HomeMy WebLinkAbout2619 Iroquois Ave (a)d
CITY OF
AUS 13 2" 1
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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
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Priut Omi ''Ap ' Name
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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,
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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
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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
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LIMIT Ea accident
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Per accident) g OWNEDSCHEDULEDAUTOSONLY
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21/2018 03/21/2019 PROPERTY DAMAGE
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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