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HomeMy WebLinkAbout2619 Iroquois Ave (a)d CITY OF AUS 13 2" 1 001v ddS S— A r QRD Q*" PERMIT APPLICATION BUILDING DIVISION / Y 3 ^7 Application No: ] Docamented COnstrUCIbn Value: Job Acidness: . n S Historic District: YesO Noo,-' Parcel :10-30.Sex-(- _c> ,-. ` Residential LJ ommertatal TM of Worst: New Addition lion Repair Demo[] Change of Use Move Deudption of Wool: VDU i • -%A F11A tZ. Q c o r u W. vuh Ch S 'C U M. ny tom, \d + r•Stca.5 (5 tacv' k" c..` Flan Review contact Person:pQr Pbone: —qO7- .5C* Z73v : -1 7 - 33t? nalt: ct l A i'Y Gf e3 07 Arrxl' i) • C Property Owner Information Name Cal - O C'I 1\-g \-Q-j'C) PbontL23) - CF$ sU - Ct s ZG Street: Resident of properW : city, state Zip: sa rl cj c -) -- - Contractor Information Name ( i ), P C (__['s Q c S Phone: 4 %-- :G Z lU street: 2-;c7 ()I n 1 ate my r V' c ., 12 e9 Fay L'107- a3 c73JCV,). City, Stale Zip: (.! f Yl(N'f i! t, -7V (,d7 State Loeose No.: C SC) Z S &.a Ardtited/ Englueer Information City, St, Zip: (710I C4.- - Bonding Company: Address: Phone: U G'7-L/S71 X 5 W l Fax: Frmell: l C[1rYtni %7CA nr-) [+EJA Yi(_AS C, c.:nvr kAr-+,cr Sv Mortgage Lender: Address: WARNING TO OWNER YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT III YOUR PAYING TWICE FOR IMPROVEMIM S TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON TIM IOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WffS YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT Apokation b fib/ made to obtain a puma to do die wo* and Installations: as indicated. 1 certify tint oo ev& or invAUadon has cwnmenad prior to the Xmases of a permit and dot au wwt will be performed to meet awAmda of OR Im regdat'mg eoratractloa In lids )odtdlnion. I oaderm xi that a aepanoe permit most be aoemed ford ddad wodr. plwablu& dpt4 Wdlr. Podk hwoacm bolum bodem taolm and ahr owdhioncro, etc 40 FBC 105J 56U be insoibed with the dote of aPPlkailm and the code In eifecr as of that dale 6O FAItlon (2017) Florida Boildlog Code O"E G In addilhm to Om rNuhemeris of this permll. Ihere roayhe additional restrictions appnoMe to this proptrir Opt maybe found in Ore publicrecordsorthiscounty. and Uwm may he additional permits retluiml from older pvcrnmenlal entities suds as water rmaraWw=t districts. &ateallruclaorfcdoalagenda Aacppnce otpermit a v"TxQ un that 1 wM oogy the owner of the Prol cay of the rcquircrorn s of Florida I.Icn law. M. 713. the Coy of swforJ rapira Paymcrrt Ufa plan revinr fce at the time of permit submittal. A oopy of the cmeoted canton 4 roqutred in order 10 calculate a PlanM-lewchargeand%illbeconsideredthee-iuuledconstruction%slimeurthejobatthetimeufsuhmittal.Theonualcvr»trv0 value nd wpl be rtgumlbssed on theeurnmt IOC ValuationTaMe i.t vlfcct at the time the parrnit i, bsuc& is wmrdanoc %ith local tudlaarlrrc. S nun etoo val charges ragmen off the atecuted contract areatnl the actual innsiracdon swluc. credit will be applinf to your Matt, fees alien d1c Permit is issued. OWNER'S AFFI.certify that all of the foregoing information is accu and that all work will bedoneiniffimpliancewithapplicablelawsregulatingmrutructjonqpdzonine 1 31 X Priut Omi ''Ap ' Name Print .crier rrq1u Apcat'c a r IMUM LAM M Si u x jiairb rareI tiRnalurn of \rear".. at i I jl 'r ••'• WN l Al FF 02 EDWARDO Oj as : Notary Public • Stad" L.L1f I, r p(WCommissionp OwneContraclorl ent ' Personally Griowa to Mc or Produi1DproducedlDTypeofillnc"(5 Ucer&t BELOW IS FOR OFFI -F USE ONLY Permits Required: Building Electrical Mechanical Plumbing Gas Roof Construction Type Occupancy Use: Flood Zone: Total Sq Ft of Bldg: Mies. Occupancy Load; + of Stories: New Construction: Electric - s of Amps Plumbing - # of Fixtures Fare Spr WMcr Permit: Yes []NO of Heads Fire Alarm Permit: Yes No APPROVALS: ZONING: o UTILMES: WASTE WATER: ENGINEERING- FIRE: BUILDING°f • [p COMMMS: oft /fcoa .' 0-1.+crior wait w•.aq n Ip(an Grant Maloy. Clerk Of The Circuit Court & Comptroller Seminole County, FL Inst #2018088706 Book:9183 Page:1300; (1 PAGES) RCD: 8162018 8:15:16 AM REC FEE $10.00 SWfb of FkAft com%v df 8•LLIIDOIO F•AdUOtm.r. FIO•dORm! - 20 - ..SC;i -$C:( O DO a 111 1- • 104b, W1t•• Avd 00 - ; I I I I wY DC M8ft to •ssb 1005 ptoetpR tm• 10 •000emm• vat 1 51. M.FkditSamoan. See mE•oio' 1, r aponswdb•iHefted CammreanrL to•d• orsa%I ditp* adNI.l4odLY•tttf0004Eb) off Jt!_ eSi tt. a Jay ME1' Peo•noalO Om dfiaWiO•dm•i• b! Otnfff• •••nldlffm •o0fs •rdLor•eo m•tbmOT !• •w•tl n d• o• 4! Bsd10s7ti171tJ@y Fi•MWt tmOoF P4 m M•eSlm t•1•Imd Ou•eflted0•In d T• MN" & Wff doe UW;;;—ft •a FtodOd b 3mdWnTWSWE(WXb1, Ft"ftWta elphe en Daft dA•Ot•d(baptrmtond0•b/7 dmd smnYm•o••• dWwwndt•Ioop• aiodx H== Z2 M ANY FMTLI[ MM MW By TW OWIIBtN6t 1TM EWMTMOF T1 E NOfl OF ODIAAE7iC77R7tC AR6 00i0DEpEDOW"OpM FAT R3R8 U DM CNM16t Tt& FAIR L• BEMON TWAQ FLDWDA8011JtF9.IM—amItERAT1NTOURVAYQI6TWICEFORWId•[3 OMTOTOUR PROPERTY. A 6E REi;OfMWPMPOSWEDONTMJ0DUmUFFONBTHEPamYOUNORCEOF O® LC WENS TO FNANWgLWMT Wfnl YOUR UDIM OR AN ATTORWEY ggOt WOWCOt TOURHOT= OFCOMMENCEMENT. u d uDflttt• t•ta.dut• aeoSUottA•hW 1nR ibtlod•711g1bT-7 es F•srmiesovO/mo•4bl tllotd416mMt W0: Caoefhet`Q J f. sippopee• WN• y d9d et y •t il^ PiU Mn•bFarmwmmknown tobee 0 b w 0om•rrtr•• ORolsloeP•• oe••1••n WP• df.yy4 EDWAROOOTERO KQWv Public - State 01 V10666 COMMISslon M 66 003479 v Comm. Expires Jun 29. 202 O Q Ili II 1 l III I LOT 21IBLOCK18 Ilt Ili S89055'58"E 130.05' II: jl I fii C 1 Ij o c J ; LOT 20 I o BLOCK 18 N I 8 III c V z iTl I' O I III V iY• < '•11.' I I Vn i((ll 6 J C' I!I Ili I N aarncm w.LL S89 58'29"W 130.07' Il I LOT 19 i'+ ll BLOCK 18 I l f PROPOSED 517E PLAN it lj III s cue wnem u„ftq." s.d"ft 0 n Q LL od CQ C N Q O. W.ebtl'. r n.n • AAAttt a.n a MJsIN0. 1l071j owp. ice.. b.w k 0.d. J..c a.. a.." nn. PROPOSED SITE PLAN SM.1 Nµ A-1 M B PGGGL GGGGGL22 07/02/2018 Scope of Work for Mr. & Mrs. Catherine Pinero property located at 2619 Iroquois Ave Sanford, FL. Contractor shall provide supervision, project plan & management, material, supplies, tools, equipment, skilled and unskilled labor, permits if applicable) and inspections, transportation, waste removal, and all other services needed to complete the Work List, shown below Insurance, Warranty, Indemnification. Damages Representation Contractor shall maintain required insurances including liability and workers compensation or workers compensation exemption certificate. Contractor shall ensure that 3rd party subcontractors have valid liability and workers compensation or workers compensation exemption certificate Contractor shall provide 12 months warranty for workmanship. Warranty of material suppliers shall apply for defects in materials Contractor shall indemnify Customer and hold -harmless against any and all liability claims arising from this project Contractor shall repair, at Contractors sole expense, any damage caused by the Contractor to Customer's property in the course of completing this project Clean Uu Contractor shall ensure daily clean up and remove all waste from customer site. To avoid doubt, contractor shall not rely on Customers municipal waste pick up at site for removal of any waste refuse material. 500 Winderley Place Maitland FL 32751 Suite 100 Ph. 407.330.2360 Fx 407.330.2362 Cell 407.509.2734 Email info@meccabuilders.com www.meccabuilders. com CBC# 1255582 State Licensed and Insured 6 M6 eccaL 04 uda&'Z44 PROJECT SCOPE: Complete the renovation of an existing room into the new master bedroom, and renovate existing laundry room into master bathroom, with a walk-in master closet. Supply all engineering and permitting. Demo existing room exterior wall and rebuild as CMV. Refrome wall with current bath, and dividing wall between Existing room and laundry room with 2 pocket doors. Supply and install 3 new Low-E windows. Supply and install new trim in new master bed and bath. Supply and install Gerber elongated toilet or customer to choose his/her own with $140 allowance. Supply and install new vanity customer to choose from builders list or 300 allowance. Supply, install, finish, and paint all drywall in project scope area. Supply and install new pre -hung door between kitchen and existing room. Build new Shower inside laundry room. Supply and install new shower pan with marble curb Supply Moen EVA Chrome shower valve and trim. Move existing plumbing to accommodate new shower, toilet, and sink. Supply and install new flooring for Master bedroom, and bath. Install new tankless water heater (Provided by Homeowner) Supply and install lift station to accommodate new bathroom area Please note, if lift station deemed unnecessary by FL. State Licensed 500 Winderley Place Maitland Fl. 32751 Suite 100 Ph. 407.330.2360 Fx 407.330.2362 Cell 407.509.2734 Email info@meccabuilders.com www.meccabuilders.com CBC# 1255582 State Licensed and Insured 6P MB 2GGGL GGGGGL228 and insured plumber a $1000 Credit will be issued) Supply and install new washer/dryer hook-up to walk in closet Run existing HVAC vent into bathroom Please NOTE this bid does not include any unforeseen conditions, such as termite, rot, or any other previous damage. This agreement is subject to revision or withdrawal by MECCA BUILDERS LLC until signed and accepted by Client and executed by an Officer of MECCA BUILDERS LLC. This is the complete agreement between the two parties. No prior of contemporaneous oral agreements, and no other written agreements, except as listed above, shall be binding. The undersigned hereby accepts this Agreement and agrees to be legally bound by all the terms and conditions set forth on the terms and conditions page. This Agreement shall be governed in accordance with the laws of the state of Florida. Any action arising under this Agreement shall be brought in the County where MECCA BUILDERS LLCs principle office is located. TOTAL HOME INVESTMENT..............................................................................$3-24,297= a4w_' July 2, 2018 Catherine Pinero DATE 07/02/2018 ALI ASMAR (Managing Members of Mecca Builders LLC) DATE 500 Winderley Place Maitland FL 32751 Suite 100 Ph. 407.330.2360 Fx 407.330.2362 Cell 407.509.2734 Email info@ieccabuilders.com www.meccabuilders. com CBC# 1255582 State Licensed and Insured M B c GGGL GGGGGL22 DRAW SCHEDULE: 20% Contract signed 40% Demo completion 15% Walls 15% Drywall 10% Final Inspection 500 Winderley Place Maitland Fl. 32751 Suite 100 Ph. 407.330.2360 Fx 407.330.2362 Cell 407.509.2734 Email info@meccabuilders.com www.meccabuilders.com CBC# 1255582 State Licensed and Insured 6P MB LAST PAGE LEFT BLANK INTENTIONALLY (END) 500 Winderley Place Maitland Fl. 32751 Suite 100 Ph. 407.330.2360 Fx 407.330.2362 Cell 407.509.2734 Email info@meccabuilden.com CBC# 1255582 State Licensed and Insured 6 JIMMY PATRONIS 8 CHIEF FINANICAL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW' • CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. EFFECTIVE DATE: 11/12/2017 PERSON: ASMAR FEIN: 203542386 BUSINESS NAME AND ADDRESS: MECCA BUILDERS LLC 250 OLD LAKE MARY RD LAKE MARY FL SCOPE OF BUSINESS OR TRADE: Licensed Building Contractor 32746 EXPIRATION DATE: 11/12/2019 ALI IMPORTANT: Pursuant to Chapter 440.05(14), F.S., an officer of a corporation who elects exemption from this chapter by riling a certificate of election underthissectionmaynotrecoverbenefitsorcompensationunderthischapter. Pursuant to Chapter 440.05(12), F.S., Certificates of election to be exempt.. applyonlywithinthescopeofthebusinessortradelistedonthenoticeofelectiontobeexempt. Pursuant to Chapter 440.05(13), F.S., Notices of election to beexemptandcertificatesofelectiontobeexemptshallbesubjecttorevocationif, at any time after the filing of the notice or the issuance of the certificate, thepersonnamedonthenoticeorcertificatenolongermeetsOrerequirementsofthissectionforissuanceofacertificate. The department shag revoke acertificateatanytimeforFailureofthepersonnamedonthecertificatetomeettherequirementsofthisseWon. DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13 QUESTIONS? (850)413-1609 RICK SCOTT, GOVERNOR JONATHAN ZACHEM, SECRETARY Florida ar o STATE OF FLORIDA DEPARTMENT OF BUSINESS.-AND=PROFESSIONAL REGULATION CO THE BUILDI EXPIRATIONtD'ATE'tAUGUST 31, 2020 BOARD UNDER THE Always verify licenses online at MyFloridaLicense.com Do not alter this document in any form. This is your license. It is unlawful for anyone other than the licensee to use this document. A V CERTIFICATE OF LIABILITY INSURANCE DATE(M32DIYYYY) os/z3/2o16 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(les) 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 CONTACTNAME: Marcie IGrkland The Page Agency ATONE Eat : (386) 734-9642 AIC No : (386) 734-6701 ADDRESS: mkirkland@pagelnsuranceagenry.comPOBox1209 INSURER(S) AFFORDING COVERAGE NAIC 0500ENewYorkAve INSURER A : Southern Owners Insurance Company (A++) 10190DelandFL32721-1209 INSURED INSURER B : Owners Insurance Company (A++) 32700 INSURER C : Mecca Builders Llc INSURER D : 250 Old Lake Mary Rd INSURER E : INSURER F : Lake Mary FL 32746-3001 COVERAGES CERTIFICATE NUMBER- Master 18 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. ILTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMIDD EF MMIDCDrYYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 CLAIMS -MADE ® OCCUR PREMISES Es occurrence S 300,000 MED EXP (Any one ) 10,000 PERSONAL a ADV INJURY 1,000,000A721346610618/2018 OW18/2019 GEN'LAGGREGATE UMITAPPLIES PER, GENERAL AGGREGATE S 2,000,000 POLICY ECT LOC PRODUCTS-COMPIOPAGG S 2,000,000 SOTHER: AUTOMOBILE LIABILITY COMBIN ED SINGLE LIMITEaBIN s 1,000,000 BODILY INJURY (Per person) ANY AUTO B OWNED SCHEDULED AUTOS ONLY ! AUTOS 4913466100 03/21/2018 OW21/2019 BODILY INJURY (Per accident) S PROPERTY DAMAGE Per acddenr sHIREDvNON -OWNED AUTOS ONLY X AUTOS ONLY UMBRELLA UAB OCCUR EACH OCCURRENCE SHCLAIMS-MADE AGGREGATE SEXCESSUAB DED I I RETENTION S S WORKERS COMPENSATION AND EMPLOYERS' LIABILITY y I N I PER OTH- STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED?El NIA E.L. EACH ACCIDENT S Mandatory,. NH) E.L DISEASE - EA EMPLOYEE S It yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT S DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached It more space Is required) CFRTIFICATF 14OLDFR CANCELLATION 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. 300 N. Park Ave AUTHORIZED REPRESENTATIVE Sanford FL 32771 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD 1 Propedy Record CardCIA lrfipulk Parcel: 01-20-30-504-1800-0200 erronoowncsaaeor Property Address: 2619 IROOUOIS AVE SANFORD, FL 32773.5014 Parcel lnformul lon Parcel 01-20.31)Z64-18004200 Owner(s) PINERO, CATHERINE A Property Address 2619 IROQUOIS AVE SANFORD, FL 32773-5014 Mailing 26191R000OIS AVE SANFORD, FL 327735017 Subdivision, Name DREAMWOLD Talc District S7-SANFORD DOR Use Code 01-SINGLE FAMILY Exemptions 00-HOMESTEAO(2016) O Seminole County GIS 1 Legal Description LOT 20 BLK 18 DREAMWOLD PB 3 PG 90 Tsvm i Value Summary 2018 Working Vakms 2017 CetiRed Valdes Valuation Method j Cowmarket Cosllmww Number of Buildings 1 1 Depreciated Bldg Value 341,503 228228 Depredated EXFT Value i200 LS200 Land Value (Market) 1520.000 1 312,0W Land Value Ag Just/Market Value " _ J 561,703 U8,428 Portability Ad) Save Our Homes Adj 14,631 2.324 Amendment 1 Ad) s0 P&G Ad) 0 ISO Assessed Value 47,072 130,104 Tax Amount without SOH: $446.00 2017 Tax Bill Amount $401.00 Tex Estimator Save Our Hanes Savings: $45.00 Does NOT INCLUDE Non Ad Valorem Assessments Taxing Authority Assessment Value I Exempt Values Taxable Value County General Fund 47.072 I 25,000 1 22,072 Schools 47.072 s25.000 , 22,072 City Sardord 47,0721 525_00D 522.072 SJWM(Saint Johns Water Management) s47,072 25,000 I 22,072 County Bonds 47,072 25,000 ; 22,072 Building InformatJon Is Red/Rath count incorrect? Click Here. 0 Desaiptlon a Buifeovva Fixtures Bed Bath Base Area Total SF Living SF Ext Wall Adj Value Rapt Value Appendages 1 SINGLE FAMILY 1954 3 I j 1,g I 700 1,1761 1,108 BRICK I $41,503 FRAMING ST7, 214DeWpUon Area ItmLITY ( 40.00 iIIFINISHEDBASE 599.00 BASE 209.00 OPEN PORCH 28.00 IFINISHEDPermll 0 Desviplion AgeM Amount CO Data Permit Date 00452 1 REROOF WISHINGLES SANFORD 1 $3.680 imer2008 00449 I CHANGEOUTAIC EQUIPMENT 1 SANFORD i3,238 11I10I2006 01772 REROOF SHINGLES SANFORD 1,2001 141111997 P~ dMdM no Wkbwft .VW8 m•OO CwOtiaA4APPWmft ad Fs dnm W MWWWsemmmn-.11-,,pmwamOct Or bAW4 ObnmCcogn Ya W Extra Features DwWption Year Built Units Value New Cost SHED - NO VALUE 5/1/1980 1 1 i0' CARPORT 1 5/7/1880 1 - i200T 5500 SEA4INOLE COUNTY MOLT/ /URI5DICTIOAUIL LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs 14Date: l '0 `` n 1 hereby name and Int ca an agent of to be my lawful attorney -in -fact to act for me to apply for, receipt for, sign for and do all things necessary to this appointment for (check only one option): All permits and applications submitted by this contractor. r The specific permit and application for work located at Street AMMU) Expiration Date for This Limited Power of Attorney: License Holder Name: 1- State License Number. O— Signature of License Holder. STATE OF FLORIDA COUNTY OF ,Om 1 K da f acknowledged before me this Y ofTheforegoinginstrumentwas who is personalty known to me or 20 \ S by (.U l who has produ as identification and who did (did n 1) to a an oath. c gn m of ry roan m type tamn nam, Notary Public - State of C LAIRM Commission No. `'( qZ1 3C1 ron a rr OOM E7 IFS 9afti a2M9 My Commission Expires: RICK SCOTT, GOVERNOR JONATHAN ZACHEM, SECRETARY Florida ar STATE OF FLORIDA DEPARTMENT OF BUSINESSTAND:PROFESSIONAL REGULATION CONSTRU THE BUI EXPIRgTIONcD`ATE'•.'A WV 31, 2020 BOARD UNDER THE Always verify licenses online at MyFloridal-icense.com Do not alter this document in any form. q This is your license. It is unlawful for anyone other than the licensee to use this document. A` oCERTIFICATE OF LIABILITY INSURANCE DATE( M12018 Y) 05/ 23/2018® 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 NAME: Marcie Kirkland The Page Agency PHONE cExit: (386) 734-9642 FAX No : (386) 734-6701 E- MAIL mkirkland@pageinsuranceagency.com ADDRESS: POBox1209INSURE S AFFORDING COVERAGE NAIC N 500ENewYorkAveINSURERA: Southern Owners Insurance Company (A++) 10190 DelandFL32721-1209 INSURED INSURER B : Owners Insurance Company (A++) 32700 INSURER C : MeccaBuildersLIcINSURER D : 250OldlakeMaryRdINSURER E : INSURER F : LakeMaryFL32746-3001 COVERAGES CERTIFICATE NUMBER: Master 18 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. I TR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMIO FY) IMMIDD1YYM LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 CLAIMS -MADE ® OCCUR DAMAGE TO KLNI LIT- PREMISES Ea occurrence 300.000 MED EXP ( Any one person) 10,000 A 72134661 06/18/2018 06/18/2019 PERSONAL 9 ADV INJURY 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE 2,000,000 PRODUCTS -COMPiOPAGG s 2.000,000 X POLICYJECTLOCiOTHER. AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident 1,000, 000 BODILY INJURY ( Per person) i ANY AUTOBODILYINJURY ( Per accident) g OWNEDSCHEDULEDAUTOSONLY AUTOS HIRED NON - OWNED X AUTOSONLYALTOSONLY491346610003/ 21/2018 03/21/2019 PROPERTY DAMAGE Per accident s 0 UMBRELLAUAB OCCUR EACH OCCURRENCEF S AGGREGATE i EXCESS LIARIdCLAIMS -MADE 4DED IRETENTIONSWORKERSCOMPENSATIONSTATUTE EH R E.L. EACH ACCIDENT AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETORWARTNER/EXECUTIVE r--1 E.L. DISEASE - FA EMPLOYEE OFFICERIMEMBER EXCLUDED? MandatoryInNH) N I A E.L. DISEASE - POLICY LIMIT S It yes, describeunderDESCRIPTIONOFOPERATIONS below L I— DESCRIPTION OFOPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarlo Selredul% may be attached 11 mom space Is required) 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. 300 N. Park Ave AUTHORIZED REPRESENTATIVE Sanford FL 32771 ? 17r. 01988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/ 03) The ACORD name and logo are registered marks of ACORD JIMMY PATRONIS Owe. CHIEF FINANICAL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW * * CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. EFFECTIVE DATE: 11/12/2017 PERSON: ASMAR FEIN: 203542386 BUSINESS NAME AND ADDRESS: MECCA BUILDERS LLC 250 OLD LAKE MARY RD LAKE MARY FL SCOPE OF BUSINESS OR TRADE: Ucensed Building Contractor 32746 EXPIRATION DATE: 11/12/2019 ALI IMPORTANT: Pursuant to Chapter 440.05(14), F.S., an officer or a corporation who elects exemption from this chapter by riling a certificate of election under this section may not recover benefits or compensation under this chapter. Pursuant to Chapter 440.05(12), F.S., Certificates of election to be exempL.. apply only within the scope of the business or trade listed on the notice of election to be exempt. Pursuant to Chapter 440.05(13), F.S.. Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation if, at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the person named on the certificate to meet the requirements of this section. DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13 QUESTIONS? (850)413-1609 R EQUMEDD INSPECTION' SEQUENCE i BvfltD ilk o PE11$liQ T Minn max Ins ecdom Descril2fiDn. Footer / Setback S-iemwall Foundation / Form Board. Survey Slab /'Mono Slab. Pre our D Lintel / Tie Beam / Fill / Down Cell Sheathing — Walls- Sheathing— Roof - Roof Dry In Frame Insulation Rough In Firewall Screw Pattern Drywall / Sheetrock Lath Ins ection Final Solar Final Roof,. Final Stucco / ,Siding Insulation Final Final Utility Building Final Door ZD Final Window Final Screen.Room Final. Pool Screen Enclosure Mobile Home Buildin Final Pre -Demo Final Demo Final Single Famil' Residence Final Building Other Address! c'I CT tA4 0_]P',IE RQLT ' min max IIns ec4i®® Description Elect& Underground Footer / Slab Steel Bond Electric Rough T.U.G. Pre -Power Final Electric Final 31i, ITS gr . r. tndi1.' 1n i m IU r is r in s.=+. tqmdjia_g GTw Rough R EWS]EIlD: June 2014 52' MAX. FRAME WIDTH I J- 4' MAX. I ANCHORS TO BE EQUALLY SPACED, SEE 0 ANCHOR. CHART SHEET 1 FOR UNIT SIZE AND ANCHOR QUANTITY O MAX FRAME HEIGHT X MAX I I 7- I SERIES 3540 FINLESS PVC SINGLE HUNG WINDOW EXTERIOR VIEW DESIGN PRESSURE RATING IMPACT RATING 25PSF NONE Number of anchors required of each jamb He10hl in) Panel width (in) 24.0 30.0 36.0 I 42.o 46.0 SZ13 24.0 2 2 2 1 2 2 2 30.0 2 2 2 2 2 2 36.0 3 3 3 3 3 3 42.0 3 3 3 3 3 3 46.0 3 3 3 3 3 3 54.0 3 3 3 3 3 3 60.0 4 4 4 4 4 4 66.0 4 4 4 4 4 d 72.0 4 1 4 4 4 1 76.0 4 4 4 4 64.0 5 5 5 5 5 5 DESLINMOr DATE I I -PROVED NOTES. 1) THE PRODUCT SHOWN HEREIN IS DESIGNED AND MANUFACTURED 10 COMPLY WITH REQUIREMENTS OF THE FLORIDA BUILDING CODE. 2) WOOD FRAMING AND MASONRY OPENING TO 3E DESIGNED AND ANCHORED TO PROPERLY TRANSFER ALL LOADS TO STRUCTURE. FRAMING AND MASONRY 41 OPENING IS THE RESPONSIBILITY OF THE ARCHITECT OR ENGINEER OF RECORD. 3) IX BUCK OVER MASONRY/CONCRETE IS OPTIONA_. WHERE IX BUCK IS NOT USED C2 `6 U0 DISSIMILAR MATERIALS MUST BE SEPARATED WITH APPROVED COATING OR io MEMBRANE. SELECTION OF COATING OR MEMBRANE IS 111E RESPONSIBILITY OF 9 0 j . 1HE ARCHITECT OR ENGINEER OF RECORD. 7EL 4) Q ALLOWABLE STRESS INCREASE OF 1/3 WAS NOI USED IN THE DESIGN OF THE Q to) PRODUCT SiiOWN HEREIN WIND LOAD DURATION FAC1OR Cd=1.6 WAS USED FOR G WOOD ANCHOR CALCULATIONS. y g) FRAME MATERIAL: EXTRUDED RIGID PVC. cc 6) SASH UNITS MUST BE REINFORCED WITH GVL-451-020 STEEL REINFORCEMENT. MEETING RAILS MUST BE REINFORCED WITH RF-104S-020 STEEL REINFORCEMENT. 7) UNITS MUST BE GLAZED PER ASTM Ei300-04 8) APPROVED IMPACT PROTECTIVE SYSTEM IS REQUIRED FOR THIS PRODUCT IN WIND BORNE DEBRIS REGIONS. 9) SHIM AS REQUIRED AT EACH INSTALLATION ANCHOR WITH LOAD BEARING SHIM. SHIM WHERE SPACE OF 1/16" OR GREATER OCCURS. MAXIMUM ALLOWABLE SHIM STACK TO BE 1/4'. 10) FOR ANCHORING INTO MASONRY/CONCRETE USE 3/16" ITW TAPCONS WITH SUFFICIENf LENGTH 10 ACHIEVE A 1 1/4" MINIMUM EMBEDMENT INTO SUBSTRATE WITH 2 5/8" MINIMUM EDGE DISTANCE. LOCATE ANCHORS AS SHOWN IN ELEVATIONS AND INSTALLA71ICN DETAILS. II)FOR ANCHORING INTO WOO:) FRAMING OR 2X BUCK USE q6 WOOD SCREW WITH SUFFICIENT LENGTH TO ACHIEVE A 1 3/16" MINIMUM EMBEDMENT INTO SUBSTRATE. LOCATE ANCHCRS AS SHOWN IN ELEVATIONS AND INSTALLATION DETAILS. 12) ALL FASTENERS TO BE CORROSION RESISTANT. 13) INSTALLATION ANCHORS SHALL BE INSTALLED IN ACCORDANCE WITH ANCHOR MANUFACTURER'S INSTALLATION INSTRUCTIONS, AND ANCHORS SHALL NOT BE USED IN SUBSTRATES WITH STRENGTHS LESS THAN THE MINIMUM STRENGTH SPECIFIED BELOW - A. WOOD - MINIMUM SPECIFIC GRAVITY OF G=0 42 B. CONCRETE - MINIMUM COMPRESSIVE STRENGTH OF 3,192 PSI C MASONRY - STRENGTH CONFORMANCE TO ASTM C-90, GRADE N, TYPE 1 (OR GREATER). TABLE OF CONTENTS SHEET NO. DESCRIPTION ELEVATIONS. ANCHORING LAYOUTS AND NOTES 2 - 3 INSTALLATION DETAILS r SIGNED. 0412412012 DOORSMIWINDOWSIwDOWESTMARKETNDNSA GRANTZ, PA 17030-0370 J*51REIL09-'% r,• G ,d+ z: 5511 0SERIES3540FINLESSPVCSINGLEHUNGWINDOWSTEEL REINFORCED - NON -IMPACT 52" X 84" ELEVATION, ANCHORING LAYOUT AND NOTES cBr+= TAT OF E HOC•• nFS:°[ OR10v; G`•` DRAWN. DNC NO. RLV V. L. 08-01514 i,_S/n.,,, Fl,_• NTS ID"' 04/09/12 IS" 1 OF 3 RYSAiNS I RN I DESCPIPnON I Cott I-PPP.DVM 2X BLCK/WOOD FRAMING BY OTHERS. 2X BUCK TO BE PROPERLY SECURED FLANGE TO BE I SET IN BED O D 114" MAX. J 1 3/16, MN 1/4" MAX. APPROVED SEALANT SHIM EMBEDMENT SHIM HEAD -0 BE SET IN A BED OF .APPROVED #8 WOOD SCREW CONSTRUCIION SELANT INTERIOR 2X BUCK/WOOD FRAMING 2X BUCK TO EXTERIOR INTERIOR B BE TPROPERLY SECURED CID[1 EXTERIOR FLANGE TO BE SET IN BED OF SILL TO BE SET IN APPROVED SEALANT HORIZONTAL CROSS SECTION BED OF APPROVED 2X BUCIOWOOD FRAMING INSTALLATIONCONSTRUCTIONADHESIVE o Q FLANGE TO BE 1/4' MAX. SET IN BED OF o[e r SHIM APPROVED SEALANT NOTE, INTERIOR AND EXTERIOR FINISHES. 13Y OTHERS. NOT SHOWN FOR CLARITY. MI WINDOWS AND DOORS2XBUCK/WOODC/WOOD FRAMING VERTICAL CROSS SECTION 650 WEST MARKET STREET 0%IIIIIIII/I S R'. L 0BtiOTHERS. 2X 3UCK TO BE PROPERLY SECURED 2XBUCIOWOODFRAMING INSTALLATION GRANTZ. PA 17030-0370 DENS'=9+ SERIES 3540 FINLESS PVC SINGLE HUNG WINDOW 05 1 = STEEL REINFORCED - NON -IMPACT 52" X 84" k o L `, INSTALLATION DETAILS i7A TAT OF auwv. 0ae NO.. Pb i/'S'c[ORIOt: GO ISCALEV.L. O8 0151 a wre NTS04/09/12 2 OF 3 0 MASONRY/CONCRETE BY OTHERS OPTIONAL IX BUCK BY OTHERS, 1X BUCK TO BE PROPERLY SECURED. SEE NOTE 3 SHEET 1 FLANGE TO BE SET IN BED OF APPROVED SEALANT EXTERIOR FLANGE TO 3E SEI IN BED OF APPROVED SEALANT OPTIONAL 1X BUCK BY OTHERS, iX BUCK TO BE PROPERLY SECURED. SEE NOTE 3 SHEET i I1 1/4- MAX SHIN, HEAD TO BE SET IN A BED OF APPROVED CONSTRUCTION SEALANT INTERIOR SILL TO 3E SET IN BED OF APPROVED CONSTRUCTION ADHESIVE 1/4' MAX. r SHIM VERTICAL CROSS SECTION MASONRYACONCRETE INSTALLATION EVISIDNS IREVDESERT-IION I DATE I APPROVED 1 1/4' MIN J _ 114" MAX EMBEDMENT 1 Sh1M MASONRY/CONCRETE 3/16- TAPCOW BY OTHERS INTERIOR 0 2 5/8D MIN. LIDEDGEDIST. L O OPTIONAL 1X BUCK BY EXTERIOR OTHERS, 1X BUCK TO BE FLANGE TO BEPROPERLYSECURED. SEE NOTE 3 SHEET i SET IN BED OF APPROVED SEALANT HORIZONTAL CROSS SECTION M4SONRY1CONCRETE INSTALLATION MASONRY/CONCRETE NOTE: INTERIOR AND EXTERIOR FINISHES, BY OTHERS. BY OTHERS NOT SHOWN FOR CLARITY. MIWINDOWSIWAND D DOORSMARKET 65EST REGRANTZ, PA 1703D-0370 GEN6... SERIES 3540 FINLESS PVC SINGLE HUNG WINDOW o 61 += STEEL REINFORCED - NON -IMPACT 52" X 84" o, S` INSTALLATION DETAILS 13 TATOFi` F•'r[QR101;• v Drum DWG NOR11080111AI11aG`\` O`er NTS D04/09/12 so E5340F 3 r Jose Campuzano, Structural Engineer P.E. 1103 Aaron Drive, Dcltona FL 32725 C: 407456-5581 campuzanoCaabacusconstructionsvcs.com Ali Asmar 2619 Iroquois Ave Sanford, FL 32771 Phone: 407-509-2734 Email: aliCa.meeccabuilders.com Reference Property: 26191roquois Ave, Sanford FL 32771 Site Visit and Draft Report by: Jose A. Campuzano Report for Site Visit on: 12/30/2018 Mr. Asmar: O1/4/2019 As requested, on December 30, 2018, Jose A. Campuzano P.E. performed a limited visual evaluation of the above referenced property. The purpose of the site visit to the referenced property above was to assess the existing conditions on a as built reparation in progress and prepare a report with recommendations for Mr. Ali Asmar request. Backaround The property is a 1 story building with Housing Occupancy which is a construction in progress. We made visual observations of the above referenced property. Our observation was limited to the review of the as - built conditions of the existing Simpson straps installed to support existing Gable End roof system structure and concrete lintel on window opening Installed. The project is currently under construction. We were asked to perform the structural stability on straps system built supporting the Gable End Roof system and Rebar installed on Lintel by the contractor in the reparation on progress to ensure there is not issues with it stability. Findines IFI and Recommendations 1111: The following is a list of our findings and recommendations: F1. The design initially approved in concrete wall and Gable End roof system is according with the plans approved by city of Sanford. F2. The rebar installed on Lintel and dowels is #5 according with the plans approved (Picture #2 and #3) F3. The attachment Simpson straps installed on Gable End reparation and wood members used are according the plans approved (Picture #1) 1 Jose Campuzano, Structural Engineer P.E. 1103 Aaron Drive, Deltona FL 32725 C: 407-456-5581 A cCu s j.campuzano(a,abacusconstructionsvcs.com Picture #1 Picture #2 Picture #3 Rl. The Simpson connections straps and rebar on precast lintel and dowels installed by the contractor after check the plans approved meets the FBC 2017 6`h Edition regulations. Conclusions After my personal inspection, the Roof system a both rebar and Simpson straps are structurally stable to continue with the construction progress at the house project. Under these circumstances, I recommend that this letter -report fulfills the requirements to pass the inspection for this stage of construction. Please let us know if you have any questions or require additional assistance. P: A4,6 2= No. 77575 j- STATE OF Si'OR I OP=• ONAL Jose Campuzano, RE FL license #77575