HomeMy WebLinkAbout1265 Upsala Rd Ste 1133/( -d I 00961+t;CITY OT SANFORD PERMIT APPLICATION ''LL
Permit # : 011,. 1 1 1 4 Date:
Job Address: _(_�,c. U 56L A Lo4 • , U1"5 —AP!ip ,V �
Description of Work: ��1� r�� '11� C�1 )lea 0 4 2007
Historic District: zoning: Value of Work: S
Permit Type: Building Electrical Nleehanical dumbing Fire Sprinkler/ arm Pool —
Electrical: New Service - # of AMPS Addition/Alteration Change orf -Ser ve I'ctnporary Pole _
iVMeclianical: Residential Non -Residential Replacement New (Duct Layout & Energy Calc. 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 Cottuuercial Industrial Total Square Footage:
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X)
Parcel #: / (Attach Proof of Ownership & Legal Description)
Owners Name & Address: 0/0 Pt�rz.i ►2�� 60l m5ry7w .x a'-.. (50033~� Sr 14,00 0a, L. tel. 37's
Phone:
Contractor Name & Address:
. C%. (3OYG 540451�L7_►2t.&t~ deli 9-1, ' 7-sisg ! State License Number: 7,Zrl4e C)00' I ZeDO j
Phone & Fax: 4M g414 _r -1 _ A VZJ4 5TIM!A&I L Phone:
Bonding Company:
Address:
Mortgage Lender:
Address:
Architect/Engineer: Phone:
Address: 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 trust be secured for ELECTRICAL. WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACE'S, 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. WARN NG TO OWNER: YOUR FAILURE TO RECOKD 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 may be additional restrictions applicable to this property that tuay be found in the public records of
this county, and there may be additional permits required from other governmental entities such as water management districts, state ageacics, or federal agencies.
Acceptance of permit is verification that I will notify the owner of the property of the requireme s of Florida en Law, FS 713.
Signature of Owner/Agent Date Signature of Contractor/Agent Date
_Illi MAL, S_n tut M�
Print Owner/Agent's Name Prmt ultractor/Agent's Name
Signature of Notary -State of Florida Date Signature of Notary -State of Florida / Date
Owner/Agent is _,_._ Personally Known to Me or
Produced HJ
APPLICATION APPROVED BY: Bldg: 60M. rte" Zoning:
(Initial A Date)
Special Conditions:
Contractor/Agent is Personally Known to Mc
Produced ID
Utilities: FD:
(Initial & Date) (Initial & Date)
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:Y P/""-, Patricia Ann Breeze
Commission ,#DD417034
5' Expires; APR. 11, 200
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�, NATIONAL PRINTM$r NO. 186A • 24x36 ulna
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—,_ HO SIR FIRE SPRINKLER
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Design Notes
Scope of work: Add new sprinklers in rooms with new ceilings
`1'o meet spacing requirements of NFPA 13 2002 Edition.
Maximum sprinkler spacing to be 130 sq. ft. in Ordinary Hazard
Group 2 applications and 225 sq. ft. in Light Hazard applications..
All materials shall be listed for fire protection use.
Piping shall be threaded black steel schedule 40.
Fittings shall be threaded cast iron.
Hangers shall be installed as required by NFPA 13 2002.
All valves, devices, alarms, drains, etc. are existing.
Lighting and fixtures shall not obstruct -fire sprinklers.
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Design Notes
Scope of work: Add new sprinklers in rooms with new ceilings
`1'o meet spacing requirements of NFPA 13 2002 Edition.
Maximum sprinkler spacing to be 130 sq. ft. in Ordinary Hazard
Group 2 applications and 225 sq. ft. in Light Hazard applications..
All materials shall be listed for fire protection use.
Piping shall be threaded black steel schedule 40.
Fittings shall be threaded cast iron.
Hangers shall be installed as required by NFPA 13 2002.
All valves, devices, alarms, drains, etc. are existing.
Lighting and fixtures shall not obstruct -fire sprinklers.
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