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HomeMy WebLinkAbout130 Tech Dr (2)off- 7a(p Electrical: New Service — # of AMPS Addition/Alteration Square Footage_ R CEI f ED Plumbing tre prinkle larm L/ Pool 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 Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required) Owners Name & Address: 61bX 417 Q q % Phone: 4Cn •,3P4• SSOS Contractor Name & Address: b Dr. p i bate License Number: Phone & Fax: pJ b Contact Person:fXJ7,15P" A11692?2Q4 Phone: *92, 3 ? (P65)e Bonding Company: Address: Mortgage Lender: Ma Address: Architect/Engineer: Phone: Address: Fax: Application is hereby made to obtain a permit to do the work and installations as indicated. 1 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. 1 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: 1 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 1 will notify the owner of the property of the requiremen of Florida ' Law, FS 713. Signature of Owner/Agent Date Sign lure of Contra I r/Agent Date l .l/ Print Owner/Agent's Name Print Contractor/Ag is Name S Oto Signature of Notary -State of Florida Date Sign re of ry-State of Florida Date _ Owner/Agent is _ Personally Known to Me or Produced ID APPROVALS: ZONING: Special Conditions: Rev 03/2006 UTIL: -'o_'FD:lq- - Notary -• - ----- Jaoquellna 8 Courtr4.)My Comn isttion D0595M ires 1012512010 i or/Agent is, • Pers na duced I r f ENG:- BLDG:, V L-)5 Expires: Sept: 30, 2007 SEMINOLE COUNTY OCCUPATIONAL LICENSE i Account: 126842 STATE OF FLORIDA RAY VAL•DES, TAX COLLECTOR ' i LICENSE TO ENGAGE IN BUSINESS, M1zl ? _ i ._• ;PROFESSION OR OCCUPATION. SPECIFIED BELOW. i;Jh: s,•,c FREEDOM FIRE PROTECTION • OF CENTRAL FLORIDA INC- ' 601 CENTRAL PARK OR REGULATED SANFORO,FL 32771 State Lic.# — 2229660012003 FRED LUPO (OFFICER) ii CITY LICENSE REQUIRED ** w awn FREEDOM FIRE PROTECTION OF CENTRAL FLORIDA INC 601 CENTRAL PARK OR SANFORD, FL 32771 Amount Paid:$ 3.00 10162006102504113 1 City of Sanford Planning and Development Services Department Licensing. Division P.O. Box 1788 Sanford, FL 327.72-1788. 407) 330-5656, 5657, 5660 Occupational. License FREEDOM FIRE PROTECTION OF CENTRAL FL, INC 601 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 LICENSED! CLASSIFICATION EXPIRATION DATE LICENSE ANT PENALTY ANT TOTAL 26577 FIRE INSPECTIONS 09 30 07 26578 CONTRACTOR 10 OR MORE EMPLOYEES 109/30,(071 20.001 1 20.00 r c ar warvna r any Jr nannLGn VLJa V17 a17J INLLNIIVIV AI`IV KCYMIK STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF STATE,FIRE MARSHAL u TALLAI(ASSEE, FLORIDA CERTIFICATE OF COMPETENCY THIS CERTIFIES THAT: FREDRIC J LUPO 1307 CENTRAL PARK DR SANFORD, FL 32771- BUSINESS ORGANIZATION: FREEDOM FIRE PROTECTION OF CENTRAL FLA INC CONTRACTOR II IS LIMITED TO THE EXECUTION OF CONTRACTS REQUIRING THE ABILITY TO LAYOUT, FABRICATE, INSTALL, INSPECT, ALTER, OR SERVICE WATER SPRINKLER SYSTEMS, WATER SPRAY SYSTEMS, FOAM -WATER SPRINKLER SYSTEMS, FOAM -WATER SPRAY SYSTEMS, STANDPIPES, COMBINATION STANDPIPES AND SPRINKLER RISERS, ALL PIPING THAT IS AN INTEGRAL PART OF THE SYSTEM BEGINNING AT THE POINT OF SERVICE, SPRINKLER TANK HEATERS, AIR LINES, THERMAL SYSTEMS USED IN CONNECTION WITH SPRINKLERS, AND TANKS AND PUMPS CONNECTED THERETO, EXCLUDING PRE-ENGINEERED SYSTEMS. 07 101 I2006 107 116 I Seminole Issue Date I Type I Class I County 22296600012003 Chier Financial OMcer 7555220001 License/ Permit Number I Application It 150.00 10613012008 Taxes & Fees I Expire Date CITY OF SANFORD FIRE DEPARTMENT FEES FOR SERVICES PHONE # 407-302-2516 - FAX # 407-302-2526 n DATE: ' (0 PERMIT N: m - / a 4P BUSINESS NAME / PROJECT: U r 011 CST uC C 2 ADDRESS: 1.eG v ^ PHONE NO.: ,l FAX NO.: 7G? CONST. INSP. [ J / O INSP.:[ ] REINSPECTION [ J PLANS REVIEWF. A. [ ) F.S. HOOD [ ] PAINT BOOTH [ BURN PE MIT [ ]- TENT PERMIT f) TANK PERMIT [ ] OTHER/rCYr` r4o TOTAL FEES: S C ob ( PER UNIT SEE BELOW) COMMENTS: Address / Blde. # / Unit # Square Footase Fees per B1dtz. / Unit 2. 3. 4. 5. 6. 7. 8. 9. 10. 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 1% will comply with all applicable codes and ordinances of the City of Sanford, Florida. Sanford Fire Prevention Division Applicant's Signature