HomeMy WebLinkAbout1600 W 5 St (2)'zj �% CITY OF SANFORD PERMIT APPLICATION
Permit No. U ✓ �v4 "
Job:Address:1R,;Q (J
Permit Type: Building
'Description of Work:
JI- Electrical
Date:
Mechanical Plumbing Fire
��_/�Yt�r.; Q,1CCi'�'�1 r� �t-�IP•1-S i n 1 i t/i n� ±'tom �tJFCt ('0 D1�1•�ier$
A ' ital Information for Electrical & Plumbing Permits
Electrical: —Addition/Alteration _Change of Service Temporary Pole Now AMP Service (0 of AMPS )
PlumbiagMesidential: Addition/Alteration New Construction (One Closet Plus Additional)
Plumbing/Commercial: Number of Fixtures Number of Water & Sewer Drainage Lines Number of Gas Lines
Occupancy Type: _Residential _"Commercial _ Indust Total Sq Ftg:T! 5, -a --,Value of Work: s -7 , XP
Type of Construction: Flood Zone: Number of Stories:_ Number of Dwelling Units:
Parcel No.: (915 - I G - �6 -y Q-1 7 -1� on . (Attach Proof of Ownership & Legal Description)
Owner/Address/Phone: 1A) i J' I 't 0t0 4- }-P_ r`F� n O(m n ✓'r�
Contractor/Address/Phone: ► n(ffS 7)r) -S -7Y lel ()V- 1
j r 17r:. cSie 1�� l t%� /l �PY - � 1- Statc Licenso Number: �, �i� C'�%uhf
Contact Person: _ n im e 1 Phone & Fax Number Iq 17% ' 39q -fq D ,? �V% - M L/ 7-91c)( J
Title Holder (If other than Owner): _
Address:
Bonding Company:
Address:
Mortgage Lender:
Address:
Architect/Engineer
Address:
Phone No.:
Fax No..
Application is Thereby 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 FOIA IMPROVEMENTS TO YOUR PROPERTY. IF YOU
INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR
NOTICE OF COMMENCEMENT.
NOTICE: lu 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.
Acceptancr, of permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law. FS 713.
of wether/Agent 1-
Date 3 Signature of Contractor/Agent Date
Pnn Owner/Age`' YName
�
7 -IS- a 3
igna
ture otary-State &.Florida Date
��� JILL L. YAMNITZ
Notary Public, State of Florida
My comm. exp. Aug. 18, 2006
Comm. Nq. DD 143132
Owner/4�is %/ Personally Known to Me or
Produced ID
Print Contractor/Agent's Name
Signa c of Notary -4
ate f Florida Date
a•0"� Cynthia M Papania
* *My Commission CCO73306
°•�„��.r Expires September 22.2003
\Contract r/Agent is Personally Known to Mo or
�Pcoduced ID
APPLICATION APPROVED BY: .i '0 3 Date: - -1( IJ ltn,
Special Conditions:
Flris{.Insp. 9
�--4Pd; 3”
Jun'04 03 09!10a John Stuart 407 330-5616 p.l
SANFORD FIRE DEPARTMENT
INCIDENT REPORT,
Officer------ in~charge------------ •------------------- --- ---Da-------
t e
/02
UII3Ur'F-----M-G-----------------------------------------I--8/16I
Member making report Date
------------V-----------.-------------------------------I---------
17017,
I
Da
Arrival:
In-service
1i
-------------------
06-02-005611--o00
------------------------------=--•-------
8/17/02.
SAT 1
00127
I
I I
found
(
Action taken
--------------
Mutual aid
IIISituation
-STRUCTURE_FIRE
EXTINCUISHMENT.
I RECEIVED FROM SCbll I
C(
ed pp---------------------....--------------------------------------------
rty se
20XANDPABOVE I
ition factor
UNITS
IGNITION FACTOR UNDETERMINED OR NOT
-----------------------+-?.0500-_---
address--------------------
Census traCl.
DIIncident
.1600-W-5TII-S'1',•`81, $ANFORD, FL, 32771
2050
El
E_-SEMINOLE
--
Occupant name
GARDENS APTS
-- -_-----
Telephone
.•
- .
I Room or apartment I
I-
owner
Address
------�
Telephone
F
GI
-name________________I_
ethod `-
-MIE--LI Of- alarm
TIE --LINE 1 911 Telephone do line
-_-_____ __ie li_----__----I-District
_---_--_-_-_--�---I
31
Shift No. alarms
001
H
Hi
I-No�-fire-p4rx3onncl-_--I-No�-PngineN-_-
1
_I---------------------
I-No�-aerials- I
-I
-______x___-
No. other I
z
1
2
=I
of injuries
Fire I
Number 1 - `
of fats ities
-Number
service: 0 Civilian: 0
Fire.
----- service- - Civilian: 0
JI-APARTex__________________.__________I_Mobi.le-property
APARTMENT
type----------------�
KI-Area
fire
PERSONAL SERVICE; AREA. I
EquippMent inv��eaiiiiggnition-- I
ES2UIPMENT TINSUFFICIENT
_of- _origin------------------
-"
INFO
LI
Form g
HEAT F IGion I
------------------------------------
Type
gg--
I aSRATnited
-FORM -OF -OF
MAN-MADE FABRIC�FItPd
UPHOLSTEREDrm
I
M
MI
of exting_ui,h
PRE:CONNECT/TANK WT R
ent
Level
I GRADE;
7-7 -------------------------
of faire origin
I Est. lobs I
------------/TRQ
-----------------------
--9-FE:E:T- ABOVE
----------------y 5000---
N I
Number of 'stories----------------�---
2 stories I
-Construction typeyp--------------------
--
PROTECTED NONCOMBUSTIBLE OR LIMITED
OCONFINED
Extent of flame damage
g
TO I
Extent of smoke damage
ROOM OF ORIGIN.
- ----
--pp---------------------------formance
CONFINED TO STRUCTURE OF ORIGIN. I
PI
Detector
DETECTOR INTHEROOM I
Spp---------pp----------- ----------------
rinkle
I
OF FIRE,FIRE T
-o
EQUIPMENTrPRESENT�IN ROOM OR SPA
Q
If smoke
spread
Type mat qen mopt smoke
I COTTON/RAYON/COTTON
Avenue of smoke travel I
I
beyond----------------------------------
IDoorway,
passageway
-----------------------------�---
room of Form of material generating most smoke I
RoriginUPHOLSTERED
--
SEAT
----- -------------------------------•----------------------1-
Officer------ in~charge------------ •------------------- --- ---Da-------
t e
/02
UII3Ur'F-----M-G-----------------------------------------I--8/16I
Member making report Date
------------V-----------.-------------------------------I---------
:.Jun 04 03 09:10a John Stuart 407 330-5616 P.2
SANFORD FIRE DEPARTMENT
INCIDEN'1 REPORT
NARRATIVR.--------------------------- •---------------- ----------------------_----
Title Description Entered by employee Entry date
Dispatch narrative 8/17/02
STRUCTURE FIRE SMITH J C 8/17/02
E31: LT. SMITH, MCNRIL, WEAVER.
R31: JONES SANFORD.
T31: FIORF''TI GERAGHTY, MURPHY, PIEDISCALZO.
BC31: BATT. CI1I FF BUE'FKIN .
E38: LT.RADZAK,ORRANGE, MCGUIRF.
1738: INSPECTOR ROBLES.
RESPONDED TO STRUCTURE FIRE AT SEM. GARDENS. E:31 PRIMARY ON SCENE AND
GAVE: SITUATION RESPORT• 2 STORY BLOCK STRUCTURE. NOTHING SHOWING AT
THIS TIME, INVESTIGATION MODE. UPON INVESTIGATIbN AROUND BLDG, BY-
STANDER STS SMOKE COMING FROM BACK APT- UPON ARRIVING AT APT, HEAVY
SMOKE. COMING FROM BOTTOM APT, DOOR OPEN NO SUSPICIOUS PERSON PRESENT.
UPON INTERNAL INVESTIGATION OF BOTTOM AFT, NOTED HEAVY SMOKE NO FIRE
FLAMES- CONDUCTED RAPID PRIMARY SEARCH FOR VICTIMS - NONE FO 17.
REQUESTED VENTILATION OF APT AND PPV. CONDUCTED FORCIBLE ENTRY OF
SECOND FLOOR APT FOR EXTENSION INVESTIGATION. NO FLAME: EXTENSION IN
SECOND FLOOR APT, HOWEVER, SOME SMOKE, NO HEAT. DURING OVERHAUL AND
EX'1'ENSION INVESTGATI011 IN FIRE APT COUCH FLARED UP - EXTINGUTSHED
WITH CHARGED 200' 1 3/4 - MINIMAL MATER USE. NO FURTHER FLAMES OR
E3XTENSION. SECONDARY VICTIM SEARCH ALL CLEAR. CONTINUED PPV AND
REQUESTED INVESTIGATOR (1738). MONITORED C:02 UNTIL LEVELS UNTIL BELOW
AC EPTA13LE STANDARDS. 1738 ON SCENE. ALL INFORMATION TRANSFERRED TO
1738. SCENE TRANSFERRED TO 1738 FOR FIRE INVESTIGATION.
17-38 T.L. ROBLES ROBLES, T L 8/22/02
T.L.ROBLES WAS REQUESTED TO RESPOND PER B.C.#31 (Buffk�in). UPON
ARRIVAL I FOUND FIRE TO UNIT #81 OUT WITH FIRE CREWS REMAINING ON
SCENE. THE CREWS FROM E-31 FOUND DOOR TO APT. #81 UNLOCKED AND FOUND
A SMOLDERING FIRE ON SOFA INSIDE UNIT. LT. SMITH FOUND NO ONE AT HOME
DURRING FIRE. UNIT #81 WAS UNOCCUPIED. THE 2 BED ROOM APT. HAD ALL THE
SIGNS OF A FAMILY RESIDING AT THIS LOCATION; HOWEVER, NO ONE WAS AT
HOME AT THE TIME OF EXTINGUISHMF,NT.INVESTIGATION FOUND AREA OF FIRE
ORIGIN AND LOCATION.1'WALI; BEHIND SOFA DISPLAYED CLASSIC "V". PATTERNS.
THE 110 WALL OUTLET WAS"PUL'LCD-TO-RULE"OUTTFT;ECTRICAL INGNITION-SORCE.
INSIDE JUNCTION BOX"WAS"FOUND-CLEAR:-WITH"NO'INS 1llE'BURNS-OR .REEDING--&
TO WIRES. r.00CUPANT-'ARIVED-HOME AT-2-,•'30"A-M'.''IN'THE- MORNING. OCCUPANT
NAME-IS-ANDRE-JONES(BLK F%M,..� 21 YL/0). AFTER FURTHER INVESTICAl'ION
WITH FIRE OFFICIAL ANDRE ADDMITT$D TO SMOKING ON TIE- SOFA FROM 8:30P.M
TO 9-00 Y.M. LEFT SIDE OF SOFA 6URNED FRON INSIDE OUT ONN SOFA.
THE FIRE WAS ACCIDF.NAL IN NATURE NO ARSON. HOWEVER, FIRE COULD HAVE
BEEN AVOIDED IF OCCUPANT SMOKED bUT SIDE. FRO FURTHER INFORMATION SEE
STREET FILE, 1600 E. STH STREET AT CITY FILES.
------------------------------------------------------------------------------
RESPONDING PERSONNEL:
Unit
number Employee name
------_-----------------------------------------------------------------------
BC31
HENRY, T D
E31
WEAVER, ANDREW
E31
MCNEIL, RONNIE
E31
SMITH, J C
E38
RADZAK C.M
E38
MCGUIM, TIMOTHY J
E38
OR E, JEFF
F1738
R31
ROBLES T L
R31
SANFO1tF ROBERT
STEVEN
JONES K
T31
FIORE�fTI , V
T31
GERAGHTY, D L
T31
T31
PIEDISCALZO 7�ARRY
MURPHY, MI&IAEL, J
0
.Seminole County Property Appraiser Get Information by Parcel Number Page 1 of 2
Personal Property Please Select Account ij
PARCEL DETAIL
1 k"
4TH ST ' J
W 5TH ST__
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T (iG5 i it16
2003 WORKING VALUE SUMMARY
Value Method: Income
GENERAL
Number of Buildings: 33
Parcel Id: 25-19 30-5AG 0717-0000
Tax District: S1-SANFORD
Depreciated Bldg Value: $0
Owner: GORMAN WILLIAM &
Exemptions:
Depreciated EXFT Value: $0
Own/Addr: GORMAN BERTHA
Land Value (Market): $0
Address: PO BOX 420699
Land Value Ag: $0
City,State,ZipCode: KISSIMMEE FL 34742
Just/Market Value: $1,999,420 `
Property Address: 1600 5TH ST W
Assessed Value (SOH): $1,999,420'
Facility Name: SEMINOLE GARDENS
Exempt Value: $0
• Dor: 03 -MULTI FAMILY 10 OR
M
Taxable Value: $1,999,420
(* Income Approach used.)
SALES
Deed Date Book Page Amount Vac/Imp
2002 VALUE SUMMARY
ADMINISTRATIVE DEED 01/1993 02552
0813 $798,000 Improved
2002 Tax Bill Amount: $43,011
QUITCLAIM DEED 09/1981 01358
0573 $100 Improved
2002 Taxable Value: $2,031,720
QUITCLAIM DEED 09/1979 01245
1025 $100 Vacant
Find Comparable Sales within this DOR Code
LEGAL DESCRIPTION PLAT
LEG BLK 7 OF TIERS 17 18 19 + 20 + VACD STS
LAND
BET (LESS N 1/2 OF NE 1/4 OF BILK 7 TR
Land Assess Method Frontage Depth Land
Units Unit Price Land Value
18 + W 1/2 OF VACD ST ON E) & E 1/2 VACD ST
SQUARE FEET 0 0 334,785 2.00 $669,570
W OF TR 20 LYING S OF C/L 5TH ST & N. OF
C/L 6TH ST EXTENDED TOWN OF SANFORD PB
1 PG 112
BUILDING INFORMATION
Bid Num Bid Class Year Bit Fixtures
Gross SF Stories Ext Wall Bid Value Est. Cost New
1 MULTIFAMILY 1970 12
2,016 2 CONCRETE BLOCK - MASONRY $78,361 $91,919
2 MULTIFAMILY 1970 12
2,016 2 CONCRETE BLOCK - MASONRY $78,361 $91,919
3 MULTIFAMILY 1970 12
2,016 2 CONCRETE BLOCK - MASONRY $78,361 $91,919
4 MULTIFAMILY 1970 12
2,016 2 CONCRETE BLOCK - MASONRY $78,361 $91,919
5 MULTIFAMILY 1970 12
2,016 2 CONCRETE BLOCK - MASONRY $78,361 $91,919
6 MULTIFAMILY 1970 12
2,592 2 CONCRETE BLOCK - MASONRY $95,284 $111,770
7 MULTIFAMILY 1970 12
2,592 2 CONCRETE BLOCK - MASONRY $95,284 $111,770
8 MULTIFAMILY 1970 12
2,592 2 CONCRETE BLOCK - MASONRY $95,284 $111,770
9 MULTIFAMILY 1970 12
2,592 2 CONCRETE BLOCK - MASONRY $95,284 $111,770
10 MULTIFAMILY 1970 12
2,592 2 CONCRETEBLOCK- MASONRY $95,284 $111,770
11 MULTIFAMILY 1970 12
2,592 2 CONCRETE BLOCK - MASONRY $95,284 $111,770
Seminole County Property Appraiser Get Information by Parcel Number
12 MULTIFAMILY 1970
12
2,592
2
CONCRETE BLOCK - MASONRY
$95,284
13 MULTIFAMILY 1970
12
2,592
2
CONCRETE BLOCK - MASONRY
$95,284
14 MULTIFAMILY 1970
12
2,592
2
CONCRETE BLOCK - MASONRY
$95,284
15 MULTIFAMILY 1970
12
2,592
2
CONCRETE BLOCK - MASONRY
$110,660
16 MULTIFAMILY 1970
12
2,592
2
CONCRETE BLOCK - MASONRY
$95,284
17 MULTIFAMILY 1970
12
2,592
2
CONCRETE BLOCK - MASONRY
$95,284
18 MULTIFAMILY 1970
12
2,592
2
CONCRETE BLOCK - MASONRY
$95,284
19 MULTIFAMILY 1970
12
2,592
2
CONCRETE BLOCK - MASONRY
$95,284
20 MULTIFAMILY 1970
12
2,592
2
CONCRETE BLOCK - MASONRY
$95,284
21 MULTIFAMILY 1970
12
2,592
2
CONCRETE BLOCK - MASONRY
$95,284
22 MULTIFAMILY 1970
12
2,592
2
CONCRETE BLOCK - MASONRY
$95,284
23 MULTIFAMILY 1970
6
1,632
1
CONCRETE BLOCK - MASONRY
$60,378
24 MULTIFAMILY 1970
6
1,632
1
CONCRETE BLOCK - MASONRY
$60,378
25 MULTIFAMILY 1970
6
1,632
1
CONCRETE BLOCK - MASONRY
$60,378
26 MULTIFAMILY 1970
6
1,632
1
CONCRETE BLOCK - MASONRY
$60,378
27 MULTIFAMILY 1970
6
1,632
1
CONCRETE BLOCK - MASONRY
$60,378
28 MULTIFAMILY 1970
6
1,632
1
CONCRETE BLOCK - MASONRY
$60,378
29 MULTIFAMILY 1970
6
1,632
1
CONCRETE BLOCK - MASONRY
$60,378
30 MULTIFAMILY 1970
6
1,632
1
CONCRETE BLOCK - MASONRY
$60,378
31 MULTIFAMILY 1970
6
1,632
1
CONCRETE BLOCK - MASONRY
$60,378
32 MULTIFAMILY 1970
13
1,632
1
CONCRETE BLOCK - MASONRY
$64,215
33 MULTIFAMILY 1970
16
1,160
1
CONCRETE BLOCK - MASONRY
$70,600
Subsection / Sgft
BASE SEMI
FINISHED/ 1104
Subsection / Sgft
OPEN PORCH FINISHED/
40
EXTRA FEATURE
Description Year Bit Units EXFT Value Est. Cost New
ASPHALT DRIVE 2 INCH 1979 45,460 $15,093 $37,732
WALKS CONC COMM 1979 16,900 $13,520 $33,800
Page 2 of 2
$111,770
$111,770
$111,770
$129,807
$111,770
$111,770
$111,770
$111,770
$111,770
$111,770
$111,770
$70,825
$70,825
$70,825
$70,825
$70,825
$70,825
$70,825
$70,825
$70,825
$75,326
$82,815
NOTE: Assessed values shown are NOT certified values and therefore are subject to change before being finalized for ad valorem tax
If you recently purchased a homesteaded property your next year's property tax will be based on Just/Market value.
POWER OF ATTORNEY
Date: 7/1/03
I hereby name and appoint Rachael Schieber to be my lawful attorney in fact to act for me and
apply to the City of Sanford Building Department for fire restoration (interior work only)
permit for
work to be performed at a location described as:
Parcel ID Number: 25-19-30-5AG-0717-0000
Subdivision: Seminole Gardens
Address of Job: 1600 W. 5th St. Sanford, Fl 32771
Owner of Property and Address: William & Bertha Gorman
P.O. Box 420699 Kissimmee. FL 34742
and to sign my name and do all things necessary to this appointment
Type or Print Name of Certified Contractor: Richard L. Haines
Signature of Certified Contractor
The foregoing instrument was acknowledged before me this __A— day of , 20 ,:.
by
produced
who is personally known to me / who
as identification and who did not take an oath.
State of Florida
County of Orange
Signature of Notary n
Printed name of Notary C h� 11 tc. fy% (' a P4 n t4
Commission No./Expiration:cccnaAle ha/Lb
Seal:
'�'#V •%'I. Cynthia M Papania
Q* *My Commission CC073306
,.;6, �,e Expires September 22, 2003
This instrument Prepared By:
Name: Rachael Schieber
Address: 130 University Park Dr., Suite 125
Winter Park, FL 32792
Permit No.
CERTIFIED come
MARYANNE Mona
CLERK OF CIRCUIT COU
SEMIN E COUNTY 0
U CL B
STATE OF Florida
NOTICE OF COMMENCEMENT JUL 1 5 20
COUNTY OF Seminole
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,
and in accordance with Chapter 713, Florida Statutes, the following information is provided in this
Notice of Commencement.
1. Description of property: (legal description of property, and street address if available)
Seminole Gardens 1600 W. 5'h Street Sanford, FL 32771 Parcel ID: 25-19-30-5AG-0717-0000
2. General description of improvement:
Fire unit, interior damage, non structural. Building 8, unit 81
3. Owner information
a. Name and address: William and Bertha Gorman
P.O. Box 420699 Kissimmee, FL 34742
b. Interest in property:
c. Name and address of fee simple titleholder (if other than owner):
4. Contractor:
a. Name and address: WL Haines Construction, Inc.,130 University Park Dr., Suite 125,
b. Phone number: 407-384-1908 Winter Park, FL 32792
c. Fax number (optional, if service by fax is acceptable): 407-384-1909
5. Surety
a. Name and address:
b. Amount of bond $
Phone number:
d. Fax number (optional, if service by fax is acceptable):
6. Lender
•I
a. Name and address:
b. Phone number:
c. Fax number (optional, if service by fax is acceptable):
IIIIIIINIIIIIIIINIIIINiNI��NIN111NINN111111NII1N
MARYMW MORSE, CLERK OF CIRCUIT COURT
WAINOLE COUNTY
BK 04910 PG 0670
CLERK'S # 2003120043
RECORDED 07/15/2003 0301t12 PN
RECORDING FEES 6.00
RECORDED BY L McKinley
7. Persons within the State of Florida designated by Owner upon whom notices or other documents
may be served as provided in section 713.13(1)(a)7., Florida Statutes:
a. Name and address:
b. Phone number:
c. Fax number (optional, if service by fax is acceptable):
8. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's
Notice as provided in Section 713.13(1)(b). Florida Statutes:
a. Name and address:
b. Phone number:
c. Fax number (optional, if service by fax is acceptable):
9. Expiration date of notice of commencement (the expiration date is 1 year from the date of
recording unless a different date is specified)
Sworn to and subscribed before me by Ito^ t on
who is personally known to Me or produced
as identification, and who did ng� take
Signature of H0h I
Owners Name: William and Bertha Gorman
an oath, this �Sf'-' day of It -L, 2003 .
Owners Address: P.O. Box 420699
Signature of NotaryKissimmee, F134742
Printed name of N y
Commission No./Expiration: b� 14 31�3L Id o4
Seal: JILL L. YAMNITZ
Notary Public, State of Florida
My comm. exp. Aug. 18, 2006
ALL INFORMAMININQ561AMAD OR PRINTED LEGIBLY TO COMPLY WITH RECORDING REQUIREMENTS
.I Q�x.-03
CITY OF SANFORD FIRE DEPARTMENT 1✓
FEES FOR SERVICES
PHONE # 407-302-1091 * FAX #: 407-330-5677
DATE: ItPERMIT #: 5���
BUSINESS NAME / PROJECT:
ADDRESS: O S VNO 'dal
PHONE NO.: (4b7) 3gq- %7b& FAX NO.r—qb7 1 Z0q • /4�2t. f_
CONST. INSP. [ ] C / O INSP.:[ ] REINSPECTION [ ] PLANS REVIEW
F. A. [ ] F. S. [ ] HOOD [ ] PAINT BOOTH ] URN PE MIT [ ]
TENT PERMIT ] TANK PERMIT [ ] OTHER � gn_-}b
TOTAL FEES: S (PE ftffmW) �
Address / Bldg. # / Unit # Square Footage Fees per Bldg. / Unit
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
IL
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 1
will comply with all applicable codes and ordinances
of the City of Sanford, Florida.
iels11 A*
(*V -*
Sanford Fire Pr ention Division Applicant's Signature