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1540 S French Ave - BC08-001564 (TEMP FIREWORKS TENT) DOCUMENTSCITY OF SANFORD PERMIT APPUCATION Application # : CIQ'I SV q .;, Submittal Date: Job Address: S `%O S. %/fir c r! v£' ; _S Ary c, ,- Value of Work: $ s—y a , Parcel ID: Zoning: Historic District: Description of Work: %fo ; Tr — S h r c w S / Square Footage: ! 3 SO ' Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool Sign Electrical: New Service - # of AMPS Addition/Alteration Change of Service Temporary Pole Cl Mechanical: Residential Non -Residential Replacement New (Duct Layout & Energy Cale. Required) Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines Plumbing/New Residential: # of Water Closets Occupancy Type: Residential Commercial Industrial of Gas Lines Plumbing Repair —Residential Commercial Occupancy Use Group(s): Construction Type: It of Stories: # of Dwelling Units: Flood Zone: (FEMA form required ) Property Owner: e o cr s y. Contractor: y /V, , / /. Address: _ 0. a . fox Z Zc1 1 w, k,- a l< Address: y// IA-4 *n t s /47"r_ Cry /µr .X& 327P9. 7- Phone: E-mail: Phone: State License Number: Bonding Company: Address: Architect/Engineer: Address: Plan Review Contact Person: Mortgage Lender: Address: Phone: Fax: Phone: Fax: E-mail: 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 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 I n owner of th proof rty of the requirements of Florida Lien Law, FS 713. r 3 27 l 00 1 Signature of Owner/Agent Date Signature of Contrctor/Agent Date oR, c_ A. STtt &q- cJ Print Owner/Agent's N Signature ofNgtaryBtateVF FCda°.....................Rate SUSNKEARNEYGomm# DD0703039 Expires 11/18/2011 Florida Notary Assn., Inc tt. 0 M . .......0 Owner/Agent i$ ... Personally Knowfi°tU°1ClEs bt. Produced ID APPROVALS: ZONING: Special Conditions: Rev 02/ 2007 UTIL: FD: Print Contractor/ Agent's Name Y Signature of Not Sta e o r ate MY COIv1MISSION # D96y, 4 EXPIRESFebruary21DF., _.__. r,....,,,. ARm cn . Contractor/Agent is ersonall Known or ` Produced ID L_ Le 3 0 I &v ENG: BLDG: 0 S Ao ffs" arc. cis IAIJO D..Xi o 7 Q,'"U to.µl u tp (Ilfq z ISSUED BY KIRBY TENT RENTAL Division of Kirby Rental Service & Sales 411 Hames Avenue 8711 Phillips Highway Orlando, FL 32805 Jacksonville, FL 32256 MANUFACTURERS OF THE FINISHED TENT PRODUCT DESCRIBED HEREIN DATE:_ This is to certify that the materials used in the construction of theL e ou)e -4f xe n. Ft e S L 0 e X5 have been flame retardant treated (or are inherently non-flammable) by the .Snyder Manufacturing -Company Their registered applica;on concern number F-140-01 is approved and registered by the State Fire Marshal and the application of said chemicals was done in conformance with the laws of the State of California and the rules and regulations of the State Fire Marshal. Flame Retardancy Cannot Be Removed By Washing And Is Good For The Life Of The Material. THEIR Fabric Meets The Requirements Of Specifications Listed As NFPA-701 (Large Scale) F-140-01 j REGISTERED Signed: w Vz/ APPLICATION TENT DEPARTMENT CONCERN NO. y FIRST AMERICAN FIREWORKS CO. May 6, 2008 To Whom It May Concern: 2041 Countryside Cir N Orlando, FL 32804 407) 422 -4677 - Phone 407) 422 -4676 - Fax I, Mark Stratton, President of First American Fireworks Company, hereby grant David Hostetler power of attorney to act on behalf of First American Fireworks Company to obtain all necessary permits. If you have any questions, please feel free to call, Sincerely, FIRST AMERICAN FIREWORKS COMPANY Mark M. Stratton President Sworn and subscribed before me this 6th day if May, 2008, By Mark Stratton, who is personally known. m................ a............................ SUSAN KEARNEY Notary Public: Qn© °c4 • COmm# DD0703039 Expires 11/18/2011 11orida Naxta ry Assn., Inc C ee.. 9 RENTALS, LLC 04/04/08 To Whom It May Concern: I, Paul E. Weidner, Jr., President of Kirby Rentals, LLC do hereby give permission for Mark Stratton to use my license to pull tent permits in the City of Sanford. The tent will be used for the sale of sparklers. E.Weidn Jr. President Witness NOTARY PUBLIC•STATE OF FLORIDA Shanllra Kay Murphy Commission #DD695670 Expires: AUG. 30, 2011 BONDED THRU ATL& 1'IC BONDING CO., INQ r- State of Florida County of Orange Witness iefore me by Paul E. Weidner, Jr. who is personally known and who did not take an oath. w0 Notary Public ate 411 HAIVES AVENUE • ORLANDO, FLORIDA 32805 • (407)422-1001 • FAX (407)422-0028 TOLL FREE 1 -800-446-1011 C.;•", of ,Sanford Special Events P.O. Box 1788 Sanford, FL 32772-1788 407.330.5697 co PLORit ,att Special Event Permit First American Fireworks Safe House of Seminole 2041 Countryside Circle PO Box 2921 Orlando, FL 32804 Sanford, FL 32772 This is your Special Event Permit Issuance of permit DOES NOT imply that Licensee/Premises are in compliance with all codes. This Special Event Permit is applicable only for the effective dates reflected below. ISSUE DATE: May 7, 2008:~ EFFECTIVE DATE: June 20, 2008 thru July 5, 2008 EVENT LOCATION: Sanford Town Square (Winn Dixie) 1540 S. French Avenue Sanford, FL 32771 EMERGENCY CONTACT INFORMATION: ... Jennifer Brooks Supervisor of Special Events Leisure Services, City of Sanfor 321.377.4967 OTHER PERTINENT INFORMATION: This event is approved provided that applicant meets, the other licensing and permitting requirements by the City of Sanford, the County of Seminole and the State of Florida as well as the requirements of the City of Sanford's Fire Department. Applicant has paid $50.00 Special Event Application Fee. ($50 SV 001-0000- 347.21-05)