HomeMy WebLinkAbout1401 W Seminole Blvd (3)q n CITY OF SANFORD PERMt7' APPLICATION f T
:rmit it : ++' 09- 1 I Date: 13 0 ! 0 -77
,b Address: 140 w sem ,-,Ole- b V d
ascription of Work: �•'y✓s 1�� 31"A40 Total Square Footage
istoric District:
Zoning: Value of Work: S $ O a
:rmit Type: Building Electrical _ Mechanical Plumbing Fire Sprinkler/Alarm Pool
ectricaL New Service - # of AMPS Add ition/Altecation Change of Service _ _ Temporary Pole
echanical: Residential Non -Residential Replacement New (Duct Layout & Energy Calc- Required)
umbing/ New Commercial: # of Fixtures It of Water & Sewer Lines H of Gas fines
umbing/New Residential: # of Water Closets Plumbing Repair - Residential or Commercial
:cupancy Type: Residential Commercial Industrial
►nstruction Type: It of Stories: # of Dwelling Units: Flood Zone: (FEbIA form required )
veers Name & Address:
Phone
mtractor Name &Address: f J __-_„O0 t'�_Avu�
one & Far
nding Company
[dress:
{rtgage Lender:
;dress:
Contact Person:
State License Number:
ehitect/Engineer: Phone:
dress:
-- - --- Fax
plication is hereby made to obtain a permit to do the work and installations as indicated I certify that no wort: or installation has commenced prior to tl{e
mace of a permit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction. t understand that a separate
mit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS. POOLS, FURNACES. BOILERS, HEATERS. TANKS, and
k CONDITIONERS,. etc_
✓NER'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
istnrction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT M YOUR PAYING
/ICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING. CONSULT WITH YOUR LENDER OR AN
TORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
'TICE: 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
; county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies.
xptance of permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713.
1�c
�eU L 30l o7
Signature of Owner/Agent Date Signature of Contractor/Agent Date
n f
Print Owner/Agent's Name Print ntractor/Agent's Name \\\\\ T EF �y/
Signature of Notary -State of Florida Dale Signature ofNotary -State of FI ��J? Y 8 a A'9 • i1
_ r
>_®_�
� •• #DD507298 c '
Owner/Agent is _ Personally Known to Me or Contractor/Agent is Person ally Known /,I on •°nuance eo` s. •�OQ�\
Produced ID L Produced fl)�•STA1O�
?ROVALS: ZONING: UTIL: FD: ENG: BLDG:
cial Conditions:
03/2006
Uri �d 5��,�,-�
-NT PERM[A?2jLCAjLQN—
In accordance with the Standard Building Code, authorization to ereet a tent is issued to
the following individual.
Address
SA jV e
ic-1
, .4
"I i
Effective- 4- (LA2 / ;? 00 17
Expiration �e'lv 3 2 60 -7
A copy of certificate of Fire resistance is on file from
Date treated:
Chemical used
Chemical registration number:
Certificate number -
I certify that I have read applicable Articles of the Standard Building Code, and do hereby
.assure that adequate fire extinguishing equipment will be on hand, comfort stations
provided, and electrical service inspection prior to occupancy.
Signature of Applicant
Approved By:
Issued:
Permit -9:
10/10/88
IIL4 acL"
40i6APAOfffi4FWAf
300 N. Park Ave.
Sanford, FL 32771
Phone: 407.330.5697
Fax: 407.330.5691
City of Sanford
Leisure Services Department
Jennifer Brooks
Special Events Supervisor
Mailing Address:
P.O. Box 1788
Sanford,, FL 32772-1788
E-mail" brooksj@ci.sanford.fl.us
web: www.ci.sanford.fl.us
i ._
agh r.0
12719 Pine Arbor Drive
Clermont, FL 34791
407-509-3818
�dec�ilioCa�t�®rr.c®m
POWER OF ATTORNEY
Date:
To Whom It May Concern_
G & D Spe ial Event Services authorizes Milton Davis to register our company
with and oruil a
P permit for the following;
Company: 1v iW /o�,r�,� '?�e5 ; 6 vf / /)6sp,'fa/
Job Location: ;z c, c No r4 h 1h,4 N5 o u s 4 v e, 'Z/ 3 > > i
Event: "'13rea4e t- /1,4ely-1-
SU e -b i s acs
BD -;tzh 3 9- G a
Purpose: 5,P, :`ai ,Eve
Tent Size: D ' X,4/ 0
if you have any questions or need further information, please feel free to give me
a call at 407-666-4263.
incerely,
Danielle Di Gilio
Vice President
Swom before me this -2 Uday of
ho is personall I;nown to me anid�a- by Danielle Di Gilio
e an oath_
Signature of Notary Public and Seal
a°�..nee.eaao.���^=eGaa� eeaeeoewowQ
�... .;se....., ....:7.... MohryA.sn.��In.
The_C_yberKnife Center at Central Florida Regional Hospital
lipad
of Flume it, -t*' '
I to Stance
r ■ ® e, .1 p p�1.1 tail. RIY®IaTERfI® USBi� BN 1
j' "�,°• APPLICATION ANVAS Dote treated or
CONCERN No. �' RS fionulactured
Tent Renter's Supply #19218
e F-419.01 3723 Nebraska Ave Tampa, FL 33603 May 2006
800/865MM 813/248.9911 Fax 247.6369
Phis is to certify that the materials described on this certificate have been -flame-
retardant treated or are inherently nonflammable and were supplied to:
NAME: G & D Special- Events AT 12719 Pine Arbor
CITY _ Clermont. TATE FL 34711
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 Federal
Specification NFPA 701
Method of application: INHERENTLY FLAME RESISTANT
Trade name of flame-reaistant fabric or material used _ 11gh Gloss Sunblock
Chem, Reg, No. F-419.41
The Flame Retardant Process Used—will=..Be Removed By Washing
and is good for the life of the fabric Renewal or l�Certificatlon unnecessary.
y
Color and weight of fabric: White 1516 oz. psy
Description of item certified: —'
Tommy &Uxtino my Production Supervisor � i
Mance o/ Applicator or Pr1lductlOn Superintendent - Title
.� 'eft,— — — — - -
We hereby o:rtlfy this to be a true copy of the original "CERTIFICATE OR FLAME
RESISTANCE" Issued to lisp "original ocpy" of which has been filed with the California
State !tire Marshal.. ., J
Signed by
CITY OF SANFORD FIRE DEPARTMENT
FEES FOR SERVICES
PHONE # 407-302-2516 • FAX # 407-302-2526
DATE: 30 + PERMIT #: y
BUSINESS NAME / PROJECT:
ADDRESS: I Lt 0
PHONE NO.:
FAX NO.:
CONST. INSP. [ ] C / O INSP.:[ ] REINSPECTION [ ] . PLANS REVIEW [ ]
F. A. [ ] F. S. [ ] HOOD [ ] PAINT BOOTH [ ] BURN PERMIT [ J
TENT PERMIT TANK PERMIT [ ] OTHER [ ]
✓� pv
TOTAL FEES: S 5:� (PER UNIT SEE BELOW)
COMMENTS:
Address / Bldg. # / Unit # Square Footage Fees per Bldg. / Unit
1. 11_
2.
3. u
4.
5. - D3
6.
7.
8.
9.
10.
11.-
12.
13.
14.
15.
16.
17.
18.
19.
20.
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 I
will comply with all applicable codes and ordinances
of the City of Sanford, Florida.
__V__
e4�
Sanford Fire Preventio Division
Applicant's Signature