HomeMy WebLinkAbout621 W 18th St 18-3743 New Street lightingY OF
J&SXNF01W PERMIT APPLICATION
BUILDING DIVISION37 ��
Application No:
S Documented Construction Value: $
Job Address: 691 4 % �� � � Historic District: Yes El No❑
Parcel ID:
Residential ❑ Commercial ❑%
Type of Work New 0 Addition ❑ Alteration ❑ Repair ❑
Demo❑
Change of Use ❑ Move
❑
Description of Work: install new street lighting
along US
17/92 from Park
Drive to First Street.
Plan Review Contact Person: Eric Schultze
Phone: 407-869-5300
Name City of Sanford
Street: 300 N. Park Avenue
Fax:
Title: Contract Manager
e.schultze@tcd-usa.com
Property Owner Information
City, State Zip: Sanford, Florida 32701
Phone. 407-688-5028
Resident of property? :
Contractor Information
Name Traffic Control Devices, Inc
Street: 242 N. Westmonte Drive
Phone: 407-869-5300
Fax: 407-682-0076
City, State Zip: Altamonte Springs, FL 32714 State License No.: I—EC 13002653
Architect/Engineer Information
Name:CPH
Street:500 West Fulton Street
City, St, Zip: Sanford, Florida 32771
Phone; 407-322-6841
Fam 407-330-0639
E-mail:
Travelers Casualty and Surety Company
Bonding Company: of America Mortgage Lender:
Address: Hartford, Connecticut 06183 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
that a separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and air condition,
etc.
FBC 1053 Shall be inscribed with the date of application and the code in effect" of that date: 6's Edition (2017) Florida Building Code
NOS: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that maybe 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
8/23/18
Signatum of0 nhai-[or/Airra Dare
Eric Schultze
Print Contractor/Agent's Name
of Florida
Signature of Notary -State of Florida Date SYnature of Notary -State of F ri f- N KetMla4 Rldtalfon
fc tdy Cotnmltuion 00 1460611
w explt.atons2021
Owner/Agent is _ Personally Known to Me or Contractor/Agent is _ Personally 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
Occupancy Use:
Flood Zone:
Total Sq Ft of Bldg: Min. Occupancy Load: # of Stories:
New Construction: Electric - # of Amps Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
Fire Alarm Permit: Yes ❑ No ❑
WASTE WATER:
BUILDING:
pQT� RICK SCOTT, GOVERNOR JONATHAN ZACHEM, SECRETARY
FI nda
d
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
ELECTRICAL CONTRACTORS LICENSING BOARD
THE ELECTRICAL CONTRACTOR HEREIN IS CERTIFIED UNDER THE
PROVISIONS OF CHAPTER 489, FLORIDA STATUTES
BARNES, ELBERT A
TRAFFIC CONTROL DEVICES INC
242 N WESTMONT DRIVE
ALTAMONTE SPRINGS FL 32714
LICENSE NUMBER: EC13002653
EXPIRATION DATE: AUGUST 31, 2020
Always verify licenses online at MyFloridaLicense.com
'•_��$'- Do not alter this document in any form.
'ty'�Ri" This is your license. It is unlawful for anyone other than the licensee to use this document.
SECTION 01110
SUMMARY OF WORK
PART1 GENERAL
1.01 Section Includes
Summary of work, other contracts, work sequence, operation of existing facilities, use of
premises, Owner furnished products, coordination, cutting and patching
1.02 Summary of Work
A. The Project consists of sidewalk, curb, and driveway removal and replacement,
brick paver installation, pavement striping, mast arm improvements, light pole
removal and installation including conduits and electrical services on U.S. 17/92
from Park Drive to First Street.
B. Furnish all materials, equipment, tools, and labor which is reasonably and
properly inferable and necessary for the proper completion of the Work, whether
specifically indicated in the Contract Documents or not.
C. All fees and permits for the permanent construction that are required by
controlling agencies or authorities, including fees for Jk6 re ew of Contract
Documents prior to construction, will be procured by th wne)u Other licenses
or permits for construction facilities of a tempirelharare necessary for
the prosecution of the work shall be secured and paid for by the Contractor.
D. Repair, replace, or otherwise settle with the Owner, if damage to property or
existing facilities occurs, including damage to pavements, utilities, lawns,
structures, etc.
E. Construct the Project under a single unit price contract.
1.03 Work Under Other Contracts — N/A
1.04 Work Sequence
The Contractor's sequence of work may be of his choosing in order to complete the work
in the allowed time frame while accommodating other contractors on site.
1.05 Operation of Existing Facilities
The Owner shall be able to operate existing facilities 24 hours per day, 7 days per week.
1.06 Contractor Use of Premises
US 17.92 Beautification Project— Phase 2 SUMMARY OF WORK
01110-1
THIS INSTRUMENT PREP ARO BY:
Name: _ � r �J Qt S
- Address:
Air..,, -- n ' f)l
NOTICE OF COMMENCEMENT
State of Florida
County of Seminole
Permit Number: Parcel ID Number.
r s����� �d��r ���II �Illt lllll illll Illl Illl
1.11%h� t NALO` P SEMINOLE COUNTY
':i -.i= I.N. OF CIRCUIT COURT & COMPTROLLER
r -"K 9i64 Ps- 13/x8-1349 ( Pq a )
CLERK'S 2018075648
RECORDED 06/29/2018 11:35:1.3 All
`Ci:010ING FEES $18.51:1
R117 -CORDED BY htiey;,w:-
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)
GENERAL DESCRIPTION OF IMPROVEMENT:
OWNER INFORMATION:
Address:
Fee Simple Title Holder Of other than owner) Name:
Address:
CONTRACTOR:
Name*
. -
Address: f1 S C
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 Llenoes 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)
WARN--W-G TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, 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 pen ties of perjury, I declare that I have read the foregoing and that the facts stated in it are true
to the b st ly.knowledge a belief.
Owners S194atum Owner's Printed Name
Florida Statute 7(1 13(1 )(gy: ' TWowner must sign the notice or commencement and no one else may be peanitted to sign In his or her stead.
State of County of tA
Th regoing rostrum nt was acknowledged before
g g me this ay of 20
by Who is personally
p known to <<� {�:`✓ .�� •:`
Nome of on mewng statement
OR o has produced Identification ❑ type of identification produced: �. '• .•:�'' {; r
Ev:r
DEBBIE BLAI'JTONMY COMMISSION 0 Fr" 178648
A. EXPIRES: Febnlary 25,2019 Notary signature \':�`�` ,
Bonded Thru Notary Fustic Uaden��ils� is
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