HomeMy WebLinkAbout1250 Red Cleveland Blvd (2)Mar 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.
}
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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