HomeMy WebLinkAbout3780 S Orlando Drn CITY OF SANFORD PERMIT APPLICATION
Pevmit #: oto— I I Date:
Job Address: 37 0 AIN
Description of Work: qbX i
Historic District: Zoning: Value of Work: $
0
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)
Parcel #:
Owners Name & Address:
Contractor Name & Address:
41
Phone & Fax:
Bonding Company:
Address:
Mortgage Lender: .
Address:
Architect/Engineer:
Address:
Contact Person:
(Attach Proof of Ownership & Legal Description)
f Phone:
State License Number:
Phone:
Fax:
ne:
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: 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 requir ents 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 ay be itional permits required from other governmental entities such as water management districts, state agencies, or federal agencies.
Acceptanc of er i i erification that I will notify the wn of the roperty of the requirements of Florida Lien Law, FS 713.
bIWo�
i natur of Owner/Agent Date Signature of Contractor/Agent Date
fi
ent's N e Print Contractor/Agent's Name
() Cliggn'aUlureof/No- t t Date Signature of Notary -State of FloridaDate
DEBBIE BLANTON
COMMISSION # DD 188491
xFPe`rsoriIljtifb'va�i$9tNte or Contractor/Agent is Personally Known to Me or
FL P'e+s a Discount Assoc Co. Produced I D
APPLICATION APPROVED BY: BidZoning: Utilities: FD:
(Initial & Date) (Initial & Date) (Initial & Date) (Initial & Date)
Special Conditions:
sss')')
BC TENTS & D -EAGLE ENTPRISES
FAX NO. :e63-294-3396 Oct. 13 2008 04:39PM Pl
D -EAGLE ENTERPRISES, INC.,
140 RIFLE RANGE ROAD
WINTER HAVEN, FL 33880
1-800-741-3848 TOLL FREE
863-325-8553 PHONE
863-325-8709 FAX
URGENT 13FoR RsviFw F-1 PLEASE COMMENT U PLEASE REPLY Ll PLEASE RECYCLE
NOTFS/CO-MMONT&
FACSIMILE TRANSMITTAL SHEET
TO:
FRobt
Don
Cheylon Davis
COMPANY:
DATE:
Lowes S2nfoiz4j
10/13/2W5
FAX NIMABEIL-
TOTAL NO. 017 PACyPS INCLUDING COVE.
407-430-4Wl
2
PHONE NLINMEM
SENDIiR'S RPFRRLN(' F NUMDER:
1800-741-3848
Y0l;k REIZERLN(M Nk;M3BR:
URGENT 13FoR RsviFw F-1 PLEASE COMMENT U PLEASE REPLY Ll PLEASE RECYCLE
NOTFS/CO-MMONT&
's7 Cerlca�
a*,R of Famecsistancc
Public Notice
Issued By
ABC Tuts
Few *0. 8=128
rongle .Lake, FL 33039•
F306..7 4..-8W741-3044 • M2-100-01 M
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www.abcomk.com
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This is to certify that this fabric 16• rertardant. It is h*wr+ernt aad cannot be removed
by age. ft is mgistered with ' 6'. Fire #ArshaR an* meets NARA. 701 and
5"3.2-teoe and codes.
The'flatoe Retardaw Process Used WILL NOT Be Removed by Washing.
ABC Tents
ada
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Tent Size► - � ,�2 Cot'
Moat Chapter 16, vems 13 - 18
Gay ye into all the wedd and Preach the .gcss"l to every crveaiuro.......
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I\ DATE RECEIVED APPLICATION & $50.00 PROCESSING FEE 1 V
G` CLEAN - UP BOND PAID ($100)
Co ission Meeting
Ice use only
We thank you in advance for the opportunity to receive and review this application for your proposed Special
Event here in the Friendly City. Please complete application in its entirety and return at least sixty (60) days
prior to the event date to the City of Sanford- Leisure Services Department -City Hall 300 North Park Avenue
Sanford FL 32771 or mail to P.O. Box 1788 Sanford FL 32772. In order for the application to be forwarded to
the City's Special Event Review Committee (SERC), we must receive the notarized, original copy of the
Special Event Application with the $50.00 non-refundable Application Processing Fee. An event layout should
also be included.
Should you have any questions, please call us at 407-330-5697 or Email bennettegci.sanford.fl.us
Thank you for choosing the Beautiful Historic City of Sanford as your host site.
Name of Event: iyl /Y� C n /� � ,�/ !�
Facility/Location Requested: l VW t5 !S KbVA� i I11 YIVUy 37 ?V Z_> i LrU'4-,
Event Date(s):
Setup Date(s):
tim 2-V
JN i 1% ), Z-�yt) ,5-
Breakdown Date(s): jf!!'S- L_ i I
Estimated: Participants Spectators
Type of Organization (Check one): Not for Profit ❑
Federal I.D. # 5 6.7057 C � M Tax Exempt #:
APM
Setup Hours: From: O'M To: 12—
Breakdown Hours: From. _ r� rM To: /
Vehicles
For Profit k
Tax #:
Do you anticipate this event being held// next year?? W Yes ❑ No If so, Date: S'
Sponsoring Organization Name: 1 �'p�
Contact Person Respon 'bl/je��for Event/Charges: �T(�-4N (�AJ/[ � 6W`
Phone: Work #: ( 07 7� 60H.,, #: Fax #:
Address: 3-770 IM�160 INIZ i city &,
Additional Contact Person: �/� Work #:i
Vessels (for Boating events only)
` MJT
Individual ❑
SS #:
Location: 5'fmL5—
Office Phone: 6_111
7) Y30 Y0 6 6
Email Address:
Cell/Pager #
State Ft zip Code 3 Z_27 --i
YuAmail Address:
*Please Provide Below a Brief Description of Event *
x
yme.
Please specify below request for Alcoholic Beverages/Outdoors, Street Closure, Carnivals/Circuses, Parades,
Pyrotechnics, Bonfires or Ceremonial Type Fires. r JA -
Please Note: All That Apply For Your Event
C - City, A - Applicant, O - Other or NA - Non Applicable
1. Camival/Circus/Fair
2. Exhibit
3.Festival
_4.Fishing Tournament
S.General Meeting
_6.Parade
_7.Picnic/Party
_8.Tournament or
Competition
_9.Wedding Reception
_10.0ther, Explain
I LAdmission / Ticket Sale
12.Alcohol Beverage Sales
13.Concession Stands
14.Field Preparations
15.Fireworks/Pyrotechnics
16.FoodBeverage/Catering
17.Merchandise Sales
18.Open to Public
Free admission
19. Special Set-ups
20.Street, Sidewalk Closure
21. Vendors
22.Water/Electric
23.Audio/Video/Sound Equip.
24.hlflatable Devices _
25.Portable Restrooms
26.Registration Table
27.Sports Equipment
28. Stage/Props/Production
29.Tables & Chairs
30.Tents-
(size) u4) �4 ED
31.Trash Cans
32.Dumpster(s)
33. Equipment
34. Banners _Signage.
35. Other, Explain
Hourly Rates per person
36.EMS ($21)
37.Code Enforcement
($18)
3 8.EventManagement($25 )
39.Fire($21)
40.Leisure Services ($15)
41.Public Works($20)
42.Police ($25)
4hr minimum
*** If you checked any of the items above, provide a complete description by number of the
event/request. Additionally, please note all City services you are requesting.***(Add additional sheet, if needed)
3v L ok-
nC
CITY OF SANFORD FIRE DEPARTMENT
FEES FOR SERVICES
PHONE # 407-302-1091 * FAX #: 407-330-55;677 l
DATE: [ O 11 `� i OS G PERMIT #: 0— /
BUSINESS NAME/ PROJECT:
ADDRESS: 21 et) S O L
PHONE NO.: toq-Lf3nr 14 at,,6
FAX NO.:
CONST. INSP. [ 1 C / O INSP.:[ J REINSPECTION [ 1 PLANS REVIEW [ ]
F. A. [ ] F. S. [ J HOOD [ ] PAINT BOOTH (] BURN PERMIT [ ]
TENT PERMIT [ TANK PERMIT [ ] OTHER [ ]
TOTAL FEES: (PER UNIT SEE BELOW)
COMMENTS:
Address / Bldg. # / Unit # Square Footage
2.
o
e -c
6.
7.
8.
9. ,
10. CIA N
ll.
12. _
13.
14.
15.
16.
17.
18.
19.
20.
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 I
will comply with all applicable codes and ordinances
of the City of Sanford, Florida.
Sanford Fire Prevention Division
Applicant's Signature