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HomeMy WebLinkAbout200 Towne Center Cir (11)7 / po.uy Ojff3 u,Q 31 /-e/, 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. 3. 4. 5. 6. 7. 8. 9. 10. 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. ti Sanford Fire Prevention Divisi Applicant' Signature