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CITY OF SANFORD PERMIT APPLICATION
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Permit No.:
Job Address:
Permit Type: Build
bescri lion of Work:
Date: 47,')/G _
Q,n l VS.
Electrical Mecbanical Plumbing L-' Fire Alaraa/Spriialcler `
Additional Information for Electrical & Plumbing Permits
Electrical: Addition/Alteration _Change of Service Temporary Pole _New AMP Scrvice (0 of AMPS )
Plumbing/Residential: Addition/Alteration New Construction (One Closet Plus Additional)
Plumbing/Commercial: Number of Fixtures Number of Water & Sewer Drainage Lines Number of Gas Lino
0,0;
Occupancy Type: Residential VCommercial _ Industrial Total Sq Ftg: Value of Work: S
Type of Construction: Flood Zone: Number or stories: Number of Dwelling Units:
Parcel No.: // (AAtttt /ach Proof of /Ownership & Leaal Description)
A.,...e-/A.i.i.,s../Dt.....e _j wi ._( .'.0%A .n^199/01. fAl .- [l /in .t/n ill QI//DI M/'0 1'l/NAY
Contractor/.
Contact Person:
Title Holder (If other than Owner):
Bonding Company:
Address:
Mortgage Lender:
r" State License Number 0 57yh `Q
Phone & Fax Number. 4/6 %- 231— 3W / i Q/X T• / / i+
Architect/Engineer Phone No.:
Fax No.:
Application is hereby made to obtain a permit to do the work and installations as indicated. I eett4 that no work or inswilatioo 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 eoarpliw= with
all applicable laws regulating construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COM1vlENCE4ENT MAY RESULT IN YOUR PAYING TWICE FOI;IMPROVEMENTS TO YOUR PROPERTY. W 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 drat 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
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
APPLICATION APPROVED BY: Age
Florida Lien L4W, FS 713.
y-State of Florida
AIDA 1. ALLEE
Notary Public State of Florida
My Comm. Exp. Sept 22, 2004Comm, No. CC 955641
Contra gent is Personally Known to Me or
uced ID
Date: 3— Y — Z
i
Special Conditions:
WIGINTON FIRE SYSTEMS
450 S. County Road 427
LONGWOOD, FL 32752-0160
407) 831-3414
Jacksonville ° Tampa ° Pompano ° Miami
TO: City of Sanford
Building Dept.
City Hall
LETTER OF TRANSMITTAL
DATE: 02/25/02 1 JOB NO. 27004S
ATTN: Plan Review
RE: Orlando/Sanford Air.Renov.
2 Red Cleveland Blvd.
WE ARE SENDING YOU D Attached 0 Under separate cover via the following items:
0 Shop drawings D Prints D Plans D Samples D Specifications
D Copy of letter D Change order D
COPIES DATE NO. DESCRIPTION
3 Fire Sprinkler Drawings'
1 Permit Application e
1 Certificate of Insurance
1 Certificate of Competency
THESE ARE TRANSMITTED as checked below:
D For approval D Approved as submitted
0 For your use D Approved as noted
D As requested D Returned for corrections
D For review and comment D
D FORBIDS DUE
REMARKS:
COPY TO
F.
D Resubmit _copies for approval
D Submit _ copies for distribution
0 Return _2_ corrected prints
19 D PRINTS RETURNED AFTER LOAN TO US
Onk;ull
SIGNED:
9' a I. Allee, ermit dministrator
Ext. 134
J. Gallego, Designer
CITY OF SANFORD FIRE DEPARTMENT
FEES FOR SERVICES
PHONE # 407-302-1091 * FAX #: 407-330-56777
DATE: PERMIT #: G
BUSINESS NAME / PROJECT:
ADDRESS: OL• LNse rk .
PHONE NO.: J I 3 1 I FAX NO.:
CONST. INSP. [ ] C / O INSP.:[ 1 REINSPECTION [ ] PLANS
F. A. [ 1 F.S. HOOD [ ] PAINT BOOTH [ ] E
TENT PERMIT ] TANK PERMIT [ 1 OTHER [ ]
EW
PERMKIT [ ]
TOTAL FEES: S t—ID (PER UNIT E BELOW)
COMMEN
lefi?-d .
Address / Bldp. # / Unit #
1.
2.
3.
4.
5.
6.
7.
8.
9.
10,
11,
12.
13.
14,
15.
16.
17,
18.
19.
20.
Fees per Bldg. / Unit
Fees must b5 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, o7San d,Florida.
San ord4FirePMntion Divis on App icant's Signature
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