HomeMy WebLinkAbout110 W 1 St 17-1793 Interior rebuildd -. ,. - ,, CITY OF SANFORD
j " `-''' BUILDING & FIRE PREVENTION
PERMIT APPLICATIONJUN1520t1
f. f• ••
G\ Application No: - 7 3
Documented Construction Value: $ i'3kP2oz Job
Address: 110 - k? • IL' S+, Historic District: Yes N No Parcel
ID: 1.5 -CIS - 3o - 5" --0 ZD ef- 00'S p Resid al Commercial R Type
of Work: New Addition Alteration g Repair Demo Change of Use Move-0 Description
of Work: 1 o C. 2QRkS c -A- boo Q. !tnLt* Jap, At-, 5 , f '
ATiv s e-,tzo N w r.:'lls C c Plan
Review Contact Person: c cn.-ilo+y t 'Title: Phone:
32}-7231-4 b ry Fax: 'Ab-7 -330 = (65o mai1: , m 1 m4 f!p (•C!m,% Property
Owner Information D Name
iVc=aAfty,4C9 &-M fhtAp , .•UM- Phone:: / R 7 Z- Street:
L511. S . :5-1- Resident of property? : IV City,
State Zip: l Jl Hpt o. Z FtO, 7 t
ctorInformation t1ElS ,
tlt ni• a:ia) !fF Ce ;:d %' •••+ Name
J .c -1. Phone: '5? Street:
7 f l A-1L 11'. • Fax: 401- w S0!k City,
State Zip: tytiCA m 8qA4( r- 2r7 4 State License No.: C6 V k Z..L Architect/
Engineer Information Name:
G- 41a+•c r^ (VV 4C. vt~a.' i" Phone: lfe> 3 fd - Z 5 S j Street:
aS']2 w . 45A q 26 5% 2C!D b y Fax: qa 2 City,
St, Zip: Dylexko 51 3 2-16 S E-mail: TO n-(6' e01%-0, S ! 1 k , US
Bonding
Company: Address:
Mortgage
Lender: Address:
a Pr 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. 1 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
IOS.3 Shall be inscribed with the date of application and the code in effect as of that date: 59h Edition (2014) Florida Building Code w ^
Gel 1. 4--0 00 Revised:
June 30, 2015 c — 1
S J a -!;-0 ul L S Permit Application
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 complianfe w}tb all applicable laws regulating construction and zoning.
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
I is_ F?
H9JkmQ3ofCon1ractorhkgent M
Date
Jt+AX
Pri ontractor/Agent's Name
Signature of Notary -State of Florida Date
Produced ID
ANNETTE BLAND
Nolttry Ptaedo . 8100 of ftorl0a
comndsalpt • go "M3
my Comm. E40mm Jm is. t
own to Me or
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,
I
Fire Sprinkler Permit: Yes No
Plumbing - # of Fixtures
of Heads Fire Alarm Permit: Yes No
APPROVALS: ZONING: UTILITIES: WASTE WATER:
ENGINEERING: FIRE: BUILDING: -
6%-
COMMENTS:
Revised: June 30, 2015 Permit Application
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No:
Documented Construction Value: $
0 -1-193
Job Address: % - k? - 1'3 54-. Historic District: Yes ® No El
Parcel ID: 3.5 —14i - 30 - S" --0 Z0 If - 00 3 0 Residential Commercial RJ
Type of Work: New Addition Alteration 9 Repair Demo Change of Use Move
Description of Work: G OAk5 Q. Amw
vhRrni 4c. A 20 /..=P N w a;'lES ' • c
Plan Review Contact Person: UL Title: i
Phone: A (_4 b IN Fax: "-7 330 - 652?Email: (,elm
Property Owner Information
Name lr gS&ftv,0 Q11,(Ano-& , J-/vim i- R'7Z-'0Z.0''
Street: all, . A&AxA -r :J- Resident of property?: N
City, State Zip: ZZ1-Pf i o. R Z Fro 3
Contractor Information
Name . c 71ek -1^ Phone: 3?_i 'Z,%( 161I•P
Street: _a'7'fa- 1 Wry— p• • Fax: 140 7 - W& - 1 SOSI
City, State Zip: Ar 4.Q Al 81&gf r -a 32-744 State License No.: Architect/
Engineer Information Name:
0....a-i hlhii-+Ac,vt a Phone: 46-7 ' - 75S j Street:
A15 12. w . "5A q 26 5 t 2e9 (c 4 Fax: 40-1 -"r M Zt3'T City,
St, Zip: DyL PAc9 !R -S 2'-t 6 S E-mail: TO n-f • s US
Bonding
Company: Address:
w5 Pr Mortgage
Lender: Address:
Pr 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: 51" Edition (2014) Florida Building Code Revised:
June 30, 2015 Permit Application
i
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 1 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 compliInce VithRII applicable laws regulating construction and zoning.
S
q
Notary Public State or FloridaMikeelaNOdell
My commission FF 9695503/0LExpires09
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
Signature of Contractor/Agent Date
Print Contractor/Agent's Name
Signature of Notary -State of Florida Date
Contractor/Agent is Personally Known to Me or
Produced ID Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building Electrical Mechanical Plumbing[] Gas[] Roof
Construction Type:
Total Sq Ft of Bldg:
Occupancy Use:
Min. Occupancy Load:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes No # of Heads
Flood Zone:
of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes No
APPROVALS: ZONING: UTILITIES: WASTE WATER:
ENGINEERING:
COMMENTS:
FIRE: BUILDING:
Revised: June 30, 2015 Permit Application
CITY OF SANFORD
y BUILDING &FIRE PREVENTION
PERMIT APPLICATION
s
I 1 '7 93ApplicationNo:
Documented Construction Value: S
Job Address: la - w historic District: Yes No
Parcel ID: a -a -%It - 3o -1544 —O Zo - Gv'S a Residential Commercial
Type of Work: New Addition Alteration 9 Repair Demo Change of Use Move
Description of Work: o G Soty5 .•- moo Q f 9-i. f Q 5,.
f ' af A-rni 4 c .O _ 1,.•.=PAN w a;eJ l S ' (
Plan Review Contact Person: Title: +
Phone: (-4 6 ry Fax: k2!7Email: 1 t M 1 m4 orsa P.lt7 ( •cep
Property Owner Information
Name k=A&fiyrocp &AAftA), , LNc Phone: ,ZJ4:::? 7- R-7, -It-, VZ._D
Street: f 511, 5. AMeg nrd- :5J- Resident of property? : N
City, State Zip: Z22i"_':; 3
r .;It,,,: -Con#rac#or Informationr
1•: j: ! J:i•+ •'••1 1!1 :aa'..•fI •i :'j
Name JUIC444WOM-1t-•.1 '' Phone: 32-A Z S ( 1611f
Street: _a—T fa- 1 6H- p• Fax: C) 7 O!k
City, State Zip: AhicQ m814::4 AZT H.L State License No.: y%3'tZL
Architect/Engineer Information
Name: Phone: 1167 314!> - Z 5 j
Street: aS'12 9 2.6 Ss z 2e9 b 4 Fax: 40"Z TM
City, St, Zip: 0yL e=6 I M 6 5 E-mail: TO A,--( <599 M016 5' 5 %% 16— a
4S
Bonding Company:
Address: Pr
Mortgage Lender:
Address: fT[ A -
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: 51h Edition (2014) Florida Building Code
Revised: June 30, 2015 Permit Application
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 complianfe wjth all applicable laws regulating construction.and zoning.
r n .
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
of Contractor gent Date
tractorftent's Namen
7. -1 5 t'7
Signature of Notary -State of Florida Date
ANNETTE BLAND
Nolan Public . Stata of Florida
Ee Commlaalon 166 0l010-
Mj Comm: Eqpt Jan id,
14 But IV
t
own to Me or
Produced ID 1we o
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building Electrical Mechanical Plumbing Gas[] Roof
Construction Type:
Total Sq Ft of Bldg:
Occupancy Use: Flood Zone:
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:
ENGINEERING: FIRE:
COADIENTS:
WATER:
BUILDING:
Revised: June 30. 2015 PermirApplication
SI`.(: IS7A
c•c•yr-ta,K;l •
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
L 1 93ApplicationNo:
Documented Construction Value: $-• 6rz)
Job Address: 110 - k> - 1-23 . S+. Historic District: Yes N No
Parcel ID: _tea -15 - 3o - 574.6, --o Z,o If - C o 3 o Residential Commercial
Type of Work: New Addition Alteration 9 Repair Demo Change of Use Move
Description of Work: o U.IoA 5 D;c'e Q flit* JL AMW
fa' AT v 4c.T te., A-nzO lL J -k
Plan Review Contact Person: JLw,lot Title: I D D
phone: 32'Q•- (- 6 ry Fax: tc5—I -330 = 65o7Email: It to 1 Inc,--Lf)j
Pb •c6
Property Owner Information
Name i;•7+ 9 820 011A&AA , ..L1JC Phone• i9 7- Fs=7 Z ; 12.,D ': .`
Street: f 516 X _ A4/letnd' :5J- Resident of property? : N
City, State Zip: G29rvt o..::: Z•
ractor Information
Name J • Q le i.
I.+. .'
c v t> +1'`r+C Phone: 3-ZA 'Z'% ( 1611f
Street: #)-7'f.')- t A- PL. • Fax• Ito 1- WSo - 16 0S
City, State Zip: t,444AP- Al , - AZT 4L State License No.:
Architect/Engineer Information
Name: Phone: Ib7 - 31 & - ? 5S j
Street: A,5'12 c..> . '5A q 2b St z Fax: qo'Z -` m «
City, St, Zip: dyLt r--1) I W1 h S E-mail: T oA o us
Bonding
Company: Mortgage Lender: Address: — -- ,
it - - 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 wade 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: 51° Edition (2014) Florida Building Code Revised:
June 30, 2015 Permit Application
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 oidinance. 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 complianfe w}th all applicable laws regulating construction and zoning. r . A
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
t,- (S-C?
of Contractor gent Date
Pri tractor/Agent's Name
7
Signature of Notary -State of Florida Date
Produced ID
ANNETTE BLAND
Notary Publlc • state of Florida
COmm1e1110n • 06 tIBOBM3 .
Ntjr Comm: E"s Jan 18, 201
own to Me or
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building Electrical Mechanical Plumbing[] Gas Roof
Construction Type;
Total Sq Ft of Bldg:
Occupancy Use: Flood Zone:
Min. Occupancy Load: # of Stories:
New Construction: Electric - # of Amps Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes No' # of Heads
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
Fire Alarm Permit: Yes No
UTILITIES: WASTE WATER: (0 1
FIRE: BUILDING:
Revised: June 30. 2015 Permit Application
p+, ;rr; T x F r.e• (tcl CITY OF SANFORD
BUILDING &FIRE PREVENTION
lUN 2OI7 ? PERMIT APPLICATION
Application No:
Documented Construction Value:
Job Address: 110 • 6v • Iul S4:.. Historic District: Yes R1 No
Parcel ID: 1z --5 - 30 - gam, --0 Zo `f - oa 3 o Residential Commercial
Type of Work: New Addition AlterationEL Repair Demo tt
Change
of Use Move Description
of Work: o G 'Q Qks bow Q. In AMW D
Plan
Review. Contact Person: _ R\AAI oaf . title: _ L-c ? E Phone:
32- (- ry Fax; ' -330 65o7Emai1: I t rn i mc::- tib (<eZMI\l
Property
Owner Information Name
qX=S ,PV4& glu , .,LPL Phone: ,2%i9 2- R7 t , zO2A !__ Street: _
f 516 X . A4Metc&- Y- Resident of property? : /V City,
State Zip: Z2) f i o.::: Z.ZrO t
Information Name ' . •.
CA;csr-'!;1 ^Jr' Phone: 3 2!-k ZS ( 1611f Street: _
a'7 fa- t A (• • Fax: Ito 1- W&o - w S4!1 City,
State Zip: 92-7H 1 StateLicense No.: GG C a13,mi zI Architect/Engineer
Information Name: tz.
O.a a-t t^ you 6-c Ma.C'T- Phone: yb 311 - 7 SS f Street: A,
5172- c..> . 45& 4 Z6 5 s 2 (, y Fax: 4o 2 —a! M City, St,
Zip: 0yL 8=6 17716 5 E-mail: TO n K 6P us Bonding
Company:
Mortgage Lender: Address: — --- - --- - - — --- - - - -- 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 is 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: 501 Edition (2014) Florida Building Code Revised: June
30, 2015 Permit Application
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 complianfe wM all applicable laws regulating construction and zoning. A
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
of Contractor ent Date
Pri ntractor/Agent's Name
Signature of Notary -State of Florida Date
ANNETTE BLAND
s Notary Public • State of Florida
Commtaalon I o0 OW3 -
Ml comet: fa ftea - 1- t
own to Me or
Produced ID e o
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building Electrical Mechanical Plumbing Gas Roof
Construction T pe: Occupancy Use: Flood Zone: -
Total Sq Ft of Bldg: Min. Occupancy Load: # of Stories:
New Construction: Electric - # of Amps,
Fire Sprinkler Permit: Yes No of Heads
Plumbing - # of Fixtures
Fire Alarm Permit: Yes No
APPROVALS: ZONING: UTILITIES: WASTE WATER:
ENGINEERING:
COhEWENTS:
FIRE: BUILDING:
Revised: June 30.2015 Permit Application
k I7"`t; ' ..
t'-
CITY OF SANFORD
i-`1 `r='":=' BUILDING & FIRE PREVENTION
JtlN 1 017 ; a PERMIT APPLICATION
a. ,D, • 5 r 7;
Application No: 7 93
Documented Construction Value: S
Job Address: I la - k? - V%J SC. Historic District: Yes El No
Parcel ID: 2:6 -t5 - 3o - 54-4 --0 ZD `F - oy 3 o Residential Commercial
Type of Work: New Addition Alteration g Repair Demo Change of Use Move
Description of Work: 'D,o L >a lks R AmW
JM' P'hA•riv SCZ Oa0 AAyam A....=PyUe'.3 Plan
Review. Contact Person: cJc.nn- "Alef!el . Title: Phone:
A 1-4 b ry Fax: ojo,7 —30 - 6507Email: ` 1 t m 1 m4 opyc*-' Property
Owner Information Name
14-aoNdrA- %& D'A.i }t n•Qd , ..urn Phone: ZjCZ, 7- 87 Z ; VZA !Z-._ Street:
f 511, a . Alktad- :5j- Resident of property? : N City,
State Zip: Z;W:trHot o.::: Z, A r;;
r,,f : ;;, •r. . { .: 'Confr'.'at;tor.:Jinformation y, 4,r r:r Name
37moay S J cnv t- Phone: 32!-k Z% ( 16 r1 Street:
D-71f,)- Fax: xto 7 - f3c=' City,
State Zip: t-414.Q M81:::4 r - 92-7 4L State License No.: 34c i2,L Architect/
Engineer Information Name: ,
ecma.+ Phone: llei7 Street:
aS']2 c..1 - 1126 5 t 2r (p 4 Fax: qo Z -`i 8 Z - ""T City,
St, Zip: _O L MAO ZO E-mail: TD /( F { us
Bonding
Company: Mortgage Lender: Address: --- --
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: 5r" Edition (2014) Florida Building Code Revised:
June 30, 2015 Permit Application
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 complianfe with all applicable laws regulating construction and zoning.
mer/A ent I to r of Contractor/Agent Date
0 I ` & C—
is a Pri ntractor/Agent's Name
7
tary fete ilbate Signature of Notary -State of Florida Date
ANNETTE BLAND
Notary Public - State of Florida
Owner/Agent is Personally Known to Me or
Mr Conn. Eapna Jim tti. t ,
own to Me or
Produced ID Type of ID Produced ID TWe OF
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,
Fire Sprinkler Permit: Yes No El of Heads
APPROVALS: ZONING: .Zm UTILITIES:
ENGINEERING: FIRE:
COMMENTS:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
Revised: June 30.2015 Permit Application
02 fl 7 rf ao
BUDGET PROPOSAL
1 C'V , U-o
J. MALLORY CONSTRUCTION, INC. / i° V'V
2742 Teak Place
V / s -. Q."O
Lake Mary, Florida 32746
Phone: (321) 231-1614 Fax: (407) 330-6509
DATE: May 21, 2017
PROPOSAL SUBMITTED TO: Center State Bank PHONE: 407-872-0209 FAX: 407-426-8542
CELL: 407-927-1057
STREET: JOB NAME Center State Bank suite 107
110 W. Ist Street
CITY, STATE, AND ZIP CODE: JOB LOCATION: 110 West First Street
Sanford Florida Sanford Florida
ATTN:Jod
We hereby submit specifications and estimates for:
Renovations to suite 107 for Center State Bank
Plans, 1,550.00
Permits, allowance 425.00
Demo: 1,450.00
Drywall, new walls, repairs at demoed walls 2,350.00
Doors and hardware, 850.00
Door window kits 800.00
Painting all walls, doors, and jambs, window trim interior only 3,010.00
Ceiling. Rework ceiling for lights, repairs at demoed walls 750.00
Electric 2,800.00
HVAC' add return in conference, relocate return and supply 600.00
Carpet, base to match existing 2,850.00
Ceramic floor in restroom 800.00
Fire alarm: relocate horn strobes to new walls 900.00
Fire sprinkler add sprinkler heads 950.00
Supervision 1,800.00
Dumpster, trash removal 600.00
Clean up 500.00
Job costs,General conditions 2,000.00
Total: 24,985.00
Price subject to change with approved construction drawings.
Price does not include: Anything not specified in the above prices.
If city does not allow epoxy paint in restroom will have to add for
tile in walls in restroom
Does not cover any hidden damages.
We propose hereby to furnish material and labor — complete in accordance with specifications above for the sum of:
TWENTY-FOUR THOUSAND NINE HUNDRED EIGHTY-FIVE AND 001100 324,985.00
Payment to be made as follows:
PAYMENT DUE IN FULL UPON COMPLETION
All materials are guaranteed to be specified. All work to be completed in a workmanship like manner according to standard
practices. Any alteration or deviation from specifications above Involving extra costs will be executed upon written words,
and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents, or
delays beyond our control Owner to carry fire, tornado, and other necessary insurance. All handwritten changes must be
initialed by both parties.
Authorized Signature
Note: This proposal may be withdrawn by us if not accepted within 30 days
Acceptance of Proposal - The above price, specifications and conditions are satisfactory and are hereby accepted. You are
authorized to do the work as specked. Payment will be made as outlined above.
000
PRINTED NAME:c r /7U/ / TITLE:
natn of Ar_rpntwnrp
PROPOSAL
J. MALLORY CONSTRUCTION, INC.
2742 Teak Place
Lake Mary, Florida 32746
Phone: (321) 231-1614
DATE: May 21, 2017
Fax: (407) 330-6509
PROPOSAL SUBMITTED TO: PHONE: 407-872-0209 FAX: 407-426-8542
First Capital Property Group CELL: 407-927-1057
STREET: JOB NAME: suite 107, 105 door opening
1516 E. Hillcrest Street, suite 210
CITY, STATE, AND ZIP CODE: JOB LOCATION: 107 North Oak Ave.
Orlando, Florida Sanford, Florida
ATTN: Cathy Mallory
We hereby submitspecifications and estimates for:
Add opening between 105 and 107
Plans 200.00
Permits, 75.00
Demo door hole 450.00
Drywall 575.00
Painting 200.00
Flooring, carpet repair 100.00
Dumpster/Trash 100.00
Supervision 250.00
Job costs/General conditions 250.00
Total: 2,200.00
Price does not include: Anything not specified in the above prices. Does not
include any floor leveling, patching, or repairing.
Assumes all work performed during normal business hours.
Does not cover any hidden damages.
We propose hereby to furnish material and labor — complete in accordance with specifications above for the sum of:
TWO THOUSAND TWO HUNDRED DOLLARS AND 001100 ($2,200.00)
Payment to be made as follows:
PAYMENTS BILLED BI-WEEKLY BASED OWCOMPLETED WORK
All materials are guaranteed to be specified. All work to be completed in a workmanship like manner according to standard
practices. Any alteration or deviation from specificatigns.above involving extra costs will be executed upon written words,
and will become an extra charge over and above7the estimate. All agreements contingent upon strikes, accidents, or
delays beyond our control Owner to carry -fire, tomado, and other necessary insurance. All handwritten changes must be
initialed by both parties.
Authorized Signature
Note: This Proposal may be withdrawn ly us if not accepted within 30 days
Acceptance of Proposal - ab pr' , pecifi ns and conditions are satisfactory and are hereby accepted. You are
authorized to do th''wo, p ' ed. a en ill a made as outlined above.
Signature:
TITLE-:— PRINTED NAME:
Dateof Acceptance
I
PROPOSAL
J. MALLORY CONSTRUCTION, INC.
2742 Teak Place
Lake Mary, Florida 32746
Phone: (321) 231-1614 Fax: (407) 330-6509
DATE: Mav 21. 2017
PROPOSAL SUBMITTED TO: PHONE: 407-872-0209 FAX: 407-426-8542
First Capital Property Group CELL: 407-927-1057
STREET: JOB NAME: suite 107 restroom addition
1516 E. Hillcrest Street, suite 210
CITY, STATE, AND ZIP CODE: JOB LOCATION: 107 North Oak Ave.
Orlando Florida Sanford, Florida
ATTN: Cathy Mallory
We hereby submitspecifications and estimates for:
Adding of restroom to suite 107
Plans
Permits, 900.00
Demo door hole 650.00
Drywall, fire walls and ceiling to restroom, well in restroom 125.00
Ceiling in rest room 1,800.00
Painting epoxy paint in restroom, door and jamb 350.00
Slab demo for plumbing 475.00
Slab repair 250.00
Termite spray 600.00
Door and hardware 200.00
Restroom accessories 300.00
Flooring, VCT and base in restroom 325.00
Electric for restroom 200.00
Electric to split electric from other suite add meter and disconnect 600.00
Plumbing Does not include hot water in restroom 1,140.00
HVAC: does not include fire dampers in restroom a/c or exhaust 3,500.00
Fire alarm 850.00
Fire sprinkler: Allowance 600.00
Hole in exterior brick for restroom exhaust 400.00
Dumpsterrrrash 150.00
Final clean, wax floors 200.00
Supervision 375.00
Job costs/General conditions 800.00
Total: 1,700.00
Price does not include: Anything not specified in the above prices. Does not include any floor
16,490.00
leveling, patching, or repairing.
If city requires fire dampers for restroom supply and exhaust add $550.00
Assumes all work performed during normal business hours.
Does not cover any hidden damages.
If city does not allow epoxy aint in restroom there will be additional cost for finishes in restroom.
We propose hereby to fumish material and labor — complete in accordance with specifications above for the sum of:
SIXTEEN THOUSAND FOUR HUNDRED NINTY DOLLARS AND 00/100 ($16,490.00)
Payment to be made as follows:
PAYMENTS BILLED BI-WEEKLY BASED ON COMPLETED WORK
All materials are guaranteed to be specified. All work to be completed in a workmanship like manner according to standard
practices. Any alteration or deviation from specifications above involving extra costs will be executed upon written words,
and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents, or
delays beyond our control Owner to carry fire, tornado, and other necessary insurance. All handwritten changes must be
Initialed by both parties.
Authorized Signature
Note: This DroDosal may be withdrawn by us if not accepted within 30 days
Acceptance of Proposal - The abo a pri sp ifications and conditions are satisfactory and are hereby accepted. You are
authorized to do the ci t will be made as a-ahlined above.
Signature:
s '
v
PRINTED NAME: TITLE:
Date of Acceptance
THIS INS.ILUMENT PREPARED BY:
Name: v
Address: L.
NOTICE OF COMMENCEMENT
Permit Number: 141 _ 1 / R,5
Parcel ID Number: f L - l9 lC S &6- - tS Zo t{- 00 3-0
GRANT MALOYr SEMINOLE COUNTY
CLERK OF CIRCUIT COURT & COMPTROLLER
BY. 8917 P9 108 (1P9s)
CLERK'S : 2017049888
RECORDED 05/18/2017 10:15:22 AM
RECORDING FEES $10.00
RECORDED BY rdternp
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.
1. DESCRIPTION OF PROPERTY: (Leg I description of the property and jj treat address if available)
a 1AJ Sir dJ (
2. GENERAL DESCRIPTION O • IMPROVEMENT:
1 . — n n
3. OWNER IAFOiRMA1'ION Ok LESSEE INFORMA--TIO N`` IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: S-j ZJO
Name and address: 4iex:7 1YNL !1r •1 I C Sl In 111G .54. ofl-CAh'1 2.7
Interest in property:
Fge SlmpleiTitle Molder Of other than owner listed above) Name:
Address:
4. CONTRACTOR: Name: fhilJjk&U Phone Number: 321 2Z1 ely
Address: AOe,4 '4*ke /!f
5. SURETY (If applicable, a copy of the payment bond Is attached - Name,
Address: Amount of Bond:
6. LENDER: Name: Phone Number:
Address: /J TF
7. Persons within the State of Florida Designated by Owner upon whom notice or other documents may b lEffMpfi%fR&
713.13(1)(a)7., Florida Statutes. AND COMPTROLLER
Name: Phone Number:
8. In addition, Owner designates Of BY DEPUTY CLERK
to receive a copy of the Lienors Notice as provided in Section 713.13(1)(b), Florida Statutes. Phone number:
9. Expiration Date of Notice of Commencement (The expiration is 1 year from date of recording unless a different date is specified)nAY I a 2017
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 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.
Auth orised
TrOrector/
Partnerrnager)
State of l of I a O, County of
The foregoing
by
C, /(o - j A C" X Oe- c-
Print Name and Provide Signatory's TiOe/Offico)
was acknowledged before1methis 15 day of 2o(
i I cs 1 1 l i 4cke I I Who Is ersonally known o me itYVR
lame of person making statemonl
who has produced Identification O type of identification produced:
RNtiiary Public State of Florlda
Mikaela N Odell
My Commlaslon FF 9695M
Expires 03/09/2020
PERMIT # I I- I 19 3 CITY OF SANFORD
BUILDING & FIRE PREVENTION DIVISION
EARLY START AUTHORIZATION — APPLICATION/PERMIT
Project Name: C,5;1u74W Date: 46,
Project Address: l !O &%' =
4—
Contractor Name: -f--M gVTY
EARLY START AUTHORIZATION CONDITIONS
City of Sanford and the Owner/contractor listed agree to the following:
I . A complete building permit application and plans shall be submitted at the time of the request for Early Start Authorization.
2. This Early Start Authorization is for interior work or other work as determined by the Building Official.
3. Work must comply with any and all other local, state and federal agencies related to the development and construction
proposed and compliance with asbestos NESHAP regulations must occur for all demolition work.
4. Work shall not be concealed and must remain open for all necessary inspections. At the time of inspections, any work
concealed shall be uncovered.
5. The contractor acknowledges that all subcontractors will be properly licensed and have current worker's compensation
coverage.
6. All subcontractors are responsible for pulling their own permits.
7. Inspections of work for any construction trade will not be made until a permit has been issued for the trade.
8. The Early Start Authorization does not guarantee that construction plans will be approved as submitted. All work done prior
to the issuance of the required permits shall be at the Owner's/Contractors risk.
9. The Owner/Contractor acknowledge that additional fees, including but not limited to impact and zoning fees, may be due at
the time of building permit issuance, and or prior to Certificate of Occupancy.
10. The Owner/Contractor acknowledge that additional site improvements, including but not limited to installation of a grease
trap, accessible parking and landscaping, may be required at the time of building permit issuance.
11. The Owner/Contractor agree to indemnify and hold the City of Sanford/Agents free and harmless from any and all claims,
causes of action, damages, losses penalties or costs, including but not limited to, all attorneys fees (whether from litigation or
administrative proceeding, including cost and fees on appeal), with respect to any person or government authority arising out
of, either directly or indirectly, the construction or operation at the premises covered by the Early Start Authorization,
whether the liability, loss or damage is caused by, or arises out of, the negligence or the City of Sanford/Agents or its
officers, agents, employees, or otherwise.
12. If the City of Sanford/Agents shall be subject to any claim, demand or penalty or become a party to any suit or other judicial
or administrative proceeding by reason of any claimed act or omission by any party, or by reason of any act occurring on the
subject premises, or by reason of any omission with respect to the construction or operation on the subject premises, the
Owner/contractor shall indemnify and hold City of Sanford/Agents harmless against all judgments, settlements, penalties and
expenses, including attorney's fees, court costs and other expense of litigation of defense relating to such claim or litigation
or administrative proceeding, at the election of the City of Sanford/Agents, the Owner/Contractor shall also defend the City
of Sanford.
13. it is understood and hereby acknowledged between the parties hereto that the City of Sanford/Agents shall not be liable for
any act or other obligation to the Owner/Contractor.
14. This Early Start Authorization will terminate upon the issuance of a Building Permit for property covered under this Early
Start Authorization; however, this agreement shall remain in effect for all events occurring prior to the issuance of the
Building Permit.
By signing this Early Start Authorization Application, the undersigned ackno ledges and agrees to condition I through 14.
Contractor Signat a —Own Signatur Date
d/
o!%
9
DATE: b Z., 5 17
BUSINESS/PROJECT NAME:
CITY OF SANFORD BUILDING AND FIRE PREVENTION DIVISION
FIRE PLAN REVIEW SERVICE FEES
PHONE: 407.688.5052
FAX: 407.688.5051
PERMIT NUMBER: 0-112 z
ADDRESS: I I o u-,)` 1 5t S
CONTACT NAMEs,_,V -1 PHONE:
7
l
PLAN REVIEW INFORMATION
CONSTRUCTION [ ]C/O [ ] FIRE ALARM [ ] FIRE SPRINKLER [ ] HOOD [ ]PAINT BOOTH [ ]TANK
DOES 20% REDUCTION IN FIRE IMPACT FEES APPLY: YES NO
TOTAL FEES:
Goc
INSPECTION SEQUENCE
BP# 17-1793
ADDRESS: 110 W. 1" Street
BUILDING PERMIT
Min Max Inspection Description
Footer / Setback
Stemwall
Slab / Mono Slab
Lintel / Tie Beam / Fill / Down Cell
Sheathing — Walls
Sheathing — Roof
Roof Dry In
10 Frame
Insulation Rough
Firewall Screw Pattern
20 Drywall / Sheetrock
Lath Inspection
Building Ceiling Air Barrier
Insulation Roof (Com'l)
Building Ceiling Grid
Final Roof
Final Stucco / Siding
Final Insulation
Final Firewall
Final Door
Final Window
Final Utility Building
Final Screen Structure
Final Pool Screen Enclosure
Pre -Demo
Final Demo
Final Single Family Residence
Final Commercial —
1000 Final Commercial — Addition / Alteration
Final Commercial — Change of Use
Final Building (Other)
ELECTRICAL PERMIT
Min Max Inspection Description
Electric Underground
Footer / Slab Steel Bond
Electric Ceiling Rough
Electric Wall Rough
10 Electric Rough
Pre -Power Final
TemporaryTempgraryPole 1000
Electric Final Min
Max Inspection Description Rough
Plumb 10
Plumbing Underground 20
Plumbing 2"d Rough Plumbing
Tubset Plumbing
Sewer Plumbing
Grease Trap Rough PlumbingSteam /
Chill Water Rough 1000
Plumbing Final MECHANICAL
PERMIT Min
Max Inspection Description 10
Mechanical Rough Mechanical
Fire Damper Framing Mechanical
Ceiling Rough Mechanical
Fire Damper Annular Space Mechanical
Insulation Wrap Mechanical
Fire Damper Angle Light /
Water Test Ck Welds Mechanical
Grease Duct Wrap 1000
Mechanical Final REVISED:
June 2014
BP250UO2 CITY OF SANFORD 8/10/17
Application Tracking Individual Step Maintenance 10:03:13
Application number . . . . : 17 00001793
Application type . . . . . : INTERIOR COMMERCIAL REMODELING
Revision number . . . . . . .
Path/Step/Seq/Agency . . . : A O1 00 HISTORIC DISTRICT LIASION
Date submitted, resulted . . 61517 62117
Status code (F4) . . . . . . PRC PLAN REVIEW COMPLETE
Reviewed by (F4) . . . . . . CD CHRISTINE DALTON
Revised est cpl date . . . . 71517
Copies of plans . . . . . . . _
1=Add new comment 2=Change comment 4=Delete comment
Opt Seq Comments Prt Date
1.000 all work limited to interior. If exterior work is required _ 62117
indluding mechanical, gas, plumbing, etc.) a Certificate
of Appropriateness will be required.
2.000 _
3.000
4.000 _
More...
F3=Exit F4=Prompt F8=Log maintenance F9=Add standard comments
F12=Cancel F14=Required inspection maintenance
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
v<. 7TAUG n: Ap'EtIn' No:
J 3
r W
Documentd-Construction Value:
Job Address: Historic District: Yes No
Parcel ID:
y
Residential Commercial
Type of Work: New Addition Alteration U Repair Demo Change of Use Move
Description of Work: '& */ Gli C ,
Plan Review Contact Person: Title:
Phone: Fax: Email:
Property Owner Information
Name Phone:
Street: _
M
Resident of property?
City, State Zip:
Contractor Information _
Name 45-1 zi W / --- i Phone:
Street: F Uvi( 024 1 Fax:
D
City, State Zip: /fi9,...y. {P fOr's 9 Fl 317le State License No.:1l Fo'Dw7/%f
Architect/Engineer Information
Name: Phone:
Street: Fax:
City, St, Zip: E-mail:
Bonding Company:
Address:
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: 511 Edition (2014) Florida Building Code
Revised: June 30, 2015 Permit Application
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 wil I 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 1CC 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 Date
Print Owner/Agent's Name
Signature of Notary -State of Florida Date
X-162_
ure? SignatContracto 5AOr Date Print
Contractor/Agent's Name Q
Sig
at a of Notary -State of Florida V Date JOANN
M, JOH NMY
COMMISSION I FF 95M EXPIRES: March 23, 2020 BondedAroNotaryPopp* Und.rrsa Owner/
Agent is Personally Known to Me or Contractor/Agent is wn 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: Total
Sq Ft of Bldg: Occupancy
Use: Flood Zone: 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: COMMENTS:
BUILDING:
Revised:
June 30, 2015 Permit
Application
Elzinga Plumbing
PO Box 162024
Altamonte Springs, Florida 32718-2024
Phone 407.963.7170 Fax 407.772,4275
Email: jelzingo@embaramail.com
To: Jim Mallory
J Mallory Construction Inc
2742 Teak Place
Lake Mary, FL 32746
Via Email: jimimallory@aol.com
DATE:
PROPOSAL NO:
EXPIRATION DATE:
Project
Address
Proposal
March 30, 2017
30855
April 29, 2017
Welaka Building
Sanford, Florida
Payment Terms : Due Upon Receipt of Invoice
DESCRIPTION
Furnish and Install:
1 Water closet
1 Lavatory with faucet
PVC & CPVC pipes & fittings to the listed fixtures
Labor & Supervision, Mobilization, overhead and profit
Exclusions:
1. Any sewer, water, meter or impact fees, no water or gas meter.
2. Utility connection fees (including but not limited to: water, sewer or gas).
3. Any utility deposits.
4. Cutting, removal, or patching of concrete.
5. A/C and utility chases.
6. Any additional plumbing (not noted above) for the project will be performed
on a time and material basis, plus 15%.
Proposal accepted by : TOTAL 3,500.00
Acceptance of this proposal past th ration Date may res4 ncrease of the total amount, due to price increases in
material and/or fixtures. Contractor agrees to the payment terms as stated above.
Thank You for Your Business!
CITY OF SANFORD
BUILDING & FIRE PREVENTION
AUG 1 O 2017
PERMIT APPLICATION
r-
Application No: l i -17g3
ocumented Construction Value: $Gi%.
Job Address: Historic District: Yes O No
Parcel ID: Residential Commercial
Type of Work: New Addition Alteration Repair Demo Change of Use Move
Description of Work: /) A,M -el .Osc
VD .3f''()I Ct-
Plan Review Contact Person: Title:
Phone: Fax: Email:
Property Owner Information
Name Phone:
Street: Resident of property?
City, State Zip:
Contractor Information
Name Fl edkk c__Phone: L167- S -61/30
Street: Fax: `
City, State Zip: State License No.: FG 3Da20/"
Architect/Engineer Information
Name:
Street:
Phone:
Fax:
City, St, Zip:E-mail:
Bonding Company:
Address:
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. 1 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: 51h Edition (2014) Florida Building Code
Revised: June 30, 2015 Permit Application
NOTICE: In addition to the requirements of this permit, there may be additional regrictions 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 Date Signatur ,montractor/A nt Date
Print Owner/Agent's Name Contraaccto r//Ag entt's N
J • `-N
Signature of Notary -State of Florida Date S' n lure of Notary -State of FloritW Date
JOANN M. JOHNSON
W COMMISSION t FF 956284
s:r EXPIRES: March 23, 2020
n: t..••` Bonded Tluu Nolarn Public Underwriters
Owner/Agent is Personally Known to Me or Contractor/Agent is Personally KnoVnto Me or
Produced ID Type of ID Produced ID pe of ID _ li
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:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes No # of Heads
APPROVALS: ZONING: UTILITIES:
COMMENTS:
of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes No
WASTE WATER:
ENGINEERING: FIRE: BUILDING:
Revised: June 30, 2015 Permit Application
Duncan Electrical Services, Inc
P.O. Box 530236
DeBary, Florida 32753-0236
EC13002018
I NAME/ADDRESS I
Jim Mallory
2742'feak Place
Lake Mary, FL 32746
407-330-6509
Ship To
Walaka
Suite 107
Estimate
DATE ESTIMATE #
5/15/2017 10613
PROJECT
Tenant Build -out
DESCRIPTION QTY COST TOTAL
20A 125V Outlets for Cubicles 7 0.00 0.00
20A 125V Outlets for Office and Conference Rm 4 0.00 0.00
20A 125V I Switch Outlet 3 0.00 0.00
Demo and rewire as needed 1 0.00 0.00
Exit/Emergency Fixtures 2 0.00 0.00
Permitting and Application Fees - Electrical (ESTIMATED) 1 150.00 150.00
TOTAL / Materials & Labor 2,650.00 2,650.00
Work Requested/Performed: (1) Demo and rewire as needed to
accommodate new tenant layout
2) Install 7 - 20A 125V outlets for modular furniture
3) Install 4 - 20A 125V outlets in Office and Conference Rm
4) Install 3 - 20 A 125V Single Pole Switch outlets
5) Install 2 - Exit/Emcrgency Fixtures
TOTAL $2,800.00
Prices are good for 30 days; some prices are subject to chanc without notice.
SIGNATURE
Phone # Fax # E-mail
386-753-9518 or 4... 386-753-9516 DuncanElcc@bclIsouth.net
DUNCA-2 OP ID: SP
ACORO' CERTIFICATE OF LIABILITY INSURANCE
DATE(Y,
10/25512012016
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 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 endorseme s .
PRODUCER
Corkhill Insurance Agency, LLC
20 South Bumtry Avenue
CONTACT
NAME: .Scott Corkhill,AAI #A054965
PHONE AXaCN0Ert :407-898-8891 A/CNo : 407-898-8813
Orlando, FL 328803
Scott Corkhill,AAI SA054965
I
ADDRESS:
INSURER(S) AFFORDING COVERAGE NAIC 0
INSURER A: Florida United Business Assc 15764
INSURED Duncan Electrical Services Inc INSURER B : Auto-OWners Insurance Company 18988
P.O. Box 530236
Debary, FL 32753 INSURER C :
INSURER D :
INSURER E
INSURER F .
COVERAGES CERTIFICATE NUMBER_ REVISION NUMBER -
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.
LTR TYPE OF INSURANCE POLICY NUMBER MMIDLICY EFF MPS Y EXP LIMITS
B X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE MOCCUR 72684573 06/05/2016 06/05/2017
EACH OCCURRENCE i 1,000,00
PREMISES Ea occurrence) 3 300,00
MED EXP (Any one person) 10,00
PERSONAL d ADV INJURY 1,000,00
GEWL AGGREGATE LIMIT APPLIES PER.
POLICY JECT LOC
OTHER:
GENERAL AGGREGATE 2,000,00
PRODUCTS - COMPIOP AGG S 2,000,0G
AUTOMOBILE LIABILITY
ANY AUTO
ALLOWNED SCHEDULED
AUNON-
OWNED HIREDAUTOSAUTOS
MBINED SINGLE
LIMIT Ea ewdeM
BODILY INJURY (
Per person) BODILY INJURY (
Per ecddent) PROPERTY DAMAGE
Per accident
S B
X
UMBRELLA
LIAB EXCESS UA13
X OCCUR
CLAIMS -MADE
84353100 0610512016 06/0512017 EACH OCCURRENCE
S 2,000,00 AGGREGATE DED
I
I RETENTIONS A WORKERS
COMPENSATION
AND EMPLOYERS
LIABILITY ANY PROPRIETOR/
PARTNER/EXECUTIVE Y OFFICERIMEMBER EXCLUDED?
Mandatory In
NH) It yes,
describe under DESCRIPTION OF
OPERATIONS below N I
A 10635252 W0112016
04/01/2017 X STATUTE
ER E.L.
EACH ACCIDENT S 500,00 E L.
DISEASE - EA EMPLOYEE 500,00 E L.
DISEASE - POLICY LIMIT 500,000 DESCRIPTION OF
OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarl a Schedule, may be attached If more space Is required) CERTIFICATE HOLDER
CANCELLATION CITYSAN SHOULD
ANY
OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, NOTICE WILL BE DELIVERED IN City Of
Sanford ACCORDANCE WITH
THE POLICY PROVISIONS. PO Box
1788 AUTHORIZED REPRESENTATIVE
Sanford, FL32772ISazlc
01988-2014
ACORD CORPORATION. All rights reserved. ACORD 25 (
2014101) The ACORD name and logo are registered marks of ACORD
FIRETRONICS INC.
t
FIRETRONICS INC. - bAYTONA
FIRETRONIC S EXTINGUISHERS, IN
1035 Pine Hollow Point Dr. Altamonte Springs, FL. 32714 - phone: 407-774-6900 / fax: 407-774-2074
LIMITED POWER OF ATTORNEY
Date: 8/29/2017
I herby name MIKE POPE to be my lawful attorney in fact to act for me and submit/ receive the Fire
Alarm/Burglar Alarm permits for work to be performed at the described location:
110 W 1ST STREET
Address of Job)
CENTER STATE BANK
JOB NAME)
17-1793
PERMIT NUMBER
And to sign my name and do all things
oo
nece_ssato this appointment: Signature
of Certified Contractor)) Robert
W. Parris #EF0000423 Contractor
and License Number) STATE
OF FLORIDA COUNTY OF: SEMINOLE The
foregoing instrument was acknowledged before me this y day of 4u. as l- 2017, by
Robert W. Parris, who is 0 personally know to me or has O produced (type of identi
cation). ' .9 /
4, zlce Signature
of Notary Public, State of Florida (SEAL) Print/
Type/ Stamp Name of Notary Public VERONICA
L BUCNIS rNotary
PublIC . State of Florida sy
Commission / GG 001943 far
My Comm. Expires Oct 14, 2020 t` Bonded through National Notary Assn.