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2800-2848 Mellonville Ave - BC03-000385 (SANFORD AIRPORT AUTHORITY) FIRE SPRINKLER DOCUMENTSPERMIT CONTRACTOR n t ADDRESS w% E fitiftAst PHONE NUMBER ELECTRICAL CONTRACTOR MECHANICAL CONTRACTOR PLUMBING CONTRACTOR MISCELLANEOUS CONTRACTOR PERMIT NUMBER MISCELLANEOUS CONTRACTOR PERMIT NUMBER FEE FEE d G SUBDIVISION vi PERMIT # 6 DATE t, ' 19'4; PERMIT DESCRIPTION 00A44 PERMIT VALUATION SQUARE FOOTAGE CERTIFCATE OF OCCUPANCY REQUEST FOR FINAL INSPECTION INTERIOR REMODEL TO A COMMERCIAL BUILDING**** DATE: \2k-3 PERMIT #: y - aS3 ADDRESS: CONTRACTOR: PHONE #: The building division has prepared a Certificate of Occupancy for the above location and is requesting final inspection by your department. After your inspection, please sign off and date the C. O. -or submit addendum if it has been denied or approved with conditions. Your prompt attention will, be appreciated. ngineerin Public Works J Utilities 0 Fire OZoning O Licensing CONDITIONS: (TO BE COMPLETED ONLY IF APPROVAL IS CONDITIONAL) c CERTIFCATE OF OCCUPANCY REQUEST FOR FINAL INSPECTION INTERIOR REMODEL TO A COMMERCIAL BUILDING**** DATE: PERMIT #: - aS3 ADDRESS: CONTRACTOR: PHONE #: The building division has prepared a Certificate of Occupancy for the above location and is requesting final inspection by your department. After your inspection, please sign off and date the C. O. or submit addendum if it has been denied or approved with conditions. Your prompt attention will be appreciated. DEngineering OFire _ ublic Works n OZoning Utilities OLicensing CONDITIONS: (TO BE COMPLETED ONLY IF APPROVAL 1S CONDITIONAL) CERTIFCATE OF OCCUPANCY REQUEST FOR FINAL INSPECTION INTERIOR REMODEL TO A COMMERCIAL BUILDING**** DATE: PERMIT #: y - a53 ADDRESS: y CONTRACTOR: PHONE #: The building division has prepared a Certificate of Occupancy for the above location and is requesting final inspection by your department. After your inspection, please sign off and date the C. O. or submit addendum if it has been denied or approved with conditions. Your prompt attention will be appreciated. Engineering Ir Public Works El Zoning Utilities OLicensing CONDITIONS: (TO BE COMPLETED ONLY IF APPROVAL IS CONDITIONAL) CERTIFCATE OF OCCUPANC REQUEST FOR FINAL INSPECTI INTERIOR REMODEL TO A COMMERCIAL DATE: PERMIT #: y - a53 ADDRESS: CONTRAC PHONE #: V U 1 1 1 j 1 1 1 1 1 I 1 1 1 N N mN CvcawZ I C; The building division has prepared a Certificate of Occupancy for the above location and is requesting final inspection by your department. After your inspection, please sign off and date the C. O. or submit addendum if it has been denied or approved with conditions. Your prompt attention will be appreciated. OEngineering DPublic Works i .' ` A OFire OZoning OLicensing CONDITIONS: \(,TO B.E COMPLETED ONLY IF APPROVAL IS CONDITIONAL) CERTIFCATE OF OCCUPANCY REQUEST FOR FINAL INSPECTION INTERIOR REMODEL TO A COMMERCIAL BUILDING**** DATE: N2k-3--01 PERMIT #: y - aS3 ADDRESS: c)K A CONTRACTOR: PHONE #: The building division has.prepared a Certificate of Occupancy for the above location and is requesting final inspection by your department. After your inspection, please sign off and date the C. O. or submit addendum if it has been denied or approved with conditions. Your prompt attention will be appreciated. Engineering Public Works Utilities OFire nin OLicensing CONDITIONS: (TO BE COMPLETED ONLY IF APPROVAL 1S CONDITIONAL) CITY OF SANFORD:PLUMBING PERMIT APPLICATIOfiI''{ Permit Number 3 'Date• The undersigned hereby applies for a permit to install the following plumbing: Owner's Name: &9k/, SORT 7_111 Address of Job: OR,©n. _ /%1 L6.v lip LG /Q,o Plumbing Contractor /1'9• c /e A4a/7e3 Residential: Non -Residential: By Signing this application I am stating that I am in compliance with City of Sanford Plumbing Code. Applicant's Sign re CFco.' s State License Number CITY OF SANFORD FIRE DEPARTMENT FEES FOR SERVICES PHONE # 407-302-1091 * FAX #: 407-330-56777 DATE: / PERMIT #: ;J'- BUSINESS NAME / PROJECT: Aw\ \ OS A#z- A ADDRESS: PHONE N -41900 FAX NOf y67 I Xz - rKf s CONST. INSP. [ ] C / O INSP.:[ 1 REINSPECTION [ 1 PLANS REVIEW F. A. [ 1 F.S. HOOD [ ] PAINT BOOTH [ BURN PERDI'Ta TENT PERMIT ] ANK PERMIT [ ] OTHER k-1 TOTAL FEES: S © O ( PER UNIT SEE BELO ) COMMENTS: e Address / Bldl;. # / Unit # 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. H. 12. 13. 14. 15. 16. 17. 18. 19, 20. 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 o Sanford, Florida. i SanfordWe Prevention Division plicant's Si n ture CITY OF SANFORD PERMIT APPLICATION • Permit No.: 0 Job Address: 2800-2848 Mellonville Avenue, Sanford Permit Type: Building Electrical Mechanical Plumbing X Fire hdn@WSprinkler Description of Work: Installaion of underground fire main and inside fire _ sprinkler system GC Permit #03-300 Additional Information for Electrical & Plumbing Permits Electrical: _Addition/Alteration _Change of Service _Temporary Pole New AMP Service (# of AMPS ) Plum bing/Residential: 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 X Commercial _ Industrial Total Sq Ftg: 13 , 5 0 0 Value of Work: S 3 2, 2 3 3. 0 0 Type of Construction: T V Steel /Cr)nFlood Zone: Number of Stories:_1 Number of Dwelling Units: 1 Parcel No.: 10 - 2 0 - 31- 3 0 0 - 0 0 4 A- 0 0 0 0 _ (Attach Proof of Ownership & Legal Description) Owner/Address/Phone: Sanford Airport Authority One Red Cleveland Boulevard', Suite 200, Sanford, Florida 32771 Contractor/Address/Phone: SoL h rn Fire Protection 3801 East State Road 46, SAnford 407-323-4200 Robert H. Caldiell, Jr. ' State License Number: 74072300011990 Contact Person:_ Tiffany Kirk -Phone&Fax Number: 407-323-4200/407-328-8931 Title Holder (If other than Owner): N/A Address: Bonding Company: N/A Address: Mortgage Lender:_ N/A Address: Architect/Engineer t'/A Ph one No.: Address: Fax No.: 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 maybe additional restrictions applicable to this property that maybe 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 requirements of Florida Lien Law, FS 713. Signature of Owner/Agent Print Owner/Agent's Name Date Signature of Notary -State of Florida Date Owner/Agent is Personally Known to Me or Produced ID APPLICATION APPROVED BY: /1 elm 14 e _ l0/31/02 Signature oTContractor/Agent Date Robert H. Caldwell, Jr. Print Contractor/Agent's Name - r aa,12z [&D4. cg?q Z",—. /O - 3 /- D ;?, Signature of Notary -State of Florida Date CAROL ANNE MURCHISON Notary Public, State of Florida My Comm. exp. July 11, 2005 Comm. No. DD- 037233 Contractor/Agent is X Personally Known to Me or Produced ID Date: 1 l-- t ( —0-z Special Conditions: I N \\ \j' N FIRE P%R0-rE:C-rl0N OY COMPgUYaR DES ION x- -K- -K- -X- -x- -X- -)r& -W -X- -)* -X- -X- -X- -X- -r -1* --)1& 4& iK- -X- -W -X- -W -X- -W -9- -X- -W -W -x- X- 1-iYDRl=k-TE:C9 INC. K- R-rF-- III WINIDHAM NH oaos-ill W -X- -X- -X- -W -X- -X- -X- -X- -W -X- -X- -K- -x- -K. -w- -X- -)* -N& 4*- -X- -X- -K- A04 CONTRACTOR SOUTHERN FIRE PROTECTION OF ORLANDO, INC NAME INCUBATOR BUILDING #515 - 1J`: ti LOCATION SANFORD AIRPORT SANFORD, FL. SYSTEM NO. I CONTRACT NO. HYDRATEC, INC. ii••• ••r.-iEiEiE•iE•r: is iE•r.•iE•aEt: iE•i•iEi iEiE•iEiEiE•• ie iE•iE: i•iEiE a: •w•iE••x••E E•E••••EiEit•••EiE E•x•E E EiE RTE ill WINDHAM NH 03087 603-434-0502 HYDRAULIC DESIGN INFORMATION SHEET NAME INCUBATOR BUILDING #515 DATE 9/24/02 LOCATION SANFORD AIRPORT SANFORD, FL. BUILDING SYSTEM NO. 1 CONTRACTOR SOUTHERN FIRE PROTECTION OF ORLANDO, INC CONTRACT NO. 22041 CALCULATED BY BOBBY CALDWELL DRAWING NO. 2 OF 2 CONSTRUCTION:( )COMBUSTIBLE (X)NON—COMBUSTIBLE CEILING HEIGHT OCCUPANCY WAREHOUSE/OFFICE S !A X )•NFPA 13 ( ) LT. HAZ. gORD: HAZ1GP. ( 040.21 ) ( ) EX. HAZ. Y ! ( ) NFPA 231 ( ) NFPA 231C FIGURE 7-2. 3. 1. 2 CURVE 3 3 ! ( ) OTHER T !( )SPECIFIC RULING MADE BY NFPA DATE E M !AREA OF SPRINKLER OPERATION 1500 SYSTEM TYPE DENSITY— GPM .2 (X)WET( )DRY( )DELUGE( )PREACTION D !AREA PER SPRINKLER 125 SPRINKLER OR NOZZLE E !HOSE ALLOWANCE GPM —INSIDE 0 MAKE RELIABLE MODEL G S !HOSE ALLOWANCE GPM —OUTSIDE 250 SIZE 1/2 K—FACTOR 5.62 I !RACY. SPRINKLER ALLOWANCE 0 TEMPERATURE RATING 212 G ! N ! CALCULATION ! GPM REQUIRED 308.96 PSI REQUIRED 42.45 AT BASE OF RISER SUMMARY ! C FACTOR USED: OVERHEAD 120 UNDERGROUND 150 W !WATER FLOW TEST ! PUMP DATA ! TANK OR RESERVOIR A !DATE OF TEST ! RATED CAP 0 ! CAP. 0 T !TIME OF TEST ! AT PSI 0 ! ELEV. 0 E !STATIC (PSI) 52 ! ELEV 0 ! R !RESIDUAL (PSI) 48 ! ! WELL FLOW (GPM) 890 ! ! PROOF FLOW GPM 0 S 'ELEVATION 2'-0 U P !LOCATION :CITY MAIN L !SOURCE OF INFORMATION Y ! COMMODITY CLASS LOCATION C !STORAGE HT. AREA AISLE WIDTH 0 !STORAGE METHOD:SOLID PILED % PALLETIZED I RACK % M M ! ! ( )SINGLE ROW ( )CONVEN. PALLET ( )AUTO. STORAGE ( )ENCAP. R ! ( )DOUBLE ROW )SLAVE PALLET ( )SOLID SHELVING ( )NON—ENCAP. S ! A ! ( )MULTIPLE ROW ( )OPEN SHELVING C 0 ! K ! FLUE SPACING: CLEARANCE:STORAGE TO CEILING R ! ! LONGITUDINAL TRANSVERSE G ! ! HORIZONTAL BARRIERS PROVIDED: E ! ! UNITS — DIAMETER (INCH) LENGTH (FOOT) FLOW :GPM) PRESSURE (PSI) is iE•k•} is iE •k'i• iE z iEie•}E•Y• is ii is rt ticiE is x•%•k iEr. iF •k iE•Y•i•Fr. # is is •his•}• •YiE#• is iEitii •'kisiEi•iEiE•D'c # iE •Y•#x •Y• ie •6ci: iE iEiEicic iE•i'c •G•;E?: is iE # is e 1 RE k—°P.0 e ECT• 10P-4--B C0MG'UTE^ DES.— I Gt•,E 0 HYDRATEC, INC. JOB- INCUBATOR BUILDING 515 JOB NO 22041 DATE 9/24/02 PAGE 1 DESIGN ARER••••••••*•••••••••#x••••:•r.- HYDRLC. QA DIA. EQUIV. PIPE PT PT REF. FLOW C" FITTING FTGS. PE PV NOTES #* POINT UT LOSS/F LENGTHS TOT. PF PN 25.00 C=120 10.00 19.73 Q=K*SQR(P): P= 19.79 1 2.157 0.00 0.00 K= 5.620 V 2.19 25.00 0.0058 10.00 0.06 25.04 C=120 10.00 19.85 K= 5.620 P= 19.85 2 2.157 0.00 0.00 VELOCITY = 4.39 50.04 0.0212 10.00 0.21 25.17 C=120 10.00 20.06 K= 5.620 P= 20.06 3 2.157 0.00 0.00 VELOCITY = 6.6 75.21 0.0450 10.00 0.45 25.45 C=120 10.00 20.51 K= 5.620 P= 20.51 4 2.157 0.00 0.00 VELOCITY = 8.83 100.66 0.0772 10.00 0.77 25. 93 C=120 5.17 21.28 K= 5.620 P= 21.26 5 2.067 1T10.0 10.00 0.00 VELOCITY = 12.1 126.59 0.1453 15.17 2.20 0.00 C=120 1.50 23.49 QA= 0. 00PT= 23.49 RN1 2.067 100.0 10.00 0.00 VELOCITY = 12.1 126.59 0.1453 11.50 1.67 1 26.59 25.16 CS 1 CM1 25. 03 C=120 10.00 19.83 Q=K*SQR (P) : P= 19.63 6 2.157 0.00 0.00 K= 5.620 V 2.2 25.03 0.0058 10.00 0.06 25.06 C=120 10.00 19.89 K= 5.620 1 P= 19.89 7 2.157 0.00 0.00 VELOCITY = 4.4 50.09 0.0212 10.00 0.21 25. 20 C=120 10.00 20.10 K= 5.620 P= 20.10 8 2.157 0.00 0.00 VELOCITY = 6.61 75.29 0.0451 10.00 0.45 25. 48 C=120 10.00 20.56 K= 5.620 P= 20.56 9 2.157 0.00 0.00 VELOCITY = 8.84 100.77 0.0774 10.00 0.77 25.96 C=IEQI 5.17 21.33 tt 1K= 5.620 P= 21.33 10 2.067 1T10.0 10.00 0.00 VELOCITY = 12.11 126.73 0.1456 15.17 2.21 0.00 C=120 1.50 M. 54 QA= K OM= 23.54 RN2 2.067 K10.0 10.00 0.00 VELOCITY = 12.11 126.73 0.1456 11.50 1.67 HYDRnTEC, INC. JOB- INCUBATOR BUILDING 515 JOB NO 22041 DATE 9/24/02 RAGE c c•x•xx c K;a a c DESiGN AREA**----*-*-a- HYDRLC. QA C" EQUIV. RIPE PT PT REF. FLOW DIP. FITTING FTGS. PE PV*** NOTES** POINT QT LOSS/F LENGTHS TOT. PF PN 126.73 25.21 CS c CM2 27. 81 C=120 10.00 24.49 Q=K*SQR (P) ; R= 24.49 11 2.157 0.00 0.00 Q 5.620 V = 2.44 27.81 0.0071 10.00 0.07 27.85 C=120 5.17 E4.56 K= 5.620 R= 24.56 12 2.067 1T10.0 10.00 0.00 VELOCITY = 5.32 55.66 0.0317 15.17 0.48 0.00 C=120 1.50 25.04 QA= 0.00PT= 05.04 RN3 2.067 1T10. 0 Moo 0.00 VELOCITY = 5.32 55.66 0. 03 17 11.50 0.37 55.66 25.41 CS 3 CM,3 126. 59 C=120 12.50 25.16 CA= 126. 59P T = 25.16 CM1 4.260 0.00 0.00 VELOCITY = 2.85 126.59 0.0042 12.50 0.05 126.73 C=120 12.50 Lam. L1 n! QA= 126. 73PT= 25.21 CME 4.260 0.00 0.00 VELOCITY = 5.7 253.32 0.0154 12.50 0.19 55.66 C=120 MOM 192.50 25.41 QA= 55.66PT= 25.41 CM3 4.260 Moo 8.23 VELOCITY = 6.95 308.98 0.0523 202.50 4.53 PE= FOR HT. OF 19.0 0. 00 C=120 18.00 38.17 QA= 0. 00M 38.17 TASK 4.260 0.00 0.00 VELOCITY = 6.95 308.98 0.0223 18.00 0.40 308.98 38.57 CS 4 BASR 0. 00 C=150 5E15.1 120.00 38.57 QA= 0. 00P0 38.57 BASK 4.240 2T30. G 135.90 0.00 VELOCITY = 7.02 308.98 0.0151 255.90 3.88 0. 00 C=150 360.00 42.45 QA= 0. OM= 42.45 CONN 9.790 0.00 0.00 VELOCITY = 1.32 308.98 0.0002 360.00 OM 51 Tc..ik.. 0k 5TC=1.6. ti01. k•t 5/ 42.4i 50 PT= ! QA= c:..rv.•. 00r - ice. 5++ HYD 9.790 1T75.5 83.50 0.00 VELOCITY = 2.38 558.93 0.0007 8.00F. 84.50 0.07 HYDRATEC, INC..k..x r: k***+r#*• JOB— INCUBATOR BUILDING 515 JOB NO 22041 DATE 9/24/02 RAGE 3 c****-*-JESIGN AREAx**-*•#*x z x cx ,x-x x HYDRLC. QA "C" EQUIV. FIRE PT PT REF. FLOW DIA. FITTING FTGS. RE RV NOTES**# POINT CT LOSS/F LENGTHS TOT. RF RN 558.98 42.61 CS 5 CITY l xx**xr HYDRATEC, INC.xr=t:+*t r*x,t JOB— INCUBATOR BUILDING #515 JOB NO 22041 DATE 9/24/02 PAGE 4 c-••x•••••••a:•••-•••FLOW SCHEMATIC•••••••-#,-a:•••;:-••••••••: k 75. "1 126.59 1 ((({ct{i3i{i{4i{ii5i{{{R Ji {iCMi 50.04 1 ti 0. 66 126. 59 126.59 25.03 75.29 126.731 6((((7((((B((((9((((10(((RN2((CM2 50. oc" i Z)0. 77 126. 73 253.32 27.81 55.66 l i ({ (12 (((RN3 ((CM3 55.6E 1 308.96 TASK 308.98 BASK 308.98 11 CONN JOV. 98 HYD 558. 98 CITY I HYDRATEC, INC.**xrrz JOB— INCUBATOR BUILDING #515 JOB NO 22041 DATE 9/24/02 RAGE 5 WATER ANALYSIS•-•••••c cr-••a-k••x•••••••- F•- 0 r —• It U T L. 13 I P4 C3 0 1 Q DENSITY X AREA 0.200 X 1500.00 = 300.00 OVERAGE = 8.98 GPM = 8.98 RACKS = 0.00 INSIDE HOSES = 0.00 OUTSIDE HOSES = 250.00 FLOW REQ' D FOR SYSTEM = 308.98 FLOW AT BASE OF RISER = 308.98 MIN FLOW AT BASE OF RISER = 308.98 TOTAL FLOW = 558.9E STATIC PRESSURE = 5C.0 RESIDUAL PRESSURE = 48.00 RESIDUAL FLOW = 890.00 FLOW FROM CITY SUPPLY AT 20PSI = 2739 GPM PRESSURE FROM CURVE @ TOTAL FLOW = 50.30 ELEVATION 2.50 FOOT = 1.08 NO. DIA "C" LENGTH FACTOR. + FLOW PF ADDITIONAL VALVE LOSS, ETC. = 7.00 SAFETY MARGIN = 0.00 PRESSURE AVAILABLE FOR SYSTEM — 44.39 0 FLOW VELOCITY HYDRATEC, INC. JOB— INCUBATOR BUILDING r515 JOB NO EE@41 DATE 9JE lOE PAGE n e z# #>< x# a- x•n: #r#x WATER SUPPLY 1._.-_.__._-------------------------•----------•------------------------------ 1 i 1 STATIC PRES. ! 52. 000 PSI ! 1 t I 1 ' S ! u 1 i 1 F' ! 1 P ! L ! Y ! 1 C I 1 . R 1 v 1 . E ! PRES. AVAILABLE ! 50.308 PSI ! SAFETY MARGIN ! 7.708 PSI v ! SYSTEM DEMAND--) }----------------- C-- FLOW AVAILABLE ! 308.98 GPM / 250 GPM HOSE 1412.43 GPM ! E ! TOTAL DEMAND ! ! V ! 42.600 PSI AT! ! R ! 558.98 GPM ! ! 1 / U---------------- 1 C RESIDUAL PRES.—)-x ! J 48.000 PSI AT ! D 890.0-0 GPM ! N ! I A 1 M 2738.71 GPM # ! J E AT 20.000 PSI ! 1 D ! t-- 7.150 PSI ;ELEVATION) ! 1 I FLOW ',GPM) FLOW SUMMARY SYSTEM FLOW 30$.98 GPM OUTSIDE HOSE 550.00 GPM TOTAL DEMAND 558.98 GPM SANFORD FIRE DEPARTMENT _ FIRE PREVENTION DIVISION 300 N. Park Ave., Sanford, Fl. 32771 / P. O. Box 1788, Sanford, Fl. 32772 407 302-2520 / FAX (407) 330-5677 Pager (407) 918-0395 F D Plans Review Sheet Date: 11/5/02 Business Address: 2800 -2848 Mellionville Ave Business Name: Sanford Airport Authority Ph. (407) 585- 4006 Fax. (407) 585-4110 Contractor: Southern Fire Protection Ph. (407) 323-4200 Fax. (407) 328-8931 Reviewed [ J Reviewed with comment [ X J Rejected [ J Reviewed by: Timothy Robles, Fire Protection Inspector Comment: Instillation of Fire Sprinkler system with new 10 " C-900 pvc@ 360 ft run 1.1 Application — Ordinary hazard group #2 Wet system. 1.2 Fire sprinkler head % orifice (reliable) with 212 degree rating K — Factor of 5.62 with a 250 G.P.M. outside hose allowance Two hour under ground hydro and flush required Two hour above ground hydro required Tamper switches required on all fire sprinkler valves Signs and f re sprinkler rating/test plate required at time offinal 1 n`'gs irl;N A •r;:',r;cr,: P`iiLi;w'b,e yy r - rifa:. "trw + :iirm y-x,9 .,'Ifr' 't 1 r yr ,v t _ ., i . L y!t L ` 1 1" M* ? r I 1 `R f y "1 ,.yC 1 ' tX , ta,..jir w• . ' .t kf•a - CITY OFSANFORDPERMITAPPL'ICATION?=`'h'bi •`+i'b7 r tt#7 ~•\ Date: I,(w• .q)h 1. i1ijj44,411:y)fly.••'i'. ddr I Oyy1 110kit lF%s ac • of•Work: Historic District: Zoning: Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm PoQI . Electrical: New Service — # of AMPS Addition/Alteration Change of Service Tempotgry Pole L echanical:.Residential Non -Residential Replacement New L (Duct Layout & Energy ChI , Required) Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines Plumbing/ New Residential: # of Water Closets cc pa,usyWType: Residential Commercial Industrial Construction Tyne: # of stories: # of Dwelling Units: Parcel #: wners ame &.Ad, s: Plumbing Repair— Residential or Commercial Total Square Footage: Flood Zone: (FEMA form required for• W her than X) Attach Proof of Ownership & Legal Description) Phone: 4C7 --3a - yQ r% A a Pho Sax Contact Person: Phone: Bonding Company: Address: Mortgage Lender: Address: Architect/ Engineer: Address: Phone: Fax: Application is hereby trade 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 inforrmtion 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. N TI :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 requirements of Florida Lien Law, FS 713. 9- 04- a43 Signature of Owner/Agent Date t for/Agent iL W ; ilrs .- Print Owner/Agent's Name gpt>aweW3enM I IL I Signature of Notary -State of Florida Date a re of ro_.y-State of Florida Date Owner/ Agent is _ Personally Known to ate or Produced ID yy'' APPLICATION APPROVED BY: Bldgo Zoning: Initial Dare) Specia! C' ondil,olis: p`;A ° 60 FLORENCE A DE GRAVE MY COMMISSION t DO 164280 Co sI` to r c p 'lcall V Initial & Date) Initial & Date) (brinaal & Dai;