HomeMy WebLinkAbout3780 S Orlando Dr (2)CITY OF SANFORD PERMIT APPLICATION
Permit4: L73 NX \V
y
Date:
l 7
Job Address: (D Ll t/7" 9 L 3 Z--7 / 3
Description of Work: AJ 6— 4 7y_, < Aprr vl r7
Historic District: Zoning: Value of Work: $
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:
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X)
Parcel #:
Contractor Name & Address:
Phone & Fax
Bonding Company:
Address:
Mortgage Lender: .
Address:
Architect/Engineer:
Address:
Contact Person_
Attach Proof of Ownership & Legal Description)
State License Number:
Phone:
Fax:
ne:
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: 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 N(>-T10E OF COMMENCEMENT.
NOTICE: In addition to the req
this county, and there ma4be ar
Signature
5;,efrthis permit, there may be additional restrictions applicable to this property that may be found in the public records of
permits required from other governmental entities such as water management districts, state agencies, or federal agencies.
that 1 will notify the owner
1;2_7
e pr perty of the requirements of Florida Lien Law, FS 713.
tt Signature of Contractor/Agent Date
ft0HEi4V''A.CEGRA'Jc'
MY COMMISSION # DD 164260
Owner/Agent rsFe+ 4 Nli
Produced fl)',_.ra' ,Bs
APPLICATION APPROVED BY: Bldg:
Special Conditions:
Print Contractor/Agent's Name
Date Signature of Notary -State of Florida Date
Contractor;/Agent is Personally Known to Me ordc(9 Produced 1D
Zoning: ;Z.Z o tilities:
Initial & Date)
FD:
Initial & Date) (Initial & Date)
s
STCertificate- of Flame. Resistance ICatjJ*o_ o . lssu"
BY ABC
Tents ReRlrteredDate 1 *
v fabric - P.O.-Box 1 Z& > Manufactured y .
o a r° ®' : n Eagle Lake, FL 33g39 f3oe.
t 1 -$00=741-3848 ,- 8e3-244.4182 - D2n Public "
ke obctenf@gte net www.abdenfs.com This
is to certify that this fabric is flame'retardti6t. -It is inherent and cannot be removed by
age. -It is registeried with the California Mate Fire Marshall and meets N.F.RA. 701 and 5"
3.2 tests and codes. The
Fame Retardant Process Used -WILL NOT Be Removed by -Washing. ABC
Tents Z&
ICL Monte
of 90&cow- t" Tent -
Size ( Color - Mark
Chanter 16, verses 15.6. 1.8 Go
Ire into all the world: and -preach the gospel to every creature....:.. L
to
C-) m
zL0
I?
0 d
Im
Dm
m
zI
70
co
mco
M
D
X7-
0OD
MW
IN
lDA
IW
WtD
MN
Rl
m0
m
00
D
3
3" W7
t
1
1`cv.a'Md1-.voA
1
rVla_ . IIo1T100[
is
I I Yt. Mw. t+/w irKII. MY 1.M1
f• V-II
tmi.ainoroxe
jtit 5 W-V
W
ir
1 a
I
ti
ma
er
r
him
s
I ;
f Y
II
I
I K
1 Z
14
R
liiY fs4"
p r
IY 7 K k w
t xra k
1
I
1
r'f Y al! 7MI1
N TN •
a
r
wrewi4
y x • m r Y
I
a '- Irras«toRc
1
PAVINti LtV'uarm I MYw.v ,
U M WTMiI q M .
1yluypl y p
Mom` hMAI1 Uf0 .11%+'YIIpM yhr +
p
wwc Ra++
7
u[ aor ruw s+•?».. ra aawwoe ,w .
u
r a'a i Iwa 1 .I •T'LI` Irx we nonce w molo s x
aww a I
I
fill
pd a lag II lii 1 III I l I X_jf
1 IYYdtIY ua'm lVfl't-"'7 '. •
a` ''
j C.
o
a
T[tlA11;
f
NOTF-
WA OR Pltf)alp I+ 1. 1
I d
q , 4
PZH
n*R wa[ar n
ma w' •' : r 4 ' ice. i
1
I ,p ttl
rotes 1°c.am
c-6 -
FOR CGKSTXX" —A — y
wAcN
1.77
M
m
DATE: i a
CITY OF SANFORD FIRE DEPARTMENT
FEES FOR SERVICES
PHONE # 407-302-1091 * FAX #: 407-330-5677
PERMIT #: o' 1 V
BUSINESS NAME / PROJECT: U ut e--s
ADDRESS: 2;- b0 S Cam- a( cp
PHONE NO.: -101 L-410—MOO FAX NO.:
CONST. INSP. [ ] C / O INSP.:[ ] REINSPECTION [ ]
F. A. [ ] F.S. [ ] HOOD [ ] PAINT BOOTH
TENT PERMIT TANK PERMIT [ ] OTHER [ ]
TOTAL FEES: $ 0,L; eO (PER UNIT SEE BELOW)
COMMENTS: R 4 \,.3 3U 10 lD Qw V-
a
Address / Bldg. # / Unit # Square Footage
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
PLANS REVIEW [ ]
BURN PERMIT [ ]
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.
1(
Sanford Fire Prevention Division Applicant's Signature