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3607 Orlando Dr 17-1515; INTERIOR REMODEL
i S , ! CITY OF SANFORD MAY 2 4 2017 ` BUILDING & FIRE PREVENTION F L PERMIT APPLICATION Ile A lica n No: i s try Documented Cons ruction Value: $ Job Address: 3(t53 2,-1 ar eA0 -r.)v- • s f lS Historic District: Yes No i Parcel ID: 11 -20 3 O - 5QU - 0000 -00 2 0 Residential Commercial. Type of Work: New Addition Alteratiolyg Repair Demo 01 Change of Use Move Description of Work: 5,n,u r C -on-r)e — 1`- l 0 Plan Review Contact Person: Qau t S a r I I a /—Title: Phone: 407)63(0-70q`b Fax: Email: a,Ig,refia 1 G nS uc+ion Property Owner Information T etAv t. Sc)rs . co r-.) Name R e Phone: Street: 1510 5eve----0% Ave- 10" FI oov Resident of property? City, State Zip: N e- w `lo , 0 y 1001 9 Contractor Information Name Re- ta," Advisors Phone:(40-7) e.3(o- 700`1 Street: 17141 Pa i n e Ave-- Fax: City, State Zip: _ W n k- Pa K - F L 32 7 09 State License No.: C8 C 1 Z,4 -o 3 o 0 Architect/Engineer Information Name: Trt - f L-%.4 C.^ 5 _hi 4ec_-i' A.-e_ Phone: (`tn 4) 3713 - 74 51 Street: 324- 4 Fax: City, St, Zip: Z)c Ca +u v o 3 0 Bonding Company: Address: bi& E-mail: -, re I Cb tre y l u 02.5 . c o,nr, Mortgage Lender: Address: WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND . POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER Olt AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and air conditioners, etc. FBC 105. 3 Shall be inscribed with the date of application and the code in effect as of that date: 5"' 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 of Owner/Agent Print Owner/Agent's Name Signature of Notary -State of Florida Date Owner/Agent is Personally Known to Me or Produced ID Type of ID 5ro.y- r -7 Signature of Contractor/Agent Date No ti o woJ Door (5c,64Dbc) Prin ontractor/Agent's Name 5-,;Lq- l 7 SignaturenfNntanc-StareofFlor_.__ H irnI,f K aotwy Pubk •sate a FMM& Comn"Sm 0 oo Own$ My Comm. ExomeIan «r• Jan 16. 2011 Produced ID Type of ID BELOW IS FOR OFFICE USE ONLY Me or 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: Flood Zone: of Stories: Plumbing - # of Fixtures, Fire Alarm Permit: Yes No WASTE WATER: FIRE: BUILDING: Revised: June 30, 2015 Permit Application it Job Address: Parcel ID: Type of Work: New Description of Work: CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: Documented Construction Value: $ Historic District: Yes No Residential Commercial Addition Alteration Repair Demo Change of Use Move Plan Review Contact Person: Title: Phone: Fax: Email: Property Owner Information Name Phone: Street: "``'"`'= `''"' Resident of property? City, State ip: ov - y, '• Contractor Information Name Phone: Street: Fax: City, State Zip: State License No.: Architect/Engineer Information Name: Phone: Street: Fax: City, St, Zip: E-mail: Bonding Company: Mortgage Lender: Address: Address: WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and air conditioners, etc. FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 51h Edition (2014) Florida Building Code Revised: June 30, 2015 Permit Application CITY OF SANFORD MAY `l 4 BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: / 5 f `j Documented Construction Value: $ , 0 Job Address: 3<p$3 6 C7r1a rto J,'V . ICJ Historic District: Yes No Parcel ID: 11-20 ' 3 -5QCJ -0000 -002 0 Residential Commercial Type of Work: New Addition Alteration Repair Demo Change of Use Move Description of Work: u r c D r-r-Ne ,-c t`c I q-.e-, c f Plan Review Contact Person: au Sj° a •-rae I I a Title: Pr e s Phone: 4?7) 63tp - -70q!2) Fax: Email: tau ICD re,fia P I GC>0'S rX'-C,-hon ad v LSo rs . to M PropertyOwnerInformationName R e> Se .r, to L-A- C-,, Phone: Street: ' 6 10 St - A w e. 1 o"w` .F'1 oo e Resident of property? City, State Zip: N c io rK f Y 10 01 Contractor Information Name RC +a A d' v: s arS Phone: (` o-7) e, 3 to - 7 0 o-I Street: 17,41 Palm of Au e. - Fax: City, State Zip: W - Pa r c 1, F L 3z 7 Y 9 State License No.: CB C I Z,6 D ,3 0 0 Architect/ Engineer Information Name: Phone: (`,oy) 3?e,-743t Street: 324 C--aSi-lc.,,i r,vt_ Fax: City, St, Zip: De ca t-" G ,q 3 o o 3 0 E-mail: +re j@ t,e y 1 u cag . c.o,nr, Bonding Company: Mortgage Lender: Address: t-i 1/4 Address: WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and air conditioners, etc. FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 51h Edition (2014) Florida Building Code Revised: June 30, 2015 Permit Application NUPICE: 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 of Owner/Agent Date Print Owner/Agent's Name Signature of Notary -State of Florida Date Owner/Agent is Personally Known to Me or Produced ID Type of ID Signature of Contractor/Agent Date Noll a wclh Dean acwpbL) Prin ontractor/Agent's Name l - 7 V wopq s ANNETTE SlttNO Notary Public . State ,ol f kla COmmlaaton 0 06 OW93_ to $% My Comm. EXPIMS Jan 1d, 2011 Produced ID Type of ID BELOW IS FOR OFFICE USE ONLY Permits Required: Building Electrical Mechanical Plumbing[] 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: COMMENTS: Me or Gas Roof Flood Zone: of Stories: Plumbing - # of Fixtures Fire Alarm Permit: Yes No UTILITIES: WASTE WATER: FIRE: BUILDING: Revised: June 30, 2015 Permit Application CITY OF SANFORD MAY 2 4 20V `; BUILDINGA FIRE PREVENTION PERMIT APPLICATION 3Q Application No: / _ .5 fj Documented Construction Value: $ 3733 M i Job Address: S,-A +<- lS Historic District: Yes No Parcel ID: 1 1 -20 - 3 0 - 5 QU - 0000 —00 2 0 Residential Commercial 0 Type of Work: New Addition AlterationQ Repair Demo Change of Use Move Description of Work: a u r- C a r,i"e rc l`a I .er)-, -o c I _ D sr ,7o - Plan Review Contact Person: P19" I Scan2CIIR Title: Pf,e S cEGrti"4 Phone: ` 07) 63(- - .70qi5 Fax: Email: refia P 1 Lc Y75-tyv c+ton Property Owner Information adv "So`s - co r*> Name SC rv. le 1.1. C—, Phone: Street: 1510 5eve,- Ave- Io"w` P oov Resident of property? : '/A City, State Zip: N e- -J "Co K- , N `t to 01 Contractor Information Name A d v: s o'rS Phone: C` 6 3 - -7 00-1 Street: i 741 Pa (rv. ev- Ave--- Fax: City, State Zip: W % n k_,v-- Pa r c 1, F L 5z 7 09 State License No.: C13 C I Z.6 O ,3 0y Architect/ Engineer Information Name:—(" r,eY L-%.4co.5 GG+urer Phone: (4o4) 376 - 743i Street: 32`4 C--aS+-Jc 4 J , {— Fax: City, St, Zip: DC Ca +u 0 0 3 0 Bonding Company: Address: 1i 14 E- mail: +fe- f @ t e- y 1LA ceLs . co,rn Mortgage Lender: Address: WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN 17OUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and air conditioners, etc. FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 5'a Edition (2014) Florida Building Code Revised: June 30, 2015 Permit Application NOTICE: In addition to the regbirement'b 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 of Owner/Agent Print Owner/Agent's Name Date Signature of Notary -State of Florida Date Owner/Agent is Personally Known to Me or Produced ID Type of ID Signature of Contractor/Agent Date Noll a wqn Door p4NDbL) Prin ontractor/Agent's Name Si. atur of 1L& ANNETTE BLAND Notuy Pubk - stall of Avids y r CoMMISSI n 00 t 8W31_ a My Comm. Expint Jut Is, 2011 Produced ID Type of ID BELOW IS FOR OFFICE USE ONLY Me or 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: 'bTILITIES: Flood Zone: of Stories: Plumbing - # of Fixtures Fire Alarm Permit: Yes No WASTE WATER: ENGINEERING: FIRE: BUILDING: COMMENTS: (' JO N V'v-11'.I.QQ Revised: June 30, 2015 Permit Application CITY OF SANFORD y MAY 2 4 2017 BUILDING & FIRE PREVENTION is gggg fi [ y PERMIT APPLICATION 4 Application No: Documented Construction Value: $ 3733 M i Job Address: .3(e53 6 C-A Ianelo Jry . SLA,-tt l5 Historic District: Yes No Parcel ID: 1 1 -20 _ 3 0 - Jt- Q(J- 0000 —00 Z 0 Residential Commercial 0 Type of Work: New Addition Alteratioly9l Repair Demo Change of Use Move Description of Work: a u r- C a r"rle rc t`o, Plan Review Contact Person: Qau t S Ca r(C I I a Title: Rre s%c a-,-t Phone: 3(- - _70q'!) Fax: Email: c_- ns+y"-c+ion Property Owner Information ccd v "Sc' rs . C0 r+n Name R e 5c wv,% % n o le L. A C_,p Street: '610 Se e,--t" A••e 1c7 ` Fl oov City, State Zip: N e- -) io rK , 0 "f l n 01 'R Phone: Resident of property? : Contractor Information P/A Name f_'i"a I Cons-fh, cs to d v: s ors Phone: 6 3 - 7 00-1 Street: 1741 Av e. • Fax: City, State Zip: W nk_,,- Pa rtc 1, F L 327 Y 9 State License No.: C 6 C I Z,6 -0 3 0 0 Architect/Engineer Information Name: Lv4c-4.5 A'Ghi4tnc_4i gyre— Phone: (4o4) 376 - 74 31 Street: 32- L4 C cz S+-(c n-ct `ij,r , v . Fax: City, St, Zip: De Ca +u r GA 3 0 a 3 0 Bonding Company: Address: LL14 E-mail: +fe j O te- y lu cazg . coen Mortgage Lender: Address: WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and air conditioners, etc. FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 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 foAd 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. IAO_O Z —914-- 1 Signature of Owner/Agent Date Signature of Contractor/Agent Date Print Owner/Agent's Name Signature of Notary -State of Florida Date Owner/Agent is Personally Known to Me or Produced ID Type of ID NO a wgn Dean Gc R DbLh ; P nontractor/Agent's Name 07 1 A aj 5-jq- ! r7 ANNETTE KAND r ;s Notary PuW - State, of FWWa y i COmmtistN # 86 000023_ My Comm. Expires Jut Is, 2014 Produced ID Type of ID BELOW IS FOR OFFICE USE ONLY Me or 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: COMMENTS: UTILITIES: FIRE: Flood Zone: of Stories: Plumbing - # of Fixtures Fire Alarm Permit: Yes No WASTEWATER: f 'I BUILDING: Revised: June 30, 2015 Permit Application SCPA Parcel View: 11-20-30-5QU-0000-0010 Page 1 of 2 I,p, Pfit'f'PR Property Record Card Parcel: 11-20-30-5QU-0000-0010 A y Owner: WALMART STORES EAST LP MS-0555 STORE #857 SChNNf%.1'o fX)lD1rY, KLf}f'SK'w Property Address: 3653 S ORLANDO DR SANFORD, FL 32773 Parcel Information Value Summary 11-20-30-5QU-0000-0010 - ir 12017 Working 2016 CertifiedParcel i Values Values Owner WALMART STORES EAST LP MS-0555 STORE #857 Valuation Method Cost/Market Cost/Market Property Address 3653 S ORLANDO DR SANFORD, FL 32773 I Number of Buildings 1 1--- Mailing PO BOX 8050 BENTONVILLE, AR 72716 Depreciated Bldg Value 6,774,885 6,865,823 Subdivision Name SEMINOLE CENTRE I Depreciated EXFT Value 288,323 290,974 Tax District S4-SANFORD- 17-92 REDVDST 11 Ii Land Value (Market) 4,895,274 4,895,274 DOR Use Code 1302-DISCOUNT WAREHOUSE Land Value Ag Exemptions I Just/Market Value " 11,958,482 12,052,071 2 U 1 4 u m S jinole County-G18J -t - Legal Description LOT SEMINOLE CENTRE PB 62 PGS 39 & 40 Taxes_ Taxing Authority County General Fund County Bonds Schools City Sanford SJWM(Saint Johns Water Management) Sales Portability Ad/ Save Our Homes Adj $0 $0 Amendment 1 Adj $0 $0 P&G Adj $0 $0 Assessed Value $11,958,482 $12,052,071 Tax Amount without SOH: $241,590.99 j 2016 Tax Bill Amount $241,590.99 Tax Estimator I Save Our Homes Savings: $0.00 i Does NOT INCLUDE Non Ad Valorem Assessments Assessment Value Exempt Values I Taxable Value 11,958,482 0 11,958,482 11,958,482 0 11,958,482 11,958,482 0 11,958,482 11,958,482 0 11,958,482 11,958,482 0 11,958,482 Description Date Book Page Amount Qualified (VaGlmp WARRANTY DEED 3/1/2009 07166 0672 $100 No Improved F"snzl Comparable ualas Land Method Frontage -- Depth --- Units - Units Price _— -- Land Value -- SQUARE FEET 815879 $6.00 $4,895,274 r Building Information Description Actual/Effective Year Built vies Total SF Ext Wall - - Adj Value Repl Value Appendages 1 MASONRY PILASTER. 1985/1995 1 209,049 FACE BLOCK - MASONRY $6,774,885 $9,093,805 Description . Area No Appendages Permits http://parceldetail.scpafl.org/ParcelDetaillnfo.aspx?PID=l 120305QU000000I O 5/24/2017 City of Sanford Building Division P.O. Box 1788 Sanford, Florida 32771 Phone: 407.688.5150 Fax: 407.688.5152 PLAN REVIEW COMMENT Date: June 13, 2017 Project: Interior Renovations Contact Person: Paul Scarpello Job Address: 3653 S. Orlando Drive Contact Phone Number: Application Number: 17-1515 Contact E-mail: Contact Fax Number: ARCHITECTURAL 1. Submit two sets of Florida Product Approval or Miami Dade County Notice of Acceptance for exterior doors and store front systems. Must be site specific. 2. Proposed construction appears to create a less conforming building than prior to construction. See section 403.1 Florida Building Code 5ch Edition, 2014. Separate tenant space will require separate utilities, plumbing, electrical, mechanical. At least one bathroom will be required and maybe on Hi-lo drinking fountain depending on occupant load. STRUCTURAL 1. No structural plans for exterior rear door opening. MECHANICAL /"v,4& — mw'( 1. Permit required. PLUMBING 1. See Architectural comment number 2. ELECTRICAL 1. Submit your formula for load calculations of 92.25 amps. I come up with a different figure. 2. Sheet E1. Electrical Riser indicates four meters. Site visit indicates three meters. Advise. Please direct any questions you may have to Joy Deen at 407.688.5064 or fax to 407.688.5152. You may also contact me by e-mail at joy.deen@sanfordfl.gov. Respectfully, Joy Deen, Plans Examiner Deen, Joy From: Sent: To: Subject: Attachments: Joy Deen City of Sanford Plans Examiner PH: 407.688.5064 Fax: 407.688.5152 Deen, Joy Thursday, June 15, 2017 12:38 PM paul@retailconstructionadvisors.com' 17-1515 17-1515.pdf COMcheck Software Version 4.0.5.3 Interior Lighting Compliance Certificate Project Information Energy Code: 2014 Florida Building Code, Energy Conservation Project Title: HEAR Block - Landlord Work Project Type: Alteration PERMIT # % Lj Construction Site: Owner/Agent: Designer/Contractor: 3653 S. Orlando Dr. BC Engineers Sanford, FL 32773 5720 Reeder St Shawnee, KS 66203 913-262-1772 Allowed interior Lighting Ambk now F'J Power A B C D Area Category Floor Area Allowed Allowed Watts ft2) Watts / ft2 B X C) 1-Common Space Types:Office - Open plan: Exempt Total Allowed Watts = NIA Area Category Exemption Qualifications Fixtures Total # Watts Activity Area pre -Alt, Repl./Added Pre -Alt. Post-Att. Common Space Types:Office - Open plan (1164 sa.ft.t 19 4 1615.000 1430.000 Exemption: Less than 50% fixture replacement. Proposed Interior Lighting Power A B C D E Fixture ID : Description / Lamp / Wattage Per Lamp / Ballast Lamps/ of Fixture C X D) Fixture Fixtures Watt. Common Space T,,r)ffice - Open plan (1164 sq.ft.): Exempt Linear Fluorescent 1: Other: Electronic: 3 16 85 1360 Total Proposed Watts = N/A r Lrghtm ,PA SES j` F Yea g $ A y,$ b ae r._ I .:1 a..., r.,,a a =1 of .vac {'.z. °c Project Title: H&R Block - Landlord Work Report date: 05,118/17 Data filename: Untitled.cck Page 1 of 6 City of Sanford Building Division P.O. Box 1788 Sanford, Florida 32771 Phone: 407.688.5150 Fax: 407.688.5152 PLAN REVIEW COMMENT Date: June 1.3, 2017 Project: Interior Renovations Contact Person: Paul Scarpello Job Address: 3653 S. Orlando Drive Contact Phone Number: Application Number: 17-1515 Contact E-mail: Contact Fax Number: ARCHITECTURAL 1. Submit two sets of Florida Product Approval or Miami Dade County Notice of Acceptance for exterior doors and store front systems. Must be site specific. 2. Proposed construction appears to create a less conforming building than prior to construction. See section 403.1 Florida Building Code 5th Edition, 2014. Separate tenant space will require separate utilities, plumbing, electrical, mechanical. At least one bathroom will be required and maybe on Hi-lo drinking fountain depending on occupant load. STRUCTURAL 1. No structural plans for exterior rear door opening. MECHANICAL 1. Permit required. PLUMBING 1. See Architectural comment number 2. ELECTRICAL 1. Submit your formula for load calculations of 92.25 amps. I come up with a different figure. 2. Sheet El. Electrical Riser indicates four meters. Site visit indicates three meters. Advise. Please direct any questions you may have to Joy Deen at 407.688.5064 or fax to 407.688.5152. You may also contact me by e-mail at joy.deen@sanfordfl.gov. Respectfully, Joy Deen, Plans Examiner Revision T Response to Comments jur4 L Permit # I --1515 Project Address: J b53 S ©lornd o Contact: fhUl scorpell o Ph: W® 6 U 40 9 % Email: Trades encompassed in revision: Building Plumbing Electrical Mechanical Life Safety Waste Water Submittal Date D-riyc Fax: City of Sanford Building & Fire Prevention Division Ph: 407.688.5150 Fax: 407.688.5152 Email: building@sanfordfl.gov 061231 General description of revision: 10-T), a lrACJCc cAa ovo zr rT ROUTING INFORMATION Department Approvals Utilities Waste Water Planning Engineering Fire Prevention 11 Building lr / 7 3 CITY OF SANFORD s tr1Y 42017 -F BUILDING & FIRE PREVENTION PERMIT APPLICATION 7 3 Application No: / _ [ S `j Documented Construction Value: $ 37, 02 2 Job Address: .3(e53 6 CLI av• A _T>- . SLA %+ic lS Historic District: Yes No Parcel ID: 1 1 -20 - 3 0 - 5 QU - 0000 -00 2 0 Residential Commercial 0 Type of Work: New Addition AlteratiotlZ Repair Demo Change of Use Move Description of Work: u r C a r M e Z c l Plan Review Contact Person: Pau k S C a I I a Title: P e S cEerti" Phone: 407)/134 -_7oq 5 Fax: Email: ulCarefia l c r 5-F c+tvn Property Owner Informations Sors . co M Name R e> Sew. v to Lj C Phone: Street: 1510 Save-,--f4-% A,,e- f o'k .F( oov Resident of property? City, State Zip: N e- -) , lJ `r l o 01 9 P/A Contractor Information Name f_'a I Cons-f, , ,A,,,, d v: s ars Phone: (` 0-7) 4 3l0 - 7 00-f Street: 17441 Pa I e-,r ALi e- Fax: City, State Zip: W k-r- Pa rK F L 32- 7 0 9 State License No.: C a C I Z,( -0 3 0 0 Architect/Engineer Information Name: --re--e-( i--%,4 C.ia. SS itG-1 t.rC. Phone: ('4o 4) 378 - 74 3 l Street: 32`4 != ctS f'lc nol ,r v L Fax: City, St, Zip: De Ca tu- GA 30 0 3 0 E-mail: +fC-J C-) bFe y f u CcLS co rr, Bonding Company: N /'4 Mortgage Lender: Address: a 114 Address: WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and air conditioners, etc. FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 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 reimlating construction and zoning. Signature of Owner/Agent Date Print Owner/Agent's Name Signature of Notary -State of Florida Date Owner/Agent is Personally Known to Me or Produced ID Type of ID Z4 IJH-I Signature of Contractor/Agent Date Ntl awgn Quay) Gc Npbq Prin ontractor/Agent's Name ANNETTE SlANO Nolmy went • Stated'i ida y = Commission # N8 O23 My Comm. Expint Jut 111, 2011 Produced ID Type of ID BELOW IS FOR OFFICE USE ONLY Me or 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: COMMENTS: UTILITIES: Flood Zone: of Stories: Plumbing - # of Fixtures Fire Alarm Permit: Yes No WASTE WATER: FI S,Zr 7 BUILDING: .J--,f'—I? ajKll Revised: June 30, 2015 Permit Application CITY OF SANFORD BUILDING AND FIRE PREVENTION DIVISION DATE: 5 2( /1- PERMIT NUMBER: BUSINESS/PROJECT NAME: n l ADDRESS: v 2 3 ''/ 94d CONTACT NAME: PHONE: FIRE PLAN REVIEW SERVICE FEES PHONE: 407.688.5052 FAX: 407.688.5051 ME3o-i fj rr r 7- /s /s' I PLAN REVIEW INFORMATION N CONSTRUCTION [ ]C/O [ ] FIRE ALARM [ ] FIRE SPRINKLER []HOOD [ ]PAINT BOOTH [ ]TANK DOES 20% REDUCTION IN FIRE IMPACT FEES APPLY: YES NO It 7S 60TOTALFEES: RC 11 CONSTRUCTION 1741 Palmer Avenue, Winter Park FL 32789 Ph- 407.674.7100 June 23, 2017 City of Sanford Building Division P.O. Box 1788 Sanford, FL 32771 RE: Application Number 17-1515 See attached plan revisions regarding the above referenced application number, in response to Plan Review Comments received on 6/13/17. As discussed with Mr. Joy Deen... 1) This building permit is strictly for the "right side" of the space which will be H&R Block. We're building the new demising wall to split the two spaces, but the work on the "left side" which is currently without a known future tenant, will be part of a separate building permit application to be submitted to the City soon. Our architect is currently working on the CD's for this "left side" space. 2) The plan comments within "Architectural" will not apply to this permit (FIR Block) and instead apply for the vacant "left side" space, again to be submitted as a separate building permit application soon. 3) The plans comments within "Structural" will not apply to this permit (HR Block) and instead will apply for the vacant "left side" space, again to be submitted as a separate building permit application soon. 4) The plans comments "Mechanical" reference needing a mechanical permit; however, there is an existing HVAC RTU that is fully contained within the HR Block space, and therefore, no HVAC work will be required with this permit. 5) The plans comments "Plumbing" will apply to the future building permit for the "left side" vacant space. 6) The plan comments "Electrical" have been addressed with the attached plan revisions. 7) Further, allow us to correct the address for the H&R Block space. The correct address is 3607 South Orlando Drive, Sanford, FL. Please note this corrected address for the H&R Block permit. 8) With regards to the upcoming building permit submittal for the "left side" vacant space, the existing Subway to the left of this space has an address of 3605, and therefore, I will assume an address of 3606 for this upcoming building permit application. If questions, I can be reached at 407-636-7048. Best regards, Paul Scarpello Retail Construction Advisors, Inc. D/B/A RCA Construction FL License CBC1260300 Deen,Joy From: Deen, Joy Sent: Tuesday, June 27, 2017 3:37 PM To:'paul@retailconstructionadvisors.com' Subject: 3653 S. Orlando Drive. Response to comments. Received your narrative on scope of work and two sets of revised sheets El. Formula for, calculating amperage of 92.25 not on plans. the revision sheet you submitted indicated revision for florida product approval. No product of approval part of submittals. You can call me if you have any questions. LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: S/2-q /2vi7 I hereby name and appoint k fi'+a war. in 0.r1 rj m Ph a an agent of. IRC-ta J I Cons <ch n-clvuscWs T,- 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): 0 The specific permit and application for work located at: 36 53 s. Street Address) Expiration Date for This Limited Power of Attorney: License Holder Name: du t 5ca -PC I1 O State License Number: Signature of License H STATE OF FLORIDA COUNTY OF. 2. 1 9 r rn -2. eit-n- The foregoing instrument was acknowledged before me this 2-4 day of H o Y , 20,0 t Z , by ?dam i -5ca,rpc t t o who is d ersonally known to me or o who has produced identification and who did (did not) take an oath. Notary Seal) ANNETTE E GMMREZ IAIY COMMISSION / GG OMS 63r EXPIRES: February 22, 2021 FOF Wo Bonded Thu Budget Notary Se ,Im Rev. 08.12) Print or type name Notary Public - State of 471on 4 `^' Commission No. GG 0-7& o 96 My Commission Expires: ;T--b.-ua! j z2,, 2o2 r as r RO SEMINOLE LLC CONTRACT FOR: 4F/664 c/o RD MANAGEMENT LLC H&R Block 810 Seventh Avenue, 10th Floor, New York. NY 10019 Telephone: (212) ?:65-6600; Fax: (212) 765-8449 Par services and/or work to be performed ut 3605 3715 South Orlando Drive Sanford, FL 32773 RB SEMINOLE LLC, having an address set forth above. hereinafter referred to as "Owner', and RETAIL CONSTRUCTION ADVISORS, INC , hcrcinalter rel'erred to as "Contractor' hereby agree that, for the consideration of S4G,921.00 (Forty Six Thousand Nine Hundred 'Twenty One Dollars 00/100), Contractor will supply all necessary labor and materials to perfamn and complete the work and/or services specified in die attached proposal (as modified hereby) (collectively, the "1Vor f') in a good workmanlike fashion and in accordance whit industry standards, Contractor hus made a site visit to review the, existing conditions and same is reflected in the attached proposal. Contractor's proposal is attached hcrcto and is made us pan ol'this Contract. SI'ECH ICA'TiONS / SCOPE Oh 1VOIIiC. I'er proposal, dated 4/26/2017, (one (1)] page(s) attached and made u part of thisContraet, as modified hereby. GENERAL TERMS AND CONDITIONS: I. Contraciorshall file 1'or and obtain, at its cost laid expense, all permits and licenses required to commenceand complete the Workprior to conamencingthe Work 2. It is the exclusive responsibility of contractor to performnnd complete oil Work in accordance with fcderul, state and local law. 3. Prior to commencing the Work, Contractor agrees to provide a list of all Subcontractors (including Lilly suppliers of nmaterials) to be utilized by Contractor. 4. Owner may terminate this Contract upon thirty (30) days written notice (and upon five (5) days %%Titten notice in the event of an uncured breach by Contractor) to Contractor(it being agreed that emails and foxes Will constitute a writing for purposes of thisContract). 5. in die case of any conflicts between thisContruct and Contractor's proposal(s), this Contract shall prevail and control. TERMS OF PAIi alEN T: Contractor and Owner agree to the follomving payment terms: 1'rogress payments shall be etude 30 days alter application therefor provided Contractor has: (i) completed that portion of the Work being requisitioned, (ii) delivered to Owner all required insurunco, (iii) delivered to Owner a partial lien waiver for the Work being requisitioned by such application for payment, (Iv) delivered to Owner photographs evidencing completion of ilia Work being requisitioned by such application filar payment and (v) delivered to Otvtmcr any other information required hereunder. Such application shall provide for retainuge equal to ten (10%) percent of the amount being requisitioned. Final Payment, including retainage, shall be made upon completion of ull Work required by this Contract as %%vll-as satisfaction of (i) through (v) above as applicable and Contractor has delivered to Owner: (a) original fully completed and executed final lien Waivers. in statutory Corn reasonably acceptable to Owner, from Contractor and all Subcontractors (including suppliers of materials), (b) photographs evidencingcompletion of the Work and (c) all closeout documentation reasonably requested by Owner including manuals, warranties and time like. All federal, state, and local taxes are included in the above contract price. INSURANCE: Contractor shall, during the tcnn of this Contract, at its sole cost and expense, carry and keep in full force and effect: (1) Commercial General Liability Insurance, ISO Form CG0001 or its equivalent, covering bodily injury, property damage, personal and advertising injury, including without limitation, independent contractor's liability covcrugc, contractual liability coverage, premises/operations coverage, broad form property damage coverage, and products/compieted operations coverage, with primary limits of liability not less than $2,000,000.00 each occurrence and $2,000,000 general and products/completed uperaliom aggregatc(s) on a per project busis, insuring against all injury, loss, claims, demands, actions or damages to any person or property, on a primary and non- contributory basis, (2) worker's compensation in accordance wits applicable law, and employers' liability insurance with limits of sIxo,000 each accident, each employee and policy limit, and (3) automobile liability insurance with limits of S 1,000,000 combined single limit for any and oil vehicles and equipment licensed for road use that arc used in performing the work or services related to this Contract. Contractor agrees, for itself and its Subcontractors and their respective insurers, to waive any right to subrogation, and coverage shall apply on a primary and non-contributory basis, it being agreed that same shall be reflected by endorsement or other evidence acceptable to Owner. All the above insurances shall provide lhat (a) it may not be canceled, sum ndered or modified, or refuse to renew, without at least 30 days written notice to Owner by Certified Mail and (b) all losses shall be payable notwidistanding any act of reglioctice and/or misconduct by Owner, its affiliates and/or their agents and/or employees, Evidence roust be provided by ccnificate of insurance satisfactory to Owner and naming Owner, RD Management LLC, Owner's lender, and any other designees of Owner, as Additional Insured parties with respect to die insurance described in (1) above in this paragraph for ongoing and completed operations coverages, and automobile liability coverage. In addition, Contractor agrees for itself and its insurers, dial die policies referenced herein do not contain any limitations or exclusions related in any way to the Work, including, without limitation, any limitations or exclusions which would exclude coverage relative to the employees ofContractor and/or any Subcontractor. INDEMNITY/MiSCELLANEOUS: Contractor hereby agrees to defend save and indemnify Owner from any and all injury, loss, claims, demands, actions or damages (including reasonable attorney's fees and disbursements) to any person or property arising from or eluting to the Work, including, but not limited to; wrongful acts, negligence, or fuult of Contractor or any subcontractor hired by Contractor (including any sub -subcontractor of any tier and any suppliers of materials, each, a "Subcnntmclmr'), or any of Contractor's or any Subcontractor's respective officers, agents, employees or contractors, or anyone directly or indirectly employed by any of them, and all claims by third parties arising out of Contractor's performance hereunder, including any costs to enforce this indemnity. This indemnity shall survive the completion of tie Work and/or the termination of Ili is Contract. This Contract (i) shall be govemed by, and construed in accordance with, the laws of the State Where the Work is to be performed, (ii) shall not be assigned by Contractor without Owner's prior written consent, (iii) represents the entire and integrated agreement among the purtics hereto with respect to die subject matter covered hereby, (iv) may not he changed orally, but only by a writing signed by the party against whom. enforcement Is sought, (v) shall not b¢ strictly construed against any party hereto, all parties agreeing that they have participated fully and equally in ilia preparation of this agreement, (vi) may be executed in two or more counterparts, and (vii) may be executed by facsimile signatures (or by copies of physically signed documents exchanged via email attachments in PDF or equivalent format). IN WITNESS WHENEOF, the panics hcrcto huve executed and delivered this Contract m of this day of " t , 2017. RETAIL CONSTRUCTION ADVISORS, INC RB SFMINOLE LLC By:I fly: Name: yip( 5 Cyr rpm/v Title: Pry. s t de li Schedule of Values Sanford, FL H&R Block Interior White, Box Work General Contractor: Retail Construction Advisors, Inc. (RCA) Bid prepared by Paul Scarpello, 407-636-7048 FI License CBC1260300 Prolact Names H&R Block White Box Work Protect Addresst 3715 South Orlando Drive, Sanford, FL Prolect Size Approximately 1,224 sq. iL Construction Duration: TBD General Contrackgr Pricing Breakdown: General Conditions Permit Fees Demolition Concreteltrenching (cutting/patch back) Carpentry Doors, Frames find Hardware Storefront-glasWdoors/mall grills Storefront awnings Roofing Framing & Drywall Barricade Paint Exterior Paint Flooring — Carpet Flooring -- VCT Flooring » Other Acoustical Ceiling TBD Fire. Protection -sprinklers Fire Sprinkler Shut -Off Fees (Mail Fees) Plumbing HVAC Electrical _ Electrical Lighting Package CATS Data Cabling IT Rack/Shelves Fire Alarm (if app.) Miscellaneous Fire Extinguishers Bathroom Accessories Asbestos Testing Temp Utilities (PowenWater) Final Clean Trash Dumpster Install Fixtures Overhead & Profit Architectural & MEP Design Fees Permit Submittal Sp (c ittet' if'G 31 O Do Of construction cost Tied to plumbing work; includes termfte spray & reber Telco plywood backboard; door installation New hollow core wood door w/passage lockset for saleslatock wall 6W—wAnee for reversing the from door swing Existing RTU & exdst bathroom exhaust; no roof work needed New sales/stock & demising walls to code; additional notes below NIA Excluded Includes primer on new demising watt install only; see notes below Install only, see notes below to existing ceiling grid per new wells cost to be sprinkler contrectors actual cost + 10% applicable r highilow drinking fountain, new toilet, new sink & water heater cifio thermostat par HR Block specs; ductwork modifications Wan outlets per HR Block space; relocate lights, new EM tights W" LL•s work 8U"n Not applicable Not applicable Within LL's work New paper towel holder, currently missing Not required 01'a overhead/profit signori/seated arch, full MEP drawings and Site surrey t[Vplans submittal & follow up (Split with proposal #2) TOTAL COST I 7nqh!ipw WII enty ©2l GC Notes 8 Qualifications: ) All work performed per applicable building codes with one Assumes mop sink not req'd by City of Sanford Includes new carpet and rubber base Installation and Q 75 sq. ft. of VCT Installation (all materials provided by H&R Block) New 1 hour fire rated demising wall Insulated, level 4 finish on H&R Block side, fire tapa/caulk only per code on vacant side Includes 6 new electrical outlets within the demising wall of the vacant space Retail Construction Advisors, Inc. Licensed General Contractor -- Raters Development Specialists fS C vtiTP,/-+ C T- e e r- C 6C 1 2,103v v Se ru,IDS etvi -S/ L-LC. CCf 3 6 0-7 5, or-lg:^ dD Or`je F qn LIoz s o inr a 4 ii G /r / 07 f Y. U/` r..) e- ( " 'd rj x , - paa sc,-,r e VO ANNETTE BLAND Notary Public - State of Florida Commission # GG 060623 My Comm. Expires Jan 16, 2018 o (Z ela,'l Adv,1oslT,;"G 1^5—(-) INSPECTION SEQUENCE BP# 17-1515 ADDRESS: 3653 S. Orlando Drive BUILDING PERMIT Min Max Inspection Description Footer / Setback Stemwall Slab / Mono Slab Lintel / Tie Beam / Fill / Down Cell Sheathing — Walls Sheathing — Roof Roof Dry In 10 Frame Insulation Rough Firewall Screw Pattern 20 Drywall / Sheetrock Lath Inspection Building Ceiling Air Barrier Insulation Roof (Com'1) 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) REVISED: June 2014 ELECTRICAL PERMIT Min Max Inspection Description Electric Underground Footer / Slab Steel Bond Electric Ceiling Rough Electric Wall Rough 10 Electric Rough Pre -Power Final Temporary Pole 1000 Electric Final PLiT RIBI G PERMI 1 q W. _ _- IVA Min Max Inspection Description 10 Rough Plumb Plumbing Underground Plumbing 2nd Rough Plumbing Tubset Plumbing Sewer Plumbing Grease Trap Rough Plumbing Steam / Chill Water Rough 1000w Plumbing Final MECHANICAL PERMIT Min Max Inspection Description 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 Mechanical Final Advised existing no work CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: ! - 6 4 Documented Construction Value: $ Job Address: -7 S Historic District: Yes No Parcel ID: Residential Commercial Type of Work: New Addition Alteration® Repair Demo Change of Use Move Description of Work: ,J 54 u 11; t4 15r rie ly- cl r Plan Review Contact Person: Title: Phone: Name Fax: Email: Property Owner Information Phone: Street: Resident of property? City, State Zip: a, _w Contractor Information Name es.c i 1 1-:C,4'v,`G s Phone: C o7 S`1-13tb Street: 302.1 PmferMd RdSe L,ll®r Fax: tq/A City, State Zip: _ _ S S MNIQ? f 3117Lf h State License No.: 6/ 0 3b 07%S Architect/Engineer Information Name: Street: City, St, Zip: Bonding Company: Address: Phone: Fax: E-mail: _ Mortgage Lender: Address: WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for electrical work,. plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and air conditioners, etc. FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 5" 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 of Owner/Agent Print Owner/Agent's Name Date Signature of Notary -State of Florida Date Owner/Agent is Personally Known to Me or Produced ID Type of ID Signature of Contractor/Agent Date Print Contractor/Agent's Name 7. 5-- l -7 Signature of Notarv-State of lorida Date ANNETTE BLAND Notary Public - State of ftorida Commission 0 GG 060623 My Comm. Expires Jan 16, 2018 Produced ID Type to Me or BELOW IS FOR OFFICE USE ONLY Permits Required: Building Electrical Mechanical Plumbing[] Gas[] Roof Construction Type: Occupancy Use: Flood Zone: _ Total Sq Ft of Bldg: Min. Occupancy Load: # of Stories: New Construction: Electric - # of Amps Plumbing - # of Fixtures Fire Sprinkler Permit: Yes No # of Heads Fire Alarm Permit: Yes No APPROVALS: ZONING: UTILITIES: WASTE WATER: ENGINEERING: FIRE: BUILDING: I- 1 TU1UT I303 Revised: June 30, 2015 Permit Application THIS INSTRUMENT PREPARED BY: Name: Patrick Murphy Address: 6405 South US HWY 17/92 Fern Park Florida 32730 NOTICE OF COMMENCEMENT State of Florida County of Seminole 7t5_D Permit Number: Parcel ID Number: GRANT NALOYr SENINOLE COUNTY CLERK OF CIRCUIT COURT & CONF'TROLLER BK 891 '7 Ps 289 (iF'es ) CLERK' S y 2i t171"1 r793? RECORDED 05/15/ 2017 12:05 18 P11 REC: ORD1HG FEES $10.00 RECORDED BY rdtemp 11- 20-30-5QU-0000-0020 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) 3607 South Orlando Ave. Sanford Florida 32773 LOT 2 SEMINOLE CENTRE PB 62 PGS 39 & 40 GENERAL DESCRIPTION OF IMPROVEMENT: Tenant build out for East half of of space. OWNER INFORMATION: Name: RB Seminole LLC Address: c/o RD Management LLC 810 Seventh Ave. 10th Floor New York, NY 10019 Fee Simple Title Holder (if other than owner) Name: CONTRACTOR: Name: Retail Construction Advisors Inc. - FL License #CBC1260300 Address 1741 Palmer Ave. Winter Park Florida 32789 CERTIFIED cr tpCU T COURT COMPTROLLER AN0M1K 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. Name: Patrick Murphy Address: 6405 South US HWY 17/92 Fern Park Florida 32730 In addition to himself, Owner Designates Alfred Rossi 810 Seventh Ave.10th Floor New York NY 10019 of RD Management LLC 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) Sept. 15th 2017 WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. 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. Richard Birdoff Owner' s Signature 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." State of NG- O YO County of The foregoing instrument was acknowledged before me this Tt+ day of M ln-,y , 201 by 1(",OAR-z) on I Who is personally known to mex Name of person making statement OR, vicF .bas• ka f ed identification-0 type of identification produced: U. . y LOUISA J. CUR11S a _ • ; w. ONotary NPublico. 01CState of New York rr, Qualified in New York County Certificate Filed in New York County !btignature Commission Expires January05, 20-ja U CITY OF SANFORD BUILDING &FIRE PREVENTION PERMIT APPLICATION Application No: 1-7 15 1,W Documented Construction Value: $ r- Job Address: 3 60 -4 5, D +r kayl (Ao [) r' .Historic District: Yes No Parcel ID: Residential Commercial Type of Work: New Addition Alteration ® Repair Demo Change of Use Move Description of Work: s +S i l t" V_ Soma,' I q Plan Review Contact Person: Title: Phone: Fax: Email: Property Owner Information Name Phone: Street: Resident of property? City, State Zip: n ractor Information Name Phone: x3 P', Street: ;ZJ _A C,21VIA Ie r TD> N Fax: 3 S City, State Zip: in'A t-- 2' State License No.: C C % — Name: Street: City, St, Zip: Bonding Company: Address: Architect/ Engineer Information Phone: Fax: E- mail: Mortgage . Lender: Address: WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and air conditioners, etc. FBC 1053 Shall be inscribed with the date of application and the code in effect as of that date: 5t° Edition (2014) Florida Building Code Permit Apph li- Revised: June 30, 2015 r NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. Acceptance of permit is verification that l 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 andwill 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 ]CC 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. 117 Signature o er Agent Date Print Owner X- gent'4 Name ur Notary -State of Florida Date shy Kerry L. Pardue NOTARY PUBLIC STATE: OF FLORIDA L = Comm# GG060979 s NCEt9° Expires 11/2/2018 Owner/ Agent is Personally Known to Me or Produced ID _ Type of ID F1 1)VC.-f-t C Signature of Contractor/Agent Date Print Contractor/Agent's Name Signature of Notary -State of Florida Date Contractor/ Agent is Personally Known to Me or Produced ID Type of ID BELOW IS FOR OFFICE USE ONLY Permits Required: Building Electrical Mechanical Plumbing Gas Roof Construction Type: Total Sq Ft of Bldg: Occupancy Use: Min. Occupancy Load: New Construction: Electric - # of Amps Fire Sprinkler Permit: Yes No # of Heads APPROVALS: ZONING: ENGINEERING: COMMENTS: UTILITIES: FIRE: Flood Zone: of Stories: Plumbing - # of Fixtures Fire Alarm Permit: Yes No WASTE WATER: BUILDING: Revised: June 30, 2015 Permit Application CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION JUL 1 n 241 i Application No: Bldg. Permit#17-1515 Documented Construction Value: $ 3,000.00 Job Address: 3607 Orlando Dr. Historic District: Yes No Parcel ID: 11-20-30-5QU-0000-0020 Residential Commercial Q Type of Work: New In Addition Alteration Repair Demo Change of Use Move Description of Work: Add/relocate six fire sprinklers per new tenant revisions. Plan Review Contact Person: Cori Wells Title: Project Manager Phone: 407-877-5526 Fax: 407-656-8026 Email: permitting@waynefire.com Property Owner Information Name RB Seminole LLC c/o RD Mgmt LLC Phone: Street:' 810 7th Ave Resident of property? City, State Zip: New York, NY 10019 Contractor Information Name Wayne Automatic Fire Sprinklers, Inc. Phone Street: 222 Capitol Court Fax: City, State Zip: Ocoee, FL 32746 Name: N/A Street: City, St, Zip: Bonding Company: N/A Address: 407-877-5557 407-656-3030 State License No.: FPC14-000057 Architect/Engineer Information Phone: Fax: E-mail: Mortgage Lender: N/A 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. [ certify that no work or installation has V commenced prior to the issuance of a permit and that all work will be performed to meet standards of all laws regulating construction , in this jurisdiction. I understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools, ' \ furnaces, boilers, heaters, tanks, and air conditioners, etc. FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 5' Edition (2014) Florida Building Code Revised: June 30, 2015 0 1 / Permit Application Kra> -I-Z. 7\ 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 constructioi and zoning. 1Wbe1f -, 07/10/17 Signature of Owner/Agent Date Signature of Contractor/Agent Date Print Owner/Agent's Name Signature of Notary -State of Florida Date Owner/Agent is Personally Known to Me or Produced ID Type of ID Robert Dewar ractor/Agent's Name m/17 of Notary -State of Florida . RUTHA. MCCULLOCH MY COMMISSION # FF 066550 EXPIRES: February 26, 2018 Contractor/Agent is X 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: COMMENTS: UTILITIES: FIRE: Flood Zone: of Stories: Plumbing - # of Fixtures Fire Alarm Permit: Yes No ASTE WATER: BUILDING: Revised: June 30, 2015 Permit Application DATE: 77--- D - I BUSINESS/PROJECT NAME: ADDRESS: CONTACT NAME: CITY OF SANFORD BUILDING AND FIRE PREVENTION DIVISION PERMIT NUMBER: PHONE: FIRE PLAN REVIEW SERVICE FEES PHONE: 407.688.5052 FAX: 407.688.5051 , W. 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: 2<- C RE: H&R Block ' 3607 Orlando Dr. Permit #17-1515 { SE,WINOLE COUNTY MULT/ IURI5DICTIONIAL Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: 01 /03/17 I hereby name and appoint. Robert Shannon an agent of: Wayne Automatic Fire Sprinklers, Inc. 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): All permits and applications submitted by this contractor The specific permit and application for work located at: Street Address) Parcel Identification) Expiration Date for This Limited Power of Attorney: 12/31 /17 License Holder Name: Robert Dewar State License Number: FPC14-000057/--- Signature of License Holder: STATE OF FLORIDA COUNTY OF ORANGE The foregoing instrument was acknowledged before me this 3rd day of January 20 17 by Robert Dewar who is K) personally known to me or who has produced as identification and who did (did not) take an oath. RUTH A MCCULLOCH MY COMMISSION ;# FF 066550 EXPIRE• ebruary 26, f ol v 3° T Uondad ThSNoaaryyPublic uod ae s 1 1.; 0 n v S :. o;) Ruth A. McCulloch Print or type Notary name Notary Public - State of Florida Commission No. FF066550 My Commission Expires: 02/26I1 01 y.D ®ri zo n RETAIL CONSTRUCTION, INC. www.horizonretall.com : 262.538.6000 SUBCONTRACT NO. 26170070.01 6/14/2017 PROJECT # 25-17-0070 15500 Sprinkler Wayne Automatic Fire Sprinkler Famous Footwear 3588 222 Capitol Court West Town Corners Ocoee, FL 34761 380 South State Rd 434 Space #Al l Phone: (407)656-3030 Altamonte S rin, FL 32714 Fax: (407)656-8026 Super: Troy Stavely Email : dgokey@waynefire.com Super Phone: (262)598-7016 Vendor ID M WAYNAUT002 I Project Manager: Tyler Anderson Job Start: 6/29/2017 1 PM Phone/Fax: 262 865-6233 JOB SCOPE: Furnish and install automatic fire sprinkler system per plans, specifications, local codes and mall requirements. Price Includes any required drawings, submittals and shutdown fees. Add] relocate of heads Intl, Design completion two weeks. STORE & MALL CLEAN-UP: Subcontractors are responsible for their own dean up. If Horizon Retail Construction has to perform clean up on the job site / LLD property, the subcontractor responsible for this will incur a cost of $75/hr, which will be deducted from their Subcontract. If Horizon Retail Construction has to subcontract the dean up, the total amount of that Construction Contracts/invoice plus an administrative fee of 10% will be back -charged to your Construction Contracts/Invoice. If the LLD does not allow a dumpster to be placed on site, subcontractors will be required to haul their own debris off site, otherwise this will result in back -charges. INSURANCE REQUIREMENTS: Before commencing the Subcontract Work, and as a condition of payment, the Subcontractor shall purchase and maintain insurance having the minimum limits as follows: a) Workers Compensation Insurance -A worker's compensation policy shall be in -force with limits of $500,000 bodily injury by accident each accident, $500,000 bodily injury by disease each employee, $500,000 bodily injury by disease policy limit. The State in which work is being performed must be a covered State on the workers compensation policy and shown on the certificate of insurance. Coverage must be extended to include sole proprietors, partners, and executive officers. Horizon Retail Construction must be Certificate Holder. Texas vendors only: A Comp Alternative Plan with a combined limit of $1,000,000 for medical and indemnity benefits is acceptable in place of a worker's compensation insurance policy. b) Comprehensive General Liability Insurance -Each occurrence limit $1,000,000 or full per occurrence limit of the policy, whichever is greater, Personal and advertising injury limit $1,000,000, Fire damage limit $100,000, Products completed operations aggregate limit $2,000,000, General aggregate limit $2,000,000, Medical expenses, any one person $5,000. Subcontractor's policy must contain a per -project aggregate. c) Comprehensive Automobile Liability Insurance Combined single limit $1,000,000 for property damage and bodily injury. Policy must include coverage for non -owned automobile liability coverage and hired vehicle coverage. d) Umbrella/Excess Insurance - $1,000,000 Each occurrence limit and aggregate limit. Policy shall be primary and non-contributory. Aggregate shalt apply on a per project basis. Such coverage shall be maintained in form and with companies having a minimum AM Best rating of A- VII. Before commencing work, Subcontractor shall provide to the contractor, certificates of Insurance naming contractor, tenant, landlord and owner as an additional insured on a primary and non-contributory basis, for Commercial General Liability policy, Commercial Automobile policy and Umbrella policy. The general liability policy shall utilize ISO Form CG 20 10 04/13 and CG 20 37 04/13 or the equivalent. The insurance afforded to the additional insured shall be at least as broad as that afforded to the first named insured. All policies shall also contain a waiver of subrogation in favor of Contractor, tenant, landlord and owner. Policies shall provide for at least (30) thirty days notice of cancellation of any Insurance to contractor. INDEMNITY To the fullest extent permitted by law, the Subcontractor shall defend, indemnity and hold harmless the Contractor, Landlord, Tenant and the Owner, their agents, consultants, and employees from any and all claims arising out of the Subcontractors Work or anyone employed directly or indirectly by any of them or by anyone for whose acts any of them may be liable. WAIVER OF SUBROGATION The Contractor and Subcontractor waive all rights against each other, the Owner, Landlord, Tenant and the Arch itect/Engineer, and any of their respective consultants, subcontractors and sub -subcontractors, agents and employees, to recover damages to the extent covered and paid by the proceeds of a builders risk policy, excluding such rights as they may have to receive such insurance proceeds. Subcontractor shall require similar waivers from its subcontractors. LIENS/LIEN WAIVERS s Wayne Automatic Fire Sprinkler (WAYNAUT002) FamFoot 3588 AltamonteSpmgsFL 25170070-01 15-500 As a condition precedent to payment, in connection with all invoices or applications for payment (including progress payments and final payment), Subcontractor shall deliver to Contractor original executed and notarized waivers of all lien rights for all work, equipment, labor, services, supplies and materials for which payment is being sought, including waivers from Subcontractor and front all of its subcontractors and material suppliers for whose work payment is being sought. Contractor may withhold payment to Subcontractor until all such original executed lien waivers have been delivered to and received by Contractor. Subcontractor shall defend, indemnify and hold harmless the Contractor, its sureties, and the Owner, from any and all liens or other claims for payment filed, made or asserted by any third person alleging or claiming non-payment for work, labor, materials, equipment, supplies, or services furnished or performed as part of Subcontractor's work. Subcontractor shall, at its own expense, promptly discharge, satisfy or remove any and all such liens by payment, bonding, or other means. SAFETY RULES/REGULATIONS Subcontractor agrees to be responsible that its agents, representatives, employees, suppliers and subcontractors strictly comply with all safety requirements. The Work is to be pursued in a safe manner at all times taking all necessary precautions to avoid injuries to the public and to the workmen. All laws, ordinances, codes, rules and regulations relative to safety and the prevention of accidents shall be complied with as well as the Occupational Safety & Health Act of 1970, as amended. The subcontractor does assume all responsibilities of Horizon Retail Construction, Inc. with respect to the Work under this Construction Contracts, and indemnifies and holds Horizon Retail Construction, Inc. harmless from all penalties, damages or other losses resulting from failure of subcontractor and those for whom it is responsible to comply with this paragraph; Subcontractor provides Horizon Retail Construction, Inc. with a detail written report of every accident occurring in connection with its Work where the interests of Horizon Retail Construction, Inc. and the owner or other contractors may be involved. The said report shall be furnished to Horizon Retail Construction, Inc. within three (3) days after the occurrence. Possession, distribution, or consumption of alcohol and/or illegal drugs is prohibited on the jobsite. Reporting to work under the influence of alcohol or illegal drugs is not permitted. If a subcontractor employee is determined to have breached the terms and conditions of Horizon Retail Construction, Inc.'s alcohol and illegal drug policy, the employee in question shall be removed from the site immediately, and will not be allowed back on the site without express written permission by Horizon Retail Construction, Inc. All representatives of your company on the jobsite must sign in and out with the site superintendent and log book each day. DELIVERY AND MATERIAL MANAGEMENT Subcontractor agrees to take responsibility of all materials, whether Owner supplied or Subcontractor provided as it relates to their scope of work. This includes, but is not limited to, ordering, inventory, inspecting, delivery, and unloading of all material from the closest point of delivery to the final installation. WARRANTIES Subcontractor warrants that all materials furnished under this Agreement shall be new, of good quality, free from defects, and in conformance with the contract documents. Subcontractor warrants that all of its work shall be performed in a workmanlike manner, in conformance with the contract documents and with prevailing industry standards, and free from defects in workmanship and materials. Subcontractor shall, upon demand, promptly correct any of its work that is defective or not in compliance with the contract documents, at no additional cost to Contractor or to the Owner. Subcontractor shall bear all costs associated with correcting such defective work, Including all costs of uncovering its work and of any additional inspections and testing, and Subcontractor shall indemnify Contractor and Owner for all costs and damages incurred by Contractor or Owner due to such defect. For a period of one year following the date of acceptance of the Project by Owner, Subcontractor agrees to remedy all urgent warranty Items that may affect the functionality of the site the work was performed on within 24 hours. Additionally, Subcontractor agrees to remedy all warranty Items that do not fall within the urgent category within 3 working days. Subcontractor shall bear all costs associated with the correction of its defective work with said one year period, and shall indemnify the Contractor and Owner for all costs and damages incurred by Contractor or Owner due to such defects. OTHER Subcontractor shall not sublet or assign this contract nor sell or assign the proceeds of this contract All parties on site under subcontractors supervision are to be fully insured by this subcontractor and be direct employees of this subcontractor. If It is discovered that the subcontractor has sublet the contract to another party, Horizon Retail Construction reserves the right to either A.) terminate this contract and contract direct with the third party entirely, or B.) contract direct with the third party and back charge the amount plus a 10% administrative fee to this contract. Union subcontractors must be current on dues. Letters of compliance are required. Subcontractors that fail to adhere to the construction schedule andlor superintendent's schedule will be served with a faxed/e-mailed 24-hour "NOTICE TO MAN THE JOB". IF YOU FAIL TO MAN THE JOB AFTER RECEIVING SUCH NOTICE, YOU WILL BE TERMINATED IMMEDIATELY and may be liable for any additional costs incurred in order to complete the agreed upon work. GOVERNING LAW AND VENUE This agreement shall be governed by, and construed in accordance with, the laws of the state of Wisconsin. The parties agree that any and all disputes in anyway arising from this Construction Contracts or from either parties' performance hereunder shall be decided in the Circuit Court of Racine County, Wisconsin. Subcontractor hereby consents to the jurisdiction of said court, and further waives all objections to such jurisdiction. Any modifications to this contract must be in a written separate agreement. This SubContract must be signed and returned before any work is performed. Subcontractor will be held to the following additional requirements: 2- r Wayne Automatic Fire Sprinkler (WAYNAUTO02) FamFoot 3588 Alta monteSprngsFL 25170070-01 15-500 1. Before and as a condition of receiving the first draw, which can be no more than 50% of contract amount, the subcontractor is required to list all material suppliers that may provide material or supplies on the job on form titled Supplier List on Horizon f3ptail Construction Project as well as sign the Declaration at the bottom of this form declaring the information to be true and correct. 2. Before and as a condition of receiving more than 50% of contract amount, the subcontractor will need to provide final unconditional material lien waivers from at[ material suppliers used. 3. At the discretion of Horizon Retail Construction, the subcontractor may be requested to update the form titled Supoller List on Horizon Retail Construction Project as well as sign the Declaration at the bottom of this form before receiving either the second or final draw on this project. 4. Payment for all work completed under this construction contract shall be paid as follows: 50%-50% within 30 days of substantial completion. CHANGE ORDER PROCEDURE: 1. Additional work WILL NOT be authorized In the field. 2. Change orders on revisions must be submitted within 48 hours of receipt of plan revision or will not be accepted. 3. To obtain a signed change order you must forward a detailed proposal including cost breakdown into man hours and material in a timely manner. 4. A written change order signed by Tyler Anderson prior to doing any extra work is required for payment. Consideration for any work over the original contract amount without a written change order signed by Tyler Anderson will be null & void. SUBCONTRACTOR DATES CONTRACT AMOUNT Description Amount 15-500 Fire Extinguishing Systems $12,800.00 Tax 0.00 Total 12,800.00 COMMENCEMENT DATE 6/1612017 ROUGH INSPECTION DATE 711312017 FINAL COMPLETION DATE 811112017 MATERIALS DELIVERED BY PAYMENT TERMS 1 CONTRACT ACCEPTANCE: I agree to the scope of work, payment terms, insurance requirements and change order procedures as ted in this Co tr ction Contracts. THIS COMPLETED AND SIGNED CONSTRUCTION CONTRACTS TOLE ER WITH Y R INSURAN ERTIFICATE W9 MUST BE RECEIVED BEFORE COMENCING THE SUBCONTRACTED W Wa utomatic Fire Sprinkler Jerry Bateman, Jr. subcontract#:26170070-01 Service & Alarms Manager 6/ 14/2017 Tyler Anderson Date Horizon makes every effort to issue payment within 30 days from substantial completion. Failure to provide requested documentation will result in delays of payment. All payments to subcontractor are contingent and not due until the project owner's fulfillment, including payment, of their contract obligations with Horizon Retail Construction, Inc. Horizon Retail Construction, Inc. reserves the right to make payment only after receiving corresponding payment from the owner. 17 well WAYN 1E Automatic Fire Sprinklers, Inc. LETTER OF TRANSMITTAL To: CITY OF SANFORD 300 N. PARK AVENUE SANFORD, FL 32772 ENCLOSED YOU WILL FIND: JOB NO. 87220 RE: H&R Block DATE: 07/10/17 ATTENTION: PLANS REVIEW COPIES DATE DESCRIPTION 3 FIRE SPRINKLER PLANS 3 MATERIAL SUBMITTAL DATA 1 PERMIT APPLICATION 1 COPY OF SIGNED QUOTE 25.00 for APPLICATION FEE X_For approval For your use As requested _X_For review and comment REMARKS: PLEASE RETURN (2) SETS WITH YOUR SEAL OF APPROVAL AND/OR COMMENTS. PLEASE CALL 407-877-5557 WHEN PERMIT IS READY AND GIVE AMOUNT. Signed: Ruth McCulloch Corporate Office: 222 Capitol Court • Ocoee, Florida 34761-3033 • (407) 656-3030 • FAX (407) 656-8026 Regional Offices: Jacksonville • Fort Myers • Pompano Beach • Tampa • Concord, NC FIRE SPRINKLER PRODUCT DATA SUBMITTAL For H&R BLOCK 87220 3607 ORLANDO DRIVE SANFORD, FLORIDA 32773 WAYNE AUTOMATIC FIRE SPRINKLERS, INC. 222 CAPITOL COURT - OCOEE, FL 34761 TEL (407) 656-3030 or FAX (407) 656-8026 Bulletin 110 Rev. W Model G J ® Automatic Sprinklers Spray Upright, 0 Spray PendentRelble And Conventional Product Description The Reliable Model G Automatic Sprinkler utilizes the center strut solder in compression principle of construc- tion. The fusible alloy is captured in the cylinder of the solder capsule by a stainless steel ball. When the fusible alloy melts, the ball moves into the cylinder allowing the cylinder to fall away from the sprinkler. When this happens, the lever is released to spring free from the sprinkler so that all of the operating parts clear from the waterway al- lowing the deflector to distribute the discharging water. Except for the parts in the cylinder as mentioned above, the sprinkler components are made from copper based alloys for maximum corrosion protection. Lead plated, wax coated or wax over lead plated sprinklers are available for specially severe environments. Chrome plated sprinklers are available for decorative purposes. All sprinklers are individually hydrostatically tested. All sprinklers are identified as to their fusing point by mark- ings that appear on several of the operating parts and by an identifying color that appears on the frame. Sprinkler Types Standard Upright —This deflector configuration is normal- ly used with exposed piping installations. Water is distrib- uted laterally and downward in a wide pattern approximat- ing a hemisphere which is completely and uniformly filled with water in the form of small drops or spray. Standard Pendent — This deflector configuration is nor- mally used where the space above the piping is limited or where a concealed piping installation is employed. The discharge characteristics of the standard pendent are virtually identical to the standard upright as described above. Large and Small Orifice —By varying the orifice size, a large or small orifice sprinkler is created that will distrib- ute as much as 40% more water or 65% less water than the normal'/z" (15mm) orifice sprinkler. Conventional —This deflector configuration is used pri- marily in those countries where the LPC installation rules have precedence. The sprinkler is designed to distribute a portion of its water discharge upward against the ceil- ing with the balance downward. It may be installed in either the upright or the pendent position. Sprinklers with conventional deflectors are available with orifice sizes corresponding to light, ordinary and extra —high hazard installations. Upright 035' i Pendent Small Orifice Upright Conventional Application and Installation Standard sprinklers are used in fixed fire protection sys- tems: Wet, Dry, Deluge or Preaction. Care must be exer- cised that the orifice sizes, temperature ratings, deflector styles and sprinkler spacings are in accordance with the latest published standards of the National Fire Protection Association or the approving authority having jurisdiction. The sprinklers must be installed with the Reliable Model D Sprinkler Wrench. Any other type of wrench may dam- age the sprinkler. The approvals or listings of Reliable Automatic Sprin- klers by major approving organizations are shown in the tabulated list provided on the back of this bulletin. Reliable Automatic Sprinkler Co., Inc., 103 Fairview Park Drive, Elmsford, New York 10523 Technical Data Sprinkler Identification Sprinkler Type K" Factor Sprinkler Approvals Number SIN Height US Metric SSU SSP Standard —Upright (SSU) and Pendent (SSP) Deflectors Marked to Indicate Position 5.62 81.0 2 1/6" (73 mm) 1, 2, 3, 4, 5, 6, 7 R1025 R101512" (15 mm) Standard Orifice with '/2" NPT (R'f2) Thread 7/.6" (11 mm) Small Orifice with'12" NPT (R'/2) Thread 4.24 61.0 2'/6" (73 mm) 1,5 R1023 R1013 6" (10 mm) Small Orifice with 1/2" NPT (R'/2) Thread 2.82 40.6 2 7/6" (73 mm) 1, 2,5 R1021 R1011 1/16" (8 mm) Small Orifice with '/2 NPT (R'/2) Thread 1.98 28.5 21/6" (73 mm) 1,5 R1022 R1012 7/32" (20 mm) Large Orifice with NPT (R'/2) Thread 7.96 114.7 21/6" (73 mm) 1, 2, 5 R1026 R1016 17/32" (20 mm) Large Orifice with 3/4" NPT (R3/4)Thread 8.20 118.2 2 15/16" (75 mm) 1, 2,5 R1027 R1017 20 mm XHH with 20 mm Thread 8.20 118.2 75.4 mm 3, 4, 5 R1027 R1017 10 mm XLH with 10 mm Thread 4.10 59.1 73 mm 3, 4, 5 R1024 R1014 Conventional —Installed in Upright or Pendent Position 4,10 59.1 73 mm 4 R107410mmXLHwith10mmThread 15mm Standard Orifice with (R'/2) Thread 5.62 81.0 73 mm 3, 4, 5, 7 R1075 20mm XHH with (R3/4) Thread 8.20 118.2 75.4 mm 3, 4 R1077 Temperature Ratings Sprinkler Maximum Classification Rating Ambient Frame 0" Temperature Color F C F C Ordinary 135 57 100 38 Black Ordinary 165 74 100 38 Uncolored Intermediate 212 100 150 66 White High 286 141 225 107 1 Blue Frame color does not apply to painted or plated sprinklers Use sprinkler rating as identified on operating parts. Finishes (') sprinklers with soap and water, ammonia or any other clean- ing fluids. Remove any sprinkler that has been painted (other than factory applied) or damaged in any way. A stock of spare sprinklers should be maintained to allow quick replacement of damaged or operated sprinklers. Prior to installation, sprinklers should be maintained in the original cartons and packaging un- til used to minimize the potential for damage to sprinklers that would cause improper operation or non -operation. Use only the Model D Sprinkler Wrench for sprinkler removal and installation, Any other type of wrench may damage the sprinkler. Standard Finishes Bronze All Temperature Ratings Chrome All Temperature Ratings White All Temperature Ratings Only Frame and Deflector are Painted Special Application Finishes Bright Brass Plated Only frame, deflector and cap are plated. 135°F (57°C), 165°F 74°C), 212°F (100'C) Temp. Rating. Black Plated Only frame, deflector and cap are plated. All Temp. Ratings, Polyester Coated j2)14j Only frame and deflector are coated. Lead Plated 165°F (74°C), 212'F (100°C) and 2860F (141°C) Temp. Ratings. Wax -Coated (3) 165°F (74'C) Clear Wax, 212°F (100°C) Brown Wax. Wax -Coated Over Lead Plated (3 165°F (74°C) Clear Wax, 212°F (100°C) Brown Wax. Other colors and finishes are available. Consult factory for details. 2) UL listed and NYC MEA Approved only. 3) 212°F (100°C) brown wax may be used on 286°F (141°C) sprinklers when maximum ambient temperatures do not exceed 150°F 66'C). UL Listed, FM Approved, NYC MEA 258-93-E. l4) FM Approved for R1027 only. Maintenance Model G Sprinklers should be inspected and the sprinkler system maintained in accordance with NFPA 25. Do not clean Approval Organizations 1, Underwriters Laboratories, Inc. and UL Certified for Canada (cULus). 2. Factory Mutual Research Corporation 3. Loss Prevention Council 4. Pleniere Assemblee 5. VdS Schadenverhutung GmbH 6. N.Y.C. BS&A No. 587-75—SA or N.Y.C. MEA 258-93-E 7, EC Certificate: 1438-CPD-0054 (R1015) 1438-CPD-0053 (R1025) 1438-CPD-0052 (R1075) 1438-CPD-0056 (R1077) Ordering Information Specify 1. Model G 2. Deflector Upright Pendent Conventional 3. Nominal Orifice 4. Inlet Thread 5. Temperature Rating 6. Finish The equipment presented in this bulletin is to be installed in accordance with the latest published Standards of the National Fire Protection Association, Factory Mutual Research Corporation, or other similar organizations and also with the provisions of governmental codes or ordinances whenever applicable. Products manufactured and distributed by Reliable have been protecting life and property for over 90 years, and are installed and serviced by the most highly qualified and reputable sprinkler contractors located throughout the United States, Canada and foreign countries. Manufactured by Reliable Automatic Sprinkler Co., Inc. ® Recycled 800) 431-1588 Sales Offices Paper Relllaiabi 800) 848-6051 Sales Fax 914) 829-2042 Corporate Offices Revision lines indicate updated or new data. www.reliablesprinkler.com Internet Address EG. Printed in U.S.A. 04i15 P/N 9999970005 WAYNE Automatic Fire Sprinklers, Inc. THREADED FITTINGS Wayne Automatic Fire Sprinklers (W.A.F.S.) utilizes black cast iron, ductile iron and/or malleable iron threaded fittings. Fittings are not required to be listed if they conform to NFPA 13 Table 6.4.1 Fittings Materials and Dimensions. Many will be UL Listed or FM Approved. Fittings will be from various manufacturers including but not limited to: Anvil, ProValue, Shurjoint, Sigma, Smith Cooper, Tyco and Ward. Fittings will be manufactured in accordance with the following standards per NFPA 13 Table 6.4.1. ASME 1316.3 - Malleable iron threaded fittings, Class 150 and 300 steel. ASME 1316.4 - Cast iron threaded fittings, Class 125 and 250 Corporate Office: 222 Capitol Court • Ocoee, Florida 34761-3033 • (407) 656-3030 • Fax (407) 656-8026 Regional Offices: Jacksonville • Fort Myers • Pompano Beach • Tampa -- Concord, NC WAYNE Automatic Fire Sprinklers, Inc Wayne Automatic Fire Sprinklers (W.A.F.S.) utilizes "Threadable Thinwall" piping for sizes 1" through 211. It is sometimes referred to as Schedule 30. Per NFPA 13, section 6.3.6.1, it is permissible to use piping other than that provided in Table 6.3.1.1 provided it is listed. Piping will be sourced from domestic manufacturers. Piping will be manufactured in accordance with the following standard: ASTM A795 - Standard Specification for Black and Hot -Dipped Zinc - Coated (Galvanized) Welded and Seamless Steel Pipe for Fire Protection Use. ASTM 135 - Standard for electric resistance welded steel pipe. All piping will be UL listed & FM approved. Pipe will be from one of the following manufacturers: Allied 11Dyna Thread" Bull moose Tube Company "Eddythread 40" Welded Tube - Berkeley "Steady -Thread" Wheatland Tube Company"Mega-Thread" Youngstown Tube IIEZ-Thread" Corporate Office: 222 Capitol Court • Ocoee, Florida 34761-3033 • (407) 656-3030 • Fax (407) 656-8026 Regional Offices: Jacksonville Fort Myers • Pompano Beach • Tampa -- Concord, NC CITY OF SANFORD P.O. BOX 1788 SANFORD FL 327721788 C E R T I F I C A T E O F O C C U P A N C Y P E R M A N E N T Issue Date . . . . . . 3/13/18 Parcel Number . . . . . 11.20.30.5QU-0000-0020 Property Address . . . 3607 ORLANDO DR STE 100 SANFORD FL 32771 Subdivision Name . . . Legal Description . . . Property Zoning SEMINOLE CENTER - ALL UNITS BUT WALMART GENERAL COMMERCIAL Owner . . . . . . . . . RB SEMINOLE LLC, MGMT LLC Contractor . . . . . . RETAIL CONSTRUCTION ADVISORS I 407 636-7048 Application number 17-00002249 000 000 Description of Work INTERIOR COMMERCIAL REMODELING Construction type . . . VB Occupancy type . . . . BUSINESS USE GROUP Flood Zone . . . . . . Approved . . . . . . . Building Official VOID UNLESS SIGNED BY BUILDING OFFICIAL In accordance with this Certificate of Occupancy, all inspections for compliance with Florida Building Code 2014 for occupancy and use have been performed and approved. If the construction project was permitted and built under the owner/builder contractor exemption of Florida State statute 489.103; refer to state statute regarding limitations on renting, lease or sale of this property.