HomeMy WebLinkAbout200 Towne Center Cir (11)7 /
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CITY OF SANFORD PERMIT APPLICATION Ago eyti
Permlt # : OS - 1 `-)
J \ Date:
Job Address: ? 00 TO eV A,1 r-- &e:`e .V,7h9— s.¢.ttl rsitc : L .32771
Description of Work: CD G O !X_/Ov /
Historic District: Zoning: Value of Work: 00
Permit Type: Building Electrical
Electrical: New Service — # of AMPS
Mechanical: Residential Non -Residential
Mechanical Plumbing Fire Sprinkler/Alarm Pool
Addition/Alteration Change of Service _ Temporary Pole _.__
Replacement New (Duct Layout & Energy Cale. 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:
Parcel#: a 2-/9^ 3o - :3`4W -0/oo —0000
Total Square Footage:
Flood Zone (FERIA form required for other than X)
q Y&& kr.! /.J +X ,90 7 Phone:
Contactor Name &Address: r' iG rC ! /aril _TiC .y1 =! '= z0"4Wi`S //S —d
A" A-ep FL 3 a 7o.1 State License Number:
PhoYnee &TFax: OLE- S/y %!S 70 _ Coated Person: w! 4-f A-0 Pbone:027
Bonding Company:
Address:
Mortgage Leader: .
Address:
Architect/Engineer-
Address:
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 perforated 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 FATLURE 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.
NOTICt3: In addition to the requirements of this permi4 there may be additional restrictions applicable to this pncrpeny that may be found in the public record$ of
this county, and them may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies.
Acceptance of emit verification that notify the owner of the property of the requirements of Florida Lien Law, FS 713.
OS
Si of cr/Agent Date Signature of Contractor/Agent
Print
MY COMMISSION # DO 164280
LOS—
Date
Print Contractor/Agent's Name
Date
Signature of Notary -State of Florida Date
EXPIRES: November 12, 2006
Thru NoteOwner/Agentis personally Knowr ryt o Me or Contractor/Agent is
Produced ID _ Produced ID _
APPLICATION APPROVED BY: Bldg: Zoning: Utilities:
Ini & Date) (Initial & Date)
Special Conditions:
Personally Known to Me or
FD:
Initial & Date) ' (initial & Date)
r 'j CP01lPORTANT DVCVEP[:JCJC{CJ[11 iLPCP.PCnCLPG'.rt
Cozrtif icate of flawes][stance EQISTRA710N
ISSUED
BY Dal* of Manufacture 4PPLICATION
1v13X2
IND
ROE e
NUNUMBEROrder
Number EVANSVILLE,
1NDIANA 47725 isMANUFACTURERSOFTHEFINISHED363552
p140.
1 TENT PRODUCTS DESCRIBED HEREIN This
is to certify that the materials described have been flame-retardant treated or
are Inherently noninflammable) and were suppiled to; 73744
NELSON$
TENTS & 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 a flame-retardant approved chemical
and that the application of said chemical was done in conformance with California Fire
Marshal Code, equal to exceeds NFPA 701, CPAI 84, ULC 109. o
tho FA chemical aDolication is: Serial #
91512100) Description
of item certWiND bow x 20 Ho SKY ta• SPAC Flame
Retaraani vrocess Ubea Vtftfl I - AWL oIC "W111%1V%XM vy Washing
And is Effective For The Life Of The Fabric Slaned•
ILI. Name
cP r ctcrr r
jj [PC rf7r aIMPORTANT DOCUMENT
of jea-te of Flan-je ResistaiwecoerISSUEDBYCateofManufacture
REGISTRATION ,,", 02
APPLICATION trwqs e
NUMBER ^ Order Number
EVANSVILLE, INDIANA 47725 363552
MANUFACTURERS OFTHE FINISHED
Ft;o t TENT PRODUCTS DESCRIBED HEREIN
This is to certify that the materials described have been flame-retardant treated
or are inherently noninflammable)
eand supplied
73744
NELSONS TENTS &
7226 W . COLONIAL DRIVE
SUITE 229
ORLANDO FL 32818
Certification is hereby made that: with a flame-retardant approved
The articles described on this Certificate have been treatone
In conformance with California chemicalandthattheapplicationofsaidchemicalwasdFireMarshalCode, equal to exceeds NFPA 701, CPAI 84, ULC 109. The
method of the FR chemical applicetiort is: SBdaI #
HISll14(
2) Description
of item cer m 60 w x 30 sxv IV SPACE Name
Flame
Retardant Process Used Will Not Be Rem ovedFabri By Washing
And Is Effective For The Life 0 e
SIned. Doltcator
FFinish TENT DEPARTMENT • ANCHOR INDUSTRIES INC. of tame
RealstarR
t
4*W' AWa- a arm mow+0 oras .:' s+4 .a fix. zrt l r
Q Of GfI O
REGISTERED
APPLICATION
CONCERN No.
r aF o
PRF GA-217Ia+ r
I
ISSUED BY
JOHN BOYLE & COMPANY, INC.
Salisbury Road
Statesville, NC 28677
7('4-872-9151
Date treated or
manufactured
1 2- 08-2001
This is to certify that the materials described below hate been flame-retardant treated (or are inherently nonflammahle).
R,R Nelson's Tents & Events, INC
CITY Orlando
ADDRESS 923 Malone Drive
Certification is hereby made that: (Check "a" or "b')
STATE _ FL
a) The articles described helmv this Certificate have been treated with a flame-retardant chemical approved and registered by
the State Fire Marshal and that the application of said chemical «vas done in conformance with the laws of the State of
California and the Rules and Regulations of the State Fire Marshal_
Name of chemical tteed
Method of application
Chem. Reg- No.
1 - 1 (
h) The articles described below are made from a flame -resistant fabric or material registered and approved by the Stare Fire
Marshal for such use.
Trade name of flame -resistant fabric or material usedWhite Opaque Tent Top Reg. No. F-1 21 , 4
The Marne -Retardant Process Used WII.I. NOT Be Removed Fay VVaShirla
JOHN BOYLE & COMPANY, INC.
JOHN BOYLE & COMPANY, INC.
By
Nsunr (>< (ic tu,r yr PniJwciun $upr,irutrplrut Spece:l:q Frodum Manager
1 0 ' W ILDE FRAi M AND POLE TENTS
1= &a .I_N;. t 1 2' tr rr rt tr rr
8827 N 4d 1.1.7TH STRarEI t 1 5' it It it if It
c
H1ALEA.H 30' rr if It it it
t_ 330? 8-1 t 110, if of of tt of
60 ' WIDE, POLL TENTS
80` WIDE POLE TENTS
e l Certified Flame-R.etardan$ Fad --Its y )ROVI—F
Your product Will meet :pie rigid specifications of the California Fire Marshal.
CITY OF SANFORD FIRE DEPARTMENT
FEES FOR SERVICES
PHONE # 407-302-1091 * FAX #: 407-330-5677
DATE: --) -oS
BUSINESS NAME // PROJECT:
ADDRESS: Don ^
PHONE NO.: FAX NO.:
PERMIT #: OS " N1S I
CONST. INSP. [ ] C / O INSP.:[ ] REINSPECTION [ ] PLANS REVIEW [ ]
F. A. [ ] F.S. [ ] HOOD [ l PAINT BOOTH [ ] BURN PERMIT [ ]
TENT PERMIT re= TANK PERMIT ] OTHER [ ]
00
TOTAL FEES: S (PER UNIT SEE BELOW)
Address / Bldg. # / Unit # Sauare Footage Fees ner Bldg. / Unit
2.
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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.
ti
Sanford Fire Prevention Divisi Applicant' Signature