HomeMy WebLinkAbout413 W 1 St #17-2618; INTERIOR RENOVATIONSo0 CITY OF SANFORD
AUG 2BUILDING & FIRE PREVENTION PERMIT
APPLICATION Application
No: Job
Address: 413 W. 1ST ST Parcel
ID: 25-19-30-5AG-0307-0040 Documented
Construction Value: $ 7 3; g / , ft-1`14 V Historic
District: Yes No Residential
Commercial Type
of Work: New 1 Addition ® Alteration Repair Demo Change of Use Move Description
of Work: ( INTERIOR RENOVATII Plan
Review Contact Person: Phone:
407-366-1564 STEPHEN
HAYES / ROXIE DEHNERT Title: PROJECT MANAGER M
Fax:
407-366-3835 Email: cwhayes@cwhayesconstruction.com Property
Owner Information Name
YOUNGBLOOD
THOMAS A TR FBO Phone: Street:
1821 MISSOURI AVE Resident of property? : NO City,
State Zip: SANFORD,
FL 32771 Contractor
Information Namc
CW HAYES CONSTRUCTION COMPANY Phone: 407-366-1564 Street:
821 EXECUTIVE DR Fax: 407-366-3835 City,
State Zip OVIEDO,
FL 32765 State License No.: CGC034855 Architect/
Engineer Information Name:
Phone: Street:
Fax: City,
St, Zip: E-mail: j
Bonding Company: N/A 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. I.
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 L_ / 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 compliance with all applicable laws regulating construction and zoning.
7-- s/z 5 i 7
Signature o r/Agent Date
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Produced ID Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building Electrical Mechanical Plumbing Gas[] Roof
Construction Type: Occupancy Use:
Total Sq Ft of Bldg: Min. Occupancy Load:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes No
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
of Heads
UTILITIES:
FIRE:
Flood Zone:
of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING: -21(
Revised: June 30, 2015 Permit Application
COUNTY OF SEMINOLE
IMPACT FEE STATEMENT
7-fib /
I gal'& qg
STATEMENT NUMBER: 17100006
BUILDING APPLICATION #: 17-10000618
BUILDING PERMIT NUMBER: 17-10000618
UNIT ADDRESS: W 1ST ST 413
TRAFFIC ZONE:022 JURISDICTION:
SEC: TWP: RNG: SUF:
SUBDIVISION:
PLAT BOOK: PLAT BOOK PAGE:
OWNER NAME:
ADDRESS:
DATE: August 30, 2017
25-19-30-5AG-5AG-0307-0040
PARCEL:
BLOCK:
TRACT:
LOT:
APPLICANT NAME: CITIZENS BANK OF FLORIDA
ADDRESS: 156 GENEVA DR. OVIEDO FL 32765
LAND USE: INTERIOR REMODEL
TYPE USE:
WORK DESCRIPTION: CITY-SANFORD
SPECIAL NOTES: 413 W 1ST ST / INTERIOR REMODEL OF
EXISTING BANK FOR CITIZENS BANK OF FL
FEE BENEFIT RATE UNIT CALL UNIT TOTAL DUE
TYPE DIST SCHED RATE UNITS TYPE
ROADS-ARTERIALS N/A
00
ROADS -COLLECTORS N/A
00
FIRE RESCUE N/A
00
LIBRARY N/A
00
SCHOOLS N/A
00
PARKS N/A
00
LAW ENFORCE N/A
00
DRAINAGE N/A
i'
a 0 0AMOUNTDUE
RECEIVEDTBY: SIGNATURE:
LEASE PRINT E)
DATE:
NOTE TO RECEIVING SIGNATORY/APPLICANT: FAILURE TO NOTIFY OWNER AND
ENSURE TIMELY PAYMENT MAY RESULT IN YOUR LIABILITY FOR THE FEE. ***
DISTRIBUTION: 1-BLDG DEPT 3-APPLICANT
2-FINANCE 4-LAND MANAGEMENT
NOTE**
PERSONS ARE ADVISED THAT THIS IS A STATEMENT OF FEES DUE UNDER THE
SEMINOLE COUNTY ROAD FIRE/RESCUE, LIBRARY AND/OR EDUCATIONAL
ISSUANCE OF A BUILDING PERMIT.
PERSONS ARE ALSO ADVISED THAT ANY RIGHTS OF THE APPLICANT, OR OWNER,
TO APPEAL THE CALCULATION OF ANY OF THE ABOVE MENTIONED IMPACT FEES
MUST BE EXERCISED BY FILING A WRITTEN REQUEST WITHIN 45 CALENDAR
DAYS OF THE RECEIVING SIGNATURE DATE ABOVE BUT NOT LATER THAN
CERTIFICATE OF OCCUPANCY OR OCCUPANCY. TH REQUEST FOR REVIEW
MUST MEET THE REQUIREMENTS OF THE COUNTY LAND DEVELOPMENT CODE.
COPIES OF RULES GOVERNING APPEALS MAY BE PICKED UP OR REQUESTED,
FROM THE PLAN IMPLEMENTATION OFFICE: 1101 EAST FIR T STREET,
SANFORD FL; 32771; 407-665-7356.
PAYMENT SHOULD BE MADE TO: SEMINOLE COUNTY OR CITY OF SANFORD
BUILDING DEPARTMENT
1101 EAST FIRST STREET
SANFORD, FL 32771
PAYMENT SHOULD BE BY CHECK OR MONEY ORDER AND SHOULD REFERENCE
THE COUNTY BUILDING PERMIT NUMBER AT THE iOP LEFT OF THIS STATEMENT.
THIS STATEMENT IS NO LONGER VALID IF A BUILDING PERMIT IS NOT***
ISSUED WITHIN 60 CALENDAR DAYS OF THE RECEIVING SIGNATURE DATE ABOVE
DETAIL OF CALCULATION AVAILABLE UPON REQUEST. CALL 407-665-7356.
r'a
ti`4 IS79
Job Address: 413 W. 1ST ST
O
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: / `% - a7- (p / e
Documented Construction Value: S 75,897
ParcelHistoric District: Yes No El ID:25-19-30-5AG-0307-0040 _ Residential
Commercial TypeofWork: New El Addition IN Alteration Repair Demo Chan e f U DescriptionofWork: A' g
o se Move Plan
Review Contact Person: STEPHEN HAYES / ROXIE DEHNERT Title:
PROJECT MANAGER / Phone:407-366-1564 Fax: 407-366-3835 M Email: cwhayes@cwhayesconstruction.com Name
YOUNGBLOOD THOMAS AT R Property
Owner Information Street:
1821 MISS 0URI AVE Phone:
City,
State Zip: SANFORD, FL 32771 Resident of property? NO Contractor
Information Name
CW HAYES.; CONSTRUCTION COMPANY Street:
821 EXECUTIVE DR Phone:
407-366-1564 City,
State Zip: OVIEDO, FL 32765 Fax:
407-366-3835 State
License No.: CGC034855 Name:
Street:
City,
St, Zip: Bonding
Company: N/A Address:
Architect/
Engineer Information Phone:
Fax:
E-
mail: Mortgage
Lender: Address:
WARNING
TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY REULT IN YOUR PAYINGTWICEFORIMPROVEMENTSTOYOURPROPERTY. A NOTICE OF COMMENCEMENT MUST BE S
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 commencedpriortotheissuanceofapermitandthatallworkwillbeperformedtomeetstandardsofalllawsregulatingconstructionirithisjurisdiction. I understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and air conditioners, etc. F13C
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 compliance with all applicable laws regulating construction and zoning.
Signature o r/Age t Date
REt,t;P_Y
Print O%vner/Agent's Name
Signature of Notary -State of Florida Date
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ate of Florida
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Produced ID -/_ Type of ID N A
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ignature of Notary -State of Florida
Pub Notary Public StatR lodda
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957593MyCommissionFF
fort F rs.0310512020
Coma 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
APPROVALS: ZONING:
ENGINEERING:
i1 1_01Wf1i1.
Flood Zone:
of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes No
UTILITIES: & g'WASTE WATER:
FIRE: BUILDING:
Revised: June 30, 2015 Permit Application
AUG 2
r 51':_
Y
Job Address: 413 W. 1ST ST
I ^ Qe00- t °
CITY
OF SANFORD BUILDING &
FIRE PREVENTION PERMIT
APPLICATION Application
No: / `% - o7. (p / P Documented
Construction Value: $ 75,897 Parcel
ID: 25-19-30-5AG-030770040 - _ Historic District: Yes No _ El Residential
Commercial TypeofWork: New Addition ® Alteration 11
Repair
Demo Change of Use Move DescriptionofWork: INTERIOR RENOVATIONIA>,T Plan
Review Contact Person: STEPHEN HAYES / ROME DEHNERT Title: PROJECT
MANAGER / Phone:407-366-1564 Fax: 407-366-3835 M Email: cwhayes@cwhayesconstruction.com ro Name
YOUNGBLOOD
THOMAS AT R FBOy Owner Information Street: 1821
MISSOURI AVE Phone: City,
State
Zip: SANFORD, FL 32771 Resident of property? NO Contractor Information
Name CW
HAYES; CONSTRUCTION COMPANY Street: 821
EXECUTIVE DR Phone: 407-
366-1564 City, State
Zip: OVIEDO, FL 32765 Fax: 407-
366-3835 State License
No.: CGC034855 Name: Street:
City,
St,
Zip: Bonding Company:
N/A Address: Architect/
Engineer
Information Phone: Fax:
E-
mail:
Mortgage Lender:
Address: WARNING
TO
OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICEFORIMPROVEMENTSTOYOURPROPERTY. A NOTICE OF COMMENCEMENT MUST BE gECORDED ANDPOSTEDONTHEJOBSITEBEFORETHEFIRSTINSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULTWITHYOURLENDERORANATTORNEYBEFORERECORDINGYOURNOTICEOFCOMMENCEMENT. Applicationis
hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced priortotheissuanceofapermitandthatallworkwillbeperformedtomeetstandardsofalllawsregulatingconstructioninthisjurisdiction. I understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and air conditioners, etc. gBC 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
s
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be
found in the public records of this county, and there may be additional permits required from other governmental entities such as water
management districts, state agencies, or federal agencies.
Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713.
The City of Sanford requires payment of a plan review fee at the time of permit submittal. A copy of the executed contract is required
in order to calculate a plan review charge and will be considered the estimated construction value of the job at the time of submittal.
The actual construction value will be figured based on the current ICC Valuation Table in effect at the time the permit is issued, in
accordance with local ordinance. Should calculated charges figured off the executed contract exceed the actual construction value,
credit will be applied to your permit fees when the permit is issued.
OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will
be done in compliance with all applicable laws regulating construction and zoning.
gz5- ?
Signature o r/Agent Date
EkeC— V P , CFO r•%1Z`i/ 5tltiJi c F c e, i.qli
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Signature of Notary -State of Florida Date
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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
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
of Heads
UTILITIES:
FIRE:
Flood Zone:
of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes No
4 ASTE WATER:
BUILDING:
Revised: June 30, 2015 Permit Application
DATE: V
BUSINESS/PROJECT NAME:
ADDRESS:
CONTACT NAME:
CITY OF SANFORD BUILDING AND FIRE PREVENTION DIVISION
e- .)
FIRE PLAN REVIEW SERVICE FEES
PHONE: 407.688.5052
FAX: 407.688.5051
PERMIT NUMBER:/ L
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:7
m'
CITY OF SANFO RDk `(i1l
BUILDING & FIRE PREVENTIONFDPERMITAPPLICATION
Application No:
Documented Construction Value: $ 75,897
Job Address: 413 W. 1ST ST
Parcel ID: 25-19-30-5AG70307-0040 Historic District: Yes No El
Residential Commercial [ Type of Work: New ® Addition Alteration Repair Demo Change of Use Move Description of Work: INTERIOR RENOVATION 1 .
7_ E
Plan Review Contact Person; STErHEN HAYES / ]?OXIE DEHNERT
Title: PROJECT MANAGER / Phone: 407-366-1564 Fax: 407-366-,3835 MEmail: cwhayes@cwhayesconstruction.com
ro
Name YOUNGBLOOD THOMAS AT R FBOywner Information
Street: 1821 MISSOURI AVE
Phone:
City, State Zip: SANFORD FL 32771 Resident of property? : NO
Contractor Information
Name CW HAYES:GONSTRUCTION COMPANY
Phone: 407-366-1564Street: 821 EXECUTIVE DR
City, State Zip: OVIEDO, FL 32765
Fax: 407-366-3835
State License No.: CGC034855
Architect/Engineer Information
Name:
Street:
Phone:
City, St, Zip:
Fax:
E-mail:
Banding Company: N/A
Mortgage Lender:
Address:
Address.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOURPAYINGTWICEFORIMPROVEMENTSTOYOURPROPERTY. A NOTICE OF COMMENCEMENT MUST BERECORDEDANDPOSTEDONTHEJOBSITEBEFORETHEFIRSTINSPECTION. IF YOU INTEND TO OBTAINFINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OFCOMMENCEMENT.
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation hascommencedpriortotheissuanceofapermitandthatallworkwillbeperformedtomeetstandardsofalllawsregulatingconstructioninthisjurisdiction. I understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and air conditioners, etc.
F$C 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 compliance with all applicable laws regulating construction and zoning.
Signature o r/Agent Date
REc,aR-Y - SM r T- V
Eye -VP,CFO C,''r-7rz'i/,15-afiAJK-.P-/ID,q Print
Owner/Agent's Name Signature
of Notary -State of Florida Date o
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ID Type of ID BELOW
IS FOR OFFICE USE ONLY Permits
Required: Building Electrical Mechanical Plumbing Gas[] Roof Construction
Type: Occupancy Use: Total
Sq Ft of Bldg: Min. Occupancy Load: New
Construction: Electric - # of Amps Fire
Sprinkler Permit: Yes No APPROVALS:
ZONING: ENGINEERING:
COMMENTS:
of
Heads UTILITIES:
FIRE:
Flood
Zone: of
Stories: Plumbing - #
of Fixtures, Fire
Alarm Permit: Yes No WASTE
WATER: Al. 2-31 h BUILDING:
Revised:
June 30, 2015 Permit Application
3}K.
At
L
CITY OF SANFORD
1~UG 2 2011
r BUILDING & FIRE PREVENTION1.
FAD PERMIT APPLICATION
91:_ --
Application No: / `% - off. (P /
Documented Construction Value: $ 75,897
Job Address: 413 W. 1ST ST
Parcel ID: 25-19-30-5AG-0307-0040 - - Historic District: - Yes No -
Residential Commercial ] Type of Work: New Addition IN Alteration Repair Demo Change of Use Move Description of Work: INTERIOR RENOVATION I'1
Plan Review Contact Person: STEPHEN HAYES / ROME DEHNERT Title:
PROJECT MANAGER / Phone: 407-366-1564 Fax: 407-366-3835 M Email: cwhayes@cwhayesconstruction c M ro
Name
YOUNGBLOOD THOMAS AT R FBOy Owner Information Phone:
Street:
1821 MISSOURI AVE Resident
of property? : NO City,
State Zip: SANFORD, FL 32771 Contractor
Information Name
CW HAYES, CONSTRUCTION COMPANY Street:
821 EXECUTIVE DR Phone:
407-366-1564 City,
State Zip: OVIEDO, FL 32765 Fax:
407-366-3835 State
License No.: CGC034855 Name:
Street:
City,
St, Zip: onding
Company: N/A Address:
Architect/
Engineer Information Phone:
Fax:
E-
mail: Mortgage
Lender: Address:
WARNING
TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYINGTWICEFORIMPROVEMENTSTOYOURPROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDEDANDPOSTEDONTHEJOBSITEBEFORETHEFIRSTINSPECTION. 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 comtnencedpriortotheissuanceofapermitandthatallworkwillbeperformedtomeetstandardsofalllawsregulatingconstructioninthisjurisdiction. I understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and air conditioners, etc. F13C
105.3 Shall be inscribed with the date of application and the code in effect as of that date: 5" 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 compliance with all applicable laws regulating construction and zoning.
T' S'12b-/,-7
Signature o r/Agent Date
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4 < My commission FF 957593
or
Expires 0310512020
Coma 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
APPROVALS: ZONING: 0 - 3 1' t?ILITIES:
ENGINEERING:
COMMENTS:
FIRE:
Flood Zone:
of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
Revised: June 30, 2015 Permit Application
Revision grit: tid City of Sanford
Response to Comments ry: Building & Fire Prevention Division
SEP 2 1 2017 ; y Ph: 407.688.5150 Fax: 407.688.5152
Email: building@sanfordfl.gov
Permit # i / Submittal Date
Project Address:
Contact: (o i _' i/I
Ph:
Email:
Trades encompassed in revision:
Building
Plumbing
Electrical
Mechanical
L-ife Safety
Waste Water
Sfi S r
Fax:
NEEgM
General description of revision:
ROUTING INFORMATION
Department Approvals
Utilities
Waste Water
Planning
Engineering
Fire'rev tion
L. uilding
L
City of Sanford
Building Division
P.O. Box 1788
Sanford, Florida 32771
Phone: 407.688.5150
Fax: 407.688.5152
PLAN REVIEW COMMENT
Date: September 14, 2017 Project: Interior Renovation
Contact Person: Stephen Hayes Job Address: 413 W. 1st Street
Contact Phone Number: Application Number: 17-2618
Contact E-mail:
cwhayes@cwhayesconstruction.com
Contact Fax Number:
ARCHITECTURAL
1. No comment.
STRUCTURAL
1. Submit two sets of manufactures specifications and installation instructions for new glazing.
MECHANICAL
1. No comment.
PLUMBING
1. No comment.
ELECTRICAL
1. No comment. is m Ae,-
Please direct any questions you may have to Joy Deen at
You may also contact me by e-mail at joy.deen@sanfordfl.gov.
Respectfully,
Joy Deen, Plans Examiner
PERMIT # a &J y CITY OF SANFORD
BUILDING & FIRE PREVENTION DIVISION
EARLY START AUTHORIZATION - APPLICATION/PERMIT
Project Name: CITIZEN'S BANK OF FLORIDA Date:
Project Address: 413 WEST 1ST STREET
Contractor Name: CW HAYES CONSTRUCTION COMPANY
EARLY START AUTHORIZATION CONDITIONS
City of Sanford and the Owner/contractor listed agree to the following:
1. 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.
F. 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 acknowledges and agrees to condition 1 through 14.
Contra or ignature w' r Signature Date
Ir
7 2- ! "/ 7
THIS INSTRUMENT PREPARED BY:
Name: CW HAYES CONSTRUCTION COMPANY
Address: 821 EXECUTIVE DRIVE, OVIEDO, FL 32765
NOTICE OF COMMENCEMENT
State of Florida
County of Seminole
Permit Number: Parcel ID Number:
GRANT MALOYr SEMINOLE COUNTY
CLERK OF CIRCUIT COURT is COMPTROLLER
BK 8980 I'9 591 (IPss )
CLERK'S_ * 2017087830
RECORDED 08/29/21-117 10:55:1.1 1-)11
REC:01,IING FEES $10.00 RECORDED
BY hd; tJiVe 25-
19-30-5AG-0307-0040 The
undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter
713, Florida Statutes, the following information is provided in this Notice of Commencement. DESCRIPTION
OF PROPERTY: (Legal description of the property and street address if available) e%
i-rt-7rwnn nnk11Z e%r rl r%Mlr%A A 4 0 \A/ -1CT CTDCCT QAKII=nQn i=l 4 &
5 BLK 3 TR 7 TOWN OF SANFORD PG 1 PG 61 GENERAL
DESCRIPTION OF IMPROVEMENT: INTERIOR
RENOVATION AND EXTERIOR PAINT OWNER
INFORMATION: Name:
CITIZEN'S BANK OF FLORIDA Address:
156 GENEVA DRIVE, OVIEDO, FL 32765 Fee
Simple Title Holder (if other than owner) Name: YOUNGBLOOD THOMAS A TR FBO Address:
1821 MISSOURI AVE SANFORD FL 32771 CONTRACTOR:
Name:
CW HAYES CONSTRUCTION COMPANY Address:
R91
FYP:rl ITIVF DRIVE. OVIEDO. FL 32765 Persons
within the State of Florida Designated by Owner upon whom notice or other documents may be served as
provided by Section 713.13(1)(b), Florida Statutes. N
eup' Cf-C) C(i /ZEJ.1S 't v Address:
I S SClu v- 'l U Uv, eo-c FC- 3 Z 7 6-S' In addition
to himself, Owner Designates of To
receive
a copy of the Lienor's Notice as Provided in Section 713.
13(1)(b), Florida Statutes. Expiration Date
of Notice of Commencement (The expiration date is 1 year from date of recording unless a different date
is specified) WARNING TO
OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARECONSIDEREDIMPROPERPAYMENTSUNDERCHAPTER713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OFCOMMENCEMENTMUSTBERECORDEDANDPOSTEDONTHEJOBSITEBEFORETHEFIRSTINSPECTION. IFYOUINTENDTOOBTAINFINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING
WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Under penalties
of perjury, I declare that I have read the foregoing and that the facts stated in it are true to the
best of my knowledge and belief. Owner's
Signature E:&o'
ev E , Sw I `rH1 Owner's
Printed Name Florida Statute
713.13(1)(g): " The owner must sign the notice of commencement and no one else may be permitted to sign in his or her stead." eERiIF!El3
CnP't i T.'IAL0y ri}ITCOURT
State of
1D 0 6 da County of oft TV The foregoing
instrument was acknowledged before me this 2 day
of Lq l Ya w v v 20 I-1 by G
r p f- S m Who is personally known to me Name of
person making statement OR who
has produced identification type of identification produced: Semknok-r—
Notary Publicheel
State of FloridaI Holly SheetsMyCommission
GG 013105 e Nd"
Expires 10H8/2020 Notary Signature
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date:ROW/
I hereby name and appoint: /U" a'
an agent of: CW HAYES CONSTRUCTION COMPANY
Name of Company)
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):
IN The specific permit and application for work located at:
CITIZEN'S BANK 413 W. 1ST STREET
Street Address)
Expiration Date for This Limited Power of Attorney:
License Holder Name: CHARLES WAYNE HAYES
State License Number: CGC034855
Signature of License Holder:
STATE OF FLORIDA
COUNTY OF SEMINOLE
The foregoin instrument was ackn wledged before me this da of c
20¢, by . ((,t c/ne ,e S- who is Terson ly known
to me or who has produced as
identification and who did (did not) take an oath.
Notary Seal)
rfi uo Stawof FWIda
MV CoIrna s pn FF 95mmissWnFF957593
ro
M
pugs 0310512020
Rev. 08.12)
Signature
0 >'ZGtn n 2 S- .0 k Li rQ /4
Print or type name
Notary Public - State of Jc ke-, p
Commission No. S 7,5 93
My Commission Expires:
INSPECTION SEQUENCE
BP# 17-2618
ADDRESS: 413 W. I" Street
BUILDING PERMIT
Min Max Inspection Descri tion
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)
Min Max Ins ection Description
Electric Underground
Footer / Slab Steel Bond
Electric Ceiling Rough
Electric Wall Rough
10 Electric Rough
Pre -Power Final
Temporary Pole
1000 Electric Final
y €
o- ,
n.
PPt ITS a i 2LLWC ti u
Max Inspection Descri tion . 9Min
Rough Plumb
Plumbing Underground
Plumbing 2nd Rough
Plumbing Tubset
Plumbing Sewer
Plumbing Grease Trap Rough
Plumbing Steam / Chill Water Rough
Plumbing Final
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
1000I Mechanical Final
REVISED: June 2014
4 written orders for changes in the Work, pursuant to Article 10, issued after execution of this
Agreement; and
5 other documents, if any, identified as follows:
Exhibit A.- Provisions to Contractual Start Date
Exhibit B - Contractors Bid Letter and Bid Form dated August 17, 2017
ARTICLE 2 DATE OF COMMENCEMENT AND SUBSTANTIAL COMPLETION
2.1 The Contract Time is the number of calendar days available to the Contractor to substantially complete the
Work.
2.2 Date of Commencement:
Unless otherwise set forth below, the date of commencement shall be the date of this Agreement.
Insert the date of commencement ifother than the date of this.4greement.)
The Commencement date will be fixed in a notice to proceed and after satisfaction of the conditions in Exhibit A
2.3 Substantial Completion:
Subject to adjustments of the Contract Time as provided in the Contract Documents, the Contractor shall achieve
Substantial Completion, as defined in Section 12.5, of the entire Work:
Check, the appropriate box and complete the necessary information.)
f X ] Not later than Twenty One ( 21 ) calendar days froin the date of commencement.
By the following date:
ARTICLE3 CONTRACTSUM
3.1 The Contract Sum shall include all items and services necessary for th per execution and corn tion of the
Work. Subject to additions and deductions in accordance with Article , the Contract Sum is:
Eighty Three Thousand Eight Hundred forty Eight Dollars an ero Cents (S83,848.000 )
3.2 For purposes of payment, the Contract Sum includes the flowing values relat portions of the Work:
Itemise the Contract Simi among the major portions o/ the Work.
Portion of the Work Value
3.3 The Contract Sum is based upon the following alternates, if any, which are described in the Contract
Documents and hereby accepted by the Owner:
Identify the accepted alternates. If the bidding or proposal documents permit the Owner to accept other alternates
subsequent to the e recution of this agreement, attach a schedule of such,other alternates showing the anrornif for
each and the date when that amount expires.)
3A Allowances, if any, included in the Contract Sum are as follows:
Identify each allowance]
Item Price
3.5 Unit prices, if any, are as follows:
Identify the item and state the unit price and quantity limitations; ff anti, to which the unit price tvill be applicable.)
AK Document A1051 -2017. Copyright 01993, 2007 and 2017 by The American Institute of Architects. All rights reserved. WARNING: This ALAI, Init. Document is protected by U.S. Copyright Law and International Treaties. Unauthorized reproduction or distribution of this AIAe Document, or any 3
portion of it, may result in severe civil and criminal penalties; and will be prosecuted to the maximum extent passible under the taw. This document
t was produced by AIA software at 11:19:39 on 0813012017 under Order No. 1253618876 which expires on 0312912018, and is not for resale.
User Notes: (3B9ADA2C)
August 17, 2017
Mrs. Holly Sheets
Citizens Bank of Florida
Re: Citizens Bank Revised
Sanford, FL
Dear Mrs. Sheets;
v A
1 TA
cw t-r.ov s
CONS,_r UC:T10N
GCJMPANY
EXHIBIT B
Via E-Mail: 115heet5r,'rn)ycbtl.com
We propose to construct the above referenced project for the total sum of Eighty Three Thousand Eight Hundred
Forty Eight Dollars and Zero Cents ($83,848.00). Attached please find notes to proposal, and your cost
breakdown forms. Our project duration is Twenty One (21) calendar days. This bid proposal is valid for Sixty
60) days from the above mentioned date.
We appreciate the opportunity to provide you with this proposal. Should you have any questions, please do not
hesitate to contact me at the number listed below.
Sincerely,
C.W. HAYES CONSTRUCTION COMPANY
e waw qa"
C. Wayne Hayes
President
SH/rd
Florida CGC034855
Arkansas0342480516
Georgia GC00002203
North Carolina 32474
Tennessee 35336
South Carolina G15674
Kentucky
P.O. Box 621294
Oviedo. Florida32762-1294
Rhone (407) 366-1564
F&x (407) 366-3835
Alabama 20946
ivlississippi 10027
Virginia 2705031930A
West Virginia WV049394
Texas
Louisiana 33376
2 AIA Document A105TM — 2017 Standard
Short Form of Agreement Between Owner and Contractor AGREEMENT
made as of the Seventeenth day of August in the year Two Thousand Seventeen
if
words, indicate day, month and year.) ADDITIONS
AND DELETIONS: BETWEEN
the Owner: The author of this document has Nmne,
legal status, address and other information) information needed for itson) completion.
The author may also Citizens
Bank have
revised the text of the original 156
Geneva Dr AIA
standard form. An Additions and Oviedo,
FL 32765 Deletions
Report that notes added information
as well as revisions to the
standard form text is available from
the author and should be reviewed.
A vertical line in the left and
the Contractor: margin of this document indicates Name,
legal status, address and other information) where the author has added necessary
information and where CW
Hayes Construction Company, General Corporation the author has added to or deleted PO
Box 621294 from the original AIA text. Oviedo,
FL 32762-1294 Telephone
Number: 407-336-1564 This
important legal Fax
Number: 407-366-3835 conseqdocumuences.
Cohas consequences. Consultation with an attorney
is encouraged with respect to
its completion or modification. for
the following Project: Name,
location and detailed description) 51754
Citizens Bank of Florida Sanford 413
E 1st Street, Sanford, FL 32771 Renovation
The
Architect: Name,
legal status, address and other inlbnnation) The
Owner and Contractor agree as follows. Note:
All references to "Architect" in this contract shall be changed to read "Owner" with
respect to payment, administration of contracts, change orders and project management.
AIA
Document A105" — 2017. Copyright ® 1993, 2007 and 2017 by The American Institute of Architects. All rights reserved. WARNING: This AIA* nit. Document Is protected by U.S. Copyright Law and international Treaties. Unauthorized reproduction or distribution of this A1Ae Document, or any portion
of it, may result in severe civil and criminal penalties, and will be prosecuted to the maximum extent possible under the law. This document i
was produced by AIA software at 11:19:39 on 08t3012017 under Order No. 1253618876 which expires on 0312912018, and is not for resale. User
Notes: (389ADA2C)