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HomeMy WebLinkAbout1250 Red Cleveland BlvdMar 24 05 08:33a City of Sanford. Building 407 328 3859 P.1 RECEIVED MAY ;-= 9 i t CITY OF SANFORD PERMIT APPLICATION 2006 I Permit # : y Date: Job Address: Description of Work: 1R —)-0CAX A" 13 ADO EPA--= C—ft—�MLIMS. Historic District: Zoning: Value of Work: S 11-20011 U Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm V Pool Electrical: New Service — # of AMPS Addition/Alteration Mechanical: Residential Non -Residential Plumbing/ New Commercial: # of Fixtures Replacement New Change of Service Temporary Pole (Duct Layout & Energy Calc. Required) # of Water & Sewer Lines # of Gas Lines Plumbing/New Residential: # of Water Closets Plumbing Repair — Residential or Commercial Occupancy Type: Residential Commercial V**" industrial Total Square Footage: 1 ooZ Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X) Parcel #: T+ ,err (Attach Proof of Ownership & Legal Description) Owners Name & Address: �uJr49►)1��Jir'f� „u�lrtl�Qj���,TJl.Q1Q�ji�Q� /� Phone: Contractor Namc & Address: 02&4 T'tiIArL, �.oup� �—�-a-v e tau ►t�l� r j. Q L IA90- (v'31IW ORIA"CO, M. S;L&D7 State License Number 0 _i9-1 3aW did I 1 Q q Phone & Fax:,O2-0.73 -7 70q -,169 -9 -73 -SO Contact Person: l KJL31ie r% 2 (ZL:11 Phooe:A/01 07Z LG Bonding Company: Address: Mortgage Lender: Address: Arch itcct/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 maybe additional restrictions applicable to this property that may be found in the public records of this county, and there may b"dditional permits required from other govemn=tal entities such as water management districts, slate agencies, or federal agencies. Acceptance of permit is verification that I will notify the owner of the property of the require mi is of Florida Lien Law, S 713. Signature ofOwner/Agent Date Si lure of Contractor/Agent Date Pr�intO�w/n/a/Agent's Name Print /]tractor/Agent's Name rf—i�{ -i•�--�V �� Signatureof Notary -State of Florida °0Y fl/s,, UerRDUFCr FARRELL Signature of Notary=State of Florida Date * * MY COMMISSION # DD 170018 EXPIRES: March 8, 2007 �r e`Oe Bonded Thru Budget Notary Servicer Owner/Agent is t�PetsonaUy Knowr�ti5✓ 91ie or Contractor/Agent is Personally Known to Me or ,Produced ID Produced [D APPLICATION APPROVED BY: Bldg: Zoning: Utilities: FD: (Ini `al Date) (Initial &Date) (Initial &Date) (Ini Special Conditions: V ti al & V STATE OF FLORIDA DEPA,RTMEENT OF FINANCIAL SERVICES DIVISION OF STATE FIRE MARSHAL TALLAHASSEE, FLORIDA CERTIFICATE OF COMPETENCy THIS CERTIFIES THAT: STEVEN BAR1 f.ETT 354 FLYROD CIRCLE ORLANDO- FL 32825 - BUSINESS ORGANIZATION: CENTRAL FLORIDA FIRE PROTECTION 1NC CONTRACTOR II IS LIMITED TO THE EXECUTION OF CONTRACTS REQUIRING THE ABILITY TO LAYOUT, FABRICATE, INSTALL, INSPECT, ALTER, OR SERVICE WATER SPRINKLER SYSTEMS, WATER SPRAY SYSTEMS, FOAM;WATER SPRINKLER SYSTEMS, FOAM -WATER SPRAY SYSTEMS, STANDPIPES, COMBINATION STANDPIPES AND SPIUNKL13R RISERS, EXCLUDING PRE-ENGINEERED SYSTEMS. 07 1.0112004 1, 07 1 16 1 Orange 09993200011992 4993390001 Issue Date I Type I Class County License/Permit Number Application # Chief FinAneisi Oflieer 250.00 0 30 2006 Taxes & Peas Expire Date This form becomes a receipt when validated by the Tax Collector. )5/09/2006 11:32 FAX 407 894 2845 HUGH COTTON INS. INC. g 001 /+ /� ACRD CERTIFICATE OF LIABILITY INSURANCE I DATE (MMIDDNYYY) PRooucea CENTR 05109106 DATE EFFECTIVE- DATE MM/I [ON THIS CERTIFICATE 1S ISSUED AS A MATTER OF INFORMATION Hugh Cotton Insurance, Inc. REPRESENTATIVES., ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P.O. Box 1701 02/17/0'6 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR EACH OCCURRENCE $ 1 QQQ QQQ PREMISES occurence) $ 100,000 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, Orlando FL 32802 TTRPEE Phone;407-898-1776 Fax:407-894-5278 INSURERS AFFORDING COVERAGE INSURED NAIC# INSURERA: Ace American Insurance Cc - INSURER B: Everest 'InsUrance CO Central FL Fire Protection P- 0. Sox 677130 PRODUCTS-COMP/OPAGG2,000 OQO INSURER C: progressive insurance company 24260 Orlando, FL 32867-7130 INSURER o: E LIABILITYCOMBINED INSURER E: CnVFRo[:FC THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City tOf Sanford OF INSURANCE POLICY NUMBER DATE EFFECTIVE- DATE MM/I [ON LIMITS Sanford FL 32771-7899 REPRESENTATIVES., ABILITY RCIAL GENERAL LIABILITY AIMS MADE a OCCUR D35558615 02/17/0'6 02/17/07 EACH OCCURRENCE $ 1 QQQ QQQ PREMISES occurence) $ 100,000 MED EXP (Any One person) Sj QQQ r TTRPEE PERSONAL&ADVINJURY $1,000,000 GENERAL AGGREGATE $2,000,000 _. - EGATELfMITAPPUESPER: X 'ERCTLOC PRODUCTS-COMP/OPAGG2,000 OQO E LIABILITYCOMBINED TO CA43 18135-5 02/17/06 02/17/07 SINGLE LIMIT (Ea accident) $ 1,000,000 ALL OWNED AUTOS X SCHEDULED AUTOS BODILY INJURY $ (Per person) X HIRED AUTOS X NON -OWNED AUTOS BODILY INJURY $ (Peraccldent) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT S ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGO $ EXCESSIUMBRELLA LIABILITY OCCUR CLAIMS MADE EACH OCCURRENCE $ AGGREGATE $ S DEDUCTIBLE $ RETENTION $ S B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? K yes, describe under SPECIAI.PROVISIONS below OTHER 2700002989-061 01/01/06 01/01/07 X TORY 1A U6 ER E,L.EACHACCIDENT S1,000,000 E. L.DISEASE - EA EMPLOYEE $1,000 000 E.L. DISEASE - POLICY LIMIT $1 QOQ OOO DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS *30 day notice of cancellation is applicable to workers compensation policy i`4-,DTIGI/`ATC unl nr_n. CITYSAN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City tOf Sanford DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN At AArlene NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL 300 N Park Avenue IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Sanford FL 32771-7899 REPRESENTATIVES., AUTHORIZED REPRESE VE ArnOn Ir r-Innunal 0z/z 0 NOTES EXISTING FIRE SPRINKLERS. TOTAL 16. EXISTING FIRE SPRINKLERS TO BE RELOCATED. TOTAL 2. AQ= NEW ADDED FIRE SPRINKLERS. TOTAL 4. - SPRINKLERS TO BE 155 DEGREE CHROME TYCO SEMI -RECESS 1/2" ORFICE WITH CHROME PLATES.- --- --- --- --- EXISTING SPRINKLER PIPIING. ------------------ NEW FIRE SPRINKLER PIPING. / HANGERS TO BE 3/8 T.B.C., 3/8 A.T.R. AND RING. ALL BRANCH LINES TO BE XL THREADABLE PIPE WITH CAST IRON FITTINGS. ALL MEASUREMENTS ARE CENTER TO CENTER. ALL MATERIAL TO BE U.L. LISTED. ALL WORK TO MEET LOCAL AND N.F.P.A.13 2002 EDITION CODES. SYSTEM DESIGNED AS ORDINARY HAZZARD OCCUPANCY PER N.F.P.A.13. } fZ _ u L STc= ✓ Yl i-�11 1 BR MC;4 �-IK+cs 1j -L �r Central Florida Fire Protection, Inc. P.O. Box 677130 Orlando, FL 32867-7130 Phone (407) 273-7704 •Fax (407) 273-7056 E -Mail CFFPOAULCOM PROPOSED PROJECT INTERNATIONAL TERMINAL SECOND FLOOF SCALE: NONE ' d 0X.. Lf:R�L SCALE: \ / �" - 1 1 _ O� ! APPROVED BY: DRAWN Y ` ,F FP - DATE: _ _ Q /- REVISED ORA �vDO SNS=oR� DRAWING NUMBER O / VA6 o e` �— ,r --� 1.1 I NOTES EXISTING FIRE SPRINKLERS. TOTAL 16. EXISTING FIRE SPRINKLERS TO BE RELOCATED. TOTAL 2. AQ= NEW ADDED FIRE SPRINKLERS. TOTAL 4. - SPRINKLERS TO BE 155 DEGREE CHROME TYCO SEMI -RECESS 1/2" ORFICE WITH CHROME PLATES.- --- --- --- --- EXISTING SPRINKLER PIPIING. ------------------ NEW FIRE SPRINKLER PIPING. / HANGERS TO BE 3/8 T.B.C., 3/8 A.T.R. AND RING. ALL BRANCH LINES TO BE XL THREADABLE PIPE WITH CAST IRON FITTINGS. ALL MEASUREMENTS ARE CENTER TO CENTER. ALL MATERIAL TO BE U.L. LISTED. ALL WORK TO MEET LOCAL AND N.F.P.A.13 2002 EDITION CODES. SYSTEM DESIGNED AS ORDINARY HAZZARD OCCUPANCY PER N.F.P.A.13. } fZ _ u L STc= ✓ Yl i-�11 1 BR MC;4 �-IK+cs 1j -L �r Central Florida Fire Protection, Inc. P.O. Box 677130 Orlando, FL 32867-7130 Phone (407) 273-7704 •Fax (407) 273-7056 E -Mail CFFPOAULCOM PROPOSED PROJECT INTERNATIONAL TERMINAL SECOND FLOOF SCALE: NONE ' d 0X.. Lf:R�L SCALE: \ / �" - 1 1 _ O� ! APPROVED BY: DRAWN Y ` ,F FP - DATE: _ _ Q /- REVISED ORA �vDO SNS=oR� DRAWING NUMBER