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HomeMy WebLinkAbout3219 S Orlando AveCITY OF SANFOAD PERMIT APPLICATION Permit # : 01 l 5(z 1 • Job Address: 3219 S. ORLANDO AVE SANFORD, FL. 32773 Ned Date: MARCH 20, 2007 RECEIVED Description of Work: REACFE E02 (X1) CRP PANNED VERTICAL - RE -SKIN E01 EXISTING AWNING Historic District: Zoning: Value of Work: $ 4000.00 Permit Type: Building X 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 _ 2007 Occupancy Type: Residential Commercial X Industrial Total Square Footage: 96.86 Construction Type: PW5bW # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X) Parcel #: # 11-20-30-300-006A-0000 (Attach Proof of Ownership & Legal Description) Owners Name & Address: SUNFORD INVESTMENT LLC/ 3455 S. ORLANDO DR SANFORD, FL. 32773 Phone: 407-330-4602 Contractor Name & Address: Bryson of Brevard d.b.a. Kendal Signs 446 Gus Hipp Blvd Rockledge, FL. 32955 State License Number: ET11000616 Phone & Fax: p # 321-636-5116 f# 321-636-0402 Contact Person: Michelle Wilbur Phone: 321-636-5116 Bonding Company: Address: U"cb-C `I f! 9j 1KQ, IAA' S I Ci IJS .CM AA Mortgage Lender: Address: Architect/Engineer: Address: 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 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 lori�w, FS 713. Signature of Owner/Agent Date Signature of Contractor/Agent Date Print Owner/Agent's Name Signature of Notary -State of Florida Date KENDAL MULLEN Print Contractor/Age is Name Sig f Notary-St710 i Date J" Owner/Agent is _ Personally Known to Me or iacgent is sonal�y Known to or _ Produced ID _ Produced ID APPLICATION APPROVED BY: B14, 4 Zoning: J/1 *• til •a 7 Utilities: FD: (Initial & Date) (Initial & Date) (Initial & Date) (Inti: — Special Conditions: '0 % n 5•WL 11 *) Si T 5 ►^ iC� atArl� w\�v la U4.z 40, �3 �►c �' A�, VAMP A No uNotary Public State of FloridaAnna Johnson My Commission DD644480 Ex ires 02/26/2011 $- lot 03/05/2007 14:38 3216360402 KENDALSIGNS! PAGE 02103 LUMnD POWER OF ATTORN1CY Project Name:, SUNBELT RENTALS Project Location; 32.1.9 5- OPT ANDO AVE SANFO, RDrL. 32773 Permit Issuing Agency; CIZ`Y OP SANFORp Fflnlcd TlnRic ProPCM owner of the above noted property, do hereby empower Flryson of Brevard, Tnc., d.b-s- Kendal Signs (a slate registered Speeialt), Lleet:rical Contractor — T,.icer';C #F7l ] 0 0('] 6) and/or any autltortzed .representatit�c of $ryson of Brevard, I.nc_ d:b.a. Kendal Signs, to submit for and receive Sign/Building permits and related electrical pemuts and to fabric�ite and or install signage as required at the above noted property/tenant space. Furthermore, any authoriacd, representative a.FT3ryson of Brevard, Inc., d.b.a, Kendal Signs, mary sign documents required Io obtain such permits in my stead. The powers provided above are Mictly related to the permits as outlined above ,tad powers 511,.11 cease immediately upon approved final inspections for the project described above. Additionally the powers provided above are riot: relevant lo arty other project or smatter without a separate and additional .Limited .Power of Attorney document being provided, I hHve laced my nofazir gna or mark below to allow sttch atjtlaorisrtivtt. /Z, Jecj any Ownar SiFTn Title Pia CrFv OWOCr 55: 3T�✓ ��`�'R-�i'U � /� 3� 7 Properly hwtter Phane: 7' -7 �V property Owner Facfitrtile; T �% 7- 3.? -03 7 The oregol - trument was acknowledged before g day of -/!tel. , 2007 t/L ,who is p ona.11y known t e ! who rovided. p as identifcatio and who did / did not lake an oath- State of County of Notary Stamp/seal Notary Signature p.�DOM 1119 ; lodda NezyAM. M .. :oose..... ......@* - LIMITED POWER OF ATTORNEY' -----Sign/Building, Electrical Permits and related documents ----- Project Name: SUNBELT RENTALS # 11-20-30-300-006A-0000 Project Location: 3219 S. ORLANDO AVE SANFORD FL, 32773 Permit Issuing Agency: CITY OF SANFORD I, Kendal Mullen, Qualifier and President of Bryson of Brevard, Inc. d.b.a. Kendal Signs (a state registered Specialty Electrical Contractor – License #ET11000616) do hereby authorize MICHELLE WILBUR to submit for Building/Sign permits and related electrical permits as well as to receive approved Sign/Building permits and related electrical permits as directly related to the project name, location and issuing agency outlined above. Furthermore, MICHELLE WIBLUR may sign documents required to obtain such permits in my stead. I have placed my notarized signature or mark below to denote such authorization. Qualifier Address: 446 Gus Hipp Blvd., Rockledge, FL 32955 Qualifier Phone: 321-636-5116 – Qualifier Facsimile: 321-636-0402 The foregoing instrument was acknowledged :;;; day of C - —2007 by Ih(.� Pl wh is n� o provided r' as identification and who did / did not take an oath. State of f -L County of N A0 otary Signature Notary Stamp/Seal 000(/, Notary Public State of Florida 24 ';F Anna Johnson My Commission DD644480 Expires 0212612011 THIS INSTRUMENT PREPARED By. 03NANF,007 14:38 "2 6'60402 KENDALSIGNS! PAGE 03,'03 ADDR. G 1 Cl<<2-rte lc�NOTICE OF COACWENC.EIV E, NIT STATL- CF Florida COUNTY OFJrt t �� TBL t.WDEPSIGNED hereby gives notice that i.mpmvement will be made to certain real, property, and in accordanec with Chapter 713, Florida Statutes, the Following information is provided in this Notice of Commcncement. l . De9cript;on of p.[operty: (legal dcscrit►tion of property, and street address if available) ID# 11-20-30-3W-Cq.W5 3219 S. ORLANDO AVE SANFORD, FL. 32773 2. Gen.ctal description of.impruvemcnt: R -Ski aw 'n la e i face inst�lf cabin sign, 3. owarrinfoirnataen: SUNFORD INVESTMENT LLC 3455 S. ORLANDO DR a. Name and addrma: SANFORD, FL. 32773 b. Interest in , mp �= c Owner r c. Name and Tdd.resv of fce supple titleholder (if athcr than uwner): 4. Contra. Mr. (name and address) Bryson of Brevard, d.b.a. Kendal Signs 446 Gus Hipp Blvd a- Phone number: 3,���6�� fi3��_0402 Rockledge, FL. 32955 5. Surety: a. Name and address: b. Picone number. 6. Lender: (name and address): a. Phone number: e. Amount of bond S 7- Persons with the Sl:stc of Florida deaignated by Owner upon whom notices or other ducuntcnt9 may be served as provided by Section[ 713.13(I,)(a)7, Florida Stat:utcs: (name And. address): $- In addition, to .him9elF, QN+.ncr deaignatcs the following pbrso.n(s) to receive a copy of the f..icnpr's Notice a9 provided in Section 71.3.13(1.)(0), Florida Statutes: (name and address) 0. EXPir8taon date oFnotice Of corn.mencMent (the expiration date is one (1) year fTomsCte of recording unless a. different date .is specified) ma' This`§$geti�lclti�'Jsc only / C%)2bb -)IT COURT E'': cLORIDA ,rcoF _ Sween to an subscribed b fo. e ( `h;.s MORSE, CLERK OF CIRWIT CUJRT NO.1-A.RY prls.Lrc OF SEMINOLE COUNTY a;-ruuna•uuuu...... ae+n.avunuuvu ' �r KIM G. ROSINF-TiE _ FILE NUM 2007041780 :••70KOA '°= ,��"1V r �`-, " d. ROBIP�TiE - .•AY "�,� m [?604545 lP1DED 03/24/'ccNJ7 11:4:49 Ar+Etbn+ `X010 P€Et DING Fr'_ES 1t?.00 Expi�es11H5in0110R *ED BY T Smith = _ i'nNotaryAsen..br0 a....o ....:. _.._..........: STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION a _ rrLECTk-CAL CONTRACTORS LICENSING BOARD 1940 NORTH. MONROE STRE(850) 487-1395 ET TALLAHASSEE FL 32399-0783 MULLEN, KENDAL B BRYSON OF BREVARD INC DBA KENDAL SIGNS 446 GUS HIPP BLVD ROCKLEDGE FL 32955 DETACH HERE SREVARD C( UKT ©CCUPATIONNAAL LICENSE 20SUBJECT NSE CTIONS SHOULD BE DISPLAYED ON USES r'PERSO N(S), OR ENTITY BELOW: LICENSE PERIOD: ocTOBER 1, 2W6 - WIPES: KENDAL SIGNS 446 GUS HIPP BLVD ROCKLEDGE FL 32953-0000 SC�-SD AS 7 DICAT ED FOR THE FOtiGA'iNG LOCATION: G I_ia:P Li BY: 446 GUS i-UPP BLVD CITY OF ROGKLEDGE FL 3295570000 BRYSON OF BREVARD INC SF CLAb-S.. ICAT IONS, DISCLA MEMS, AND REI ATED FEES: ACCOUNT NO. 963G374 SEPTEM13ER 30, 2007 SEPTENWER 30,2w7 ISSUED PURSUANT AND SUBJECT TO FLORIDA STATUTES AND BREVARD COUNTY CC-uE. ISSUANCE DOES NOT CERTIFY COMPLiAINCE WITH ZONING OR OTHER LAWS. UOENSE IS SUBJECT TO REVOCATION FOR ZONING VIOLATIONS, AND i OR FAIWRE TO MAINTAIN. REGULATORY PRE-REMISITES AS REQUIRED FOR LIC. CLASSIFICAI N0 S), OR SUBSEQUENT ACTIN M. NOTIFY TAX COLLECTOR UPON CLOSING OF BUSG`IESS. A PERMIT IS REQUfRED TO ADVERTISE Cmcl I&Lgi v& signage} °GOING OLTI- OF BUSINESS'. ROD NORTHCUTT, CFC, CPM, Tax Cogeeor, &--vad County P 0 Box 2500, Tk%vMe, Florliia 32R1 -25W (321)264-6940 UPON A CHANGE OF OWNERSHIP OR LOCATION. LICENSE SHOULD BE T RANSFERRED WITHIN 30 DAYS. EXEMPTIONS: NON EXEMPT $.OD $37.00 $20.00 BRANCH OFFICES: Merritt Island Office, 1450 N. Courtenay Pkwy, Merritt lsfarid, FL 32953 (321) 455-1413 Melboume Office, 1515 Sarno Road, Melbourne, FL 32935 (321)255-4453 Paim Bay Office, 2050 Eldron Blvd SE, Palm Bay, FL 32909 (321) 952-6325 :f,4il� OFFICE: 400 South St - 6th Floor, Tfi�sville, FL 32780 (321) 264-6510, {321)633-2199, ext 46910 PENALTY - 300565 SIGN EPEC €M LAMP - 470273 GWHIC ARTST iLLUSTRATtON 590501 HAZ. WASTE GEM SURCHARGE 820005 2006 - 2007 LICENSE AMT NEW HAZ WASTE CMG ROD NORTHCUTT, CFC, CPM, Tax Cogeeor, &--vad County P 0 Box 2500, Tk%vMe, Florliia 32R1 -25W (321)264-6940 UPON A CHANGE OF OWNERSHIP OR LOCATION. LICENSE SHOULD BE T RANSFERRED WITHIN 30 DAYS. EXEMPTIONS: NON EXEMPT $.OD $37.00 $20.00 BRANCH OFFICES: Merritt Island Office, 1450 N. Courtenay Pkwy, Merritt lsfarid, FL 32953 (321) 455-1413 Melboume Office, 1515 Sarno Road, Melbourne, FL 32935 (321)255-4453 Paim Bay Office, 2050 Eldron Blvd SE, Palm Bay, FL 32909 (321) 952-6325 :f,4il� OFFICE: 400 South St - 6th Floor, Tfi�sville, FL 32780 (321) 264-6510, {321)633-2199, ext 46910 p' ;'CiSr2-307 14:58 FA„t S 2 1 631 5801 MOULTON AGENCY INC ACCURa CERTIFICATE OF L.IABILi P'RODUCEP THE MOULTON AGENCY, INC 3585 Murrell Rd #B I Rockledge, FL32955 321 6.31-5800 "``UREO Bryson of Brevard, Inc. DBA Kendal Signs 446 Gus Hipp Blvd j Rockledge, FL 32955 —321636 5716 C�j 003003 DATE(MIAMONYYY) INSURANCE L-21512007 THIS CERTIFICA PE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER- THIS GERAFICATE DOES NOT AMEND, EXTEND OR ALTER THE 001►ERAGE AI=FORDED BY THE POLICIES BELOW - INSURERS AFFORDING COVERAGE NAIL# INSURER A. Nautilus Insurance Co. INSURER B: COmmarCA 6 1nd%i3try Int. CO. .INSURER C: INSURER D. INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED IQ I HE INSUKEU NAMtLl AGVVt )-U-c I rnG rvuL ] rcrcIUw PVV14r+r w r r.nnv,.. +r,.v REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPEr1T 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 P _11CIES. AGGREGATE LIMITSSHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. cna'� 'r4Gi P LI ECTIV ( E I POLICY rRT�N LIMBS :: ir.9Nni TMr05;'WSt1RAMCE POLICY NUMBER DATE( M /O OrYY1 DATE 1A1DD GCNERAL LIABILITY ! X I COIAMFRCIAL GENERAL LIABILITY QLA-MSMADF_ I X I OCCUR GEN'L AGGREGATE LIMIT APPLIES PO 7 POLICY 177 JEO t l LOC AUTO h1 G'" d ILE L IAE31 LITE ANYAUTO ' ALL Cy'NED AlJTDS _ISCHEDULED AUTOS -t1REDAUTOS ' I NON-01ANEDAUTOS C-ARA0E :IABILITY I ANYAUTO =-)(CE3VUld6R.ELLA LIA6ILITY OCCUn L -I �LAIMSMADE UE'DUCTIDLE '�JORI(ERS C047PEiv5ATl!�t+iANQ 66aFLOYER3' UhBIUTY arar FFOPRit'?OkfPAr'rNErv'Ex`-cuY)vE Ts OFPc-=R'N,EN$ER EXGLUDE�' D !f-ies'i—Em0urm r j 3rk6 iEPRCVISIONSbglcw I OTHER DESCRIPTION OF BN561497 WC176-27--32 TE HOLDER seminole County 1101 East First St. Sanford, FL 32771 II ACORD25(2001108) rl 5/18/06. 1.5/"_.8/07 EACH OCCURRENCE 1 5 MFDEXP(Anyoneperson? $ 5_,0001 PERSONAL& ADV INJURY I $ Z 00 GENERAL AGGREGATE 3 ?'000'000j I PRODUCTS -COMPIOPAGG 1 S 2,000,0001 COMBINED SINGLE LIMIT $ (Ea RMIdent) BODILY@UURY (PcrP«) i BODILYINJURY (Ptramdenl) PRQPERTY DAMAGE 3 (PerercldcnI) AUTO ONLY. FAACCIDENT S OTHERTHAN EAACC S AUTOONLY: AGG S EACH OCCURRENCE $ AGGREGATE $ 5 S F 02/04/07 02/04/08 1 E.LEACH ACCIDENT Is EL DISEASE - EA EMPLOYE S E.L.DISEASE-POLICYLIMIT E SPECIAL PROVISIONS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WALL ENDPAVOR TO MAIL30 DAYS WRITTEN NOTICE TO THE COEIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO DO SO SHALL IMPOSE NO OOLIGA'1ION OR LIABILITY OF ANY KIND UPON THE INSURER. ITS AGENTS OR 18$8 SUNBELT Existing Signage: E01 RENTALS Proposed Signage: Recover Existing Awning 2'-2" 9 112" 01-08-07 0-2 5/8" Site Recommendations: Sanford ID #: 248 Address: 3219 S. Orlando Avenue, Sanford, FL 0 C' n" M X Z< o E01 Northwest Elevation Existing Signage: FNR-AW-18 3-6" OAH 2'-0" deep V-0" Top Curve 2'-6" Face Height 190'-0" wide Awning Material = Vinyl Awning Manufacturer = TBD Existing Fascia: Material: CMU / Wood Condition: Clean and in good repair Recommendation: Standard patch / repair SPECIAL CONDITIONS: No Special Conditions for this Location Re -skin awning with Patio 500 #514 Lime Green IIA Manufactured by John Boyle or equal with Sunbelt Rentals standard graphic. Graphic = 26.5 sq.ft. (QTY. 3) Overall Graphic Area = 79.5 sq.ft. A j IMMU '�'�.rranacrwa SUNBELT Existing Signage: E02 Site Recommendations: Sanford ID #: 248 RENTALS Proposed Signage: S/F CRP -PANNED VERTICAL 4.2 Address: 3219 S. Orlando Avenue, Sanford, FL ORIGINAL PHOTOGRAPH 01-08-07 COMPOSITE PHOTOGRAPH with PROPOSED SIGNAGE sir UKV-1JANNtU VERTICAL 4.2 Custom PANNED LEXAN replacement panel Qty. (1) �4 2 2001 17.36 sq.ft. E02 Northwest Elevation Existing Signage: FNR-WM-4.2 4'- 2" tall 4'- 2" wide 8" deep Square Footage = 17.4 sq.ft. Face Material = Panned Acrylic Sign Condtion = Good SPECIAL CONDITIONS: -Remove existing sign faces and install new Sunbelt Rentals Panned LEXAN Face in existing cabinet. -Touch up Paint Black cabinet where necessary. BANGING DESIGN IO AfA:Iry SUNBELT Existing Signage: E01 Site Recommendations: Sanford ID #: 248 RENTALS Proposed Signage: Recover Existing Awning Address: 3219 S. Orlando Avenue, Sanford, FL 01-08-07 1901* -0" 12'-2 5/8" MIN SUNBELT RENTAL t r Z -O"1 add X--6" SUNBELT RENTALS Sanford ID #:248 Sanford, FL Instructions 1. Label and identify signage. 2. Label store entrances. 3. Label photograph #'s and position. 4. Fill in frontage measurements. 5. Write any additional information when needed. Road Frontage N Elev: S Elev: E Elev: W Elev: 95'-0" Symbols E01 Existing Signage # N01 New Signage # Photograph # Notes F— iFc$— 0 BRINGING UFSIGN IO REALITY 9010 Farrow Road Columbia, SC 29203 Phone: 803/790/212 Fax: 803/790/2125 N 0 M E03 T 0 0�© 23 � 95'-011 E02 Image Provided by Google Earth Pro © 2006 Google SUNBELT RENTAL B Sanford ID #:248 Sanford, FL Instructions 1. Use this map to get your bearings at the site. 2. Label all information on next page. Notes: MILE • :�' 'WRRINGING DESIGN TO REAP 9010 Farrow Road Columbia, SC 29203 Phone: 803/790/212 Fax: 803/790/2125 ■ MILE • :�' 'WRRINGING DESIGN TO REAP 9010 Farrow Road Columbia, SC 29203 Phone: 803/790/212 Fax: 803/790/2125 I m, --3 4zcc -- ---- --— — — — — —-- tr_ cr) 14 0 ORLANDO AVE. (S.R.17-94) 1 1 SAMLL EQUIPMENT DISPLAY r" 1 r 0 i------------------- 1 1 .-•7-, :T z Er? I m (7---_____ - Z T D 1 y Ll� B• -r I -1--1--- I S ENT JIN I p J. BS' -s• to r --- -----� I —�O ,- :mtdfdkN >>eNila -40 12'-0• PI' -o• R I r ---� STOP I O j $m I I I I �PAMP jj v I I I I o• I + o I `I' �' Nllr O I I I A 0 I I I I O 30-0- 2f-8• I I IB' -o' sa'Lo• I IB._o. - lo' -o• o I y I I I I m w I I 1 1 N i j l I dO1S ~ o —► O m 1 0 Jo' -o• I D Z m Y0 SCISSOR - CHARGING STATIONS /D� N WASH PAp V l D ' O i I -- -- -- -- m Z p i L____=--_= m �_J - - - EQUIP ENT RAG - c - - - - - - - o --- 1 5 THIS AREA TO BE RE—GRADED T AND TO RECEIVE NEW GRAVEL MAETRIAL ' L _ __ _ _--_---'--'-_________ ___ _____` ` `S 19m ---.... _._..... --...__... ...------- IMAGE RESOURCE GROUP, INC. THIS IS AN UNPUBLISHED DESIGN OFFERED BY IRG, INC.. IT IS SUNBELT RENTALS 9010 FARROW ROAD SUBMITTED FOR YOUR PERSONAL USE IN CONNECTION WITH THE COLUMBIA, SC 29203 PROJECT PLANNED FOR YOU BY IRG, INC.. IT IS NOT TO BE SHOWN TITLE: SHEET: OF: • t + PHONE: 803-790-2121 TO ANYONE OUTSIDE OF YOUR ORGANIZATION NOR IS IT TO BE SITE PLAN - SANFORD 248 1 1 L • + USED, REPRODUCED, COPIED, OR EXHIBITED IN ANY FASHION FAX: 803-790-2125 WHATSOEVER. ALL OR ANY PART OF THIS DESIGN (EXCEPTING LOCATION: DATE: DRAFTED BY: PROJECT MANAGER: BRIN�:ING DESIFNTO REALITY REGISTERED TRADEMARKS) REMAINS THE PROPERTY OF IRG, INC. I .219 *oLith Orlando Avenue, Sanford, FL 03-74-07 3 k JSAVN J.VWLSON CITY OF SANFORD FIRE DEPARTMENT FEES FOR SERVICES PHONE # 407-302-2516 • FAX # 407-302.2526 DATE: z— PERMIT #: 0 . n J' I SZ9 1 BUSINESS NAME/ PROJECT: 1. ADDRESS:cc�— PHONE NO.: FAX NO.: CONST. INSP. (J C / O INSP.:[ J REINSPECTION [ ] PLANS REVIEW F. A. [ ] F.S. [ ] HOOD ] PAINT BOOTH [ ] BURN PERMIT [ } TENT PERMIT Jt �TANK PERMIT [ ] OTHER(]' TOTAL FEES; �. )�©� (PER UNIT SEE BELOW) COMMENTS: Address / Me. # / Unit # 2. 3. 4. 5. 6. 7. o 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. Sanford it revention Division Applicant's Signature