HomeMy WebLinkAbout200 Towne Center Cir (10)Permit # : (n - 2 j 3
Job Address: � %dX51--11 e
Description of Work: _ /"GG / 6-G /✓ 6
Historic District: Zoning:
CITY OF SANFORD PERMIT APPLICATION oZ✓�
Date:
—14, /A yah / (ra'
Value of Work: $
Permit Type: Building 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
Occupancy Type: Residential Commercial Industrial Total Square Footage:
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X)
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Parcel #: � (Attach Proof of Ownership &Legal Description)
0 —ers Name & Address: �l i `1G� /�/Ldfi �sL%�i� izd� f��/✓ d'
Name & Address:
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Phone & Fax- 74
Bonding Company:
Address:
Mortgage Lender:
Address:
Architnt/Enainaer:
Address:
Phone:
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Contact Person:�'6�/��� } Phone:4
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 he 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, &..ere may be additional restrictions applicable to tris property that may be found in file 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 pe it is ve fication that I will tify the owner of the property of the requirements of Florida Lien Law, FS 713.
Signature of bwvRAgerrt Date Signature of Contractor/Agent Date
a4AV/ �me,�
Print Owner/A is Name Print Contractor/Agent's Name
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i ature of Notary -State of Florio Date Signature of Notary -State of Florida Date
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� JO ANN MJOHNSON
* MY C� g'iN ii DQ��
O t is EH38o to Me or Contractor/Agent is Personally Known to Me or
"OvWed IDnded Thr tg,,jdg0t Melarrgd[vicer-- _ Produced ID
APPLICATION APPROVED BY: Bldg: Zoning:
(Initial & Date)
Special Conditions:.
(Initial & Date)
Utilities: FD:
(Initial & Date) (Initial & Date)
IMPORTANT COCUM N T
Certificate of lReslh;tapee
ISSUED BY Date of Manufacture
REGISTRATION 11n3102
APPLICATION f%, nm e
NUMBER Order Number
EVANSdILLE, INDIANA 47725 363152
MANUFACTURERS OFTHE FINISHED
Fi40.t aTENT PRODUCTS DESCRIBED HEREIN
This is to certify that the materials described have been flame-retardant treated
(or are Inherently noninflammable) and were supplied to:
73744
NELSONS TENTS 8 EVENTS
7226 W. COLONIAL DRIVE
SUITE 229
ORLANDO FL 32818
Certification is hereby made that:
The articles described on this Certificate have been treated with aflame -retardant approved
chemical and that the application of said chemical was done in conformance with California
Fire Marshal Code, equal to exceeds NEPA 701, CPAI 84, ULC 109.
The method of the FR chemical application is:
Serial # 8131110(2)
Description of item cer dID 60 W X30 SWY IV SPACE
Flame Retardant Process Used Will Not Be Removed By
Washing And Is Effective For The Life Ot The Fabric
Sinned: /L'. �:�
DEPARTMENT - ANCHOR INDUSTRIES INC.
t
CITY OF SANFORD FIRE DEPARTMENT
FEES FOR SERVICES
PHONE # 407-302-1091 * FAX #: 407-330-5677
DATE: C"5 PERMIT #: J
BUSINESS NAME/ PROJECT: OG—Uvk-LLL'11 (1�� J
ADDRESS: C :>. 1y-2
1 1 3 70 AX O�4Xaf
PHONE NO.: ..��` - � ���' '
CONST. INSP. [ ]
F. A. [ ] F, S. [
TENT PERMIT
TOTAL FEES: S �G
COMMENTS:
C / O INSP.:[ J
J HOOD [ ]
TANK PERMIT [
C)
REINSPECTION [ ] PLANS REVIEW [ ]
PAINT BOOTH [ ] BURN PERMIT [ ]
] OTHER [ ]
(PER UNIT SEE BELOW)
X. H (0
Address / Bldjz. # / Unit #
Square Footage
Fees per Bldg. / Unit
1.
2.
3.
4.
5.
1
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7.
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8.
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13.
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15.
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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.
Sanford Fire Prevention D'i / ion Ap°plicant's ignature