HomeMy WebLinkAbout3767 Orlando Dr 16-2438; EXTERIOR REMODELAUG 31 20i6 CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: -
Documented Construction Value: $ 75 . 0 q Q
Job Address: 3767 S. Orlando Drive, Sanford FL 32772 Historic District: Yes No
Parcel ID: 11-20-30-300-0300-0000 Residential Commercial Q
Type of Work: New Addition Alteration g Repair Demo Change of Use Move
Description of Work: Exterior modifications for existing oil change. Take 5 #1091
Plan Review Contact Person: Candi L. Gray Title:
Phone: 850-837-7444 Fax: 850-608-6258 Email: emeraldcoastpermitting@cox.net
Property Owner Information DNameTake5OilChange, L.L.C. Phone:ID
Street: 3450 Severn Avenue Resident of property?
Uwe -
City, State Zipf Yta.i.r-ie, L-A70
Contractor Information
J'`
e
Name TBD Phone:
Street: Fax: `4
Ciy; State Zip:- - • State License No.:
Arch itectlEng ineer Information
Name: Oliveri Architects Phone: 727-781-7525
Street: 32707 US Highway 19 Fax: 727-781-6623
City, St, Zip: Palm Harbor,FL 34684 E-mail: info@oliveriarchitects.com
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: 51 Edit"on (2014) Florida Building Code
Revised: June 30, 2015 Permit Application
P. S
NOT -ICE: 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 foregidiing infor1%r ation is accurate and that all work ill
be3"e in compliance with all applicable laws regulating construction and zoning.
l
Sig wne gen ^ Date I Signature of Contractor/Agent
1
Date
Print Owner/A ent's Name (
v0
PrinttCContractor/AContractor/Agent's Name
YYY
g g
Si nature o otary-State of Florida V Date
APRIL DONNESE WAY
commission # FF 925380
Expires November 24, 2019
Bonded TMu Troy Fain Insurance 800-385.7019
y is t/ Personally Known to Me or
ID Type of ID
53-/
1 a ure of Notary -State of Florida e
laii or Florida
6 'F0623
I; °; ir.. 16, 2018'
for/Agent is; _. Persona ly-Known to
Produced fD -"' Tune of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building ® Electrical Mechanical Plumbing Gas[] Roof
Construction Type: V
Total Sq Ft of Bldg:
Occupancy Use:
Min. Occupancy Load:
New Construction: Electric - # of Amps,
Fire Sprinkler Permit: Yes No # of Heads
APPROVALS: ZONING: - - UTILITIES:
ENGINEERING:
COMMENTS:
FIRE:
Flood Zone:
of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
Revised: June 30, 2015 Permit Application
0
Residential Commercial Q
Type of Work: New Addition Alteration X Repair Demo Change of Use Move
Description of Work: Exterior modifications for existing oil change. Take 5 #1091
Plan Review Contact Person: Candi L. Gray
Phone:850-837-7444 Fax:850-608-6258
Name Take 5 Oil Change, L.L.C.
Street: 3450 Severn Avenue
City, State Zip: Matairie, LA 7001
Name TBD
AUG 20%
T4-7z_
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: -
Documented Construction Value: $ 7 .00 1 1 a cam/
Job Address: 3767 S. Orlando Drive, Sanford FL 32772 Historic District• Ves N
Parcel ID: 11-20-30-300-0300-0000
Title:
Email: emeraldcoastpermitting@cox.net
Property Owner Information
Phone:
Resident of property? :
Contractor Information
Phone:
Street: Fax:
City, State Zip: State License No.:
Architect/Engineer Information
Name: Oliveri Architects Phone: 727-781-7525
Street: 32707 US Highway 19 Fax: 727-781-6623
City, St, Zip: Palm Harbor,FL 34684
Bonding Company:
Address:
E-mail: info@oliveriarchitects.com
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 OFCOMMENCEMENT.
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 constructioninthisjurisdiction. 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 of that date: 511 Edition (2014) Florida Building Code
Revised: June 30, 2015 V) j: `L." T I Permit Application ( lJ(
PP on `' /
5 'i
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be
found in the public records of this county, and there may be additional permits required from other governmental entities such as water
management districts, state agencies, or federal agencies.
Acceptance of permit is verification that 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
berme in compliance with all applicable laws regulating construction and zoning.
Date I Signature of Contractor/Agent Date
Print Owner/A§ennt's Name
S1 nature o otary-State of Florida Date
APRIL DONNESE WAY
Commission # FF 925380
p,
Expires November 24, 2019
I" Bwded TNu Troy Fah inmrmec 8"5•7019
edis t/ Personally Known to Me or
ID Type of ID
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 0 Electrical Mechanical Plumbing Gas[] Roof
Construction Type:
Total Sq Ft of Bldg:
V Occupancy Use:
Min. Occupancy Load:
New Construction: Electric - # of Amps.
Fire Sprinkler Permit: Yes No # of Heads
O`""`
APPROVALS: ZONING: -I TILITIES:
ENGINEERING:
COMMENTS: iS
l
FIRE:
Flood Zone:
of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
Revised: June 30, 2015 Permit Application
Blanton, Deborah
From: Forte, Jami <JForte@seminolecountyfl.gov>
Sent: Thursday, April 27, 2017 3:24 PM
To: Blanton, Deborah; Bland, Annette; Johnson, JoAnn
Subject: City BP 16-2438 at 3767 S Orlando Ave for name change to Take 5 & remodel
Good afternoon,
This is to advise that there will not be any Seminole County road impact fees for city BP # 16-2438 at 3767 S
Orlando Ave for name change to Take 5 Quick Lube interior/exterior remodel, and with no change to
building(s) footprint or use(s).
Please let me know if you have any questions.
Please note: Impact Fee applications require 5 to 7 business days to process, once a complete application is submitted. In order
to avoid having your project delayed, please submit applications as early as possible
in the development process.
Best Regards,
Jami Forte / Program Coordinator / Impact Fees & Concurrency
Seminole County P&D / Business office l Building Div.
1101 East First Street / Sanford, FL 32771 / 407-665-7356 / iforte@seminolecountyfl.gov
Customer Service Survey: www.seminolecountyfl.gov/devcustomersurvey
We are paperless! Please submit electronically...
ePlan Applicant User Guide
Florida has a very broad Public Records Law. Virtually all written communications to or from State and
Local Officials and employees are public records available to the public and media upon request. Seminole
County policy does not differentiate between personal and business emails. E-mail sent on the County system
will be considered public and will only be withheld from disclosure if deemed confidential pursuant to State
Law.****
AUG a 'I NIG CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: t L—a'4
Documented Construction Value: $ 75,000.00
Job Address: 3767 S. Orlando Drive, Sanford FL 32772
Parcel ID: 11-20-30-300-0300-0000
Historic District: Yes No 0
Residential Commercial Q
Type of Work: New Addition Alteration 0 Repair Demo Change of Use Move
Description of Work: Exterior modifications for existing oil change. Take 5 #1091
Plan Review Contact Person: Candi L. Gray
Phone:850-837-7444 Fax:850-608-6258
Name Take 5 Oil Change, L.L.C.
Street: 3450 Severn Avenue
City, State Zip: Matairie, LA 7001
Name TBD
Street:
City, State Zip:
Name: Oliveri Architects
Street: 32707 US Highway 19
Title:
Email: emeraldcoastpermitting@cox.net
Property Owner Information
Phone:
Resident of property? :
Contractor Information
Phone:
Fax:
State License No.:
Architect/Engineer Information
City, St, Zip: Palm Harbor,FL 34684
Bonding Company:
Address:
Phone: 727-781-7525
Fax: 727-781-6623
E-mail: info@oliveriarchitects.com
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 constructioninthisjurisdiction. 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: 511 Edition (2014) Florida Building Code
Revised: June 30, 2015 Permit Application
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be
found in the public records of this county, and there may be additional permits required from other governmental entities such as water
management districts, state agencies, or federal agencies.
Acceptance of permit is verification that I 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 51"e in compliance with all applicable laws regulating construction and zoning.
Date Signature of Contractor/Agent Date
Print Owner/A§een t's Name
S1 nature o otary-State of Florida Date
Y;, APRIL DONNESE WAY
Commission # FF 925380
Expires November24, 2019
Bcndod TMu troy Fain Insurance 800385-7019
Ow A e is Personally Known to Me or
Produced ID Type of ID
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 0 Electrical Mechanical Plumbing Gas Roof
Construction Type:
Total Sq Ft of Bldg:
V 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
WASTE WATER:
BUILDING:
Revised: June 30, 2015 Permit Application
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No • ! 12- a4 39
Documented Construction Value: $ 75,000.00
Job Address: 3767 S. Orlando Drive, Sanford FL 32772
Parcel ID: 11-20-30-300-0300-0000
Historic District: Yes No 0
Residential Commercial Q
Type of Work: New Addition Alteration X Repair Demo Change of Use Move
Description of Work: Exterior modifications for existing oil change. Take 5 #1091
Plan Review Contact Person: Candi L. Gray
Phone: 850-837-7444 Fax: 850-608-6258
Title:
Email: emeraldcoastpermitting@cox.net
Property Owner Information
Name Take 5 Oil Change, L.L.C. Phone:
Street: 3450 Severn Avenue Resident of ro ePP rt3'?
City, State Zip: Matairie, LA 7001
Contractor Information
Name TBD Phone:
Street: Fax:
City, State Zip:
Name: Oliveri Architects
Street: 32707 US Highway 19
State License No.:
Architect/Engineer Information
City, St, Zip: Palm Harbor,FL 34684
Bonding Company:
Address:
Phone: 727-781-7525
Fax: 727-781-6623
E-mail: info@oliveriarchitects.com
Mortgage Lender:
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 OBTAIN
FINANCING, 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 has
commenced prior to the issuance of a permit and that all work will be performed to meet standards of all laws regulating constructioninthisjurisdiction. 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'h 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
be3lon`e in compliance with all applicable laws regulating construction and zoning.
Date Signature of Contractor/Agent Date
Print Owner/Agent's Name 1
S1 nature o otary-State of Florida Date
APRIL DONNESE WAY
Commission # FF 925380
Expires November 24, 2019
Qi ; ,.•` Bondad Thou troy Fain in:urenca 800a5-7019
Ow A e is Personally Known to Me or
Produced ID Type of ID
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 Q Electrical Mechanical Plumbing[] Gas Roof
Construction Type: U 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
C? Ir
WASTE WATER: kQ
BUILDING:
Revised: June 30, 2015 Permit Application
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No • tom -
Documented Construction Value: $ 75,000.00
Job Address: 3767 S. Orlando Drive, Sanford FL 32772 Historic District: Yes Noll
Parcel ID: 11-20-30-300-0300-0000 Residential Commercial 0
Type of Work: New Addition Alteration k Repair Demo Change of Use Move
Description of Work: Exterior modifications for existing oil change. Take 5 #1091
Plan Review Contact Person.. Candi L. Gray
Phone:850-837-7444 Fax:850-608-6258
Name Take 5 Oil Change, L.L.C.
Street. 3450 Severn Avenue
City, State Zip: Matairie, LA 7001
Name TBD
Street:
City, State Zip:
Title: --
Email: emeraldcoastpermitting@cox.net
Property Owner Information
Phone:
Resident of property?
Contractor Information
Phone:
Fax:
State License No.:
Architect/Engineer Information
Name: Oliveri Architects Phone: 727-781-7525
Street: 32707 US Highway 19
City, St, Zip: Palm Harbor,FL 34684
Bonding Company:
Address:
Fax: 727-781-6623
E-mail: info@oliveriarchitects.com
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 constructioninthisjurisdiction. I understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and air conditioners, etc.
l r
FBC 1053 Shall be inscribed with the date of application and the code ineffect as ae:45-Edition (2014) Florida Building Code Revised:
June 30, 2015 Permit
Application 0
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
berme in compliance with all applicable laws regulating construction and zoning.
Sig wne gent / Date Signature of Contractor/Agent Date
Print Owner/Agent's Name V Print Contractor/Agent's Name
Sijature o otary-State of Florida Date
y;, APRIL DONNESE WAY
Commission # FF 925380
Expires November 24, 2019e,:
Bonded rNu Troy Fain in;urence M aSd019
Ow A e is Personally Known to Me or
Produced ID Type of ID
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 0 Electrical Mechanical Plumbing Gas[] Roof
Construction Type:
Total Sq Ft of Bldg:
V Occupancy Use: Flood Zone:
Min. Occupancy Load:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes No # of Heads
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes No
UTILITIES: ASTE WATER:
FIRE: BUILDING:
3/ -14g
Revised: June 30, 2015 Permit Application
ATE:
USINESS/PROJECT NAME:
ADDRESS:
ONTACT NAME: _
ction
CITY OF SANFORD BUILDING AND FIRE PREVENTION DIVISION
FIRE PLAN REVIEW SERVICE FEES
PHONE: 407-688-5052
FAX: 407-688-5051
PERMIT #:
PHON_
PLAN REVIEW INFORMATION
O Fire Alarm Fire Sprinkler Hood Tank Paint Booth
c
f OTAL FEES: `
SCPA Parcel View: 11-20-30-300-0300-0000 Page 1 of 2
Property Record Card
CFAOWN Parcel: 11-20-30-300-0300-0000
Owner: VRAJ LLC
aew+o e oo+rrv, r txao
Property Address: 3767 S ORLANDO DR SANFORD, FL 32772
Parcel Information i i Value Summary
Parcel 11-20-30-300-0300-0000
Owner VRAJ LLC
Property Address 3767 S ORLANDO DR SANFORD, FL 32772
Mailing 4654 RIVER GEM AVE WINDERMERE, FL 34786
Subdivision Name
Tax District S4-SANFORD- 17-92 REDVDST
DOR Use Code 2605-CARWASH/QUICKLUBE
Exemptions
Legal Description ---
SEC 11 TWP 20S RGE 30E
BEG 659.86 FT N OF SE COR
OF SW 1/4 OF SE 1/4 RUN N 115.84
FT W 290.75 FT SWLY ON CURVE
125 FT E 339.91 FT TO BEG
LESS RD)
Taxes
2016 Working 2015 Certified
Values Values
Valuation Method CosUMarket CosUMarket
Number Buildingsof 2 2
Depreciated Bldg Value 366,821 372,215
Depreciated EXFT Value 17,348 17,968
Land Value (Market) 248,626 248,626
Land Value Ag
Just/Market Value " - 632,795 638,809
Portability Adj
SaveOur Homes Adj 0 0 -
Amendment 1 Adj 0
4
0
0
0P&G Adj—
Assessed Value T$632,795 1 $638,809
Tax Amount without SOH: $13,000.66
2015 Tax Bill Amount $13,000.66
Tax Estimator
Save Our Homes Savings: $0.00
Does NOT INCLUDE Non Ad Valorem Assessments
Taxing Authority Assessment Value Exempt Values Taxable Value
County General Fund j $632,795 0_ $632,795
Schools 632,795 0 1 $632,795
City Sanford -- i _- $632,795 j 0 ! $632,795
SJWM(Saint Johns Water Management) I $632,795 i 0! $632,795
County Bonds --- - --
a----
632,795 0 [—__.$632,795
Sales
Description Date Book Page Amount Qualified Vac/Imp
WARRANTY DEED 7/1/2010 07422 1248 i 700,000 Yes Improved
w-
QUIT CLAIM DEED 1/25/2010 07330
I
1832 100 : No Improved
QUIT CLAIM DEED
l
3/1/2009 07157 1988 --- 100 ` No Improved
QUIT CLAIM DEED 3/1/2009 07157 1991 i 100 No Improved
QUIT CLAIM DEED 1/1/2009 07114
07022
10745 100 No Improved
WARRANTY DEED 6/1/2008 0929 850,000 i No Improved
WARRANTY DEED j 110/1/2005 05986 j 0864 1,510,000 I No Improved
SPECIAL WARRANTY DEED t5/1/2003 04848 0771— 320,000 i No — Vacant
m
WARRANTY DEED 3/1/1987 01829 0332
f _
Ye
160,000 Yes i Improved
SPECIAL WARRANTY DEED 3/1/1987 i 01851 1684 1 00No I Improved Page
1 of 2 (13 items) [11 2 No
Comparable Sates http://
parceldetail.scpafl.org/ParcelDetailInfo.aspx?PID=11203030003000000 5/16/2016
r F,Detail by Entity Name Page 1 of 2
Detail by Entity Name
Foreiqn Limited Liability Company
TAKE 5 OIL CHANGE, L.L.C.
Filing Information
Document Number
FEI/EIN Number
Date Filed
State
Status
M16000000412
72-1128185
01 /15/2016
LA
ACTIVE
Principal Address
2450 SEVERN AVE SUITE 308
METAIRIE, LA 70001
Mailing Address
2450 SEVERN AVE SUITE 308
METAIRIE, LA 70001
Registered Agent Name & Address
CORPORATION SERVICE COMPANY
1201 HAYS STREET
TALLAHASSEE, FL 32301-2525
Authorized Person(s) Detail
Name & Address
Title MGR
TAKE 5 OIL CHANGE INC
550 S DIXIE HWY #300
CORAL GABLES, FL 33146
Annual Reports
No Annual Reports Filed
Document Images
No images are available for this filing.
http://search. sunbiz. org/Inquiry/CorporationSearchISearchResultDetail?inquirytype=Entity... 6/ 18/2016
LETTER OF AUTHORIZATION
Re: Take 5 Oil Change #1091
3767 S. Orlando Dr.
Sanford, FL 32772
To Whom It May Concern:
As property owner of the proposed improvements, please accept this letter as our authorization for agents and
contractors, to apply for and obtain building permits, variances, and for representation at public hearings for
such permits. The permits are for exterior modifications for the Take 5 Oil Change #1091, located 3767 S.
Orlando Dr., Sanford FL 32772.
All work will meet or exceed Florida Building Code Requirements.
Emerald Coast Permitting, Inc. Southport Construction Corporation
141 Mack Bayou Loop, Suite 303 1782 Calumet Street
Santa Rosa Beach, FL 32459 Clearwater, FL 33765
Since
Signature of O nwear's Authorized Agent
Printed Name and Title: a,[EI 2 LA2)CR
Property Owner Name: Fowler Properties, Inc.
Property Owner address: 4686 Sunbeam Road, Suite 202, Jacksonville, FL 32257
The Property Control #: 11-20-30-300-0300-0000
STATE OF t 10,- Ju
COUNTY OF D1IJa
The foregoing instrument was acknowledged before me this ID—day of U u 2016, by
w,Witr as i-- (type of authority,
e.g. officer, trustee, attorney in fact) for Fowler Properties, Inc.
Personally Known OR Produced Identification
Type of Identification Produced 0°'\
NOTARY SEAL
Notary Signature
Name (Print) W11Ii N) k-vk
o;P" y "e,, WILLIAM KYLE POULTER
Notary Public - State of Florida
My Comm. Expires Aug 31, 2017
FOFF Commission # FF 047981
CW HA4YES
CONSTRUCTION
COMPANY
Limited Tower o fAttgMg
I hereby appoint A(\ tUAAA Of- of C.W. Ha es Construct' n Co to be my lawful
attorney in fact to act for me and apply to for permits necessary
for work to be performed at 2Z& 67 S & 7 S.
Qf a' yo D r- and to sign rffy name and do all things
necessary to this appointment
Signed:
C. Wayne H s esident
CW Hayes Construction Company
CGCO34855
State of Florida
County of Seminole
Signed by C. W e Ha es on /, 20 , who is personally known to me.
Signed:
Roxanna S. Dehnert — Notary
Witness:
Georgia GCCO002203
North Carolina 32474
South Carolina G15674
Tennessee 35336
Kentucky
Alabama 20946
Mississippi 10027
Virginia 2705031930A
Texas
Louisiana 33376
West Virginia WV049394
N Notary PublIc State of FloridaRoxannaSDehnert
My Commission FF 967593
q Expires 03l06I2020
P.O. Box 621294
Oviedo, Florida 32762-1294
Phone (407) 366-1564
Fax (407) 366-3835
INSPECTION SEQUENCE
BP# 16-2438
ADDRESS: 3767 S. Orlando Drive
BUILDING PERMIT
Min Max Inspection Description
10 Footer / Setback
Stemwall
Slab / Mono Slab
Lintel / Tie Beam / Fill / Down Cell
Sheathing — Walls
Sheathing — Roof
Roof Dry In
10 Frame Garage Doors
Insulation Rough
Firewall Screw Pattern
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)
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
LPL BINGPT ' ERMI r ;w u w K`
a.a,m:.
Min Max Inspection Description
Rough Plumb
Plumbing Underground
Plumbing 2nd Rough
Plumbing Tubset
Plumbing Sewer
Plumbing Grease Trap Rough
Plumbing Steam / Chill Water Rough
Plumbing Final
MECHANICAL PERMIT$ hx;
Min Max Inspection Descri tion
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
REVISED: June 2014
BP251I03 CITY OF SANFORD
Application Tracking Action Log Inquiry
Application . . . . . . . . 16 00002438
Address . . . . . . . . . . 3767 ORLANDO DR
Application type . . . . . . EXTERIOR REMODELING COMMERCIAL
Revision/Path/Step/Seq/Agency: A O1 00 UTIL UTILITY DEPARTMENT
Action date . . . . . . . . 8/31/16
Action type . . . . . . . . UR UNDER REVIEW
Action by . . . . . . . . . RB RICHARD BLAKE
Time spent . . . . . . . . . .50
Date/Time/User added . . . . 8/31/16 17:52:03 BLAKER
Comments Print
August 31, 2016 5:50:39 PM blaker.
This property is in the secondary well zone that prohibits
oil change and other car related work.
At this time this permit is under review.
Press Enter to continue.
F3=Exit F8=In/Out Status F12=Cancel
10/27/16
12:32:24
Bottom
Duncan, Hope
From: Rick Ashton <rick@oliveriarchitects.com>
Sent: Thursday, September 08, 2016 11:17 AM
To: Duncan, Hope
Cc: Ronald Hailend; emeraldcoastpermitting@cox.net; donnese_ecp@gccoxmail.com;
darlene_ecp@gccoxmail.com
Subject: 16077-R Take 5 Oil Change- 3767 South Orlando Drive, Sanford, FI -PERMIT #16-2438
Good morning, Hope.
We do not have any plumbing scope included in our permit set for the sink mentioned below.
Hope this clarifies.
If you have any additional questions/ concerns, please don't hesitate to contact me at the below
number.
Thanks,
Rick M. Ashton
Senior Project Manager
rick@oliveriarchitects.com
32707 US Highway 19 Palm Harbor, FL 34684
727.781.7525 • Phone
727.781.6623 • Fax
www.oliveriarchitects.
p R c aH-e.y- ++vt s-ewca,4
AGo Green. Please consider the environment before printing this email.
CONFIDENTIALITY NOTICE: This email and any files transmitted with it are confidential and intended solely for the use of the
individual or entity to which they are addressed. If you are not the intended recipient, you may not review, copy or distribute this
message. If you have received this email in error, please notify the sender immediately and delete the original message. Neither the
sender nor the company for which he or she works accepts any liability for any damage caused by any virus transmitted by this
email.
From: Duncan, Hope [mailto:hope.duncan@sanfordfl.gov]
Sent: Thursday, September 08, 2016 6:08 AM
To: emeraldcoastpermitting@cox.net
Cc: Gail Tucker
Subject: RE: Take 5 Oil Chnage at 3767 S Orlando Dr --permit #16-2438
Importance: High
Good Morning: Please advise as I can't sign off on the permit until this information is provided. Thank you, Hope
Duncan
Hope Duncan
Environmental Coordinator
Utilities Department
City of Sanford
300 N. Park Avenue
Sanford, FL 32771-1244
407-688-5000 ext 5512
407-416-3367 cell
407-688-5096 fax
Hope.Duncan(u,Sanfordfl.gov
www.sanfordfl.gov
From: Duncan, Hope
Sent: Tuesday, September 06, 2016 3:48 PM
To: 'emeraldcoastpermitting@cox.net'
Cc: 'info@oliveriarchitects.com'
Subject: Take 5 Oil Chnage at 3767 S Orlando Dr --permit #16-2438
Importance: High
Good Afternoon: I am reviewing the plans for permit 16-2438. There does not appear to be any modifications to the
plumbing at this location. When I inspected this facility in June 2015, there was a utility sink used for
mechanic/employee handwashing but a 5 gallon bucket was placed beneath the sink to capture the wash water for
disposal offsite and thus it was not connected to city sewers. I am concerned that with this renovation, modifications
may be made to this sink to connect it properly to the city's sewer system. Please advise. If the sink will be connected
to sewers then an under sink oil water separator will be needed and a wastewater discharge permit must be
obtained. Thank you, Hope Duncan
Hope Duncan
Environmental Coordinator
Utilities Department
City of Sanford
300 N. Park Avenue
Sanford, FL 32771-1244
407-688-5000 ext 5512
407-416-3367 cell
407-688-5096 fax
Hope.Duncan(a,Sanfordfl.gov
www.sanfordfl.V,ov
PLEASE NOTE: Florida has a very broad public records law. Any written communication to or from City
officials regarding City business is a public record available to the public and media upon request. Your e-mail
communications may be subject to public disclosures.
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 7, 2016 Project: Renovations
Contact Person: Candi Gray Job Address: 3767 S. Orlando Drive
Contact Phone Number: Application Number: 16-2438
Contact E-mail: emeraldcoastpermitting@cox.net Contact Fax Number:
ARCHITECTURAL
1. I thought I sent this out. You can e-mail me item 1. Structural comment.
STRUCTURAL
1. Submit two sets of Florida Product Approval or Miami Dade County Notice of Acceptance for new
overhead doors.
MECHANICAL
1. No comment.
PLUMBING
1. No comment.
ELECTRICAL
1. No comment.
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 atjoy.deen@sanfordfl.gov.
Respectfully,
Joy Deen, Plans Examiner
a(/36'
NOTICE OF COMMENCEMENT
Permit No.
Tax Folio No.11-20-30-300-0300-0000
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Section
713.13 of the Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT.
1. Description of property (legal description.) SEC II TWP 20S RGE 30E BEG 659.86 FT NOFSE COR PO SW % OF SE
RUN Ar MS.84 FT SWLY ON CURVE 125 FT E 339.91 FT TO BEG (LESS RD)
a) Street (job) Address: 3767 S Orlando Dr_, Sanford, FL 32772
2. General description of improvements: Exterior modifications for Talive 5 Oil Catange #1091
3.Owner Information:
a) Name and address: Driven Florida Lubes, Inc., 440 South Church Street, Suite 700, Charlotte NC 28202
b) Name and address of fee simple titleholder (if other than owner): VRAJ, LLC, 4654 River Gem Ave., Windermere, FL 34786
c) interest in property: 100% Lessee
4. Contractor Information:
a) Name and address: C6a8e 5I
b) Telephone No.: q0q - :5t : t tkq --Fax No..
5. Surety Information:
a) Name and address:
b) Amount of Bond:
c) Telephone No.: Fax No. (Opt.)
6. Lender:
a) Name and address:
7. identity of person within the State of Florida designated by owner upon whom notices or other documents may be served:
a) Name and address:
b) Telephone No.: Fax No. (Opt.)
8. In addition to himself or herself, owner designates the following person to receive a copy of the Lienors Notice as provided in
Section 713.13(1)(b), Florida Statutes:
a) Name and address:
b) Telephone No.:
9. Expiration date ofNotice of Commencement (the expiration
Fax No.:
date is one year from the 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 ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, 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 YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. - . I
STATE OF: 4101e ;{ C1 OLIO-14 10.
Signature of Owner or Owne m i ffige Di a or artner an e
COUNTY OF: Printed Name and.Titiel r }f C
The foregoing instrument was acknowledged before me this day of;,io GI , 2017, by
V d /egas(J(/7 /I (type of authority, e.g. officer, trustee,
attorney in fact) for Driven Florida Lubes Inc.0
Personally Known OR Produced Identification _ Notary Signature
Type of Identification Produced Name (print) a 6L ti } AVE
CARM 1) DONOGtM E
UOTARY PUBLIC --- AND ---
MECKLENBURG COUNTY, NC
Verification pui 5uant Stat ttes. Under penalties of perjury, I declare that l have read the foregoing and that
the facts stated dge and belief.
FORMWOC,md2007
Signature of Natural Person Signing a line 110) Above
GRANT MALOY, CLERK OF CIRCUIT COURT SEMINOLE COUNTY FL
CLERK'S # 2017023962 BK 8874 Pg 0450; (1pg) E-RECORDED 03/08/2017 10:17:22 AM
10.00
NOTICE OF COMMENCEMENT
Permit No.
Tax Folio No. 11-20-30-300-0300-0000
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Section
713.13 of the Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT.
1. Description of property (legal description.) SEC 11 TWP 20SRGE 30E BEG 659.86 FT N OF SE COB FO SW Y4 OF SE Y4
R UN N 115.84 FT SWLY ON CUR VE 125 FT E 339.91 FT TO BEG (LESS RD)
a) _Street (job) Address: 3767 S Orlando Dr., Sanford, FL 32772
2. General description of improvements: Exterior modifications for Take 5 Oil Change #1091
3. Owner Information:
a) Name and address: Driven Florida Lubes, Inc., 440 South Church Street, Suite 700, Charlotte NC 28202
b) Name and address of fee simple titleholder (if other than owner): VRAJ, LLC, 4654 River Gem Ave., Windermere, FL 34786
c) Interest in property: 100% Lessee
4. Contractor Information:
a) Name and address: 6arke.6 J 4laue.6-01W lAolgis [1on.5tri etic n Co., ft. Ao C 1IZ4 O-4 &e!Ao, 51. 50,116a-
b) Telephone No.: _40 R - 5166 -151 1A Fax No.:
5. Surety Information:
a) Name and address:
b) Amount of Bond:
c) Telephone No.: Fax No. (Opt.)
6. Lender:
a) Name and address:
7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served:
a) Name and address:
b) Telephone No.: Fax No. (Opt.)
8. In addition to himself or herself, owner designates the following person to receive a copy of the Lienor's Notice as provided in
Section 713.13(1)(b), Florida Statutes:
a) Name and address:
b) Telephone No.: Fax No.:
9. Expiration date of Notice of Commencement (the expiration date is one year from the 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 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 BEFO" THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT YOUR LENDER OR ANf -T ORNEY BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMI L l -
I
STATE OF: A10RI-9 CIV61 it -4
COUNTY OF: LaReLaQW6 Printed Name and Titles!: // Q
The foregoing instrument was acknowledged before me thisJ141 day ofV(/ 2017, by
V o i 6 cam% as (l / // (yam % %/ ( (type of authority, e.g. officer, trustee,
attorney in fact) for Driven Florida Lubes Inc.
Personally Known I- OR Produced Identification Notary Signature
Type of Identification Produced Name (print) d-A941. p >0A4
CAROL D DONOGHUE
NOTARY PUBLIC --- AND ---
MECKLEN9URCs COUNTY, NC
Verification put 3uant totyS rSim&Vp-* S:WM Sta . ites. Under penalties of perju!
9ZE
ad the foregoing and that
the facts stated w dge and belief.
FORMS/NOC,md2007
Signature of Natural Pere
Revision ® '
t Fv
J
NOV ° 20y City of Sanford
Response to Comments Building & Fire Prevention Division
Ph: 407.688.5150 Fax: 407.688.5152
Email: building@sanfordfl.gov
Permit # 16-2438
submittal Date 11 /23/2016
Project Address: Take 5 # 1091, 3767 S. Orlando Drive, Sanford , FL
Contact: Candi Gray, Emerald Coast Permitting, Inc
Ph: 850-837-7444
Fax: 850-6086258
Email:
emeraldcoastpermitting@cox.net
Trades encompassed in revision:
Building
Plumbing
Electrical
Mechanical
Life Safety
Waste Water
General description of revision:
ROUTING INFORMATION
Department Approvals
Utilities
Waste Water
Planning
Engineering
Fire Prevention
2- Building 11-,Z S //
Revision ® k
NOV City of Sanford
Response to Comments [I 2016 '
Building & Fire Prevention Division
Ph: 407.688.5150 Fax: 407.688.5152
Email: building@sanfordfl.gov
Permit # 16-2438
Submittal Date 11 /23/2016
Project Address: Take 5 # 1091, 3767 S. Orlando Drive, Sanford , FL
Contact: Candi Gray, Emerald Coast Permitting, Inc
Ph: '850-837-7444
Fax: 850-6086258
Email:
emeraldcoastpermitting@cox.net
D l
l
Trades encompassed in revision: General description of revision:
Building
Plumbing
Electrical
Mechanical
Life Safety
Waste Water
ROUTING INFORMATION
Department Approvals
lo Utilities
Waste Water
Planning
Engineering
Fire Prevention 4
M" Building // ,7 i
Revision 61
NOV 2016 City of Sanford
Response to Comments 3
Building & Fire Prevention Division
j Ph: 407.688.5150 Fax: 407.688.5152
Entail: building@sanfordfl.gov
Permit # 16-2438
Submittal Date 11 /23/2016
Project Address: Take 5 # 1091, 3767 S. Orlando Drive, Sanford , FL
Contact: Candi Gray, Emerald Coast Permitting, Inc
4
Ph: 850-837-7444
Fax: 850-6086258
Email:
emeraldcoastpermifting@cox.net
Trades encompassed in revision:
Building
Plumbing
Electrical
Mechanical
Life Safety
Waste Water
General description of revision:
ROUTING INFORMATION
Department Approvals
Utilities
Waste Water
Planning
Engineering
Fire Prevention
0 Building
1z
w—
IllI D
Revision ®
NOV z 2016 City of Sanford
Response to Comments Building & Fire Prevention Division
ter- i Ph: 407.688.5150 Fax: 407.688.5152
Email: building@sanfordfl.gov
Permit # 16-2438
Submittal Date 11 /23/2016
Project Address: Take 5 # 1091, 3767 S. Orlando Drive, Sanford , FL
Contact: Candi Gray, Emerald Coast Permitting, Inc
h: 850-837-7444
Fax: 850-6086258
Email:
emeraldcoastpermitting@cox.net
Trades encompassed in revision:
Building
Plumbing
Electrical
Mechanical
Life Safety
Waste Water
Department
M . Utilities
W/ W aste Water
Planning
Engineering
Fire Prevention
0 Building
General description of revision:
ROUTING INFORMATION
1
it
Approvals
CITY OF SANFORD
2 BUILDING & FIRE PREVENTION
MAY - 8 2017 PERMIT APPLICATION
Bin Application No: Q, 619
Documented Construction Value: $
Job Address: 6 5 • C72( t) 11. Historic District: Yes No I -
Parcel ID: Residential Commercial
Type of Work: New Addition Alteration [D Repair Demo Change of Use Move
Description of Work: I iS A1n- l b 1•1gf ar rta r i/A6& ; EG GT. D0rI&I"D
Plan Review Contact Person: Title:
Phone: Fax: Email:
Property Owner Information
Name Phone:
Street: Resident of property`.'
City, State Zip:
Contractor Information /
Name 6) a- ELtc l-zK4 1, .SJ L F Phone: ° 1y 7- Street:
16S AJ Fax: =4 o 7 3 3 - 1 G D °' City,
State Zip: #19-. State License No.: &C. c-)OOU FS3 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: 5`h 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 pernut 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
re of Contractor/Agent Date
Print Contractor/Agent's Name
7
Signature ofNota' g;pr pEgg{FB aD'c5 9
NAY C ?5. oni? Y' ' = EXPIRES'. February - c't.;nde urite; ea'!°;`' Bonded Thru P:oian; Put
Contractor/Agent is Personall own to Me or
Produced ID Type of ID
e,. msV1/9/z
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:
Flood Zone:
of Stories:
Plumbing - # of Fixtures
of Heads Fire Alarm Permit: Yes No
UTILITIES: WASTE WATER:
FIRE: BUILDING:
Revised: June 30, 2015 Permit Application
SEMINOLE COUNTY MULTI —JURISDICTIONAL
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
lSeminole County, Winter Springs
Date: l I '7
I hereby name and appoint: AN1Eeml 1,J. 1 4)0eG ti
an agent of: 6:HP26 d,4;e- al
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.
Or
The specific permit and application for work located at:
Street Address)
Expiration Date for This Limited Power of Attorney:
License Holder Name: i GCS
State License Number: EC— O
Signature of License Holder:
STATE OF FLORIDA
COUNTY OF 66;Av- c,11r
The foregoing instrument was ack
20 11 , by
J'. NOf3ir Public State o/ Florida
M E rbli,
FFea1) 2111s9
J
before me this 8' day of Al If ,
who V"/personally known to meof- as
identification J4
rid /_" Print
or type Notary name Notary
Public - State of Commission
No. `%II%.5C My
Commission Expires: av
CFE SERVICES
PO Box 181183
Casselberry, FL 32718
Phone: (407)830-1010 / Fax: (407)339-1603
Florida License #P00000833
PROPOSAL
Specifications
and Estimate
Pa&A 1 nF 1
osal Submitted To: office phone: Date
hen Ha esLStepany 407-366-1564 A ri119, 2017
Name: Job Name:
C.W. Haves Construction Take 5 Oil Change
Street Addrese: job Locadon
821 Executive Drive--.-,3767 S Orlando Drive Sanofrd FL 32773
ty, State and Zip Code: Fax:
Oviedo FL 32765 1407-366-3835shavesa
We hereby propose to furnish material and labor necessary to per prints as discussed.
NOTES:
Ike -use any and all existing circuitry as possible.
No credits givers for work quoted and not performed and/or material quoted and not used.
EXCLUSIONS!
No overtime.
No landscape repair
No cutting or patching.
No drywall/paint or stucco repair.
No aesthetic repair of any type.
Does not include any concrete work_
Does not include any Fire Alarm work of any kind including any sensors/ duct work
Does not include dumpster or disposal of any kind.
Does not include added fee& or ANY additional work required by inspector, municipality or power company.
WE PROPOSE to furnish material and labor, complete m accordance with Above specifications, for the sum of -
Eight Thousand, Five Hundred Dollars and 00/100...................................................$8,500.00
Payment to be made as follows. Note;
As Job Progresses PROPOSAL GOOD FOR 80 DAYS
All material is guaranteed to be as specified. All work to be completed to a substantial workmanlike manner, according
to spectflcations submitted, per standard practices. Any alteration or deviation from above specifications involving extra
costs will be executed only upon written orders and will become an additional charge over and above this estimate. All
agreements, contingent upon strikes, accidents as dstloys beyond our control Owner to carry fire, tornado and -other
necessary insurance. Our workers are fully covered by Worker's Compensation Insurance. if it becomes necessary to try
end collect any amount of thls debt for non-payment, including signed extra to contracts associated with thls contract
AD fees to recoup Chia debt will be charged to you including, late fees, costs and attorneys lees. This document and it's
quire contents k stipulations shall supersede any fume documents pertaining to this specific job if approved and a
contract written and agreed to by all parties listed above this shall remain as the prinwy document whether signed or not.
ACCEPTANCE OF PROPOSAL:
gneture Date Jim P=;771Service
05/08/2017 01:25 4073391603 CENTRAL FLA ELECTRIC PAGE 01/03
SCONTRACT GREEM
5I724-16014SC
In consideration of the mutual promises contained herein, CW HAYES CONSTRUCTION COMPANY, a Florida corporation, of Oviedo,
Florida (AContractor) and Empire Electric DIBIA CFE Services of CasEelbegy. Florida _ (ASubcontractor); make the following agreement contained
on this page and the reverse hereof.
1) Work Descriptioft. Subcontractor agreesto furnish all materials, labor, tools, equipment, scaffolding, hoisting and all other required items
necessary to complete all work as described in Exhibit AA attached hereto and made a part hereof in accordance with plans, specifications, general and
special conditions of the contract between the Owner and Contractor for project known as Fake 5 Oil Change # )0913767 South Orlando Dr.. Sanford.
32773.
2) Samples and Shop Drawings. Subcontractor agrees to submit as soon as possible all samples ofmaterials and shop drawings as required for
the approval of the Architects and Contractor.
3) Payment. The Contractor agrees to pay Subcontractor for the work covered by this contract, subject to extras and credits approved by the
Contractor in writing, the sun, of gighl Mgusand Five Hun Are llan and NQ a is ($ 8,500.OQ).
4) Manner of Pavrnent. Payment under this contract will be made by Contractor to Subcontractor as Contractor is paid by Owner in acc:ordancc
with terms of payment between Owner and Contractor, unless otherwise shown bcreinafter. Contractor May at his option retain 10% of each estimate until
final settlement- Final payment shall be made after completion of the work included in this Subcontract, written acceptance by the Architect and full
payment therefore by the Owner.
5) Subcontrg&Jgr's invoices. Subcontractor agrees to furnish invoices and statements on Contractor's forms for periodic payment on or before
the 20t1, day of each month and in default thereof agrees that Contractor need not aci cpt for payment such invokes or statements until the same date W the
next succeeding month.
6) Changes in Work. (a) Subcuntractor shall make all alterations, furnish the material for and perform all extra work or omit any work
Contractor. Owner and/or Architect may require, without nullifying this agreement, at a reasonable addition to, or reduction from, the subcontract price,
hereinafter named and pro rata to the same. No changes are to be made, however, except upon written order from Contractor, and Contractor shall not beheldliabletoSubcontractorforanyextralabor, materials, or equipment without such written order. (b) All change orders shall be invoiced individually.
Pricing for changes in the work is required immediately upon request. Labor rates for change orders shall be payroll rates plus 10% markup for ovbnccad
and profit. Material and equipment rates shall be invoice amounts plus 100/4 markup for overhead and profit. All request for change orders to includecopiesoftimesheets, material and equipment invoices. (c) The subcontractor shall not be entitled to any claim or recovery of any kind hereunder, unless
same shall first be allowed to the Contractor hereto by the Owner.
7) Progress of Work. (a) Subcontractor shall begin work as soon as instructed by Contractor, and shall carry on said work promptly, efficiently,
and at a speed that will not cause delay n the progress of Contractor's work or other branches of the work carried on by other Subcontractors. Contractor
may require Subcontractor to prosecute in preference to other parts of the work sucb part or parts as Contractor may specify. b) Any damages for delay caused by Subcontractor shall be deducted by Contractor from the agreed price forsaid work as liquidated damages and not as a
penalty, subject, however, to the option of Contractor to terminate said employment for default as herein elsewhere provided. c) Conti actor shall not be liable to the Subwraractor for delay to Subcontractor's work by the act; neglect or default of the Owner, or the Architect, or by
reason of fire or other casualty, or on account of riots, or of strikes, or other combined action of the workmen or others, or on account of any acts of God,
or any otber cause, beyond Contractor's control, or on account of any circumstances caused or contributed to by the Subcontractor, but Contractor will
cooperate with Subcontractor to enforce any just claim against the Owner or Architect for delay.
d) Should Subcontractor be delayed in his work by Contractor then Contractor shall owe Subcontractor, thereof only an extension of time for completionequaltothedelaycausedandthenonlyifawrittenclaimfordelayismadetoContractorwithinforty-eight (43) flours from the time orthe beginning of
the delay.
8) Remarks. NO COST OR,CHAROES By SUBCONTRACTOR IN ADDITION TO THE AMOUNT SHOWN AS.OVE WILL 13E.
CONSIDERED UNLESS A CHANGr ORDER DESCRIRTNG T14E EXTRA WORK TO BE DONE AND THE COSTOF THIS WORK IS APPROVEDANDSTONEDBYCONTRACTORANDSUBCONTRACTORBEFORESUCHADDITIONALWORKISCOMMENCED.
IN WITNESS W14FREOF the parties heret have executed or caused this agreement to be executed by their duly authorised officers.
This l dayof
SUBCONTRACTOR: Empire Electric,p/B/A CFE 5ervi-4eS CONTRACTOR: CW Hayes Construction Company
Post Office Box 621294
PO Box 18 t t 83 Oviedo, Florida 32762-1294
Casselberry, FL 32718 407- -
1 1 / 407- -1 03 Fax J9re
Title Moll
46; 4 1?la.i l rii,
t Name SociafSecurity or Federal 1`.D. Number
05/08/2017 01:25 4073391603 CENTRAL FLA ELECTRIC PAGE 02/03
SUBCONTRAA f,T AGREEMENT
51724-16010SC In consideration of the
mutual promises contained herein, CW HAYES CONSTRUCTION COMPANY, a Florida corporation, of Oviedo, Florida (AContractor) and Empire
Electric D/l3/A C ' ,Services of Casselberty. Florida (ASubcontractor), make the following agreement contained on this page and
the reverse hereof, 1) Work Description. Subcontractor
agrees to furnish all materials; tabor, tools, equipment, scaffolding, hoisting and all other required items necessary to complete all
work as described in Exhibit AA attached hereto and made a parl:.hereof in accordance with plans, specifications, general and special conditions of the
contract between the Owner and Contractor for proieet known as Take 5 (Qil Change # 1091, 3767 South Orlando Dr-- Samford. FL 2) ${LtYi le_ pd
Shop Drawings. Subcontractor agrees to submit as soon as possible all samples ofmaterials and shop drawings as requited for the approval of the
Architects and Contractor. 3) Payment. The Contractor
agrees to pay Subcontractor for the work covered by this contract, subject to extras and credits approved by the Contractor in writing, the
sum of Eight ThoulMd T,'ivc Ua dred Dollars and No Ccnts O0.00 4) Manner of Payment.
Payment under this contract will be made by Contractor to Subcontractor as Contractor is paid by Owner in accordance with terms of payment
between Owner and Contractor, unless otherwise shown hereinuiler. Contractor may at his option retain 10% of each estimate until final settlement. Final payment
shall be trade after completion of the work included in this subcontract, written acceptance by the Architect, and full payment therefore by the
Owner. S) Subcontractor's lnvoi{
Rg. Subcontractor agrees to furnish invoices and statements on Contractor's forms for periodic payment on or before the 201" day of
each month and in de%ult thereof agrees that Contractor need not accept for payment such invoices or statements until the same date in the next succeeding month. 6)
Changes in Work. (
4) Subcontractor shall make all alterations, furnish the material for and perform all extra work or omit any work Contractor, Owner and/or
Architect may require, without nullifying this agreement, at a reasonable addition to, or reduction from, the subcontract price, hereinafter named and pro
rata to the same- No changes are to be made, however, except upon written order from Contractor, and Contractor shall not be held liable to Subcontractor
for any extra labor, materials, or equipment without such written order. (b) At change orders shall be invoiced individually. Pricing for changes in
the work is required immediately upori request. Labor, rates for change orders shall be payroll rates plus 10% markup for overhead and profit. Material and
equipment rates shall be invoice amounts plus 10% mark up for overhead and profit. All request for change orders to include copies of time sheets,
material and equipment invoices. (c) The subcontractor shall not be entitled to any claim or recovery of any kind hereunder, unless same shall first be
allowed to the Contractor hereto by the Owner. 7) Progress of Work. (
a) Subcontractor shall begin work as soon as instructed by Contractor, and shall carry on said work promptly, efficiently, and at a speed
that will not cause delay n the progress of Contractors work or other branches of the work carried on by other Subcontractors. Contractor may require Subcontractor to
prosecute in preference to other parts of the work such pan or parts as Contractor may specify. b) Any damages for
delay caused by Subcontractor shall be deducted by Contractor from the agreed pricefor said work as liquidated.da rages and not as a penalty, subject, however, to
the option of Contractor to terminate said employment for default as herein elsewhere provided. c) Contractor shall not
be liableto the Subcontractor for delay to Subcuntractor* s work by the act, neglect or default of the Owner, or the Architect. or by reason; of fire or
other casualty, or on account of riots, or of strikes, or other combined action of the workmen or others, or on account of any acts of God, or any other cause,
beyond Contractor's control, or on account of any circumstances caused or contributed to by the Subcontractor; but Contractor will cooperate with Subcontractor to
enforce any just claim against the Owner or Architect for delay. d) Should Subcontractor be
delayed in his work by Contractor then Contractor shall owe Subcontractor, thereof only an extension oftime for completion equal to the delay
caused and then only if a written claim for delay is made to Contractor within forty-eight (48) hours from the time ofthe beginning of the delay- 8) Remarks:
NO CYST
UK CHARGUS BY SUBCONTRACTOR, IN ADDITION TO THE AMOUNT SHOWN ABOVE WILL BE CONSIDI RrD UNLF?SS
A CHANGE ORDFR DESCRIBING THE EXTRA WORK TO BE DONEAND T14E COST Of T14IS WORK IS APPROVED AND SIGNED BY CONTRACTOR
AND SUBCONTRACTOR BErORE SUCH ADDITIONAL, WORK IS .COMMENCED. IN WITNESS WHEREOF the
parties hereto have executed or caused this agreement to be executed by their duly authorized officers. This i day of
1' z&% SUBCONTRACTOR: Empire Elects c
ll1I3/A F)i,pt Eices _ CONTRACTOR: CW Hayes Construction Company Post Office Box 621294
PO Box 181183 Oviedo,
Florida 32702-1294 Casselberrv. FL 327 407-
830-1010 / 407-
339-160 re jjttle r.o-
t! d
C) P S Print Name Social SecurW
y or Federal J.D. Number
NOTICE OF COMMENCEMENT
Permit No.
Tax Folio No. 11-20-30-300-0300-0000
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Section
713.13 of the Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT.
1. Description of property (legal description.) SEC 11 TWP 20SRGE 30E BEG 659.86 FT N OFSE COR FO SW % OFSE'/o
RUN N 115.84 FT SWLYON CURVE 125 FT E 339.91 FT TO BEG (LESS RD)
a) Street (job) Address: 3767 S Orlando Dr., Sanford , FL 32772
2. General description of improvements: Exterior modifications for Tale 3 0E Change #i019!
3.Owner Information:
a) Name and address: Driven Florida Lubes, Inc., 440 South Church Street, Suite 700, Charlotte NC 28202
b) Name and address of fee simple titleholder (if other than owner): VRAJ, LLC, 4654 River Gem Ave., Windermere, FL 34786
c) Interest in nroperty: 100% Lessee
4. Contractor Information:
a) Name and address: ehpwjebQ Waq. ,-(' W kajobeati,4r kc—Zort Cp,fl o fP 11A 11p o,L S11L.
b) Telephone No.: '{pq -y Fax No.:
5. Surety information:
a) Name and address:
b) Amount of Bond:
c) Telephone No.: Fax No. (Opt.)
6. Lender:
a) Name and address:
7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served:
a) Name and address:
b) Telephone No.: Fax No. (Opt.)
8. In addition to himself or herself, owner designates the following person to receive a copy of the .Lienor's Notice as provided in
Section 713.13(1)(b), Florida Statutes:
a) Name and address:
b) Telephone No.: Fax No.:
9. Expiration date ofNot'ice of Commencement (the expiration date is one year from the 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 ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, 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 YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. t!
STATE OF: / 104 y- (WO(_j IA 10.
Signature of Owner or Owne 'I hors 'iige Di ctor Partner/Man e
COUNTY OF: Cet5QW6` Printed Name andTitle: 1r tf C), The
foregoing instrument was acknowledged before me this /, day of;.l V ' 2017, by Ad
ash} r1t __Yi C / (type of authority, e.g. officer, trustee, attorney
in fact) for Driven Florida Lubes Inc. Personally
Known OR Produced Identification Notary Signature Type
of Identification Produced Name (print) CAROL
1) DONOC 4M NOTARY
PUBLIC --- AND --- MECKLENBURG
COUNTY, NC Verification
put uant tuy9LoAh ats62Efp160 F-Oc idllfa Stat ites. Under penalties of perjury, I declare that I have read the foregoing and that the
facts stated 11 italU titfUto thUbUSt UfMy KnOWIC dge and belief. — . ;/ F01LMS/
N0C,wsd2007 Signature
of Natural Person Signing (iA line '10) Above GRANT
MALOY, CLERK OF CIRCUIT COURT SEMINOLE COUNTY FL CLERK'
S # 2017023962 BK 8874 Pg 0450; (1pg) E-RECORDED 03/08/2017 10:17:22 AM 10.
00
M.
exclusively until all work has been accepted by Owner, Contractor shall be liable for loss or damage caused
by Contractor or its employees or contractors to the Project(s) site(s) or work of others at the Project(s) site(s),
and if any damage occurs as a result of Contractor's operations, Contractor shall pay any costs required to
repair such damage. Any default of Contractor in such protection or payment for damage may be remedied
by Owner, and the cost deducted from any payment or balance due Contractor.
R. With the exception that this Section II(R) shall in no event be construed to require indemnification by
Contractor to a greater extent than permitted under the public policy of the State of California and California
Civil Code § 2782.05 (if applicable), Contractor shall indemnify, defend, and hold harmless Owner and its
officers, directors, agents and employees, architect(s), designated representative(s), or anyone employed
directly or indirectly by any of them (the "Indemnified Parties") from and against any and all losses, damages,
costs, claims, lawsuits; judgments, settlements and expenses including, without limitation, reasonable
attorneys' fees and court costs, caused in whole or in part by any act, omission or default of Contractor, any
of Contractor's subcontractors, material men., laborers, employees, or agents, or any tier of their respective
employees, including all claims which arise out of or relate to Contractor's operation of its business, the
Scope(s) of Work, Contractor's failure to pav any amount relating to any Project(s), or any injury or damaged
caused. Contractor hereby acknowledges the receipt and sufficiency of the first $ 1,000.00 due and payable
under this Agreement as specific consideration for the obligations set forth in this provision. This
indemnification, defense and hold harmless obligation shall not in any way be affected by any limitation on
the amount or type of damages, compensation, or benefits payable by or for the Contractor or any
subcontractor under worker's compensation acts, disability benefit acts or other employee benefit acts.
Contractor shall be obligated under this indemnity regardless of any active or passive negligence or strict
liability of any Indemnified Party; provided, however, that no Indemnified Party shall be entitled to
indemnification for any claim found by a court of competent jurisdiction to have been caused by the sole
negligence or willful misconduct of such Indemnified Party. The foregoing indemnity shall not require
payment as a condition precedent and shall survive the termination of this contract and shall remain binding
on Contractor and Principal until such time as action against the Indemnified Parties, or any of them, on
account of all such claims shall be barred by any applicable statute of limitations. The provisions of this
article shall survive termination of this Agreement.
S. If the Project is subject to prevailing wage requirements under the California Labor Code, either by operation
of law or by Agreement, then Contractor agrees fully to comply with all provisions of applicable law,
including, without limitation, Labor Code Sections 1771, 1775, 1776, 177.5, 1813 and 1815. If the Project is
subject to Labor Code sections listed, Contractor acknowledges that no final payment shall be made to
Contractor until Contractor has complied with these requirements.
wrier shall pay Contractor _ inety Nine Thousand One Hundred Sixty Two Dollars and No Cent
99,1b2.00 for all work completed in accordance with those Scope(s) of Work (the ``Contract
Amount(s)"), in the amounts et forth in the Scope(s) of Work in current U.S. funds (the `'Payment"). 1B. The Contract Amoun is valid through the completion of the relevant Scope(s) of Work and includes all
relevant sales Cher taxes assessable, as well as all services, labor, materials, and goods used to complete
ces are firm absent a signed, approved change order in accordance with the terms ofthis Agreement.
C. Contractor may request progress payments (less the 10°% withholding retained by Owner pursuant to §3.D
vi) below) of the Contract Amount ("Payments") as follows:
i. Owner shall make no Payments until Contractor has submitted to Owner a complete list of all
material and/or labor suppliers, including their names, addresses, phone numbers, and names of
contacts, as well as any other documentation it requires.
ii. Unless otherwise specified in the relevant Scope(s) of Work or otherwise agreed in writing by
Owner, Owner shall make Payments only twice per month as follows: after 3 p.m. on the second
and last Tuesday of each month ("Payment Dates"). If Payment Dates occur on a holiday (as
designated by Owner), the Payment Date shall be the next business day.
iii. To be eligible for Payments on the Payment Dates, Contractor shall submit invoices for Payments
to the Owner's project manager at least fifteen (15) business days before the relevant Payment
4
CONSTRUCTION AGREEMENT
THIS, CONSTRUCTION AGREEMENT (the "Agreement") is. made and entered this 20 day of_April
20_17,_, (the ``Effective, Date") behveen;_CW:Hayes Construction Company` whose address.is 821 Efecutive.
Drive, Oviedo, FL 32765_ C"Contractor") and [Take 5, LLC], 2450 Severn Ave, Suite 9308, Metairie, LA. 70001
Owner'>).
RECITALS'
WHEREAS, Owner is a nationwide franchisor of after -market vehicle maintenance and service centers,
including, but not limited to;,,quick-lobe service locations;
WHEREAS.. Contractor is, a construction "services provider that provides commercial construction services
including, but not limited to, renovation and other building construction management and facilities services;
WHEREAS, Owner wishes to contract with Contractor to complete a certain project, as detailed and setforth
by a Contractor Scope of Work (the; "Scopel) of Work") provided by Owner (,a true and correct: copy of Owner's
now -current form Scope(s) of Work "is set forth in 'Exhibit `A') and accepted by .Contractor (the "Project(s)'°) in
accordance with the standard terms and conditions iss ied'by Owner in its sole and absolute discretion from time to
time the_"General, Requirements of"Work" ( ) (a true -and correct copy of"the now -current General Requirements of
Work" are set "forth in E,hibit `B') ;
WHEREAS, Contractor wishe"s to contract with"Owner to complete the Project.as, prescribed by the Scope(s)..
of Work agreed to now and;during the remainder.of'the term of this. Agreement;
NOW, THEREFORE, inconsideration of the mutual covenants and agreements set forth -in this Agreement;;
and with the: intent to be bound hereby, Owner and Contractor (collectively, the "Parties") agree as follows:
AGREEMENT
Acknowledgments,.Representations and Warranties
A. Contractor and Contractor's principal responsiblel for the management"and execution;ofthis Agreement (he
Principal'") acknowledge and agree that this Agreement will serve as the master agreement between
Contractor and Owner. Therefore, Contractor and Principal also acknowledge and agree that this Agreement.
contains the general terms and conditions under which Contractor shall provide ,goods- and/or perform
services for Owner for each of the Scope(s) of Work. Contractorand Principal, then., agree to be bound by
all business rules, regulations; and requirements, contained in this Agreement, the Genera] Requirements of
Work, the Scope(s) of Work entered during the, term of this Agreement, and all other documents and
agreements.between Contractor and Owner for all projects and work completed for Owner during the'term
of this, Agreement;
B. Contractor"and Principal acknowledge and agree that the terms of this Agreement shalt prevail if there are
any inconsistencies between this Agreement and any other agreement between Contractor and Owner
pertaining to the Scope(s) of Work,, the Project(s); or materials to be provided by Contractor. In addition,
Contractor, and Principal. acknowledge and agree that this Agreement shall supersede any previous
agreements) betweenthe Parties in their entirety. Contractor and Principal further acknowledge and'agree
that any torims,and conditions contained in any Contractor, proposal submitted. to or otherwise received by
Owner are hereby rejected and otherwise null, and void as between the parties as the terms of this Agreement
alone: control the parties` relationship unless the parties otherwise agree in.a writing signed 'by both parties
as provided forbelow.
C. Contractor and Principal acknowledge the relationship of trust andconfidence between, them and Owner. Contractor
and Principal covenant that they will use their 'best skill and judgment and w cooperate with Owner
in furthering the interests of Owner,. Contractor and Principal further acknowledge and agree to furnish
efficient business administration and 'superintendence and to use best efforts to,complete Project(s) iti
the best and soundest way and in -the mostexpeditious"andeconomical manner consistent with the Scope(s) of
Work,. D.
Contractor and Principal •reoresenti and warrant that they will timely visit and inspect each of the premise(s) or
each of the Project(g) before they execute the assigned Scope(s)" of Work, and any and all related specifications,
architectural plans, Projectpolicies, fist of plans,,and otherreleyant documents, including the collectively
GeneralRequirementsofWork (all of which are incorporated as ifset forth fully herein) the
pi\w m i-- -- / CITY OF SANFORD
t ' & FIRE PREVENTION
I PERMIT APPLICATION
Application No:
Documented Construction Value: $ 10,500.00
Job Address: 3767 Orlando Drive, Sanford, FL Historic District: Yes No
Parcel ID: 11-20-30-300-0300-0000 Residential Commercial X
Type of Work: New 0 Addition Alteration Repair Demo Change of Use Move
Description of Work: Installing channel letters 37.29sf, face change on existing ground sign approx 43 sf
installing two directional signs 4 sf each
Plan Review Contact Person: Candi L. Gray- Emerald Coast Permitting, Inc. Title: President
Phone:8508377444 Fax: 8506086258
Name Driven Florida Lubes, Inc
Email: emeraldcoastpermitting@cox.net
Property Owner Information
Street: 440 South Church Street, Suite 700
City, State Zip: Charlotte, NC 28202
Phone:8508377444
Resident of property? :
Contractor Information
Name Kazar, David- C B Sign Service, Inc. Phone:
n/a
Street: 4615 Roberts Road Fax:
City, State Zip: Land O'Lakes, FL 34639 State License No.: EC13003170
Architect/Engineer Information
Name: Robert Wall- A S and E, Inc. Phone:
Street: 24710 S R 54 Fax:
City, St, Zip: Lutz, Florida 33559 E-mail:
Bonding Company:
Address:
Mortgage Lender:
Address:
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet standards of all laws regulating construction
in this jurisdiction. I understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools,
furnaces, boilers, heaters, tanks, and air conditioners, etc.
FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 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 maybe additional permits required from other governmental entities such as water
management districts, state agencies, or federal dgencies.
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 0 Date
1 kcei6L K-NesLG.1"'
Print Contractor/Agent's Name
3117
Sig ature of Notary -St e of Florida Date
BRADLEY T RUPERT
fY'4
o MY COMMISSION #GG023762
EXPIRES: AUG 23, 2020
Bonded through 1st State Insurance
Contractor/Agent is 4, Personally Known to Me or
Produced ID Type of ID
r
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building Electrical Mechanical Plumbing Gas Roof
Construction Type:
Total Sq Ft of Bldg:
Occupancy Use: Flood Zone:
Min. Occupancy Load: # of Stories:
New Construction: Electric - # of Amps,
Fire Sprinkler Permit: Yes No # of Heads
S I,
APPROVALS: ZONING:3-2-i7 UTILITIES.
ENGINEERING: FIRE:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes No
WASTE WATER:
3 vD
7BUILDING:
CON Ok to reface existing 91.66 square foot monument sign as shown on plan. Sign shall contain landscaped
area of no less than four (4) feet wide on each side of the sign. The landscaped area must contain any
combination of shrubs, flowers and groundcovers. Sign shall contain the address number of the
premises, placed parallel to the sign face, in numbers large enough to be read from the street but in no
case less than three inches (3") high.
Ok to install two, 4 square foot directional signs at T-4" high as shown on plan.
Revised
EXISTING
ASPHALT AREA--s - S.ANFORD BUILDING DIVISION
NEW SEAL ON EXISTING A PERMIT ISSUED SHALL BE CONSTRUED TO SE A
ASPHALT DRIVE
LICENSE TO PROCEED WITH THE WORK ANDNOT AS NEW
PAINTED AUTHORITY TO VIOLATE, CANCEL, ALTER OR SF=` DIREcrIONAtDIRECTIONAL
ASIDE ANY OF THE PROVISIONS OF THE I FIC!_ .IY3AL. EXISTING
ARROWS/
SIGN
2 CODES, NOR SHALL ISSUANCE OF A PERMIT PREVEit' GARWASH
BUILDING BUILDING OFFICIAL FROM THEREAFTER REQUIRING
A CORRECTION OF ERRORS IN PLS, 1ANTHECONSTRUCTION
OR VIOLATIONS OF THIS CODE PROPOSED
z TAKGNANGE
X m Ok
to reface existing 91.66 square foot monument
sign as shown on plan. Sign shall contain
landscaped area of no less than four (4) feet
wide on each side of the sign. The landscaped
area must contain any combination of
shrubs, flowers and groundcovers. Sign shall contain
the address number of the premises, placed
parallel to the sign face, in numbers large
enough to be read from the street but in no
case less than three inches (3") high. Ok
to install two, 4 square foot directional signs at
3'-4".high as shown on plan. jA—
OIL CHANGE CHANNEL LETTERS EXISTING
LANDSCAPE 1
ZZ- ISLAND NEW
PAINTED DIRECTIONAL
ARROWS i
p
NEW PAINTED STRIPES (TYP.) W
DIRECTIONAL 1 -
N1 U
G
N
Z EXISTING H/C NEW SEAL ON EXISTING W
O PARKING ASPHALT DRIVE EXISTING
STANDARD PARKING
VI
EXISTING STANDARD PARKING
Aft
111— OFFRA: THIS
IS AN NG CREATED
BY ENTERA BBRANDINGSR SSUBMIITED FOR
VOUR PERSONAL USE IN CONNECTION CLIENT:
TAKE WRH
A PROJECT BEING PUNNED FOR YOU BY ENTER
BANGING, ITISNOTTO BE SHO,_ TO LOCATION: SANFORD,FL ANYONE
OUTSIDE YOUR ORGANIZATION, NOR IS
IT TO BE USED. REPRODUCED, COPIED. OR EMWED
N ANY FASHION. DRAWN BY: ZM H:
MARKETING DESIGN / CDR / T / TAKE 5 / SANFORD, FL- 3767 ORLANDO OR. #1091.Ddr sc
LLE: NTS DATE:
08.11.16 DWG,
NO.: SANFORD,FL-3767ORL 1111"
7- FO PLANS
EXRfdtllNiwtS 3 —
d ATE
11
2'4' -
I--- 2'-0° --I
I ENTER
I. mum* l
Sign 1 - Side A
ENTER
I
Sign 1 - Side B
Ok to reface existing 91.66 square foot
monument sign as shown on plan. Sign shall
contain landscaped area of no less than four (4)
feet wide on each side of the sign. The
landscaped area must contain any combination
of shrubs, flowers and groundcovers. Sign shall
contain the address number of the premises,
placed parallel to the sign face, in numbers
large enough to be read from the street but in
no case less than three inches (3") high.
Ok to install two, 4 square foot directional signs
at 3'-4" high as shown on plan.
2'-41- --- I ---
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F ALUMINUM POST & PANEL SIGNS LEGS &
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PRINTED SMILEY FACE GRAPHICS J@go
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DESIGN / CDR / T / TAKE 5 / SANFORD, FL- 3767 ORLANDO OR. #1091.cdr DATE: 08.
11.16 DWG. NO.:
SANFORD. FL - 3767 ORLANDO DR. #1091 It
10'-0"
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SIGN: FLAT REPLACEMENT FACES FOR
D/F INTERNALLY ILLUMINATED CABINET
BACKGROUND: OPAQUE WHITE
RETAINER: UNKNOWN SHOWN AT 2"
ONLY LOGO TO ILLUMINATE
Ok to reface existing 91.66 square foot
monument sign as shown on plan. Sign shall
contain landscaped area of no less than four (4)
feet wide on each side of the sign. The
landscaped area must contain any combination
of shrubs, flowers and grcundcovers. Sign shall
PROPOSED
contain the address number of the premises,
placed parallel to.the sign face, in numbers _
E.l. HSSANORGNA UNPUDE ITS'RAWNGCREATRDBYENTESONALUSEIN. ITNSSUDMITTEDFORFORPROJEOURCTPROJECTBEINGPUNNEDFORYOUBY
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no case less than three inches (3") high. Us Underwriters
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IT IS NOT TO RE SHOWN TO
PONE OUTSIDE YOUR ORGANIZATION OR
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Ok to install two, 4 square foot directional signs
at 3'-4" high as shown on plan.
The attached plans/documents have been submitted by:
1 N C Cl R F Es F-7 A T E
141 Mack Bayou Loop. Suite 303 . Santa Rosa Beach, FL 32459
Office 850.837.7444
Fax 850.608.6258
emeraldcoastpermitting0cox. net
www emeraldcoastpermitting.com
Please direct all questions and comments to this office.
i
SIGN PERMIT
INITIAL SUBMITTAL
PROJECT: Take 5 Oil Change #1091— Sign Permit
3767 S. Orlando Drive
Sanford, FL 32772
Date submitted to City of Sanford, Utilities/Building Department: Feb 20, 2017
Via Fed Ex Submittal
Re: Take 5 Oil Change #1091
3767 S. Orlando Dr.
Sanford, FL 32772
To Whom It May Concern:
As property owner of the proposed improvements, please accept this letter as our authorization for agents and
contractors, to apply for and obtain sign permits, variances, and for representation at public hearings for such
permits. The permits are for signage modifications for the Take 5 Oil Change #1091, located 3767 S. Orlando
Dr., Sanford FL 32772.
All work will meet or exceed Florida Building Code Requirements.
Emerald Coast Permitting, Inc. CB Sign Service, Inc. - FL License EC13003170
141 Mack Bayou Loop, Suite 303 19608 Dogpatch Lane
Santa Rosa Beach, FL 32459 Land O'Lakes, FL 34638
Sincerely,
Signature o e or Owner's Authorized Agent
FF
Printed Name and Title:-114a- La vt
Property Owner Name: Fowler Properties, Inc.
Property Owner address: 4686 Sunbeam Road, Suite 202, Jacksonville, FL 32257
The Property Control #: 11-20-30-300-0300-0000
STATE OF T W"
COUNTY OF DJUwl(
The foregoing instrument was acknowledged before me this day of 0 2016, by
I as a:tir91r& (type of authority,
e.g. officer, trustee, attorney in fact) for Fowler Properties, Inc.
Personally Known OR Produced Identification
Type of Identification Produced (I _
NOTARY SEAL
Notary Signature OLA.
Name (Print) it,-
ooiPa` WILLIAM KYLE POULTEA
Notary Public - State 01 rlono
My Comm, Expires Aug 31.
yr P l 0lT1mI5510r1 # GF r)474r
ot'"YPOeic WILLIAM KYLE POULTER
Notary Public - State of Florida
My Comm. Expires Aug 31. 2017
h,orF:•`'` Commission # FF 047981
SCPA Parcel View: 11-20-30-300-0300-0000 Page I of 2
Property Record Card
XFA
Parcel: 11-20-3
1
0-300-0300-0000pfiOwner: VRAJ LLC
Property Address: 3767 S ORLANDO DR SANFORD, FL 32772
Parcel Information Value Summary
Sem le County GIS
Legal Description
SEC 11 TWP 20S RGE 30E
BEG 659.86 FT N OF SE CDR
OF SW 1/4 OF SE 1/4 RUN N 115.84
FT W 290-75 FT SWLY ON CURVE
125 FT E 339.91 FT TO BEG
LESS RD)
Taxes
2016 Working 2015 Certified
Values Values
Valuation Method Cost/Market Cost/Market
Number of Buildings 2 2
Depreciated Bldg Value 366,821 372,215
Depreciated EXFT Value 8e $ 117,34
Land Value (Market) 248.626
17,968__
248,626
Land Value Ag
Just/Market Value 632,795
Portability Adj
Save Our Homes Adj 0 0
Amendment I Adj 0 0
P&G Adj 0 0
Assessed Value 632,795
Tax Amount without SOH: $13,000.66
2015 Tax Bill Amount $13,000.66
Tax Estimator
Save Our Homes Savings: $0.00
i * Does NOT INCLUDE Non Ad Valorem Assessments
Taxing Authority Assessment value i Exempt Values Taxable Value
County General Fund 632,795 w 0 632,795 i
Schools 632,795. 0 632,795
City Sanford 632,795 1 0 632,795
i SJWM(Saint Johns Water Management) 632,795 0, 632,795
County Bonds 632,795, 0 632,7951
Sales
Description I Date Book i Page f Amount 1 Qualified j Vac/Imp
WARRANTYDEED 7/1/2010 07422 1248 700,000 Yes Improved
QUIT CLAIM DEED 1/25/2010 07330 1832 100 No Improved
QUIT 66m M GEED 3/1 12009 07157 1988 100 No Improved
QUIT CLAIM DEED 3/1/2009 07157 1991 100 No Improved
QUIT CLAIM DEED 1/1/2009 07114 0745 100 1 No Improved
1.J; -WARRANTY DEED 6/1/2008 07022 0929 850,000 No Improved
WARRANTY DEED 1011/2005 05986 0864 1,510,000 No Improved
SPECIAL WARRANTY DEED 5/1/2003 04848 0771 320,000 No Vacant
WARRANTY DEED 3/1/1987 01829 0332 160,000 Yes Improved
1 SPECIAL WARRANTY DEED 311/1987 01851 1684 100 No Improved
Page 1 of 2 (13 items) Ill 2
No Comparable Sales
http://parceldetail.scpafl.org/PareelDetaillnfo.aspx?PID=11203030003000000 5/16/2016
Florida Department of State
t
Page 1 of 2
DIVISION OF CORPORATIONS
C
Or r
Department of State Division of co rations Search Records Detail By Document Number
Detail by Entity Name
Foreign Profit Corporation
DRIVEN FLORIDA LUBES INC.
Filing Information
Document Number F16000000140
FEI/EIN Number 47-5515713
Date Filed 01/11/2016
State DE
Status ACTIVE
Principal Address
440 SOUTH CHURCH ST.
SUITE 700
CHARLOTTE, NC 28202
Mailing Address
440 SOUTH CHURCH ST.
SUITE 700
CHARLOTTE, NC 28202
Registered Agent Name & Address
NRAI SERVICES, INC.
1200 SOUTH PINE ISLAND ROAD
PLANTATION, FL 33324
Officer/Director Detail
Name & Address
Title PD
FITZPATRICK, JONATHAN
440 SOUTH CHURCH ST, STE. 700
CHARLOTTE, NC 28202
Title D
FIELD, EZRA
440 SOUTH CHURCH ST, STE. 700
CHARLOTTE, NC 28202
Title D
ARONSON,STEPHEN
http://search. sunbiz.orglInquiry/CorporationSearch/SearchResultDetail?inquirytype=EntityName... 12/27/2016
Page 2 of 2
440 SOUTH CHURCH ST, STE. 700
CHARLOTTE, NC 28202
Title VPS
POLLACK, NOAH
440 SOUTH CHURCH ST, STE. 700
CHARLOTTE, NC 28202
Title CFOT
NICHOLSON, BRIAN
440 SOUTH CHURCH ST.
CHARLOTTE, NC 28202
Title ASEC
ROMANZO, BRIAN
440 SOUTH CHURCH ST.
CHARLOTTE, NC 28202
Annual Reports
No Annual Reports Filed
Document Images
01/11/2016 — Foreign Profit View image in PDF format
Ficrida Department of State, Division of Corporations
http://search. sunbiz.orglInquiry/CorporationSearchISearchResultDetail?inquirytype=EntityName... 12/27/2016
CUSTOMER:
TAKE 5 OIL CHANGE
LOCATION:
SHOP #1091
3767 ORLANDO DR.
SANFORD,FL
CODE
CITY OF SANFORD
EILEEN HINSON • 407-688-5147 • EILEEN.HINSON@SANFORDFL.GOV
JORDAN SMITH • 407-688-5146 • JORDAN.SMITH@SANFORDFL. GOV - HE'S DOING SIGNS NOW. ZONED
COMMERCIAL WALL
SIGN: MULTI -
TENANT BUILDINGS. EACH UNIT IN AN EXISTING MULTI -UNIT BUILDING THAT HAS AN INDIVIDUAL SEPARATE ENTRANCE TO
THE EXTERIOR OF THE BUILDING MAY HAVE ATTACHED SIGNAGE NOT TO EXCEED ONE AND ONE-HALF (1 Yz) SQUARE FEET PER
LINEAL ONE FOOT (1) OF TENANT STOREFRONT FACADE LENGTH. NO MORE THAN ONE (1) ATTACHED SIGN PER TENANT IS
PERMITTED. EMC HAS TO GO BEFORE THE CITY PLANNING COMMISSION. POSSIBLY 2 MEETINGS. NO GUARANTEE THAT YOU'LL GET
IT MEETS 2ND AND 4TH MONDAYS EXCEPT FOR NOV. & DEC. WHICH IS 2ND MON. ONLY. MESSAGE CAN ONLY CHANGE ONCE PER
DAY. CAN ONLY BE ONE COLOR. GROUND
MOUNTED: BASED
ON ST. FRTG.: 0-75'= 24 SQ. FT, 6' OAH. 76-120'=50 SQ.FT, 10' OAH OVER 120'=100 SO. FT., 12' OAH. SETBACK IS THE HEIGHT
OF THE SIGN. BASE MUST BE ARCHITECRUAL STYLE OF BLDG.. NO STUCCO ALLOWED. MUST HAVE MIN. 3" ADDRESS NUMBERS ON
SIGN FACE. GROUND -MOUNTED SIGN. A SIGN ERECTED ON A FREESTANDING FRAME, MAST OR POLE WHICH IS ANCHORED INTO THE
GROUND. GROUND MOUNTED SIGNS ARE NOT ATTACHED TO A BUILDING. ALL VERTICAL STRUCTURAL SUPPORTS FOR GROUND MOUNTED
SIGNS SHALL BE CONCEALED IN AN ENCLOSED BASE WITH A WIDTH EQUAL TO AT LEAST TWO THIRDS (2/3) OF THE HORIZONTAL WIDTH
OF THE SIGN SURFACE AND WITH A BASE FINISHED WITH A DECORATIVE MATERIAL. GROUND MOUNTED SIGNS MUST BE CONSISTENT WITH
THE ARCHITECTURAL DESIGN, MATERIALS AND COLOR OF THE BUILDINGS ON THE SAME PREMISES. ALL GROUND MOUNTED SIGNS SHALL
BE ENCASED IN A LANDSCAPE PLANTER, TWO (2) TO THREE (3) FEET IN HEIGHT, OR A LANDSCAPED AREA OF NO LESS THAN FOUR (4) FEET WIDE
ON EACH SIDE OF THE SIGN, THE PLANTER OR LANDSCAPED AREA MUST CONTAIN ANY COMBINATION OF SHRUBS, FLOWERS AND GROUNDCOVERS.
ALL SIGNS SHALL BE ERECTED ABOVE THE ENCLOSED BASE OF THE SIGN AND NO SIGN SHALL BE MOUNTED DIRECTLY IN FRONT OR
TO THE REAR OF THE BASE. DIRECTIONAL SIGNS NOT TO EXCEED FOUR FEET IN HEIGHT AND SIX SQUARE FEET NO LOGO/NAME. NO PERMIT REQ'D. PERMITTING:
F/
C NEEDS A PERMIT. 2 SETS OF SITE PLANS, B/E, S.E.D., COPY OF SIGNED CONTRACT, LOA NOC,
ELEC. PERMIT, THE APPLICATIONS HAVE TO BE SIGNED BY THE PROPERTY OWNER. SUBMITTAL CAN BE SENT
UPS TO DEBBIE BLANTON IN THE BLDG. DEPT SEND $25 PER SIGN. CAN SEND SELF ADDRESSED STAMPED
ENVELOPE AND SHE'LL MAIL PERMITS BACK. 1RI ENMM Your
total branding solution
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FOP YOUR PERSONAL USE IN CONNECTIONUnderwritersNEEABRONDING. aI PUNTO BE YW TENTERABRANDING. R IS NOT TO BE ION. N TO
Your total branding solution ®
Laboratories Inc.® ANYONEITTOBE TS D REPYOURODUCED, COPIED, ORIISITTOBEUSED, REPRODUCED, COPIED, OR
E%HIBITED IN ANY FASHION.
H: MARKETING DESIGN / CDR / T / TAKE 5 / SANFORD, FL - 3767 ORLANDO DR. M1091.odF
CLIENT. TAKE 5 SCALE: 1/8- = 1--0- REV I=
LocAnON: SANFORD, FL DATE: 08.11.1fi
Zo= DRAWN BY ZM DWG. NO.: SANFORD, FL - 3767 ORLANDO DR. N1091
THIS
ENTER4 1U. WITH A PROJECT BING
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CREATEDGY -BRANDING ISSUBMRTED
FOR YOUR PERSONAL USE IN CONNECTIONUnderwritersNATHAPgOJECTBEINGPIANNEOFOflVW BY
ENTERA BRANDING. IT IS NOT TO BE SHOWN TOLaboratoriesIncaANYONEOUTSIDEYOURORGANIZATIONNORi9iYourtotalbrandingSolutionLISTEDISITTOBEUSEDREPRODUCEDCOPIED. OR
EXHIBITED IN ANY FASHION.
H: MARKETING DESIGN / CDR / T / TAKE 5 / SANFORD, FL - 3767 ORLANDO DR. #1091.cdr
CLIENT: TAKE 5 SCALE: 1/8" = 1'-0" REVI xxxx
ocnnoN: SANFORD,FL DATE: 08.11.16
REV.2 x)=
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DRAWN ErY ZM I DWG. NO. SANFORD, FL - 3757 ORLANDO DR. #1091 REV4 )ow
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CREATED
BY ENTEM BRANDING R IS SU-ITTED FOR
YOUR PERSONAL USE IN CONNECTION UnderwritersWITHgpROJECTBEINGPLANNEDFORYOUBY ENTEM
BRANDING, IT IS NOT TO BE SHOWN TO IREYourtotalbrandingsolution ® Laboratories
Inc.. ANYONE OUTSIDE YOU. 014 A 1ZATION,NOR I
I IS IT TO BE USED, REPRODUCED. COPIED, OR EXHIBITED
IN ANY FASHION. N:
MARKETING DESIGN / CDR / T / TAKE 5 / SANFORD, FL- 3767 ORLANDO DR. #1091.cdr CLIENT:
TAKE 5 SCALE: 1/8" = V-O" REV.1 Dm REV.
2 boot LOCATION:
SANFORD, FL DATE: 08.11.16 REV3 ulna DRAWN
BY ZM DWG. NO. SANFORO, FL - 3767 ORLANDO DR. #1091 REV.4 xxxx
The attached plans/documents have been submitted by:
E :.M -E R A %U
P E R M V o -1 N---
Lr--._SF
rI c o Fa P o R A T E C)
141 Mack Bayou Loop . Suite 303 . Santa Rosa Beach, FL 32459
Office 850.837.7444
Fax 850.608.6258
emeraldcoastpermitting@cox.net
www.emeraldcoastpermitting.com
Please direct all questions and comments to this office.
SIGN PERMIT
INITIAL SUBMITTAL
PROJECT: Take 5 Oil Change #1091— Sign Permit
3767 S. Orlando Drive
Sanford, FL 32772
Date submitted to City of Sanford, Utilities/Building Department: Feb 20, 2017
Via FedEx Submittal
r^- s'•Yourrtotalbrantlingsolubon0''at V)M Or ZMn PHONE:
r r-3 92-0673 LIC# ES12000987 Ddven
Florida Lubes. Inc. Take 5 Stare #1091 P.
O. Box 24300 3767 Orlando DR. Jacksonville,
FL 32241 Sanford, FL Attn:
Ron Hailend 50
k Deposit Proposal
Date: 1/18/2017 Customer Terms: Remainder net 30 Sales
Rep: Ron Hailend Customer Order ID: Customer
Ref/PO Number: Customer ID: 1783 OTY
ORD I DESCRIPTION UNIT COST EXTENDED COST 1.
00 15' FASTEST OIL CHANGE ON THE PLANET! Remote mount internally illuminated letters 4,460.00 4,460.00 Checkered
Flag Wall Panels 3.
00 NON411uminated-alluminum-1"Deep 145.00 435.00 Exit
Only/Do Not Enter 3.
00 Non4fluminated panels- aluminum with vinyl graphics 70.00 210.00 Please
Stay In Your Car 3.
00 nonalluminated aluminum panels with vinyl graphics 70.00 210.00 2.
00 40" Tall Post and Panel Dimchonals Non- Illuminated 540.00 680.00 2.
00 4'7"x 10' Flat replacement faces with oil can logo 1.
00 LED Retro kit and labor for pylon sign 1,
660.00 $3,320.00 2,
990.00 $2,990.00 Product
Subtotal $
12,305.00 1.
00 Removal of existing signage $1,950.00 Installation
of all product produced by Entera. Building fascia repair by others. Includes painting steel and cabinets of 1.
0o existing pylon. $6,989.00 Freight
and Crate $2,190.00 TOTAL: $
23,434.00 Does
not include permitting, or any associated costs to pull permits. Does not include taxes. Installation based on
working during normal business hours. Any required electrical primary will be provided by others. NOTE:
signs
are Wred for 120 volts. s
nor permit secural are included in quote and will be invoiced on final invoice. will
be calculated on final invoice. at
letters require isolated dedicated circuit. ner
responsible for proper backing where channel letters and wall mounts will be located on building. Customer/contractor must install prior to signage install. y
power to signs provided by others. 1
subject to change should there be any charges to scope of work. Approved
By:
NOTICE OF COMMENCEMENT
Permit No.
Tax Folio No.11-20-30-300-0300-0000
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Section
713.13 of the Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT.
1. Description of property (legal description): SEC 11 TWP 20S RGE 30E BEG 659.86 FT N OF SE COR OF SW 1/4 OF SE 1/4 RUN N
115.84 FT W 290.75 FT SWLY ON CURVE 125 FT E 339.91 FT TO BEG (LESS RD)
a) Street (job) Address: 3767 Orlando Dr. Sanford, FL 32772
2. General description of improvements: Signage for Take 5 Oil Change #1091
3.Owner Information:
a) Name and address: Driven Florida Lubes, Inc., 440 South Church Street, Suite 700, Charlotte NC 28202
b) Name and address of fee simple titleholder (if other than owner): VRAJ, LLC, 3767 Orlando Dr. Sanford, FL 32772
c) Interest in property: 100% Lessee
4. Contractor Information:
a) Name and address: 2joa.3,,
b) Telephone No.: $13 max No.:
5. Surety Information:
a) Name and address:
b) Amount of Bond:
c) Telephone No.: Fax No. (Opt.)
6. Lender:
a) Name and address:
7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served:
a) Name and address.
b) Telephone No.: Fax No. (Opt.)
8. In addition to himself or herself, owner designates the following person to receive a copy of the Lienor's Notice as provided in
Section 713.13(1)(b), Florida Statutes:
a) Name and address:
b) Telephone No.: Fax No.:
9. Expiration date of Notice of Commencement (the expiration date is one year from the date of recording unless a different date
is cnprified)-
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 YOUR LENDER OR A,N/ RNEY BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENY. A j
STATE OF: N50Ytk-Ca-M UL l..0A 10. _
V p • __ Signature of Owner or Own_ s A__uth4riLf d Offi imctor/Part
COUNTY OF:AQ .-- 1pdPrintedNameandTitle: /Ct7 RJ V
i
E -
The foregoing instrument was acknowledged before me this 2.-,7 day of *DeceXI1 bQr , 2016, by
4t(gak 0 6L as _io iI/10 4,4Aa4 rjWK— (type of authority, e.g. officer,
Al
attorney in fact) for Driven Florida Lubes Inc.
Personally Known OR Produced Identification Notary Signatur
Type of Identificat on Produced Name (print) AnA 1 k-0C Verification
pursuant to Section 92.525, Florida Statutes. Under penalties of perjury, I declare I ave read the foregoing iitiU'tha the
facts stated in it are true to the best of my knowledge and belief. FORMWOC,
S=07 Signature
ofNatueat, _,_. on ine o) Above GRANT
MALOY, CLERK OF CIRCUIT COURT SEMINOLE COUNTY FL CLERK'
S # 2017027478 BK 8879 Pg 0949: (1p9) E-RECORDED 03/20/2017 09:29:25 AM 10.
00
k" 0--
a9(
CITY OF SANFORD
r aLDING & FIRE PREVENTION
PERMIT APPLICATION
Y1
APPLICATI'ON Application No:
77 sr" Documented Construction Value:
S 10,500.00 Job Address: 3767
Orlando Drive, Sanford, FL Historic District: Yes No Parcel ID: 11-
20-30-300-0300-0000 Residential Commercial Q Type of Work:
New N Addition Alteration Repair Demo Change of Use Move Description of Work:
Installing channel letters 37.29sf, face change on existing ground sign approx 43 sf installing two directional
signs 4 sf each Plan Review Contact
Person: Phone: 8508377444 Candi
L. Gray-
Emerald Coast Permitting, Inc. Title: President Fax: 8506086258 Email:
emeraldcoastpermitting@cox.net Property Owner Information
Name Driven Florida
Lubes, Inc Street: 440 South
Church Street, Suite 700 City, State Zip:
Charlotte, NC 28202 Phone:8508377444 Resident
of property? :
Contractor Information Name
Kazar, David-
C B Sign Service, Inc. Phone: Street: 4615 Roberts
Road City, State Zip:
Land O'Lakes, FL 34639 Fax: n/a
State
License No.:
EC13003170 Architect/Engineer Information
Name: Robert Wall-
A S and E, Inc. Phone: Street: 24710 SR
54 City, St, Zip:
Lutz, Florida 33559 Bonding Company: Address:
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: 51' Edition (2014) Florida Building Code Revised: June 30,
2015 Permit Application
NOTICE: In addition' to the requirements of this permit, there may be additional restrictions applicable to this property that may be
found in the public records of this county, and there may be additional permits required from other governmental entities such as water
management districts, state agencies, or federal agencies.
Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713.
The City of Sanford requires payment of a plan review fee at the time of permit submittal. A copy of the executed contract is required
in order to calculate a plan review charge and will be considered the estimated construction value of the job at the time of submittal.
The actual construction value will be figured based on the current ICC Valuation Table in effect at the time the permit is issued, in
accordance with local 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 Signature of Contractor/Agent 0 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
111 dL K.,Z.. ouY
Print Contractor/Agent's Name
07
Sig ature of Notary -St e of Florida Date
BRADLEY T RUPERT
a?i 1 o MY COMMISSION #GG023762
EXPIRES: AUG 23, 2020
Bonded through 1 st State Insurance
Contractor/Agent is 4, 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
SOc'
APPROVALS: ZONING: UTILITIES:
ENGINEERING:
COMMENTS:
FIRE:
Flood Zone:
of Stories:
Plumbing - # of Fixtures,
Fire Alarm PermV: Yes No
ke
cL h
WASTEASTE WATER:
BUILDIN • 00&_
Based on 32.79 linear feet of building length ok to install 37.29 square feet of "Fastest Oil Change on The
Planet!" wall signage as shown on plan Any additional attached signage on canopy, wall or window. shall -
require approved by City of Sanford Planning Department.
Revised: June 30, 2015 Permit Application
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ALLOWED (32'-0" X 1.5 SO FT) = 48 SO FT
Based on 32.79 linear feet of building'length ok
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on plan Any additional attached signage on
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BY: ZM DWG. NO.: SANFORD, FL • 3767 ORLANDO DR. #1091 REV4 700IX
A S And E, Inc. 24710 State Road 54 (813) 948-2812
Name:
Wind Speed
Mean Height
Entera
140 mph
60 ft
rl jibou
Project: Take 5
rax: (513) U4U-YU9b
All Wind Loads meet 5th Edition 2014 Florida
Building Code
Wind Code ASCE 7-10 Exposure C Risk Category n
Wind Pressure (WP) 48.19 psf
GC(p) 1.40 Total Pressure = WP*SF 67.47 psf
29''„75.
Ql_'-'RL5 1! Wq'Dd nLi 75Letter
Height (in) 1 ft Letter
Width (in) 1 ft Area
1.5625 sq ft Number
of Bolts 4 Shear
Value 160 Ibs Tension
Value 220 Ibs Shear
per bolt = Area * 10 psf Tension
per bolt =Pressure * Area 3
in 3
in Based
on 32.79 linear feet of building length ok to
install 37.29 square feet of "Fastest Oil Change
on The Planet!" wall signage as shown on
plan Any additional attached signage on canopy,
wall or window shall require approved by
City of Sanford Planning Department. Connection
Notes: For Each Letter use (
4) - 1/4" ala. s/s lag screws wan a minumum 2"
embedment depth into structural blocking. Or use (
4) - 1/4" dia. Simpson Sleeve -All anchor bolt: with
a minimum 1-1/2" embedment depth into structural
concrete blocking. Or use (4) - 1/4" dia. s/
s threaded thru bolts with minimum 2" square washers
into structural 2x4 wood blocking. 3.
91 Ibs 15.
81 lbs Bolt
Value=Shear per bolt / Shear Value + Tension per Bolt / Tension Value Bolt
Value 0.10 < 1.00 O.K. ::= General
Notes: Connection design only. All wind load calculations based
on code reference section 1609, which references ASCE 7. Shape
factor are determined per ASCE 7. If site conditons differ from
stated reference contact A S and E, Inc. f7
Mert
W. Wall, PE FI
Reg #46021
QV7475
l
PPRO"v ad) lrL V;
29'-9 5"
Based on 32.79 linear feet of building length ok
to install 37.29 square feet of "Fastest Oil
Change on The Planet!" wall signage as shown
on plan Any additional attached signage on
canopy, wall or window shall require approved
by City of Sanford Planning Department.
NOTES:
FACES: .118" YELLOW #2037 POLYCARBONATE
RETURNS: .040" X 5" SATIN BLACK (STITCHED)
BACKS: .050" ALUM
1 " WAGNER JEWELITE: SATIN BLACK FINISH
LED: GE TETRA MAX LED
1 /4" 0 WEEP HOLES W/LIGHT BAFFLES
MIN 2 PER LETTER)
PLACE RETURN SEAMS IN TOPS OF LETTERS
TO MINIMIZE VISIBILITY.
ELECTRICAL NOTE —ACTUAL # OF CIRCUITS TO BE
DETERMINED BY A LICENSED ELECTRICAL CONTRACTOR.
TOTAL AMPS: .65
OF CKTS: 1 @ 20 AMP(RECOMMENDED)
VOLTS: 120
ELECTRICAL CONNECTION AS FOLLOWS:
GREEN TO GREEN (GROUND), WHITE TO WHITE (NEUTRAL),
BLACK TO BLACK (POWER).
ALL SIGNAGE WILL BE (U.L.) LISTED, (U.L.) 2161 COMPLIANT
AND CARRY (U.L) LABELS.
5"x.040" ALUM
RETURNS
1 " JEWELITE
050" ALUM. BACK
118" YELLOW #2037
POLYCARBONATE FACE
GE NB1111 LEDS
STRAIN RELIEF
WEEP HOLE
W/LIGHT BAFFLE
BLOCKING
AS NEEDED)
j
D ROD (J" AS
S12-60
R SUPPLY
S 2 UL.
JTED IN BOX
SCONNECT SWITCH
DWER CABLE
W VOLTAGE
FIELDED
RMT LED LETTER CROSS SECTION
SCALE: NTS (REFERENCE ONLY)
EQUIPMENT GROUNDED kill
GENERAL NOTE:
MINIMUM #8 SHEET METAL SCREWS ARE
TO BE USED FOR SECURING THE FACE
TO THE LETTER RETURN. THE MAXIMUM
SPACING SHALL NOT EXCEED 10" AND
NO FEWER THAN FOUR SCREWS ARE TO
BE USED PER FACE.
RIVE CLIENT: SCALE: DATE:
PA'NAMA CITY FL 32401 TM ISMORI "^IL DR^WM TAKE 5 1:30 7/6/2016ENIWERA, No. Ir IS SUBWMM FOR YOUR PER10 0L USE
0® PH: 850-763-7982 M l®P INOWE71014WMAPmxEcrBEmRlAmEDFOR you FILE LOCATION: PAGE TYPE: kk
BYeiIERA,INO. ITISNOTTOBEMOW NTOANY ONE G:\ENGINEERING\CUSTOMER\TAKE 5 PRESENTATION FAX: 850-392-0673 ® °® ORGAO+.OISTOBEusED LISTED REPRODUCED, COPIEDOR
EmBnED IN AW FASHM DRAWN BY: DRAWING NUMBER: PAGE NUMBER: Your total branding solutionWWW.enterabranding.com STEVE BERTRAND TK5022 PAGE 1 OF 2 Nt 4EjU l A
5 and E, Inc. CA 7882 24710 State
Road 54 Lutz, FL 33559 PH: (813) 948-2812
FA 5 TEO T OIL CHA NGE DOD N THE PL ME T
GE NB1111 WHITE 190 MOD @ 95 LFT
1) 60W POWER SUPPLY
f I7-yes
APPROVED
37-
F-•-•- Sie
i G DEP 4 a
Based on 32.79 linear feet of building length ok
to install 37.29 square feet of "Fastest Oil
Change on The Planet!" wall signage as shown
on plan Any additional attached signage on
canopy, wall or window shall require approved
by City of Sanford Planning Department.
MATERIAL LIST:
1 EA LED0033
95 LFT LED0111
1 EA ELT0041
1 EA ELT0015
60 EA ELT0199
30 EA ELTO198
GEPS12-60 POWER SUPPLY
GE NB1111 WHITE LEDS
DISCONNECT SWITCH
UL TRANSFORMER CAN
CONDUIT LOCKNUT
X 18" PAIGE WALL BUSTER
1200 ENTERA DRIVE 01 11 rcLIENT: SCALE: DATE:
THSISM OR04ALUNPUBLOHMDRAWPgCRFA1EDBY TAKE 5 1:30 7/6/2016 PANAMA
CITYEN7ERA, FL32401nnEN7ERA,INC. rrIss WnEDFOR YI PMMUSE PH: 850-
763-7982 J (DI1® 9 IN APRaJECT r FOR YOU FILE LOCATION: PAGE TYPE: aMa)u
4A B ENTERA,INC. rrISNOTTOBESHOIINTOANYONE G:\ENGINEERING\CUSTOMER\TAKE 5 LED LAYOUT FAX: 850 —
39 2 — 0673 LISTED °1DEYOUR ORGANIZATION,
NOR IS TO BE USED REPRODUCED, COPIED,
ORp UTEDINANYFA KX DRAWN BY: DRAWING NUMBER: PAGE NUMBER: Your total
branding solution www.enterabranding.com STEVE BERTRAND
TK5022 PAGE 2 OF 2 ana t,
Inc. CA 7882
24710 State Road 54 Lutz, FL 33559 PH: (813) 948-2812
1{
Strut (if applicable) not shown for clarity.
galvanized steel top
e. Each fixture attached
our 1/4" x 3/4" screws.
lut
109) galvanized steel top
fixture. Each fixture attached
Il
with two 1/4" x 3/4" screws.
Hn
A push nut
Optional low head room top bracket
The vertical wood jamb fasteners may be counter sunk to provide a flat mounting surface.
See jamb attachment details for more information about attaching jambs to structure.
Details on some views may have been omitted for clarity.
1" overlap (.06) min. wall thickness (.086) galvanized stet
6063-T5 extruded aluminum flag bracket fastened t
wood jamb with thre
5/16" x 1-5/8" wood la
screw;
2" (min) x .045 (min)
Flag bracket attachedgalvanizedsteeltracktohorizontaltrack
with two 1/4" x 5/8"
track bolts and nuts.
nominal 2" (min.)
0
10 (min.) ball roller Q End Hinge
galvanized steel fastened towithnylonorsteeltread.
o section with four 1/4" x 3/4"
8
3-1/2" (min) stescrews
each .m -o— , push
nut 2" (
max. for .058 thick)—, 2-3/4" 4" (
max. for .109 thick) po0
102) galvanized steel bottom bracket.
Each bracket attached with
four red 1/4" x 3/4" screws. push
nut o (.
109) galvanized steel o
bottom bracket Each p
bracket attached with four 1
red 1/4" x 3/4" screws. nut
a°
o-- V..
J Z Flag
bracket attached to vertical
track with two 1/4" x
5/8" track bolts and nuts. Or
two 1/4" x 11/32" rivets. 102)
galvanized steel track 0
bracket fastened to wood jamb gIntermediate
Hinge with one 5/16" x 1-5/8" wood 058)
galvanized steel lag screw per bracket. pm 8
fastened
to section with ° four
1/4" x 3/4" screws. Each
track bracket attached with 2-
3/4" one 1/4" x 5/8" track bolt and nut. Or
two 1/4" x 11/32" riven. Aluminum
extrusion Optional
low head room bottom bracket Vinyl
weatherstrip FL 1 2 O V 5 R No.
51737 0
STATE OF i - •
RC
OR QP SIONAL
Professional
Engineer's seal provided only for verification of windload construction details. John
E. Scates, P.E. 3121
Fairgate Drive Carrollton,
Texas 75007 Florida
P.E. # 51737
8'
see chart for
other heights
12'-2" (see chart for other widths)
maximum opening size is door width less 2"
n tl tl n_
i
tl
v
a'
v
C tl tl itl'I
Intermediate
Hinge
4D
2
Top Fixture
4D
2
End Stile
Optional Lites
with vinyl retainer
see window
options)
3B
2
End Hinge
Bottom
Fixture
This door has been evaluated in accordance with ASTM E 330-02 and ANSI/DASMA 108-02 and 108-05. Digitally signed by John E. Scates, P.E.
Per ASCE 7-10, Design Pressures (DP) typically meet or exceed the requirements for the following wind speeds. Date: 2015.04.27.14:17:59-05'00'
These exposure "B" wind speeds are for 8' high doors on 30' tall buildings.
Width Desi Pressure Wind Speed Windows Center Stiles
19'-06" 10.1 s / - 11.3(psf) I I I (mph) YES 4
18'-02" 11.6 s /- 13.0 sf) 119 (mph) YES 4
16-02" 14.7 s / - 16.4 sf) 133 (mph) YES 3
14'-02" 19.1 s /-21.4 sf) 151 (mph) YES 3
12'-02" 20.8 s / - 29.0 sf) 157 (mph) YES 2
10'-02" 20.8 s, /-41.5 sf) I56 (mph) YES 2
09'-06 20.8 s / - 47.6 s 155(mph)YES 1
09'-02" 20.8 s 51.1 s 155 (mph) YES I1
Center Stile quantity is minimum per section.
4
Supporting structural
elements to be designed by
registered professional
engineer for specified wind
loads. If door is not
electrically operated, a lock
must be installed.
Maximum door height: 24'-0"
Maximum section height: 24"
Professional
Track
Bracket
No.0737
0 STATE OF ' Au(
cCOR%QQ%(9
sS/ONAL N
FLU 120661 3 /811111 i``
tineer's seal provided only for verification of windload construction details.
John E. Scales, P.E.
3121 Fairgate Drive
Carrollton, Texas 75007
Florida P.E. # 51737
Window Options:
max daylight opening 49-1/8" x 19"
1/8" DSB
1/8" Polycarbonate
1/4" Tempered Glass
049" Aluminum Panel
7/16" thick (see FZ5-12-64305)
7/16" Insulated Glass
7/16" Tempered Insulated Glass
7/16" Insulated Aluminum Panel
c
y a
c M in
H aDoorHeight
6-0" to 8'-0" 4 0 4
8'-3" to 10'-0" 5 0 5
10'-3" to 12'-0" 6 0 j 6
12'-3" to 14'-0" 7 0 8
14'-3" to 16'-0" 8 0 9
16-3" to 18'-0" 9 0 10
18'-3" to 20'-0" 10 0 12
20'-3" to 22'-0" 11 0 13
22'-3" to 24'-0" 12 0 14
Track bracket quantities shown are for use
with grade 2 or better spruce -pine -fir (SPF) or
southern pine jambs.
Supplemental Instructions contain details
for doors up to 24'-0" high. These are required in
addition to this drawing for installation. Always
use supplemental instructions in addition to this
drawing during door installation.
The attached plans/documents have been submitted by:
IE_M _E
RA y
1 N C 17 R R O R A T E 0
141 Mack Bayou Loop. Suite 303. Santa Rosa Beach, FL 32459
Office 850.837.7444
Fax 850.837.7677
emeraldcoastpermitting@cox.net
w.emeraldcoast ermittin .com
AUG 31 2016
py: 1
Please direct all questions and comments to this office.
PROJECT: Take 5 Oil Change #1091— Exterior Modifications Permit
3767 S. Orlando Drive
Sanford, FL 32772
Date submitted to City of Sanford Building Department: August 30, 2016
Via Physical Submittal
t 4
Land Science'
Technologies
NOV 232d16
A &
Advanced Vapor Management Technology
PERMIT # & _ 42 Sr Zp
Geo-SealO
Vapor Intrusion
Barrier System
ence
echnologies
Advanced Vapor Management Technology
HTORY
Land Science'
Technologies
Land Science Technologies (LST) TM is dedicated to
providing advanced technologies for sustainable land
development. A goal of LST is to provide innovative
and technically sound development solutions for
underutilized environmentally impaired properties,
commonly referred to as Brownfields.
LST's cost-effective, industry leading technologies
offer engineering firms and real estate developers
solutions to issues facing the development of
Brownfields today. LST is a division of
Regenesis, Inc., a global leader in groundwater
and soil remediation technologies since 1994.
REGENESIS
www.regenesis.com
M
Geo-SealTM is an advanced composite gas vapor management
technology (patent pending) designed to eliminate potential indoor
air quality health risks associated with subsurface contaminant vapor
intrusion.
Geo-Seal is an ideal gas vapor management technology designed for
use on Brownfields or any type of environmentally impaired site,
i.e. manufacturing facilities, dry cleaners, gasoline service stations,
landfills, etc. Geo-Seal is placed between the foundation of the
building and the soil pad to eliminate vapor exposure pathways and
stop contaminated vapors from permeating through the slab. Vapor
management systems incorporating both Geo-Seal vapor barrier and
Vapor -Vent ventilation provide industry leading sub -foundation vapor
mitigation technology. By deploying these systems developers ensure a
healthy indoor environment while reducing the cost of site remediation
and expediting site construction.
Triple -Layer Protection
The triple -layer system used in Geo-Seal provides maximum
redundancy and protection against the formation of vapor pathways
both during and after installation. Such pathways can result from
chemically induced materials breakdown, punctures, and seam
weaknesses resulting from poor detail work and/or application
installation imperfections around penetrations. Geo-Seal also provides,.
unmatched protection from a range of contaminant vapors including
those from petroleum -based products and chlorinated hydrocarbons. , 1' j.
Field -Proven Technology
Geo-Seal is manufactured in partnership with E ProTM ,Sys'
has over 20 years experience in the building pr Aucts du
leading track record in barrier systems for vapor;an IIII a
applications.
TUBES
Dual Chemical Resistant Layers
The BASE layer (bottom) and the BOND layer (top)
are composed of a high -density polyethylene material
bonded to a geo-textile on the out -facing side. High
density polyethylene is known for chemical resistance,
high tensile strength, excellent stress -crack resistance
and for highly reliable subsurface containment. The
geo-textile which is physically bonded to the chemical
resistant layer accomplishes two goals; it allows the
BOND layer to adhere to slab, and provides a friction
course between the BASE layer and the soil.
Spray Applied CORE Layer
The CORE layer is composed of a unique, elastic
co -polymer modified asphaltic membrane which
also provides additional protection against vapor
transmission. This layer creates a highly -effective seal
around slab penetrations and eliminates the need for
mechanical fastening at termination points.
Chemical Resistance
The dual chemical resistant layers combined with
the spray CORE form a barrier resistant to the most
concentrated chemical pollutant vapors.
Enhanced Curing
Geo-Seal is "construction friendly as the reduced
curing time of the Geo-Seal CORE layer and the
ability to apply it in cooler temperatures ensures quick
installation and minimizes the impact on construction
schedules.
Puncture Resistance
Geo-Seal forms a highly puncture resistant barrier that
greatly reduces the chance of damage occurring after
installation and prior to the; placement of concrete.
Removing Contained Vapors
Vapor-Vertt can be used in conjunction with Geo-Seal
to alleviate the buildup of vapors beneath structures
as a -result of vapor barrier implementation. Vapor -
Vent can be utilized as an active or passive ventilation
system depending on the requirements of the design
engineer.
Certified Applicator Network
The application of Geo-Seal and Vapor -Vent can be
performed by any, one of many certified applicators
throughout the country.
Service and Support
Geo-Seal representatives are available to provide job
and site specific assistance. A local representative can
ensure Geo-Seal and Vapor -Vent is installed as per the
specification.
IAGRAM jI
I I
I
I
i i
I
I
i
Siom
Application `Diagram
Diagram Labels I i
Geo-Seal BASE is the foundational; chemical resistant, bottom layer
that is rolled out onto the exposed soil surface. This layer is applied
with a geo-textile side facing down to provide greater fi•iction with the
soil surface. The Geo-Seal BASE Layer is a high-q liality substrate and
enables the second, spray -applied CORE Layer to be free of
shadowin" and pinholes.
i
layer' Geo-Seal CORE is the spray -applied, middle la er
of the Geo-Seal barrier that ensures proper sealing
of potential vapor pathways. Problematic pipe
penetrations and effective seals at
termination points are easily detailed and
sealed with the utilization of the CORE Layer.
A Geo-Seal BOND is the
proprietary top layer that
completes the triple layered
Geo-Seal barrier.
The BOND layer `
serves two purposes; -
it helps protect the 4
system from getting
punctured
after
installation
Qjkandprovides
the final layer
of chemical
resistance.
Q Vapor -Vent:
When used with Geo-Seal
provides maximum protection
against contaminated vapor
Eliminates the need fort enehmg
Cost-effective compared to pipe and
ravel systems
Eliminates long-term costs when configured
as a passive system
Allows for rapid installation'
s
Mixed Sources A
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7 u
0— Land ScienceTM4
Technologies
Land -Science Technologies
1011 Calle Sombra
Suite 110
San Clemente, CA 92673
Ph. 949-366-6000
Fax. 949-366-8090
www.landsciencetech.com
Land Science'
Technologies
www.Iandsciencetech.com
Product Data
Sheet
Geo-SealT"" CORE
Geo-SealTM CORE is an elastic water -based co -polymer modified asphaltic membrane spray
applied to a minimum dry thickness of 60 mils. The CORE material has exceptional bonding to a
wide variety of substrates and will build up to the specified thickness in a single application.
Since the CORE material is water -based, there is little or no odor during or after product
application, making it safe for use in sensitive areas. This material can also be applied to green
concrete as it exhibits exceptional bonding capability that will not delaminate from the intended
substrate. The seamless application of the CORE material makes for easy installation around
penetrations, uneven surfaces and oddly shaped areas.
Approvals: City of Los Angeles RR# 25478, NSF
San Clemente / CA / 92673LandScienceTechnologies, Inc. / 1011 Calle Sombra / /
Ph. 949-366-8000 / F. 949- 366-8090
Suite 110
COVERAGES TEST METHOD UNITS
Application to BASE Layer 60 mils 17 ft / al
Typical Uncured Properties
Specific Gravity ASTM D 244 1.00
Viscosity ASTM D 1200 25 centi oise
PH 12.3
Flammability ASTM D 3143 500 F
Color Brown to Black
Non -Toxic No Solvents
Shelf Life 6 months
Typical Cured Properties
Tensile Strength ASTM 412 32 psi
Elongation ASTM 412 4.140%
Resistance to Decay ASTM E 125 Section 13 4% Perm Loss
Accelerated Aging ASTM G 23 No Effect
Moisture Vapor Transmission ASTM E 96 0.088 / ftper hour Hydraulic
Water Pressure ASTM D 751 26 psi Perm
Rating ASTM E 96 US Perms 0.21 Methane
Transmission Rate ASTM D 1434 Passed Adhesion
to Concrete Masonry ASTM C 836 & ASTM C 704 11 Ibf /inch Hardness
ASTM C 836 80 Crack
Bridging ASTM C 836 No Cracking Low
Tem Flexibility ASTM C 836-00 No Cracking at -20 C Resistance
to Acids Acetic
30% Sulfuric
and Hydrochloric 13% Temperature
Effect: Stable
248 F Flexible
13 F Packaging:
330 al. totes or 55 al. drums
Land Science"
Product Data
Technologies
Sheet
www.landsciencetech.com
Geo-SealTM CORE DETAIL
Geo-SeaITM CORE DETAIL is ideally used to perform detailing and repairs to the Geo-Seal
system. It is also ideal for those areas where the necessary clearance is not available for the
application of the Geo-Seal spray. This proprietary and unique material can be used all at once
or over a period of a few days without breaking down or hardening. Geo-Seal CORE DETAIL is
water -based and can be applied to green concrete with exceptional bonding capability that will
not delaminate from the intended substrate. Geo-Seal CORE DETAIL's viscosity allows high
build applications to be done easily due to its ability to set quickly and get jobs done fast.
Approvals: City of Los Angeles RR# 25478 (for methane and waterproofing), NSF Standard 61 for potable water
containment
San Clemente / CA / 92673
Ph. 949-366-8000 / F. 949- 366-8090
Land Science Technologies, Inc. / 1011 Calle Sombra / Suite 110 /
PROPERTIES TEST METHOD UNITS
TYPICAL UNCURED PROPERTIES
Specific Gravity 1.034
Viscosity 9m-13m centi oise
PH 11.5
Flammability 270 F
Color Brown to Black
Non -Toxic No Solvents
Shelf Life 6 months
TYPICAL CURED PROPERTIES
Initial Cure 30 minutes
Final Cure 24-24 hours
Tensile Strength ASTM 412 32 psi
Elongation ASTM 412 3.860%
Resistance to Decay ASTM E 125 Section 13 9% Perm Loss
Accelerated Aging ASTM G 23 No Effect
Moisture Vapor Transmission ASTM E 96 0.088 al/ft per hour
Hydrostatic Water Pressure ASTM D 751 28 psi
Perm Rating US Perms ASTM E 96 0.17
Methane Transmission Rate ASTM D 1434 0
Adhesion to Concrete Masonry ASTM C 836 7 Ibf/inch
Hardness ASTM C 836 85
Crack Bridging ASTM C 836 No Cracking
Low Temp Flexibility ASTM C 836-00 No Cracking at -20 C
Resistance to Acids
Acetic 30%
Sulfuric and Hydrochloric 15%
COVERAGES
60-mils (dry) 19 ft / al
Packaging: Available in 1 or 5 al. buckets
C.
Land Science"
Technologies
www.landsciencetech.com
Product Data
Sheet
Geo-SealTm BASE Layer
The Geo-SealTm BASE layer is comprised of a high strength laminated HDPE membrane that is
thermally bonded to a polypropylene geotextile giving the BASE layer a high puncture
resistance (Class A Rating) as well as high chemical resistance. The BASE layer is installed
over the substrate with the HDPE side facing up and provides the ideal surface for the
application of the Geo-Seal CORE component.
Land Science Technologies, Inc. / 1011 Calle Sombra / / / /
PROPERTIES TEST METHOD Geo-Seal BASE
Film Thickness 5 mil
Composite Thickness 18 mil
Tensile ULT ASTM D 882 MD 37.3 Ibs / in
ASTM D 882 TD 32.0 Ibs / in
Elongation ULT ASTM D 882 MD 51.00%
ASTM D 882 TD 55.30%
Dart Impact ASTM D 1709
Method A 1070 ms
Method B 594 ms
Modulus ASTM D 882 MD 295.5 Ibs / in
ASTM D 882 TD 270.6 Ibs / in
Elmendorf Tear ASTM D 1922 MD 5,260 ms
ASTM D 1922 TD 5,140 ms
Puncture Prop. Tear ASTM B 2582 MD 11,290 ms
ASTM B 2582 TD 13,150 ms
Beach Puncture Tear ASTM D 751 MD 160 Ib / in
ASTM D 751 TD 165 Ib / in
Permeability water vapor) ASTM E96 0.214
Chemical Resistance Excellent
Packaging: 15'x150' = 100 Ibs
W Land Science'
Technologies
www.landsciencetech.com
Product Data
Sheet
Geo-SeaITm BOND Layer
The Geo-SealTm BOND layer is comprised of a high strength laminated HDPE membrane that is
thermally bonded to a polypropylene geotextile giving the BASE layer a high puncture
resistance (Class A Rating) as well as high chemical resistance. The BOND layer is installed as
a protection course over the BASE and CORE layers with the geotextile side facing up. The
BOND layer also provides an excellent substrate and friction surface for concrete to adhere to.
Land Science Technologies, Inc. / 1011 Calle Sombra / Suite 110 / San Clemente / CA / 92673
Ph. 949-366-8000 / F. 949- 366-8090
PROPERTIES TEST METHOD Geo-Seal BOND
Film Thickness 5 mil
Composite Thickness 18 mil
Tensile ULT ASTM D 882 MD 37.3 Ibs / in
ASTM D 882 TD 32.0 Ibs / in
Elongation ULT ASTM D 882 MD 51.00%
ASTM D 882 TD 55.30%
Dart Impact ASTM D 1709
Method A 1070 ms
Method B 594 ms
Modulus ASTM D 882 MD 295.5 Ibs / in
ASTM D 882 TD 270.6 Ibs / in
Elmendorf Tear ASTM D 1922 MD 5,260 ms
ASTM D 1922 TD 5,140 ms
Puncture Prop. Tear ASTM B 2582 MD 11,290 ms
ASTM B 2582 TD 13,150 ms
Beach Puncture Tear ASTM D 751 MD 160 lb / in
ASTM D 751 TD 165 lb / in
Permeability water vapor) ASTM E96 0.214
Chemical Resistance Excellent
Packaging: 15'x150' = 100 Ibs
Land Science
Technologies
www.Iandsciencetech.com
Product Data
Sheet
Geo-SealTm Reinforcement Fabric
The Geo-SealTm Reinforcement Fabric is a textile material composed of staple fibers
hydraulically entangled, which is composed of 100% polyester. The basic use of the Geo-
Seal Reinforcement Fabric is designed to act as reinforcement when used in conjunction
with Geo-Seal CORE spray applied membrane.
CHEMICAL EXPOSURE (at room temperature) STRENGTHENED RETAINED
imethyl Formamide 1000 hours 100%
Ethylene Glycol 1000 hours 100%
1% Sodium Hydroxide 6 hours 100%
0% Sulfuric Acid 150 hours 54%
erchlorethylene 1000 hours 100%
Acetone 1000 hours 100%
Distilled Water 1000 hours 100%
HYSICAL PROPERTY DATA
Weight/Square (lbs.) ASTM D 3776 1.1
Oz./Sq./Yd. (oz.) ASTM D 3776 1.6
Bulk (mills) 22
Dry Tensile -MD (lbs.) ASTM D1777 25
Dry Tensile -CD (lbs.) ASTM D 1777 18
Elongation -MD (per/cent) ASTM D 1682 45
Elongation -CD (per/cent) ASTM D 1682 100
Mullen Burst (P. S. I.) ASTM D 3786 35
Packaging: 6" x 360', 12" x 360'
Land Science Technologies, Inc. / 1011 Calle Sombra / Suite 110 / San Clemente / CA / 92673
Ph. 949-366-8000 / F. 949- 366-8090
Geo-Seal® Vapor Intrusion Barrier
02 56 19.13
Fluid -Applied Gas Barrier
Version 1.4
Note: If membrane will be subjected to hydrostatic pressure, please contact Land Science TechnologiesT"' for proper recommendations.
PART 1 — GENERAL
1.1 RELATED DOCUMENTS
A. Drawings and general provisions of the contract, including general and supplementary conditions and Division 1 specification
sections, apply to this section.
1.2 SUMMARY
A. This section includes the following:
1. Substrate preparation:
2. Vapor intrusion barrier components:
3. Seam sealer and accessories.
B. Related Sections: The following sections contain requirements that relate to this section:
1. Division 2 Section "Earthwork", "Pipe Materials", "Sub -drainage Systems", "Gas Collection Systems":
2. Division 3 Section "Cast -in -Place Concrete" for concrete placement, curing, and finishing:
3. Division 5 Section "Expansion Joint Cover Assemblies", for expansion -joint covers assemblies and installation.
1.3 PERFORMANCE REQUIREMENTS
A. General: Provide a vapor intrusion barrier system that prevents the passage of methane gas and/or volatile organic compound
vapors and complies with physical requirements as demonstrated by testing performed by an independent testing agency of
manufacturer's current vapor intrusion barrier formulations and system design.
1.4 SUBMITTALS
A. Submit product data for each type of vapor intrusion barrier, including manufacturer's printed instructions for evaluating and
preparing the substrate, technical data, and tested physical and performance properties.
B. Project Data - Submit shop drawings showing extent of vapor intrusion barrier, including details for overlaps, flashing,
penetrations, and other termination conditions.
C. Samples — Submit representative samples of the following for approval:
Vapor intrusion barrier components.
D. Certified Installer Certificates — Submit certificates signed by manufacturer certifying that installers comply with requirements
under the "Quality Assurance" article.
1.5 QUALITY ASSURANCE
A. Installer Qualifications: Engage an experienced installer who has been trained and certified in writing by the membrane
manufacturer, Land Science Technologies TM" for the installation of the Geo-Seal® System.
Manufacturer Qualification: Obtain vapor intrusion barrier materials and system components from a single manufacturer
source Land Science Technologies.
C. Field Sample: Apply vapor intrusion barrier system field sample to 100 ft2 (9.3 m2) of field area demonstrate application,
detailing, thickness, texture, and standard of workmanship.
Notify engineer or special inspector one week in advance of the dates and times when field sample will be prepared.
If engineer or special inspector determines that field sample, does not meet requirements, reapply field sample until
field sample is approved.
3. Retain and maintain approved field sample during construction in an undisturbed condition as a standard for judging the
completed methane and vapor intrusion barrier. An undamaged field sample may become part of the completed work.
D. Pre -installation Conference: A pre -installation conference shall be held prior to application of the vapor intrusion barrier
system to assure proper site and installation conditions, to include contractor, applicator, architect/engineer, other trades
influenced by vapor intrusion barrier installation and special inspector (if any).
02 56 19.13-1
0 2012 Land Science Technologies
1.6 DELIVERY, STORAGE, AND HANDLING
A. Deliver materials to project site as specified by manufacturer labeled with manufacturer's name, product brand name and
type, date of manufacture, shelf life, and directions for storing and mixing with other components.
B. Store materials as specified by the manufacturer in a clean, dry, protected location and within the temperature range required
by manufacturer. Protect stored materials from direct sunlight. If freezing temperatures are expected, necessary steps
should be taken to prevent the freezing of the Geo-Seal CORE and Geo-Seal CORE Detail components.
C. Remove and replace material that cannot be applied within its stated shelf life.
1.7 PROJECT CONDITIONS
A. Protect all adjacent areas not to be installed on. Where necessary, apply masking to prevent staining of surfaces to remain
exposed wherever membrane abuts to other finish surfaces.
B. Perform work only when existing and forecasted weather conditions are within manufacturer's recommendations for the
material and application method used.
C. Minimum clearance of 24 inches is required for application of product. For areas with less than 24-inch clearance, the
membrane may be applied by hand using Geo-Seal CORE Detail.
D. Ambient temperature shall be within manufacturer's specifications. (Greater than +450F/+70C.) Consult manufacturer for the
proper requirements when desiring to apply Geo-Seal CORE below 45°F/70C.
E. All plumbing, electrical, mechanical and structural items to be under or passing through the vapor intrusion barrier system
shall be positively secured in their proper positions and appropriately protected prior to membrane application.
F. Vapor intrusion barrier shall be installed before placement of fill material and reinforcing steel. When not possible, all exposed
reinforcing steel shall be masked by general contractor prior to membrane application.
G. Stakes used to secure the concrete forms shall not penetrate the vapor intrusion barrier system after it has been installed. If
stakes need to puncture the vapor intrusion barrier system after it has been installed, the necessary repairs need to be made
by a certified Geo-Seal applicator. To confirm the staking procedure is in agreement with the manufactures recommendation,
contact Land Science Technologies.
1.8 WARRANTY
A. General Warranty: The special warranty specified in this article shall not deprive the owner of other rights the owner may have
under other provisions of the contract documents, and shall be in addition to, and run concurrent with, other warranties made
by the contractor under requirements of the contract documents.
B. Special Warranty: Submit a written warranty signed by vapor intrusion barrier manufacturer agreeing to repair or replace
vapor intrusion barrier that does not meet requirements or that does not remain methane gas and/or volatile organic
compound vapor tight within the specified warranty period. Warranty does not include failure of vapor intrusion barrier due to
failure of substrate prepared and treated according to requirements or formation of new joints and cracks in the attached to
structures that exceed 1/16 inch (1.58 mm) in width.
Warranty Period: 1 year after date of substantial completion.
C. Additional warranties are available upon request to the manufacturer.
PART 2 — PRODUCTS
2.1 MANUFACTURERS
A. Geo-Seal; Land Science Technologies TM', San Clemente, CA. (949) 481-8118
1. Geo-Seal BASE sheet layer
2. Geo-Seal CORE spray layer and Geo-Seal CORE Detail
3. Geo-Seal BOND protection layer
2.2 VAPOR INTRUSION BARRIER SPRAY MATERIALS
A. Fluid applied vapor intrusion barrier system — Geo-Seal CORE; a single course, high build, polymer modified, asphalt
emulsion. Waterborne and spray applied at ambient temperatures. A nominal thickness of 60 dry mils, unless specified
otherwise. Non -toxic and odorless. Geo-Seal CORE Detail has similar properties with greater viscosity and is roller or brush
applied. Manufactured by Land Science Technologies.
02 56 19.13-2
2012 Land Science Technologies
B. Fluid applied vapor intrusion barrier physical properties.
Geo-Seal CORE - TYPICAL CURED PROPERTIES
Properties Test Method Results
Tensile Strength -CORE only ASTM 412 32 psi
Tensile Strength-Geo-Seal System ASTM 412 662psi
Elongation ASTM 412 4140%
Resistance to Decay ASTM E 154 Section 13 4% Perm Loss
Accelerated Aging ASTM G 23 No Effect
Moisture Vapor Transmission ASTM E 96 026 g/ft2/hr
Hydrostatic Water Pressure ASTM D 751 26 psi
Perm rating ASTM E 96 (US Perms) 0.21
Methane transmission rate ASTM D 1434 Passed
Adhesion to Concrete & Masonry ASTM C 836 & ASTM C 704 11 Ibf./inch
Hardness ASTM C 836 80
Crack Bridging ASTM C 836 No Cracking
Heat Aging ASTM D 4068 Passed
Environmental Stress Cracking ASTM D 1693 Passed
Oil Resistance ASTM D543 Passed
Soil Burial ASTM D 4068 Passed
Low Temp.Flebbility ASTM C836-00 No Cracking at-20°C
Resistance to Acids:
Acetic 30%
Sulfuric and Hydrochloric 13%
Temperature Effect:
Stable 248°F
Flexible 13°F
Geo-Seal CORE Detail — TYPICAL CURED PROPERTIES
Properties Test Method Results
Tensile Strength ASTM 412 32 psi
Elongation ASTM 412 3860 %
Resistance to Decay ASTM E 154 Section 13 9%Perm Loss
Accelerated Aging ASTM G 23 No Effect
Moisture Vapor Transmission ASTM E96 026 ft2/hr
Hydrostatic Water Pressure ASTM D 751 28 psi
Perm rating (US Perms) ASTM E 96 0.17
Methane transmission rate ASTM D 1434 Passed
Adhesion to Concrete & Masonry ASTM C 836 7 Ibf./inch
Hardness ASTM C 836 85
Crack Bridging ASTM C 836 No Cracking
Low Temp. Flewbility ASTM C836-00 No Cracking at-202C
Resistance to Acids:
Acetic 30%
Sulfuric and Hydrochloric 13%
Temperature Effect:
Stable 248"F
Flexble 13'F
2.3 VAPOR INTRUSION BARRIER SHEET MATERIALS
A. The Geo-Seal BASE layer and Geo-Seal BOND layer are chemically resistant sheets comprised of a 5 mil high density
polyethylene sheet thermally bonded to a 3 ounce non woven geotextile.
Sheet Course Usage
As foundation base layer, use Geo-Seal BASE course and/or other base sheet as required or approved by the
manufacturer.
As top protective layer, use Geo-Seal BOND layer and/or other protection as required or approved by the manufacturer.
C. Geo-Seal BOND and Geo-Seal BASE physical properties.
02 56 19.13-3
2012 Land Science Technologies
Properties Test Method Results
Film Thickness 5 mil
Composite Thickness 18 mil
Water Vapor Permeability ASTM E96 0.214
Adhesion to Concrete ASTM D 1970 9.2 Ibs/inch2
Dart Impact ASTM D 1790 1070 gms, method A
594 gms, method B
Puncture Properties Tear ASTM B 2582 MD 11,290 gms
ASTM B 2582 TD 13,150 gms
2.4 AXILLARY MATERIALS
A. Geo-Seal FILM-11 may be used in lieu of, or in addition to, the standard Geo-Seal BASE and Geo-Seal BOND material when
project conditions require a higher level of chemical resistance or greater durability is required. Contact Land Science
Technologies for the proper recommendation and approval.
Properties Test Method Results
Film Thickness 11 mil
Classification ASTM E 1745-09 Exceed Class A,B and C
Tensile ASTM E 1S4-93 45 Ibs / in
Puncture Resistance ASTM D 1709 2400 grams
Water Vapor Permeance ASTM E 96 0.020 Perms
Life Expectancy ASTM E 154-93 Indefinite
Chemical Resistance ASTM E 154-93 Excellent
B. Sheet Flashing: 60-mil reinforced modified asphalt sheet good with double -sided adhesive.
C. Reinforcing Strip: Manufacturer's recommended polypropylene and polyester fabric.
D. Gas Venting Materials: Geo-Seal Vapor -Vent or Geo-Seal Vapor -Vent Poly, and associated fittings.
E. Seam Detailing Sealant Mastic: Geo-Seal CORE Detail, a high or medium viscosity polymer modified water based asphalt
material.
1. Back Rod: Closed -cell polyethylene foam.
PART 3 — EXECUTION
3.1 AUXILIARY MATERIALS
A. Examine substrates, areas, and conditions under which vapor intrusion barrier will be applied, with installer present, for
compliance with requirements. Do not proceed with installation until unsatisfactory conditions have been corrected.
3.2 SUBGRADE SURFACE PREPARATION
A. Verify substrate is prepared according to manufacturer's recommendations. On a horizontal surface, the substrate should be
free from material that can potentially puncture the vapor intrusion barrier. Additional protection or cushion layers might be
required if the earth or gravel substrate contains too many jagged points and edges that could puncture one or more of the
system components. Contact manufacturer to confirm substrate is within manufactures recommendations.
Geo-Seal can accommodate a wide range of substrates, including but not limited to compacted earth, sand, aggregate, and
mudslabs.
1. Compacted Earth: Remove pieces of debris, gravel and/or any other material that can potentially puncture the Geo-
Seal BASE. Remove any debris from substrate that can potentially puncture the Geo-Seal system prior to application.
2. Sand: A sand subgrade requires no additional preparation, provided any material that can potentially puncture the Geo-
Seal BASE layer is not present.
3. Aggregate: Contact the manufacturer to ensure the aggregate layer will not be detrimental to the membrane. The
gravel layer must be compacted and rolled flat. Ideally a W minus gravel layer with rounded edges should be
specified; however the Geo-Seal system can accommodate a wide variety of different substrates. Contact Land
Science Technologies if there are questions regarding the compatibility of Geo-Seal and the utilized substrate. Exercise
caution when specifying pea gravel under the membrane, if not compacted properly, pea gravel can become an
unstable substrate.
4. Mudslabs: The use of a mubslab under the Geo-Seal system is acceptable, contact Land Science Technologies for job
specific requirements.
C. Mask off adjoining surface not receiving the vapor intrusion barrier system to prevent the spillage or over spray affecting other
construction.
02 56 19.13-4
2012 Land Science Technologies
D. Earth, sand or gravel subgrades should be prepared and compacted to local building code requirements.
3.3 CONCRETE SURFACE PREPARATION
A. Clean and prepare concrete surface to manufacturer's recommendations. In general, only apply the Geo-Seal CORE material
to dry, clean and uniform substrates. Concrete surfaces must be a light trowel, light broom or equivalent finish. Remove fins,
ridges and other projections and fill honeycomb, aggregate pockets, grout joints and tie holes, and other voids with hydraulic
cement or rapid -set grout. It is the applicator's responsibility to point out unacceptable substrate conditions to the general
contractor and ensure the proper repairs are made.
B. When applying the Geo-Seal CORE or Geo-Seal CORE Detail material to concrete it is important to not apply the product over
standing water. Applying over standing water will result in the membrane not setting up properly on the substrate
C. Surfaces may need to be wiped down or cleaned prior to application. This includes, but is not limited to, the removal of forming
oils, concrete curing agents, dirt accumulation, and other debris. Contact form release agent manufacturer or concrete curing
agent manufacturer for VOC content and proper methods for removing the respective agent.
D. Applying the Geo-Seal CORE to "green" concrete is acceptable and can be advantageous in creating a superior bond to the
concrete surface. To help reduce blistering, apply a primer coat of only the asphalt component of the Geo-Seal CORE system.
Some blistering of the membrane will occur and may be more severe on walls exposed to direct sunlight. Blistering is normal and
will subside over time. Using a needle nose depth gauge confirm that the specified mil thickness has been applied.
3.4 PREPARATIONS AND TREATMENT OF TERMINATIONS
A. Prepare the substrate surface in accordance with Section 3.3 of this document. Concrete surfaces that are not a light trowel, light
broom or equivalent finish, will need to be repaired.
B. Terminations on horizontal and vertical surfaces should extend 6" onto the termination surface. Job specific conditions may prevent
a 6" termination. In these conditions, contact manufacturer for recommendations.
C. Apply 30 mils of Geo-Seal CORE to the terminating surface and then embed the Geo-Seal BASE layer by pressing it firmly into the
Geo-Seal CORE layer. Next, apply 60 mils of Geo-Seal CORE to the BASE layer. When complete, apply the Geo-Seal BOND
layer. After the placement of the Geo-Seal BOND layer is complete, apply a final 30 mil seal of the Geo-Seal CORE layer over the
edge of the termination. For further clarification, refer to the termination detail provided by manufacturer.
D. The stated termination process is appropriate for terminating the membrane onto exterior footings, pile caps, interior footings and
grade beams. When terminating the membrane to stem walls or vertical surfaces the same process should be used.
3.5 PREPARATIONS AND TREATMENT OF PENETRATIONS
A. All pipe penetrations should be securely in place prior to the installation of the Geo-Seal system. Any loose penetrations should be
secured prior to Geo-Seal application, as loose penetrations could potentially exert pressure on the membrane and damage the
membrane after installation.
B. To properly seal around penetrations, cut a piece of the Geo-Seal BASE layer that will extend 6" beyond the outside perimeter of
the penetration. Cut a hole in the Geo-Seal BASE layer just big enough to slide over the penetration, ensuring the Geo-Seal BASE
layer fits snug against the penetration, this can be done by cutting an "X" no larger than the inside diameter of the penetration.
There should not be a gap larger than a 1/8" between the Geo-Seal BASE layer and the penetration. Other methods can also be
utilized, provided, there is not a gap larger than 1/8" between the Geo-Seal BASE layer and the penetration.
C. Seal the Geo-Seal BASE layer using Geo-Seal CORE or Geo-Seal CORE Detail to the underlying Geo-Seal BASE layer.
D. Apply one coat of Geo-Seal CORE Detail or Geo-Seal CORE spray to the Geo-Seal BASE layer and around the penetration at
a thickness of 30 mils. Penetrations should be treated in a 6-inch radius around penetration and 3 inches onto penetrating
object.
E. Embed a fabric reinforcing strip after the first application of the Geo-Seal CORE spray or Geo-Seal CORE Detail material and
then apply a second 30 mil coat over the embedded joint reinforcing strip ensuring its complete saturation of the embedded
strip and tight seal around the penetration.
F. After the placement of the Geo-Seal BOND layer, a cable tie should then be placed around the finished penetration. The
cable tie should be snug, but not overly tight so as to slice into the finished seal.
OPTION: A final application of Geo-Seal CORE may be used to provide a finishing seal after the Geo-Seal BOND layer has been
installed.
NOTE: Metal or other slick penetration surfaces may require treatment in order to achieve proper adhesion. For plastic pipes, sand
paper may be used to achieve a profile, an emery cloth is more appropriate for metal surfaces. An emery cloth should also be used
to remove any rust on metal surfaces.
3.6 GEO-SEAL BASE LAYER INSTALLATION
02 56 19.13-5
0 2012 Land Science Technologies
A. Install the Geo-Seal BASE layer over substrate material in one direction with six-inch overlaps and the geotextile (fabric side)
facing down.
B. Secure the Geo-Seal BASE seams by applying 60 mils of Geo-Seal CORE between the 6" overlapped sheets with the
geotextile side down.
C. Visually verify there are no gaps/fish-mouths in seams.
D. For best results, install an equal amount of Geo-Seal BASE and Geo-Seal CORE in one day. Leaving unsprayed Geo-Seal
BASE overnight might allow excess moisture to collect on the Geo-Seal BASE. If excess moisture collects, it needs to be
removed.
NOTE: In windy conditions it might be necessary to encapsulate the seam by spraying the Geo-Seal CORE layer over the completed
Geo-Seal BASE seam.
3.7 GEO-SEAL CORE APPLICATION
A. Set up spray equipment according to manufacturer's instructions.
B. Mix and prepare materials according to manufacturer's instructions.
C. The two catalyst nozzles (8001) should be adjusted to cross at about 18" from the end of the wand. This apex of catalyst and
emulsion spray should then be less than 24" but greater than 12" from the desired surface when spraying. When properly sprayed
the fan pattern of the catalyst should range between 65° and 80°.
D. Adjust the amount of catalyst used based on the ambient air temperature and surface temperature of the substrate receiving the
membrane. In hot weather use less catalyst as hot conditions will quickly "break" the emulsion and facilitate the curing of the
membrane. In cold conditions and on vertical surfaces use more catalyst to "break" the emulsion quicker to expedite curing and set
up time in cold conditions.
E. To spray the Geo-Seal CORE layer, pull the trigger on the gun. A 42° fan pattern should form when properly sprayed. Apply one
spray coat of Geo-Seal CORE to obtain a seamless membrane free from pinholes or shadows, with an average dry film
thickness of 60 mils (1.52 mm).
F. Apply the Geo-Seal CORE layer in a spray pattern that is perpendicular to the application surface. The concern when spraying at
an angle is that an area might be missed. Using a perpendicular spray pattern will limit voids and thin spots, and will also create a
uniform and consistent membrane.
G. Verify film thickness of vapor intrusion barrier every 500 ft. (46.45 m2), for information regarding Geo-Seal quality control
measures, refer to the quality control procedures in Section 3.9 of this specification.
H. The membrane will generally cure in 24 to 48 hours. As a rule, when temperature decreases or humidity increases, the curing of
the membrane will be prolonged. The membrane does not need to be fully cured prior the placement of the Geo-Seal BOND layer,
provided mil thickness has been verified and a smoke test will be conducted.
I. Do not penetrate membrane after it has been installed. If membrane is penetrated after the membrane is installed, it is the
responsibility of the general contractor to notify the certified installer to make repairs.
J. If applying to a vertical concrete wall, apply Geo-Seal CORE directly to concrete surface and use manufacturer's
recommended protection material based on site specific conditions. If applying Geo-Seal against shoring, contact
manufacturer for site specific installation instructions.
NOTE: Care should be taken to not trap moisture between the layers of the membrane. Trapping moisture may occur from
applying a second coat prior to the membrane curing. Repairs and detailing may be done over the Geo-Seal CORE layer when
not fully cured.
3.8 GEO-SEAL BOND PROTECTION COURSE INSTALLATION
A. Install Geo-Seal BOND protection course perpendicular to the direction of the Geo-Seal BASE course with overlapped seams
over nominally cured membrane no later than recommended by manufacturer and before starting subsequent construction
operations.
B. Sweep off any water that has collected on the surface of the Geo-Seal CORE layer, prior to the placement of the Geo-Seal BOND
layer.
C. Overlap and seam the Geo-Seal BOND layer in the same manner as the Geo-Seal BASE layer.
D. To expedite the construction process, the Geo-Seal BOND layer can be placed over the Geo-Seal CORE immediately after
the spray application is complete, provided the Geo-Seal CORE mil thickness has been verified.
3.9 QUALITY ASSURANCE
A. The Geo-Seal system must be installed by a trained and certified installer approved by Land Science Technologies.
02 56 19.13-6
2012 Land Science Technologies
For projects that will require a material or labor material warranty, Land Science Technologies will require a manufacturer's
representative or certified 3'" party inspector to inspect and verify that the membrane has been installed per the
manufacturer's recommendations.
The certified installer is responsible for contacting the inspector for inspection. Prior to application of the membrane, a notice
period for inspection should be agreed upon between the applicator and inspector.
C. The measurement tools listed below will help verity the thickness of the Geo-Seal CORE layer. As measurement verification
experience is gained, these tools will help confirm thickness measurements that can be obtained by pressing one's fingers
into the Geo-Seal CORE membrane.
To verify the mil thickness of the Geo-Seal CORE, the following measurement devices are required.
Mil reading caliper: Calipers are used to measure the thickness of coupon samples. To measure coupon samples
correctly, the thickness of the Geo-Seal sheet layers (18 mils each) must be taken into account. Mark sample area
for repair.
2. Wet mil thickness gauge: A wet mil thickness gauge may be used to quickly measure the mil thickness of the Geo-
Seal CORE layer. The thickness of the Geo-Seal sheet layers do not factor into the mil thickness reading.
NOTE: When first using a wet mil thickness gauge on a project, collect coupon samples to verify the wet mil gauge
thickness readings.
Needle nose digital depth gauge: A needle nose depth gauge should be used when measuring the Geo-Seal CORE
thickness on vertical walls or in field measurements. Mark measurement area for repair.
To obtain a proper wet mil thickness reading, take into account the 5 to 10 percent shrinkage that will occur as the membrane
fully cures. Not taking into account the thickness of the sheet layers, a freshly sprayed membrane should have a minimum
wet thickness of 63 (5%) to 66 (10%) mils.
Methods on how to properly conduct Geo-Seal CORE thickness sampling can be obtained by reviewing literature prepared by
Land Science Technologies.
D. It should be noted that taking too many destructive samples can be detrimental to the membrane. Areas where coupon
samples have been removed need to be marked for repair.
E. Smoke Testing is highly recommended and is the ideal way to test the seal created around penetrations and terminations.
Smoke Testing is conducted by pumping non -toxic smoke underneath the Geo-Seal vapor intrusion barrier and then repairing
the areas where smoke appears. Refer to smoke testing protocol provided by Land Science Technologies. For projects that
will require a material or labor material warranty, Land Science Technologies will require a smoke test.
Visual inspections prior to placement of concrete, but after the installation of concrete reinforcing, is recommended to identify
any punctures that may have occurred during the installation of rebar, post tension cables, etc. Punctures in the Geo-Seal
system should be easy to indentify due to the color contrasting layers of the system.
02 56 19.13-7
2012 Land Science Technologies
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Geo-Seal Quality Control
Certified Applicator
Authorized installation of Geo-Seal can only be accomplished by one of Land Science Technologies Certified
Applicators.
Membrane Inspections
For projects that will require a material or system ( workmanship and material) warranty, Land Science Technologies
will require a manufacturer's representative or certified 3`d party inspector to inspect and verify that the membrane
has been installed per the manufacturer's recommendations.
The applicator is responsible for contacting the inspector for inspection. Prior to application of the membrane, a
notice period for inspection should be agreed upon between the applicator and inspector.
Material Yield
Material yield is one of the first indicators in determining if the Geo-Seal CORE layer has been installed correctly. A
baseline standard for yield is as follows:
Material
Container 60 dry mils 80 dry mils 100 dry mils
55 Gallon Drum 935 ft2 660 ft2 550 ft2
275 Gallon Tote 4,675 ft2 3,300 ft2 2,750 ft2
330 Gallon Tote 5,610 ft2 3960 ft2 3,300 ft2
The estimated yield is 17 ft2 per gallon for a 60 dry mil application using the recommended thickness, unless
otherwise noted by a specified engineer or regulatory agency.
Yields can decrease based on the complexity of the foundation. Projects containing many penetrations and areas
where a lot of detailing is required might reduce the material yield to 16 ft2 or 15 ft2 per gallon for a 60 mil membrane..
Millape Verification
The measurement tools listed below will help verify the thickness of the Geo-Seal CORE layer. As measurement
verification experience is gained, these tools will help confirm thickness measurements that can be obtained by
pressing one's fingers into the Geo-Seal CORE membrane.
To verify the mil thickness of the Geo-Seal CORE, the following measurement devices are required:
Mil reading caliper: Calipers are used to measure the thickness of coupon samples. To measure coupon samples
correctly, the thickness of the Geo-Seal sheet layers must be taken into account (This is best done by obtaining a
sample of the Geo-Seal BASE layer and then zeroing out the caliper to the Geo-Seal BASE layer). Mark sample area
for repair.
Wet mil thickness gauge: A wet mil thickness gauge may be used to quickly measure the mil thickness of the Geo-
Seal CORE layer. The thickness of the Geo-Seal sheet layers do not factor into the mil thickness reading, but the
softness of the subgrade might result in inaccurate readings.
NOTE: When first using a wet mil thickness gauge on a project, collect coupon samples to verify the wet mil gauge
thickness readings.
Needle nose digital depth gauge: A needle nose depth gauge can be used when measuring the Geo-Seal CORE
thickness on vertical walls or in field measurements. Mark measurement area for repair.
To obtain a proper wet mil thickness reading, take into account the 5 to 10 percent shrinkage that will occur as the
membrane fully cures. Not taking into account the thickness of the sheet layers, a freshly sprayed membrane should
have a minimum wet thickness of 63 (5%) to 66 (10%) mils.
2010 Land Science Technologies
Visual Inspections
The guidelines outlined in this section provide ways to quantify and observe the proper installation of the Geo-Seal
system. However, a visual inspection should also be done to ensure any visual imperfections are not present, i.e.
fish -mouths, punctures, voids, etc. During a visual inspection, punctures in the Geo-Seal system should be easy to
indentify due to the color contrasting layers of the system.
Membrane Testing Loa
To aid in the inspection process and properly document the Geo-Seal membrane inspection, create a membrane
testing log. We recommend creating the log by using the foundation plan (plan view) of the structure and then
creating a 500 square foot grid over the foundation. If this is not able to be done, enclosed is a membrane testing log
template that can also be used. (Appendix E)
Wet Mil Thickness Readings
A wet mil thickness gauge is one method to verify the mil thickness of the Geo-Seal CORE layer. An advantage to
this method is the ability to verify the Geo-Seal CORE thickness by minimizing destructive coupon sampling.
1. Create a membrane testing log by obtaining a copy of the foundation plan and then draw a 500 square
foot grid over the foundation plan. Make two copies of the membrane testing log; one should be used
when collecting coupon samples and the other should be used when conducting the smoke test.
2. Note time, date, project name, inspector name, temperature and weather conditions on testing log.
3. Number each quadrant and inspect sequentially.
4. When arriving at each quadrant quickly assess if there are any conditions that might present any
challenges in establishing a proper seal. Note areas and discuss with applicator.
5. Conduct a visual inspection of the membrane. Look for areas where a proper seal was not created, i.e.
a fish -mouth at the termination and areas where the membrane might be sprayed thin. Mark areas
needed for repair in the field with florescent paint or with chalk. Also make a note on the testing log.
6. Conduct a thickness sample in the area that is suspected to be sprayed thin and take three readings
within 3" of one another. When beginning a project, verify the wet mil gauge thickness reading by
cutting a coupon sample and measuring the thickness with a caliper. Once wet mil thickness
readings have been confirmed and established, confirm wet mil thickness periodically by taking a
coupon sample and caliper measurement.
7. After sampling 5 quadrants it is at the discretion of the inspector to continue collecting samples every
500 ft2 or 1,000
9.
8. This method will verify the thickness of the Geo-Seal CORE layer prior to it fully curing. Observed
shrinkage of the Geo-Seal CORE layer during the curing process ranges from 5% to 10%. When taking
uncured samples assume a minimum of 10% loss for horizontal surfaces and 5% for vertical surfaces.
Assuming a 10% loss, the gauge should read a mil thickness between 65 and 70 mils (>_66 mils).
9. If using a wet mil gauge to verify a fully cured membrane the gauge should read 60 mils.
10. When testing is complete, send a copy of the membrane testing log to Land Science Technologies.
Keep the coupon samples for the file, or send them to Land Science Technologies.
2010 Land Science Technologies
Coupon Sampling
Coupon sampling is the most accurate way to verify the Geo-Seal CORE thickness. However, please note that
taking too many coupon samples, or destructive samples, can be counter -productive. To collect a coupon sample
the following steps should be followed:
1. Create a membrane testing log by obtaining a copy of the foundation plan and then draw a 500 square
foot grid over the foundation plan. Make two copies of the membrane testing log, one should be used
when collecting coupon samples and the other should be used when conducting the smoke test.
2. Note time, date, project name, inspector name, temperature and weather conditions on testing log.
3. Number each quadrant and inspect sequentially.
4. When arriving at each quadrant quickly assess if there are any conditions that might present any
challenges in establishing a proper seal. Note areas and discuss with applicator.
5. Conduct a visual inspection of the membrane. Look for areas where a proper seal was not created, i.e.
a fish -mouth at the termination and areas where the membrane might be sprayed thin. Mark areas
needed for repair in the field with florescent paint or with chalk. Also make a note on the testing log.
6. Calibrate mil reading caliper to account for the thickness of the Geo-Seal BASE layer. This is best done
by obtaining a sample of the Geo-Seal BASE layer and then zeroing out the caliper to the Geo-Seal
BASE layer.
7. Collect a coupon sample in the area that is suspected to be sprayed thin. Use a box cutter to cut a 3
square inch sample from the membrane. Measure each side to confirm the specified minimum
thickness has been obtained. Number each sample and save in the job file. Mark the area for repair in
the field and on the site plan.
8. After sampling 5 quadrants it is at the discretion of the inspector to continue collecting samples every
500 f:2 or 1,000 ft`.
9. Samples maybe collected prior to the Geo-Seal CORE layer fully curing. Observed shrinkage of the
Geo-Seal CORE layer during the curing process for horizontal surfaces is 10%. Assuming a 10% loss,
a minimum of 66 mills thickness should be measured for a cured measurement of 60 mils.
10. When testing is complete, send a copy of the membrane testing log to Land Science Technologies.
Keep the coupon samples for the file, or send them to Land Science Technologies.
Smoke Testing
This test is intended to visually verify and confirm the proper installation of the Geo-Seal system. Land Science
Technologies requires a smoke test on all projects in order to obtain a warranty. The smoke test will be performed by
the applicator.
Smoke testing should occur after the Geo-Seal CORE layer has been installed and mil thickness verified. Smoke
testing may occur after the Geo-Seal BOND layer is installed, if preferred by the applicator. Upon completion of the
original smoke test, additional smoke tests can be conducted per the membrane manufacturer's, specifying engineer
or regulatory agency's request. To conduct a smoke test follow these steps:
1. One smoke test can cover between 2000-3000 square feet per test. However, coverage will greatly
depend on the sub grade under the membrane. On sites where multiple smoke tests will be needed,
use the first two smoke tests to estimate the coverage area per test.
2. Visual verification of soundness of seams, terminations and penetrations should be performed.
Identify/correct any apparent deficiencies and/or installation problems.
3. Note time, date, project name, inspector name, temperature and weather conditions on testing log. In
addition, record humidity, barometric pressure, and wind speed/direction. Confirm wind speed is below
15 mph. Visual identification of leaks becomes more difficult with increasing wind speed.
4. Cap other vent outlet(s) not being used. If the installation has no sub -slab vent system or the
membrane is isolated from the vent system, connect the smoke testing system directly to the membrane
2010 Land Science Technologies 3
using a temporary boot collar or other method. Insert the smoke test hose into coupon sampling
locations, creating a seal around the smoke test hose with a rag.
5. Activate the smoke generator/blower system and connect to sub -slab vent riser or directly to the
membrane.
6. To confirm the adequate flow of smoke under the membrane cut a 2" vent in the membrane to facilitate
the purging of air pockets under it. If working properly, smoke will consistently flow though the 2" vent.
If a low rate of smoke flow is observed it is an indication of poor smoke flow under the membrane. If
low flow does occur, insert the smoke testing hose into the 2" membrane vent.
7. Mark sampling locations with fluorescent paint or chalk. Repair sampling locations per Land Science
Technologies recommendations
8. Maintain operation of smoke generator/blower system for at least 15 minutes following purging of
membrane. Thoroughly inspect entire membrane surface. Use fluorescent paint or chalk to mark/label
any leak locations. Mark/label leak locations on testing log. NOTE: The duration of the smoke test will
vary depending on the size of the area being tested. To help determine the duration, monitor the
pressure building up under the membrane. If excessive lifting of the membrane occurs, decrease the
duration or pressure of the smoke test.
9. Prepare membrane inspection log. Identify the type of leak found, i.e. poor seal around penetration,
fish -mouth, puncture, etc.
10. Repair leak locations marked in step 7 and step 8 per procedures outlined in "Geo-Seal Repair
Procedures" section using Geo-Seal CORE or Geo-Seal DETAIL.
11. Repeat steps 4 through 10 as necessary to confirm the integrity of the membrane.
12. Complete the smoke testing inspection form indicating the successful completion of the smoke test.
Post Installation Inspection
After a manufacturer's representative or 3rd party inspector signs off on the membrane installation and the steel
workers begin to install the rebar, it is recommended to conduct a visual inspection prior to the pouring of concrete.
Damages are most likely to occur during this time and it is imperative that punctures are indentified prior to the
placement of the slab. The system configuration of Geo-Seal, the top white Geo-Seal BOND layer with a middle
black layer, will make rebar punctures easy to identify when conducting a visual inspection.
2010 Land Science Technologies
a
09/08
GEOSEAL CORE MATERIAL SAFETY DATA SHEET
LAND SCIENCE TECHNOLOGIES Phone: 949-366-8000
1011 Calle Sombra, Ste., 110
San Clemente, CA 92673
1. PRODUCT IDENTIFICATION
Trade Names: Geo-Seal CORE, Geo-Seal CORE Detail
Chemical Name: Asphalt Emulsion
Synonyms: N/A
Hazardous Ingredients/OSHA: CHEMICAL FAMILIES:
A. Bitumen/Asphalt
B. Synthetic rubber
C. Fatty acids
D. Polymers
Hazard: No evidence of serious health hazards exists.
Carcinogenic ingredients/OSHA/NTP: Bitumen IARC: None
Ingredient Percentage C. A. S. #
Asphalt 50-60% 8052-42-4
Water 20-40% 7732-18-5
Latex: 9003-55-8
Styrene Latex 0-15% 100-42-5
Butadiene Latex 0-15% 106-99-0
Sodium Hydroxide .1-1% 1310-73-2
Amino Ethanol .01-.1% 34375-28-5
2. WARNING STATEMENTS
Avoid prolonged or frequent skin contact, as the presence of emulsifying and de -emulsifying agents during
application may irritate the skin.
3. PHYSICAL AND CHEMICAL DATA
Appearance: Brown to black
Specific Gravity: (H20 = 1): 1.028 (S) 1.034 (R) 1.13 (T)
Solubility in Water: Insoluble
Percent Volatiles: None
Boiling Point: N/A
Vapor Pressure (mm Hg): N/A
Vapor Density (Air = 1): N/A
Evaporation Rate: NW
4. FIRE PROTECTION
Bitumen emulsions are water based products and as such will not burn. In cases of fire in the
vicinity of drums, cool with water.
5. REACTIVITY DATA
Contact with strong oxidizing agents may create geling and water condensation.
6. HEALTH HAZARD DATA
Exposure Limits: Avoid prolonged or frequent skin contact.
7. PHYSIOLOGICAL EFFECTS SUMMARY
Acute: Skin irritation and rash
Chronic: Dermatitis
8. PRECAUTIONS FOR SAFE HANDLING
Avoid contact with eyes.
Avoid inhalation.
Avoid prolonged or frequent skin contact.
Avoid ingestion.
9. PROTECTION AND CONTROL MEASURES
Protective Equipment: Use of clothing, gloves, and/or barrier cream is recommended for skin
protection.
Respiratory Protection: Inhalation should be avoided, but is not considered to be hazardous.
Ventilation: Use local exhaust ventilation when applying in an enclosed area.
10. EMERGENCY AND FIRST AID PROCEDURES
For ingestion: DO NOT induce vomiting. Keep at rest and get prompt medical attention.
For eye contamination: Irrigate eyes with water.
For skin contact: Wash affected areas of the body with proprietary hand cleaner, then wash with
soap and water.
Contact physician as needed for any of the above occurrences.
11. SPILL AND DISPOSAL PROCEDURES
Contain spillages with sand or earth and remove by normal methods. Dispose of according to
State and Local regulations. If the Bitumen enters a water course or sewer, advise respective
water authority. The non -cured and cured material is non -toxic and non-flammable and can be
disposed of in land fill sites.
Other Precautions: For Additional Information Contact:
Land Science Technologies
1011 Calle Sombra, Ste., 110
San Clemente, CA 92673
949) 366-8000
Information presented herein has been compiled from sources considered to be dependable and is accurate and
reliable to the best of our knowledge and belief but is not guaranteed to be so. Nothing herein is to be construed as
recommending any practice or any product in violation of any patent or in violation of law or regulation. It is the
users responsibility to determine for himself the suitability of any material for a specific purpose and to adopt such
safety precautions as may be necessary. We make no warranty as to the results to be obtained in using any
material and, since conditions of use are not under our control, we must necessarily disclaim all liability with respect
to the use of any material supplied by us.
8/03
Geo-Seal BASE and BOND: Material Safety Data Sheet
Land Science Technologies PHONE: 949-366-8000
1011 Calle Sombra
San Clemente, CA 92673
PRODUCT IDENTIFICATION
Trade Name: Geo-Seal BASE, Geo-Seal BOND
Chemical Name: POLYMERIC COMPONENTS, GEOTEXTILE FABRIC
Synonyms: N/A
Hazardous Ingredients/OSHA: NO HAZARDOUS INGREDIENTS
THIS PRODUCT IS SUPPLIED IN COMPLIANCE WITH THE TSCA REPORTING REUQIREMENTS.
Carcinogenic Ingredients/OSHA/NTP: NONE
IARC: NONE
Transportation information: CONTAINS NO HAZARDOUS INGREDIENTS
Transportation emergency: Land Science Technologies, 949-366-8000
PHYSICAL AND CHEMICAL DATA
Appearance and Odor: White Solid Sheet, Odorless Solubility in Water: Negligible, below 0.1 %
Specific Gravity (Water = 1): 0.90 Percent Volatiles: None
Vapor Pressure (mm Hg): Not Determined Boiling Point: Degrees: Not Determined
Vapor Density (Air = 1): Not Determined Melting Point: 320° F
Evaporation Rate: (Butyl Acetate - 1): N/A
Auto Ignition Temperature: Not Determined
3. FIRE AND EXPLOSION DATA
Flash Point: N/A
Flammable limits %: Lower N/A Upper N/A
Extinguishing Media: Agents approved for Class A hazards (e.g. foam, steam) or water fog.
Special Fire Fighting Procedures: Firefighters should wear full bunker gear, including a positive pressure self-contained breathing
apparatus.
Unusual Fire and Explosion Hazards: None identified.
4. REACTIVITY DATA
Stability: Stable Conditions to avoid: Keep away from ignition sources (e.g. heat, sparks and open flames).
Incompatibility (materials to avoid): None Identified
Hazardous Decomposition or Byproducts: Incomplete burning can produce carbon monoxide and/or carbon dioxide and other harmful
products.
Hazardous Polymerization: Will not occur
5. HEALTH HAZARD DATA
Route(s) of Entry: Inhalation: No Skin: No Ingestion: No
Health Hazards (Acute & Coronic): Will not present any health hazards under normal processing conditions.
Eye & Skin Contact: None Identified.
Skin Absorption: Non -toxic.
Inhalation: No significant irritation expected.
Ingestion: No significant health hazards identified.
Carcinogenicity: Unrelated NTP: No IARC: No OSHA Regulated: No
PROTECTION AND CONTROL MEASURES
Precautions to be taken in handling and storing: Store away from heat, ignition sources and open flame in accordance with applicable
regulations.
Respiratory Protection: Not required under normal process conditions.
Ventilation: Local Exhaust
Protective Gloves: Not required.
Eye Protection: Not required.
Other Protective clothing or equipment: Not required.
Work/Hygienic Practices: Wash hands after handling and before eating.
7. EMERGENCY AND FIRST AID PROCEDURES
In Case of Combustion (550°)" Eye Contamination: Flush with large amounts of water for 20 minutes lifting upper and lower lids
occasionally. Get medical attention.
Skin contact: Thoroughly wash exposed area with soap and water. Remove contaminated clothing. Launder contaminated clothing
before reuse.
Inhalation: If overexposure occurs, remove individual to fresh air. If breathing stops, administer artificial respiration. Get medical
attention.
Ingestion: If a large amount of material is swallowed DO NOT INDUCE VOMITING. If vomiting begins lower victim's head in an effort to
prevent vomit from entering lungs and get medical attention.
8. SPILL AND DISPOSAL PROCEDURES
Spill is not applicable. Material is normally in solid form.
Land Science Technologies
1011 Calle Sombra
San Clemente, CA 92673
949-366-8000
Information presented herein has been compiled from sources considered to be dependable and is accurate and reliable to the best of our
knowledge and belief but is not guaranteed to be so. Nothing herein is to be construed as recommending any practice or any product in
violation of any patent or in violation of law or regulation. It is the users responsibility to determine for himself the suitability of any material for a
specific purpose and to adopt such safety precautions as may be necessary. We make no warranty as to the results to be obtained in using any
material and, since conditions of use are not under our control, we must necessarily disclaim all liability with respect to the use of any material
supplied by us.
The attached plans/documents have been submitted by:
7
1.r,
1 N C O R R O R A T E 0
141 Mack Bayou Loop. Suite 303. Santa Rosa Beach, FL 32459
Office 850.837.7444
Fax 850.608.6258
5t z t 1j NON emeraldcoastpermitting@cox.net ONFICE
www.emeraldcoastpermitting.com
PERMIT # Ap - a y 3 P
Please direct all questions and comments to this office.
Submittal #2 PERMIT NUMBER 16-2438
PROJECT: Take 5 Oil Change #1091— Exterior Modifications Permit
3767 S. Orlando Drive
Sanford, FL 32772
Date submitted to City of Sanford, Utilities/Building Department: Nov 23, 2016
Via FedEx Submittal
l
November 21, 2016
To: Richard Blake
Utility Department
City of Sanford
300 N. Park Ave.
Sanford, FL 32771
407) 688-5101
Re: Take 5 Oil Change Store #1091
3767 Orlando Dr.
Sanford, FL 32773
OA #16-077R)
Reference: Application No. 16-2438
Dear Mr. Blake:
I am writing this letter in response to your comments for the above -referenced project.
Comment 1: Provide a protective liner to be installed under the pit and new piping area. Liner to be
similar to the liners used in landfill designs to prevent leaching of petroleum, and other
waste oil products. Submit liner for approval.
Response 1: Please see revised Detail B and Specifications on Sheet A;2. Also, see enclosed Geo-
Seal Vapor Intrusion Barrier System Information Packet,
Should you have any questions or concerns, please do not hesitate to contact me.
Sincerely yours.
OLIVERI ARItHI'
Joseph L. 0 veri, A.IA, NCARB
President
License No. AR14028
J LO/fcj
5 H.
rho 38
32707 US Hwy. 19 • Palm Harbor, FL 34684 • Phone 727 • 781 • 7525 • Fax 727 • 781 • 6623 • E-mail info@oliveriarchitects.com
www.Oliveriarchitects.com