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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 �a+ra.vaw