12000 Hillwood Dr - BC04-001167 (TWIN LAKES - BLDG 12) (FIRE SPRINKLER) DOCUMENTSI CITY OF SANFORD PERMIT APPLICATION
Permit # : $ DL( �- Date: 02/05/04
Job Address: 12000 Hillwood Dr., Sanford -(Building #12 - Type I)
Description of Work: Install new overhead fire sprinkler system.
Historic District: Zoning: Value of Work: $ 89749.50
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 X Commercial
Construction Type: # of Stories:
Mechanical Plumbing Fire Sprinkler/Alarm XX 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 #: 32-19-30-300-0150-0000 1& — —ri0 t':00—( L8 ° j(A ac ro f f Ownership & Legal Description)
Owners Name &Address Colonial Rea LP, el/0,1 North tih e . , irmingham, AL_ 35203
Phone: 205-250-8700
Contractor Name & Address: Wayne Automatic Fi f, ERP RAOY (�(} Inc
222 Capitol Ct, Ocoee, FL ' ;`3.4761 State License Nugthcr: 90293400022002
Phone& Fax: PH: 407-877-5557/FX."407-656-ContactTi.�r-sopi 414 MCCullocbt Phone: 407-877-5557
Bonding Company: N/A
Address: - L U L
Mortgage Lender: N/A
Address:
Architect/Engincer: Keith Pepin Phone: 407-656-3030
Address: 222 Capitol Ct. Ocoee, FL 14761 Fax: 407-656-8026
Application is hereby made to obtain a permit to do the work and installations as indicated. 1 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 AFFTDAVIT: 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 th roperty that may be found in the public records of
this county, and there may be additional permits required from other govermen entities such as water na ent districts, state agencies, or federal agencies.
Acceptance of permit is verification that 1 will notify the owner of the property of the eq Florid Li n Law, FS 713.
Signature of Owner/Agent Date azure of Contractor/Agent Date
Print Owner/Agent's Name
Signature of Notary -State of Florida Date
Owner/Agent is _ Personally Knon to Me or
Produced ID
APPLICATION APPROVED BY: 13ldg: )(-2–L4 Zoning:
(Initial & Date)
Special Conditions:
Pete Schwab
Pyr Contractor/Agent's Name
`
----Signature of Notary -State of Florida Date
Contractor/Agent is X Personally�"W"
Produced ID LL
I-,tilitits:
(Initial & Date) (initial & Date)
RUTH A. MCCULLOCH
MY COMMISSION k DD 095595
EXPIRES: February 26, 2006
19ked Thru Notary Public Underwriters
(Initial& Da e�
CITY OF SANFORD FIRE DEPARTMENT
FEES FOR SERVICES
PHONE # 407-302-1091 * FAX #: 407-330-5677
DATE: W&—
BUSINESS
NAME / PROJECT:
ADDRESS:
PHONE NO.:
FAX NO.:
PERMIT #:
CONST. INSP. [ J C / O INSP.:[ ] REINSPECTION [ J PLANS REVIEW [ ]
F. A. [ J F. S. N., HOOD [ ] PAINT BOOTH [ ] BURN PERMIT [ ]
TENT PERMIT f ] TANK PERMIT [ J OTHER [ ]
TOTAL FEES: $
COMMENTS:
1.
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4.
5.
6.
7.
8.
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10.
11.
12.
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20.
(PER UNIT SEE BELOW)
Address / Bldg. # / Unit # Square Footage Fees per Bldg. / Unit
Fees must be paid to Sanford Building Department, 300 N. Park Ave., Sanford, Fl. 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.
4Sanforr ;r—evention Division
Applicant's Signature
1A/A1rNE
Automatic Fire Sprinklers, Inc:
LETTER OF AUTHORIZATION
Date:_ February 24, 2004
To: City of Sanford
Re: Retreat. at Twin Lakes Apts. (Hillwood Dr,, Twiiiiaood Tr(.Y, iMyrtlewood.Dr,
Sandywood Dr.', & Barewobd'Lane)
This letter is to authorize Ralph Vandygriff ' to hand. deliver,, pick-up
and/or sign for our permit for the above referenced project on my behalf.-
hank You!
Peter T. chwa
State, License #90293400022002
Before me personally appeared Peter'T. Schwab, -to me well known and known to
me to be the .person described in and who executed-the foregoing instrument.
Witness"my hand and official seal this 24th day of February. , 2.0--04
MX COMMISSION EXPIRES: �. C
Signature of Notary "
Ruth,A. McCulloch
sq
aY PRUTH n: Mccut�ocH Name of Notaryed or printed
*• ,,...., My COMMISSION # DD 095595 typed
'EXPIRES: February 26, 2006
B.d.d Thru Notary Public Underwriters
Corporate Office:, 222 Capitol Court • Ocoe,e; Florida 34761-3033 (407) 656-3030 FAX (407),656-8026
Regional Offices: Jacksonville Fort Myers Pompano Beach Concord, NC
CITY OF SANFORD FIRE DEPARTMENT
FEES FOR SERVICES
PHONE # 407-302-1091 * FAX #: 407-330-5677
DATE: 19CS PERM—IST #-:
BUSINESS NAME / PROJECT: �.Q- 5--e- A� c; 1 C�,�,'
ADDRESS: '),00'r� CLQ C� I r" • Ili I ��
PHONE NC(-Cgb—1.` 27Z=51AX NO.(/o 7) G,61C, 38-Sn
CONST. INSP. [ 1 C / O INSP.:[ ] REINSPECTION [ ] PLANS REVIEW [ ]
F. A. [ ] F.S. HOOD [ ] PAINT BOOTH [ ] BURN PERYIT [ ]
TENT PERMIT ,[ ] TANK PERMIT [ ] OTHER [,�] �I,d.,— �.
TOTAL FEES: $ ��Q (PER UNIT SEE BELOW)
COMMENTS: /&> iw; ` / d A -r
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
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S "^s ,
Address / Blde. # / Unit #
o� (we oto Tom'
�Ooc7 ++.i.3Py, c o
(D !--
Fe er Bld . / Unit
C>>-+ , o0
W. ,.N
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 %Qq
le codes and or inances
of th.Sanford Fire Prevention Division re