HomeMy WebLinkAbout290 Towne Center Cirv -7--144 G CITY OF SANFORD PERMIT APPLICATION
RECEiVED
Permit ft:.
Job Address:
Description of Work:
Historic District: Zoning: �. T_ Value of Work: $ 46e % 0
Permit Type: Building ___� __ Electrical Mechanical Plumbing ire Sprinkl 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)
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 Total Square Footage: _
Construction Type; # of Stories; # of Dwelling Units: — .Flood :Gone: _ (FEMA forst required for other than X)
Parcel #: (Attach Proof of Ownership & Legal Description)
Owners Name & Address;`
— - - --- Phone:
Contractor Name & Address:
Same License Number: (-00!t / *5'000 / ZOOJ
Phone &Fax: 50)- floc) Ko%� /�Sa Contact Person: Adce %liber Phone: V07JUS"/109
Bonding Company:
Address:
Mortgage Lender:
Address:
Arehitect/Engiueer: 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 must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, IIEAT'ERS, TANKS, and
AIR CONDITIONERS, etc.
OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that ail 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 may be additional restrictions applicable to this property that may be found in the public records of
this county, and there may be additional pennits required from other governmental entities such as water management districts, state agencies, or federal agencies.
Acceptance of permit is verification that I will notify the owner of the property of the r of Florida Lien Law, FS 713.
z -Z8-01
Signature of Owner/Agent _ Date Stgn` atur f C tractor/Agent Date
Print OwnedAgent's Name Print Cdntractor/Agent's Name /J
u ti / tl l Gs*1 k'� -z'/, ��1 7Signature of Notary -State of Florida Date alnutule
or Notary - 'Cate of Florida Date
Owner/Agent is ^ Personalty Known to Me or Contractor/Agent is _ Personally Known to Me or
Produced 10 „ Produced ID
APPLICATION APPROVE
D BY: Bldg: 'Zoning: Utilities: _ FD:
(Initial & Pate) (initial & Datc) (initial & Date) (initial �D}at 'per
Special Conditions: _ (� !y J�
JOAN L. KWIATKOWSKI
v�"av PUA�% Notary Public • State of Florida
®�. ' • . ; • MY Commission Expires May 13, 2009
- y"aOF Commission # DD 386096
/ •m ` Bonded By National Notary Assn.
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PUNS REVIEWED'
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6. ALL NEW. ARM OVERS ARE 1" SCH. 10 UNLESS NOTED
Noon 7. SPRINKLERS ARE NOT CENTERED IN CELNG TILES.
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1 IN ACCORDANCE WITH NFPA #13 2002 EDITION.
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PUNS REVIEWED'
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OC 2004
'NOTICE: This drawing and the data thereon sholl not he duplicated, used, or disclosed to others for
procurement or manufacturing purposes, except as otherwise authorized by eardroct, without the written
permission of xmplexWnnell. AN reproductions shall bear this notice.'
LEGEND
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EXISTING 1" OUTLETS
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RELOCATED 1/2" 155' PENDENTS
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NEW % 155' RFII CONCEALED PEND
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TOTAL
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EXISTING PIPE
NEW PIPE
C—CLAMP PIPE HANGER
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THREAD ROD
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ALL NEW MATERIALS USED ARE UL & FM APPROVED AND INSTALL
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PIPE 2" & SMALLER IS TO BE THREADABLE SCH. 40 BLACK
STEEL.
PIPE 2-1/2 17 & LARGER IS TO BE SCH. 10.
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PROJECT No. % PROMPT
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