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211 Towne Center Blvd - 96-000617 (1996) (GATEWAY PLAZA) (SHELL ONLY) (INTERIOR REMODEL) DOCUMENTSI (-2 u s ZONE CONTRACT DATE / 06 9-6 ADDRESS 3#') l i / .l sr1 " _ a r! •- e f>c c • -. PHONE #G- LOCATION OWNER _ ADDRESS PHONE # j PLUMBING CONTRACTOR CCU ADDRESS PHONE # ELECTRICAL CONTRACTOR ke eJe- ADDRESS PHONE # lZ MECHANICAL CONTRACTOR _-gyp z el ADDRESS PHONE # MISCELLANEOUS CONTRACTOR ADDRESS SEPTIC TANK PERMIT NO. SOIL TEST REQUIREMENTS (_) FINISHED FLOOR 1, a ELEVATION REQUIREMENTS () ARCHITECTURAL APPROVAL DATE: PY SUBDIVISION: PERMIT # LOT NO. JOB--''. _/Y- BLOCK: SECTION: COSTS C". SQUARE FEET: FEE $ MODEL: STATE NO. OCCUPANCY CLASS: FEE $ FEE $ V FEE $ FEE $ ENERGY SECT CERTIFICATE OF OCCUPANCY ISSUED # j I DATE: FINAL DATE EPI: V 4 - L DATE STARTED- CITY OF SANFORD. FLORIDA Re q est pier Final lna pect`I®n f®r. CerbilC' ate -of` CUPall cy ADDRESS: The Building Department has prepared a certificate of occupancy for the above location and is requesting a final inspection by your f r DATE STARTED: CITY OF SANFORD. FLORIDA Regn'st for Final Inspectlon for*. m, Certificate of -OcCUpziIlcy ADD • I 7-o CR0 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: Engineering Department Fire Public Works Utilities/Cross Connection Zoning,` CITY OF SANFORD, FLORIDA A LICATION FOR BUILDING PERMIT RETAIL "A" J / y I PERMIT ADDRESS ! / ' L"e,1, PERMIT NUMBER Total Contract Price of Job 24,000 Total Sq. Ft. 3,000 Describe Work Standard Commercial Retail Shops Interior finishes i Starefrnnt OnlyTypeofConstructionFloodProne (YES) NXO ) Number of Stories Number of Dwellings n/a Zoning Occupancy: Residential Commercial X Industrial LEGAL DESCRIPTION (please attach printout from Seminole Count TAX I.D. NUMBER n a OWNER Faison PHONE NUMBER (704) 331-2545 ADDRESS 1900 Interstate Tower, 121 West Trade Street CITY Charlotte STATE NC ZIP 28202-5399 TITLE HOLDER (IF OTHER THAN OWNER) ADDRESS CITY BONDING COMPANY ADDRESS CITY ARCHITECT ADDRESS _ CITY STATE STATE The Scott Partnership Architecture Inc. 1900 Summit Tower Blvd. Suite 260 Orlando STATE I FL ZIP ZIP ZIP 32810 MORTGAGE LENDER NationsBank N.A. (Carolinas) ADDRESS Interstate Tower 121 West Trade St. NC 1005-17-1 CITY Charlotte STATE NC ZIP 28255 CONTRACTOR Kelsey Construction, Inc. PHONE NUMBER (407) 898-4101 ADDRESS 306 E. Princeton St. ST. LICENSE NUMBER CGC 011078 CITY Orlando STATE FL ZIP 32804 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 LIEN LAW, FS713. 3 ro Z6icoo 1/21/95 zLe411/21/95 D m" a o n Sig Lure of Owner/ ent & Date SiVhature of Contract & Date o n J. Michael Kelsey J. Michael Kelsey H Z G a 3 0 E x M o Z r-I H ro w a o 4 o 0 rn a) 4J , a 0 (1) :, Zal~ Type or Print Owner/Agent Name J / 21/95 ignature of Notary & Date O/fgf yi c 4'-Ta,T" U1 4l L k J. CFIE- 9 L NI EE N.S Notary Public, State of Florida My Comm. expires June 14, 1999 No. CC 472135 Banded Thru Olffirial pataru gr 6fa 1.(800) 723-0121 Application Approved BY: Type or Print Contractor's Name n, o- ",/ 11 VUL / 2 1 / 9 5 Vd-cignature o N tary & Date Official Seal) J. CH ERYL MEEKS Notary Public, State of Florida My Comm. expires June 14, 1999 No. CC 472135 Bonded Thor 0ffiria1,Nvtnrg A"ia 1-(800) 723.0121 Date: FEES: Building 1,31 C)0 Radon .3 _0(0 Police Fire Open Space Road Impact Application U PERMIT VALIDATION: CHECK CASH DATE BY ORIGINAL (BUILDING) YELLOW (CUSTOMER) PINK (COUNTY TAX FFICE) GOLD (CO. ADMIN) l —.-?- (,.- a 0 ro ro ry 0 a G n rt m a H 0 THIS APPLICATION USED FOR WORK VALUED. $2500.00 OR MORE F b a U b 0 a a 0 CITY OF SANFORD, FLORIDA APPLICATION FOR BUI26ING PERMIT PERMIT ADDRESS /[7F-t YLi -( IUJ Total Contract Price of Job Q Describe Work Type of Construction Vi. PERMIT NUMBER Total Sq. Ft. Flood Prone (YES) (NO Number of Stories % Nukber of Dwellings Z ing _ Occupancy: Residential Commercial `ZC Indust ial LEGAL DESCRIPTION TAX I.D. NUMBER OWNER ADDRESS CITY TITLE HOLDER ADDRESS CITY ASSO L IF OTHER THAN OWNER) BONDING COMPANY ADDRESS CITY lease attach printout from Seminole Count gig STATE ZIP STATE ZIP ARCHITECT 7% Q S(°i)'CQ f to Q:[t/1 % IT C I i 1 ADDRESS CITY STATE ZIP ' MORTGAGE LENDER ADDRESS CITY STATE ZIP CONTRACTOR- Gk 4 j e4 S j _ri`/e— kle ( TIC PHONE NUMBER ,31-7 ZIPV ADDRESS /, ST. LICENSE NUMBER CITY Lur.i c i)o STATE Ff ZIP 3a75-A 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 LIEN LAW, FS713. H 'dZ- N n O' 1 v, 01 o n! Signature of Owner/Agent & Date Signature o Contractor & Date a Type or Print Owner/Agent Name Type or Print Contractor's Name x 0) D 0 aa S • J_kuba)d 1'l1 RS b Signature of Notary & Date Signature of Notary & Date Official Seal) Official Seal) v G a 3 O E x ra Q z I H V1 rl rd w a 0 u o M (A a 4j >° a 0 a) z a, E a&'"r p1ANA & TMEOBALD 1 My commission CC356811 7 Expires Mar. 17, 1998 Bonded by ANB 800-852-5878 Application Approved BY: Date: _111_9q1TS FEES: Building Qr7o Rado Police it Open Space Roa Impact Application PERMIT VALIDATION: CHECK, C/ CASH DATE a O' BY ORIGINAL (BUILDING) YELLOW (CUSTOMER) PINK (COUNTY TAX OFFICE) GOLD (CO. ADMIN) 0 C7 THIS APPLICATION USED FOR WORK VALUED. $2500.00 OR MORE CITY OF SANFORD FIRE -DEPARTMENT ' FEES FOR SERVICES PHONE #: 407-322-4952 DATE: J/ " PERMIT #:P. ' Ce ;5 41. BUSINESS N ADDRESS: < l PHONE NUMBER: PLANS REVIEW TENT PERMIT BURN PERMIT REINSPECTION TANK PERMIT FIRE SYSTEM AMOUNT $ Jr 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 Prevention before any further services can take place. I certify that the above information is true and correct and that I will comply with all applicable 1 codes and ordinances of the 4Ppli6can4t_S",.Si dat7uje' of Sanford, Flo 'da. Sanford Fire Prevention RETAIL -"A" SANFORD, FL. SEF JOB NO. 25013 TABLE OF CONTENTS I. Hydraulic Calculations II. Pipe and fittings A. See schedule III. Valves A. 4" Mueller wafer check valve "A-2102" B. NIBCO 4" Grooved Butterfly valve "GD1765" IV. Sprinklers . A. Central Model "A" " orifice pendant brass finish 165° V. Alarm Devices A. Potter Waterflow detector VSR-F B. Potter 6" PBA-1206 Electric Bell VI. Miscellaneous A. 3 1/2" U.S. gauge "P1590" 0-300 PSI water gauge B. Globe No. 100 universal beam clamp C. Globe No. 304 swivel ring hanger D. Continuous all threaded rod, black (no submittal) RETAIL A Draw inq Date:2/95 10: 7 HYDRAULIC DESIGN INFORMATION SHEET Job Name: RETAIL A Locat ion GATEWAY PLAZA SANFORD, FLORIDA Drawinq Date: 10/2/95 Remote Area Number: 1 C. ,ntra-:tor: Kelsey Constructior. Telephone: 306 E. Princeton St.. Orlando, Florida Desiqner : Steve Elkins Cal':ulated Ny:SprinkGAU i1SiD Systems Design G,_nstru-:tion: Retail OCcupancy: Mercanti le Reviewing Authorities: SYSTEM DESIGN 1-ode: Hai ar d : System Type:WET NFPA 13 ORDINARY II Area Sprinkler Operation 1612 sq ft: Sprinkler tr Nin—le Density (:Qpm/sq ft) AS NOTED Ar ea p er Sprinkler 124 sq ft CENTRAL "A" 1 /2 ORIFICE Hose Allowance Inside qpm 1/2 NPT Hose Allowance Outside 250,0 gpm: 5.6K ULA7I0N SUMMARY n Required: 579.5 psi Required: 61.1 C'TEST CONNECTION WATER SUPPLY City Main Water Flow Test Pump Data Tank it Reservoir Date of Test N/A Rated Capacity 0 gpm Capar- ity 0 gpm Stati,_ Pressure 722.0 psi Rated Pressure 0.0 psi Elevati ,n 0 Residual Pres 58.0 psi Elevation 0 At a Flow f 13(?U gpm Make: Well El evat ion 0" Model: 1 Proof Flow 0 gpm Location: S1-1urCa 1:1f Information: SYSTEM VOLUME 2S'3 Gal.lons- N t- as: RETAIL A Drawing Date:10/2/95 HYDRAULIC CALCULATION DETAILS 10/ 2/95 10: 7 HYDRAULIC FLOW LOSS QTY DESCRIPTION LENGTH C ID gpm psi TOTALS Required at Hyd Area 1 330 47.8 psi 1 Pipe 4" 10 12' 120 4.260 330 0.3 1 4" Grvd 90 Ell 10' 120 4.000 330 0.3 1 4" Flngd Butterfly Valve CENTRAL Mo 12' 120 4.000 330 0.4 1 Pipe 6" 10 15' 120 6.357 330 0.1 1 6" Flngd Check Valve Model "950 DA" CHART LOSS 330 6.7 Elevation Change 1210" 5.2 Total Loss for 13.0 psi Required at BOTTOM OF RISER 330 60.8 psi 2 6" MJ 90 Ell 14' 120 6.000 330 0.1 1 Pipe 6" DI 60' 140 6,280 330 0.2 Fixed Flow HOSE ALLOWANCE 250 gpm Total Loss for 0.3 psi Required at TEST CONNECTION 580 61.1 psi Water Source 72.0 psi static, 58.0 psi residual @ 1300 gpm 580 gpm 68.9 ps SAFETY PRESSURE 7'7 psi Available Pressure of 68.9 psi Exceeds Required Pressure of 61.1 psi This is a safety margin of 7.7 psi or 13 % of Supply Maximum Water Velocity is 19.6 fps RETAIL A Drawing Date:10/2/95 10/ 2/95 10: 7 LEGEND HYD REF Hydraulic reference. Refer to accompanying flow diagram. K FACTOR Flow factor for open head or path where Flow (gpm) = K x -\/P SIZE Nominal size of pipe. ID Actual internal diameter of pipe C Hazen Williams pipe roughness factor TYPE Type or schedule of pipe FITS number of fittings as follows: 90 - 90 deg Ell 45 - 45 deg Ell T - Tee LT - Long Turn 9Ell OSPEC - Fitting other than above or fittibg with hydraulic equivalent length specified by manufacturer. Pt Total pressure (psi) at fitting Pf Friction loss (psi) to fitting where Pf = l x 4.52 x (Q/C)^1-85 / ID^4.87 Pe Pressure due to change in elevation where Pe = 0.433 x change in elevation Pv Velocity pressure (psi) where Pv = 0.001123 x 0^2/I0^4 Pn Normal pressure (psi) where Pn = Pt - Pv Pdrop Pressure loss in pipe rise or drop to an open head' Phead Pressure at an open head. ELEV elevation from branch tee to open head. PIPE pipe length from branch tee to open head. TS fitting equivalent length from branch tee to open head. NOTES: Pressures are balanced to 0.001 gpm. Pressures are listed to 0. 01 psi. Addition may vary by 0.01 psi due to accumulation of round off. Calculations conform to NFPA 13 edition. Velocity Pressures are considered on branch lines and cross mains RETAIL A Drawing Date:10/2/95 10/ 2/95 10: 7 FMOTE AREA #1 PAGE 1 FLOW OF LENGTH PRESSURE BRANCH LINE GPM) PIPE FITS FEET SUMMARY TO HEAD ID T LT FITTINGS LOSS PSI/FT Pf Pv Pdrop PIPE K FACTOR PIPE C TYPE OTHER TOTAL ELEVATION Pe Pn Phead FITS PATH 1 FROM HYDRAULIC REFERENCE 8 TO 31 (SUPPLY DRAWING REF. ^W") q4TH 4 2.635" 0 0 0" 044 0.5 0.4 10,65 125.8 120 10 0 1214" 0" 0.0 33.4 PATH 5 2.635" 0 0 0" 0.081 1.0 0.7 K = 8.36 174.3 120 10 0 1214" 0" 0.0 33.6 RETAIL A Drawing Date:10/2/95 10/ 2/95 10: 7 MOTE AREA #1 FLOW # OF GPM) PIPE FITS ID T LT K FACTOR PIPE C TYPE OTHER PAGE 2 LENGTH PRESSURE BRANCH LINE FEET SUMMARY TO HEAD FITTINGS LOSS PSI/FT Pf Pv Pdrop PIPE TOTAL ELEVATION Pe Pn Phead FITS PATH 1 FROM HYDRAULIC REFERENCE 8 TO 31 (SUPPLY - DRAWING REF. "W") CONTINUED 24'3" 12.8 fps 44.9 3.260" 0 0 710" 0.093 2.9 329.5 120 10 0 3113" 0" 0.0 REF 31 329.5 gpm PATH 1 K = 47.65 PATH 2 FROM HYDRAULIC REFERENCE 8 TO 29 47.8 psi n" 1.5 fps 21.4 21.4 21.4 18 b.20 ~ gpm/sg ft 1.682" 0 0 0" 0.0O4 0.0 0.0 1.9 18 5.60 10.2 120 10 0 _ 1010" 0" 0.0 21.4 19.5 60 1214" 10.8 fps 27.5 27.5 PATH 3 2.157" 0 0 0" 0.110 1.4 0.8 K =11.90 122.0 120 10 0 1214" 0" 0.0 26.7 12'4" 13,8 fps 28.9 2S.9 PATH 6 2.157" 0 0 0" 0.172 2.1 1.2 K = 6.32 155.2 120 10 0 1214" 0" 0.0 27.6 3.0 y 77 v- PATH 7 2.157" 0 0 0" 0.119 1.5 0.8 K =-5.12 127.1 120 10 0 1214" 0" 0.0 30.2 psl `' CONTINUED 32` RETAIL A Drawing Date:10/2/95 to/ 2/95 10: 7 MOTE AREA #1 PAGE 3 FLOW OF LENGTH PRESSURE BRANCH LINE GPM) PIPE FITS FEET SUMMARY TO HEAD ID T LT FITTINGS LOSS PSI/FT Pf Pv Pdrop PIPE K FACTOR PIPE C TYPE OTHER TOTAL ELEVATION Pe Pn Phead FITS PATH 2 FROM HYDRAULIC REFERENCE 8 TO 29 CONTINUED K =-4.64 100.8 120 10 0 1214" 0" 0.0 31.9 42.8 psi PATH 3 FROM HYDRAULIC REFERENCE 3 TO 15 4. 0 fps 21.8 21.8 21.6 18 gpm/sq |t 1.682" 0 0 0" 0.042 0.4 0.2 1.9 18 K = 5.60 37.5 120 10 0 1010" 0" 0.0 21,6 19.7 60 REF 14 ` 0 0 1214" 5.5 fps 27.1 2.157" 0 0 07 0.032 0.4 62.4 120 10 0 1214" 0" 0,; rRETAILADrawing a e D D t 10/2/95 10/ 2/95 10: 7 MOTE AREA #1 PAGE 4 FLOW OF LENGTH PRESSURE BRANCH LINE - GPM) PIPE FITS FEET SUMMARY TO HEAD VELOCITY Pt Pt Pn ELEV ID LT FITTINGS LOSS PSI/FT Pf Pv Pdrop PIPE K FACTOR PIPE C TYPE OTHER TOTAL ELEVATION Pe Pn Phead FITS PATH 4 FROM HYDRAULIC REFERENCE 3 TO 19 21 7 21 7 21 7 is1.9-fps . . . 0.005 0.1 0.0 1.9 1B 0" 0.0 21.7 19.8 60 HEAD 1010" 5.4 fps 21.8 21.8 21,6 18 0gpm/sq ft 1.682" 0 0 0" 0.041 0,4 0.2 1.9 1B K = 5.60 37.0 120 10 0 1010" 0" 0.0 21.6 19.7 60 REF 19 61.9 gpm PATH 4 K = 10.65 PATH 5 FROM HYDRAULIC REFERENCE 12 TO 21 33.8 psi HEAD 12 27 11/2" 0 0 10'0" 3.1 fps 25.9 25.9 25.9 18 0.22 gpm/sq 3 ft 1.682" 0 0 0" 0.015 0.1 0.0 2.2 18 K = 5.60 21.3 120 10 0 1010" 0" 0.0 25.9 23.8 60 5.8 is PATH 6 FROM HYDRAULIC REFERENCE 12 TO 1E HEAD 12 27.3 11/2" 0 0 10,0" 0.9 fps 25.9 25.9 25.9 z 0.22 gpm/sq ft 1.682" 0 0 0" 0.001 0.0 0.0 2.2 1S K = 5.60 6.0 120 10 0 10'0" 0, 0.0 25.9 23.8 60 RETAIL A Drawing Date:10/2/95 10/ 2/95 10; 7 MOTE AREA #1 PAGE 5 FLOW OF LENGTH PRESSURE BRANCH LINE GPM) PIPE FITS FEET SUMMARY TO HEAD ID T LT FITTINGS LOSS PSI/FT Pf Pv Pdrop PIPE K FACTOR PIPE C TYPE OTHER TOTAL ELEVATION Pe Pn Phead FITS PATH 6 FROM HYDRAULIC REFERENCE 12 TO 16 CONTINUED HEAD 13 27'2 11/2" 0 0 4210" 4.8 fps 26.0 26.0 25.8 18 0.22 gpm/sq ft 1.682" 1 0 810" 0.033 1.7 0.2 2.1 18 K = 5.60 33.2 120 10 0 50'0» 0" 0.0 25.8 23.7 60 PATH 7 FROM HYDRAULIC REFERENCE 18 TO 22 K = 5.05 28.1 120 10 0 17210" 0" 0.0 30.2 PATH 8 FROM HYDRAULIC REFERENCE 20 TO 24 REF 20 26.2 11/2" 0 1 143110" 3.8 fps 32.5 32.5 PATH 2 1.682" 2 0 18'0" 0.022 3.5 0.5 K = 4.61 26.2 120 10 0 161110" 0" 0.0 31.9 PATH 9 FROM HYDRAULIC REFERENCE 23 TO 26 0 1 13317" 4.0 fps 33.4 33.4 PATH 2 1.682" 2 0 18'0" 0.024 3.6 0.3 K = 4.79 27.7 120 10 0 15117" 0" 0.0 33.1 RETAIL A Drawing Date:10/2/95 10/ 2/95 10: 7 PAGE 6 VOTE AREA #1 L FLOW OF LENGTH PRESSURE BRANCH LINE GPM) PIPE FITS FEET SUMMARY TO HEAD ID T LT FITTINGS LOSS PSI/FT P K FACTOR PIPE C TYPE OTHER TOTAL ELEVATION Pe PI-1 Phead FITS PATH 10 FROM HYDRAULIC REFERENCE 25 TO 2^4 - 7 fps 33.9 33.9 PATH 2 1.682" 2 o 018'0" .032 4.5 0`1 32.4 120 10 141'4" 0" 0.0 33.9 K = 5.56 SYSTEM PIPE LOCATION FITTINGS JOINT Above 1 1/2" larger shall be Above ground Sprinkline Grooved fittings Rolled ground Fire Schedule 10 A-135 black Welded fittings Grooved Protection pipe Welded Above 2" and smaller shall be Above ground 125 # Cast iron threaded Threaded ground Fire Schedule 40 A-135 black fittings Protection pipe RETAIL "A" SOUTHEAST FIRE SPRINKLERS, INC. GATEWAY CENTER PLAZA SANFORD, FL. Automatic Fire Protection Contractor SEFS JOB NO. 25013 P.O. Box 526100, Longwood, F1 32752, Phone 407-331-7464 Mueller Ca. UL FME'2 y 1 1AFER CHECK VALVES ' 00. FIRE PROTECTION PRODUCTS 0 A-2102: 'hater Check Valve A-2102: Wafer Check Valve 175 ;psi (1207 :<Pa.) Working Pressure — 35O psi (2413 ;<P3) Test ?ressure Listed by UnderNriters Laborarones. Inc. and Aoproveo by Fac;ary ,Mutual Researcn Corporation. PARTS LIST Catalog Part Number I Description f j Material j Material Stanc4ardl CW- i Seat Bing Cast 3r onze AST ,M 3-p84 CW-2 Body I Cast !ron AST A-125 ! CW-3 0-Bing (2 req'd) Buna-N AS T M 0-2000 C'N-4 Claccer I Cast Bronze AST:M 8-584 CW-5 Bushing (2 req'd) .Brass AS T M 3-16 CW•6 Soring Stainless steel Type 302 i CW-7 Hinge ?in Stainless steel I Type 303 C'N-3 Seal, Seat EP Rubber ASTM 0 2000 C'N-G C"'V-7 I CW-5 CW-4 DIMENSIONAL INFORMATION FOR WAFER CHECK VALVES DIMENSIONS Size A B C D I E In. (mm)I In. (mm)I In. (mm)I In. (mm)) In. (mm)j 4 3.75 (95)I 1.34 (34) ` 6.88 (175) 3.00 (76) 4.03 (102)I 6 3.75 (95) 1.53 (39) 1 8.75(222)I4.56 (116)I6.06 (154)1 8 4.25 (108)I1.92 (d9) 111.00(279)!6.00 (152)17.98 (2031,1 WAFER CHECK VALVE WEIGHTS 4 6 I 8 I Lb I 15.75 22.50 36.50 Kg I 7.14 10.21 16.56 i WAFER CHECK VALVE ORDERING INFORMATION Specify: Quantity, Size and Catalog Number. WAFER CHECK VALVE PARTS ORDERING INFORMATION Specify: Quantity, Catalog Part Number. Part dame. Size of Vat e. Ca!aic- Number of Vaive and Year Cate of Valve. Page r i L'eli2f CA. F : s SECTIONFMUTAFER_ CHECK- VA FEATURES .:: E 2 IRE PROTECTION PRODUCTS Installs between ,ANSI 316.5-1963 flanges I Bronze seat ring has rubber face for deoendabie closure. ti Seat is tieid-rapiaceable. Pressure tested. each Mueller Wafer Check Valve is tested twice. Once at working pressure. 175 psi (1207 kPa). Ana again at 350 psi 2413 kPa). Corrosion resistant bronze snaft Bushings are threaded into oody and sealed. Stainless steel hinge pin ana spring is ixtra strong, has corrosion -free Tong iife. Corrosion -resistant bronze clapper has machined face. METPLS D P./ N13CO INC. 500 S{MPSON AVENUE P.C. BOX 1167 ELKHART. IN 45515 219) 295-3000 TWX 810 29G-2253 TLX 276131 Nlwmftr TO WHOM IT MAY CONCERN: , T'ais letter is to confirm the conversation of May 15, 1991* with Brad Hahn concerning the use of grooved UL/FM butterEly valves for outdoor service, Our GD1765-5 grooved butterfly valves are approved for out- door service. With authority toissue this letter from Brad Hahn. Sincerely, MARK CARTER:NISC In R 0 I DE 1 A IN ICO AMERICA ULIF f grooved butterfly valveY Grooved mechanical type • Epoxy coated ductile iron • Extended neck Elastomer encapsulated disc • UL Listed • Factory Mutual Approved Accepts internal and external tamper switches 175 PSI Non -Shock Cold Water California State Fire Marshal Approval No. 7768-1243:101 Approved by New York City Board of Standards and Appeals MATERIAL LIST PART SPECIFICATION 1. Upper Stem Stainless Steel. ASTM A-582 Type 420 2. Upper Bushing PTFE Bronze Sintered on Steel 3. 0" Ring EPOM 4. Body Ductile Iron ASTM A-395 with Epoxy Coating 5. Disc Brass ASTM B-124 with EPOM Encapsulation 6. Lower Bushing PTFE Bronze Sintered on Steel 7. Lower Stem Stainless Steel. ASTM .A-582 Type 420 S. Locking Plug Zinc Plated Steel 9. Nameplate Aluminum 10. Gear Operator Cast Iron and Steel 11. Indicator Flag Cast iron 12. Handwheel Steel 8 version has two factory mounted internal tamper switches Uses NIBCO model KTS3 micro switch. Reler to page 47. DIMENSIONS - WEIGHTS I P Size A 8 C 0 E F N J 21h" 2.47 2.87 2.72 31 63 3.82 4.13 3.23 3' 3.07 3.50 3.34 31 63 3.82 4.41 3.54 4' 6' 4.03 6.07 4.50 6.63 4.33 6.45 37 37 63 63 4.57 5.83 5.31 7.90 4.21 5.91 8' 7.98 8.63 8.44 44 75 5.24 8.03 6.77 N P O R S T U V Weight 2.87 6.0 7.75 2.56 11.62 3.62 7.812 2.36 221bs 3.50 6.0 7.75 2.56 12.21 3.62 7.812 2.36 23lbs 4.50 6.0 7.75 2.96 13.78 3.62 7.812 2.36 27Ibs 6.63 6.0 7.75 2.56 18.06 3.62 7.812 2.36 42lbs 3.63 9.0 7.75 2.56 19.06 3.62 7.312 2.36 47 Ibs GD17S5-8' grooved NOTE: See page 37 for indicator post aeeenaory. L NIBCO INC., ELKHART, INDIAtti::. t I SCO a UL/FM grooved butterfly valve Grooved mechanical type • Epoxy coated ductile iron • Extended neck Elastomer encapsulated disc • UL Listed • Factory Mutual Approved Accepts internal and external tamper switches 175 PSI Non -Shock Cold Water California State Fire Marshal Approval No. 7768-1243:101 Approved by New York City Board of Standards and Appeals MATERIAL LIST PART SPECIFICATION 1. Upper Stem Stainless Steel, ASTM A-582 Type 420 2. Upper 3ushmg PTFE 3ronze Sintered on Steel i L V + U 3. 0- Ring EPOM i^ to 4. Body Ductile Iron ASTM A-395 with epoxy Coating 5. Disc Brass ASTM 3.124 with EPDM Encapsulation i 6. Lower Bushtnq PTFE Bronze Sintered on Steel 7. Lower Stem Stainless Steel, ASTM A-582 Type 420 9. Ldcxing ?lug inc Plated Steel 5 T 3) 9. Nameplate AlurTttnum n •-•' I i 10. Gear Operator Cast iron and Steel i L 11. indicator : lag Cast !ton 3 12. Handwheel Steel 1 8 version has two factory mounted internal tamper >wrtcnes. Uses N18CO model #TS3 micro switch. Refer to page 47. MADE IL 1M E R1CA LR 0 DIMENSIONS - WEIGHTS GD1765-8' Y---- Size A 8 C 0 E F H J 9f00Ved r y 2'h" 2.47 2.37 2.72 31 53 3.82 4.13 3.23 9 I / 3' 3.07 3.50 3.34 .31 63 3.82 4 41 3.54 H a^ 4.03 4.50 4.33 37 63 4 57 5.31 4.21 I 6' 6,07 5.63 6.45 .37 63 5.93 790 5.91 8• 7.98 8.63 9.44 44 15 5.24 9.03 6.7 1 R S T U V Weight P. 2.37 6.0 7.75 2.56 11.62 3.62 7.812 2.36 221bs 3.50 5.0 7.75 2.56 12.21 3.62 7,812 2.36 231bs 4.50 6.0 7.75 2.36 13.78 3,62 7.812 2.36 27 ibs 5.63 6.0 7.75 2.56 18.06 3.62 7,812 2.36 42 Ibs 3.63 9.0 7-75 2.56 19.06 3.62 7 312 2.36 47 Ibs NOTE: Sea page 37 for indicator post accessory. U a NIBCO INC., ,ELKHART, INDIAr,- Pendent Automatic Sprinkler Manufactured by: Central Sprinkler Company 451 North Cannon Avenue, Lansdale, Pennsylvania 19446 Product Description The Central Model A Upright or Pendent Sprinklers offer the ultimate in aesthetic appeal and advanced design features. They incorporate a unique center strut design which results in a smaller, more attractive sprinkler than those manufactured with a more traditional design approach. The center -strut operating mechanism of the Model A sprinkler responds significantly faster than more traditional mechanisms such as the 8mm glass bulb or link -and -lever. The Model A Sprinklers are intended for installation in accordance with current NFPA 13 Standards. They are available in a wide variety of orifice sizes, temperature ratings, finishes, and corrosion resistant coatings. Operation: A fusible alloy is sealed into a bronze center strut by a stainless steel ball. When the alloy melts at its rated temperature, the ball is forced upward into the center strut, releasing the two ejectors and operating the sprinkler. Unlike most other sprinkler designs, the alloy is not exposed to atmospheric conditions that could affect its proper functioning. It is also less susceptible to mechanical damage since there are no protruding elements, extending beyond the sprinkler frame. Technical Data Model: A Style: Upright or Pendent Orifice Size K Factor Thread V (9.5mm) 2.7 (38s1) '/2" (12.7mm) N.P.T. 1/6" (11.1 mm) 4.2 (6o.o6) '/z" (12.7mm) N.RT t/2' (12.7mm) 5.6 (80.o8) '/2" (127mm) N.P.T. 32" (13.5 mm) 7.8 (111.54) '/2" (12.7mm) N.P.T. 32" (13.5mm) 8.1 (115.83) 3/a" (19.1 mm) IN PT Temp. Rating and Frame Arm Color: 1350F/5711C Uncolored 1650F/740C Uncolored 212°F/100°C White 2860F/141 °C Blue Approvals: U.L., U.L.C., F.M., M.E.A., V.D.S., LPCB (see tabular information on Page 3.) Maximum Working Pressure: 175 p.s.i. Factory Hydro Test: 500 p.s.i. Standard Finishes: brass, chrome plated (chrome is not V.D.S. Approved and white paint is U.L. only.) Coatings: wax, lead, or wax -over -lead see tabular information on page 3.) Pintle: on deflector for 3/8",'/16" and 17/32" orifice by'/2' thread Length: 23/8" (60.33mm) (excluding pintle) Width: 17/16" (36.51mm) (frame arms) Weight: 4.2 oz. (119grams) 7 3/ 8 7/16",1/ 2" or 17/3211 Orifice Automatic Sprinkler For specific listing requirements see the appropriate information contained in this brochure. No. 2-1.0 Cross Section Model "A" Upngnt 5prinKler 1 3/4" 2 3/8" 5/8" I 04 1 7/16 Cross Section Model "A" Upright Sprinkler Small Orifice with Pintle) Cross Section J_1 (f All I \A/ronrk U@Slgrl 1\egUlrerllrlRS - Jld11UMU MWWIIUCI\1VIIA The Model A Upright and Pendent Sprinklers are intended for standard area coverages and standard flow and pressure requirements as specified in current NFPA 13 Standards. I L 2 U.L., *U.L.C. and **MEA (N.Y.C.) Cal. No. 375-75-SA Listings 0 r Orifice Size and Style Temperature Rating (OF) Corrosion -Resistant Coating 3/8" upright and pendent 135 165 212 ****286 lead, wax, wax -over -lead 7/16" upright and pendent 135 165 212 ****286 lead, wax, wax -over -lead 2" upright and pendent 135 165 212 ****286 lead, wax, wax -over -lead 17/32" x'/2" thd.) upright and pendent 165 212 ****286 lead, wax, wax -over -lead 17/32" x 3/4" thd.) upright and pendent 165 212 ****286 lead, wax, wax -over -lead 286' temperature is not U.L.C. Approved with corrosion -resistant coatings. No corrosion -resistant coatings are Approved by MEA. Lead only. Listedas high temperature, wax coated for installation where maximum ambient ceiling temperature does notexceed 150'F. F.M. ADDrovals Orifice Size and Style Temperature Rating F Corrosion -Resistant Coating 3/8" upright 135 165 212 286 lead 3/8" upright 212 wax -over -lead 3/8" upright 212 286 wax 1/2" upright and pendent 135 165 212 286 lead 1/2" upright and pendent 212 wax -over -lead 2" upright and pendent 165 212 286 wax 17/32" x'12" thd.) upright and pendent 135 165 212 286 lead 17/32" x '12" thd.) upright and pendent 212 wax -over -lead 32" x'/2" thd.) upright and pendent 212 286 wax 32" x 3/4" thd.) upright and pendent 135 165 212 286 lead 32" x 3/4" thd.) upright and pendent 212 wax -over lead 32" x 3/4" thd.) upright and pendent 212 286 wax LPCB Listings Orifice Size and Style Temperature Rating (OF) Corrosion -Resistant Coating 1/2" (15 mm) upright and pendent 32" (20 mm) x 3/4" thd. upright and pendent 135 165 212 286 135 165 212 286 V.D.S. Listings Orifice Size and Style Temperature Rating (OF) Corrosion -Resistant Coating 3/8" (10 mm) pendent 165 - - - - - - 112" (15 mm) upright and pendent 135 165 212 286 32" (20 mm) x 3/4" thd. upright and pendent 135 165 212 286 Installation All Central Model A Sprinklers must be installed according to current NFPA 13 Standards. Deviations from these requirements and standards or any alteration to the sprinkler itself will void any warranty made by Central Sprinkler Company. In addition, installation must also meet local government provisions, codes and standards as applicable. The system piping must be properly sized to insure the minimum required flow rate at the sprinkler. Check for the proper model, style, orifice size, and temperature rating prior to installation. Install sprinklers after the piping is in place to avoid mechanical damage; replace any damaged units. Wet pipe systems must be protected from freezing. Refer to the Central Bulletins on the Model A-1 Dry Pendent Sprinklers for use in dry pipe sprinkler installations. Upon completion of the installation, the system must be tested per recognized standards. In the event of a thread leak, remove the unit, apply new pipe joint compound or tape, and reinstall. Installation Sequence Step 1. The unit must be installed in the upright position for upright style sprinklers, and in the pendent position for pendent style sprinklers. Step 2. Use only a non -hardening pipe joint compound or Teflon' tape. Apply only to the male threads. Teflon is a trademark of the DuPont Corp. Step 3. Hand tighten the sprinkler into the fitting. For upright sprinklers use a Central Sprinkler Combination Wrench, and for pendent sprinklers use a Central Sprinkler Universal Wrench, to tighten the unit into the fitting. A leak -tight joint requires only 7 to 14 ft.-Ibs. of torque; a tangential force of 14 to 28 lbs. delivered through a 6" handle will deliver adequate torque. Torque levels over 21 ft.-Ibs. may distort the orifice seal, resulting in leakage. For exposed piping systems, the sprinkler should be oriented so the frame arms are parallel with the branch line pipe. Caution: Special care must be taken when installing with a CPVC piping system. Sprinklers must be installed after the CPVC manufacturer's recommended setting time for the primer and cement to ensure that no primer or cement accumulates within the sprinkler. Special care must be taken when installing with a copper system. The sprinkler should be installed only after the inside of the sprinkler drops and associated fittings have been wire brushed to remove any flux. Residual flux can cause corrosion and can impair proper sprinkler operation. Care & Maintenance Sprinklers must be handled carefully. They must not be transported or stored where ambient temperature may exceed 100°F/380C. For best results, store them in a dry, cool location in the original shipping package. Do not install sprinklers that have been dropped or visibly damaged. Sprinklers must never be painted, coated, plated or altered in any other way from manufactured condition or they may not function properly. Any sprinklers altered in such manner must be replaced. The owner is responsible for the proper operating condition of all fire protection devices and accessories. The NFPA standard 25 entitled, Inspection, Testing and Maintenance of Water -Based Fire Protection Systems", contains guidelines and minimum maintenance requirements. Furthermore, the local Authority Having Jurisdiction may have additional regulations and requirements for maintenance, testing, and inspection that must be obeyed. It is advisable to have sprinkler systems inspected regularly by a qualified inspection service. Length of time between such inspections can vary due to accessibility, ambient atmosphere, water supply, and site activity. Do not attempt to re -assemble or otherwise reuse a sprinkler that has operated. Replace any sprinkler exhibiting corrosion or damage: always use new sprinklers of the same type and temperature rating as replacements. 1993 Central Sprinkler Company Printed in U.S.A. Because the discharge pattern is critical to protection of life and property, nothing should be hung or attached to the sprinkler unit that would disrupt the pattern. Such obstructions must be removed. In the event that construction has altered the original configuration, additional sprinklers should be installed to maintain the protection level. Do not attempt to replace sprinklers without first removing the fire protection system from service. Be certain to secure permission from all Authorities Having Jurisdiction, and notify all personnel who may be affected during system shutdown. A fire watch during maintenance periods is a recommended precaution. To remove the system from service mode, first refer to the system operating guide and valve instruction. Drain water and relieve pressure in the pipes. Remove the existing unit and install the replacement, using only the special sprinkler wrench. Be certain to match model, style, orifice, and temperature rating. A fire protection system that has been shut off after an activation should be returned to service immediately. Inspect the entire system for damage and replace or repair as necessary. Sprinklers that did not operate but were subjected to corrosive elements of combustion or excessive temperatures should be inspected, and replaced if need be. The Authority Having Jurisdiction will detail minimum replacement requirements and regulations. CENTRAL Central Sprinkler Company 451 N. Cannon Avenue, Lansdale, PA 19446 Phone (215) 362-0700 FAX (215) 362-5385 Guarantee: Central Sprinkler Company will repair and/or replace any products found to be defective in material or workmanship within a period of one year from the date of shipment. Please refer to the current Price List for further details of the warranty. Ordering Information Ordering Information: When placing an order, indicate the full product name. Please specify the quantity, model, style, orifice size, temperature rating, type of finish or coating, and sprinkler wrench. Availability and Service: Central sprinklers, valves, accessories, and other products are available throughout the U.S. and Canada, and internationally, through a network of Central Sprinkler distribution centers. You may write directly to Central Sprinkler Company, or call 215-362- 0700 for the distributor nearest you. Conversion Table: 1 inch = 25.400 mm 1 foot = 0.4536 kg 1 foot pound = 1.36 Nm 1 psi = 6.895 kpa 0.0689 bar 0.0703 kg/cm2 1 U.S. gallon = 3.785 dm3 3.785 liters Conversions are approximate. Sprinkler A.3 p,soa f r,e ., 4.. aaturing :h.e r::cged —iass.u; •moo' P these r•a a 3i? nec .v lV;,ns anC :i^ 3;^CC:<, anc pulsa:ion i^.r.erent in acrcultural zmrn..cnia icrre Jl::^lied 'Nl:h a coracle:e!y -aska. i C case ar.0 ring. C3+:viil ras;s.:~e r;,^e :ea e:gets .r cyst 3r.0 water. iy •i;. r%a: .,°.,_.o': .tea:-."'R.':i=•: ,C.,y'.1.• ..... . f 11 i • at•:: at .xll .. r• 1 508 S?FCIFICA i i CNS: slZ=: zw* CASE :rawn stem. -aroma ;sated ';nisn RING: prawn steel. still tit 'Nita -;Ice sc:e•ns. an come ;rated tinlsn W[NCOW: =!at ;tass POINT R: Aiuminum. adius-,aaie. '-iack `inlsn O(AL: Stesl. wnite *aackground -1 t Iack .'tarkings tACV VAENT: ',3iasstut. 'NItn stainless steei :ink and ;ink rivets 3CURCON TUBE: 1'e stalniess steei. molt Scidered CCNNEC':CN: ANPT t--A' steei RANGE: 30. :50. and 400 Psi ACCURACY: _3-2-3% of span Sao General Soealrcanon ;acnon '^ coons rn 'Iw.r L PtJ 7Ot R 1 500 ess::re -auces are approved' hese J,4.. and UCua system and are iS:ems J;/ g he F cxr I l IJr.Cervri:afs* tr,-jC tOr:4S .`Of 15i: On 'Net Of VI/ rded "a:r" gauge is sprin !er systems. ;e ;'ac0 seta use: ^ :^.e scrinkier head side :t !,.a o. .trcl va!'!e On a 'n s./stem :o acp;;r:sly MOM:; re lire s: a .25 SSU e 2eiiity :o acc..t water :ressc:re :0 357 Psi with 7s •sse r.:h: iva:: c-' e Icon sys:e:n a avadap ia mae' succiv side v./sZem :S s '.vet sys:ern. vne a water souse ;lessor • ' a: _ lt :irres, only i availazie : o :ha scr:^::tar e3CG Q snculd oe sac :o no.nizor :oral system a _ e;cre nc d . ing acnva on. MessiCS - CIFi CA I G NS: stz• .. 4". '" CASc: Ira-n-rass.:ofisned RING: '- awn .,ass. ,ncaon sit rolisned 'irnsn' WINDOW: r;crrlic o1NT_ A: Brass. '=sacs tinisn tAL' Brass. NnIte-ac3tground Kith 51acx .zrarxlncs ACvE! dENT: 3ras3 3CUROCN " : 3=: -hosonor :ronzs.:dtt soldered CONNECTION- .: NPT'-A• -rass RANGE: _}-» 0 is' ,c- 3MV) Risda 3-da.-scarcea '0 :7 at RAC,!: of _,an : ,00lies ndtc = c i :orrion. -cam anrum i pressure ." -- HANGLR PRODUC INC. g1looe II aP?P(OVA(S:.uJ `? G'-APPVCVcJ: • gT ACCcL II1C4uuMSEa ' 5.75 t05-'Ot 110 TON j R00 I UST 11C4 I SAOOE VUMBEA NTITYI 51`c 30 i,- 5+.•0 i0 j 4.. i.35 I t1L±01 p UST A00cL 00 C c VUMSw; w ti- w/Locxnucl 30 i .05-'01 i 1 7.30 tw. 5117-;00 ram-. .a(T P5 t Q O0 A- 1S7 SAC14 os N00E. i VUMBER Z,3-tOt 4- j 9.10 j 3!3-101 L35 Z1S-tOt c aEG{ lcof— OAO VUMBE.:4 9N I :OpN i RODUCTS, INC. ilobe PIP= HANGAR0, n: 0 XH: -. ,/) iron Pipe300 CIO v". 1 % . 1 1. -.c 66-2,124 .40 M C 0 AOCEL A A I u M 13 F- 3 EAC .4 SO 20 Al ;24 r 'A Nk M-524 02•i40 A- C-1ma A 4,POROVA"* DEAAL 1PSCIFICA nON WW-A- 1 ss-,iP%. lv-ZIE !J) ca 00 33"24 03-43a io M-440 APPqOVALS. rwCCEPAL. Zp- sp-ia,-fps :0) Pq CITY OF SANFORD. FLORIDA PERMIT No, ` DATE THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO INSTALL THE FOL- LOWING PLUMBING WORK: OWNER'S NAME _ l ADDRESS OF JOB - PLUMBING CONTR L Res. _ Comm. _ Subject to rules and regulations of Sanford plumbing code. Residential: I Number Amount Alteration, Addition, Repair I I New Residential: One Water Closet I Additional Water Closet Commercial: Fixtures. Floor Drain, Trap — Sewer t, _ _-- Water Piping_ Gas Piping Factory -built housing Mobile Home Application Fee Minimum Commercial Permit: S25. oo Total Master Plumber COMPETENCY CARD NO i CITY OF SANFORD, FLORIDA PERMIT NO- DATE 12 by Z2 S7 THE UNDERSIGNED HEREBY APPLIES FORA PERMIT TO INSTALL THE FOL. LOWING PLUMBING WORK: OWNER'S NAME (re_ T o ADDRESS OF JOB 20 PLUMBING CONTR. / a! Res. Comm. Subject to rules and regulations of'Sanford plumbing code. Residential: I Nmn6er Amount Alteration, Addition, Repair New Residential: One Water Closet Additional Water Closet j Commercial: Fixtures. Floor Drain, Trap 3 p is Sewer Water Piping i Q.L CM it—", Factory -built housing p Mobile Home_ Application Fee Minimum Commercial Permit: $25. oo Total Master Plwnbor COMPETENCY CARD NO CSC ' 3 62 CITY OF SANFORD. FLORIDA PERMIT NO-'_) F `" DATE Az! A z Is THE .UNDERSIGNED HEREBY,APPLIES FOR A PERMIT TO INSTALL THE FOL- LOWING ELECTRICAL WORK: OWNER'S NAME_ZZa d ADDRESS OF JOB 1 /©uJN C647e- A ALPQ ELEC. CONTR_ CI V lft % Residential_ Non-residential c.y Subject to rules and regulations of the city and national electric codes. Number i AMOUNT Alteration Addition Repair Change F Service Residential i Commercial I Mobile Home i Factory Built HousingI i New Residential 0-100 Amp Service 101-200 Amp Service 201 Am and above i New Commercial oo Amp Service Application Fee it I TOTAL II By signing this application I am stating I will be in compliance with the NEC including Article 110, Section 110-9 and 110-0. Building Official Me r Electrician STATE COMPETENCY NO. Laoa Royal Electric Company f Central Florida Inc. STATE CERTIFIED ELECTRICAL CONTRACTORRKE7LICENSENUMBEREC0000913 645 NEWBURYPORT AVE., STE. 1000 ALTAMONTE SPRINGS, FL 32701- 2740 (407) 834-2345 P.O. BOX 4266 WINTER PARK, FLORIDA 32793-4266 FAX 834-1777 DATE) To whom it may concern. I Blake E. Ferguson. authorize the person bearing this letter, whose name and signature are below. to act as my agent,in filing application, signing application, and any and all administrative steps necessary for the purposes or approvals for obtaining permits. as needed for: My State of Florida Electrical Certification Number is EC 0000913. Sincerely. Blake E. Ferguson, President signature of authorized person printed name of authorized person: LN; lled F /// e/ State of Florida, County of ` ltc;- t"uE The foregoing instrument was acknowledged before me this F5sq'VA' j (" . 199 6by Blake E. Ferguson. President of Royal Electric Co of Central Florida, Inc., a Florida corporation, on behalf of the corporation who is personally known to me. iA il zN DANIEL G PETERKIN r.,. y Commission CC369939 Expires Jun. 09, 1998 signature of Notan) Wnded by ANB fr'pFao`O' 800-852.5878 printed name of Notary) State of Florida Notary Public Commission Number 3 l l y expiration date (9 CITY OF SANFORD FIRE.DEPARTMENT FEES FOR SERVICES i PHONE #: 407-322-4952 DATE: Y 1 ' PERMIT #: 1 \ 1 . i.r it BUSINESS ADDRESS: PHONE NUMBER: PLANS REVIEW TENT PERMIT BURN PERMIT. REINSPECTION TANK PERMIT FIRE SYSTEM AMOUNT $ - -' COMMENTS:C S C"(L 1 QrvL,000 S I Fees must be paid to Sanford Building Department, 300 N. i Park Avenue, Sanford, Florida. Phone # 330-5656. Proof of payment must be made to Sanford Fire Prevention bef re any further services can take place. i I certify that the above information is true and l correct and that I will comply with all applicable d d d' f th Sanford Fire Preventi co es or finances o e City f S nford, Florida. Applicants Signature J CITY OF SANFORD, FLORIDA PERMIT NO. — DATE THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO INSTALL THE FOLLOWING H.A.R.V. MECHANICAL EQUIPMENT: i OWNER'S NAME 4 iI'd ADDRESS OF JOB MECHANICAL CONTR. —7 L RESIDENTIAL COMMERCIALy Subject to rules and regulations of Sanford mechanical code. NATURE OF WORK v 11 Master Mechanical COMPETENCY CARD NO. d