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HomeMy WebLinkAbout131 MARITIME DR 18-46289-0 - ID CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION 7 Application No: Documented Construction Value: $ JVR Job Address: 13 m9 1► Iarl m L K. Historic District: Yes ❑ No ❑ Parcel ID: „2K, - Residential ❑ Commercial Type of Work: NewEl Addition Pq Aplteration ❑ Reerpanilrl ❑� "Demo ❑ Change of Use ❑ Move ❑ Description of Work: �fy -hff I1 Gyn- q& t�Cutty- �Orrtlhk�ca (,tr �6y Plan Revie-,+ Contact Person: a n n_ Title:_*Llht�• ugo—fi Phone: I -�3 ' 3'��l Fax: 1 3S IIS Email: l y�e l r>, -r't�r e_AL• com ,�`lrt,,,,•.'',���,r T•r���� np t�l� Property Owner Information Name `mak I t [.r t 1` `- Street: , 0.n- rne- b I City, State Zip: i 3a ll Phone: Resident of property? : — OCrtractor_ Information Nameo"p"_pp' ".fx Phone: t M I J ItiS� Street:IDS n( kit U Fax:D1— City, State Zip: W_04� &Z ' - -S $P'1_ State License No.: Ua(:OX gqo - Name: Street: City, St, Zip: Bonding Company: Address: 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 separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, 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: 5'h Edition (2014) Florida Building Code Revised: June 30, 2015 Permit Application '� \� r r 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. of Owner/Agent Print Owner/Agent's Name Date &�,��00, —/,/ �0 Signature of Contractor/Agent Date Print Contractor/Agent's Name Signature of Notary -State of Florida Date Signature of Notary -State of Florida Date JOYCE M.FOLTZ Commission # GGG 145890 Expires September 25, 2021 Bonded Thor Troy Fain lnauram800-3857019 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 Type: 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 Fire Alarm Permit: Yes ❑ No ❑ APPROVALS: ZONING: UTILITIES: WASTE WATER: ENGINEERING: FIRE( I'llZf1leBUILDING: COMMENTS: Revised: June 30, 2015 Permit Application 11/6/2018 AJohuni, CIA TOFI RR u.:rxzr_ raurv, r:na� SCPA Parcel View: 28-19-30-5NR-0000-0020 PropertyRecord Card Parcel: 28-19-30-5NR-0000-0020 Property Address: 131 MARITIME DR SANFORD, FL 32771 Parcel Information 2019 Working Parcel 28-19-30-5NR-0OOM020 Owner(s) LEIFFER, EARL M Property Address 131 MARITIME DR SANFORD, FL 32771 Mailing 1211 ROYAL OAK DR WINTER SPRINGS. FL 32708-4309 Subdivision Name SAPGORD CENTRAL Tax District S1-SANFORO DOR Use Cade 48-WAREHOUSE-DISTR 8 STORAGE Exemptions $47,369 Legal Description LOT 2 (LESS W 30 FT) 8 LOT 3 SANFORD CENTRAL PARK PH 2 AMENDED PB 54 PGS 8 THRU 10 Taxes Taxing Authority County General Fund Schools City Sanford SJWM(Saint Johns Water Management) County Bonds Sales Description Dale WARRANTY DEED 9/1/1998 Value Summary ''. 2019 Working 2018 Certified $1,635,547 . Values -. Values Valuation Method Cost/Market Cost/Market Number of Buildings 1 1. Depreciated Bldg Value $1,268,121 $1,181,843 Depreciated EXFT Value $50,676 $47,369 Land Value (Market) $316,750 $316,750 Land Value Ag Jusb'Markel Value " $1,635,547 $1,545,962 Portability Adj Save Our Homes Adj $0 $0 Amendment 1 Adj $0 $0 P&G Adj $0 $0 Assessed Value $1,635,547 $1,545,962 Tax Amount without SOH: $29,016.63 2018 Tax Bill Amount $29,016.63 Tax Estimator Save Our Homes Savings: $0.00 ' Does NOT INCLUDE Non Ad Valorem Assessments Assessment Value Exempt Values : Taxable Value —---- - $1,635,547 $0 $1,635,547 I $1,635,547 $0 $1,635,547 $1,635,547 $0 $1,635.547 .. $1,635,547 $0 $1,635,547 $1,635,547 $0 $1,635,547. Book Page Amount Qualified Vac/Imp 03497 G'13 $255,200 No Vacant Land Method I Frontage Depth Units Units Price Land Value SQUARE FEET 96688 $3.64 $316,750 Building Information # Description Year Built - -- Stones Total SF _ Ext Wall Adj Value Rept Value Appendages �_ Actual/Effective 1 MASONRY 1999 1 30,380 METAL PREFINISHED- $1,268,121 $1,636,285 Description (Area _� PILASTER. INSULATED OPEN PORCH 786.00 http://parceidetaii.scpa8.org/ParceiDetaillnfo.aspx?PID=2819305NR0000002O 1/2 DocuSign Envelope ID: 54CA415A-BOB94FA1-A54F-5E6FD6B6C6AB Johnson V))wzo Controls COMMERCIAL SALES AGREEMENT Johnson Controls Security Solutions LLC ("Johnson Industrial Lightning Products Controls") d/bla: Shott Biilmeier ("Customer") 6830 Shadowridge Dr, Customer Billing Information Orlando, FL 32812 519 Codisco Way, Tele. No. (386) 561-7096 Sanford, FL 32771 Attn: Tele. No. TOWN NO. CUSTOMER NO. JOB NO. PO NO. ESTIMATE NO. 0173 -ORLANDO, FL 1-49TWHD7 Customer Premises Serviced 131 Maritime Dr, Sanford, FL 32771 Attn: Jerad Pfantz Tele. No. (321) 279-2799 DATE: 10/30/2018 This Commercial Sales Agreement is between Customer and Johnson Controls Security Solutions LLC ("Johnson Controls") effective as of the date signed by Customer. By entering into this Agreement, Johnson Controls and Customer agree to the Terms and Conditions contained in this Agreement. The Equipment and/or Services, collectively the System(s) covered under this Agreement islare listed in the attached Schedule(s) of Protection 1 Scope of Work ("SOW"). I. THE FOLLOWING DOCUMENTS ARE ATTACHED TO THIS AGREEMENT AND ARE INCORPORATED BY REFERENCE: (a) Hazardous Substance Checklist and Customer Letter (e) Slate Specific Forms, if applicable (e.g., local permit applications) (b) Scope of Work I Schedule(s) of Protection (f) Customer Installation Acceptance Form (specific to Equipment/Services purchased) (c) Terms and Conditions (g) If multiple locations, see attached schedule (d) Additional Terms and Conditions II. CHARGES AND FEES; TAXES: Customer agrees to pay the total Equipment purchase price and/or installation charges set forth in the Scope of Work/Schedule of Protection plus applicable 'Fees' and 'Taxes' as defined below ('Installation Charge'). Upon acceptance of this Agreement, Customer will pay to Johnson Controls the installation charge deposit ("Installation Charge Deposit), if any, set forth in the SCOPE OF WORKISCHEDULE OF PROTECTION. Johnson Controls may invoice Customer for progress billings based upon Equipment and/or System components delivered or stored, and/or Services performed before completion of the SystemlEquipment installation, activation of the System, connection to the CMC, or any other Service(s). All outstanding Installation Charges and/or Fees shall be due and payable upon completion of the installation of the Equipment/System and as a precondition to activation of System and, if applicable, connection to Johnson Controls Central Monitoring Center ("CMC") or any other Service(s). Any changes in the STATEMENT OF WORK I SCHEDULE OF PROTECTION made by the Customer after execution of this Agreement must be agreed to by Johnson Controls and the Customer in writing and may be subject to additional charges, fees and/or taxes. Any equipment ordered by Customer by e-mail or telephone order shall be subject to terms and conditions of the Agreement and may be subject to shipping, handling, and/or restocking fees. For the Service(s) provided as indicated in this Agreement, Customer agrees to pay Service Charges per annum set forth in the SCOPE OF WORK/SCHEDULE OF PROTECTION (the "Annual Service Charges'), payable in advance Quarterly plus applicable Taxes for 5 year(s) (the "Initial Term") effective from the date such Service is operative under [his Agreement. Until Customer has paid Johnson Controls the Installation Charge and Fees, and Taxes in full, Customer grants to Johnson Controls a security interest in the Equipment and all proceeds thereof to secure such payment. After the Initial Term this Agreement shall automatically renew on a/an Annual basis unless terminated by either party upon written notice at least thirty (30) days prior to the anniversary date. Johnson Controls shall have the right to increase Annual Service Charge(s) after one (1) year. For termination prior to the end of the Initial Term, Customer agrees to pay, in addition to any outstanding Fees and charges for Service(s) rendered prior to termination, 90% of the Annual Service Charge(s) remaining to be paid for the unexpired term of the Agreement as liquidated damages but not as a penalty. Additionally, Customer agrees to pay any assessments, taxes, fees or charges imposed by any governmental body, telephone, communication, or signal transmission company such as false alarm, permitting or connection fees, or administration fees or service charges assessed by Johnson Controls related to AHJ requirements and/o, changes to applicable laws, the need to reprogram alarm controls/devices to comply with area code, signal transmission, numbering or other changes relating to the installed Equipment and/or Service(s) provided under this Agreement ( "Fees"). Customer is solely responsible to pay all applicable sales, use and/or similar taxes imposed by any taxing or governmental authority on the Equipment, System and/or Services provided hereunder ('Taxes') unless Customer provides to Johnson Controls a valid tax exemption certificate authorized by an appropriate taxing authority. If Customer fails to provide a valid tax exemption certificate, Customer shall remain liable for the payment of any such Taxes until paid in full. III. ENTIRE AGREEMENT; CUSTOMER ACCEPTANCE: This Agreement, together with all of its written Amendments, Riders, Scope of Work and/or Exhibits, constitutes the entire agreement between the Customer and Johnson Controls relating to the subject matter hereof and supersedes any prior or contemporaneous oral or written agreements and understandings. The terms and conditions of this Agreement will prevail over any conflicting, inconsistent or additional tenns and/or conditions contained in any purchase order, agreement, or other document issued by Customer. In signing this Agreement, Customer is not relying on any advice, advertisements, or oral representations of Johnson Controls and agrees to be bound to the terms and conditions contained in all the pages of the Agreement. Customer agrees that any representation, promise, condition, inducement or warranty, express or implied, not included in this Agreement will not be binding upon Johnson Controls, and that the terms and conditions in this Agreement apply as printed without alteration or qualification, except as specifically modified by a written agreement signed by Johnson Controls and Customer. Any changes in the Statement of Work or scope of the work requested by the Customer after the execution of this Agreement may result in additional cost to the Customer and any such changesladditions must be authorized in a writing signed by both the Customer and Johnson Controls. Customer's failure to accept and sign this Agreement within ninety (90) days of the date shown above may result in price increases. Customer acknowledges that: (a) Johnson Controls has explained the full range of protection, equipment, and services available to Customer; (b) additional protection over and above that provided herein is available and may be obtained from Johnson Controls at an additional cost to the Customer; (c) Customer desires and has contracted for only the Equipment and/or Service(s) itemized in this Agreement; (d) the Equipment/Service(s) specified in this Agreement are for Customer's own use and not for the benefit of any third party; (e) Customer owns the premises in which the Equipment is being installed or has the authority to engage Johnson Controls to carry out the installation in the premises; and (f) Customer will comply with all laws, codes and regulations pertaining to the use of the EquipmentfService(s). ATTENTION IS DIRECTED TO THE WARRANTY, LIMIT OF LIABILITY AND OTHER CONDITIONS CONTAINED IN THE SECTIONS ENTITLED "TERMS AND CONDITIONS" AND "ADDITIONAL TERMS AND CONDITIONS". THIS AGREEMENT REQUIRES FINAL APPROVAL OF A JOHNSON CONTROLS AUTHORIZED MANAGER BEFORE ANY EQUIPMENTISERVICES MAY BE PROVIDED. IF APPROVAL IS DENIED, THIS AGREEMENT WILL BE TERMINATED AND JOHNSON CONTROLS ONLY OBLIGATION TO CUSTOMER WILL BE TO NOTIFY CUSTOMER OF SUCH TERMINATION AND REFUND ANY AMOUNTS PAID IN ADVANCE. IF MAINTENANCE SERVICE IS DECLINED, CUSTOMER MUST INITIAL IF A 5 -DAY FAMILIARIZATION PERIOD IS REQUESTED, CUSTOMER MUST INITIAL HERE HERE JOHNSON CONTROLS SECURITY SOLUTIONS LLC D//xJJuStpned by: Presented by: I X� D5FAa3B�D67C4D; s Representative) Sales Agent: Scott Billmeier Sales Representative Registration Number (if applicable): e -Form 88SOUE01 (04/2018) CUSTOMER: DocnuS,iigned by: Accepted By:""�" PFavlv� 5sa15cc43A894AD . orized Representative) lerad Pfantz (Name Printed) Titre: IT Manager 10/30/2018 6:51:30 AM PDT Date Signed: Pagel of 8 -t: 2018 Johnson Controls. All Rights Reserved Docu Sign Envelope ID: 54CA415A-BOB94FA1-A54F-5E6FD6B6C6AB Johnson 0 Controls COMMERCIAL SALES AGREEMENT TOWN NO. CUSTOMER NO. JOB NO. PO NO. ESTIMATE NO. 0173 -ORLANDO, FL 149TWHD7 SCOPE OF WORK / SCHEDULE OF PROTECTION 1N. SCOPE OF WORK 1 SCHEDULE OF PROTECTION ("SOW"): Johnson Controls agrees to install or cause to be installed the Equipment and furnish the Service(s), collectively, the System, on the terms and conditions set out in this Agreement. A. Ownership of System and/or Equipment: Johnson Controls Owned - Johnson Controls may remove or upon written notice to the Customer, abandon in whole or in part, all devices, instruments, appliances, cabinets, and other materials associated with the system, upon termination of this agreement, without obligation to repair or redecorate any portion of the Customer's premises upon such removal, and the removal or abandonment of such materials shall not be held to constitute a waiver of the right of Johnson Controls to collect any charges which have been accrued or may be accrued hereunder. B. Services to be Provided ("Services") Alarm monitoring and Notification Services: Fire Alarm (Other) Monitoring PROVIDED Video Surveillance Services: No Service Selected Managed Access Control Services: No Service Selected Video Equipment: No Service Selected Quality Service Plan(QSP)Maintenance; Preventive Maintenance/Inspection: Maintenance Quality Service Plan and 1 Fire Alarm Inspection PROVIDED Additional Services: Sole Path Cellular 5 Minute Supervision Services PROVIDED C. Equipment to be Installed ("Equipment"): Johnson Controls will install, or cause to be installed, the Equipment (or equivalent), as set forth in this SOW in Customer's designated facility(ies). As used herein, "installation" means: (i) affixing all Equipment and materials provided by Johnson Controls at such locations within the facility(les) as are designated by Customer; (ii) providing and pulling cables/wires required to connect the Equipment to Customer's Communications Facilities and making such connections; (iii), in the case of a Digital Communicator installation, mount Equipment and plug into RJ31X phone jack previously installed by Customer; (iv) in the case of radio installation, mount radio Equipment and program Equipment with number furnished by Customer; (v) providing and installing software/firmware required by the Equipment; (vi) performing testing as required to establish that the Johnson Controls Equipment is connected, is functioning according to its specifications, and is communicating over Customer's Communications Facilities; and (vii) providing user -level training to Customer's designated representative in the use of such Equipment. Qty Product Name ......._. _ _._.-..._...... _ 1 Resale SK 51048 and upgrade to cell solepath 1 IP/4G COMMUNICATOR, DUAL PRIMARY, UL 1 TRANSFORMER KIT UL APPROV 3 I Battery, Sealed Lead -Acid, 12 Volt, 7.OAh 1 ; Permit Fees 1 Inspections - Fire or Card Access or Low Voltage _.. ....... _. 1 Programming D. CHARGES AND ESTIMATED TAX: 1. Installation Charge: Installation Charge Amount: $0.00 ' Estimated Tax(es): $0.00 ~TOTAL INSTALLATION CHARGE: $0.00 Installation Deposit Amount: $0.00 2. Annual Service Charge: Annual Service Charge Amount 1$1,888.91 " Estimated Tax(es): !$132.23 TOTAL ANNUAL SERVICE CHARGE: ! $2,021.14 ' Tax value shown is estimated and may differ from the actual tax valae that will be on the invoice. E. Scope of Work: This Section is intended for installation use only. Any language contained in this Section that attempts to modify the Terms and Conditions of this Agreement shall be void and of no effect. Contact Information: Mr. Jerad Pfantz (321) 279-2799 jpfantz@ilp-inc.com System Operation: ++Resale / Upgrade: JCI Security Technician will Verify, Test and Train the customer on all operation of the Existing JCI — SK5104B as installed adding a cell ipgsm4g as sole path. ++Tech will send signals and verify proper operation of the listed system(s). ++Verify zones and create an accurate data list. ++Tag Control if needed and provide any necessary system documentation. ++Train customer on all operation and functions of the listed system(s). ++pull, smoke, waterflow, supervisory Programming Info: SK5104 B Resale ipgsm4g Sole Path Radio e -Form 888OUE01 (0412018) Page 2 of 8 -D 2018 Johnson Controls. All Rights Reserved DocuSign Envelope ID: 54CA415A-BOB94FA1-A54F-5E6FD6B6C6AB Johnson 0 Controls Notwithstanding anything in the Agreement to the contrary, Johnson Controls and Customer agree as follows: Terms and Conditions AHJ Approval. For fire alarm systems required by law, the System shown in this Agreement may be subject to approval by the local Authority Having Jurisdiction (AHJ). Any changes required by the AHJ may result in additional charges to the Customer. Customer understands that the list of equipment herein reflects the information available from the existing records; there may have been additions or deletions over time. Customer acknowledges that all of the equipment that has been installed on the local premises by Johnson Controls or its predecessors is, to the best knowledge of the Customer in good working order and properly installed. Any work done on the local premises in order to put the system in proper working order will be done at an additional cost to the customer. Resale - The System is Johnson Controls Owned for Johnson Controls installed Equipment and/or Johnson Controls connection to the previously installed existing alarm system. To the j extent the previously installed existing alarm system is Customer's property, it shall remain Customer's property. Upon termination of this Agreement, Johnson Controls may remove or upon written notice to Customer, abandon in whole or in part, any Johnson Controls Owned Equipment including any devices, instruments, appliances, cabinets, and other materials associated with the system without obligation to repair or redecorate any portion of the Customer's premises upon such removal, and the removal or abandonment of such materials shall not be held to constitute a waiver of the right of Johnson Controls to collect any charges which have been accrued or may be accrued under this Agreement. Electronic Media. Either party may scan, fax, email, image, or otherwise convert this Agreement into an electronic format of any type or form, now known or developed in the future. Any unaltered or unadulterated copy of this Agreement produced from such an electronic format will be legally binding upon the parties and equivalent to the original for all purposes, including litigation. Johnson Controls may rely upon Customer's assent to the terms and conditions of this Agreement, if Customer has signed this Agreement or demonstrated its intent to be bound whether by electronic signature or otherwise. All other terms and conditions of the Agreement, except those expressly modified herein, shall remain in full force and effect. JOHNSON COP Docusigned by: Presented by: Dr+FAa3B6D67r4D� . Sales Agent: Scott Billmeier Sales Representative Registration Number (if applicable): tepresentative) CUSTOMER:Docusignedby: Accepted By: �� P fAkA� 561B15GC43A894AD Jerad Pfantz (Name Printed) Title: IT Manager Date Signed: ized Representative) 10/30/2018 6:51:30 AM PDT e -Form a830UE01 (04/2018) 1 Page 8 of 9 ,0 2018 Johnson Controls. All Rights Reserved COMMERCIAL SALES AGREEMENT TOWN NO. CUSTOMER NO. JOB NO. PO NO. ESTIMATE NO. 0173 -ORLANDO, FL 149TWHD7 ADDITIONAL TERMS AND CONDITIONS DATE: 10130/2018 Johnson Controls Security Solutions LLC ("Johnson Industrial Lightning Products Controls") d1b1a: ('Customer") Scott Billmeier Customer Billing Information Customer Premises Serviced 6830 Shadowridge Dr, 519 Codisco Way. 131 Maritime Dr, Orlando, FL 32812 Sanford, FL 32771 Sanford, FL 32771 Tele. No. (386) 561-7096 Attn: Attn: Jerad Pfantz Tele. No. Tele. No. (321) 279-2799 Notwithstanding anything in the Agreement to the contrary, Johnson Controls and Customer agree as follows: Terms and Conditions AHJ Approval. For fire alarm systems required by law, the System shown in this Agreement may be subject to approval by the local Authority Having Jurisdiction (AHJ). Any changes required by the AHJ may result in additional charges to the Customer. Customer understands that the list of equipment herein reflects the information available from the existing records; there may have been additions or deletions over time. Customer acknowledges that all of the equipment that has been installed on the local premises by Johnson Controls or its predecessors is, to the best knowledge of the Customer in good working order and properly installed. Any work done on the local premises in order to put the system in proper working order will be done at an additional cost to the customer. Resale - The System is Johnson Controls Owned for Johnson Controls installed Equipment and/or Johnson Controls connection to the previously installed existing alarm system. To the j extent the previously installed existing alarm system is Customer's property, it shall remain Customer's property. Upon termination of this Agreement, Johnson Controls may remove or upon written notice to Customer, abandon in whole or in part, any Johnson Controls Owned Equipment including any devices, instruments, appliances, cabinets, and other materials associated with the system without obligation to repair or redecorate any portion of the Customer's premises upon such removal, and the removal or abandonment of such materials shall not be held to constitute a waiver of the right of Johnson Controls to collect any charges which have been accrued or may be accrued under this Agreement. Electronic Media. Either party may scan, fax, email, image, or otherwise convert this Agreement into an electronic format of any type or form, now known or developed in the future. Any unaltered or unadulterated copy of this Agreement produced from such an electronic format will be legally binding upon the parties and equivalent to the original for all purposes, including litigation. Johnson Controls may rely upon Customer's assent to the terms and conditions of this Agreement, if Customer has signed this Agreement or demonstrated its intent to be bound whether by electronic signature or otherwise. All other terms and conditions of the Agreement, except those expressly modified herein, shall remain in full force and effect. JOHNSON COP Docusigned by: Presented by: Dr+FAa3B6D67r4D� . Sales Agent: Scott Billmeier Sales Representative Registration Number (if applicable): tepresentative) CUSTOMER:Docusignedby: Accepted By: �� P fAkA� 561B15GC43A894AD Jerad Pfantz (Name Printed) Title: IT Manager Date Signed: ized Representative) 10/30/2018 6:51:30 AM PDT e -Form a830UE01 (04/2018) 1 Page 8 of 9 ,0 2018 Johnson Controls. All Rights Reserved RICK SCOTT, GOVERNOR JONATHAN ZACHEM, SECRETARY Florida diopr STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD THE ALARM SYSTEM CONTRACTOR I HEREIN IS CERTIFIED UNDER THE PROVISIONS OF CHAPTER 489, FLORIDA STATUTES MCCUE, BERT S JOHNSON CONTROLS SECURITY SOLUTIONS LLC P O BOX 3042 BOCA RATON FL 33431 LICENSE NUMBER: EF20000890 EXPIRATION DATE: AUGUST 31, 2020 Always verify licenses online at My Florida License.com thy: LL � � -�-• Do not alter this document in any form. L. .{?•",{1r This is your license. It is unlawful for anyone other than the licensee to use this document. Tax Collector Scott Randolph Local Business Tax Receipt 2018 EXPIRES 9/30/2019 3121 CERT ALARM SYSTEM CO $340.00 108 EMPLOYEES TOTAL TAX $340.00 MCCUE BERT S PREVIOUSLY PAID $340.00 TOTAL DUE $0.00 6830 SHADOWRIDGE DR #/212 A - ORLANDO, 32812 Orange County, Florida JOHNSON CONTROLS SECURITY SOLUTIONS LLC ATTN t.ICFNSING DEPT P 0 BOX 3042 BOCA RATON FL 33431 3121-0969805 PAID: $340.00 0099-00834090 7/1612018 Tax Collector Scott Randolph Local Business Tax Receipt Orange County, Florida This local Business Tax Receipt Is in addition to and not in lieu of any other tax requirod by law or municipal ordinance. Businesses are subject to regulation of zoning, health and other lawful authorities. This receipt is valid from October 1 through September 30 of receipt year. Delinquent penalty Is added October 1. 2018 EXPIRES 9/30/2099 3121-0969805 3121 CERT ALARM SYSTEM CO $340.00 108 EMPLOYEES TOTAL TAX $340.00 PREVIOUSLY PAID $340.00 MCCUE BERT S TOTAL DUE $0.00 JOHNSON CONTROLS SECURITY SOLUTIONS LLC rl.-�/ ATTN LICENSING DEPT 6830 SHADOWRIDGE DR #f212 �l�P 0 BOX 3042 ('()I ���,`�����= BOCA BATON FL 33431 A - ORLANDO, 32812 PAID: $340.00 0099-00834090 7/16/2018 This receipt is official when validated by the Tax Collector. Orange County Code requires this local Business Tax Receipt to be displayed conspicuously at the place of business In public view. It is subject to inspection by all duly authorized officers of the County. octaxcol.com , ; t;� octaxcol J ACd Rte® CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY) 09128/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Marsh USA Inc. 411 E. Wisconsin Avenue Suite 1300 Milwaukee, WI 53202 Attn: JCI.Certrequest@marsh.com CONTACT NAME: Ann Moody PHONE 414 290 4700 Fi 414 290 4960 AIC C No E-MAIL ann.c.moody@marsh.com ADDRESS: INSURERS AFFORDING COVERAGE NAIC # INSURER A: Old Republic Insurance Company 24147 CN101230596-5-18-19' INSURED Johnson Controls, Inc. INSURER B : ACE Property and Casualty Insurance Company 20699 X I Contractual Liability Tyco International Holding S.a.r.l. INSURER C INSURER D: SimplexGrinnell LP (see attached Acord 101) PERSONAL & ADV INJURY , $ 5757 North Green Bay Avenue INSURER E: 1 INSURER F : Milwaukee, WI 53209 COVERAGES CERTIFICATE NUMBER: CHI -009131189-01 REVISION NUMBER: 3 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ACCORDANCE WITH THE POLICY PROVISIONS. INSR LTR TYPE OF INSURANCE I SUER POLICY NUMBER POLICY EFF POLICY EXP I LIMITS I MM/DDlYYW MMIDD/YYYY AUTHORIZEDAEPRESENTATIVE A X COMMERCIAL GENERAL LIABILITY MWZY 313947 10/01/2018 10101!2019 EACH OCCURRENCE $ 10,000,000 CLAIMS -MADE a OCCUR I AM NTED I PREMISES Ea occurrence) $ 10,000,000 X I Contractual Liability MED EXP (Any one person) $ 50,000 X XCU Included PERSONAL & ADV INJURY , $ 10,000,000 _ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 30,000,000 X POLICY JECOT- LOC PRODUCTS - COMP/OP AGG $ INC IN GEN AGG OTHER: $ A AUTOMOBILE LIABILITY ! , MWTB 313946 (Excludes New Hamp) 10/01/2018 10/01/2019 COMBINED SINGLE LIMIT $ Ea accident 7,500,000 BODILY INJURY (Per person) $ A X ANY AUTO MWTB 313949 (Primary NH $250k) 10/01/2018 10/01/2019 A OWNED SCHEDULED MWZX 313950 (Excess NH $7.25mm) I 10/01/2018 10/01/2019 BODILY INJURY (Per accident) $ AUTOS ONLY J AUTOS HIRED I NON -OWNED Excess NH Auto is Follow Form PROPERTY DAMAGE $ Per accident AUTOS ONLY _ AUTOS ONLY to Primary NH Auto I $ X UMBRELLA LIAB XOCCUR G28162509 003 10/01/2018 10101/2019 EACH OCCURRENCE $ 5,000,000 EXCESS LIAB I� CLAIMS -MADE f AGGREGATE $ _ 5,000,000 $ DED ! RETENTION $ A WORKERS COMPENSATION MWC 313943 00 (AOS - see page 2) j *01/2018 '10,101/2019X PER OTH- I STATUTE ER A AND EMPLOYERS' LIABILITY Y 1 N ANYPROPRIETOR/PARTNER/EXECUTIVE MWXS 313944 (OH & WA) 10101!2018 10/01/2019 E.L. EACH ACCIDENT $ 5,000,000 5,000,000 OFFICERIMEMBEREXCLUDED? NI NIA (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ 5,000,000 If es. describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ I I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) See attached Acord 101 for additional information including Additional Insured, Primary/Non-contributory, Waiver of Subrogation and Notice of Cancellation provisions. CFRTIFIrATF HAI nFR CANCELLATION City of Sanford Building & Fire Division SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 300 N Park Ave. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Sanford, FL 32772 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZEDAEPRESENTATIVE of Marsh USA Inc. Manashi Mukherjee �La-uo�o►„► @ 1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: CN 101230596 LOC #: Milwaukee Aca ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY NAMED INSURED Marsh USA Inc. Johnson Controls, Inc. Tyco International Holding S.a.r.l. SimplexGrinnell LP POLICY NUMBER (see attached Acord 101) 5757 North Green Bay Avenue Milwaukee, WI 53209 CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE- Certificate of Liability Insurance WORKERS COMPENSATION: Workers Compensation "AOS" Policy includes coverage for employees from the following States WHILE WORKING IN ANY STATE: AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, IA, ID, IL, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, NE. NH, NJ, NM, NV, NY, OK, OR, PA, RI, SC, SD, TN, TX, UT, VA, VT, WI, & WV. PRIMARY COVERAGE: The General Liability and Automobile Liability policies are primary and not excess of or contributing with other insurance or self-insurance, where required by written lease or written contract For General liability, this applies to both ongoing and completed operations. WAIVER OF SUBROGATION: The General Liability, Automobile Liability, Workers' Compensation and Employers Liability policies include a Waiver of Subrogation in favor of the certholder and any other person or organization, BUT ONLY to the extent required by written contract. ADDITIONAL INSURED - AUTOMOBILE LIABILITY: The Automobile Liability policy, if required by written contract, includes coverage for Additional Insureds as required by such written contract. ADDITIONAL INSURED - GENERAL LIABILITY: For General Liability, if required by written contract, the following are included as additional insureds, as required pursuant to a written contract with a named insured, per attached Policy Endorsements A2 and A2A: THE CERTIFICATE HOLDER LISTED ON THIS CERTIFICATE OF LIABILITY INSURANCE, AND EACH OTHER PERSON OR ORGANIZATION REQUIRED TO BE INCLUDED AS AN ADDITIONAL INSURED PURSUANT TO A WRITTEN CONTRACT WITH THE NAMED INSURED. ONGOING OPERATIONS AND COMPLETED OPERATIONS INSURANCE: The General Liability Insurance includes insurance for ongoing operations and completed operations. LIMIT OF LIABILITY: The Liability Limit that applies is the amount indicated on the face of this Certificate of Liability Insurance, or the minimum Liability limit that is required by the written contract, whichever is less. If there is no contract then the Liability Limit is limited to $1,000,000. UMBRELLAIEXCESS LIABILITY: If the primary insurance policies noted on the face of this Certificate of Liability Insurance satisfy the combination of minimum primary limits and minimum Umbrella/Excess Liability limits required by the written contract, the Umbrella/Excess Liability limits shown on the face of this Certificate of Liability Insurance do not apply. NOTICE OF CANCELLATION TO CERTIFICATE HOLDERS: Should any of the above described policies be cancelled, other than for non-payment, before the expiration date thereof, 30 days advice of cancellation will be delivered to certificate holders in accordance with the policy endorsements. NAMED INSURED: Insureds include: Air Distribution Technologies IP, LLC; Air System Components, Inc.; Carter Brothers, LLC; CEM Access Systems, Inc.; Central CPVC Corporation; Central Sprinkler LLC; Chemguard, Inc.; Connect 24 Wireless Communications Inc.; Digital Security Controls, Inc.; Eastern Sheet Metal, Inc.; Elpas, Inc.; Exacq Technologies, Inc.; FBN Transportation, Inc.; Grinnell LLC: Hart & Cooley Trucking Company; Hart & Cooley, Inc.; Haz-Tank Fabricators, Inc.; (MECO LLC; Integrated Systems and Power, Inc.; Interstate Battery System International, Inc.; Johnson Controls, Inc.; Johnson Controls (Suisse) SA; Johnson Controls Advanced Power Solutions, LLC; Johnson Controls Air Conditioning and Refrigeration, Inc.; Johnson Controls APS Production, Inc.; Johnson Controls Battery Group, Inc.; Johnson Controls Building Automation Systems, LLC; Johnson Controls Engineering, LLC; Johnson Controls Federal Systems, Inc.; Johnson Controls Federal Systems/Versar, LLC; Johnson Controls Fire Protection LP f/k/a SimplexGrinnell LP; Johnson Controls Government Systems LLC; Johnson Controls Navy Systems, LLC; Johnson Controls Security Solutions LLC Vk/a Tyco Integrated Security, LLC; Koch Filter Corporation; Master Protection, LP d/b/a FireMaster; Qolsys, Inc.; Retail Expert, Inc.; Ruskin Company; Ruskin Rooftop Systems, Inc.; Ruskin Service Company; Selkirk Corporation; Senelco Iberia, Inc.; Sensormatic Asia/Pacific, Inc.; Sensormatic Electronics (Puerto Rico) LLC; Sensormatic Electronics, LLC; Sensormatic International, Inc.; ShopperTrak International Investment LLC; ShopperTrak RCT Corporation; Shurjoint America, Inc.; SimplexGrinnell LP; Tyoo Fire & Security LLC; Tyco Fire Products LP; Tyco International Holding S.a.r.l.; Visonic Inc.; WillFire HC, LLC; York Intemational (SA), Inc.; York International Corporation; BC Liquidation, Inc.; Grinnell Fire Protection Solutions LLC; JCW HVAC Supply Center, LLC; Lau Hollings, LLC; Tyco Integrated Security LLC; and Tyco International Management Company, LLC ACORD 101 (2008101) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD IL 10 (12/06) OLD REPUBLIC INSURANCE COMPANY ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION - ENDORSEMENT A2 Named Insured Endorsement Number Policy Prefix Policy Number Policy Period Effective Date of Endorsement Issued By Old Republic Insurance Company THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following.- COMMERCIAL ollowing: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): If required by contract. the person or organization listed on the certificate of insurance as additional insured, and each other person or organization required to be included as an additional insured pursuant to a contract with a named insured. Location(s) Of Covered Operations: As required by contract. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II - Who is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused solely by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including _materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work' out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. GL 289 001 1012 MWZY 313947 Johnson Controls, Inc.Tyco International Holding 10/09/2098 - 10/0112019 IL 10 (12106) OLD REPUBLIC INSURANCE COMPANY ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS - ENDORSEMENT A2A Named Insured Endorsement Number Policy Prefix Policy Number Policy Period Effective Date of Endorsement Issued By Old Republic Insurance Company THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): If required by contract, the person or organization listed on the certificate of insurance as additional insured, and each other person or organization required to be included as an additional insured pursuant to a contract with a named insured. Location And Description Of Completed Operations: As required by contract. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Section II - Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused solely by "your work" at the location designated and described in the Schedule of this endorsement performed for that additional insured and included in the "products -completed operations hazard". GL 289 0021012 MWZY 313947 Johnson Controls, Inc. Tyco International Holding 1010112018- 10109/2099 DATE• ', /A 4 BUSINESS/PROJECT NAME: ADDRESS: CONTACT NAME: CITY OF SANFORD BUILDING AND FIRE PREVENTION DIVISION FIRE PLAN REVIEW SERVICETEES. PHONE: 407.668.5052 FAX: 407.688.5053- DATE: 07.688.5051 PERMIT NUMBER: PHONE: / S- Y6-21 PLAN REVIEW INFORMATION [)CONSTRUCTION []C/O [L]/EALARM [] FIRESPRINKLER [)HOOD []PAINTBOOTH []TANK DOES 20% REDUCTION IN FIRE IMPACT FEES APPLY: YES NO TOTAL FEES: