HomeMy WebLinkAbout600 E 1 St (3)9I'll;
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v / / // MITCITYOFSANFORDPERAPPLICATION Permit #:
OJ _ V Date: _ Job
Address: Da / s J' S Description
of Work: Historic
District: Zoning: Permit
Type: Building Electrical Electrical:
New Service — # of AMPS Mechanical:
Residential Non -Residential Plumbing/
New Commercial: # of Fixtures Plumbing/
New Residential: # of Water Closets Occupancy
Type: Residential Commercial Construction
Type: # of Stories: Parcel #:
Owners
Name & Address: 07
Value
of Work: S I
Mechanical
Plumbing Fire Sprinkler/Alarm Pool Addition/
Alteration Change of Service Temporary Pole Replacement
New (Duct Layout & Energy Calc. Required) of
Water & Sewer Lines # of Gras Lines Plumbing
Repair — Residential or Commercial Industrial
Total Square Footage: of
Dwelling Units: Flood Zone: (FEMA form required for other than X) Attach
Proof of Ownership & Legal Description) O`
F S, .Vi-C c z 11
Phone:
A ,,
Contractor
Name & Address: CIrS.if/lf Tr-,vrsd rUE,vrs " dGioG .Q.o 7,ca't wr j%%I p
bF
OF State
License Number: f
Phone &
Fax: Contact Person: a4A " 0&JC/4s`%G Phone: !Z % •YlG Bonding
Company: Address:
Mortgage
Lender. Address:
Architect/
Eaginew: Phone: Address:
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 al] work will be perfomtcd 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 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 property of the requiremen orida Lien 713. Signature
of Owner/Agent Date Signature of ntractor/Agent Date Print
Owner/Agent's Name Signature
of Notary -State of Florida Date Owner/
Agent is Produced
ID Personally
Known to Me or APPLICATION
APPROVED BY: Bldg: Initial &
Date) Special
Conditions: Zoning:
Print
Corlit acc'tpr/AR&t's Name c-
A , O '2 - 31--a Signatult"
Nry- iKMODE GRAVE Date MY
COMMISSION # DD 164280 s,
t EXPIRES: November 12, 2006 re
noQ B Thru Budgel Note Services Contractor%
geat i Personally IC nown to Me or Produced
ID Initial &
Date) Utilities:
ffg Initial &
Date) (Initial & Date)
Tertifuxte VfNlume Resistance
tiV REGISTEREDll
APPLICATION
L;,;r CONCERN Na
i_, F t2t
1`til lkh PY
OHN BOYLE & COMPANY, INC.
Salisbatry Road
1;attC.q%i11C, NC 286"
7t 4-72-flit
1 h:uc rrc.u•.•.I ,,r
a,.,nvi:.rcrurc,l
2— 08-_2001
This is +„certify that the mareritils dest.-rihed lxb,ty Mare beeps jlunte-yettudatn weated foram.— ink•,-e ndv m„1141ittntahlel.
R _ Nelson's Tents 8 Events, INC ADDRESS— 923 Malone Drive
Or( _ Orlando -raTE
FL _
u
Certification is hereby mate that. (Check- ':i' ter .ir)
a) -n,r articlo des cribed below this Certificate have Nx-n treated with a flame-retar,.iant chemical apj r%wvd and rerisfered V v
the Stare Fire Marshal an.l that the applicati„n tit said chemical was done in conformance with the 1mv, -:4 ncStare , 4- Caiifi,
mia and th-e Rules and Revulat6tns t>f the State Fire Marshal. N.
tme A dhemcal tt;ed _ ! :hem.No. irrh,+
tl.d .. plicari,m IF;
The arttci_-s JkscrAvd Mvw are m:uie fs m a fl:une-resistant fabric or marrnal registered and :ipprov-M 6%- the Snlr.: f , Marshal
for stiel• tise. Trnle
name ot flame-rest.nmt fabric ter material :ccd'Thite Opaque Tent Top Reg N,., F-121 .4 The
Flame -Retardant Process Used WILL NOT Be Removed By Washing, KIVIN
BOYLE & (70161RANY. INC. i,
rm,• .,t-1M I,.:n.n ..r I r.J,,.•trm \rq rratta'n.f.-m IOHN
BOYLE & CO&iPAiN'r, iNL. i
A A A/ SOLD
TO: i
10' WIDE FRAME AND POLE TENTS 8R7Z7
N W 1 17TH STREET I i s' 1
20' n r tt tr n L
33016 1 409 n it of It of 60'
WIDE POLE TENTS 80'
WIDE POLE TENTS Sell ...:
tified Fame -Retardant Fabrics By BOYLE ' Your
product will meet .,ir rigid 5 ecifiutriLina of the Ciilifornia Fire i'viarsh*0.
k. .
10
C EVENT APPLICATION
RECEIVED APPLICATION & S30.00 PROCESSING FEE
CLEAN —UP BOND PAID ($100) —
We thank you in advance for the opportunity to receive and review this application for your proposedSpecialEventhereintheFriendlyCity. Please complete and return at least sixty (60) days prior to theeventdatetotheCityofSanfordRecreationDepartment -City Hall 300 North Park Avenue Sanford FL32771. In order for the application to be forwarded to the City's Special Event Review Committee (SERC), we must receive the original copy _ of the Special Event Application notarized with the $50.00 non- refundable Application Processing Fee with an event layout.
Should you have any - questions or comments, please call usSERCci.sanford.fl.us. Thank you for choosing the Beautiful Historic Ci
Name ofEveaR: 1 /-Q L/?
F-111tyn-cation RequLes ted: r11e-1
Event Date(s): //Z j
Event Hours: From:
SeftV Date(s): 6
Seto H • F
Brealydown Date(s): /I
Estimated: Participants :
Type of n (Check one):
Spectators
Not for Profit
p oars. rom.
Brealydowo Roars: From
at 407-330-5697 or E-mail
of Sanford as your host site.
c Y • Ycc no
To: ,toe
To: To: - /r
To--7
Vehicles Vessels (for Boating events ody)
For Profit Individual
Federal I.D. # Tax Exempt #: Tax #: SS #:
Do you anticipate this event being held next year? Yes No ifso, Date: Location:
Sponsorhrs pr610111zation Name /rG rU
L%) r Ij'% /'%Q Office Phone:
Contact Person Responsible for Evenvch r,: lJi Email Address:
Phone: Work #: Home #: Fax #: Cell/Pager PH#
Additional Contact Perron:
Provide Below a Brief
City
Work #:
L_ C_
State Zip Code
Email Address:
mt to be Forwarded to Media*
Application Pg I of 3
i
i 4 0
CITY OF SANFORD FIRE DEPARTMENT
FEES FOR SERVICES
PHONE # 407-302-1091 * FAX #: 407-330-5677
II ff \
DATE: `f c}.- O PERMIT #:
BUSINESS NAME / PROJECT:
ADDRESS: Ft ! t I I J n
PHONEM&'- oh'S / 4rk-0+'S FAXL 0.:
r
CONST. INSP. [ ] C / O INSP.:[ ] REINSPECTION [ ] PLANS REVIEW [ ]
F. A. [ j F.S. [ ] HOOD [ ] PAINT BOOTH [ j BURN PERMIT [ ]
TENT PERMIT TANK PERMIT [ ] OTHER [ ]
TOTAL FEES: $ (PER UNIT SEE BELOW)
COMMENTS:
Address / Bldg. # / Unit # Sauare Footage Fees per Bldg. / Unit
1.
2.
3. L4 b )(
4.
5.
6.
7.
8. Q'tit
9.
10. -
ll.
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.
anford Fire Prey ntion Division Applicant's Signature