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HomeMy WebLinkAbout211 Towne Center Blvd 17-2777; interior renovationas 2g CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: Documented Construction Value: $ 51,186. 18 411 Job Address: —14P Towne Center Blvd, Unit 211 Historic District: Yes 0 No 0 Parcel ID: 29-19-30-503-0000-0020 Residential n Commercial nX Type of Work: New n AdditionEl Alteration 12 Repair 0 Demo El Change of UseEl MoveEl T Description of Work: Interior Renovation to accomodate commercial office space Plan Review Contact Person: Rachelle Kirton Phone: 386-341- 6232 Fax: 877-236-0755 Title: % VP Email: racheliekirton@kirtonenterprises.com Property Owner Information - 7 _I/ , I(( (- k-7 I - Name MSKP Gateway LLC Phone: Street: 4500 PGA BLVD, STE 400 Resident of property? City, State Zip: Palm Beach Gardens, FL 33418 Contractor Information Name Kirton Enterprises, Inc Street: 1630 Tomoka Farms Rd Phone: 386-341- 6232 Fax: 877-236- 0755 City, State Zip: Port Orange, FL 32128 State License No.: CGC 1506176 Architect/Engineer Information Name: JW6 Architects Street: 2295 South Hiawassee Rd, Suite 304 City, St, Zip: Orlando, FL 32835 Bonding Company: Address: N/A Phone: 407-298- 5020 Fax: E-mail: mpowersajwb- arch.com Mortgage Lender: Address: 1 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 regUlati ng 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 (late of application and the code in effect as of that date: 5"' Edition (2014) Florida BuildingCode Ro'ised, Rine 30, 2015 Gt.J 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 c nstruction and zoning. signnitore oro'mrAgent Date Aitu reo Contractor/Agent Date C N= Signature ol-Notary-State of lorida (I Date 4t CATHERINE K YODER Commission # GG 0 13023 Expires September 4,2020 9v4q Tr" Troy FW M"rmi 4*3*7019 to-` e or Produced ID Type of ID Kent S Kirton (GC) / R#elle Kirton (agent) Print Contractor/Agent's Name Signature ot'Notary-State of 1 09 Date LDEANN BLEICH PIKE MY COMMISSION # FF202016 FXPT RES: April 01, 2019 Contractor/ Agent is, Personally Known to Me or Produced ID _ Type of ID BELOW IS FOR OFFICE USE ONLY Permits Required: BuildingE] Electrical [] MechanicaIF] 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 7 No 7 APPROVALS: ZONING: ENGINEERING: COMMENTS: Plumbing - # of Fixtures of Heads Fire Alarm Permit: Yes [] No UTILITIES: WASTE WATER: FIRE: BUILDING: Revised June 30, 2015 Permit Application 4 CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION 0ApplicationN Documented Construction Value: $ 51,186.18 Job Address: 194 Towne Center Blvd, Unit 211 Historic District: Yes D NoEl Parcel ID: 29-19-30-503-0000-0020 Residential n CommercialFX] Type of Work: NewEl Addition El Alteration N RepairEl DemoEl Change of UseEl Move Description of Work: Interior Renovation to accomodate commercial office space 1"Al Plan Review ContactPerson: Rachelle Kirton Title: VP Phone: 386-341-6232 Fax: 877-236-0755 Email: racheliekirton@kirtonenterprises.com Property Owner Information Name MSKP Gateway LLC Phone: Street: 4500 PGA BLVD, STE 400 Resident of property? City, State Zip: Palm Beach Gardens, FL 33418 Contractor Information Name Kirton Enterprises, Inc Phone: 386-341-6232 Street: 1630 Tomoka Farms Rd Fax: 877-236-0755 City, State Zip: Port Orange, FL 32128 State License No.: CGC 1506176 Architect/Engineer Information Name: JWI3 Architects Phone: 407-298-5020 Street: 2295 South Hiawassee Rd, Suite 304 Fax: City, St, Zip: Orlando, FL 32835 E-mail: mpowers@jwb-arch.com Bonding Company: N/A Mortgage Lender: N/A 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 C_ Permit Application 77 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 accuratt be done in compliance with all applicable laws regulating construction and zoning. 5 I+ 0,0,wa, / Sign Lure oft? (Agent ate' Aiav4tureof Contractor/Agent Z'OrAq,_ '0X>a,tr Print QAgent's Name ' Signature of Notary -State of Florida Date wr. rw rwrw CATHERINE A. YODER Commission # GG 013023 Expires September 4, 2020 hf,,. l 8 fAnt troy l 0in Mwur nCt EQa3b5d014 Owner/ gent is ersona y nown to e or Produced ID Type of ID Kent S Kirton (GC) / Print Contractor/Agent's Name Signature of Notary -State of and that all work will Date le Kirton (agent) Date P` DEANN BLEICH PIKE g MY COMMISSION 9 FF202016 OF EXPIRES: April Ot, 2019 Contractor/ Agent is __V Personally Known to Me or Produced ID Type of ID BELOW IS FOR OFFICE USE ONLY Permits Required: Building Electrical Mechanical Plumbing[] Construction Type: Total Sq Ft of Bldg: Occupancy Use: Min. Occupancy Load: New Construction: Electric - # of Amps Fire Sprinkler Permit: Yes No # of Heads APPROVALS: ZONING: ENGINEERING: COMMENTS: Gas Q Roof Flood Zone: of Stories: Plumbing - # of Fixtures Fire Alarm Permit: Yes No UTILITIES: AE WATER: f. FIRE: UILDING: Revised: June 30, 2015 Permit Application DATE: BUSINESS/PROJECT NAME: ADDRESS: CONTACT NAME: )2,2NQL)ko CITY OF SANFORD BUILDING AND FIRE PREVENTION DIVISION m FIRE PLAN REVIEW SERVICE FEES PHONE: 407.688.5052 FAX: 407.688.5051 1:2PERMITNUMBER: _ 1 17 9 PHONE: PLAN REVIEW INFORMATION r VSTRUcTION [ ]C/O [ ] FIRE ALARM [ ] FIRE SPRINKLER [ ] HOOD [ ]PAINT BOOTH [ ]TANK TOTAL FEES*t--2'' CITY OF SANFORD BUILDING & FIRE PREVENTION 2 PERMIT APPLICATION011 7J Application No: Documented Construction Value: $ 51,186.18 Job Address: 14P Towne Center Blvd, Unit 211 Historic District: Yes 0 No El Parcel ID: 29-19-30-503-0000-0020 Residential n Commercial nX Type of Work: NewEl Addition n AlterationE2 Repair 0 DemoEl Change of Use 0 MoveEl Description of Work: Interior Renovation to accomodate commercial office s Plan Review Contact Person: Rachelle Kirton Title: VP Phone: 386-341- 6232 Fax: 877-236-0755 Email: rachellekirton@kirtonenterprises.com Property Owner Information Name MSKP Gateway LLC Phone: Street: 4500 PGA BLVD, STE 400 Resident of property? City, State Zip: Palm Beach Gardens, FL 33418 Name Kirton Enterprises, Inc Street: 1630 Tomoka Farms Rd City, State Zip: Port Orange, FL 32128 Contractor Information Phone: 386-341- 6232 Fax: 877-236- 0755 State License No.: CGC 1506176 Architect/Engineer Information Name: JWI3 Architects Phone: 407-298-5020 Street: 2295 South Hiawassee Rd, Suite 304 City, St, Zip: _ Orlando, FL 32835 Bonding Company: Address: N/A Fax: E-mail: mpowers@jwb- arch.com Mortgage Lender: Address: N/A WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and air conditioners, etc. FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 5"' Edition (2014) Florida Building Code Revised: June 30, 2015 Permit Application NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713. The City of Sanford requires payment of a plan review fee at the time of permit submittal. A copy of the executed contract is required in order to calculate a plan review charge and will be considered the estimated construction value of the job at the time of submittal. The actual construction value will be figured based on the current ICC Valuation Table in effect at the time the permit is issued, in accordance with local ordinance. Should calculated charges figured off the executed contract exceed the actual construction value, credit will be applied to your permit fees when the permit is issued. OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Sign ate Aianklure of Contractor/Agent DateeItureof0 /Agent IDI cpr Print 0\vrioqAgees Name Signature of Notary -State of Florida I I Date CATHERINE A. YODER Commission# GG 013023 q! Si Expires September 4, 2020 Nt. Owner/ 6iit-is-P'--P-6-r'-s6tiall-y-Kilo--w-n--to-ge or Produced ID Type of ID Kent S Kirton (GC) / Ra oelle Kirton (agent) Print Contractor/Agent's Name Signature of Notary -State of 11I Date PC% DEANN BLEICH PIKE MY COMMISSION # FF202016 v' EXPIRES: April 01, 2019 fvl.^ 4vvv Contractor/ Agent is Personally Known to Me or Produced ID _ Type of ID BELOW IS FOR OFFICE USE ONLY Permits Required: Building[] ElectricalE] , MechanicalF] Plumbingo Gas[] RoofE] Construction Type: Total Sq Ft of Bldg: Occupancy Use: Min. Occupancy Load: New Construction: Electric - ft of Amps Fire Sprinkler Permit: Yes n NoEl # of Heads APPROVALS: ZONING: ENGINEERING: COMMENTS: Flood Zone: of Stories: Plumbing - 14 of Fixtures Fire Alarm Permit: Yes] Non UTILITIES: WASTEWATER: FIRE: BUILDING: Revised: June 30, 2015 Permit Application A V 4 A" CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION2917 Application No: Documented Construction Value: $ 51,186.18 Job Address: 14P Towne Center Blvd, Unit 211 Historic District: Yes No Parcel ID: 29-19-30-503-0000-0020 ResidentiaIF] Commercial El Type of Work: NewEl AdditionF] Alterationg RepairEl DemoEl Change of Use 0 Move 1:1 Description of Work: Interior Renovation to accomodate commercial office space Plan Review Contact Person: Rachelle Kirton Title: VP Phone: 386-341- 6232 Fax: 877-236-0755 Email: rachellekirton@kirtonenterprises.com Property Owner Information Name MSKP Gateway LLC Street: 4500 PGA BLVD, STE 400 City, State Zip: Palm Beach Gardens, FL 33418 Phone: Resident of property? Contractor Information Name Kirton Enterprises, Inc Phone: 386-341-6232 Street: 1630 Tomoka Farms Rd Fax: 877-236-0755 City, State Zip: Port Orange, FL 32128 State License No.: CGC 1506176 Architect/Engineer Information Name: JWB Architects Phone: 407-298-5020 Street: 2295 South Hiawassee Rd, Suite 304 City, St, Zip: Orlando, FL 32835 Bonding Company: N/ A Address: Fax: E- mail: meowers@jwb- arch.com Mortgage Lender: Address: N/A 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: 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 be done in compliance with all applicable laws regulating canstruction and zoning. J + coout,c Sign Lure of OwrAgent 1Date ' AigqLure of Contractor/Agent t,or.4, ,Di>atr Print 0% Agkrf s Name Fjj/ 5 Signature of Notary -State of Florida Date CATHERINE A. YODER Commission #GG013023 Expires September 4, 2020 OW49 Tw Itoy FliA %war" 8*345-7019 Owner/ te' 1s1 V P6Fs6lial y mown to e or Produced ID Type of ID Kent S Kirton and that all work will 401 Date le Kirton (agent) Print Contractor/Agent's Name Signature of Notary -State of Flo Date DEANN BLEICH PIKF, MY COMMISSION # FF202016 EXPIRES: April Ot,2019 Contractor/Agent is Personally Known to Me or Produced ID _ Type of ID BELOW IS FOR OFFICE USE ONLY Permits Required: Building D Electrical[] . MechanicalE] Plumbingn Gas[ ] Roof E] Construction Type: Total Sq Ft of Bldg: Occupancy Use: Min. Occupancy Load: New Construction: Electric - # of Amps Fire Sprinkler Permit: YesF] NoFJ # of Heads APPROVALS: ZONING: UTILITIES: ENGINEERING: FIRE: COMMENTS: Flood Zone: of Stories: Plumbing - # of Fixtures Fire Alarm Permit: YesF1 Non WASTE WATER BUILDING: Revised: June 30, 2015 Permit Application x A CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: Documented Construction Value: $ 51,186.18 Job Address: 14P Towne Center Blvd, Unit 211 Historic District: Yes No Parcel ID: 29-19-30-503-0000-0020 Residential Commercial X Type of Work: New Addition Alteration Repair Demo Change of Use Move Description of Work: Interior Renovation to accomodate commercial offices ace ;7. l Z Plan Review Contact Person: Racheile Kirton Title: ' VP Phone: 386-341-6232 Fax: 877-236-0755 Email: rachellekirton@kirtonenterprises.com Property Owner Information Name MSKP Gateway LLC Phone: Street: 4500 PGA BLVD, STE 400 Resident of property? : City, State Zip: Palen Beach Gardens, FL 33418 Contractor Information Name Kirton Enterprises, Inc Phone: 386-341-6232 Street: 1630 Tomoka Farms Rd Fax: 877-236-0755 City, State Zip: Port Orange, FL 32128 State License No.: CGC 1506176 Arch itectlEngineer Information Name: JWB Architects Phone: 407-298-5020 Street: 2295 South Hiawassee Rd, Suite 304 Fax: City, St, Zip: Orlando, FL 32835 E-mail: m owers wb-arch.com Bonding Company: NSA Mortgage Lender: N/A 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"' 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 pert -nits 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 c nstruction and zoning. 0 1 SiEpeture ofOwf/Agent lDate ' AiN4Lure of Contractor/Agent Date or Print 0\vriariAgtes Name Signature of Notary -State of Florida H Date CATHERINE A. YODER Commission # GG 013023 Expires September 4, 2020 TNu Imy FNA Itumna $*US-7019 0 w n e r h ei ft -I - N ifs- 6 naI I y - K n o-w- n- to 9e or Produced ID Type of ID Kent S Kirton (GC) / Ra#elle Kirton (agent) Print Contractor/Agent's Name - 00, Signature of Notary -State of 171 Date DEANN BLEICH PIKE 4eMY COMMISSION # FF202016 7 EXPIRES: April 01, 2019 OFV6_ nnrwdv Contractor/ Agent is Personally Known to Me or Produced ID _ Type of ID BELOW IS FOR OFFICE USE ONLY Permits Required: Building 0 Electrical 0 Mechanical [:] PlumbingE] Gas[] Roof [] Construction Type: Occupancy Use: Flood Zone: Total Sq Ft of Bldg: Min. Occupancy Load: New Construction: Electric - # of Amps Fire Sprinkler Permit: YesF] No] # of Heads APPROVALS: ZONING: UTILITIES: ENGINEERING: COMMENTS: FIRE: of Stories: Plumbing - # of Fixtures Fire Alarm Permit: YesE] No [] WASTE WATER: BUILDING: Revised: June 30,2015 Penn it Application THIS INSTRUMENT PREPARED BY: Name: Rachelle Kirton Address: 1630 Tomoka Farms Rd Poll Qrapge. FL 32128 NOTICE OF COMMENCEMENT State of Florida County of Seminole ^({ Permit Number: l 1 F T Parcel ID Number: GRANT hlAl-0Yr SENINOLE COUNTY Cl E:RK OF CIRCUIT COURT & C ONPTROLLF.R E,K 899:3 F' 11M CLERIC'S A 2017095954 RECORDED 09/2''l2017 09:0 :;; x' All RF::CCI! ;,1NG FEES 11i,t_nt RECORDED BY Itde, -we 29-19-30-503-0000-0020 The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. DESCRIPTION OF PROPERTY: (Legal description of the property and street address if available) Lot 2 & Tract B Gateway Plaza Shop i tg Center P649 FIGS 24 thru 25 101 Towne Center Blvd Sanford FL 32771 GENERAL, DESCRIPTION OF OWNER INFORMATION: Name: MSKP Gateway LLC Address: 4500 PGA Blvd STE 400 Palm Beach Gardens, FL 33418 Fee Simple Title Holder (if other than owner) Name: CONTRACTOR: Name: Kirton Enterprises, Inc Address: 1630 Tomoka Farms Rd, Part Orange, FL 32128 Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served as provided by Section 713.13(1)(b), Florida Statutes, Name: Address: In addition to himself, Owner Designates Section 713.13(1)(b), Florida Statutes. of To receive a copy of the Lienor's Notice as Provided in Expiration Date of Notice of Coln 3( ment (The expiration date is 1 year from date of recording unless a different date is specified) ,G WAaN—INCZ TO WN : ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713,13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY, A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Under p h lties of p rtury, I declare that I have read the foregoing and that the facts stated in it are true to the/,best of my k , wledge and belief. Owrm Signature er's Printed Name Flo da Stat t 719.18(i g): " The owner must sign the notice of commencement and no one else may be permitted to sign in his or her stead:' State of - County of -?AfA The foregoing Instrument was acknowledged before rn thn day of 20 1-- by !LD Q r Who is personally known to me e of person Making statement ,* OR who has produced identification type of identification produced: L CATHERINE A. YODER Commission O GG 013023 Expires Se temW 4, 2020PP Notary Signature SooM Tlw Ttor I* lr4u aa 00 Ur-7011 Revision 11 Response to Comments 0 Permit # I I - 22-- Project Address: Submittal Date City of Sanford Building & Fire Prevention Division Ph: 407.688.5150 Fax: 407.688.5152 Email: building@sanfordfl.gov Contact: Ph: Fax: C) Email: Ca-L b C VA, -A C-Vy-) Trades encompassed in revision: General description of revision: E!," 11 Building 0"Plumbing Luu, CaL! 1311Electrical Le 13/mlechanical 0Life-Safety 11 Waste Water ROUTING INFORMATION Department Utilities Waste Water Planning Engineering Fire Prevention Ll"' Building rr, 67 Approvals 17-2777PERMIT # CITY OF SANFORD BUILDING &pIRPREVENTION DIVISION FEARLY START AUTHORIZATION — / PERMIT ProiectName:. Gateway Plaza Vacant Bay Upfit unit 211 Date: Q9121117 Project Address: Contractor Name: 211 Towne CenterBlvd Sanford, FI Kirton Enterprises, Inc EARLY START AUTHORIZATION CONDITIONS City pCSanford and theOwner/contractor listed agree to the following: Acomplete building permit application and plans shall hcsubmitted mt the time ofthe request for Early Start Authorization. 2. This Early Start Authorization iohorinterior work orother work uudetermined bythe Building Official. 3 YVu,k must comply with any and all other ioowi mtuu: and b:dcm| ug*m6co rc|w/,d to the development and construction proposed and compliance with asbestos NESI- IAP regulations must occur fbr all demolition Work. 4. Work ohu|\ no, be concealed and must remain open for all no*ovomy inspections. At the time of inspections, any *u,k concealed shall hcuncovered. 5. The contractor uckunvv|mdgeo that all uvhunnuaoum will be properly |incuacd and have ruonot worker's compensation coverage. 6. All subcontractors are responsible for pulling their own permits. 7. lnspechonsn[vnrk for any construction trade will not be made until upermit has been issued for the trade. 8. The 6m|y Start Authorization does not guarantee that construction p|uoo will be approved as submitted. All work done prior to the issuance ofthe required permits shall be at the Owner's/Contractors risk. 9. The Owner/Contractor acknowledge that additional fees, including but not limited to impact and zoning fees, may be due at the time oybuilding permit issuance, and orprior mCertificate ofOccupancy. i0. The Opmcr/Cootrucmrmokno"/\edge that additional site improvements, including but not limited to installation oCagrease trap, accessible parking and landscaping, may be required at the time of building permit issuance. ii, The Owner/Contractor agree to indemnify and hold the City of Sanford/ Agents free and harmless from any and all claims. causes ofaction, damages, losses penalties nrcosts, including but not limited to, all attorneys fees (whether hnmlitigation or administrative proceeding, including cost and fees on appeal), with respect to any person or government authority arising out of, either directly or indirectly, the uoxotrmohuu or operation at the poomioco on,omd by the 6u,}y Start Authorization, whether the liability, loss o, damage is caused by, or u,ioco out of, the u*g|igc000 or the City ofSuohmsKAgenw or its officers, agents, employees, nrotherwise. 12. If the City of Sanford/Agents shall be subject to any claim, demand or penalty or become a party to any suit or other judicial or administrative proceeding by reason of any claimed act or omission by any party, or by reason of any act occurring on the ovhicct [xonimm, or by reason of any omission with nmpcot to the cnuxunuioo or operation on the subject premises. the Owner/contractor shall indemnify and hold City of Sanford/Agents harmless against all judgments, settlements, penalties and expenses, including attorney's fees, court costs and other expense of litigation of defense relating to such claim or litigation or administrative proceeding, at the oimxiuo of the City uf9uoJord/Ageom, the Owner/Contractor shall also defend the City of Sanford. 13 |tiounderstood and hereby acknowledged between the parties hereto that the City of9uxO` oKAgcu|xshall not hcliable for any act orother obligation mthe Ovmcn{outruomr. 14, This Early Start A«dmhog|nu will ocnniumr upon the issuance ofu Building Permit for property covered under this Curly 8unt Authorization; however, this uQmxmout ohm|| ,umoiu in effect for all events occurring prior to the iyxomnoc of the Building Permit, Bysigning this Early Start Authorization Application, Contractor Signature the undersigned acknowledg and a to condition I through 14. INSPECTION SEQUENCE BP# 17-2777 ADDRESS: 211 Towne Center Blvd. BUILDING PERMIT Min Max Inspection Description Footer / Setback Stemwall Slab I Mono Slab Lintel / Tie Beam / Fill / Down Cell Sheathing — Walls Sheathing — Roof Roof Dry In 10 Frame Insulation Rough Firewall Screw Pattern 20 Drywall / Sheetrock Lath Inspection Building Ceiling Air Barrier Insulation Roof (Com'l) Building Ceiling Grid Final Roof Final Stucco / Siding Final Insulation Final Firewall Final Door Final Window Final Utility Building Final Screen Structure Final Pool Screen Enclosure Pre -Demo Final Demo Final Single Family Residence Final Commercial — 1000 Final Commercial — Addition / Alteration Final Commercial — Change of Use Final Building (Other) ELEcTwcAL PERMIT Min Max Inspection Description Electric Underground Footer I Slab Steel Bond Electric Ceiling Rough Electric Wall Rough 10 Electric Rough Pre -Power Final Temporary Pole 1000 Electric Final Min Max Inspection Description 10 Rough Plumb Plumbing Underground Plumbing 2" d Rough Plumbing Tubset Plumbing Sewer Plumbing Grease Trap Rough Plumbing Steam / Chill Water Rough 1000 Plumbing Final MECHANICAL PERMIT Min Max Inspection Description 10 Mechanical Rough Mechanical Fire Damper Framing Mechanical Ceiling Rough Mechanical Fire Damper Annular Space Mechanical Insulation Wrap Mechanical Fire Damper Angle Light / Water Test Ck Welds Mechanical Grease Duct Wrap11000MechanicalFinal REVISED: June 2014 Blanton, Deborah From: Riley, Sandra <SRiley@seminolecountyfl.gov> Sent: Monday, November 13, 2017 3:39 PM To: rachellekirton@kirtonenterprises,com Cc: Blanton, Deborah; Bland, Annette; Johnson, JoAnn Subject: RE: Road Impact statement Good Afternoon, The use of an office space is not greater with trip generation, therefore you will not have additional Seminole County Impact Fees for the interior alteration at 211 Towne Center Blvd, Sanford. Thank you! Program Manager I Flectronic Plan Review Administrator Seminole County Building Division 1101 E. First St. Sanford FL 32771 407-665-7474 Other Helpful Links: Planning & Development I Building Permitting I ePlan Applicant User Guide I How to Apply Online Guide for Building Permits I ePlan Video Tutorials I ePlan Login Page I Planning & Development Review Division Processes I 131cliz Div Forms and Applications From: rachellekirton@kirtonenterprises.com (mailto:rachellekirton@kirtonenterprises.com) Sent: Monday, November 13, 2017 2:29 PM To: Riley, Sandra <SRiley@seminolecountyfl.gov> Subject: Road Impact statement Good afternoon Sandy. Hope all is well with you. I am waiting on a permit to be issued at City of Sanford and Debbie informed me that I need a road impact statement? I was hoping you could help me and let me know what I need to do. This is for permit 17-2777 address is 211 Towne Center Blvd, Sanford. This is a renovation located in the Gateway Shopping Plaza. My client has been waiting for this permit for close to 9 weeks now with several delays. If you would please direct me as to what I need to do; I will take care of it immediately. Thank you so much for your help Rachelle Kirton Kirton Enterprises, Inc. 386-341-6232 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 9 I M Enterprises, Inc. 0 Estimate Date Estimate 2/22/2017 200987 J Name I Address Gateway Plan P 0 Box 31987 Palm Beach Gardens, FL 33420 Project Kitson Vacant Repairs Unit 211 Item Code Description otly Rate Total Division 02 10 00 - Demolition Existing conditions - d=o, removal of light 1 7,800.00 7,800.00 fixtures, clean up Division 06 - Wood, Plas, Comp Framing- repairs for former 6 offices 1 8,860.00 8,860.00 Division 09 - Finishes Drywall repairs 1 5,540.00 5,540.00 Division 09;- Finishes Painting - repairs - interior including 1 3,500.00 3,500.00 bathrooms Division 09 - Finishes Flooring - repairs to existing as necessary 1 11,000,()0 11,000.00 Division 15 - Mechanical Repairs to plumbing including the hot water 1 2,950.00 2,950.00 heater. Division 16 - Electrical Repair to electrical 1 2,400.00 2,400.00 Division 08 - Openings Repair to Doors 1 2,200.00 2,200.00 Division 13 - Special Construct Drop Ceiling - repairs as necessary 1 970.00 970.00 Division 06 - Wood, PW4 Comp Repairs as necessary to cabinetry 1 4,520.00 4,520.00 08 10 00 - windows 6 small glass block windows for individual 6 241.03 1,446,18 offices facing out to hallway. Total Phone Fax 0 E-mail Web Site 386-341-6232 877236-0755 mcheI1cIdrton@1drtonenWprisc&corn www.kirwmteqnim.com 4 fk Lmwprnis, tit, Ki rtOn Enterprises, Inc. 1630 Tomaka Farms Rood Port Onu4M FL 32129 EstimatO HarmlAddreft iattcwalr Ptau j P 0 Box 31987 R! I'Mm Beach Gordms. Pl. 33M Kitsoa Now Otiiae Unit 211 C Item code Oessa*Ipdota Oty Rate Total Divis on 0210 00 - Dea wlitift tisftg coomMon - dame« reanovat of Ri t 1 3„800.00 X900.00 haul clean cp Division 06 - Wood.,. Pke, COMP Ranting- AW 6 Offices 1 ' SNO-00 8.86 M Divisive 09 - finish" Drywall 1 S.$OAQ S,,m.00 DMOM 09- Finishes Point!" - byterior includisix bathroana 1 3 500A0 3.300.00 DlYMMOP-Pi"Ishes FloorbW- I 11A00Q0 11,000.00 Front - Wood rite -the dvica gnty of she 2 tiles piaturod Caper - Coo Cod (approval penft srwnPk3 CT - Salt do PepperV 202 Division-l3 - Mechataical PIumbin;8 wbkh Includes hot water bemer I 2,950:00 2.930" Division 16 - MOW Hach n,l 1 2^.00 Z400.00 Div dm 08-Opaubw Doan 1 202" 2.M.00 Divlsko 13 - StrocWConstruct Drop Gelling appM 42p sf 1 9T0.00, 970.00 Division06- Wood, Plas. Comp Millwork - 8' x V lower L runs cabinats i 020.00 4.M0.00 with rx Ir L shape upper ct bb* / camtet+ toss and as sink - all white melarvin and white mica door: wd ft" to Include upper surd lower turner cabins Total RAI Kirtm Enterprism Inc. 1630 Totwka Farms Road POO OmAge, FL 32128 t el li': Fw1m i Ad&vm Pisa P O 8mt 3l"7 PAM Beach Gwdenat. Fl. 33420 PMJW lfitm Wm O1rm Unit 2)t . ttetn C+otb Rtim Oty Rate Total 0120 00 - Permitting 6np faceted P1aus and Aarttittina This wiU i inctud+s ar itecaaat>aas wNt sa piuimttitnR amd portion efdoctrioai. This is an Alln"im will be and if 4 OOU,fIQ 4,t10Q.tJti Plawcomialowermoneywillbeavditod.° Owwr Glass block window fbr individual olifm facing out to hallway. - installed - $241.03 aach Clew glass sidelight lbr Office doors bck* out tohallway • installed - 5MAO each Total U9. 740.00 CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: Bldg, Permit #17-2777 Documented Construction Value: S 2, 234.00 2,, i I Job Address: 3,017 TOWNE CENTER BLVD (STE 2 11) Historic District: Yes [I No El Parcel ID: 29-19-30-503-0000-0020 ResidentialM CommercialEl Type of Work: NewEl Addition 1:1 AlterationEl Repair E] DemoEl Change of Use MoveEl Description of Work: Add/ relocate seven sprinklers per new tenant revision (7 fire sprinkler Plan Review Contact Person: Phone: 407-877-5560 Name MSKP GATEWAY LLC James Balius Title: Project Manager Fax: 407-656-8026 Email: 2ermiLting@waynef ire, corn — Street: 4500 PGA BLVD STE 400 Property Owner Information Phone: City, State Zip: PALM BEACH GARDENS, FL 33418 Resident of property? : Contractor Information Name Wayne Automatic Fire Sprinklers, Inc Phone: 407-798-7598 Street: 222 Capitol Court Fax: 407-656-8026 City, State Zip: Ocoee, FL 34761- Name: N/A Street: City, St, Zip: Bonding Company: N/A Address: State License No.: FPC14 - 000057 Architect/Engineer Information Phone: Fax: E-mail: Mortgage Lender: Address: WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENTMAYRESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORFTIIE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WI-1-11 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, F11W 105.3 Shall be inscribed with the date ol`application and the colic in effect as of that date: 5"' Edition (2014) Florida Building Code Rev ise(f Rine,10, 201i 1111cation 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 waster 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. Fhe 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. hhe actual construction value will be figured based on the current ICC Valuation Cable 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. Si4.tnaWWof0 ner/Agent Date Print Owner/Agent's Name Signature ot'Notar4-State oft=lorida Date Owner/Agent is _ Personally Known to Me or Produced ID _ Type of ID 1 `i Signatwe of ConnactortAgent Date Robert Dewar Priru (01*actor/Agent's Name 1' L S gnatntc of Notar%-State of t'lorida )a RUTH A. MCCULLOCH MY COMMISSION # FF 066550 a = EXPIRES: February 26, 2016 Bonded ThrV Public UndOrOlOrs ContracPersonally Known to Me oi- Produced lD Type of ID BELOW IS FOR OFFICE USE ONLY Permits Required: BLJilding Electrical Mechanical Plun1bingF ] (iasF] Roof Construction Type: Total Sq Ft of Bldg: Occupancy Use: Min. Occupancy Load: New Construction: Electric - # of Amps Fire Sprinkler Permit: Yes No # of Heads APPROVALS: ZONING: I NGINF '.RING: COMMENTS: Flood Zone: of Stories: Plumbing - # of Fixtures Fire Alarm Permit: Yes NO[] UTILITIES: STE WATFIR: FIRE.: BUILDING: Revised, tune 30, 201; Permit Application EXHIBIT ~B" REQUEST FOR SERVICES 80SKPGATEWAY, LLC SERVICE SERVICE DESCRIPTION AMOUNT DATE 03/ 03/17 QUOTE —Doaign(PerVVAFS.Inc. discng|un).permitting, materials, d $4950.80 labor toadd and relocate mutomatiofire sprinklers and fire alarm notification devices. 4» EXECUTED BYOWNER: MGKPGateway, LLC Name: " J_5t I i n & Partners, ( Reala_a_ As Agent for MSKP Gateway, LLC Wayne Automatic Fire Sprinklers, Inc. EXECUTED BYCONTRACTOR: Name: Stuart Suitt Signetune Title: Real Estate Manaqer Title: Sales Re Contractors License No: 02390300012008 Federal |DNumber: 59-18243{ 3 Automatic Fire Sprinklers, Inc. LETTEROF TRANSMITTAL To: CITY OF SANFORD 300 N. PARK AVENUE SANFORD, FL 32772 ENCLOSED YOU WILL FIND: JOB NO. 87688 DATE: .1 1/20117 RE: MSKP GATEWAY LLC ATTENTION: PLANS REVIEW COPIES DATE DESCRIPTION 3 FIRE SPRINKLER PLANS 3 MATERIAL SUBMITTAL DATA 1 PERMIT APPLICATION 1 CONTRACT X—For approval For your use As requested —X—For review and comment REMARKS: PLEASE RETURN (2) SETS WITH YOUR SEAL OF APPROVAL AND/OR COMMENTS. PLEASE CALL 407-877-5557 WHEN PERMIT IS READY AND GIVE AMOUNT. Signed: Ruth McCulloch 7DATE: I I Laj z 1 BUSINESS/PROJECT NAME: ADDRESS: CITY OF SANFORD BUILDING AND FIRE PREVENTION DIVISION TNUyWB FIRE PLAN REVIEW SERVICE FEES PHONE: 407.688.5052 FAX: 407.688.5152 PLAN REVIEW INFORMATION NSTRUCTION [ ]C/Cl FIRE ALARM FIRE SPRINKLER HOOD [ ]PAINT BOOTH ( ]TANK NFIRE IMPACT F TOTAL FEES: 75-. RE: MSKP Gateway 101 Towne Center Blve (Suite 211) 5EAf INOLE COUNTY MUL r/ IUR ISDICTIONAL LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: 01/03/17 I hereby name and appoint: Robert Shannon an agent of Wayne Automatic Fire Sprinklers, Inc. Name of Company) to be my lawful attorney -in -fact to act for me to apply for, receipt for, sign for and do all things necessary to this appointment for (check only one option): Z All permits and applications submitted by this contractor. The specific permit and application for work located at: Street Address) Parcel Identification) Expiration Date for This Limited Power of Attorney: License Holder Name: Ryan Peterson State License Number: EF20001320 Signature of License Holder: STATE OF FLORIDA COUNTY OF ORANGE 12/31/17 The foregoing instrument was acknowledged before me this _2rd day of January I 20 _17 , by Ryan Peterson who is IKI personally known to me or who has produced did (did not) take an oath. MY COMMISSION # FF 06M EXPIRES: February 26,2018 BoWW Ttn %Mq Public UndeN4114M Notary Seal) as identification Ruth A. McCulloch Print or type Notary name Notary Public - State of Florida Commission No, FF066550 My Commission Expires: _02/26/18 CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: Bldg Permit #17-2777 Documented Construction Value: $ $2,687.00 lie Job Address: Wf Towne Center Blvd. (Suite 211) Historic District: YesEl No Z Parcel ID: 28-19-30-503-0000-0020 Residential 0 Commercial [3 Type of Work: New [N AdditionEl Alteration R Repair El Demo El change of use El move El Description of Work: Add alarm devices per new tenant revisions. Plan Review Contact Person: Brandon Lopp —Title: Project Manager Phone: 321- 221-2075 Fax: 407-656-8026 Email: permitting@waynefire.com Property Owner Information Name MSKP Gateway LLC Phone: Street: 4500 PGA Blvd Suite,#400 Resident of property? No City, State Zip: Palm Beach Gardens, FL 33418 Contractor Information Name Wayne Automatic Fire Sprinklers, Inc. Phone: 407-877-5557 Street, 222 Capitol Court Fax: 407-656-8026 City, State Zip: Ocoee, FL 34761 State License No.: EF20001320 Architect/Engineer Information Name: N/ A Phone: Street: Fax: City, St, Zip: E-mail: Bonding Company: N/A Mortgage Lender: N/A 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 30B 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 Revisc& June 30,2015 -nit 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 ol'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 ofOwner/Agenl Date Print Ovaier/Agent's Name Signature of Notary -State of Florida Date Owner/Agent is Personally Known to Me or Produced ID Type of ID Signature ofContractor/Agent Date Agent's Name Lo I/ _/ RUTH A. MCCULLOCK My COMMISSION # FF 066550 EXPIRES: February 26, 2018, Contractor/Agent is ._X_ Personally Known to Me or Produced ID ___ Type of ID BELOW IS FOR OFFICE USE ONLY Permits Required: Building[] Electrical[] Mechanical [] PlurnbingE] Gas[] P,001"F] Construction Type: Total Sq Ft of Bldg: Occupancy Use: Min. Occupancy Load: New Construction: Electric - # of Amps Fire Sprinkler Permit: Yes Fj No R APPROVALS: ZONING: ENGINEERING: COMMENTS: of Heads UTILITIES: FIRE: Flood Zone: of Stories: Plumbing - # of Fixtures Fire Alarm Permit: Yes F1 No[—] ASTE WATER: BUILDING: Revised: June 30,2015 1'emift Application EXHIBIT "B" REQUEST FOR SERVICES MSKP GATEWAY, LLC SERVICE SERVICE DESCRIPTION AMOUNT DATE 03/03/17 QUOTE — Design(Per WAFS, Inc. discretion), permitting, materials, and $4950.00 labor to add and relocate automatic fire sprinklers and fire alarm notification devices, 4 ? , lu IS '/ . 06 EXECUTED BY OWNER: MSKP Gateway, LLC Name: Kitson & Partners, (Realty , LLC As Agent for MSKP Gateway, LLC Signatur EXECUTED BY CONTRACTOR: Wayne Automatic Fire Sprinklers, Inc. Name: Stuart Suitt Signature: 3P Title: Real Estate Manager Title: Sales Re Contractors License No: 02390300012008 Federal ID Number: 59-1824363 DATE: BUSINESS/PROJECT NAk4E: CITY OF SANFORD BUILDING AND FIRE PREVENTION DIVISION FIRE PLAN REVIEW SERVICE FEES PHONE: 407.688.5052 FAX: 407.688.5152 PERMIT NUMBER: 17- A 7 119 ADDRESS: CONTACT NAME:16 PHONE: PLAN REVIEW INFORMATION CONSTRUCTION [ FIRE SPRINKLER []HOOD [ ]PAINT BOOTH []TANK DOES 20% REDUCTION IN FIRE IMPACT FEES APPLY: [ ] YES ]NO L F? Z-- oc7 TOTAL FEES: WAYN1E Automatic Fire Sprinklers, Inc. LETTER OF TRANSMITTAL To: CITY OF SANFORD JOB NO. 87682 300 N. PARK AVENUE RE: Gateway Inn SANFORD, FL 32772 ENCLOSED YOU WILL FIND: DATE: 11/20/17 ATTENTION: PLANS REVIEW COPIES DATE DESCRIPTION 3 FIRE ALARM DRAWINGS 3 FIRE ALARM PRODUCT SUBMITTAL DATA I PERMIT APPLICATION I CONTRACT 25.00 APPLICATION FEE X—For approval For your use As requested —X—For review and comment REMARKS: PLEASE RETURN (2) SETS WITH YOUR SEAL OF APPROVAL AND/OR COMMENTS. PLEASE CALL 407-877-5557 WHEN PERMIT IS READY AND GIVE AMOUNT. Signed: Ruth McCulloch Corporate Office: 222 Capitol Court * Ocoee, Florida 34761-3033 • (407) 656-3030 • FAX (407) 656-8026 Regional Offices: Jacksonville • Fort Myers • Pompano Beach - Tampa • Concord, NC FIRE ALARM PRODUCT DATA SUBMITTAL For s WAYNE AUTOMATIC FIRE SPRINKLERS, INC. 222 CAPITOL COURT - OCOEE, FL 34761 TEL (407) 656-3030 or FAX (407) 656-8026 SILENT U x u x ""~w u ~* KNIGHT Fire Alarm Control Panel K K k K8~K ho 2Vyy UxHoneywell ^ The Fire Alarm Control Designed to EX_1_S_,T_1_N G] Grow with Your Systems Needs, Without The Growing Pains. The SK-52O8isamicroprocessor based control panel with built-in ULlisted communicator designed for applications requiring smoke de&*odon, manual pull atahonm, and sprinkler supervision. It features an easy to road LCD display with programmable English readout and user friendly tactile keys. The basic unit offers 10 zones of initiation and is expandable up to 30 zones for larger applications. The SK-5208 has a complete line of supervised accessories that provide remote annunciation, auxiliary control zone expansion. Ideal for new and retrofit applications, the SK-5208 delivers the performance to handle your installation. Features 1Ozones, 8Class 8(Style B)and 2 Class A(Style D) or Class B (Style 8)zones, expandable |o3Vzones Supervised zone expanders and |/] modules can be mounted remotely from the main control panel Event History Buffer (150events) with date/time stamp All zones are compatible with 2-or 4-wire detectors O selectable/programmable output patterns for notification appliance circuits Built-in Digital Alarm Communicator Tranomittor(DACT) 4 Notification Appliance Circuits 4programmable general purpose relays Programmable smoke verification, pre - alarm de\ay, cross zoning and enhanced verification mode features that can help minimize false alarms Programmable from the built-in control panel touohpad.remote annunciator, urVVindowneSKSS downloading software Direct connect port fmmeke up/ downloading with Windowsw SKSSdownloading software Built-in walk test feature Single ordual interlock water releasing capability P|oxdoor option combines adead front cabinet door with a clear window. limiting access iothe panel while providing single button operation of the reset and silence functions Programmable ACtrouble relay Built-in synchronization for appliances from AM8ECOID. Qootoxw.Faraday, System SanaurO. andVVheo|onkm Programmable doio settings for Daylight Saving Time Clock source setting options for 50 Hz, GO Hz. or internal (uses the panel's internal clock) Specifications Operating Voltage: 24VDC Primary AC: 120Vima@80Hz.2A Total DCLoad: 6Amp Current Draw: Standby: 140mA Alarm: 400mA Flush Mounting Dimensions: Height: 2475^ (62. 9 cm) Width: 14. 5^(36.8cm) Depth: 8-771O^(873cm) with 5/yprotruding Overall Dimensions: Height: 2O-B8^(67cm) Width: 17-V1Gr(43. 88cm) Total Depth: 4^(1O10cm) Operating Temp: 32°\o120~F 0yto 49'C) Optional Accessories SK-5235LCDRemote Annunciator GK-5217 1UZone Expander 2 max. per system) 8K'528UStatus Display Module (O max. per system) 7181 Fire Zone Converter 5220Direct Connect Module 5824Serial/Parallel Printer Interface Module SN- 52O8 SKSSDownloading Software P| ex'2 Door Option Listings and Approvals ULListed CSFM Listed Model 5208 Fire Alarm Control Panel with Digital Communicator Engineering Specification The system shall contain a fire alarm control panel to supervise and operate heat and smoke detection devices, manual fire alarm devices, alarm notification devices and visual annunciators. The system shall also be capable of monitoring for sprinkler supervisory and water flow conditions. The system must have a built in UL listed fire communicator that can be enabled/disabled as needed on a per job basis. In addition, the system will sound alarms locally for purpose of evacuation. Telephon 2 Class A (Style D) or Class B (Style B) Initiation Circuits 8 Class B (Style B) Initiation Circuits 2 t Connect n-Site Programming programmable orm C Relays Wotification appliance Circuits 5235 Remote Annunciators SBUS Devices 5280, 5217, & 5824 This document is not intended to be used for installation purposes. We try MADE IN AMERICASILENTtokeepourproductinformationup-to-date and accurate. We cannot cover KNIGHT all specific applications or anticipate all requirements. All specifications are FORM# 350318 Rev C0 ' subject to change without notice. For more information, contact Silent Oc 2010 Honeywell International Inc. by Honeywell Knight 12 Clintonville Road, Northford, CT 06472-1610 Phone: (800) 328-0103, Fax: (203) 484-7118. www.silentknight.com ModelK u n u u ~= Distributed Power Module In an emergency, you need maximum power. The 54Q5Distributed Power Module bySilent Knight iethe most powerful and cost-effective power supply available today. It delivers 6 amps ofnotification frnm pr'~'°~'~~'`r~~~' ~'~ nnri ~~^`^' ~ r'~^~'.~^~^ '~ ~p~~'^~` ^~^ System Sensor-0\ Gonhcx(l),AK4SECOO, VVhaehok and Faraday——vvhatyou need to drive power-hungry components like ADA notification appliances. The 5495's advanced microprocessor design is years ahead of the competition. Its switch mode power supply design is up to 50% more efficient than competitive linear mode power supplies, And, ADA retrofits are easier and less expensive with the 5495 because it integrates into current systems without the costly investment innew components. For the most sophisticated and cost-effective notification power supply available, you need the 5495. Call Silent Knight today for more information at 1-800-446-6444. Model 5495 Distributed Power Module The 54S5ioe8amp notification power expander that provides its own AC power connection, battery charging oircuit, and backup battery for use with fire and security controls such aothe Silent Knight Model 5208Fire Control Dommuniomtor.The 5485iothe cost- effective so| uUonforpovvoring notification appliances required bythe Americans with Disabilities Act (ADA), The 5495has built-in ANSI cadence pattern, which can upgrade older control panels that lack cadence Features ULListed for 0amps o(notification power Power auppiy' oadvanced switch mode design reduces damaging heat and manages power upio50Y6 more efficiently than other systems Dip switches allow for easy reconfiguration 24VDCfiltered output voltage Four power - limited notification outputs; 2 Class Aor4 Class B. or 1 Class Aand 2 Class 8 Additional continuous auxiliary output 3amps per output circuit 2inputs; 2Class Bur2Class A Ground fault detector/ indicator Independent trouble relay ACloss delay option shuts off power to non'*onmnha| high -current accessories like magnetic door holders Built-in synchronization for appliances from System S*naorm.Gun(axm.AMSEC0w. Wheelock and Faraday Stand alone operation Lightweight design adds Voease oY installation and reduces shipping costs Operates with most polarized, UL Listed notification devices UL8G4 & 1481 listed CSFMappnoved ANSI Cadence pattern output capability built- in Connection tuLocal Fire Control The 5485may beconnected Walocal fire control which utilizes Class Aor Class 8type notification circuits operating between 8and 32VDC.The control panel's notification circuit is connected toone cfthe inputs onthe 5405. The control panel's notification circuit end -of -line resistor in also connected across two terminals onthe 5495.which provides supervision between the 54O5and the fire control panel. Polarized audible and/or visual notification devices are then connected Vothe 5495signal circuits using the Model 5495 4JN0end- od-linoresistors provided, Since the 5495draws very little power from the control, it is possible to connect one 54S5Vzeach notification circuit on the control panel and still provide full supervision cfthe notification circuits all the way back ¢` the control panel, SILENT KNIGHT by Honeywell Model 5495 Distributed Power Modull Supervision Current: Input The 54S5supervises avariety of Standby 75mA voltage range: 9'32VDC functions including: Uenn 175mA Battery charging Low ACpower Auxiliary capacity: 310AH Low battery condition power circuit: 1 Ambient temp.: 32"to120,F Earth ground fault Notification 0^k/40°C Auxiliary output power limit circuits: 4 Mechanical condition Output Dimensions: 1225^VVx 16^H x EOLsupervision trouble or configuration: 2Class A( Style Z) 3^D(30.88omVV power limited condition atan 4Class B(Style y) x40.S4nnnHx output 1 C|aesA& 7 62 O cm) When atrouble condition occurs, 2Class B) Indicator Lights the 54Q5creates atrouble condition on the host control signal Amps per AC power on Green oivoui n o which i is oonneoh*d the output circuit:30 8D amps total) Battery t»n«b|«: Yellow 54S5still maintains the ability tobo Notification Ground fault: Yellow activated bythe host oonbo/ |n circuit 0 4Uu 7 3VOC Aux trouble: Yellow addition, the 5495provides aForm @3.0amps each, C trouble relay output uean 47 kIl EOL Output alternative k/using the notification resistor required troubles (1-4): Yellow circuit trouble. oneach Class B Aoonova|a: Electrical Specification circuit 864& 1481 ca ion AC input: 120VAC at2amps No. of inputs 2 NFPA: 72 Output:24 VDC at 8 amps Input CSFK4 configuration: 2Class Bor2 Class ISO fl MTV Signal Circuit Output Signal I Signal I Input Distributed 8k8nm|2 Signal Circuit Output Input Module 5495 Signal 3 Signal VAC Aux. Power Trouble Output Local Fire Control Alternative b»notification circuit trouble.) rmovnm/ / ux 8~` mo*nmx/ nmn vwuvvmw installation purposes, wetry w MADE IN AMERUCA keep our productinformationup-to-date and accurate. Wecannot cover all KNIGHT upncifivapplications u,anticipate all ,vvv|,nm*nm All specifications are p0Rw#3nV3ouRev B. 12/05 vvWeottochangewithoutnotice. For more information, contact Silent Knight by Honeywell ro50Meridian Circle Suite 'on.Maple Grove, Mneo3no-*9o/ Copyright 0200oSilent Knight t re"T, KNIGIIIT 5495 Power Expander Calculations Gov.: 5495 FACP ROOM 549 5 Pwr Module 0.075 0,205 1G ,*,]5495 Circuit 1 0.000 0.843 1#14 Solid Z$2 275 5.73% 549 5 Circuit 2 0 000 0.000 1#14 Solid 0,00 MAO` O.00% 7 NA 5495 Circuit 3 0.000 0.000 14 Solid 162 69 l o,00% 5495 Circuit 4 0.000 0.000 14 Solid 2, 22 A 0,00% A"'UX", 5495 Aux Power Out 0,000 0.000 14 Solid G,40 0,00% re f tw$11iiaiitbvrntA0.075 1.04 8 P"M Wire resistances are based upon in ambient temperature of 72 degrees F, Because of the minimal difference between solid and stranded wire no differential was made. Configure Circuits Print Page V System Sensor L -Series audible visible notification products are rich with features guaranteed to cut installation times and maximize profits with lower current draw and modem aesthetics. Features Plug-in design with minimal intrusion into the back box Tamper -resistant construction AUtornatic selection of 12- or 24-volt operation at 15 and 30 candela Field -selectable candela settings on ceiling units 15. 30, 75. 95, 115, 150, and 177 Horn rated at 88+ dBA at 16 volts Rotary switch for horn tone and two volume selections Universal mounting plate for ceiling units Mounting plate shorting spring feature checks wiring continuity before device installation Flectrically Compatible with legacy SpectrAlert and SpectrAlert Advance devices Corripatible with MDL3 sync module Listed for coiling mounting only Agency Listings SIGNALING LISTED APPROVEO P FM loW ",00, 305 The System Sensor L-Series offers the most versatile and easy - to -use line of horns, strobes, and horn strobes in the industry with lower current draws and modern aesthetics With white and red plastic housings, wall and ceiling mounting options, System Sensor L- Series can meet virtually any application requirement. The entire L-Series product line of ceiling -mount strobes and nor[) strobes include a variety of features that increase their application versatility while simplifying installation. All devices feature a plug-in design with minimal intrusion into the back box, making installations fast and foolproof while virtually eliminating costly and time- consuming ground faults. To further simplify installation, the L -Senes utilizes a universal mounting plate so installers can rnount them to a wide array of back boxes. With an onboard shorting spring, installers can test wiring continuity before the device is installed. Installers can also easily adapt devices to a suit a wide range of application requirements using field -selectable candela settings, automatic selection of 12- or 24-volt operation, and a rotary switch for horn tones with two volume selections L-Series Specifications General L-Seri ", ceiling -mount strobes and horn strobes shall mount to a standard 4 x 4 x 1 4-inch back box, 4-inch octagon back box, or double - gang back box. Two -wire products shall also mount to a single -gang 2 x 4 x 17/8-inch back box. A universal mounting plate shall be used for mounting ceiling and wall products. The notification appliance circuit wiring shall terminate at the universal mounting plate, Also, I -Series products, when used with the Sync*Circuit ' Module accessory, shall be powered from a non -coded notification appliance circiiit output and shall operate on a nominal 12 or 24 volts. When used with the Sync -Circuit Module, 12-volt-rated notification appliance Circuit Outputs shall operate between 8.5 and 17.5 volts, 24-volt-rated notification appliance circuit outputs shall operate between 16.5 and 33 volts, Indoor In Series products shall operate between 32 and 120 degrees Fahrenheit from a regulated DC or full -wave, rectified unfiltered power supply. Ceiling strobes and horn strobes shall have field -selectable candela settings including 15, 30, 75, 95, 115, 150, and 117. Strobe The strobe shall be a System Sensor L-Series Model _ _ _ listed to UL 1971 and shall be approved for fire protective service, -1 he strobe shall be wired as a primary -signaling notification appliance and comply with the Americans with Disabilities Act requirements for visible signaling appliances, flashing at 1 Hz over the strobe's entire operating voltage range. The strobe light shall consist of a xenon flash tube and associated lons/reflector system. Horn Strobe Combination The horn strobe shall be a System Sensor [--Series Model __ listed to UL 1971 and UL 464 and shall be approved for fire protective service. The horn strobe shall be wired as a primary -signaling notification appliance and comply with the Americans with Disabilities Act requirements for visible signaling appliances, flashing at 1 111 over the strobe's entire operating voltage range. The strobe light shall consist of a xenon flash tube and associated lens/reflector system. The horn shall have two audibility options and an option to switch between a temporal three pattern and a non -temporal (continuous) pattern. These options are set by a multiple position switch. The horn on horn strobe models shall operate on a coded or non -coded power supply. Synchronization Module The Module shall be a System Sensor Sync*CirGUIt model MOI_3 listed to UL 464 and shall be approved for fire protective service. t-he module shall synchronize L-Senes strobes at 1 Hz and horns at temporal three. Also, while operating the strobes, the module shall silence the horns on horn strobe models over a single pair of wires, The module shall mount to a 4 11116 x 4 11/16 x 2 1/8-inch back box. The module shall also control two Style Y (class B) circuits or one Style. Z (class A) circuit The module shall synchronize multiple zones, Daisy chaining two or more synchronization modules together will synchronize all the zones they control The module shall not operate of i a coded power supply. Standard Operating Temperature 32'F to 120"F (0°C to 49°C) Humidity Range 10 to 93". non -condensing Strobe Flash Rate 1 flash per second Nominal Voltage Regulated 12 VDC or regulated 24 DC/FWW Operating Voltage Ranqe2 8 to 17.5 V (12 V norninal) or 16 to 33 V (24 V nominal) Operating Voltage Range (MDL3) 8.5 to I 7.5V (12 V nominal) or 16,5 to 33 V (24V nominal) Input Terminal Wire Gauge 12 to 18 AWG Ceiling -Mount Dimensions (including lens) 6,8" diameter x 2.5'high (173 mm diameter x 64 rnro high) Ceiling -Mount Surface Mount Back Box Skirt Dimensions 6,91" diameter x 3.4'high (175 mrn diameter x 86 rniTI high) SBBCRL, SBBCWL) Notes: 1. Full Wave Rectified (FWR) voltage is a non -regulated, time -varying power source that is used on some power supply and panel outputs, 2. [-' S, PC, and SC products will operate at 12 V nominal only for 15 and 30 cd, AA)1;W1W)f) UL Current Draw Data Candela 8-175 Volts DC 16-33 Volts DC FWR 15 87 41 60 30 153 63 86 75 N/A ill 142 95 N/A 134 164 115 N/A 158 191 150 N/A 189 228 177 N/A 226 264 8-17.5 Volts 16-33 Volts OC Input 15cd 30cd 15cd 30cd 75cd 95cd 115cd 150cd 177od Temporal High 103 167 71 90 143 165 187 217 254 Temporal Low 96 165 54 71 137 161 185 211 249 Non -Temporal High 106 173 71 90 141 165 187 230 273 Non-Temportal Low 95 166 54 71 124 161 170 216 258 3.1 K Temporal High ill 164 69 94 147 163 184 229 257 3.1 K Temporal Low 103 163 54 88 143 155 185 212 252 3,1 K Non -Temporal High ill 172 69 94 144 164 202 229 271 3.1 K Non -Temporal Low 103 169 54 88 131 155 187 217 259 FWR Input 15cd 30cd 75cd 95cd 115cd 150cd 177cd Temporal High 107 135 179 198 223 254 286 Temporal Low 78 101 151 172 199 229 262 Non-Tornporal High 107 135 179 198 223 254 286 Non-Ternportal Low 78 101 151 172 199 229 262 3.1 K Temporal High 108 135 179 200 225 255 289 3.1 K Temporal Low 79 101 150 171 196 229 260 3.1 K Non -Temporal High 108 135 179 200 225 255 289 3,1 K Non -Temporal I ow 79 101 150 171 196 229 260 Horn Strobe Tones and Sound Output Data 8-175 16-33 Volts Volts Switch Position Sound Pattern d8 DC Oc FWR 1 Temporal High 84 89 89 2 Temporal Low 75 83 83 3 Non -Temporal High 85 90 90 4 Non -Temporal Low 76 84 84 5 3,1 KFlz Temporal High 83 88 88 6 3,1 KFQ Temporal 1--ow 76 82 82 7 3,1 KFiz, Non -Temporal High 84 89 89 8 3,1 KH7 Non -Temporal Low 77 83 83 L-Series Dimensions Q. I 2.47 137 Ceiling -Mount Horn Strobes Ceiling Mount Horn Strobes with Ceiling Surface Mount Back Box L-Series Ordering Information Coiling Kom Strobes PC2RL, 2-Wire, Horn Strobe, Red F'C2W[, 2-Wire, Horn Strobe, White 06.92 r 2,50 0 TR 0 0 C-) 0 0 00 0 c C-71 Ceiling Surface Mount Back Box SCR[- Strobe, Red SCWL Strobe, White T(7WL-CLR-ALERT Strobe, White, ALERT Accessories I RC-2 Universal Ceiling Trim Ring Red 7F3C_2W Universal Ceiling Turn Ring White SBBCRL Ceiling Surface Mount Back Box, Red S ,,)BBC\Nt- Ceiling Surface Mount Back Box, White S 3825 Ohio Avenue * St, Charles, R_ 60174 M'oo not« V'j SENSOR' Phone: 800-SFNS0R2 *Fax 630-377-6495 Detailed Specifications & Technical Data ENGLISH MEASUREMENT VERSION 6120FL Multi -Conductor - Commercial Applications - 2 Conductors Cabled more Intorm please call I-11111 M.- ram Description 14 AWG bare copper conductors, FlamarrestO insulation, cabled together, Flamarrest© jacket with ripcord, shielded version has overall BeldfoilO shield tape (foil side out) and drain wire, sequential footage marking every two feet. Suitable Applications (Overall): Suitable Applications Fire Protection, Alarm, Signal, Monitor/Detection, Audio Circuits, Control Circuits, Initiating Circuits, Notification Circuits Physical Characteristics (Overall): AWG Gonductors AWG Stranding Conductor Material Solid •..- Insulation: Insulation Material 41111113 Flamarrest® insulation Material ILS PVC Low Smoke Polyvinyl Chloride 0 011 Outer Shield: Outer Shield Material 11M Beldfoile lTape luminum Foil Polyester Tape w/Shorting Fold 1 100 e--- ......... .... _.,.. Outer Shield Drain Wire AWG y 1 . 20 ( 7x28 TC Tinned Copper Outer Jacket: Outer Jacket Material Flamarrestf) ILS PVC Low Smoke Polyvinyl Chloride 0.015 i Outer Jacket Ripcord Yes Overall Cabling: Overall Cabling Color Code Chart 1 Black 2 Red Overall Nominal Diameter: 0.209 x 0.000 in. Mechanical Characteristics (Overall): Operating Temperature Range 0°C To +75°C UL Temperature Rating 75°C Bulk Cable Weight: 39.900 lbs/1000 ft. Max. Recommended Pulling Tension: 113.400 lbs. Min. Bend Radius (Install)/Minor Axis: 2.100 in. Applicable Specifications and Agency Compliance (Overall): 6120FL Multi -Conductor - Commercial Applications - 2 Conductdrs Cabled Applicable Standards: NEC Articles 760 EURoHS Compliant (Y/N) Yes URoHSCompliance Other Specification California State FiMarshall Flame Test: Plenum/ Non-Plenum: Plenum No* PkanumNumbe/ 5120FL Electrical Characteristics (Overall): Nom.| nduumnue 0, 150 Nom. Capacitance Conductor VoConductor 86. 000 Nom. Capacitance Cond. toOther Conductor &Shield 154,800 Nom.Conductor DCResistance Nominal Outer Shield DCResistance 7.200 Max.OpemhngVoltago- UL 9 7 Max. Recommended Current PUT UPS AND COLORS: Notes: C= CRATE REEL PUT4)P. Revision Number 1 Revision Date: 04-14-2008 Detailed Specifications & Technical Data ENGLISH MEASUREMENT VERSION 6120FL Multi -Conductor -Commercial Applications - 2 Conductors Cabled 2007 Belden, Inc All Rights Reserved. Although Belden makes every reasonable effort to ensure their accuracy at the time of this publication, information and specifications described herein are subject to error or omission and to change without notice, and the listing of such information and specifications does not ensure product availability. Belden provides the information and specifications herein on an "AS IS" basis, with no representations or warranties, whether express, statutory or implied. In no event will Belden be liable for any damages (including consequential, indirect, incidental, special, punitive, or exemplary damages) whatsoever, even if Belden has been advised of the possibility of such damages, whether in an action under contract, negligence or any other theory, arising out of or in connection with the use, or inability to use, the information or specifications described herein. All sales of Belden products are subject to Belden's standard,terms and conditions of sale. Belden believes this product to be in compliance with the following environmental regulations: California Proposition 65 Consent Judgment For Wire & Cable Mfgs.(San Francisco Superior Court Nos. 312962 And 320342); EU RoHS Directive 2002/95/EC, 27-Jan-2003); Material manufactured prior to the compliance date may still be in stock at Belden facilities and in our Distributor's inventory; and China Ministry of Information Industry order#39 (China RoHS). EU ELV Directive 2000/53/EC, 18-Sept-2000); EU WEEE (Directive 2002/96/EC, 27-Jan-2003); EU BFR (Directive 2003/11/EC, 6-Feb-2003). The information provided in this Product Disclosure, and the identification of materials listed as reportable or restricted within the Product Disclosure, is correct to the best of Belden's knowledge, information and belief at the date of its publication. The information provided in the Product Disclosure is designed only as a general guide for the safe handling, storage, and any other operation of the product itself or the one that it becomes a part of. This Product Disclosure is not to be considered a warranty or quality specification. Regulatory information is for guidance purposes only. Product users are responsible for determining the applicability of legislation and regulations based on their individual usage of the product. Belden declares this product to be in compliance with EU LVD (Low Voltage Directive 73/23/EEC), as amended by directive 93/68/EEC. E ffLK Premium Products for Security & Automation PRODUCTS, INC EU K~1280 12 VoUts,8 Ah ELK Sealed Lead Acid Batteries are excellent for the following applications with regard Vosize, Amp hour rating, and proper terminal connections: battery backup (for Access Control Systems, Fire Alarm Systems, and Security Alarm Systems), emergency lights, lighted exit nigna, and uninh»nu[tib|e power supplies. SPECIFICATIONS: Nom|nal Vokao Rated- Capacity: L*ngdh: VVidth: Height: Total Height: VV»kJhk: Terminals: 12Voha 8AH (20hour rate) 5. 94^ (151mm) 2. 56" (65mm) 3. 74(95mm) 3. 98^(101mm) 6] 7lba(2.8ko) F1' FantomTab No. 187 ELECTRICAL SPECIFICATIONS: nA*nna| Resistance, Fully Charged Battery (77`F) Capacity affected byTemperature 20 hour rate) Charge Constant Voltage U.L.* Recognized Two Year Warranty 10mD 184^ F( 40`[) 77^F( 25`[) 32'F( O^[|) Cycle: Initial Charging Current less Vhan2.25A Vukaoe14AV 15. 0Vok77^F(25`C) Standby: Voltage 13.5V' 13.8Va1 77`F(25`C) Discharge Characteristics (ZQ'C,, WF) I Discharge Characteristics (0C/32*F, 40*C/I 04'Fj 3-M i(K) W 1S Discharge Current C E RE: MSKP Gateway Date: 101 Towne Center Blvd (Suite 211) 1SEMINOLCCOUNTYMuLTI—IUR15DICTIONAL LIMITED POWER OF ATTORNEY Altamonte Springs, casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs 01103/17 I hereby name and appoint.t. Robert Shannon an agent of: Wayne Automatic Fire Sprinklers, Inc. Name of Company) to be my lawful attorney -in -fact to act for me to apply for, receipt for, sign for and do all things necessary to this appointment for (check only one option): F7 All permits and applications submitted by this contractor. El The specific permit and application for work located at: Street Address) Parcel Identification) Expiration Date for This Limited Power of Attorney: 12/31/17 License Holder Name: Robert Dewar State License Number: FPC14-000057 Signature of License Holder: STATE OF FLORIDA COUNTY OF ORANGE The foregoing instrument was acknowledged before me this _2Lcday of January 1 20 L_, by Robert Dewar who is KI personally known to me or 0 who has produced as identification and who did (did not) take an oath. I Ruth A. McCulloch Print or type Notary name RUTH X MCCULLOCH MYCOMMI", ON#FF066550 EXPIRES: February 26,2018 Notary Public - State of Florida Uvido Thru Wary Public Undewlers Commission No. FF066550 02/26/18MyCommissionExpires: CITY OF SANFORI 7 -77 BUILDING & FIRE PREVENTION- Z-7 PERMIT APPLICATION Application No: Documented Construction Value:$ (o_9ez'0(0 Job Address: Historic District: Yes 0 No Parcel ID: I ct -- '5o - 0 ResidentialEl Commercial 2/ Type of Work: New R Addition R Alteration 13 Repair 0 DemoEl Change of Use F-1 MoveEl Description of Work: k!;! ?j)c- ?*vv\ S e!FC t f k C fk,-( t c) v L S, -1 --T 6 z~ 4. _'v-vvlk-t _A_ t -7- Z Plan Review Contact Person: k-kci L/ffkLA%'-4 Title: L4% CLIII Phone: -&0-7- ti7 Email: VA 0"' 8c-CE CQOA- a e Fax: A lir_ L Property Owner Information Name Phone: Street: Resident of property? City, State Zip: Contractor Information N\ o4vi (CN Phone: Namec Street: tQ, l C kA li- Fax: City, State Zip: I _-o kka vJ Lo D, "t>0 State License No.: Arch itect/Engineer Information Name: Phone: Street: Fax: City, St, Zip: Bonding Company: Address: 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: 51h Edition (2014) Florida Building Code Revised: June 30, 2015 Permit Application NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713. The City of Sanford requires payment of a plan review fee at the time of permit submittal. A copy of the executed contract is required in order to calculate a plan review charge and will be considered the estimated construction value of the job at the time of submittal. The actual construction value will be figured based on the current ICC Valuation Table in effect at the time the permit is issued, in accordance with local ordinance. Should calculated charges figured off the executed contract exceed the actual construction value, credit will be applied to your permit fees when the permit is issued. OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating constructiot an zoning. Signature of bwndAgent Date Signature of Cantor Date Print Owner/Agent's Name Print Contractor/Agent's Name Signature of Notary -State of Florida bate §ignature of NOLLY FRANK R. 4 nf` Commission #r FF 453153 o, My Commission Expires January 24, 2020 Owner/Agent is Personally Known to Me or Contractor/Agent is `' Personally Known to Me or Produced ID Type of ID Produced ID Type of ID BELOW IS FOR OFFICE USE ONLY Permits Required: Building Electrical ® Mechanical Plumbing[] Gas Roof Construction Type: Total Sq Ft of Bldg: Occupancy Use: Min. Occupancy Load: New Construction: Electric - # of Amps, Fire Sprinkler Permit: Yes No APPROVALS: ZONING: ENGINEERING: COMMENTS: of Heads UTILITIES: FIRE: Flood Zone: of Stories: Plumbing - # of Fixtures Fire Alarm Permit: Yes No WASTE WATER: BUILDING: Revised: June 30, 2015 Permit Application 0 1 % SERVICE DATE 2/23/2017 EXHIBIT "B" REQUEST FOR SERVICES @ Gateway SERVICE DESCRIPTION AMOUNT MKM Provide labor and material for the following modifications. 1. Modify and install existing receptacles on existing walls 2. Relocate existing 2x4 light fixtures 3. Install dedicated In rear area. 4. Install (1) TV outlets approx. 6' 5. Install (2) receptacles above the front and back door 6, Install (3) Data Drops w/pull strings in existing walls for IT. T. Install (2) new 2x2 layin fixtures for restrooms. 8. Install (2) new Exhaust fans for restrooms, 9. Relocate (2) 2x4 Layin fixtures 10. Install (6) transfer HVAC return diffusers 11. Install new return and supply diffuser 12. Install (2) new supply diffusers EXECUTED BY OWNER: By: Print Name: 1c* son an P 0 forntr Signature.r MSKP Gateway, LLC EXECUTED BY CONTRACTOR: By: CAC-CE 5yam' rint Name: ilty), LLC, way, LLC Title: ( ELILztalphdila Contractor License No: =00 I 7071CACQ56712 Federal ID No: 12--L@71L 8Signature: Title: FOY 41tr Job Address: C Parcel ID. Type of Work: New Alt Description of Workmlmrv Repair Application No: Value: $ Historic District: Yes No No Residential r-1 Comme(Za M Demo 'Change Plan Review Contact Person: Title: Phone: Fax: Email: Name ry600 Street: Y6-00 Property Own*r Information qd'". Phone. o Resident of property? city, State Zip-. PA, & ew-aejn:), " rL, Contraotor information 4%3,q--W3 OVC Name \Ckusv,,6k Phone: 35 - -, v Street: 3a --ILA (A Fax: City, State Zip: State License No.:Cf-(2, Jq < 7(' 0 3 Arohk*WEnglno*r Information Name: 30:se> An ke-C*5 Phone: City, St, Zip: Bonding Company: Fax: E-mail: Mortgage Leader: Address: AWICA600 is hueby at to ob4am a pmvA to do tiro work and WWWWas as indicated. I wtfj OW no work or iftstWlabou has cmusenovil prim to die immew of a pamit and Ow an work will be podorowd to amt stsadards of an Ix" reguipAing Cousbucum in this jw4dictim I understand tW a wpgrote permit must be neared for deetrical work4 plumblv4g, *km. well,, pow, ftwinces, bdkm heaters. tanks, and atr condtiloneM eft r FRC 10&3 SbaR be inscribed wkk the date oraptilt,#u0s Slid the code In 0 iorulaoidatecuretas5* FAIMS (2014) Florida 9*11dixg Cade Jr 1SQ11": In addition to the requirements of this permit, the, . may found in the public records of this countv. and titre 're be additional restrictiom; applicable to this property that may be federal agencies, managementdistricts, state agencies. or fedc ere may be adolnit"od Permit!, required from other governmental entities such as water Acceptance Of permit is vcrifleatlon 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 executedcontract i, to charge and will he considered the estimated construction value of the job at the time of submittal inordertocalculateaplanreviewcharg; co c s roof tied The actual construction value will be figured based on the current IC(' V-Juation Table in effect at the time the permit is issued. in accordancewithlocalordinance. Should calculated charges figured oft' the executed contract exceed the actual construction value. creditwillbeappliedtoyourPermitfeeswhenthepermitisissuedMMER' s of file foregoing information igamura*snd-tb",*Wwo&wiU bedoneIscompliancewithallapplicablelawsregulatingconstructionandzoning. SJOAMMUM of ow Date SAW119hire ofCon"ClWA#eat Due S. Y&AOYA lark i R- Name Ptilit Name rl Nary osteoffiarida Daft SWAA- oxfNotary-Stift of Ftm& Due 2 W•. Moire STATI O4-! OwmdAgew is — Personally Known to Me or Contractor/Agent is — Personally Known to Me or Produced ID Type of ID Produced 11) Typo of ID HUMY 15 EUR QMCE USE ONLY Permits Required: Building C] Electrical [] Mechanical C] PlumbingE] Gas C] Roof C] Construction Type: occupancy Use: - Flood Zone: Total Sq Ft of Bldg: Min. Occupancy Load: 0 of Stories:. New Construction: Electric - # of Amps_ Plumbing - # of Ftitures Fire Sprinkler Permit, Yeso No ci #of Heads APPROVALS: ZONING: UTILITIES: WATEF- ENGWEERING: FIRE: BUILDING: Fire Alarm Permit: Yes C] No C] WASTE YOUR LOGO HERE SENNETT PLUMBING company slogan) 32744 Ponderosa Ave, Deland, FL 32720 To RacWte Ktrton Kirton Enterprises, Inc 1630 Tomoka Farms Rd Port Orange, FL 32128 386.341-6232 Customer ID - KEI-0722 INVOICE # ENOJ DATE: OCTOBER 3, 2017 XPIRATWH BATE DEC ER 31, 2017 SALESPERSON JOB PAYMENT TERMS DUE DATE Gateway Plaza Unit 211 30 days DESCRIPTION UNIT PRICE LINE TOTAL Provide material and labor per plans and any change orders to date for the upfft of Kitson Offke located at Gate Plaza unit 211 for plumbing portion. 4200.00 4200.00 way SUBTOTAL SALES TAX TOTAL 420D.00 Quotation prepared by: CLIFTON SENNETT / CFC 1427863I This ts a quotation on the g0oa named, subject to t itions noted below: (Descri y co itions pertaining to these prices quotation. any additional terms of the agreement. You may wan to 1 clude conti -ZtVn that will , eect t quotation.) To accept this quotation, Sign here and retum* ft= FIRE INSPECTIONS CITY OF SANFORD 407.562.2786 BUILDING & FIRE PREVENTION BUILDING INSPECTIONS 300 N PARK AVE 855.541.2112 SANFORD FL 32771 DRIVEWAYS -SIDEWALK 407.688.5080 Application Number . . . . . 17-00002777 Date 11/27/17 Application pin number 902978 Revision number . . . . . . . 1 Property Address . . . . . . 211 TOWNE CENTER BLVD Parcel Number . . . . . . . . 29.19.30.503-0000-0060 Application type description INTERIOR COMMERCIAL REMODELING Subdivision Name . . . . . . Property Zoning . . . . . . . PUD Application valuation . . . . 51187 Application desc noc on file Owner Contractor KIRTON ENTERPRISES INC 1630 TOMOKA FARMS RD PORT ORANGE FL 32128 386) 341-6232 Structure Information 000 000 ---------------------- Construction Type . . . . . VB Occupancy Type . . . . . . BUSINESS USE GROUP Other struct info . . . . . SQUARE FOOTAGE 2797.00 Permit . . . . . PLUMBING PERMIT-ALTER/ADD/FIX Additional desc . . Phone Access Code 101556 Permit pin number 5 " 69 Sub Contractor BENNETT PLUMBING INC Permit Fee . . . (:B1 5 . OO5 Issue Date . . . . Valuation . . . . 4200 Expiration Date . . 5/26/18 Qty Unit Charge Per Extension BASE FEE 30.00 5.00 5.0000 THOU PLBG PERMIT-ORD 4137 11,24.08 25.00 Special Notes and Comments All projects within the City shall use WastePro for debris removal. Please contact WastePro at 407.774.0800. Normal hours for inspections are from 7:30 through 4:30 Monday through Thursday. Please be aware you must contact the Building Official to schedule a Friday or after hours inspection. This is required since not every inspector is licensed to do every type inspection. Communication is the key, so please contact the Building Official if you have any questions at 407.688.5058 or at dave.aldrich@sanfordfl.gov Water impact fee $335.75 Sewer impact fee $756.25 Other Fees . . . . . . . . . 01-APPLCTN FEE -ELECTRIC 50.00 01-APPLCTN FEE -BUILDING 50.00 01-APPLCTN FEE -PLUMBING 25.00 01-BLDG PLAN REVIEW 156.00 01-EARLY START AUTHORIZED 250.00 01-FIRE INSPECT -NEW CONST 75.00 WD IMPACT:COMMERCIAL 335.75 SD IMPACT:COMMERCIAL 756.25 FAILURE TO COMPLY WITH MECHANIC'S LEIN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS. NOTE: ALL FEES MUST BE PAID PRIOR TO C.O. BEING ISSUED. NOTE: PLEASE BE ADVISED ALL PERMITS MUST BE INSPECTED. PX rl—A CITY OF SANFORD One Time Credit Card Payment Authorization Form Sign and complete this form to authorize City of Sanford to make a one time debit to your credit card listed below. By signing this form you give us permission to debit your account for the amount indicated on orafter the indicated dabe. This is permission fora single transaction only, and does not provide authorization for any additional unrelated debits orcredits to your account. Please complete the information below: Rachelle Kirto authorize the City of Sanford charge my credit card full name) 11/2A/ 7 account indicated below for $84.00 on or after amount) (date) address or parcel I ID Billing Address City, State, Zip 1630 Tomoka Farms Rd Port Orange, FL 32128 This payment is for Phone# 380- 341-0242 Account Type: El Visa El Mastercard (9AME% FlDiscover r l| f W5 m Cardholder Name ' `~^'—' ' — -- AccontNumber Expiration Date CCV Billing Zipcode SIGNATURE ' -- / DATE 11/28/ 17 e t I authorizetheabovenamedbusinesstochargethecreditcardindicatedinthisauthorizatioet04Q6afdhr% r* 3K99 above. This payment authorization is for the goods/services described above, for the amoun t one time use only. I certify that I am an authorized user of this credit card and that I will not di credit card company; so long as the transaction corresponds to the terms indicated in this form. 14! WORD, FL 32771 BP BUILDING PERMIT RECEIPTS CC CREDIT CARD $84.00 Total tendered $ 84. N