HomeMy WebLinkAbout600 E 1 StPermit#: V -- C) I
Job Address: DD'e %ST/
Description of Work: //t,�T
CITY OF SANFORD PERMIT APPLICATION
S i .
7 ie x/a rE�vrs
Date: &-/6-0 ?--
Historic District: Zoning: Value of Work: $
r
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 -Residential Replacement New (Duct Layout & Energy Calc. Required)
x
Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines
Plumbing/New Residential• # of Water Closets T_ Plumbing Repair— Residential or Cowart inial
Owupancy Type: Residential " Commmial Industrial Total Square Footage: -
Construction Type: # of Stories: # of Dwelling Units Flood Zone: (FEMA term required for otter than Jt)
Pared #: (Attwh Prooto(Ownership & Legal Description)
Owners Name & Addras: aAr%%la AI X Pd P14AA
Phoma
Contractor Name&Address: Nrisidrj Zg&?1 16�Uc'I«/%i //✓ 3�C®rY,*A'0' led
01 01
Mae & Fax ;Yf 7 JZ -Y
Boadiog Company:
State License Number:
Cootsd Pwnu,. aVA{ SCc Phone: YO % IrI y ,3%D
Address:
Mortgage Leader.
Address:
AreLitedlEoginew.. Mar
Address:
Fax:
Application is hereby made to obtain a patnit to do the work and installations as indicated. 1 certify that no wuk or installation has comanced prior to the
is;uw= of a permit and that all wait wr71 be perfumed toned standards of all laws regulating construction in this jwisdjedm 1 understand that a separate
permit mast be seamed for ELECTRICAL WORK PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and
AIR CONDITIONERS, etc.
GVINWS AFFIDAVIT: I certify that all of the foregoing infommtion is accurate and that all worn will be done in oorpliance with all applicable laws regulating
construction and coning 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 pmrn it, them may be additional restrictions applicable to this property that nay be found in the public records of
this county, and time may be additional paths required Som other governmental amides such as water tnanagm ent districts, state agwwws, or federal agencies.
Acceptance of permit is verification that I will notify the owner of the property of the requ' iso arida Lien =La13.
Signature of OwnedAgent Date Sigrntrae dCqdacWdAgTt, Date
Print Owner/Agent's Name
Signatnm: of Notary -State of Fltaida Date
OwncdAgent is _ Personally Known to Me or
ProducedlD
APPLICATION APPROVED BY: Bids:
(Initial & Date)
Special Conditions:
Zodw Utilities:
(initial & Dec)
Name
Date
DEBBIE BLANTON
W COMMISSION # W 188491
E)VdWftdbWAupW)RWor
(iaitial & Date)
FD:
(Initial & Date)
IMPORTANT DOC U M E NT'�10�110M
Certif leave of. Flan -?c Registapee
REGISTRATION
APPLICATION
ISSUED BY
S
s
1150 �R„
5
EVANSVILLE, INDIANA 47725
F031.02
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TENT PRODUCTS DESCRIBED wpRFiN
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IMPORTANT DOC U M E NT'�10�110M
Certif leave of. Flan -?c Registapee
REGISTRATION
APPLICATION
ISSUED BY
NUMBER
s
1150 �R„
EVANSVILLE, INDIANA 47725
F031.02
MANUFACTURERS OF THE FINISHED
_
TENT PRODUCTS DESCRIBED wpRFiN
I Date of Manufacture
tvf2rol
Order Number
This is to certify that the materials described have been flame-retardant treated
(or are inherently noninflammable) and were supplied to:
73744
NELSON TENTS & EVENTS
7226 WEST COLONIAL DRIVE
SUITE 229
ORLANDO FL 32818
34r2S
Certification is hereby made that:
The articles described on this Certificate have been treated with a flame-retardant approved.
chemical and that the application of said chemical was done in conformance with California
Fire Marshal Code, equal to exceeds NFPA 701, CPAI 84, ULC 109.
The method of the FR chemical application is:
Serial # SYl 1520 (2)
Description of item certified:
PM END 40W X 20 VL R W
Name of
Flame Retardant Process Used Will Not Be Removed By
Washing And Is Effective For The Life Of The Fabric
'E RAVENNA.OH Si ned:
oplicator of Flame Resistant Finish TENT DEPARTMENT - ANCHOR INDUSTRIES INC.
s
01.1jertifirate of N18_,M;je, Resta0unrie
/p�STE�
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REGISTERED ISSUED BY
��)APPLICATION JOHN BOYLE s: COMPANY, INC. Dari treated ,x'°� = CONCERN No. Salisbury' Road. manufactured
Statesville, NC •7$678 1
-FES r GA -2l7 -r04-872-8151 2- 08-2001
- i 1 I
This is to certijy that the materials described below have been ]Lime -retardant treated (or are inherently, non fiarnntable).
FOR Nelson's. Tents dr, Events, INC AUVRESS 923 Malone Drive
CITY OrlandoSTATEFL
Certification is hereby made that: (Check "a' or "b")
❑ (a) The articles described below this Certificate have been treated with a flame-retardant chemical approved and registered by
the State Fire Marshal and that the application of said chemical Was ;done in conformance with the laws of the State of
California and the Rule,• and Regulations of the State Fire Marshal.
Name of chemical used
Method of application
Chem. Ree. No.
(b) The article., described below are made from a flame -resistant fabric or material registered and approved by the State Fire RI
Marshal hir such use.
Trade name of flame -resistant fabric or material usedWhi to Opaque Tent Top Reg No F-121.4
The Flame -Retardant Process Used WILL NOT Be Removed By Washing
JOHN BOYLE & COMPANY, INC.
JOHN BOYLE & COMRANY, INC. •
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Name o rlppbcaurc ur Pnxructiun Superintendew Specaaity Products Manager
S01-17, TO:
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I 10'
_WIDE
FRAME AND POLE TENTS
F is S TENT
1 12'
"
8927 N W 117TH STRFE-1
f 15'
41
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or to it of
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60'
WIDE
POLE TENTS
80'
WIDE
POLE TENTS
Sell Certified Flame -Retardant Fabrics By BOYLE
Your product will meet :pie rigid specifications of the California Fire Marshal.
JOHN RnYT.F & C.nMPANY AND DISTRTRITTORS
11
AUTHORIZED PERSONNEL
NO EXCEPTIONS
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