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Home My WebLink About104 S Park Ave 18-4659CITY OF � ,ECEI K F— " S,kNF0RD PERMIT APPLICATION �c o 3 2o�a a BUILDING DIVISION - — - Application No• b L l0 1 Job Address: 104 S. Park Avenue Parcel ID: 25-19-30-5AG-0304-001 A Documented Construction Value: $ 3,500.00 Historic District: Yes ❑X No❑ Residential ❑ Commercial El Type of Work: New ❑ Addition ❑ Alteration Q Repair ❑ Demo ❑ Change of Use ❑ Move ❑ Description of Work: Plan Review Contact Person: Phone: outdoor main disconnect, change panel and breakers in break room Fax: Name Roka Properties, Inc./Rob Hawkins Street: 856 SILVERWOOD DR City, State Zip: LAKE MARY, FL 32746 Name Preferred Electric, Inc. Street: PO Box 4226 City, State Zip: Enterprise, FL 32725 Name Street: City, St, Zip: Bonding Company: Address: Tide: Property Owner Information Phone: 407-221-9199 Resident of property?: Contractor Information Phone: 407-322-3366 Fax: State License No.: EC0002761 Architect/Engineer Information Phone: Fax E-mail: _ Mortgage Lender: 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 separale permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, beaters, tanks, and air conditioners, etc. 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 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 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 Date Signature of Contractor/ gent Date Plh a (' W- V - C 40 1 to Yd Prin retractor/Agent's Nam Signature of Notary -State of Florida Date Signa o n a Date ,a«a, ANNETTE BLA�10 �"AA�'i p�et� �� State of nodda .'r° ,,`". Notary Public - GG 060623 • ' = Commtsston # 2018 Owner/Agent is Personally Known to Me or Con n{gomm.P`teS dao 1fi� to Me or Produced ID Type of ID Prod ype 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: FIRE: WASTE WATER: BUILDING: LEMMD POWER OF ATTORNEY Date: 1/3/2018 I hereby name and appoint: Nadine Collard an agent of. Preferred Electric, Inc. (Name of Company) to be my lawful attomey-in-fact to act for me to apply for, receipt for, sign for and do all things necessary to this appointment for (check only one option): W All permits and applications submitted by this contractor. ❑ The specific permit and application for work located at: (street Expiration Date for This Limited Power of Attorney:. License Holder Name: Thomas Collard State License Number: EC0002761 Signature of License Holder: STATE OF FLORIDA COUNTY OF Sf--M(Uo(,F_- The foregoing instrument was 20 l d , byy T 4oMItS to me or dwho bas produced identification and who did (dig (Notary Seal) Y Notary Public State d Florida Lauren Jean Miller My Commission FF 953250 Expires 02/0812020 (Rev. 327/07) 12/31/2018 acknowledged before me this 3" day of 141 u A (Ly , C-"wA,9-0 who is ❑ personally known DR -144" Lig Fs(S not take an oath. Signirdre \J LAIAA-EN � I TJ M I LLE Print or type name Notary Public -State of i Lu(/-IOA Commission No. Fl-- My FMy Commission Expires: o 0,3 zo-2_p I i I .i 1, 1 f • � 'tt - _. .fir i. r.� • . 1 . � -« - I � V I 1 I I . I .. ._. _. ... - - ..__ .. _.. _ _ .� .- . t - -' I .r• t +.: 'ter . I f f aY•r>�I•�.'��:��s•:�*•et4 1��.JIr.•:.. yti li. A le �1 t:.• . .- -- • - ' ' i' !r.)i �Ai 1)+. ii i1�i?f,9Fi_! .''•,'.'1' c � � s• ' ," . . 11 7 r ... .: :lc. �. i.t�13 ^` � �SCli�:e .: SSi i. �:;•,• v)�� i• � •"• � - '- . � - . i ... : -_ t: . i : - I � I I �'p+r'>.+�s�tt• ... ,.��1i � ti :.p'tac'`'e' i•, • .•f'' ,��'�tiA, �; Preferred Electric, Inc. Professional Electrical Contractors Residential 0 Commercial 0 Renovations P.O. Box 4226 a Enterprise, FL 31725 e 407-312-3366 a EC0002761 To: Job Location: Rob Hawkins Insurance Risk Services 104 S. Park Ave. Sanford, FL 32771 Date: November 29, 2018 Job Description: Proposal #: 18071 • Remove and replace IOOA outdoor main disconnect. • Remove existing panel and breakers in break room. Replace with new panel and breakers. • Supply and install new subfeed from outside panel to inside panel. • Permit pulled by Preferred Electric, Inc. Above proposal excludes the following: dimmers, decor devices, bath fans, fixtures, ducting, floor cutting/patching, service upgrades. Price includes items listed only. Any added items will result in an additional charge. Pre existing electrical problems or conditions are not warranted under this proposal. All material is guaranteed to be as specified, and the above work to be performed in accordance with the drawings and specifications submitted for above work and completed in a substantial workmanlike manner for the sum of: $3,500.00. With payments to be made as follows: 100% AT COMPLETION. Any alteration or deviation from above specifications involving extra costs, will be executed only upon written orders, and will become an extra charge over and above the estimate. All agreements are contingent upon strikes, accidents or delays beyond our control. Owner is to carry all necessary insurances upon above work. Should it become necessary to place this account for collection, suit or other legal proceeding, 1, the undersigned, agree to pay all costs and expenses of collection, suit or other legal action. All payments that have not been paid according to the terms set forth in this agreement will be subject to these collection costs and finance charges of 1.5% per month (18% per year) on the unpaid balance until paid in full. All above materials and labor are warranted for one year. Any alterations to the electrical system made by others will void the warranty. Proposal amount is good for 30 days. Respectfully Submitted by PREFERRED ELECTRIC, INC. Per THOMAS COLLARD ECOOD2761 ACCEPTANCE OF PROPOSAL The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will be ma a as tlined above. V. ACCEPTED BY: �r �',V SIGNATURE: ^• DATE: 1110 tlQp / $ Customer: PREFERRED ELECTRIC Account No: 855254 1 NOTICE COMM Inst# 2018135092 BKPG 9256/1857 CERTIFIED COPY COUNTY RECORDING FEE Receipt Total: Paid By: CREDIT CARD - NCOURT Total Tendered HAVE A NICE DAY Recording Hours 8:OOAM - 4:30PM Passport Hours 8:30AM - 3:OOPM Grant Maloy Clerk of the Circuit Court & Comptroller Seminole County P.O. Box 8099 Sanford FL 32772 Phone:407-665-4338 Fax: Tran: 1730488 - 23152002 Receipt # 1729555 Receipt Date 12/03/2018 Account Balance: 0.00 NOTICE COMM $13.00 Printed: 12/03/2018 9:02 am Rec By: hdevore 3.00 10.00 $13.00 13.00 13.00 Grant Maloy, Clerk Of The Circuit Court & Comptroller Seminole County, FL Inst #20181y35092 Book:9256 Page: 1857; (1 PAGES) RCD: 12/3/2018 9:02:09 AM REC FEE $10.00 !!S INSTRUMENT PREPARED BY: Na&0"Inp r,_l)Ar4 Name: Preferred Electric, Inc._� Address: PO Rox 4226 -Entemrise. FL 3272§ NOTICE OF COMMENCEMENT CERTl9 OPY r' ff MALOY CLEtt . f r I JIT T AICD ,{�it'" I P. ER SE h E C NiY BY DEPUTY CLERK p Date - m r ---r— �' i0 State of Florida County of Seminole Permit Number. _ Parcel ID Number. 25-19-30-5AG-0304.001A 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) _ 104 S. Park Avenue, SWOOP 32771 GENERAL DESCRIPTION OF IMPROVEMENT: change outdoor main disconnect, change panel and breakers in break room OWNER INFORMATION: Name: Roka Properties, Inc. clo Rob Hawkins Address: 856 SILVERWOOD DR LAKE MARY, FL 32746 Fee Simple Title Holder (if other than owner) Name: Address: . CONTRACTOR: Name: Preferred Electric, Inc. Address: PO Box 4226, Enterprise, FL 32725 Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served as provided by Section 7/3.13(9)(6), Florida Statutes. Name: Address: In addition to himself. Owner Designates of To receive a copy of the Lienor's 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) 2/1/2019 _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 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 penal les of perjury, I declare that 1 have read the foregoing and that the facts stated in It are true to the bestof my kno Iedg and belief. ' , Rob Hawkins Ownefs Signature Owner's Printed Norte Ftortda Statute 713.13(lXg): "The owner must sign the notice or oo umeement and no one else maybe perrW ted to sign in his or her stead " 1 State of 0l0'r't,))U- County of seP r w� The foregoing Instrument was acknowledged before me this_ r3c.P day of_ 12nideA LY . 20 1 by _ c 1 Ay�'te S - a w � j�/ V" . Who Is personally known to me ❑ Name of person making sta «nerd OR who has produced Identification M type of identification produced: ?� * rosy Ismael Diaz s My CCIMMISSIon Expires December IV, 2020 Notary signature -- Commtasion No. GG 55828 civ s. GCITY OF Y CERTIFICATE OF APPROPRIATENESS HISTORIC PRESERVATION BOARD CITY OF SANFORD 300 S. Park Avenue Sanford, Florida 32771 407.688.5145 • www.sanfordfl.gov/HP THIS DOCUMENT MUST BE POSTED AT ALL TIMES UNTIL PROJECT IS COMPLETED. ISSUED TO: DATE ISSUED: Rob Hawkins December 3, 2018 ROKA Properties, Inc. for DATE EXPIRES: 104 Park Avenue June 3, 2019 Sanford, FL 32771 BP#19-163 Approved to change out main disconnect on west elevation (rear ) of building adjacent to a small alley and not visible from any rights of way. Eileen Hinson, AICP Development Services Manager Please be advised it is the owner and/or agent's responsibility to notify staff of any potential changes from the approved COA that arise and obtain approval prior to commencing the changes. This Certificate of Appropriateness does not constitute final development approval. The applicant is responsible for obtaining all necessary permits and approvals from applicable departments before initiating development. IS A BUILDING PERMIT REQUIRED FOR THE ACTIVITY LISTED ABOVE? ❑O YES 0 NO n Building Department Representative 4t)NO of � F es,,,aP • •� a' APPLICATION # 7�7 7_79�:AAI d91ULUaIV14,11**1 Answer all the questions on this form and submit all required attachments. Incomplete applications will not be reviewed. If you have questions about application requirements contact the Historic Preservation Officer at 407.688.5145 to ensure your application is complete. General Information Downtown Commercial Historic District❑✓ Residential Historic District ❑ Is this a retroactive request? Yes❑ No❑✓ Is this application filed in response to a Notice of Violation from the Code Enforcement Department? Yes[:] No❑✓ Proposed improvements will affect the following elevations: North ❑ South ❑ East ❑ West ❑ Property Address: 104 S. Park Avenue Property Owner Information Print Name: Roka Properties, Inc. Mailing Address: 856 SILVERWOOD DR LAKE MARY, FL 32746 Phone: 407-221-9199 Email: robh@insuranceriskservices.com ApplicanUAgent Information Print Name: Preferred Electric, Inc. Signature: Mailing Address: PO Box 4226, Enterprise, FL 32725 Phone: 407-322-3366 Email: preferredelectricinc@yahoo.com Signature: BY SIGNING BELOW YOU ACKNOWLEDGE THAT A BUILDING PERMIT MAY BE REQUIRED FOR THE SCOPE OF WORK LISTED BELOW. YOU MUST CONTACT THE BUILDING DEPARTMENT TO DETERMINE IF A BUILDING PERMIT IS REQUIRED. FAILURE TO OBTAIN A BUILDING PERMIT WILL RESULT IN A STOP WORK ORDER, DOUBLE PERMIT FEES, AND POTENTIAL FINES. BY SIGNING BELOW, YOU ALSO ACKNOWLEDGE THAT THE INFORMATION CONTAINED IN THIS APPLICATION IS TRUE AND ACCURATE /T/O THE BEST OF YOUR KNOWLEDGE. / Signature: /`O� '-w4..,341'Z'J Date: / n"9✓ .3c) Zo (5 ❑ Would you like to receive emails regarding Historic Preservation and Community Planning within your community? Description of proposed work Completely describe the entire scope of work, including changes in material and color, and methods that will be used to accomplish the proposed work. For large projects an itemized list is required. Use the reverse side if necessary. change outdoor main disconnect, change panel and breakers in break room HISTORIC PRESERVATION BOARD • 300 S. Park Avenue • Sanford, Florida 32771 •407.688.5145 • www.sanfordfl.gov/HP APPLICATIO # FOR A CERTIFICATE OF APPROPRIATENESS Supplemental Information - Please use the space below to provide additional details regarding proposed work. Description of proposed work (continued from previous page): ONLY WORK SPECIFICALLY INDICATE ABOVE IS PERMITTED. ANY CHANGES TO THE BUILDING NOT LISTED ABOVE ARE NOT PERMITTED AND REQUIRE AN ADDITIONAL CERTIFICATE OF APPROP IATENESS. Site Details Please use the space below to illustrate site details. HISTORIC PRESERVATION BOARD • 300 S. Park Avenue • Sanford, Florida 32771 •407.688.5145 • www.sanfordfl.gov/HP