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Permit D 5 ( 5 2
CiTY OF SANFORD PERMIT APPLICATION
OQe ,3 !r
Job Address: FO/t T Of-e l ioV PT N/ -
Description of Work: PLc 7-A 6&
Historic District: Zoning: Value of Work: $ 6 Oa
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: /ze' 00
Construction Type: TEA!% # of Stories: of Dwelling Units: Flood Zone: (FEMA form required for other than X)
Parcel #: Attach Proof of Ownership & Legal Description)
Owners Nano & Address: Ci !rf ®fS. W.--,oK
Phone:
Contractor Name & Address: NL 4 d,Vf T.EAolr F!/6.yT i l , Cm s G /Op%%¢ Q
ia State License Number:
7 —f
Phone Fax: [/.1' %3%0 Contact Person: Phone:
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 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 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.
OTICE: 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 requirer e nts o FioridaPen Law, S 713.
3 --
Signature of Owner/Agent Date Signer of ntractor/Agent Nate
Print Owner/Agent's Name
Signature of Notary -State of Florida
Owner/Agent is _ Personally Known to Me or
Produced ID
APPLICATION APPROVED BY: Bldg:
Initial & Date)
Special Conditions:
Date
Zoning:
n A5e,1 Ale-G bow
t Con 'sfor/AgentN p'
t Vy ph ... r* M COMMIorida Date gn$ EXPIRES:
Match 23, 2008 Rmicd
Thai Budget NOterySSNICe Contractor/Agent
is _ Personally Known to Me or Produced ID
Initial & Date)
Utilities: Initial &
Date) (
Initial & Date)
i
CITY OF SANFORD FIRE DEPARTMENT
FEES FOR SERVICES
PHONE # 407-302-1091 * FAX #: 407-330-5677
DATE: •'j - C `S
BUSINESS NAME / PROJECT:
ADDRESS: k0b I
PHONE NO.: FAX NO.:
PERMIT #:
CONST. INSP. [ J C / O INSP.:[ 1 REINSPECTION [ ] PLANS REVIEW [ J
F. A. [ ] F.S. [ 1 HOOD [ J PAINT BOOTH [ ] BURN PERMIT [ ]
TENT PERMIT JTANK PERMIT [ 1 OTHER [ ]
TOTAL FEES: S
COMMENTS:
Address / Bldg. # / Unit #
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18,
19.
20.
PER UNIT SEE BELOW)
Square Footage 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.
T)E-4 r r ,
I
Sanford Fire Prekeiftion DIvisi Applicant i nature
uzitaiZUVD va:ua rime lwvva
SANFORD RECREATION DEPARTMEN'I'r,
1 ; .
REQUEST FOR EQUIMENT
Requests for items or services, from any department should be requested at least 14 days in
advance.
Therefore, the sooner the request is processed, the sooner arraagenients can be made to
accommodate those requests. Many of the items requested are used on a day to day basis so
items requested can not be guaranteed.
It-b each denartmealt"g MsooasibU to kt gg and break doM items used.
make ifie.
Department Making Request: Po 1 i r e-,
r
Requested by: n 10 r
e t v< c C.
Contact Phone #: Ll 0.1- 3 ,R 6 - 30 a.0
Items Needed: `DIGS c -aa: QCcopi.+ a,rQ
1w peep/ fi -- *. 'j /CS
Number Needed:
Date(s) Needed: 311 t.D y To _ 3 r 0 ", "
Times Needed:
Event being used for: L--ea5 r-
Person picking up items: C i lac/ %5AOD lu li der 4 ncl bz4- .
FOR DEPARTNUM USE ONLY:
APPROVAL
Nike Kirby: Date: Lisa Jones: Date:
Marc HWtin: Date: Craig Hansen: Date:
J • Cii3JELJUEEV—O % i l - -P - li"" O R :t . T D C U MN T c?PJc.'MJ?.tPLEM Cer -
uluuleatc of Fla. REGISTRATION
ISSUED
BY _ Date
of Manufacture APPLICATION
NUMBER
TRIES INC. Order
Number k #
EVAI.ISVI1"E.z:, INIDi;,NA 4"l725 F031.
02 MANUF YCTURERS Glc THE FINISHED TEN?•
PRODUCTS DESCRIBED HEREIN This
is to cartify that the materials described have been flame-retardant treated or
are Inherently noninflamrndble) and were supplied to: 73744
NELSON
TENTS & EVENTS 7226
WEST COLONIAL DRIVE SUITE
229 ORLANDO
FL 32818 Certification
Is hereby made that: 347725
The.
articles described on this Certificate have: been treated with it flame-retardant approved chemical
and that the application of said chemical Was done In conformance with California Fire
Marshal Cade, equal to exceeds NFPA 701, CPAI 84, ULC 109. The
method of the Pq chern cal application is: Serial_+~
w
8271520(
2) Description
of Item certified: PTEN
END 40W X 20 VL R W Flame
Retardant Process Used Will Not Be Rernoved By Washing
And is Effective For The Life Of The Fabric nu9ACQTL_.. .
E N N A - 0. Signed: a --I •-'` _ Name
of applicator of Flame Resistant Finish l fTENT DEPARTMENT - ANCHOR INDUSTRIES INC.
h?t c1?PrPcPJ Jc r IMPORTANT D O C U M 1E N q cf OM ;c1REPARIM3 rV,
Cc-rujuaeaw oY Faaw
REGISTRATION
APPLICATION
NUMBER
F031.02
ISSUED BY
Gin
INC.
EVANSVILL E, INDIANA 47725
MANUFACTURERS OFTHE FINISHED
TENT PRODUCTS DESCRIBED HEREIN
Date of Manufacture {
i 1/1?!01
Order NumberM
i
347725 i
This is to cartify that the materials descf abed have been flame-retardant treater!
or are inherently noninflammable) and were supplied to:
73744
NELSON TENTS & EVENTS
7226 WEST COLONIAL DRIVE
SUITE 229
ORLANDO FL 32818
Certification is hereby mane 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 70"', CPAI 84, ULC 109.
The method of the FR chemical application is:
Serial 8271520(2)
Description of item certified:
PTEN END 40W X 20 VL R W
Flame Retardant Process Used Will Not Be Removed By
Washing And Is Effective For'r"he Life Of The Fabric
9"'e-g
Name of Applicator of Flame Resistant Finish 1 TENT DEPARTMENT - ANCHOR INDUSTRIES INC.