HomeMy WebLinkAbout2921 Orlando Dr 12-316NOV
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CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: 1 (gO Documented Construction Value:
Job Address: ZPi 2 1 .S 0 0 ccnd o 'r S u k � 5 D Historic District: Yes ❑ No ❑
Parcel ID: 0 1 - ZO -2-5 Cpl -OD00 ` 15 oy Zoning:
Description of Work: N t W L Q)00 4- F('f_(I -Pr AT-+T
Plan Review Contact Person: K o0\'Yl% out Title: v
+ _
Phone: `401 Lol'LgD�Q cx IL4 Fax: 41' toll ^qcl 1') E -mail: JcryV .\/I /wn- i�L1- +kcc`�� tivk- imi§-
c-n-
Property Owner Information
Name HL,L"nccn Sc_1'VI .. -cq AssoCG.A1Di)• Lugp
Street: ll o'�5 �nl N-
City, State Zip: 1') ("nd L l E- lL 32-0624
Phone:
Resident of property? :
Contractor Information
Name S? V'Ces. Phone: `-/0 ?-&7'7 -g000
Street: Moss 2d Fax: 4O7 - 6-2? -gGiil�'L
City, State Zip: O: to-o da I FL S� X20'7 State License No.: 15 13 d 0 +1 '?, 1
Architect/Engineer Information
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Building Permit ❑
Square Footage: L2. , 1 �0
No. of Dwelling Units:
Electrical X
Phone:
Fax:
E-mail:
Mortgage Lender:
Address:
PERMIT INFORMATION
Construction Type : No. of Stories:
Flood Zone:
New Service - No. of AMPS:
Mechanical ❑ (Duct layout required for new systems)
Plumbing ❑
New Construction - No. of Fixtures: fJ A
Fire Sprinkler /Alarm ❑ No. of heads:
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
most 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. A NOTICE
OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE
FIRST INSPECTION. 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, FS 713.
The City of Sanford requires payment of a plan review fee. A copy of the executed contract is required in order
to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the
plan review fee based on past permit activity levels. Should calculated charges exceed the- documented
construction value when the executed contract is submitted, credit will be applied to your permit fees when the
permit is released.
Signature of Owner/Agent Datc
D3 r-Rcaoks
-7 [1 (
jsY ►ryj Not Public State `ot Florida
W y H Curry
• My ammMion EE093963
'�oit�oj Expires 07/2312015
Owner /Agent is Personally Known to Me or
Produced ID Type of ID
APPROVALS: ZONING: UTILITIES:
COMMENTS:
Rev 11.08
WASTE WATER:
ENGINEERING: FIRE: BUILDING: // �, `�
Signature
Y4.
4
ROBIN J INNS
`� =
Niitary Public -State of Flor .
:�-
commission #�9D885
'•.,�asY;a
M Comm. Exp. IA"9
9
' fMxe!►
Bonded
Contractor /Agent is
Personally Known to Me or
Produced ID
Type of ID
WASTE WATER:
ENGINEERING: FIRE: BUILDING: // �, `�
r
'Collp. orate,
i�tc.s�xvlc�s p�
QUOTE
Corporate Electric Services
6855 Hanging Moss Rd.
Orlando, Florida 32807
Tel: 407 677-4080
Fax: 407 677 -9919
E -mail: ferry.vroombouta@corporate- mts.eom
Billing address:
Community Base Care - Seminole
Attn: Mark Monn
117 E Lake Mary Blvd
Sanford, Florida 32773
:lg� 67t1
Reference
City
File#
405
Job date:
Sep. 22, 2011
Job status:
Pending
Customer Ref. #
2
Resource:
3
Page number:
1
Site address:
Community Base Care - Seminole
Attn: Mark Monn
117 E Lake Mary Blvd
Sanford, Florida 32773
Work Description
Includes:
1. (1)2" Empty conduit from north exteriorutility pole to second floorserver room.
2.(1)12"x 12" x 6" Nema 3R Pull Box.
3. (1) Dedicated 120V 20A Circuit for a quad duplex receptacle on the tele /data backboard in the secon floor server room.
Circuit #28 with existing circuit breaker from Panel L1 to be used.
4.80' of Directional boring from utility pole tobuilding.
5. Cutting and Patching of asphalt disturbed during directional boring.
6. Required Ground Penetrating Radarofarea fordirectionai boring.
Excludes:
1. Any repairorreplacmentofexisting eircuirbreakers.
Item Description
City
112" EMTCONDUIT
30
2" EMTCONDUIT
40
1/2" EMT STL SS CONN
2
2" EMT STL SS CONN
2
1/2" EMT STL SS CPLG
3
2" EMT STL SS CPLG
10
2" EMT 90 DEG ELBOW
3
2" EMT STRUT CLAMP
4
2" GRC(GALV)
1
2" GRC MYERS HUB
1
2" GRC COUPLING
2
2" STEEL LOCKNUT
6
2" PLASTIC BUSHING
4
2" GRG STRUT CLAMP
0
2" GRC CUT & THREAD
1
2" PVC.
101
P..0A
EL = E aursrn
Corporate Electric Services Reference
6855 Hanging Moss Rd. File# 405
Orlando, Florida 32807 Page number: 2
Item Description
MY
2" PVC TERM ADAPTER
2
2" PVC FEM ADAPTER
1
2" PVC COUPLING
4
2" PVC LB FITTING
1
2" PVC 90 DEG ELBOW
3
#12 THHN BLACK
99
62 -1 RED WIRE CONN
3
4x1 112" SQ BOX COMB KO
1
4" SQ BLANK COVER
1
4 "SQ 2xDUPLEX RECPT COVER
1
20A 125V DUPLEX REC - IVY (SG)
1
P -10001 518 STRUT
10
114 SPRING NUT
1
114 -20x 1 BOLT - PLTD STL
1
#8x 112 WAFER HEAD SELF -TAP STUD SCREW- 12G
2
SCH8 112" EMT STRUT CLIP
3
812MBt8A BOXICONDUIT SUPPORT
1
114 -20 BEAM CLAMP
10
TRENCH SLAB COST CODE 120 (0.06Hrs1Ft)
100
JET LINE
1
12" X 12" X 6°
1
CORE
1
Summary Total ($)
Subtotal Material 1,207.41
Electrical Permit
Service Crew
Subtotal Subcontractors
Total
Terms —
Our price is valid four 30 days and subject to changes any time thereafter.
Rep. Name: a!As,) \. ����� Client Name:
Date: Date: LIT L 1
Signature:
Signature: .� ��
I pmposethea edescnDed x 1 ere yameptmeatovec1me wwork
200.00
1,440.00
2,850.00
$5,697.4'1
_»�
AT &T Building Industry Consulting Services
500 N. Orange Ave, Rm 360, Orlando, FL 32801
Telephone: 407- 237 -3106
July 26, 2011
Mark Monn
Community Base Care - Seminole
117 E Lake Mary Blvd
Sanford, Fl. 32773
E- mail: rn�rk.rnonn( cbcser-ninole.ora
a l
RE: Support structure requirements for Metro Ethemet service at 2921 S. Orlando Drive,
Suite 150 Sanford, Fl. 32773
File No. 13NO669N
Dear Mark,
I was able to conduct a site survey to determine how AT &T will be delivering the
requested service at the above address. Following is a summary of the items that are
needed to deliver the service.
• Customer to provide a 2" conduit with a pull string, = 1>200# strength, from the
utility pole located north of the building to a pull box to be located on the west
exterior wall and a 2° conduit_ with a pull string from the pull box to the server
room located on the 2nd floor mezzanine. The requirements for the pull box are:
12 °x1 2 °x6" with the conduits terminating in the top and bottom. (See DWG's 1, 2
and 3 for details)
• Customer to provide space on the existing backboard located in the server room
for the mounting of the proposed AT &T equipment. (See DWG 4 for details)
• Customer to provide access to a 120VAC /20AMP receptacle circuit on UPS back
up if available for the proposed AT &T equipment. (See DWG 4 for details)
• Customer to provide access to the building's ground electrode system the
grounding of the proposed AT &T equipment.
The attached specifications and drawings provide further detail and should be provided
to your contractors or support personnel if needed.
Please contact me to confirm that these structures are available for AT &T's use.
Please feel free to email or call me if you have any questions_
Thank you for choosing AT &T.
Kevin Stanaland
Building Industry Consultant for AT &T
Phone: 407 - 237 -3106
E -mail: ks9118 @att.com
Enc: drawings, specifications
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Permit No. 12 NOC)0,� 1 (p
Tax Folio No. _01- 20
NOTICE OF COMMENCEMENT
State of Florida
County of Seminole
The undersigned hereby gives notice that improvement
will- be made to certain real property, and in accordance
with Chapter 713, Florida Statutes, the following
information is provided in this Notice of Commencement.
anFNPW" llaRt#NNE"Wa110111111ma0N01111
VARYANNE (NORSE, CLERK, OF CIRCUIT COURT
MINGLE CCUNTY
W 07U6 Pg 1130; (1pg)
+GEEDK''S c' it 2011124545
RECf1R]riED 11/18/12011 10;40;47 M
RECORDING FEES 10.00
RECl17RDED BY T Smith
b. Interest in property:
c. Name and address of fee simple titleholder (if other than Owner): Name:
Address:
C 4. Contractor Name: CD qu, , •-C I -ff C-I • L S vi c f'S
c. Address: (9 �) J'5_ 14 CLoc) .hC MOSS lLl t 0 -10-nd U,
5. Surety Name
Address:
Phone number: L 0'I - toll -qC)i', 0
b. Amount of bond: $ Nti '„
6. Lender: Name: t, p,R� A�c`RCO�� ��OR10P
Address: ZZ
b. Lender's phone number: SEMI 0,�1
7.a. Persons within the State of Florida designated by Owner upon whom notices or other documents rna T
provided by Section 713.13(1)(a)7., Florida Statutes: Name: 8�
Address:
8.a. In addition to himself or herself, Owner designates of to receive a copy of the
Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes,
b. Phone number of person or entity designated by owner:
9. Expiration date of notice of commencement (the expiration date is 1 year from the date of recording unless a different
date is specified)
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE
NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I,
SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB
SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR
LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF
CO EMEN`I'
�� �l� -sue.
Signature of Owner or Owner's Authorized Officer /Director/Partner/MQaZger A �,o art 's Title /Offi,�s , J [ type 0
The foregoing instrument was acknowledged before me this 10 day p year) , by (name of ►pers�lonasJ(,type7o�f V
authority /... e.g. officer, trustee, attorney in fact) for (name of r s xecuted) .
op k+'l Notary Public state of Florida
Wendy H Curry
(SEAL) o My Commission EE093963
SlgnahueofNotary ublic /
?oi r�dt Expires 07/23/2015
Personally Known OR Produ d Identification Type of Identification Produced
Verification pursuant to Section 92.525, Florida Statutes: Under penalties of perjury, I declare that I have read the foregoing and that
the.facts ated in it are true to the best of my knowledge and belief.
WIIS iN ii illy = :3C iyF1.F'h6?rQ 11Y:
Signature of Natural Person Signing Above 7 , Win —)/))6 i'1�5
Rev. date 3/2008 APviE ���J� ;l n
ADDR. `° V V� .