HomeMy WebLinkAbout1200 Rinehart Rd�4
Permit # : V
Job Address: I aGC�)
Description of Work:
Historic District:
Q O Ky
Zoning:
CITY OF SANFORD PERMIT APPLICATION
Value of Work:
Date: I c?
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)
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 Zone: (FEMA form required for other than X)
IS -30-5'0 1 - o0oo - 01()0
Parcel #: 3� (Attac/h" Proof of Ownership & Le4al Description)
Owners Name & Address: 04-� 14-%Cle C : C v\ -A- r l V -C\ S\`'✓1c ms �.5 5�
` Phone: Zv 7 3 >a- 3 a S3
-. __ ._-_Contractor Name. & Address:
Phone & Fax: dt1i — Contact Person:
Bonding Company:
Addrecc•
Mortgage Lender:
Addrecc-
Architect/Engineer:
Address:
State License Number:
Phone: X asicll
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 prici 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 permits 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 requirements o tda Lien L w, FS 713.
—�Signnature of Owner/Agent Date $i a re of Contractor/Agent Da
Print Owner/Agent's Name Print Contractor/Agent's Name
Signature of Notary -State of lorida Date Si nature of Notary -State o�fFrida ate
`,o,�p flY PV�i
Shandra Kay Murphy
;i. -6 -Commis sion#DD221307
Expires: Au 30 2117
Ag.
is Personallv Known to or: y•, e°' ]30ndedR( actor Agent is _ ersonally Known to M or
_ Produced ID FOFfVO` Atlhfltiti 6bt�@ii Wri ced ID
APPLICATION APPROVED BY: Bldg: Zoning:
(Initial & Date)
Special Conditions:
(Initial & Date)
Utilities:
FD:
(Initial & Date) (Initial & Date)
Special Power of Attorney
Date a - (9 — 0-1
I hereby name and appoil�Q
Of Kirby Rental Service to be my lawful attorney in fact to act for me and apply to the
Building Department
Tent Permit for work at a /location described as:
/ owo ��1 K�y 32 LS - 3b " 5� t 102W -a I a O
Address Parcel #
(Owner of Property)
do all things necessary to this
1-7
Print name of Certified Contractor & License Number
l)(_ L�c aS e v
Signature of Certified Contractor
The foregoing instrument was acknowledge before me this
who is personally known to me.
State of Florida
County o
` Witness
Notary Public Signature
,��k( ,A raKa �{ u v by/
Notary Printed Name
(Seal)aP. Shandra Kay Murphy
Commission #DD221307
Expires: Aug 30, 2007
�i OF 010T `� Bonded Th u
111. Atlaitle Eig iding Co., Inc.
Witness
02/13/2007 18:09
4073300346
BATE: 3 - O
To Whom it May Concnro:
Plea9e be advisedJ')O ( py l 3 y.
(Company Name)
KIRBY RENTAL SERVICE, permission to erect a tent on our properly locatad mt
1
ob
(address)
Restrootns are provided.
Sincerely. /
r
SO re
SEMINOLE POWERSPORTS
j Me
PAGE 02
Map Output
Page 1 of 1
SEM LE COUNTY FL.,
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DA1/lt] JOHNSON, CFA, ASA
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PROPERTY
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APPRASER
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SEMINOLE couNTY FL.
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1161E. FIRST sr
SANFOan, FL 32771.1466
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Rec Parcel Owner Owner Addr city State Zi
1 132193050100000100 tTOWN CENTER HOLDINGS LLC 13505 N US HWY 17 92 ILONGWOOD JFL 132752
http://simon03.scpafl.org/servlet/com.esri.esrimap.Esrimap?ServiceName=overview small&... 2/19/07
02/13/2007 18:07 4073300346 SEMINOLE POWERSPORTS PAGE 03
LTIN
PROPERTY LINE
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T'rate
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ISSUED BY
KIRBY TENT RENTAL
Division of Kirby Rental Service & Sales
411 Hames Avenue 8711 Phillips Highway
Orlando, FL 32805 Jacksonville, FL 32256
MANUFACTURERS OF THE FINISHED TENT PRODUCT DESCRIBED HEREIN
DATE:
This is to certify that the materials used in the construction of the
, have been flame retardant treated (or are inherently non-flammable)
*by the Snyder Manufacturing Company
Their registered application concern number F-140-01 is approved and registered by the State Fire Marshal
and the application of said chemicals was done in conformance with the laws of the State of California and the rules and
regulations of the State Fire Marshal.
Flame Retardancy Cannot Be Removed By Washing And
Is Good For The Life Of The Material.
*THEIR Fabric Meets The Requirements Of Specifications
Listed As NFPA-701 (Large Scale)
L F-140-01
REGISTERED Signed: APPLICATION g TENT DEPARTMENT
CONCERN NO.
,. CITY OF SANFO. RD
PERMIT CHECKLIST
INV: �-
NAME:
LOCATION:
DATE UP
TENT SIZE
COVER SHEET
LEGAL PRINTOUT
PARCEL #
-�
POWER OF ATTORNEY
APPLICATION
SITE MAP
FLAME CERTIFICATE
/
/
LETTER OF PERMISSION
/
COPY OF INVOICE
DATE DOWNot,
R 10. 1 . 9•+•
x * * K I RBY RENTAL_ SERVICE R SALES INC. * * * * * *
a� Phone 407-422•--1001 Fax 401••-422--0028 * * * * *
WAREHS/DELIVERY DRIVER:
WAREHS/ RICK -UP DRIVER:
DATE:
Me MUM
FAX: 407-330--0346
REVISED PERMIT FOR CITY OF SANFORD. CANCELLED LINEN,
PER J. D. 2-13.
=Item ^No. ====Qty=Desc•ripti on --==============Rate' Info=========== =Unit==Extended
1110--0505
PAID:
DATE:
---------•---I.3i
11 ing-Addr-•e.Jc3
DELIVERY ADDRESS
Customer
OPEN ONE SIDE
Number
40786` 8606
B TABLES K 64 CHAIRS
1110-0305
01-093280-05
02/19/07
SEMINOLE P[]WERSPC]FdTS-___-_._-..------_.--._---
WALL 3 SIDES
SEMINOLE POWERSPORTS
1200 RINEHART RD
OPEN i SIDE
1200 R I NEHART ROAD
SANFORD, FL 32771
1620--9010
3
SANFORD, FL 32771
9100--0105
1
PERMIT + COURIER FEE
407-322-3253
CITY OF SANFORD
___.___....___._..__________.._.__._____--•_-._._
Sales:
•Y---- --
BURNF-IAM, CATHEY�>r-•
Rvd : 'TUE02/13/07
-
09:34
REP: CATHEY
ORD' D BY? J. D.
COD? Y REV? N Delivr,: FRI
42/23/07
DELIV CONT:J.D.
1310--00:30
PH:407-322--•3253 Out: FRI
02/23/07 17:00
WAREHS/DEL
DRIVER:
DEL DT: / / Pickup: MON
02/26/07
WAREHS/PU
DRIVER:
PU DT: / / Due: MON
02/26/07 17:00
FAX: 407-330--0346
REVISED PERMIT FOR CITY OF SANFORD. CANCELLED LINEN,
PER J. D. 2-13.
=Item ^No. ====Qty=Desc•ripti on --==============Rate' Info=========== =Unit==Extended
1110--0505
1
Tent 20x40 Frm WiT
WALL ON BOTH ENDS & BACK
OPEN ONE SIDE
B TABLES K 64 CHAIRS
1110-0305
1
Tent 20x22 Frm WHT
WALL 3 SIDES
OPEN i SIDE
4 TABLES, 4 CHAIRS
1620--9010
3
Tent Wall Solid 45"
9100--0105
1
PERMIT + COURIER FEE
CITY OF SANFORD
NEED LETTER OF PERMISSION
NEED DIAGRAM
1620--•0165
2
Fir -•e Safety Package
1310--00:30
12
81 Banquet Tbl
Pg Sales Ac ent: Date: Customer: Contract:
1 CATHEY ]L 02/1`'3 SEMINOLE POWERSPORTS 01-093280-05 *more*