C-ORREC- TIO', . ERRORSON
THE PLANS, CONSTRUCTIQt! OR ivTHERVIOLATIONSOFTHECODES. O—t4nr-
riF- STIe L.
0i 1 T N ALL THREAD ROD
PIPE RING C-
CLAMP HANGER
OFFICE. DOPY--- . PERMIT #
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FW_ PKnEC7rNOFCK-
MCO, W. 3W EASr SR
46 SANFOI:D, FL 327n 4071323-4200 S
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SHEET NO. I OF