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
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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 )
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Owners Name & Address: ,`
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Phone:
Contractor Name & Address: loC A ^l iY:l
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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:
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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
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❑Rough. -In only
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❑Rough -in cnly--
Btu
❑ Rough -in only
Btu
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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
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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/!�
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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