HomeMy WebLinkAboutUnknown (17)RCiTY OF SANFORD PERMIT APPLICATION
Permit.#- Date:
Job Address:
Description of Work: &L&I a P4 ao-X -W re,0 OW /74,i# jT /!i.% •Y- l,.0
Historic District: Zoning: Value of Work: S
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:
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 Gas Lines
Plumbing Repair— Residential or Commercial
industrial Total Square Footage:
of Dwelling Units: Flood Zone: (FEMA form required for other than X)
Parcel #: (Attach Proof of Ownership & Legal Description)
Owners Name & Address:
J/
Phone:
Contractor Name & Address: NE+h O it%9 Ti=`.lJ% 7`-f PK/%`S
State License Number:
Phone & Fax: ' 7 — ! c3 %4,; Contact Person: AQ4!i l.'IC/j%•yo%ems Phone:
Bonding Company-
Address -
Mortgage Lender.
Address:
Architect/Engineer: 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 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.
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 requi nts Florida Lin Law, F 7
10-4
Signature of Owner/Agent Date Signature of tractor/Agent Date
Print Owner/Agent's Name
Signature of Notary -State of Florida Date
Owner/Agent is _ Personally Known to Me or
Produced ID
y 3L3).657
APPLICATION APPROVED BY: Bldg: Zoning. _
initial ) (initial & Date)
Special Conditions:
nt Contractor/Agen '
331 , 05
gnaturr ;,Votary -State f)orida Date
4c JO AWK JOliNSON
MY COMMISSION # DD 285622
EXP15AKarch 23, 2008
ContriblWo °pit ilionlLnghopWilygnow to Me or
Produced ID
Utilities: 49
initial & Date) (Initial & Date)
cPc.TacPrJ'rs f2lr.(rJiI M P ORTANT DOCUMENT Pr r t1"1c PcPr.fcl cfrJi
Certif.i . _ Resl8tance
REGISTRATION " iSaUED BY
APPLICATION '
NUMBER i DUSTRIES INC.'
EVANSVILLE, INDIANA 47725
1`03I.02 MANUFACTURERS OF THE; FINISHED
TENT PROouCTs DESCRIEiED MEREIN
Date of Manufacture
11/12/01
Order Number
This Is to certify that the materials described have been flame-retardant treated
or are inherently noninflammable) and were Supplied to:
73744
NELSON TENTS & EVENTS
7226 WEST COLONIAL DRIVE
SUITE 229
ORLANDO FL 32818
IV
347725
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, UILC 109.
The method of the 'FR chemical application Is:
Serial # 8271520(2)
Description of item certified:
PTEN END 40W X 20 V L R W
Flare Retardant Process Used Will Not Be Removed By
Washing And Is Effective For The Life Of The Fabric
a
LDUBAMIE HAYM&Mi Signed
L Name of Applicator of Flame Resistant finish ,TENT DEPARTMENT - ANCHOR INDUSTRIES INC.
a
r.. - . - _....
yet.. .. .'`Y(fP /li. `,1"rr _ va.-+.. i- C'Y _—. -• -•- -.a. .Y.. -.. ..
CITY OF SANFORD FIRE DEPARTMENT
FEES FOR SERVICES
PHONE # 407-302-1091 * FAX #: 407-330-5677
2 ^
DATE: 3 -.Ja 1 D PERMIT #: 0 <J
BUSINESS NAME / PROJECT:
ADDRESS:
PHONE NO.: FAX NO.:
CONST. INSP. [ ] C / 0 INSP.:[ ] REINSPECTION [ ] PLANS REVIEW [ ]
F. A. [ ] F.S. [ ] HOOD [ ] PAINT BOOTH [ ] BURN PERMIT [ ]
TENT PERMI TANK PERMIT [ ] OTHER
TOTAL FEES: $ (PER UNIT SEE BELOW)
COMMENTS:
Address / Bldg. # / Unit # Square Footage Fees per Bldg. / Unit
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
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.
xY
Sanford Fire Pr'ev'A# Division a Applicant,'s Signature
Nelson's Tents & Events. Inc
1153 Ocoee Apopka Road
Apopka, FL 32703
407-814-7370 F-407-814-7342
BILL TO
Adeo Media Group
122 nAth Street
Lale Mary, Fl 32746
Ofice# 407-688-8788
Fax#,407-650-2877
INVOICE
DATE INVOICE 0
3/25/2005 1 3430
FIRST STREET
SANFORD, FL
I CONTACT(S) I
Fawn@407-688-8788
TERMS REP SET DATE EVENT DATE(S) STRIKE DATE SURFACE PROJECT
f
Due on Delivery Nilsa Sat,4/2/5 Sa1,4/2/5 Sat,4/2/5 Weighted
QUANTITY DESCRIPTION RATE AMOUNT
120' x 2V Frame Tent (ON 10' LEGS) 242.00 242.00T
1 Weight Package for Frame Tent 48.40 48.40T
19 40" Round Table: Resin ( WHITE PLASTIC) 7.00 133.(X)T
95 Stack Chair: White Resin ( WITH ARMS) 2.25 213.751-
1 Permit Fee Selections 600) 60.00T
1 Overtime Set / Strike 388.13 388.13T
16 Stage: 4' x 4' Sections—( 16' x 16' xl Legs) 24.00 384.(X)T
256 Astroturf: Black / per square ft. 0.50 128.00T
SET-5-AM
STRIKE-5.30PM
Sales Tax: Seminole Cn 7.000/9 111.81
Total 1,709.09