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HomeMy WebLinkAbout2053 WP Ball Blvd 12-463CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION .rr+/3 Application tv o: l / °— -,­W1 IT Documented Construction Value: $. 4 9 4 0.0 0 Job Address: 2053 W P BALL BLVD, SANFORD Historic District: Yes ❑ No ❑ Parcel ID: 32- 19 -30- 507 - 0000 -0060 Zoning: Description of Work: ADD AND RELOCATE FIRE SPRINKLER HEADS AS PER PLANS Plan Review Contact Person: CHAD REYES Title: DESIGNER Phone: 407 - 323 -4200 Fax: 407 - 328 -8931 E -mail: chad @southernfire.net Property Owner Information Name WRI SEMINOLE II LLC Phone: Street: PO BOX 3467, Resident of property? City, State Zip: HOUSTON, TX 77253 Contractor Information Name SOUTHERN FIRE PROTECTION Phone: 407 -123 -4200 Street: 3801 E. SR 46 Fax: 407 - 328 -8931 City, State Zip: SANFORD, FL 32771 State License No.: 740723 0 0 01 1 9 90 Architect/Engineer Information Name: Street: City, St, Zip: Bonding Company: Address: Building Permit Square Footage: No. of Dwelling Units: Electrical ❑ New Service - No. of AMPS: Phone: Fax: E-mail: Mortgage Lender: Address: PERMIT INFORMATION Construction Type: Flood Zone: Mechanical ❑ (Duct layout required for new systems) No. of Stories: Plumbing ❑ New Construction - No. of Fixtures: Fire Sprinkler /Alarm Q No. of heads: 7 City of Sanford - - -- -- -- -- — Building 8 1 =ir°e fires rrae on'Ui—Vastora- - - - -- Pire Plan Review Service Fees 1 e_ I: 407.688.5050 -- r vo A07 688 5051 Ia �� Date: r Permit: �-- Business or Project Name, A Address: I Ss LJ , p, I u Contact Name: C— �1 _ Contact Playa Review Information ❑ Construction ❑ C/O ❑ Fire Alarm ❑ Fire Sprinkler ❑ Hood ❑ Tank ❑ Paint Booth Total Fees :�,� • °� -i PERMITNUMBER: NOTICE OF COMMENCEMENT The undersigned hereby given notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statues the following information is provided in the Notice of Commencement. I. DESCRIP770N OF PROPERTY (Legal description and street address, if available) TAXFOLIO NUMBER: 58- 1910859 SUBDIVISION Legal Description is attached BLOCK TRACT LOT B DG _ t1 L! UNIT —5F/ –, D 100— DOW Marketplace at Seminole Towne center - 2053 WP Ball Blvd. - Sanford, FL 32771 2. GENERALDESCRIP TfONOFIMPROVEMENT: Interior Build out and improvement of an Optical Retail Shop; New finishes and fixtures to be Installed 1 OWNER INFORMATION: a. Name America's Best Contact & Eyeglasses D.B.A - National Vision, Inc b Address 296 Grayson Hwy. Lawrenceville, GA 30045 #770 -822 -3600 c. Interest in property Lessor d. Name and address of fee simple titleholder (if other than Owner) NIA 4. CONTRACTOR'S NAME, ADDRESS AND PHONE NUMBER: NCS Construction Services - 43636 Woodward Ave. - Suite 400 - Bloomfield Hills MI 48302 Matt Hastings - 248- 338.9732 5. SURETY'S NAME, ADDRESS AND PHONE NUMBER AND BOND AMOUNT: 6. LENDER'S NAME, ADDRESS AND PHONE NUMBER: n/a 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13 (1) (a) 7., Florida Statutes: NAME, ADDRESS AND PHONE NUMBER: Joe Sutherland -4957 Cleveland Ave. Fl. Mayers, FL 33907 8. In addition to himself or herself, Owner designates the following to receive a copy of the Lienor's Notice as provided in Section 713.13 (i) (b), Florida Statutes. NAME, ADDRESS AND PHONE NUMBER: 296 Grayson Hwy. Lawrenceville, GA 30045 - Dana Wade #770- 822 -4284 9. Expiration date of notice of commencement (the expiration date is I year from the date of recording unless a different date is specified): November 1 1 2012 WARNING TO OWNER• ANY PAYMENTS MADE BY THE OWNER AFrER THE FXPI AngN of THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS CINDER CHAPTER 713. PART 1 SECTION 713.13. FLORIDA STATUTES. AND CAN r Signature of Owner oA Name and Provide Signatory's Title/Office Owner's Authorized Oft' er/Director/Partner/Msnager State of Florida County of Palm Beach f The foregoing instrument was acknowledged before me this day of Al as /)/,,r �-7C' -rr (name ofperso } �— (type of authority,.., e.g. officer, trustee, attorney ib'f'a} E. M1ud for/l % h � /? Commission #: W-00036685 (name o paz—a on behalf hrom Instrument was executed) tar► public, State of Georgia )mmissio lobar 1 ,.101 r + ` , Under Penalties of perjury, I declare that I have read the foregoing an that the fac i ar rue to the best of m knsv�ledgezand belief (Section 92.525, Florida Statutes). n ' Rcv.0614 -07 (S.Rccording) Signet fNatural sonSignin Abo,,e) " SCPA HyperLiteWeb Parcel View: 32 -19 -30 -507- 0000 -0060 F .cv�ct ,s�rsPpaa�^�arI, CA r Parcel: 32- 19 -30- 503 -0000 -0060 OPEI i ' APPRAISER Owner: 1nrRi s�r�arloLE as LLc Ct,'A ,Nry PLr,>0`) A Property Address: W P GALL BLVD SAIVFORD, FL 32771 < Back I < Previous Parcel I Next Parcel > Save Layout I Reset Layout I New Search Parcel: 32- 19 -30- 507 -0000 -0060 Value Summary Property Address: W P BALL BLVD a Owner: WRI SEMINOLE 11 LLC Mailing: PO BOX 3467 HOUSTON, TX 77253 Subdivision Name: MARKETPLACE AT SEMINOLE TOWNE CENTER REPLAT Tax District: S1- SANFORD Exemptions: DOR Use Code: 101 5- VACANT COMM -PUD Tax Amount without SOH: $16,137 r 2011 Tax Bill Amount $16,137 5 Tax Estimator Save Our Homes Savings: $0 Map Aerial Both Footprint + - Extents Center =Does NOT INCLUDE Non Ad Valorem Dual Map View - External Assessments i Legal Description LOT 6 MARKETPLACE AT SEMINOLE TOWNE CENTER RF..PLAT PS 75 PGS 35 37 Taxing Authority 2012 Working 2011 Certified Taxable Value Values Values Valuation $809,946 Schools Method Cost/Market Cost /Market Number of 5809,946 $o Buildings 0 0 Depreciated 5809,946 County Bonds Bldg Value $o $809,946 Depreciated EXFT Value Land Value (Market) 5809,946 5809,946 Land Value Ag just /Market Value $809,946 8809,946 Portability Adj Save Our Homes Adj $0 $0 Amendment 1 Adj $0 80 Assessed Valuel $809,946 5809,946 Tax Amount without SOH: $16,137 r 2011 Tax Bill Amount $16,137 5 Tax Estimator Save Our Homes Savings: $0 Map Aerial Both Footprint + - Extents Center =Does NOT INCLUDE Non Ad Valorem Dual Map View - External Assessments i Legal Description LOT 6 MARKETPLACE AT SEMINOLE TOWNE CENTER RF..PLAT PS 75 PGS 35 37 Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund $809,946 $o $809,946 Schools 5809,946 $0 3809,946 City Sanford 5809,946 $o $809,946 S1WM(Saint johns Water Management) 5809,946 s0 5809,946 County Bonds $809,946 $o $809,946 Deed Date Book Page II Amount Vac /Imp Qualified vino LOMParanie �oaies witnin this 5ungiyision Method Frontage Depth Units I Unit Pri ce Land Value SQUARE FEETJ 44,997.0001 18.001 $809,946 Page 1 of 2 E http:// www. scpafl. org/ Parce]Details.aspx ?P.ID= 32 -19 -30 -507- 0000 -0060 11/15/2011 ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(MM /DD/YYYY) 12/20/2010 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED F� °PRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. ' �ORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Valli Ritenour Insurance Office of America, Inc A /CNoE,:407- 998 -4167 FAX No :407- 788 -7933 1855 W. SR 434, Longwood, FL 32750 E -MAIL ADDRESS: P.O. Box 162207 Altamonte Springs, FL 32716 -2207 PRODUCER CUSTOMER ID #: VISIT US ON THE WEB! www.ioa-insurance.com INSURER(S) AFFORDING COVERAGE NAIC # INSURED INSURER A: Travelers Indemnity Company 25658 Southern Fire Protection of Orlando, Inc. Southern Fire Suppression, Inc. 3801 E. State Rd. 46 Sanford, FL 32771 INSURER B: Travelers Property Casualty Co 25674 INSURER C: Bridgefield Employers Insurance o. 10701 INSURER D: INSURER E: COVERAGES CERTIFICATE NUMBER: 2011 -2012 REVISION NUMBER: THIS IS TO CERTIFY 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 TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF MM /DD POLICY EXP MM /DD LIMBS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE F_i] OCCUR X X,C,& U DTC001311_35AIND1 01/01/2011 01/01/2012 EACH OCCURRENCE $ 1,000,000 DAMAGE T PREMISES O ERa ccENTED urrence $ 300 , 000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 X Contractual Liab GENERAL AGGREGATE $ 2101001,000 GEN'LAGGREGATE LIMIT APPLIES PER: POLICY X JECT LOC PRODUCTS - COMP /OP AGG $ 2,000,00 $ B AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS DT8100131L35ATIL1 01/01/2011 01/01/2012 COMBI EDt) INGLE LIMIT $ 1, 000, 000 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ X X $ B UMBRELLALIAB EXCESS LIAB X OCCUR CLAIMS -MADE DTSMCUP0131L35ATIL1 01/01/2011 01/01/2012 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 DEDUCTIBLE RETENTION $ 10,000 $ X $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? F (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A 83031145 NO 01/01/2011 01/01/2012 WC STATU X TORY LIMIT OER E.L. EACH ACCIDENT $ 5001, 000 E.L. DISEASE - EA EMPLOYEE $ 500,000 E.L. DISEASE - POLICY LIMIT $ 500,000 B Inland Marine QT6604048B468TIL1 01/01/2011 01/01/2012 Rented /Leased Equip $150,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) CERTIFICATE HOLDER CANCELLATION FAX: 407.330.5677 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Sanford P 0 Box 1788 Sanford, FL 32772 -1788 ACORD 25 (2009/09) AUTHORIZED REPRESENTATIVE l7ohn Ritenour /TRICIA _ ©1988 -2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Southern Fire Protection Of Orland®® Inca I. 3801 E. SR 46, SANFORD, FL 32771 -9155 PHONE: (407) 323 -4200 FAX: (407) 328 -8931 EMERGENCY: (407) 328 -2912 LIMITED POWER OF ATTORNEY 6IL-A', ev ��n���'G� Building Department 2011 I hereby name and appoint the following: Anton Mihelic. Brian Moore, Jeremv Wilkerson, Christv Caldwell, Vince Hollis, Les Jones Chad Reyes and /or William Wiese Printed Name of Appointee(s) Southern Fire Protection of Orlando, Inc Company Name of Appointee To be my lawful attorney -in -fact to act for me in submitting and receiving Commercial/Residential Permitting, and to do all things necessary to this appointment. ject Name :�G '!5-3 al P ,�Y ,( - Project Address Signed: By: Robert H. Ca well, Jr. President License #74072300011990 WITNESS WITNES State of Florida County of Seminole Sworn to and subscribed before me this ! of 1 /1VW1JJ%Y '2011 By Robert H. Caldwell, Jr., who is personally known topm 0001°4 Notary Public State of Floridv �! ? Carman Ramirez c� My Commission DDo44434 SNotary Public 'koFrto� Expires 04 /30/2012 My Commission Expires: STA'T'E OF FLORIDA t,,E DEPARTMENT OF FINANCIAL SERVICES' DIVISION OF STATE FIRE MARSHAL TALLAHASSEE, FLORIDA CERTIFICATE OF COMPETENCY THIS CERTIFIES THAT: ROBERT H CALDWELL JR 3801 EAST STATE RD 46 SANFORD, FL 32771 - BUSINESS ORGANIZATION: SOUTHERN FIRE PROTECTION OF ORLANDO INC CONTRACTOR I INCLUDES THE EXECUTION OF CONTRACTS REQUIRING THE ABILITY, EXPERIENCE, KNOWLEDGE, SCIENCE, AND SKILL TO INTELLIGENTLY LAYOUT, FABRICATE, INSTALL, INSPECT, ALTER, REPAIR, OR SERVICE ALL TYPES OF FIRE PROTECTION SYSTEMS, EXCLUDING PRE - ENGINEERED SYSTEMS. 07 10112010 1 07 15 Seminole Issue Date I Type Class County 74072300011990 License/Permit Number Chief Financial Officer a-&-7' "JZ—' 1927150001 150.00 J0613012012 Application # Taxes & Fees j • Expire Date SEMINOLE COUNTY BUSINESS TAX RECEIPT RAY VALDES, SEMINOLE COUNTY TAX COLLEC'T'OR PO Boaz 630 x Sanford, FL 32772 -0630 a Telephone: 407- 665 -1000 www.seminole-tax.org VALED THROUGH 09/30/12 SOUTHERN FIRE PROTECTION OF ORL INC 3801 E SR 46 SANFORD, FL 32771 LEONARD M HOLLIS (PEES) Account #:053465 REGULATED License # - 740723000290/190 Qualifier- LEONARD HOLLIS id: $ 45.00 Date Paid: IcrUOrc41 1 1 ]/.;).1 3Uuu1ern rice rruLt!vuvn Q-Ax) 11/2212011 15:08 NCS CONSTRUCTION (FAX)2483389736 11147/2091 12:14 NCS CONSTRUCTION (FAl{}24893>�736 NCS CONSTRUCTION SERVICES - FLOREDAt LX -C 43636 WOODWARD AVENUE SUITE 400 BLOOMFIELD HILLS, MI. 48302 PHONE: (248) 338 -9732 FAX: (248) 338 -9736 P.001100Z P.0011010 P.0021012 Subcontractor: SOUTHERN FIRE PROT. OF ORLANDO INC Contract No. 4032-FL-06 3801 B. ST46 SANFORD, FL 32771 -9153 Fhone No: 407-3Z3-4200 Location: AMERICA'S BEST MAMTPLACE® NNINOLE TOWN C8P19F.R Fax Nn: 407 328 -8931 Contact: VINCE ROLLIS CELL — NIA 2053 WP BALL BLVD SANFORD, FL 32771 17a0t: November 2, 2011 Job No.: 4032 FL This ag=nent mado on the •above date by and between SOUTHEWFMPROTECTIM OF ORLANDO.INC. (the "Subcontractor'% and NCS CONSTRUMON SVC - FLORIDA. L.L.C. (the " Contractor"). The Subcontractor and the Contractor, for the consideration hereinafter named, agree as follows: FWT: Subcontrad mr, to the satisAction of the Contractor and to the satisfaction of tho Owner, egraos to r=318h all labor, materials, equipment, insumcc and to perform all work as described in the Second Article hereof for the Project, all in accordance with the contract between the Owner and Contractor, the Supplemental Subcontract Conditions and any other conditions ofthe Contract between Owner and Contractor, including alt Drawings, SpeclBcatione and Addenda thereto, prepared by NA (the "Architect"), and the following additional documents: Exhibit A. CONSTRUCTION DOCUMBNTS Exhibit B. WORK SCOPE (Herein collectively referred to as Contract Documents, which become a fully Incorporated pan of this agreement). Tba Subcontractor Is bound to the Contractor by the terms ofthis Subcontract. The Subcontractor is bound to the Contractor by the Contract Documents sad shall assume toward the Contractor, with rmgpect to Subcontractor's performance hereunder, the obligation and rwponsibilitice which the Contractor seeumes toward the Owner. The Subcontractor hereby acknowledges and declares that it bas revlewcd all Contract Documents and the same arc full and complete and are sufficient to havo enabled the Subcontractor to determine the post of the work therein in order to enter into the Subcontract and that the Plans and Specifications as sufficient to construct the work outlined and otherwise to fulfill AU its obligations hereunder. The Subcontractor further acknowledges and declares that it has no knowledge of any discrepancy, omission, ambiguity or conflict (end it will promptly notify the Contractor and the Architect of tho same), Subcontractor agrcoa to furnish all Incidental work reasonably necessary to fully eatl* tho terms of this 8ubcontraot notwithstaadtug that the came axe omitted ilrom the plans or not specifically mentioned In the specifications. I LfVVfLV I 1 I! •VV VVMS�IIV1111 11 V I I V�VVVIVII �1 f'YISf 1 .YVf.1VVi. 11/2212011 15 :10 NCS CONSTRUCTION (FAlt)2483389736 P.0081010 1110712011 12:17 NCS CONSTRUCTION (F=48388 M P.0091012 payment due, or mV payment to become due, on amount sufficient for the Contractor to completely indemnify the Contractor and Owner against aueh loin or olaim, including Attorney's fees incurred by reason thereof. 46. No payment made raider Subcontract shall be conclusive evidence of performeace of this Subcontract either wholly or in part, and no payment, including final payment; shall be construed to be an acceptance of defective workmanship or improper materials. 47, The Subcontractor shall not assign or transfer the Contract or any part thereof without the written consent of the Contractor. The Subcontractor agrees to expeditiously remedy, without charge, erry defects in workmanship or materials which appear within (1) one.year from date of final payment snfl.aeoeptance or work thereunder, unless.n longor.peaiod is provided in the Specifieadons or Contract in which-ow the longer period shall pravaiL 49. The Subcontractor warrants to the Contractor and Owner that all materials and equipment faraished shall be now unless otherwise in mdbrmance with Contract Documents. Subcontractor abed require similar guarantees from all vendors and lower-tier Subcontractors. 49. The Subcontractor Khali pay fbr aH charges to rite work resulting from such defects In workmanship or materials and all expenses neoeasary to replace or repair the work; including the damaged or disturbed by making rep1metnents or repairs. This guaraneae is In addition to all other guarantees, warranties, and rights contained In the Contract Dc=mcntsf 30. All covenants, agresment% indemnities, guarantees, and warranties made by tho Subcontractor shall survive completion of the work and the Contract and payment of the Contract In full or in part. 51. Thin agreement shall be binding on and inure to the benefit of the balm, successors, and assigns of the partiaa hereto, 52. Oise or.more waiver➢ of any covenant or condition by the Contractor shrill not ba. construed-ss nwalver of a fiut@er breach of the same covenant or condition or any other covenant or condition by the Subcontractor. 33. Bade and every one of the rights, remedies, and benefits provided to the Contractor by this agreement aball be cumulative and sball not be exclusive of any other of said rights, remedies, and benefits or ofany other rights, remedies, and benefits allowed lly law or equity or otherwise. 54. This Subcontract comprises the entire agreement betwaeu the parties relating to the work covered hereby and no other agreement, representation, or understandlog concerning the aame has been made uad ao oral stdomant, understanding, or agreement shall affect the terms hereof 55. Whensysr In the instrument the word "ha" is used, it is synonymous with words "she", "it", end "they", and the word "his" is synonymous with words "her", "its", and "their". 36. It is understood that this Contract obeli be applicable and be interpreted In accordance with laws oftho State of Michigan. 57- The Subcontractor is an Independent contractor and neither the Subcontractor nor any Subcontractor's employees are employes of1he Contractor. Tire Subaontraotor.nclamowledges f3ri1 responsibilio as employer for the Subcontractor's employees udder applicable law, SUBCONTRACT ORDBRNO.: 2-x..06 PR03ECT: MMC ' — 1M FL • � � Ft �F: r;i 1H� �Jl �1A J .�J: ��.. J r MTLBE VICE =91DRM i DATE: k t z..� Contract Project: AMERICA'S BEST MARKETPLACE AT SEMiNNOLE TOWN CENTER 2053 WP BALLBLVD. SANFORD, FL 32711 upon notice of this Older CommenoetnentDato SUBCONTRACTOR By PRWTED NAME: Qaa4r ir , aa—T, TITLE 19 " DATE: t r-PS ,61 Upon notice of this OfQee Schedule pate ofCompletion