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HomeMy WebLinkAbout2100 W 1ST ST 18-4201 Relocate 6" fire lineCITY OF OCT I () 201 SANFORD qp PERMIT APPLICATION BUILDING DIVISION I 0 — 4 Application No: f� d Documented Construction Value: $ 9,985.00 Job Address: 2100 W. 1 st St., Sanford, FL 32771 Historic District: Yes[] No[] Parcel ID: 26-19-30-509-000-0010 Residential ❑ Commercial ❑ Type of Work: New ❑ Addition ❑ Alteration ❑ Repair ❑ Demo ❑ Change of Use ❑ Move [0' p r=4:52l!,lflglzl(� Description of Work: _ . � mL UU Relocate the existing 6" diameter fire line double check detector backflow preventer serving the Cancer Center. Plan Review Contact Person: Robert Denmon Title: Office Admin. Phone: (321) 363-1560 Fax: (321) 363-1320 Email: robert@precisionfs.com Property Owner Information Name Cancer Center of Central Florida Phone: Street: 2200 W. 1 st Street Resident of property?: City, State Zip: Sanford, FL 32771 Contractor Information Name Precision Fire Systems Inc. Phone: 321 363-1560 Street: 782 Monroe Rd Fax: 321 363 1320 City, State Zip: Sanford, FL 32771 State License No.: FPC13-000123 Architect/Engineer Information Name: Phone: Street: Fax: City, St, Zip: E-mail: Bonding Company: Mortgage Lender: Address: Address: 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 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 lJ that a separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and air conditioners, etc. 910-INVAI mmm�l FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 6"Edition (2017) Florida Building Code NOTICE: In addition to the requirements of this permit, there maybe 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 at the time of permit submittal. A copy of the executed contract is required in order to calculate a plan review charge and will be considered the estimated construction value of the job at the time of submittal. The actual construction value will be figured based on the current ICC Valuation Table in effect at the time the permit is issued, in accordance with local ordinance. Should calculated charges figured off the executed contract exceed the actual construction value, credit will be applied to your permit fees when the permit is issued. 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. Signature of Owner/Agent Print Owner/Agent's Name Dale 0/10/18 Signature of Contractor/Agent Date Arthur Bateman Print Conlr orlAgent's Name Signature of Notary -State of Florida Date Date 10/10/18 y%t Notary Public Stat o Ilorida Karen A Jones y .. My Commiaaion GG 221719 J1 W Eiplraa 07/27/2022 Owner/Agent is _ Personally Known to Me or ANA ally Known to Me or Produced ID Type of ID Produced ID Type of ID BELOW IS FOR OFFICE USE ONLY Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing ❑ Gas ❑ Roof ❑ Construction Type: Occupancy Use: Total Sq Ft of Bldg: Min. Occupancy Load: Flood Zone: # of Stories: New Construction: Electric - # of Amps Plumbing - # of Fixtures Fire Sprinkler Permit: Yes ❑No ❑ # of Heads Fire Alarm Permit: Yes ❑ No ❑ APPROVALS: ZONING: ENGINEERING: COMMENTS: UTILITIES: WASTE WATER: FIR /°//Y BUILDING: CO) OCCISION P As August 159 2018 INC. 782 Monroe Road, Sand F 323 531320 PHONE: ( 1) 363-1560 FAX ,lim Woods oration The Spanos Corp 2701 Rocky Point Drive, Suite 180 Tampa, FL 33607 Phone: (912) 210"1368 Email: jwoods@a9sPanos.com RE: CANCER CENTER ENT E� N FORD (LAKE MONROE APARTMENTS} 2100 W.1 STR sANFORD, FLORIDA 32771 SUB RELOCATE EXISTING BACKFLOW PREVENTER WORK, APPARATUS AND ITEMS DETAILED AS FOLLOWS SHALL BE FURNISHED AND INSTALLED BY PRECISION FIRE SYSTEMS, INC. SCOPE OF WORK: Relocate the existing 6" diameter fire line double check detect the backflow preventer serving the Cancer Center. We will relocate the BFP away from proposed bike trail and install it adjacent to the dumpster enclose wall. Our work shall include excavation, backfilling, compaction, pipe, fittings, thrust restraints and permit. Underground fire line piping shall be C900 DR -1 4 PVC. Our work includes a permit submittal drawing, permit and related fees, certification of underground fire line work and a one year warranty. Our work does not include concrete pads, concrete work of any nature, landscaping, civil engineering and surveying. TAXES: Provide applicable use, occupational and sales tax. INSURANCE: Provide $1,000,000.00 General Liability, Automobile Liability, Workers Compensation and $5,000,000.00 Umbrella insurance. PRICE: Seller proposes to furnishuired drawing, labor in accordance with the scope ofwork as described e materials, equipment and rein for the sum of: LUMP SUM PRICE: $69985.00 PAYMENT: Invoice submitted upon completion, due net 30 d By: �'i �ate�rra�► Skip Bateman, President fed: Augur is. 2018 FOR: PRECISION FIRE SYSTEMS ■ , INC. Our prvposaf is vaw-36,©,a;; !/1 ! l i l i � � Precision Fire $Yaterrss•!•�•�i!!!!!!, , iR a A -- C RE: CANCER CENTER SANFORD (LAKE MONROE APARTMENTS) 2100 W.1sr STREET SANFORD, FLORIDA 32771 AUGUST 15, 2018 AGREEMENT BY BUYER: Buyer accepts specification, price and attached terms and conditions of this agreement by placing his/her signature in the space provided herein. AGREED AMOUNT: $6,985.00 PROPOSAL ACCEPTED BY: Q "� �1 W 6""t t 1 (Authorized Signature for Buyer) PRINTED NAME: a c� M lea TITLE: r v ec UA a,f DATE: It Z6 5 Et 16 Please scan a signed copy of this authorization and email to ski&Wrecisionfs. corn if you would like us to proceed with this work. PRECISION FIRE SYSTEMS, INC. — TERMS AND CONDITIONS OF SALE 1. Allowing Seller to proceed and commence with any work regarding this agreement shall constitute an acceptance by Buyer of this agreement. In the event of any conflict between the terms of this agreement and any other documents, this agreement shall govern. 2. Seller shall maintain insurance with coverage and limits only as provided by Sellers existing insurance program evidenced by its certificate of insurance, available upon request. 3. All sums not paid when due shall bear interest at the rate of i %: % per month from due date until paid and all costs of collection, including reasonable attorney's fee, shall be paid'by Buyer. The proper venue to resolve any disputes arising under the agreement shall be the place where the project is located, and the laws of said place shall govem all such disputes. 4. Seller shall be entitled to equitable adjustments of the contract price, including but not limited to any increased costs of labor, supervision, equipment or matiaials, and reasonable overhead and profit, for any modification of the project schedule differing from the agreed schedule, and for any other delays, acceleration, out -of -sequence work and schedule changes beyond its reasonable control. Should work be delayed for a period exceeding (60) days, Seller shall be entitled to terminate the agreement. Seller change proposals must be processed in not more than ten (10) calendar days. S. Back -Charges: No back -Charges or claim of the Buyer for services shall be valid unless agreed to in writing by the Seller before the "back -charge work" is executed. In the case of the Seller's failure to meet any requirement of the subcontract agreement, the Buyer shall notify the Seller of such default in writing, and allow the Seller reasonable time to correct any deficiency. 6. Scl ler is not responsible for damage to its work by other parties, and any repair work necessitated by such damage shall constitute extra work. All materials shall be furnished in accordance with the respective industry tolerance of color variation, thickness, size, finish, texture and performance standards. All warranty claims must be received by Seller not more than one (1) year after completion of this work, and Seller must be provided a reasonable opportunity to inspect, and make corrections, or such warranty claims are barred. 7. Except as specifically required by the work and specifications included in this agreement, Buyer shall famish all temporary site facilities, including but not limited to; site access, storage space, hoisting facilities, guard rails, covers for the floor, roof and wall openings, security, parking, safety orientation, break and lunch facilities, toilet and wash facilities, drinking water and other water facilities, electrical service, telecommunication service, lighting, heat, ventilation, weather protection, fire protection, trash and recycling services. Seller shall be responsible for cleaning up its own debris and placing it in an on-site disposal container provided by othets. 8. Buyer warrants the sufficiency of the structure, asbestos frm and able to support the water filled weight of the piping system and its related equipment. Buyer also warrants adequacy of water supply, character, condition, or use of foundations, walls, or other structures, along with wiring, fixtures, or other equipment existing or erected new by others. 9. When Setter's work includes excavation or concealed piping & equipment, if unforeseen obstructions or subsurface soil conditions are encountered, or "cross connection" of domestic or other water system, this condition will constitute scope of work or conditions above and beyond the agreement. These conditions along with solutions shall be communicated to the buyer for direction. 10. Working hours and days: Unless specifically set fhrth in this agreement, all work shall be performed during normal working hours and days (Monday through Friday, lam to 4 p.m.). If Buyer subsequently requires special working hours and days otherwise, this condition will constitute scope and/or schedule above and beyond the agreement. Page 2 Precision Fire Systems, Inc. Grant Maloy, Clerk Of The Circuit Court & Comptroller Seminole County, FL Inst #20181-16466 Book:9228 Page:1058; (1 PAGES) RCD: 10/10/2018 2:44:43 PM V` . THIS INSTRUMENT PREPARED BY: Name: _Precision Fire Systems, INC. Address: _783 Monroe Road ganford- FL 32771 NOTICE OF COMMENCEMENT State of Florida County of Seminole Permit Number: CERTIFIED COPY GRANT AAALOY CLERK OF THE CiRCUiT COURT AND Co ' 4LicR SEivilit'G� FLORIDA BY t� CLERK 0&7%11*[ mum Parcel ID Number. 26-19-30-509-000-0010 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. DESCRIPTION OF PROPERTY: (Legal description of the property and street address if available) Central Florida Oncology Center 2200 W. 1 st Street Sanford, FL 32771 GENERAL DESCRIPTION OF IMPROVEMENT: Moving the fire line backflow preventer out of the new Terwilliger Lane bicycle path to the new easement. OWNER INFORMATION: Name: Peregrine, LLC Address: 2200 W. 1 st Street Sanford, FL 32779 Fee Simple Title Holder (if other than owner) Name: Address: CONTRACTOR: Name: Precision Fire Systems, INC. Address: 782 Monroe Rd. Sanford, FL 32771 Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served as provided by Section 713.13(1)(b), Florida Statutes. Name: Address* In addition to himself, Owner Designates Of To receive a copy of the Lienoes Notice as Provided in Section 713.13(1)(b), Florida Statutes. Expiration Date of Notice of Commencement (The expiration date Is 1 year from 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 COMMENCEMENT. Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in It are true to the best of my knowledge and belief. CK(hfrls Signature Owner's Printed Name Florida Statute M.13 xgy - The owner must sign the notice of commencement and no one else may he permitted to sign In his or her stead State of{a dc�. County of The foregoing instrument was acknowledged before me this day of U� by k 6bSSr: Who Is personally known to me Name of person making statement OR who has produced identification ❑ type of identification produced: ,oma► Netary PublIC stare of FZortda ;p Icarian A Jones 1�6fooiiMy Cotrsrrsias opp oQ 221719 (� 8rrptns a7/2 JZOZ2 NotarySigna 2� DATE: _ 10/11 /g BUSINESS/PROJECT NAME: ADDRESS: Z/oo 6i. /: Sl CONTACT NAME: CITY OF SANFORD BUILDING AND FIRE PREVENTION DIVISION FIRE PLAN REVIEW SERVICE FEES PHONE: 407.688.5052 FAX: 407.688.5051 PERMIT NUMBER: /9- / ZOl PHONE: PLAN REVIEW INFORMATION • [)CONSTRUCTION []C/O [)FIREALARM FIRE SPRINKLER [)HOOD [)PAINTBOOTH [)TANK DOES 20% REDUCTION IN FIRE IMPACT FEES APPLY: YES NO TOTAL FEES: ,S ' 00