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111 Oregan Ave - BC97-002193 (1997) (HOPS BAR & GRILL) DOCUMENTSSUBDIVISION: ZONE DATE CONTRACTOR ADDRESS PHONE # L - P - `l 3-fi-0 nn LOCATION 1 OC ((>M -MVP - OWNER 07- (1/) i ,2_ic d. r ADDRESS PHONE # 0 IJ Y6TLUMBING CONTRACTOR pI ADDRESS Q PHONE # ELECTRICAL CONTRACTORa b I ADDRESS PHONE # C MECHANICAL CONTRACTOR v ADDRESS PHONE # MISCELLANEOUS CONTRACTOR ADDRESS SEPTIC TANK PERMIT NO. SOIL TEST REQUIREMENTS FINISHED FLOOR ELEVATION REQUIREMENTS ( PERMIT # "I - A) 17 COST FEES STATE NO. C G 0_ D -, i (_c FEE S Z 7 FEE $,) FEE S LOT NO. BLOCK: SECTION: SOUARE FEET:: MODEL: OCCUPANCY CLASS: ('_(!M -r- INSPECTIONS ITYPEDATEOKREJECTBY FEES ENERGY SECT. EPI: CERTIFICATE OF OCCUPANCY ARCHITECTURAL APPROVAL DATE: ISSUED # If DATE: FINAL GATE -/7-7W2 I CITY OF SANFORD, FLORIDA APPLICATION FOR BUILDING PERMIT b 4J U b 0 a x 0 PERMIT ADDRESS OL o Y(7 PERMIT NUMBER Total Contract Price of Job 49s,00c 019 Total Sq. Ft. 52 o Describe Work 13LOt, ice-( acxwON, Iff, , P, /M7s . 11.!'15:MOCL R FEhM 2t0P_ -tr/k a5.i Z D M.04x . 5 rctkf+ r t Type.of Construction Number of Stories i Occupancy: Residential LEGAL DESCRIPTION TAX I.D. NUMBER Flood Prone (YES Number of Dwellings + Zoning Commercial Industrial please attach printout from Seminole County) OWNER 142pk LQtU_ r t_ pW_ PHONE NUMBER G(V ADDRESS Z03Q N. C?cZ:L{ , M 165,0 CITY-j'/xy } STATE :F, ZIP (D TITLE HOLDER (IF OTHER THAN OWNER) ADDRESS CITY STATE ZIP BONDING COMPANY ADDRESS CITY TE 088 ARCHITECT AL ON O Ak ADDRESS 5 tj at) CITY -T nn STATE L'/_ ZIP MORTGAGE LENDER ADDRESS CITY STATE ZIP e 0 611, alrr,e-n-i CONTRACTOR PHONE NUMBER ADDRESS acr—W."W # 6cio ST. LICENSE NUMBERGd`( CITY STATE ZIP 32,6-0 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, PLUMBING, MECHANICAL, SIGNS, POOLS,°ETC. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating Construction and zoning. A COPY OF THE RECORDED COPY OF THE NOTICE OF COMMENCEMENT WILL BE POSTED ON THE JOB SITE WITH PERMITS NO LATER THAN SEVEN (7) DAYS AFTER THE PERMIT HAS BEEN ISSUED. FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOU PAYING TWICE FOR THE 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 REQUIREMENTS OF FLORIDA--4,IEN LAW, FS713. y ro 2 ro n rt co m a o h S' nature o Owner•/ ent & Date S' of Contractor & Date 0 a Type or Pri Owner/Agent Name Type or rii_f` Contractor's Name d x 3 iG a 3 O a . o 4 1- UI ro w a 0 4 o ro W 0 o aa'i >1 z a F 5 Z/ k Signature of Aotary & D to Official Seal) O ro c h Signature of'No azy & Date p Of ficia Seal) C MARISSA ALE1X0 6VIARISSA ALEIXO State of Florda State of Florida My Comm. Exp. Oct. 30,1998 My Comm. Exp. Oct 30,1998 Comm. # CC 41750E Comm. # CC 41750E LD Application Appr ved BY: Date: FEES: Building ® 5 Radon Q (O Police I[vLG;'. Firo. I Open Space Road Impact OV Application PERMIT VALIDATION: CHECK ' 11Z CASH DATE `7 N K7 BY ORIGINAL (BUILDING) YELLOW (CUSTOMER) PINK (COUNTY TAX OFFICE) GOLD (CO. ADMIN) ro n 0 a m a THIS APPLICATION USED FOR WORK VALUED $2500.00 OR MORE Whole Building Performance Method for Commercial Buildings ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Florida Department of Community=Affairs FLA/COM-94 Ver.sion 2.1A PROJECT NAME -HOPS GRILL & BAR ADDRESS: _SANFORD FLORIDA OWNER: _HOPSL GENT Form 40OA-94 PERMITTING OFFICE: Sanford CLIMATE ZONE: _5-,-- PERMIT NO: / / - 3 JURISDICTION NO:_691500 3JILDING TYPE: -Restaurant > 100 People CONSTRUCTION CONDITION: New construction DESIGN COMPLETION: _Finished Building CONDITIONED FLOOR AREA: 5080 NUMBER OF ZONES: 1 MAX. TONNAGE OF EQUIPMENT PER SYSTEM -,'I 39 COMPLIANCE CALCULATION: METHOD A DESIGN CRITERIA RESULT F;. YWHOLE - BUILDING 71.29 100.00 PASSES PRESCRIPTIVE REQUIREMENTS: LIGHTING EXTERIOR LIGHTING 0.00 150.00 PASSES LIGHTING CONTROL REQUIREMENTS PASSES, HVAC EQUIPMENT COOLING EQUIPMENT 1. EER 9.00 8.50 PASSES IPLV 7.50 7.5.0 PASSES HEATING EQUIPMENT 1. Et 1.00 N/A AIR DISTRIBUTION SYSTEM INSULATION LEVEL 1. Unconditioned Space 4.20 4.20 PASSES WATER HEATING EQUIPMENT. 1.. Et 0.90 0.77 SL 0.00 0.03 PASSES PIPING INSULATION REQUIREMENTS. 1.. Non -Circulating 1.00 1.00 PASSES 9- COMPLIANCE CERTIFICATION: I hereby certify that the plans and': specifications covered by this -calcu- lation are in compliance with the Florida Energ E f'c en y Code. PREPARED BY: DATE: I hereby certify that this building is in compliance wj* h Ati. Florida Energy Efficiency Cod OWNER/AGENT: DA+rE : V 9 - 0 ` Review of the plans and specifica- tions covered by this calculation indicates compliance with the Florida Energy Efficiency Code. Before construction is completed, this building will be inspected for compliance in accordance with Section 553.908, Flor' a Statutes. BUILDING OFFICIAL: t DATE: I hereby certify(*) that the system design is in Energy. Efficiency Code. SYSTEM DESIGNER ARCHITECT : MECHANICAL: PLUMBING ELECTRICAL: LIGHTING _ signature by registered be used where compliance =kt h; "the --Fl.or ida. REGISTRAT IONVSTA,TE_ is required where Florida law requires design to be performed design professionals'. Typed names and registration numbers may all relevant information is contained on signed/sealed plans. BUIL.D:ING.INFORMATION COMPLIANCE CHECK 401.------GLAZING--ZONE 1----------==------------------------------------- v- Ele-vation Type U :$C 'VLT Shading Area(Sgft ) North Commercial 1.13 0.71 0.50 Continuous Ove 109 truth Commercial 1.13 0.71 0.50 Continuous Ove 110 East Commercial 1.13 0.71 0.50. Continuous Ove 30 West Commercial 1.13 0.71 0.50 Continuous Ove 299 TotalGlass Area in Zone 1 = 548; Total, Glass Area = 548; 402.-------WALLS--ZONE 1----------- -------------------------------------;--- Elevation Type U Added R Gross(Sgft ) East SIDING/R-19\GYP 0.04 0 740 West SIDING/R-19\GYP 0.04 0 540 Scjuth SIDING/R-19\GYP 0.04 0 490 Nc)rth SIDING/R-19\GYP 0.04 0 770 Total Wall Area in Zone 1 = 2540 Total Gross Wall Area = 2540 r.03.-------D00RS--Z0NE 1------------------------------------------------ ;--- Elevat,ion Type U Area(Sgft ) 4outh 1--3/4 Steel Door-Solid,U.rethane foam co 0.40 21 East 1-3/4 Steel Door -Solid Urethane foam co 0.40 21 Total Door. Area in Zone 1 = 42 Total Door Area = 42 404 . ---- ---ROOFS--ZONE 1------------_____________________________________ fyPr Color U Added R Area(Sgft ) 1" Wood with 2" Insulation Medium 0.109 0 28471 1." Wood with 2" Insulation Medium 0.109 0 2233 Total Roof Area in Zone 1 = 5080 Total Roof Area— 5080 405.-------FLOORS-ZONE 1-------------------------------------------------- ,--- Type R Area(Sgft ) lab on Grade/Uninsulated0 5080 Total Floor Area in Zone 1 = SO Total Floor Area = SO 406-------- INFILTRATION -------------------------------------------------- I--"- CHECK Infiltration Criteria in 406.1.ABC.1 have been met. 407 __---- COOLING SYSTEMS ___--___--------__________________________________ Type No Efficiency IPLV, Tons, 1 . Air Cooled ( >= 65,000'Btu/h ; 1 9.0 7.5 38.75 408.---_-_ HEATING SYSTEMS---------=-------------------____-___---_--______ Type No Efficiency BTU/hr 1. Electric Resistance 1 1_ 136138 409 ------ VENTILATION --------------------------------------------------- i--- CHECK; Ventilation Criteria in 409.1.ABC.1 have been met. AIR DISTRIBUTION SYSTEM ________________________________________ i10 AHU Type Duct Location R-value 1.. Packaged Constant Volume Unconditioned Space 4.2 411.-----PUMPS AND PIPING -ZONE 1-7- ----------------------------------- TyNe R-value/in Diameter Thickness 1 . iNon-Circulating 4 412_ ----- WATER HEATING SYSTEMS -ZONE 1-------------------------------__-- Type Efficiency StandbyLoss InputRate Gallons 1. > 75,000 Btuh .90 0 365000 69 413.-----ELECTRICAL POWER DISTRIBUTION -=------------------------------------ CHECK Metering criteria in 413.1.ABC `1,have.been met. Transformer criteria in 413 1,ABC. have been met. 414.-----MOTORS __________________:__----_-_______--________--_-;----- Motor efficiencies in 414.1.ABC.1havebeen met. 15.-----LIGHTING SYSTEMS -ZONE 1 --------------------------------------- S[.:)ace Type No Control Type 1 No Control Type 2 No Watts Area(Sgft) Bar/LoL. inge 1 On/Off 3 None 0 4600 2847 Bar/Lounge 1 On/Off 2 None 0 2880 2233 Total Watts for Zone 1 = 7480 Total Area for Zone 1 = 5080 Total Watts = 7480 Total Area - 5080. CHECK Lighting criteria in 415.1.ABC"have been met. 16. HVAC- load -sizing has been performed'. (407.1.ABC.1) 17 Duct sizing and design -have been performed. (410.1.ABC.1.2) 18. Testing and balancing will be performed. (410.1.ABC.4) 19 Operation/ maintenance manual will'be provided to owner.(102.1) CITY OF.s S(ANFORD. FLORIDA PERMIT NO d Gjd DATE THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO INSTALL THE FOL- LOWING PLUMBING WORK: OWNER'S NAME 'S ADDRESS OF JOB / v 1-J ° U_ PLUMBING CONT Res. Comm - Subject to rules and regulations of Sanford plumbing code. Residential: Number Amount Alteration, Addition, Repair i New Residential: One Water Closet Additional Water Closet ommercial: Fixtures. Floor Drain, Trap Sewerr l cc Water Piping Gas Piping I 0- Factory-built housing Mobile Home Application Fee Minimum Commercial Permit: $25. oo Total Master Plumber COMPETENCY CARD NO. McNatt Plumbing Co., Inc. CFCO 45185 13211 N. Nebraska Avenue Tampa (813) 971-6100 Suite G Sun City/Apollo (813) 645-6329 Tampa,; Florida 33612 Fax (813) 975-0410 July 14, 1997 City of Sanford 300 N. Park Avenue Sanford, Florida 32711 TO WHOM TT MAY CONCERN: Please accept this letter of authorization for Julian Cross to to sign in my behalf to secure plumbing permits in the City of Sanford. Thanking you in advance, I remain; Respectfully, 91 D. McNatt CFC 045185 Sworn to and subscribed before me this 14th ,day of July. 1997. pF F OIANA L REGOtMYCommExµ2/17=1 Notary Public v Bonded By SWAM Ins: , No. CC622610 I I PM-61ly Known ( I Other I.D. Personally known MOO= CITY OF SANFORD. FLORIDA PERMIT NO. Aq(D1 DATE`1 THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO INSTALL THE FOL- LOWING ELECTRICAL WORK: OWNER'S NAME 1r - ADDRESS OF JOB ELEC. CZ L X/ddential Non-residential— Subject to rules and regulations of the city and national -electric codes. Number AMOUNT Alteration Addition Repair Chan f Service Residential Commercial Mobile Home Factory Built Housing New Residential 0-100 Amp Service 101-200 Amp Service 201 Amp and above New Commercial ,")-a a Amp Service Application Fee i TOTAL By signing this application 1 am stating I will be in compliance with the NEC including Article 110, Section 110-9 and 110-10. I.V9- j Building Official 094Z Master Electrician STATE COMPETENCY NO. CYPR-ESS COAST Rocky Pointe Centre 3030 North Rocky Pointe Drive, West Suite 650 Tampa, Florida 33607 813) 281-9010 CONSTRUCTION July 18-,s 1997 City of S nford 1 3.00 N. Par`k Avenue Sanford, FL 32771 U l Attn: Gary Winn All steel in interior footings has been installed per plans. S c rely, liam Holmes 14 MEM076 CITY OF SANFORD, FLORIDA PERMIT NO. 7P 7 DATE -/9^ 9 THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO INSTALL THE FOLLOWING H.A.R.V. MECHANICAL EQUIPMENT: OWNER'S NAME '" ADDRESS OF JOB l l D/1 P r1•e y- MECHANICAL CONTR. RESIDENTIAL q 41MRE CIALSubject to rules and regulations of Sanford mechanical code. OF WORK I_ VALUATION APPLICATION FEE Maste pedmicall COMPETENCY CARD NO. it (-I—jO`'' August 14, 1997 JTo Whom It May Concern: This letter authorizes A.S.A.P. Permit Services, Allen Ebanks or his designated representative C Z"'1f/t5/QJ to activate licenses and pull permits for Bren o & Taylor Air Conditioning, Inc. Should you have any questions regarding this, please do not hesitate to call us at 813) 855-5838. Sincerely, o,j, v ° JULIE MARIE HITE Z COMMISSION NCC555307 EXPIRES MAY 16, 2000 OF Joseph Brenzo Sworn to and subscribed before me this / day of 1997. a TATE STARTED: __/40/47/n fa I CITY OF' SANFORD REQUEST FOR FINAL INSPECTION FOR CERTIFICATE OF OCCUPANCY ADDRESS: JE CONTRACTOR: TYPE OF COS RUC 10 AW UW The Building Department has prepared a certificate of occupancy for the above location and is requesting a final inspection by your department. After your inspection, please come to the Building Department to sign -off on the Certificate of Occupancy, or submit a certificate of occupancy addendum if it has been denied. Your prompt attention will be appreciated. Thank you. Distribution List: Engineering Dept. Fire Dept. Public Works Dept.0000000, Utilities/Cross Connection Zoning O? DATE STARTED: c CITY OF SANFORD REQUEST FOR FINAL INSPECTION FOR CERTIFICATE OF OCCUPANCY ADDRESS: CONTRACTOR: Aft TYPE OF CONSTRUCTION: The Building Department has prepared a certificate of occupancy for the above location and is requesting a final inspection by your department. After your inspection, please come to the Building Department to sign -off on the Certificate of Occupancy, or submit a certificate of occupancy addendum if it has been denied. Your prompt attention will be appreciated. Thank you. Distribution List: Engineering Dept. Fire Dept. Public Works Dept. Utilities/Cross Connection Zoning 19-7 p (0C0&a ,5o pd '7) )9` 3 l kC a-6-V CK ) a L ki 5 rwIr 4 h w M A j r----, , 0 I I i i 1114 agog r 4 1 t f F M M S ' y .ter M ice !. 2 - - 01 s t / oolieti S 1 a • Ma i1\ '•, v•.*" \ Z 1 \ ` 4 , ` a .' f# t ii r , <, `, 4 4 1 i ' S : 1'• - ' . rr '.i 1; , . ., . . r. . , '` s 1' _ . - 4 I. fox 6 aWN4 j. d e , a r ecupan y Addendum Owner: Hops Address: 111 Oregon Ave. Date: 10/8/97 Reason for Disapproval: none Conditional Agreement: Paint address numbers color to contrast with background. Complete landscaping, including anchoring oak tree. Paint Backflow preventor per Fire Department color requirements. Repair sod and level soil in ROW where temporary sign is installed. Temporary trailer to be removed. Repair asphalt, seal and restrip parking lot at trailer location. General clean up around site. Must be complete 14 days from this date. 1):\1V1'51\1)OC\CO\ll IOREGO.CO September 15, 1997 City of Sanford Building Department P.O. Box 1780 Sanford, Florida 32772 Ref: Hops Grill & Bar 111 Oregon Avenue Sanford, Florida Pursuant to our request for temporary power to test equipment, please be informed Hops Grill & Bar employees will not occupy the above reference restaurant prior to issuing a certificate of occupancy. It is Hop's policy as regulated by our liability insurance to occupy the restaurant only after a Certificate of Occupancy, Alcohol Beverage License, and Occupational License have all been issued. Sincerely, A. Duttenhofer General Manager XerenceaTe4renzi Chief Financial Officer Subscribed and sworn to before me this /,` day of A.D. 19g7 Notary Pub My Commission Expires: LIA13lSSA ALEUX0 State of Florida My Comm. Exp. Oct 30,1998 Comm. # CC 41750F CITY OF SANFORD FIRE -.DEPARTMENT FEES FOR SERVICES PHONE #: 407-322-4952 DATE: S130 f PERMIT #: BUSINESS NAME: ADDRESS: PHONE NUMBER:( ) PLANS REVIEW TENT PERMIT BURN PERMIT REINSPECTION TANK. PERMIT FIRE SYSTEM AMOUNT $ 10S.0' C COMMENTS:. Co „s i ,r c- % S-2 Sg ,% / d• oC. ^ 3 Fees must be paid to Sanford Building Department,,300 N. Park Avenue, Sarjford, Florida. Phone # 330-5656. Proof of payment must be made to Sanford Fire Prevention before any further services can take place. I certify that the above information is true and v correct and that I will comply with all applicable Sanfo KrV Prevention codes and rdinances of the City o f rd, Florida. Applic s Signature J pSNp APPLICATION FOR TEMPORARY CONSTRUCTION ACTIVITIES USE PERMIT CITY OF SANrUMU, N. lE coJN DATE PERMIT NO. K_ To the Building Official: The undersigned hereby applies for a permit for the following described work: OWNER // O_ " 3 ADDRESS NATURE OF WORK CDs 7`c) c1_7v't1 LEGAL DESCRIPTION 11 APPLICANT'S NAM yP1t9.5 OoA-S 3030 4o4y PT bh( Su/T CCZ APPLICANT'S ADDRESS , TAemNib R - 3360 APPLICANT'S PHONE NUMBER h 3-A2 - 93s0 Building Official I, certify that the above infor- mation is true and correct and that I will comply with all applicabl s and ordinances of the itv ,Sanford. FL. Appli"V Signature 6/94) Application type = TCAU JUL- 8-97 TUE 16:07 HOPS GRILL & BAR, INC. FAX NO, 813 282 9451 P, 01 CYPRESS COAST Rocky Pointe Centre 3030 Norlh Rodq Pointe Drive, West Suite 650 Toinpa, florida 33607 x 03) 281-9010 CONSTRUCTION Date: July 8, 1997 To; City of Sanford I, William G. Holmes the holder of Cypress Coast Construction contractor license registration number CCCO15518 , hereby name, constitute, and appoint Andy Blanchard , my attorney -in -fact for the purpose of applying for and receiving permits in my name. I hereby represent and warrant to City of Sanford that all work performed under the authority of such permits shall be performed by me or under my supervisor, and that I shall be fully responsible for the proper performance of said work. W This power of attorney and authorization to draw permits is limited to the job described as Hops Gill & Bar type of construction ill Oregon Ave. Sanford FL 32771 project and specific location) This power of attorney and authorization to draw permits shall expire on date of expiration) This power of.attorney and aut orization to draw permits shall continue in full force a effect until I deliver to you a letter revoking the we Signature of Contractor Signature of Designated Attorney -in -Fact Area Code - Phone Number STATE OF FLORIDA COUNTY OF' n Subscribed and sworn to before, me this Q day of 19-u LW NO ARY SSAL} NOTARY PUBLIC a. -6 a&W My Commission expires v «^ t+. Ica ..A W :iv NJ Gomm. Ep, Cc?. 3Q, MO r%G J97s CITY OF SANFORD, FLORIDA PERMIT NO. q 7J (/ DATE ` —a— q7 THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO INSTALL THE FOLLOWING H.A.R.V. MECHANICAL EQUIPMENT: OWNER'S NAME / lL /L ADDRESS OF JOB %1 Q/ZGoit1 MECHANICAL CONTR. c f T y" 7 u r RESIDENTIAL COMMERCIAL Subject to rules and regulations of Sanford mechanical code. NATURE OF WORK 7 ^ COMPETENCY CARD NO. CITY OF SANFORD 1 FIRE DEPARTMENT FEES FOR SERVICES PHONE #: 407-302-1091 DATE: 02 7 PERMIT #: ^ BUSIN SS NAME: I ADDRESS: PHONE NUMBER: ( ) PLANS REVIEW TENT PERMIT BURN PERMIT REINSPECTION TANK PERMIT FIRE SYSTEM AMOUNT $ S O — COMMENTS: Fees must be paid to Sanford Building Department, 300 N. Park Avenue, Sanford, Florida. Phone # 330 5656. Proof of payment must be made to Sanford Fire IPreventionbeforeanyfVrthersviicescantakeplace. 2 0-1 1 certify that the above information is true and correct and that I will comply with all ap cab codes and ordinances of the Cit o ford Florida. Sa rd Fire Prevention cants SignaturePP 000 0•00G+ 105•60tf 6 . 500 •00 v 52 -'SO 161 •.60 182.16 10.00 015.00 +. 00 6G+ 10+02'7 1 ry 000 0 •DOG+ 105.60 LXF L,)o, f, 6,500.00v- I 52 • 80 ,. 161 060 182.16+ i0.00 015•00 + 00 10,027.16G+ CITY OF SANFORD, FLORIDA PERMIT NO. 9-?- qa DATE F /3-97 THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO INSTALL THE FOLLOWING H.A.R.V. MECHANICAL EQUIPMENT: OWNER'S NAMEd/ ADDRESS OF JOB (' ©Q % Cs OrU l -%!e MECHANICAL CONTR. Z RESIDENTIAL COMMERCIAL Subject to rules and regulations of Sanford mechanical code. NATI IRF (1F WORK FUEL B.T.U. INPUT OUTPUT VALUATIO ' 8 d 1^ b APPLICATION FEE Master Mechanical I COMPETENCY CARD NO. r CITY OF SANFORD, FLORIDA APPLICATION FOR BUILDING PERMIT PERMIT ADDRESS GQ G O •v . L" PERMIT NUMBER Total Contract Price of, Job 3 Sr G 00, O 0 Total Sq. Ft. 5-9 S q Describe Work 9 M (-rtyG, Type of Construction /A,c- Number of Stories Occupancy: Residential LEGAL DESCRIPTION TAX I.D. NUMBER Flood Prone (YES) (NO) Number of Dwellings Zoning Commercial C Industrial please attach printout from Seminole Count OWNER 176PSS -j/,e PHONE NUMBER FI 92 -93so ADDRESS b O OG! Po t .%. 1 Da . 6 ,-O CITY 215,/9,A- STATE /1ZC'9 , ZIP TITLE HOLDER (IF OTHER THAN OWNER) ADDRESS CITY BONDING COMPANY ADDRESS CITY ARCHITECT ADDRESS CITY STATE STATE STATE ZIP ZIP ZIP MORTGAGE LENDER ADDRESS CITY STATE ZIP d- CONTRACTOR PHONE NUMBER f> a ADDRESS ST. LICENSE NUMBER CI STATES ZIP Application is hereby made to obtain a permit to do the work and installations as n_ 00 indicated. I certify that no work or installation has commenced prior to the issuance I. of a permit and that all work will be performed to meet standards of all laws regulating 0o construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL, PLUMBING, MECHANICAL, SIGNS, POOLS, ETC. I (r" OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that J M all work will be done in compliance with all applicable laws regulating construction and zoning. A COPY OF THE RECORDED COPY OF THE NOTICE OF COMMENCEMENT WILL BE POSTED V ON THE JOB SITE WITH PERMITS NO LATER THAN SEVEN (7) DAYS AFTER THE PERMIT HAS BEEN ISSUED. FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOU PAYING TWICE FOR THE 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 I,; a this county, and there may be additional permits required from other governmental i 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 JI THE REQUIREMENTS 0 FLORID N LAW, FS713. m o rt morgnature of Owner/Agent & Date Signature of Contractor & Date w Print Owner/Agent Name Ty or Print Contractor's Name o a' x D' o p 0 (D ; 0 1T ` C ro i 5gnatu' re ,q terry 4 Datea°re!f" Not & bate H 1 1 q t o t ARI EN (COf $c `l ) v R 6 c a1R5 )`- RI i J 4 a a o1 z Q N O O M ( n a) 4J N a O a) >1 z a F NOTARY PUBLIC, STATE OF FLOA MY COMMISSION CC476 24 EXPIRES: June 26, 1999 NOTARY PUBLIC, STATE OF FLORIDA MY COMMISSION # CC476424 EXPIRES: June 26, 1999M Application Approved BY: Date: FEES: Building Radon Police Fire Open Space Road Impact Application PERMIT VALIDATION: CHECK G/TCASH DATE 2-0 BY ORIGINAL ( BUILDING) YELLOW (CUSTOMER) PINK (COUNTY TAX OFFICE GOLD (CO. ADMIN) THIS APPLICATION USED FOR WORK VALUED $2500.00 OR MORE F7 Please Print or Type DEstablishment Name c.vW ft w s ... asyorwn.r. Esto bf ishment Locati on wwc+n Owner Name W DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION Division of Hotels and Restaurants PLAN REVIEW APPLICATION a 8 1 Z33 Addraa Q ), Q_C,[, )Q SU C, N '1y O1V-HOTELS & (; ST TJ! i OI Ii, rT 1' State._ Zp Coda ""1 6¢f Telephorr fet-3_l-LQ1Z • 93$0" 0 Responsible Agent Name Tt>5h>FkY Title M u.e. VW rm.I Address Stab _ Zip Cade 'si- Taiept orre 1 1 1 ' i OMona Information: Types of4cod involved and method of service_ Attach a copy of v,' proposed mercer. ('d necessary) ,. ,. r OFFICE USE ONLY Plea Renew fee - 175.00 Log Number Cash o chec > z'3 w D. ZI il BasicFacility Information WINew Construction Closed at least one year D Conversion of existing Remodeling of existing food service structure to food service Naar of existing public food service astablishnrnt P /,' BPR license ntrrrrber of existing od service esublishnrat ixr• . DIf existing structure, Provide description (examples: :feel warehouse old wood frame budding in historic distric0: *• 4; Note: Construction fiish schedules of floor, walls and ceiling must be provided on floor plain Utz Ltp J `54itT A — 7 mSoWaste Disposal. 7liuposal Typo (dumpstar, grease trap, garbage an, etc.) r Waste water from cleaning containers disposed on site? KJWasta Water Disposal. Prior to the opening inspection, the applicant must provide written approval for waste water disposal from the appropriate agency (HRS Canty Public Health Unit, Department of Environmental Protection, municipality or sewer datrict). Written ap- proval may be a copy of a utifny bill, a receipt or permit, or a letter from the appropriate m Will establishment have an Alcoholic Beverage License? tansy. Will your establishment be served by: If Yea, the establishment must meet all the sanitary requirements of the state before the department staff may sign the application for beverage license. Ali required eq*ment and A. septic tank system? D Yes D No fixtures rmw be installed and operating property before approval can be swan PIXUS t to B. package sewer plant? DYe DNo s.561.i7(2), Florida Statutes. C. municipallutility sewer? es D No If you answered YES to item B or C, complete the fokwing: ® Projected Soating Capacity: Number of Seats 194- a Marta of municipallutility agency t t -- Saa of grease trap: - ( 2(X) gal. Location: 1-j 1 / . e cQKii_ KIWater Supply. Prior to the opening inspection, the applicant must provide written approval for a potable water supply from the appropriate agency (HRS County Public Health Unit, Department of Emrrrjranental Protection, muicyaity or sewer datrictl. Written approval may be a copy of a unruly bill, a receipt or pernist, or a letter from the appropriate agency. WiU your establishment be served by: A. on -site water we117 Y D No 8. +Jmunicipailutility waters Yas D No if you answered YES to item B, complete the following: Nana of municipallutility agency BPR 21010 l? r tC7 MONTH DAY .. Y AA The plan reviewer will notify the responsible agent when the plan review is completed Construction: Anticipated Start 7 I1- 6 197 Compaction (0 l war on tip.. Y.e pin y R Plans are rvviomd an a Fast•come, fast -served basis. Florida law wows 30 drys fa`yrecessaa'Attar pleas en approved andconstruction is cnmpie ta. pie on ma your division district atfics for as ir#oo tioa If you do not currently hold a BPR scene for this astabfishrxnt, submittai of oar AppiatiorYw License and the apprapriats lic ense fee is 11wnd of thetors of the opeong kWctiod'? SIGNATURE OF APPLICANT revised 3=195 t. DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION Division of Hotels and Restaurants SPECIFICATION WORKSHEET N] atablish~ Nana: REYIEw TYPE New construction Conversion Ramodeled Closed at least one Year Ucsnss Number. if applicable) LOG NUMBER ONSTRUCT10N fIH/SHES SHALL BEONSTRUCT10NfIH/SHES SHALL BE EASII Y CLEANABLE AND-NON•ABSORBENT FLOOR* WALL CEILING Food Preparation Food Storage Wash Area Hits, ResVooms All dleMl be Huli I IT . .. .. _ r , S - Satisfactory U - • 11=86SfaCtOry NA Not Appkabiv E E.r*&V ' C Cauti= 1nfar w on hmdequate or potenbal operationd noleUoZ wJbe checfed dwrny irupectkn. SINKS/DISIIMACHINES Sanitizing facilities provided M/w compartment LW /AaCllrnF K3 S Wash sinks with drainboards cumber rhowrr 4 3 2 comWmam v 4WO compartment food prep sinks Number slwwrr- SHand sink s) in food prep aru(s) Nuo36ar sbowzt Hand sink In remote mechanical dIshmachine area lm Hotico we r u li d to al ks whe required r- 4 J Dishmachinotype: k Ca ntr. FIRE SAFETY• Portable extinguishers provided as required by NFPA 10 IM Hood automatic fire suppression system meets NFPA go; o mash filters allowable Exit doors open outward rr `q :• s r; , Public access to exit does not go through kitchen, storape rooms, or restrooms IM Number of azJts: IM Square footage of estame bIIshmtyIM t All gas appliances shall have a nationally recognized test- Ing laboratory seal such as AGA or UI. Y1r r 21 1E Must comply with local fire authority.. r r•r, r r r _ IffMIATION LApproved local exhaust verttSlation Installed at or ever an cooking units such as ranges, griddles, deep -fat frying aait&- and other units of equipmoot which release approciable uantities of sham, odors, greau, sr smoka. - _..-. .. Restrooms v rdlIstad or provided with windows to the out- side nrA " vj j mind 11/1&93 BUILDING TO BE VERMIN PROOF OuWde openings protected Qj Doors to exterior self -closing aJ y.OUIPMENT Ica machine Installed In protected area and properly trained Displayed food probctsd Running water dipper well for bulk ice cmus wMcs IM Equip nt to maintain proper food temperatures rigaration C Notl w ing omits IM Laundry facilities properly located (, , I tt Designated arsaW for employees' personal artidas V ® Oesignated storage eras for maintenance and cleaning equipment PL UMBING/RESTROOMS wp wash facility with hot ond cold runni g to to sanitary sewer Location: t Faucets with hose fitting and hose bibs to have bask flow protection device Backsiphonagelbackflow protection If no air ppibreak Refrigeration waste piping shall discharge (rrdiraetiy Into floor drain or other approved nmptor LAdequate number of public restrooms provided Hotico w nag tilized by employees Door to be Restroams accessible by customers without going through food preparation. food storage, or ware washing areas Comments: cast comply With oca plumbing authority. W;..4 ie:jl; SOLID WASTE: = Q] L— Waste container, gruse receptods, compactor on non-ob- sorbent surfaces. Comps or area drained to sanitary sewer Commentx LIGHTING Ughtfixtures required to be shielded, coated, or covered whers food is stored, prepared, displayed, or where food Is open or exposed. BAR 21-W ] WATER SUPPL Y Q T a of apply: N,Mcyva LRY an site we0 p 0tner Suppilw NameIMw"ffer" M ft"- prior to licensing P vie t number. WASTE WATERn/SPOSAL -• - . ; of systarmT Mrnic>jvsyUtpy Pw-"P P1larrt 50tic Tint Swuos run approval for use Issued by: rovide proof of hookup prior to Iirens...? Sion. An-DSystsrrrname Septic Tank System permit aumbor. Tank size Y Drainfield: squats feet TGreaseTrapLocation: J r - PLAN RESUL TS Seating capacity as Indicated by plan: 2 4 Plans approved as Is date I 1 Plans approved with noted provisos dite Plans denied datr Nest** corrected plates a nakCsted w Proviscslcomrnentt fir_ All items marked with a mus e checked or compliance with fi rV V - Plan review' 1-T. O BRYAN Applicant name ( ,. ; • A • f Appla icarrt signature g (o- raved 1112W ; DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION f a Division of Hotels. and Restaurants PLAN REVIEW Ec jdco T stzlarazs Dt: APPLICA'TION Gay"}{O7EUSTP,ICT l yt 9 1 t.W 23 Please Print of Type OFFICE`USE;ONLY Plan Review Fee - $75.00 Log Number qg 7357D Crash t CheekN: ate rd 1. Mom o 19Z. 3 177 if -ME Basic Facility Information i New. Construction O Closed at least one year O Conversion of existing Remodeling of existing food service structure to food service Name of.existing public food service establishment GBPR license number of existing otl service establishment l State Zip Code 99 (627 _ • Telephone (et-3 ),iry2 • 93s& 121f existing structure, provide description (examples: steel warehouse, UResponsible Agent Name 'an:§fJ1 0 Tide MCW44412k.. old wood frame building in historic district)' Note: Construction finish floor, walls schedulesofand ceiling must be RAW Olin a""'!? provided on floor plans Addresses iU. RAY '. , city 'fp8 w rJlkhT A-7 State Zip Code Telephone (,bI%j) Z • /, I ON Menu Information: Types of food involved and method of service. Attach a copy of MSoli Waste Disposal proposed menu. (if necessary) XDisposal Type (dumpster, grease trap, garbage can, etc.) t tw i Waste water from cleaning containers disposed on site? El Yes O IN U Waste Water Disposal. Prior to the opening inspection, the applicant must provide written approval for waste water disposal from the appropriate agency (HRS County Public Health Unit, Department of Environmental Protection, municipality or sewer district). Written ap- proval may be a copy of a utility hill, a receipt or permit, or a letter from the appropriate M Will establishment have an Alcoholic Beverage License? Yes O No agency. e Will your establishment be served by: If Yes, the establishment must meet all the sanitary requirements of the state before the department staff may sign the application for beverage license. All required equipment and A. septic tank system? 0 Yes 0 No fixtures must be installed and operating properly before approval can be given pursuant to s. 561.17121, Florida Statutes. i B. package sewer plant? Dye No C. municipallutility sewer? as No If you answered YES to item 6 or C, complete the following: Projected Seating Capacity: Number of Seats 1 94- Name of municipallutility agency is Jb oo1> Sae of grease trap: l 2W gal Location: f_kI1,jlWcr ` ecQI.£Q_ Construction: Anticipated Start % 1l5 I9 Completion !0 It$ r? MonthDay. .. j>] Water Supply. Prior to the opening inspection, the applicant must provide written approval r for a potable water supply from the appropriate agency, (HRS County Public Health Unit, r DepartmentofEnvironmentalProtection, municipality or sewer district). Written approval may be a copy of a utility bill, a receipt or permit, or a letter from the appropriate agency. Plans ere reviewed on a first -come, first -served basis. Florida law allows 30 days for processing. After Will your establishment be served by: r plans ere approved and construction is complete, please contact your division district office for an rnspec A. on -site water well? Ype p No tion. If you do not currently hold a BPR license for this establishment submittal of an Apphcatron for I B. municipallutility water? Y11es Nolicenseendthe,appropriate license fee is required at the time of the opening inspect*'en.' It you answered YES to item B, complete the following: Name of municipallutility agency 6 I ? 1 ) q SIGNATURE OF APPLICANT MONTH DAY V AR j t r r BPR11.O10trr r r r' r 1 revind3/ 18/ 95 ;j 4 07PM SEDGWICK CRS DEPT NO.396 P.2/2 rs < f: j • t > • sA0-OW A.^,.:M S PHoOUCERSedgwick of Georgia, Inc. Suite 500, South Toter 3333 Peachtree Rd. NE 2f< i•{>`•<<><r::'r`;`•R DATEO(MMtDD t•. : SW.a..eHgr l:fiN^w4;# /:: t < :S : '. x:::<^.M•< THIS CERTIFICATE IS ISSUED AS A MATTPH OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATI; DOES NOT AMEND, EXTEND OR ER THE KRAGE AEEORDED-Y THE POLICIES 9 COMPANIES APPOFEDING COYEFMQF- I- Atlanta, Georgia, 30326-1043 404-237-8444 coMPANY A .el.ers Tndaemn i ty COMPANY e ....F_e nourance CO, nusUR® ,Apple South, Inc., Hops Grill & Bar, Cypress Coast Coast. And DF&R Restaurants, Inc, Hancock at Wa$hingt4n COMPANY a -,___jrj_qjjr4MCe_.rei Madison GA 30650-1304 ooMPANY 0 t <t <, t ,><'a ?.roSsaso4: s:•e: s'; c .<a.. • x txs: f<:F>F:«s•:. >:F<>' . . r.S l a.• t `5.tii M"bKf. t: ..:a...aa.-i.+•a,.i a..-.0..... 'SmLe.S:v1251:fe.iS.'I:il3.'l i GW xrw..a'..:.a.tL...h.Jf:t•.'.lafue:2e aFl<'S2>Da.UTiSfi k <y'j 4 <C Y<f THIS 19 TO CEFITIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TCRMS, SUCH POLICIES. IM11&.S N MAY IP LTR TYPE OF INSUKAMCR POLICY NUMBER i POLICY EFRCTTVB DATE (MNIDDM() POLICY EVIRATION DATE (MMMI)XVj L1Mt1'8 A F!K"LI-J'°MW TJEXGL267T480` 97 3/13/97 2/01/98 i QWMERMAL GENE ILITY CLAIMSMAVE O CUR 100, 000 SIR PER CCCURRENCE PEOD1 PERSONAL A ADV INJUFW t_4,0,0Da0_0_ aOW14E1116 & CONTRACTOR'S PROT AGZJAw_mP_AW A__ 50000rLiability r A OMOBILELIABIUTY ANY AUTO T3CAP267T478397 TEECAP267T479597( 3/1.3/97 X) 2/01/98 COMBINEDMNOOLIMIT ALL OWNED AUTOS SCHEDULED AUTAS BODILY INJURY Per Person) PODILYIIRY PCT Doi 0rB) 9 HARED AUTOS NON -OWNED AU 1708 PROPERTY DALIAQ9 OELIABILTiY AQnONLY.-EAAOOIDENT OTHEFI THANAUTO O''k,.< ANY AUTO TTu EACH ACCIDFNTgRaQATO g WA13ILM 79749709 3/13/97 2/01/98 C OCCUR C AGGRE341E 5 0 0 f1 A A MS UMBRELLA FORM A wORKIRSCOMPONUTIONAND T EMPL•OYEIIE'LIABILITY 2EEUB267T483897 'TX TDRJUE267T4826%7(A 3/13/97 HI,MT,O 2/01/98 WT) west 7u. OTT+< EL EACH ACCIDENT C 0THEPROPFIETORIINCL PARTNER8000UrVE TC2jUB267T481 1 A 5 ) C TMs" XSP2400097 3/13/97 2/01/'98 Property --All Risk 1.5,000.000 Blk Limit Builders Risk 1,500,000 Per loc. OCOCRIPTIONOFOPERATIONSILOCATIONWMIOLCMPEQULI?fi' S T.Y. x:<akx•:xxfkt"2>•52it•ii<t•t:a<f5x2• tf>u:: ,:>,><::tsxe><.i t;.t>k:<*.:mRas:xxexRas :A2>:. :. .> . l i,.',.[ s.t ae,.•2..t., r.s: i,<:22<:x>.s.:.;>e y ,,( (q gyp; >.;:Ip<:p,><a.:.+t: •.' r >, w::.:•s; 2s:t..a,.>,.:<:u: a:: LULU •%SfM"COL f SOxifUw rcruuf6.+.d D<.. •..f.n....ne ..TK:/f9>i•t[Y .{:F..71.w..<n.. {.w..aw`FtllPifiri .RNTa2{1 in<LWi:+ntafiw .t.... +i a warn SHOULD ANY OF THI? ABOVE DESCRIBED POUCIE9 BE CANOaLED SEFOK THR CITY OF SANFORD EXPIRATION DATE THEREOF, 7HE ISSUING COMPANY WILI, olneAVOR TO MAIL BUILDING DEPARTMENT DAYB WRRTEN NOTICE TO THP CERTIFICAM Ho4DIR NAM® TQ THE LEFT, P . O. BOX 1788 , '` BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OPUGATION OR LIABILITY SANFORD, FL 32772 M I AMOR E Tw, w.. ,..,.._, _ .. .sgwRe ,.R,,.m,<.. 7We.R»YRtf txfet> •<°'•:_ .. :: 7 t....wted...........:.-,...... a,•osraR to .t>a 3 ' .y<.r t><»:s;$ s<>ew<f l2,sS;Sxk ... .. .. qq. y,t• d R2itffi<Ni••ff:t2`e>::29¢2 :• ..< ,aaa i >:x:t)fQ:l .a<lial' <t&R<i3`t >aj>'.'').:;tfiifi CYPRESS COAST CONSTRUCTION Date. CYPRESS COAST CONSTRUCTION Rocky Pointe Centre 3030 North Rocky Pointe Drive, West Suite 650 Tampa, Florida 33607 I , 'r r LS• trr£uo F the holder of «a ' `5 e contractolA license registration number C6r-0 3(6s5 , hereby name, constitute, and appoint VWIL/6M 4. kaAM15 my attorney -in -fact or the purpose of applying for and receiving permits in my name. I hereby represent and warrant to C) Sa.,-oan that all work performed under the authority of such permits shall be performed by me or under my supervisor, and that I shall be fully responsible for the proper performance of said work. l This power of attorney and authorization to draw permits is Glimitedtothejobdescribedas _ WWCQS QQ,4 Q_ type of construction owNw project and specific location)- This power of attorney and authorization to draw permits shall expire on date of expiration) This power of attorney and authorization to draw permits shall continue in full force and effect until I deliver,to you a letter revoking the power. Siq a,ule of Contractor Signature of Designated Attorney -in -Fact cb(Pi 2S2-`l'3L7O Area Code - Phone Number STATE OF FLORIDA COUNTY OF Su scribed and swo n to be re_me this 191 NOTARY PUBLIC My Commission exp res 0 2-I day of NOTA Y SEAL) MARISSA ALEIXO State of Modda My Comm. EV. 0cL 30,1998 Comm. U CC 41750P