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HomeMy WebLinkAbout1625 Rinehart Rd32 iZ Frti "`- 't✓ � V IC ©F A FORiD PERMIT APPLICATION Application # : /" `05 Submittal Date: Job Address: l%if! 1(M Value of Work: S /I Parcel TD: Zoning: Histort istrict: �,)v�cj� Z acc �e 2 j n Wzt a•- 4 Cob lif Description of Work: quare Footage: ................-....................... A ............................................................................. Permit Type: Building ❑ Electrical ❑ Mechanical ❑ Plumbing ❑ Fire Sprinkler/Alarm TA Pool ❑ Sign ❑ Electrical: New Service - # of AMPS NI/� Addition/Alteration ❑ Change of Service ❑ ///T"`e���mporary Pole ❑ n -Reside Mechanical: Residential ❑ Nontial ❑ Replacement ❑ N. e, 1w ❑ (Duct Layout & Energy Calc. Required) Plumbing/ New Commercial: # of Fixtures N A /,_# of Water & Sewer Lines4 # of Gas Lines Plumbing/New Residential: # of Water Closets � Plumbing Repair -Residential ❑ Commercial ❑ Occupancy Type: Residential ❑ Commercial Industrial ❑ Occupancy Use Group(s): i Construction Type: N /a # of Stories: �" %� # of Dwelling Units: N Flood Zone: N A (FEMA form required ) ....... r ..... VR; � ......... C4 •Property Owner: _t IC .{�� Contract' / Address: ress: 1 `v �.�-4 z�FO723t�iOiO Phone: _ N El -mail: � q Phone: State License Number: Bonding Company: N/,g- Mortgage Lender: NLl� Address: NM Address: N�A Architect/Engineer:/Phone: Address: N , ( r Fax: /V Plan Review Contact Person: N�� Phone: A Fax: / V 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. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. 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 promilvof the requirements of Florida Lien Law; FS 713. Signature of Owner/Agent Print Owner/Agent's Name Signature of Notary -State of Florida Owner/Agent is _ _ Produced ID APPROVALS: ZONING: Special Conditions: Rev 07.07 Personally Known to Me or UTIL Date Date r, Date Sign&bre`of Notary -State of Florida J Date h�ELIZABETH T. KRMS Nary P.1�lla = S� d F1dIAA1� 1d,n�wmtCgjpp Qy ,l023. 2t Contractor/Agent is Personally nown Produced ID FD: 1'V1VfiYMVUWi-6D ENG Nttry Public -State 0! FIO & Ca anbsim # 00 3UM SOUTHERN FIRE PROTECTION OF ORLANDO, INC. 3801 EAST STATE ROAD 46 SANFORD, FLORIDA 32771-9155 407-323-4200 City of Sanford Plans Review & Inspection Dept. Sanford, Florida Dear Fire Plans Reviewer, September 11, 2007 Southern Fire Protection of Orlando Inc. is adding (4) standard response fire sprinkler heads and relocating (2) dry pendent type sprinklers in the cooler and (2) dry pendent type sprinklers in the freezer of Red Brick Pizza located at: 1625 Rinehart Road, Sanford, Florida. Southern Fire Protection will do all work in accordance with N.F.P.A 13 2002 edition codes, regulations and local authorities. Southern Fire Protection will contact your office when the work is complete for a visual inspection. If you have any questions please do not hesitate to call. Sincerely, Brian Moore Service Manager Southern Fire Protection of Orlando, Inc. SOUTHERN FIRE PROTECTION OF ORLANDO, INC. 3801 EAST STATE ROAD 46 SANFORD, FLORIDA 32771-9155 407-323-4200 City of Sanford September 11, 2007 Plans Review & Inspection Dept. Sanford, Florida Dear Fire Plans Reviewer, Southern Fire Protection of Orlando Inc. is adding (4) standard response fire sprinkler heads and relocating (2) dry pendent type sprinklers in the cooler and (2) dry pendent type sprinklers in the freezer of Red Brick Pizza located at: 1625 Rinehart Road, Sanford, Florida. Southern Fire Protection will do all work in accordance with N.F.P.A 13 2002 edition codes, regulations and local authorities. Southern Fire Protection will contact your office when the work is complete for a visual inspection. If you have any questions please do not hesitate to call. Sincerely, Brian Moore Service Manager Southern Fire Protection of Orlando, Inc LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: q- ` Z I hereby name and appoint: (� PP an agent of. (Name of Company) to be my lawful attorney-in-fact to act for me to apply for, receipt for, sign for and do all things necessary to this appointment for (check only one option): * I All permits and applications submitted by this contractor. ❑ The specific permit and application for work located at: (Street Address) Expiration Date for This Li •ted Power of Attorney-VA-0-� `i'f lot License Holder Name:? 6-(CC�kjw e State License Number: -74o-7Z .J��Vu 2jo Signature of License Holder: STATE OF FLO„(� A� / COUNTY OF U-6 The foregoing ' me t wa ac=owledged befoye this l2day of& auaer200 by ( �/ �1 t' who is ersonally known to me or a who hasroduced F.. - as P — identification and who did (did not) take an oath. SigiatureM (Notary Seal) f�bvl �� ` ��.�A�L�,U�y .: :. r Print or type name -8fb Notary Public -State of�- orim6ft low Jan zs.SP Commission No. ` My Commission Expires:0100 ow i0o (23 (Rev. 3/27/07) CITY OF SANFORD FIRE DEPARTMENT FEES FOR SERVICES PHONE # 407-302-2516 - FAX # 407-302-2526 DATE: �,�Z�,� PERMIT #: �7�31to5 BUSINESS NAME / PROJECT: 1?,� d erjck P11-uZA ADDRESS: PHONE NO.: FAX NO.: CONST. INSP. [ ] C / O INSP.:[ ] REINSPECTION [ ] . PLANS REVIEW [ ] F. A. [ ] F. S. [el' HOOD [ ] PAINT BOOTH [ ] BURN PERMIT ( ] TENT PERMIT f ] TANK PERMIT [ ] OTHER [ ] TOTAL FEES: $ -71j_ db (PER UNIT SEE BELOW) COMMENTS: 84,-mr [ APPraved w i-tA PjAms sv/t npt) Address / Bldg. # / Unit # Square Footage Fees per Bldg. / Unit 1. 2. 3. 4. 5. 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. .–Wa 4 - Sanford Fire Pr ention Division Applicant's Signature g? -3)19 NOTICE OF COMMENCEMENT Permit No. Parcel ID: Qt36,-5101), &M dmo State of Florida County of Seminole The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Description of property: (legal description of the�jrope�}�' and street address if available) �P /7�fih�f7r 69 j� MARYANNE MORSE, CLERK OF CIRCUIT COURT SEMINOLE COUNTY BK 06843 Pg 1896; (1pg) CLERK'S # 2007147439 RECORDED 10/16/2007 02:41:49 PM RECORDING FEES 10.00 RECORDED BY T Saith �"I V- ..'r' r- (p r, T ,yt 2. General description of improvement: /h �-179-! / �Ai 'I!- 3. I!43. Owner Information n/� / S��d L3� M /' ^ ��� �- / a. Name and address: (- ut' /v /n"' Sill/� �Z- Jo- 77Z b. Interest in property: c. Name and address of fee simple titleholder (if other than owner) 4. Contractor a. Name and address: b. Phone Number: i% Surety a. Name and address: b. Amount of bond c. Phone Number: 6. Lender a. Name and address: b. Phone Number: 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(l)(a)7., Florida Statutes: a. Name and address: b. Phone Number: &. In addition to himself or herself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1) (b), Florida Statutes: a A(ama anti at(rlrnce- b. Phone Number: 9. Expiration date of notice of commencement (the expiration date is I year from the date of recording unless a different date is specified) WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTINCE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT 11-111 INSTRUIIINT PREPARED BY; ----- I ' [,Jloil '0 • Signature of Owner or O ner's Authorized NAf�9E �{ ' i Officer/Director/Partner/Manager ADDR. �( C, A -W Signatory's Title/Office FLy, The foregoing instrument was acknowle ed before me this day of A�N6 FY', 20 U�by ! + // IQ 114" k-4 (name of pe n) s e ✓e Stype of authority ...e.g. officer, trustee, attorney in, fact) for (name of party on behalf of whom instrument was executed). C ,...... .. ..................................s JULIE A. ELLENBURG Sj n ture of Notary Public, State of Fl rida ""�`" Commit D00388236 : mission Expires: °r Z Exprea 6/16/20 0 9 mag' sanded lhru (800)432-42545 Florida Notary Assn.. Inc }�... uu.. uwnw•nury i�.g!��ngR�t�