HomeMy WebLinkAbout1564 W French AveRECEIVED
CITY OF SANFORD PERMIT APPLICATION APR 18 2007
Application #: Submittal Date:
o�
Job Address: rU �,� -TOValue of Work: S
O� LTJ h? C/F JCC
Parcel ID: w� �Gi �3y J►o� —0CoC)C) Zoning: Historic District:
Description of Work: N��fit [ 1 A1t&2cSFJ-o J' Square Footage: _
................................................................................................................... 0...0
Permit Type: Building ❑ Electrical ❑ Mechanical ❑ Plumbing Fire Sprinkler/Alarm ❑ Pool ❑ Sign ❑
Electrical: New Service — # of AMPS Addition/Alteration ❑ Change of Service ❑ Temporary Pole ❑
Mechanical: Residential ❑ Non -Residential 0 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 ❑ Commercial ❑
Occupancy Type: Residential ❑ Commercial ❑ Industrial ❑ Occupancy Use Group(s):
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required)
...................................................................................................... 0................0
Property Owner: lq,9 44co it (;11:) Contractor: voua EN tl X a WulcDo's Sj crtl
Address:!�r�' : 07 c; Y Address: , 0 S il�'Z' A� Roc (c fi O 4e,
"T
t� 7r �1�`=,''' 1`�ildL'vC �l r,2; tnc%<I ('��L,►wv�11�Q., �-'C__. �3��%L�
Phone: v f Lf.�-mail: Phone: o
1603State License Number: G FC f �(�SF',S
Bonding Company: Mortgage Lender: _
Address: Address:
Architect/Engineer:
Address:
Plan Review Contact Person:
Phone: Fax:
Phone:
Fax:
E-mail:
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 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 of Florid Lien Law_ FS 713.
i 07
Signature of Owner/Agent Date S,gpature of Contractor/Agent ate
Print Owner/Agent's Name P ' ntr< tor/ g is Name
y //
Signature of Notary -State of Florida Date Signature of Notary -State of Florida Date
Owner/Agent is _ Personally Known to Me or
Produced ID
APPROVALS: ZONING:
Special Conditions:
Rev 02/2007
UTIL: 4 ZQ:o0 FD:
Contractor/
Produ
ENG:
MY COMMISSION # DD629096
015'6d
GENERAL POWER OF ATTORNEY
I, Kimberly J. Lostetter, owner of Your Environment's Solution, located at 8805 Florida Rock
Road, Orlando, Florida 32824, License number CFC1425893, hereby appoints James Tetreault,
as my Attorney -in -Fact ("Agent") in order to obtain a Permit for Montego Bay Grease Trap
Project, from the City of Sanford, Florida.
My Agent, James Tetreault, shall have full power and authority to act on my behalf in
order to obtain said permit, including, but not limited to the signing and filing of
documents necessary City of Sanford, Florida in order to obtain said permit.
My Agent shall not be liable for any loss that results from a judgment error that was made in good
faith. However, my Agent shall be liable for willful misconduct or the failure to act in good faith
while acting under the authority of this Power of Attorney.
I authorize my Agent to indemnify and hold harmless any third party who accepts and acts under
this document.
My Agent shall provide an accounting of all actions taken by him performed as my Agent, if I so
request.
Dated (tel 20
Signature:
Acknowledgement:
STATE OF F( ah' n
COUNTY OF`� q
J
The f regoing instrument was acknowledged before ffi�e this ` day of
r 20 D7 by �, r �� x 4 r who is personally
know to me.
Signatun taMg acknowledgment
N" KENNETH J NEWMIAN
'`: MY COMMISS(UN 4 )L)6188566
t.
o,M1d` EXPIRES November 30 2010
(407)388.0153 FbridallolarySemce.com
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GREASE TRAP DOUBLE COMPARTMENT
NOTE' VJDTH VARIES
i-VOLUMETOSEOpRUINEDBY.
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ENGINEERORI JrNEEupCNAppUaATINj3yOWNM
'TURAL DESIGN SHALL BE THE RFSPoNSIBUITy Its,
2_ STRUL
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3. ONLY KITCHEN ��S=CBJE
WASTE ARGE.D INTO THE
-
ROOMS) TRAP. I I- REST.
HALL BE CONNECTED DDIANSM" OFTHE
GREASE SHALL
4. ALL PIPE AND FITTINGS FOR OUTLET
STATION PER ASTM 2685.
5- BUILDING FLOOR ELEVATION SHALL BE V HIGHER THAN
MANHOLE COVERB.
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Project: Montego Bay Caribbean Take -Out
1564 W. French Ave.
Sanford, FL 32771
671-1734 (Mrs. Sparks)
Owner: Raymond Sparks
Strip Mall Owner: Ramco USA Development Corporation
c/o Bradley Corporation
PO Box 2291
Winter Park, FL 32790
321-436-8650