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HomeMy WebLinkAbout1133 W Airport Blvd (2)or)-- 9 Permit # : Q CITY OF SANFORD PERMIT APPLICATION Job Address: I I D J k A ) r t Description of Work:—i 'i S Total Square Footage Z 15 Historic District: SP C1 n Q ` '&,gS `S m Value of Work: S Cl gs 'yC) Permit Type: Building Electrical Electrical: New Service — # of AMPS Mechanical: Residential Non -Residential _ Plumbing/ New Commercial: # of Fixtures Plumbing/New Residential: # of Water Closets Occupancy Type: Residential Commercial Mechanical Plumbing Fire Sprinkler/Alarm Pool Addition/Alteration Change of Service Temporary Pole — Replacement New (Duct Layout & Energy Calc. Required) # of Water & Sewer Lines # of Gas Lines Plumbing Repair — Residential or Commercial Industrial Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required) Owners Name & Address: Contractor Name & Address: Phone & Fax: eno? '1104 3 &(ya�)W-y7leS Contact Person: Bonding Company: "A Address: Mortgage Lender: Nle Address: Architect/Engineer Address: Phone: RECEIVED 2 3 2nn7 State License Number:'aa9(d 10aw w a& PhoneAn 3a 4 Gli- X 3� 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 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 pen -nits 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 requireme of F ori ien Law, FS 713. / /z3 Jo-� Signature of Owner/Agent Date Sign tureofCc ractor/Agent Date red tc Print Owner/Agent's Name Print Contractor/Agent's Name t / r. Signature of Notary -State of Florida Date Owner/Agent is - _ Produced ID APPROVALS: ZONING: Special Conditions: _ Rev 03/2006 Personally Known to Me or UTIL: FD: Signaturt of Not4:tly-S �r Contractor/A Produced ID of Florida Date Jacqueline S Court it My Commission DD595606 ENG: BLDG: 0O `1Lo\ "Fire ®tect0®n, 1Nc. of CENTRAL FLORIDA 601 Central Park Drive, Sanford, FL 32771 Phone: (407) 328-1663 Fax: (407) 328-4768 LIMITED POWER OF ATTORNEY Date:c rinua-4�u 23, Ze0-1 I hereby name and appoint ( l 0► - (-a r- on of FREEDOM FIRE PROTECTION OF CENTRAL WORIDA, INC. to be m lawful attorney in fact to act for me to pickup or submit for fire sprinkler permits at the San for work performed at any location. And to sign my name and do all this necessary to this appointment: Fred Lupo - 22296600012003 Name of Certified Contractor and License Number Signature of C,4rtified Contractor Acknowledged: Sworn to and subscribed before me this 23rday of 20 r �t<1U is tat@ b laida .4f0i), joequeline 0 Court C: �? My Commission DD595606 2010 NotAry Pu ic, State of Florida My Com Expires - Design *Installation o Service *Inspections At,'gilxoui'1i, pj,l,Ld:;J; i Z • w CiP t:. 30, 2007 C l Ci?_iilY 126,842 t;ENTRAL FLORIDA INC 601 CENTRAL PARK OR "APFORD,I=L. 32771. Figs. ri LUf-'o (OFFICER) ICER) FREE00i'll FIRE PROTECTION OF CEniTPAI- FLORIDA INC 6(,?)l CENTRAL PARK DR SANFORO Y Ft, 32771. , rw.+e", ,Mels bLL404+ii RAY %/F54_i. 1-0 E iCAA04.7i 11`1.1 1=;U= Ii City of Sanford Planning and Development Services Department Licensing Division P.O. Box 1788 Sanford, FL 32772-1788 (407) 330-5656, 5657, 5660 Occupational License FREEDOM FIRE PROTECTION OF CENTRAL FL, INC 60.1 CENTRAL PARK DR SANFORD FL 32771 This is your Registration/Receipt Issuance of license DOES NOT imply that Licensee/ Premises _is in compliance with all codes. To avoid Late fees, this license MUST BE RENEWED PRIOR TO THE EXPIRATION DATE. PLEASE POST CONSPICUOUSLY AT YOUR PLACE OF BUSINESS Business name: FREEDOM FIRE PROTECTION OF Control Number: 0018712 Location: 601 CENTRAL PARK DR November 28, 2006 DATE (MM/DD/YYYYI ACORD CERTIFICATE OF LIABILITY INSURANCE FRECSR ED 51 I os/lc FRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HLE INSURANCE GROUP, INC. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR O. BOX 160398 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. TAMONTE SPRINGS FL 32716 .one: 407-869-0962 Fax: 407-774-0936 INSURERS AFFORDING COVERAGE NAIC # INSURED. INSURER A: Ace American Insurance Company INSURER B: AIG Freedom Fire Protection of Central Florida, Inc. INSURER C: Safeco Insurance Company 39012 1307 Central Park Drive INSURER D: ZENITH INSURANCE COMPANY Sanford FL 32771 INSURER E: nnVFRAnPR THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NbK LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MCY MIDD/YY E POLICY MM DEXPIRATION LIMITS GENERAL LIABILITY EACH OCCURRENCE $1,000,000 PREMISES (Ea occurence) $100,000 A X COMMERCIAL GENERAL LIABILITY G21431734 05/09/06 05/09/07 MED EXP (Any one person) $ 5,000 CLAIMS MADE a OCCUR PERSONAL &ADV INJURY $1,000,000 X Design E&O GENERAL AGGREGATE $2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG s2,000,000 POLICYFX jE LOC C AUTOMOBILE X LIABILITY ANY AUTO 02CE10788000 06/07/06 06/07/07 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE $ (Per accident) J GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE s2,000,000 AGGREGATE $2,000,000 B X OCCUR EICLAIMSMADE BE4765970 05/09/06 05/09/07 $ DEDUCTIBLE $ X RETENTION $10,000 WORKERS COMPENSATION AND A Il X TORY LIMITS ER E.L. EACH ACCIDENT $ 500, 000 D EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? 2067588501 08/15/06 08/15/07 E.L. DISEASE - EA EMPLOYEE $ 500 , 000 If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $500,000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER GANGELLAI IUN CITY OF SANFORD 300 N. PARK AVE P.O.BOX 1788 SANFORD FL 32772 ACORD 25 (2001108) CITY SA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. _ © ACORD CORPORATION 1988 o Model F1 FR Sprinkler Types Standard Upright Standard Pendent of Conventional Vertical Sidewall Horizontal Sidewall - HSW 1 Deflector Model F1 FR Recessed Sprinkler Types Recessed Pendent Recessed Horizontal Sidewall - HSW 1 Deflector Listings & Approvals 1. Listed by Underwriters Laboratories, Inc. (UL) 2. Listed by Underwriters' Laboratories of Canada (ULC) 3. Certified by FM Approvals 4. Loss Prevention Council (LPC, UK) 5. NYC BS&A No. 587 -75 -SA 6. Meets MIL -S -901C and MIL -STD 167-1 7. Verband der Schadenversicherer (VdS, Germany) 8. NYC MEA 258-93-E UL Listing Category Sprinklers, Automatic & Open Quick Response Sprinkler UL Guide Number VNIV Patents: US Patent No. 6,374,920 Applies to Model F1 FR Vertical Sidewall Sprinklers. Product Description Reliable Models F1 FR and F1 FR Recessed Sprinklers are quick response sprinklers which combine the durability of a standard sprinkler with the attractive low profile of a decorative sprinkler. The Models F1 FR and F1 FR Recessed automatic sprinklers utilize a 3.0 mm frangible glass bulb. These sprinklers have demonstrated response times in laboratory tests which are five to ten times faster than standard response sprinklers. This quick response enables the Model F1 FR and F1 FR Recessed sprinklers to apply water to a fire much faster than standard sprinklers of the same temperature rating. The glass bulb consists of an accurately controlled amount of special fluid hermetically sealed inside a precisely manu- factured glass capsule. This glass bulb is specially con- structed to provide fast thermal response. The balance of parts are made of brass, copper and beryllium nickel. At normal temperatures, the glass bulb contains the fluid in both the liquid and vapor phases. The vapor phase can be seen as a small bubble. As heat is applied, the liquid ex - Bulletin 136 Rev.N Model F1FR Model F1 FR Recessed Quick Response Sprinklers Upright Pendent Vertical Sidewall Conventional Horizontal Sidewall HSW 1 Deflector Recessed Pendent (Model FP Shown) pands, forcing the bubble smaller and smaller as the liquid pressure increases. Continued heating forces the liquid to push out against the bulb, causing the glass to shatter, opening the waterway and allowing the deflector to distrib- ute the discharging water. Application Quick response sprinklers are used in fixed fire protec- tion systems: Wet, Dry, Deluge or Preaction. Care must be exercised that the orifice size, temperature rating, deflector style and sprinkler type are in accordance with the latest published standards of the National Fire Protection Asso- ciation or the approving Authority Having Jurisdiction. Quick response sprinklers are intended for installation as specified in NFPA 13, FM Global Loss Prevention Data Sheet 2-8N or other applicable standards. Quick response sprinklers and standard response sprinklers should not be intermixed. The Reliable Automatic Sprinkler Co., Inc. 103 Fairview Park Drive, Elmsford, New York 10523 CD E CDC RIA Model F1 FR Quick Response Upright, Pendent & Conventional Sprinklers Installation Wrench: Model D Sprinkler Wrench Installation Data: Sprinkler Type Standard -Upright (SSU) and Pendent (SSP) Deflectors Marked to Indicate Position K Factor prn Sprinkler Height Approval Organization Sprinkler Identification Number SIN US Metric SSU SSP jY2' (15mm) Standard Orifice with " NPT (R,ti2) Thread 5.6 80 2.2" 56mm 1,2,3,4,5,6,7 R3625 R3615 32 20mm Lar e Orifice with 3'" NPT (R'/4)Thread 8.0 115 2.3" 58mm — 1,2,3,4,7,8 R3622 R3612 ;'' 17mm Small Orificewith v"NPT R z Thread �----- -.._�z ( ...__......_..._---- -.. 10mm Small Orifice with v" NPT (R)2) Thread 4.:�....- ..... 2.8 .... ......60 - - 40 2.2" 56mm -___(___ -....) 2.2" 56mm) 1,2,8 ......_.__........................._...........__._... 1,2,8 R3623 R3621 R3613 ---._... --- R3611 r 10mm Orifice XLH with Rh" Thread 4.2 60 56mm 4,6,7 R3624 R3614 Conventional -Install in Upright or Pendent_ Position 10mm Orifice XLH with REQ Thread 15mm Standard Orifice with y" NPT (R, 2) Thread 20mm Large Orifice with 3/4" NPT (R3/4)Thread 4.2 5.6 8.0 60 80 L 115 56mm 56mm 58mm 4,6,7 4,7 R3674 R3675 R3672 Upright Pendent Model F1 FR Quick Response Recessed Pendent Sprinkler Installation Wrench: Model GFR1 Sprinkler Wrench Installation Data: Conventional Nominal Thread ..... K Factor Sprinkler Approval() Sprinkler Identification US Metric Orifice Size Height Organizations Number (SIN) )2' (15mm) Z" NPT (R1/2) 5.6 80 2.2" (56mm) 1,2,3,4,5,7,8 R3615 1'32"(20mm) --- 3;"NPT(R3/)_.._.__..__...—.._8_0._._.__.......-- --__1.1.5._._..------2.3"(58mm)------1.2,3,8 7URN COLIAN --- - R3612 --- — ';e (11mm) ..---- --- yi'NPT (R%z).._ ....... 42- .. _. ........ 60 ....._. 22'..(56mm) 1,2,8 .... R3613 -- ..._ .._._.. " (10mm) T NPT (R'/2) 2.8_ 40 2.2" (56mm) 1,2,8 R3611 10mm R;'% 4.2 60 56mm _ 4,7 R3614 I I Refer to escutcheon data table for approvals and dimensions. 2 27/32" DLA. (72.2-1 736FC101 E (1) REFER TO F1 & FI ESCUTCHEON DAT4 TABLE FOR 4PPROV4LS AND DIMENSIONS. 2. .-.— 2 5/3" DIA. (56.7mm) 7 1/4" HOLE OLL HOLE IN CEILING [5,.2-1 2 5/16" DIA. '58 7-m] -J 75/16" 014 CVl' .__ (49.2r 1 ........ i 77 X 1/2" REDUCER 7URN COLIAN i" X 1/2" RE7U('ER II UNTIL TIDHT AG1fN5T SPRINKLER - ^EIUNG WRENCH BOSS- -\ FACE OF FITTING - --, l TO FACE OF CEILING I I DIMENSION(rr --.........................._._....� �u _ -- J FACE OF F AD.IU5747EN7 Lr) 7'7777771 CE"NC L?7 n7 vii \ 2 27/32" DLA. (72.2-1 736FC101 E (1) REFER TO F1 & FI ESCUTCHEON DAT4 TABLE FOR 4PPROV4LS AND DIMENSIONS. 2. .-.— 2 5/3" DIA. (56.7mm) HOLE IN CEILING 2 5/16" DIA. '58 7-m] -J CVl' i 77 i" X 1/2" RE7U('ER II / L _ ..-_. _: J - ^EIUNG -- 0 da FACE OF FITTING - --, l TO FACE OF CEILING I I DIMENSION(rr I 4D✓USTME-NT � _._ _ � 1J6FGOi_A (1) REFER TO FP ESCUTCHEON U4F4 74BLE FOR APPROL'4LS ANC DIMENSIONS. Model F1 FR Quick Response Vertical Sidewall Sprinkler Installation Wrench: Model D Sprinkler Wrench Installation Position: Upright or Pendent Approval Type: Light Hazard Occupancy Installation Data: Nominal Orifice Thread Size K Factor n Sprinkler Height Approval Organizations Sprinkler NumbeIdentifrcation (SIN) US _ _ Metric — Identification Light Ordinary Number (SIN) Hazard Hazard i y2' (15mm) y° NPT(R%2) 5.6 80 2.63" (67mm) /2" 1/2" NPT (RI/2) 5.6 80 2.2" (56mm) 1, 2, 3, 6, 8 15mm /2" NPT (R'/2) 5.6 80 2.2" (56mm) 4(1) _ i11 LPC Approval is for Pendent position only, Vertical Sidewall US Patent No. 6,374,920 Orientation Deflector to Ceiling —� Dimension (Min. - Max.) Upright 4" - 12" (102mm - 305mm) Pendent 6" - 12"(152mm - 305mm) Model F1 FR Quick Response Horizontal Sidewall Sprinkler Deflector: HSW 1 Installation Wrench: Model D Sprinkler Wrench Installation Data: i a Vertical Sidewall US Patent No. 6,374,920 Orientation Deflector to Ceiling —� Dimension (Min. - Max.) Upright 4" - 12" (102mm - 305mm) Pendent 6" - 12"(152mm - 305mm) Model F1 FR Quick Response Horizontal Sidewall Sprinkler Deflector: HSW 1 Installation Wrench: Model D Sprinkler Wrench Installation Data: NOTE: UL, ULC and MEA Listing permits use with F1 or F2 recessed escutcheon. f Horizontal Sidewall �k 6,- Approval Organizations I K Factor and Type of Approval Sprinkler Nominal Thread Orifice Size Sprinkler US Metric Length — Identification Light Ordinary Number (SIN) Hazard Hazard i y2' (15mm) y° NPT(R%2) 5.6 80 2.63" (67mm) 1,2,3,5,8 1,2,5,8 R3635 NOTE: UL, ULC and MEA Listing permits use with F1 or F2 recessed escutcheon. f Horizontal Sidewall �k 6,- Z FIT -NC -„ _ , r ll4 n 1! r ,; I i J — fr 1 01 A 3. Installation Quick response sprinklers are intended for installation as specified in NFPA 13, FM Global Loss Prevention Data Sheet 2-8N or other applicable standards. Quick response sprin- klers and standard response sprinklers should not be inter- mixed. The Model F1 FR Recessed Quick Response Sprinklers are to be installed as shown. The Model F1 or F2 Escutcheons illus- trated are the only recessed escutcheons to be used with the Model F1 FR Sprinklers. The use of any other recessed escutch- eon will void all approvals and negate all warranties. When installing Model F1 FR Sprinklers, use the Model D Sprin- kler Wrench. When installing Model F1 FR Recessed Pendent or Sidewall Sprinklers, use the Model GFR1 Sprinkler Wrench. Any other type of wrench may damage these sprinklers. Glass bulb sprinklers have orange bulb protectors to minimize bulb damage during shipping, handling and installation. RE- MOVE THIS PROTECTION AT THE TIME THE SPRINKLER SYSTEM IS PLACED IN SERVICE FOR FIRE PROTECTION. Re- moval of the protectors before this time may leave the bulb vul- nerable to damage. RASCO wrenches are designed to install sprinklers when covers are in place. REMOVE PROTECTORS BY UNDOING THE CLASP BY HAND. DO NOT USE TOOLS TO REMOVE THE PROTECTORS. Temperature Ratings Classification Sprinkler Tem rature Max. Ambient Temp. Bulb Color °C <F Ordinary 57 135 100-F(38°C) Orange Ordinary 68 155 100-F(38°C) Red Intermediate 79 175 150-F (66°C) Yellow Intermediate 93 200 150°F(66°C) Green i High ft) 141 286 225°F(107°C) Blue (t) Not available for recessed sprinklers. Escutcheon Data Escutcheon Sprinkler Escutcheon IM, Face of Fitting Model Approvals Adjustment Dimension to Ceiling or Bright Brass Black Plated Black Plated Black Paint Wall Dimension Off White Off White Satin Chrome ,y„ F1 1,2'4,8 Max Recess (38.1mm) ?;�" Min Recess }; " (5mm - 24mm) -.... ..... -........ ...... ................ __(1.9:_1 mm.).... .......................................................... ,y„ F2 1,2,3,4,5,7,8 Max Recess (38,1 mm) Min Recess 1Y16 " (5mm - 17mm) 24mm FP 1,2 Max Recessed 16 1Y" (38.1 mm) 11mm Push -on/ Threadoff 1,2 Min Recessed _ 1" (25 4mm) ............_.... 24m6m ( .) .................................. No Dimensional Figure for FP Maintenance The Models F1 FR and F1 FR Recessed Sprinklers should be inspected quarterly and the sprinkler system maintained in accordance with NFPA 25. Do not clean sprinklers with soap and water, ammonia or any other cleaning fluids. Remove dust by using a soft brush or gen- tle vacuuming. Remove any sprinkler which has been painted (other than factory applied) or damaged in any way. A stock of spare sprinklers should be maintained to allow quick replacement of damaged or operated sprin- klers. Prior to installation, sprinklers should be maintained in the original cartons and packaging until used to mini- mize the potential for damage to sprinklers that would cause improper operation or non -operation. Sprinkler Types Standard Upright Standard Pendent Conventional Sidewall (Vertical, Horizontal HSW1) Recessed Pendent Recessed Horizontal Sidewall HSW1 Finishes ") ") Standard Finishes Sprinkler Escutcheon Bronze Brass Chrome Plated Chrome Plated (3) White Polyester Coated White Painted 131 ............................... Special Application Finishes Sprinkler Escutcheon Bright Brass Bright Brass Black Plated Black Plated Black Paint Black Paint Off White Off White Satin Chrome Satin Chrome (1) Other finishes and colors are available on special order. Consult the factory for details. (2) FM Approvals is limited to bronze and brass, chrome or black plated finishes only. (3) FP Push-on/Thread-off escutcheon Note: For y" orifice pendent FM approved white polyester coated and UL approved white polyester corrosion resistant sprinklers refer to Bulletin 014. Ordering Information Specify: 1. Sprinkler Model 2. Sprinkler Type 3. Orifice Size 4. Deflector Type 5. Temperature Rating 6. Sprinkler Finish 7. Escutcheon Type 8. Escutcheon Finish (where applicable) Note: When Model F1 FR Recessed sprinklers are ordered, the sprinklers and escutcheons are packaged separately. The equipment presented in this bulletin is to be installed in accordance with the latest pertinent Standards of the National Fire Protection Association, Factory Mutual Research Corporation, or other similar organizations and also with the provisions of governmental codes or ordinances whenever applicable. Products manufactured and distributed by Reliable have been protecting life and property for over 80 years, and are installed and serviced by the most highly qualified and reputa- ble sprinkler contractors located throughout the United States, Canada and foreign countries. Manufactured The Reliable Automatic Sprinkler Co., Inc. (800)431-1588 Sales Offices (800)848-6051 Sales Fax (914)829-2042 Corporate Offices www.reliablesprinkler.com Internet Address tRecycled Paper Revision lines indicate updated or new data EG. Printed;,, U.S.A. 5106 P/N9999970027 CITY OF SANFORD FIRE DEPARTMENT FEES FOR SERVICES PHONE # 407-302-2516 • FAX # 407-302-252/6 DATE: PERMIT #: 0 1 x'90y BUSINE S NAME / PROJECT: _ _ ^� �QtiiZ�-Jnr-•ct CS�� ADDRESS: PHONE NO.: FAX NO.: CONST. INSP. (1 C / O INSP.:[ J REINSPECTION [ J PLANS REVIEW F. A. [) F.S. HOOD [ 1 PAINT BOOTH [ 1 BURN PERMIT [ J TENT PERMIT J TANK PERMIT [ J OTHER [ ) TOTAL FEES: $ (PER UNIT SEE BELOW) COMMENTS: Address / Bldg. # / Unit # 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. Square Footage Fees per Bldg. / Unit 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 will comply with all applicable codes and ordinances of the City of Sanford, Florida. '� 4!1<r, -,- - Sanford Fire Prevention Division Applicant's Signature