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HomeMy WebLinkAbout1301 Celery Ave%gyp Permit N: Job Address! D 1 Description of Work: Historic District: CITY OF SANFORD PERMIT APPLICATION %• � / U VED Zoning: Date: I Z L RFCE► q-(. 3 7 7 / . _ ,1 2006 'tL - - – ...... -4—.. ,.,,..r. Value of Work: S QL, D 06. 00 Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool Electrical: New Service – # of AMPS Addition/Alteration Change of Service Temporary Pole Mechanical: Residential Non-Residcntial Replacement New (Duct Layout & Energy Cale. Required) Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines Plumbing/New Residential: # of Water Closets Plumbing Repair – Residential or Commercial Occupancy Type: Residential Commercial Industrial Construction Type: of stories: # of Dwelling Units: Flood Zone: (FEMA form required ) �rt j� t�+ • � e/ N Owners Name & Address: ,` f6 L – Z A .�.� Phone: Contractor Name & Address: loC A ^l iY:l ���, w S 4ti O Phone & Fax: G7 0� �'7 contact Person: Bonding Company: Address. Mortgage Leader: Address: Architect/Engineer: Address: State License N tuber: / tat d7� phone: 3Zl 3 7i 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 WITli 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 management districts, state agencies, or federal agencies. Acceptance of permit is verification that 1 will notify the owner of the property of the requir ents o lorida Lien Law, FS 3. �2 �4 Signature of Owner/Agent Date Si ure of Contractor/Agent Dal • Print Owner/Agent's Name P nt tract gent's Name Signature of Notary -State of Florida Date Signature of Notary -State of Florida Date Owner/Agent is _ Personally Known to Me or Contractor/Agent is Personally Known to Me or _ Produced ID ( _{Produced iD L . 1�1 0 )0? APPROVALS: ZONING: Special Conditions: Rev 03/2006 UTIL: FD: ENG: V a -M i rn 00 j S-ORMA'S NAT RAL CHOICE ES' n., TOLE COUINTY' 1101 East 1 n Street Room 1032 Sanford, FI 32771 Phone: 407.665.746917461 Fax: 407.665.4707 SEMINOLE COUNTY COMMERCIAL PERMIT APPLICATION Job Street Address: 1301 Celery Ave Date: 6/12/06 City: Sanford, Fl. 32-771 Zip: "32771 Parcel ID: Name of Bldg., Shopping Ctr., Business: Bayou Fresb Sea Food Market Owner Name: Mike, ! u\ 'enl Address: City/St/Zip: r �. Phone: 321,323-4415 Fax: License Holder: Contractor: Pablo Soto, Sr ( Soto's Gas Installations & Re air Serice LLC Address: 12874 Montana Woods Ln--'- n"''"Ci /St/ZI Orlando, Fl. 42824 City/St/Zip Phone: (407) 240-7484 Fax: (407) 438-2775 State Re /Cert#: Gas Liquid Petroleum Certified Lic# 16022 - Class 0803 ArchitectlEn ineer: Address: City/St/Zip Phone#• Fax#• _ OCCUPANCY CLASSIFICATION SBCCI: Life Safety Code: Valuation of Work: p Total Sq Ft: Total Sq. Ft. of Cond. Space: Type of Construction Per SBCCI: Automatic Sprinklers: Yes 0 No D Existing Use: I Proposed Use: Other: Description of work being done: 3 WORK DESCRIPTION New Construction D Plumbing D Roof" D Demolish 0 Alteration 0 Electrical 0 Well D Change of Use D Addition 0 Mechanical D Move 0 Security Alarm D Sin D I Fire Alarm D Fire Sprinkler 0 1 Other !vat =gas Im Will trees be removed? Yes 0 No D If yes, complete a Tree Removal Permit Utilities Septic Tank 0Well 0 1 Public Water 0 1 Public Sewer 0 Existing Well Oil Utility Letter Include Utility Letter From Appropriate Agency 0 SUBCONTRACTORS Seminole County Occupational Lic # State of Florida License # Reg/Cert Card Holder's Name Elect. Mech. Plumb. Roof Other ✓ NOTICE - - - --- - SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 6 MONTHS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 6 MONTHS AT ANY TIME AFTER WORK IS COMMENCED. I hereby certify that I have read and examined this application and know the same to be true and correct. All Provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not, the granting of a permit does not presume to give authority or violate or cancel the provisions of any other state or local law regulating construction or the permanence or construction. Signature of Contractor. Date: � i2 04 Si a re er: Date: v 4 ` P COMMERCIAL WORKSHEET I f ELECTRIC - Electric Compan Florida Power Corp. 0 Florida Power & Light 0 Service Size: Old Amps: Volts Phase 1 ph Phase 3 ph New Amps: Volts Phase 1 ph Phase 3 ph ITEMS UNITS Outlets & Switches (each) Lighting Fixtures Outlets (Window A/C) Continuous Receptacle Strip per Outlet SERVICE Number of Amperes Each Sub Feed Panel Temporary Pole MOTORS & GENERATOR Horse Power List HP GENERATOR TYPE Time Switch Display Case # of Lights SIGNS Sign Outlet Per Circuit Number of Sockets Neon Transformer of Tubing OTHER ELECTRIC Electric Elevator 0 Pool 0 Wiring 0 Change of Service 0 Pump Service 0 TOTAL-+ HVAC EQUIPMENT Number of Kilowatts Other Appliances Water Heater 0 Dryer 0 Cook Top 0 Dish Washer 0 Electric Range 0 TOTAL-+ X -Ray 0 Dental Units 0 Oil Sumer Units 0 TOTAL-+ Exhaust Fans Under % HP Exhaust Fans % to 1 HP Attic and Paddle Fans ELECTRIC WELDER Transformer Type Up To and Including 50 Amps Over 50 Amps POWER TRANSFORMERS List Number Kilowatts KVA LIST OTHERS & DESCRIBE MECHANICAL: Valuation of Work: $ PLUMBING: Number of Traps. -A_ Wells CONSTRUCTION: -----Shallow Well -G -Deep Well 0 Abandonment of Well 0 Pump/Plumbing Equipment Installation 0 Note: Water Systems supplying more than 25 people, a Construction Permit through St. John's River Water Management District must have approval through the Dept. of Environmental Services at the state level. All wells over 4" in diameter shall have a construction permit and consumptive use permit prior to a permit being issued by the Building Division. ROOF Flat/Build Up 0 Wood Shingles/Shakes 0 Asphalt/Fiberglass 0 Tile 0 Slate 0 Other 0 1 hereby certify that at the time of the application and issuance of the above permit, all necessary Workmen's Compensation Insurance required by the State of Florida has been obtained to effect the proper protection of those workers under my employ. Signature of Contractor: I Date: 0 -) J6n 09 2006 12:30PM Seminole County Building 4076657486 Commercial_ P-askjamtkaM as Plan P. Contact Name Pabl-o Soto ( Gas Contractor ) ContactNumbef 321) 436-9179 -- Space below for drawing if needed: REVIEWED By: Sanford Fir D Pre Div., Date: (� (407) 240-7484 'OHM Natural 04 -11A 0 LP 0 N IF I NOW A wW TA ill, , I vn. t§ 3 113 IS Btu Fl.00r Model- Deep I Frier El ftuqh� only Btu wok [] Rough -In only IS- Btu Fi.at gril-1- ❑ Rough -in only 5- Btu Rice Cooker ❑Rough. -In only Btu ❑Rough -in cnly-- Btu ❑ Rough -in only Btu ❑ Rough -in only Btu 0 Rough -in only Btu E] RWO-in only Btu ❑ Rough -in only Btu F75'711501* M" R-7 "i'al Contact Name Pabl-o Soto ( Gas Contractor ) ContactNumbef 321) 436-9179 -- Space below for drawing if needed: REVIEWED By: Sanford Fir D Pre Div., Date: (� (407) 240-7484 0 Z Bayou Fresh Sea Food Market v vv /d 41 i,V;d 6 1301 Celery Avenue Sanford, F]. 32771 Owner: Mike (321) 323-4415 (owenr's Cell.) CITY OF SANFORD FIRE DEPARTMENT FEES FOR SERVICES ONE # 407-302-2516 - FAX # 407-302-2526 /1 DATE: lD I I!E- CQ - ` PERMIT H: O BUSINESS NAME / PROJECT: ADDRESS: _ 1c? C) PHONE a-�6 FAX or CONST. INSP. [ 1 C / O INSP.:[ ] REINSPECTION [ ] , PLANS REVIEW F. A. [ ] F. S. [ j HOOD [ ] PAINT BOPTH URN PE I TENT PERMIT f j T NK PERMIT [ ] OTHER t)2 t� �j A4 TOTAL FEES: S (PER UNIT SEE B�O ) COMMENTS: CQp/lam ,1J/!� ia(z� 0YaK-2 S 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. H. 12. 13. 14. 15. 16. 17. 18. 19. 20. Address/ Bldg. # / Unit # Square Footage Feesper Bldg. / Unit MEW 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. pt Vanefordrev Prevention Di on Applicant's Signature