HomeMy WebLinkAbout2220 French Ave 12-754 (low voltage)(c C7J
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JAN 2 6 2012
BY, CIT OF SANFORD
B BUILDING- 4- .F-IRE PREVENTION
PERMIT APPLICATION
Application No: l
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--7
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S
Documented Construction Value: $ 7 ( �
Job Address: _2'z?
Historic District: Yes ❑ No ❑
Parcel ID:
Description of Work: Z06j /� /c
Plan Review Contact Person:
Phone:
Name
Street:
City, State Zip:
Zoning:
Title:
Fax: E -mail:
Property Owner Information
Phone:
Resident of property? :
Contractor Information //
Name ®inn' F�cr',�� / S�C� o Phone: Z) ST
ST
Street: �� /lG'1`C�/ Fax:
City, State Zip: 2a�2-71(11 State License No.:/�o?f�l7n��c�y
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:
No. of Stories:
Plumbing ❑
New Construction - No. of Fixtures:
Mechanical 11 (Duct layout required for new systems) 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
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. 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
Print Owner /Agent's Name
Date
Signature of Notary-State of Florida Date
Owner /Agent is Personally Known to Me or
Produced ID Type of ID
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
Rev 11.08
4: 5ignature of Contractor /Agent Dat
Pri t ntractor /Agent's Name
Signature to - e of a Date
Av
Contractor /Agenris : P1,170,o 'riown to Me or
Produced ID = RC p&�
i—;yN ® �x
"p�2yt o
UTILITIES: '`�r °
FIRE:
October 18, 2011
RE: POWER OF ATTORNEY
Sir or Madam:
MERIDIAN-' --
Security & Sound Corporation
ORIGINAL DOCUMENT
Jobsite: Dollar General 12760
2220 S. French Ave
Sanford, FL. 32771
Please allow this letter to serve as POWER OF ATTORNEY on behalf of myself,
Michael J. Mahoney (Certified Alarm Contractor 1), authorizing Thomas F. Van Velsor; Tanya
G. Van Velsor; or Kenneth D. Van Velsor to pull any low voltage electrical permits, submit fire
plans and /or register Meridian Security & Sound Corporation (Florida State License
#EF20000424) anywhere in the STATE OF FLORIDA.
This POWER OF ATTORNEY is limited to use only for the purposes stated above and
shall EXPIRE ON December 31, 2012.
If you have any questions concerning the above or require any additional information, please
feel free to contact me at (407) 902 -7162.
Sincerely,
Z
Michael J!Mahoney
Certified Alarm Contractor I
EF20000424
State of FLORIDA, County of SEMINOLE
The foregoing Limited Power of At ar ey was sworn to and subscribed before me by
Michael J. Mahoney on this 1q day of , 2011, who is personally known to me or
who produced as identl Ica Ion.
(SEAL) __ Notary P blic
''�� "i9L9CS Print Name:
Fes_ �'Y ( %Oi�(�1SSION # Dt7837539
•;, _iC?
'4eS November 12, 2012
- •- ?LLRID'I +INo(3ECURITY & SOUND CORPORATION
PO BOX 161645,ALTAMONTE SPRINGS, FL 32716
OFC 407.339.5500 FAX 407.386.7157 FL EF20000424
Vector Security
i National Accounts Division
13555 Wellington Center Circle. Sic 123
Gainesville, VA 20155
(703)369 -1444 - FAK(206)M -3113
NADlnstall_Invoicc a vectorsecurity.com
34452/ Project IDW - 53148 - 53148 DOLLAR GENERAL SELECT STORES - n 12760
Job Site Instruction and Agreement #34452
Job Site Description
Site Name: DOLLAR GENERAL SELECT STORES - WMS Projects: 53148 - 53148
#12760
Address: TBD FRENCH AVE. (HWY 17 92) N-IM Job Numbers: 110703933 - 11070393
33
City: SANFORD State: FL Zip: 32771
Vector Contact Name: PATRICK BAYNE PM
Contractor Name: MERIDIAN SECURITY
Contractor Negotiation Contact: TANYA VAN VELSOR
Contractor Email Address: TVANVELSOR @MERIDIANSECURi,rY.ORG
Contractor Fax Number:
All terms of MERIDIAN SECURITY's independent contractor agreement must be adhered to, This
agreement identifies site specific job instructions and requirements.
System Types: VIDEO/VIDEO
WQ Description (Supply the Following Items per the plans and /or scope of work)
1) Provide all installation permits
2) Provide lifts or other special equipment required to perform the work
3) Labor to install
All wiring
All necessary conduit not supplied by the site
All devices and hardware specified in the Vector supplied parts list
A complete system
4) Provide parts
All necessary conduit not supplied by the site
5) Inventory all equipment received and notify Vector Security, Inc. of any discrepancies from the
provided parts list within 5 days of receiving the equipment. Any discrepancies not reported within
5 days of receipt will be the sole responsibility of the contractorfrSP to resolve within the original
project scope and titneline.
6) Identify and report any change orders required or requested and any site problems within 2
business days to the Vector contact PATRICK BAYNE PM,
7) Site clean up and removal of all excess equipment
8) Customer training on system usage
9) Project sign off /acceptance documentation
Page 1 of 3
r
fi
http:// wms. vectorsecurity .com /project/PreviewContraetV2 .asp ?CID =34452 10/4/2011
Vector Security
-\ National Accounts Division
13555 Wellington Center Circle, Ste, 123
Gainesville, VA 20155
(703)369 -1444 - FAX:(206)888 -3113
NA Dlnstal I_[nvoicea<ccctorsecun ty.c om
34452/ Project ID(s) - 53148 - 53148 DOLLAR GENERAL SELECT STORES - 012760
Work Description (Supply the Following Items per the plans and /or scope of work)
10) Digital installation verification photos
1 l) Return to Vector any unused materials as instructed within 30 days.
12) If MERIDIAN SECURITY is not available within a reasonable time to resolve warranted
workmanship issues, per the Independent Contractor Agreement terms, Vector Security,lnc. will
provide an alternative resource and charge MERIDIAN SECURITY back all actual costs incurred to
resolve the issue.
13) Line seizure testing if applicable, is a requirement of Vector Security, NBFAA, NFPA. The RJ-
31x is to be wired, tested and verified for line seizure as required by Vector Security, NBFAA,
NFPA and other organizations.
,trr J_SC9.R -iurim
MERIDIAN SECURITY is responsible to assist in whatever means necessary to
provide an approved and compliant VIDEO/VIDEO systems) as delinded by the
Vector Security key contact PATRICK BAYNE PM. It is MERIDIAN SECURITYs
responsibility to abide by all rules and regulations set forth by DOLLAR GENERAL
SELECT STORES, Vector Security, and professional industry standards regarding
conduct, installation practices, and time requirements.
site specific S& e Qf Work._L$pecifi_ ati ns
1) Communicate site schedules and approved schedule changes to PATRICK
BAYNE PM and other key personnel as required on a daily basis.
2) Scope is as described in the DOLLAR GENERAL SELECT STORES Installation manual and /or
store plans.
3) Scope and specifications as described:
Install new CCTV system per DG intstall manual. Store fixture date is 11/14. Go out 2 days after to
ensure that the job is finished before the store's opening. Store phone numbers not available at this
time. "flte fixture /soft opening date will be updated and verified on a weekly basis to the Sub -
Contractor. If the installation completion date exceeds it due to scheduling negligence of the Sub -
Contractor, the specific labor invoice will be subject to a 25% penalty on the labor contracted
amount.
4) Additional instructions provided wider separate cover
Time Line
l) Dates are subject to change. Any adjustment to the schedule dates must be
approved by the Vector Project Manager.
2) 11/16/2011 Job start date
3) 11/18/2011 Completion deadline / Key Turn over date
Change Orders
Vector will not compensate MERIDIAN SECURITY for any work not defined in
the original scope and/or plans without prior written consent and permission from
the Vector contact PATRICK BAYNE PM, Vector will consider any extra costs
reported by MERIDIAN SECURITY as long as they were reported within 30 days
of the occurrence. Extra costs not pre- approved by Vector will be reviewed and
approved at the sole discretion of Vector security contact PATRICK BAYNE PM.
Page 2 of 3
http:// wms. vectorsecurity .eom /projecUPreviewContractV2 .asp ?CID =34452 10/4/2011
Page 3 of 3
Vector Security
National Accounts Division
13555 Wellington Center Circle, Ste 123
Gainesville, VA 20155
(703)3(,9 -1444 - FAx:(206)88S -3113
NADlnslall _lnvoice�%veetorsecurity. corn
34452/ Project ID(s) - 53148 - 53148 DOLLAR GENERAL SELECT STORES - X12760
C_ompen as tion
Contracted Price: $1,250.00
Draw #1 $1250 due
NET -30 UPON CUSTOMER SIGN -OFF
Ap royals
Before any work can begin this signed agreement must be received by Vector
Security, Inc. indicating your agreement to all terms and scope notification. An
installation purchase order number will be issued seperately to MERIDIAN
SECURITY by Vector Security, Inc. Please note that this purchase order number is
required to receive payment. This will be emailed to your address on file
TVANVELSOR @I)dERIDiANSECURITY.ORG. If your email has changed please
provide and updatd(d N rdress
uthoriz kigWatWre
VA 0
Printed Name
N-p , t t'J
Title
Date
After signing please immediately fax to (206) 202 -5189. You may also scan and email this directly
to the PM at IustallContractsnvectorsecurity.com. or send via express mail to our Manassas office
attention PATRICK BAYNE PM.
http: / /wms.vectorsecurity .com /project/PreviewContractV2 .asp ?CID =34452 10/4/2011
Tanya Van Velsor
From: Brian Burrows <Brian.Burrows @interfacesys.com>
Sent: Tuesday, January 17, 2012 10:08 AM
To: Tanya Van Velsor
Subject: DOLLAR GENERAL INSTALL FOR NEXT WEEK
Attachments: DG V22 Security - new install Select ver 22.pdf
Categories: Interface
Per our conversation, attached, please find the paperwork for Dollar General install- DG13291
Below are the details:
FIXTURE DATE 112612012
SITE INFO
4133 SW 34TH STREET
GAINEVILLE FL 32608
PO #
P00282651
PAYMENT FOR SERVICES
900.00
Charges not to exceed PAYMENT AMOUNT listed above. All variances must be approved prior to work completion. (No
travel, mileage, fuel or any additional unauthorized charges will be approved.)
Subcontractor warrants that their work will be free from defects, of good workmanship, comply with pertinent codes,
laws & regulations, and Interface Security's standards.
General Scope of Work - SEE ATTACHED
PLEASE CALL STEVE OLDS WHEN YOU ARRIVE ONSITE AND BEFORE YOU LEAVE THE SITE FOR
THE DAY 314- 595 -0193
REQUIREMENTS:
1. TECH MUST READ THE SCOPE OF WORK PRIOR TO ARRIVING AT THE SITE.
2. TECH MUST CALL TECH DATA AT 1- 800 - 376 -4026 UPON ARRIVAL AND DEPARTURE.
3. TECH MUST HAVE A STORE MANAGER SIGN THE CERTIFICATE OF COMPLETION.
4. PHOTOS PER THE SCOPE MUST BE SUMIITTED WITHIN THREE (3) DAYS FROM DATE OF COMPLETION.
5. SUBMIT INVOICES WITHIN FIVE (5) DAYS FROM DATE OF COMPLETION.
INVOICE PROCESS REQUIRED INFORMATION:
1) Store #