Loading...
HomeMy WebLinkAbout1540 S French Ave (3)CITY OF SANFORD PERMIT APPLICATION ARplicatior:,# : ©-I-,;z E -z I Submittal Date: �- Job Address: _ /5`G/o SC- _ 5Aa N �� �. Value of Work: Parcel ID: Zoning: Historic District: Description of Work: 5� 6 r . Square Footage: 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 ❑ 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 Occupancy Type: Residential ❑ Commercial ❑ Industrial ❑ Plumbing Repair -Residential ❑ Commercial ❑ Occupancy Use Group(s): Construction Type: .............................................................................................................................. # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required) Property Owner: ,4egM Cp G45N Co n_ Contractor: el -r la7 /Zr1_1(14 /. Address: Pe Z 7- 't /_ F"r- Address: _Y// � {o s Kms. �4y._ Or (e- do . Phone: Bonding Company: Address: Arch itect/Engineer: Address: E-mail: Phone: State License Number: Plan Review Contact Person: Mortgage Lender: Address: 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 will tify the owner of the ro of the requirements of Florida Lien Law, FS 713. Si atureof Owner/Ag ntDae Signature of Contractor/Agent Date 184,e�e Ai 57-xe rra cJ Print Owner/Agent's Name Print Contractor/Agent's Name ....... ........ SUSAN .............. X477 - ` Y Signature of Notary rida C 1m# p al Signature of Notary -State of Florida Date Expires 11/18/2007 aorKled itxu (800)432-42541w� S.nY..::......n..Fii iW8 Notary Aim., Inc Owner/Agent is _ —Produced ID APPROVALS: ZONING: Special Conditions: Rev 02/2007 Personally Known to Me or UTIL: FD: Contractor/Agent is _ Produced ID _ ENG: Personally Known to Me or BLDG: DATE: 06/041c) -i CITY OF SANFORD FIRE DEPARTMENT FEES FOR SERVICES PHONE # 407-302-2516 • FAX # 407-302-2526 PERMIT #: BUSINESS NAME / PROJECT: I. -x Ame�.A T::!% re abe-;.,k ADDRESS: 1-94-() S, F 11�,� 1e PHONE NO.: FAX NO.: CONST. INSP. [ ] C / 0 INSP.:[ ] REINSPECTION [ ] . PLANS REVIEW [ ] F. A. [ ] F. S. [ ] HOOD [ ] PAINT BOOTH [ ] BURN PERMIT [ ) TENT PERMIT 11,N` TANK PERMIT [ ] OTHER [ ] TOTAL FEES: $ S e3j) n COMMENTS: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. ]1. 12. 13. 14. 15. 16. 17. 18. 19. 20. Address / Bldg. # / Unit # 1 54 6 S, Fgte,.L .L (PER UNIT SEE BELOW) Square Footage 1-65o 0 0i-lo5101 Fees per Bldg. / Unit C50d 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. Sanford Fire Prevention Division Applicant's Signature RENTAL SERVICE 05/1.4/07 To Whom It May Concern: I, Paul E. Weidner, Jr., President of Kirby Rental Service & Sales, do hereby give permission for Mark Stratton to use my license to pull tent permits in the City of Sanford. The tent will be used for the sale of sparklers. Sincerely, Paul E. fei President " Shandra Kay Murphy a °"I Commission #DD221307 .-- Expires: Aug 30, 2007 `''46ii Bonded Thru Atlantic Bonding Co., Inc. 411 HAM ES AVENUE e ORLANDO, FLORIDA 32805 ♦ (407) 422-1001 • FAX (407) 422-0028 TOLL FREE 1-800-446-1011 I P 1 4 Sir/ Pp,tiS e T� 0 cr -b -o E iv, 1 ✓- ..- , ,r'.-�;� - c , : • ..-^. -..� .: -; ; �: - .. _ _ - - - fir•,- � i-^ _ --?�w3�.-:P.�d :fr`^ti- - _ - ` 3 - - . i■ Jim" s- a 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: 5-//- 0-7. This is to certify that the materials used in the construction of the �\ 5 Tj'Q C ARE M *by the , have been flame retardant treated (or are inherently non-flammable) Snyder Manufacturing Company Their registered application concern number E-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 Lite Of The Material. *THEIR Fabric Meets The Requirements Of Specifications Listed As NFPA-701 (Large Scale) F-140-01 REGISTERED Signed: & APPLICATION TENT D CONCERN NO. IC7 ENT