HomeMy WebLinkAbout1770 E Lake Mary Blvd 18-4257_\\ CITY OF n � (®CT � 5 2013
7 \ SANI+'OI�J PERMIT APPLICATION
BUILDING DIVISION / C
Application No: j b
Documented Construction Value: $ W L»U.
Job Address: 1'110 E I_4z hU,rl {SIVA Sr i I F I '32-7-13 Historic District: Yes [I Non
Parcel ID: 0-1- 20-31 - 011A— p p b Residential ❑ Commercial
Type of Work: New ❑ Addition ElAlteration ❑ Repair ❑ Demo❑ Change of Use ❑ Move ❑
Description of Work: Oe.'IAIJI 't
lze^n Vl nlF C M1L.A( 56_J -/e_
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Plan Review Contact Person: le�> Title: nn _
Phone: L)on-�3`I- it -1l Fax: ilbl-�'s 1 1172 Email: f-tdl? 1011103 G GMkt1 .tv^
Property Owner Information
Name Xea I% &g pLW Phone:
Street -!-):!> Q-, A I r r` i- hW j '� 10,;'I Resident of property?:
City, State Zip: LA\\0_AAr A lz1
Contractor Information
Name A I- RA I1 PAN lar t L Lr(Phone: L/ L)_7 -
Street: Fax: Liu? — �ci — 11-12
City, State Zip: AIGgn 4r Snftn+.i �'�77v1 State License No.: BL II. ti 7 7
Architect/Engineer Information
Name: Phone:
Street: Fax:
City, St, Zip: E-mail:
Bonding Company: Mortgage Lender:
Address: Address:
(YARNING 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. l cerity that no work or installation has commenced prior
to the issuance of a permit and that all work will he perrormed 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.
PBC 105.3 Shall be inscribed with the date of application and the code in effect as of that dale: 61' Edition (2017) Florida Building Code
NO" (7:: In addition it, the requirements of this permit, there may be additional restrictionsapplicable to this property that maybe found in the public
records of this county, and there may he additional permits required from other governmental entities such as water management districts• stale
agencies, or federal agencie,.
Acceptance of permit is verification that 1 will notify the owner of the properlvnf the requirements ul Florida Lien Law, FS 713.
Tile City of Sanford requires payment of a plan review lec al 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 iob at file time of sohni itA. 'f he actual construction value
will be lign red based nn the current ICC Valuation "fable in elleet at the Iime the permit is issued, in, mudance with local ordinance. Should calculated
charges figured off the executed contract exceed the actual construction value, credit will be applied In vt ur peril fees when lite 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 const ion and zoning.
410 lk
o
Signat t Owne\ D l e /
Signature ofContra aor/Agent
A'l71 n V�T�
Print Otyrt nrr!Agent:c Nam • r . i. --
• " ontraaor/.ag •ni c Name
Signature nfNWary :Starcof Florida I ne SienatureorNnla-Slat•of rlurida e 151(8
Owner/Agent is b�--Personally Known to Nle or
ProducedlD D
,p,✓�LNI ASHLEY WESTMORELAND
a� MY COMMISSION a FF957558
"L..' E%PIKES February D4.2020 BELOW IS
Iter �.1'JMI•S.1 (IM�tAau •VSYI'/Y.Y :a��
Contractor/Agent is -X— Personally Known to Me or
Produced lD Type of ID
Permits Required: Building ❑ Electrical ❑ Mlechanical ❑ Plumbing
Construction Type: Occupancy Use:
Total Sq Ft of Bldg: Min. Occupancy Load:
o DONNA JEANECKARDT
4,s State of Florida -Notary Public
E Commission It GG 204608
:•' My Commission Expires
Flood Zone:
;r of Stories
New Construction: Electric - # of Amps Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads
APPROVALS: ZONING: UTILITIES:
ENGINEERING: FIRE:
COMMENTS:
Fire Alarm Permit: Yes ❑ No ❑
WASTE WATER:
BUILDING:
Lkensed(Bonded/lnsured
Conti -act
Date: 10/11/I 8
Demolition Contractor: Charles Veigle, Jr.Bulldinand Developnlcilt. LLC
dba Rock and Roil Demolition Services
i05 Plumosa Ave. Suite 1011
Altamonte Springs. Fl. 2701
Project : 1770 E Lake Mary Blvd
Owner : Manhattan Acquisitions Group LLC
Sadique Jaffer
153 Parliament Loop
Suite 1001
Lake Mary, FL 32745
Project Description: Demolition
Scope of Work: lite pat,
All ehano.:es in scope ol'work must be signed for in change order belure task will be
started. Rock & Roll Demolition Services is not responsible for lost tiinc caused br change
order delay. - - -
Inclusions: Rock and Roll Demolition Services shall have the salvage rights to all salvage
materials in place at date ol'proposal. Pricing contingent upon salvage to include all
steel. aluminum. copper wire. copper pipe . electrical panels . wiring . generatom-
and mechanical equipment to operate 1'acility.
Demolition fee
$35,000.00
INITIALS 5nis-
505
Plumosa Ave. STE 1011 Altamonte Springs, FL. 32701
Telephone 407-834-1771 Fax 407-834-1772 e-mail rrdemolition@gmaii.com
Supe of Work
1770 E Lake Mary Blvd
Date: 10/11/18 V
Demolition Contractor Responsibilities
1) Demolition and removal limited noted items page 3 demolition plan
?) Demolition and removal of noted concrete buildinz structures. slabs and
touters
3) Demolition anis removal (.)l' noted metal tank and overhead crane
4) Sanrord Demolition permit
t Demolition to be Performed with heavy equipment
h) Single mobilization
7) Demolition to include removal to County approved landfill
8) Any missed items not listed above must be brought to the attention of* Rock & Moll
Demolition Services prior to signing ofcontract.
Items not included in this proposal
I ) Hazardous Materials and asbestos removal or survev
,) Erosion Control. SWPP, vPDES, construction entrances
3 ) Site work. backlilling. grassing seeding. sod
4) layout for removal b% others
i) en`ineered submittals for permitting
G) locating, capping ,cutting ,rerouting , sale off of*all utilities . alarm and lire systems
7) sc:curitV fences, dust walls, protective barriers. wind screens, protective tunnels
41 shoring ,bracing. engineering, trench protection, underpinning
9) Removal in City, County DOT right of way
INITIALS TI.�LS SM1
page 2 ol'4
505 Plumosa Ave. STE 1019 Altamonte Springs, FL. 32701
Telephone 407-834-1771 Fax 407-834-1772 e-mail rrdemolition@Agmail.com
General Terins and Conditions
r) Payment: Final payment shall be upon completion . Upon final payment contractor shall furnish " final release of
liens" for said project.
2) Scope of Work: Contractor to provide all necessary equipment, labor and supervision, to complete demolition work
noted in demolition contractor responsibilities on page 2.
3) Change orders: Any extra work which is requested of required due to the condition of the building or building code
changes shall be performed only after a written change order, "Addendum', is signed by the customer upon a
contractors change order form, and delivered to eontractoraccompanied by full paprnent for the change order if
applicable. A change order may increase or decrease the price, provided for more or less time to complete work, for
more or less materials or labor and other clauses.
4) Customers covenant noninterference: Customer shall not attempt to direct workers on the site, exclude them
from the site, demand work from them, remove the permit from the site, or interfere in any way with the contractors
work.
g) Contractor required insurance: Contractor shall carry
General Liability Insurance St,000,000.00
Workers Compensation State of Florida Statutory limits
b) Notices: Any notice shall be sufficient of delivered to the address of the party given in the agreement, by hand or U.S.
mail.
7) Assignment: Neither this agreement nor any warranty granted herein is assignable.
8) Act of God and delays: In the event the completion of work is prevented or delayed due to damage or destruction of
the building, fire, accident, vandalism, earth movemenk hurricane, tornado, windstorm, theft, Iabor strikes, warfare,
material shortam delay of any governmental agency in issuing any requiredpermit or certificate, or in performing
inspections, litigation, or any act of God, then the completion of work shall be delayed until a later date and contractor
and customer shall sign a change order reflecting the same. If customer declines to sign the change order then this
agreement maybe terminated by contractor where upon all sums then due to contractor for work(s) completed shall be
Immediately due and payable to contractor.
9) Tune is of the essence for this agreement: Upon the receiving of the permit. The work specified in this contract
will be put in to production as fast as possible.
ro) Effective date of this agreement: this agreement becomes effective when signed by both parties.
n) Governing law- This agreement is to be governed by the law of Florida. any claims arising out of and related to this
pr+oject,shall be subject to mediation. Mediation shall be administered by American Arbitration Association in
accordance with its Coast,uction Industry Mediation procedures. For any claim not resolved by mediation , the method
of binding dispute resolution shall be Litigation in a court of competent jurisdiction
12) Entire agreement: No prior representation: Amendment: This is the entire agreement upon the contractor and
customer. There is no representation past or present, by contractor or any person aging for contractor. which does not
appear herein. This agreement may not be amended except by a written change order or amendment executed and paid
for as pro irded herein.
131 Severability: Any remaining provisions hereof sball remain in full forcc and effect.
Acceptance of the contract constitutes agreement to these general terms and conditions
Accept by Accepted by
—k—4 Johil I'Vi
Charles VeigleJr Date dique di'er Date
Rock and Roll Demolition Services
page4 of 4
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Grant Maloy Clerk Of The Circuit Court & Comptroller Seminole County FL
Inst #20181 X8424 Book:9231 Page:1259; (1 PAGES) RCD: 10/15/2018 2:20:24 PM
REC FEE $10.00
THIS INSTRUMENTPREPARED BY: I „�1f F1 I
Name: 1.
Atldress: .-NJ o V %1
NOTICE OF COMMENCEMENT
State of Florida
County of Seminole
Permit Number:
CERTIFIED COPY GRANT MALOY
CLERK OF THE CIRCUIT COURT
AND COMPTROLLER (\,:
SEMI1 LEC ' 'fy FLORIDA
RY UTY CLERK
Oats
Parcel ID Number: 07-20-31-300-017AD000
The undersigned hereby gives notice that Improvement will be made to certain mal property and in accordance with
Chapter 713, Flodtla'Slabnes, the following Information is provided In this Notice of Commencement.
DESCBIPSIDakB Uaory gTvd WI foia'odnrwEt�7gopeny and slmel address if available)
�Jemo I IER on aril Ir°emove a Concrete building strupture , metal tank and overhead
OWNER INFORMATION:
Name:
Address:
Fee Simple Title Holder (N other then ovmar) Name:
Address:
CONTRACTOR:
Address:
Persons within the State of Florida Designated by Owner upon whom notice or other documenla may be sorved
as.providod by Section 713.13(1)(b)• Florida Statutes.
Name'
Address:
In eddnion to himself, Owner Designates of
To receive a copy of the Lances Notice as Provided In
Section 713.13(1)(b). Florida Slalules.
Expiration Vete of Notice of Commencement (The expiration date Is 1 year from date of retarding 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 714E 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.
Uniler.pe tel tea o arjury, I declare that I have read the foregoing and that the facts stated in It are true
to the b s�t of in knowledge and belief.
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Slat. [CRJA County
of of
The foregoing Instrum�ee(rn�tt/was acknowledged before me this 12 day of
IJCIpbEPL .Za
sMl� : A�ICA,
by Who is
personally known to me EJ
Name d pow n maHnq nalMwnl
OR who has produced Identification ❑ type of IdentlDcatlon produced:
i 1 "TSEIIIEDS
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-�` ERPIRES:Se Iember15,7D19
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