HomeMy WebLinkAbout2676 Orlando Dr 18-2987; INTERIOR RENOVATIONSFORD -
FIRE Df',PARTMENI
N
Job Address:
Parcel ID:
Building & Fire Prevention Division
PERMIT APPLICATION
Application Na: q
Documented Construction Value: $ • C>O
4iistoric District: Yes[ --]No
ResidetialElCommercial 1p",
17
Type of Work: NewLJ Addition Alteration r_JnepaiDemo71 Change of I T seF I IVA V V W, 61N
Description
of Work: Plan
Review Contact Person: Phone:"',
I - &'N -OU-P N9
Title:
Fax:
9(0(1'7 Email: L3(_)1 Wfi 6 Property
uwner inTormaxion Name'
s
Phone: Street:
cla-vt(e, Resident of property? City,
State Zip: C b Contractor
Information ovia
Namermw-m tAJ _' t i_ Phone: It'i 2-141 Street: el _
ko Fax•1W 13
City, StateZip: ro, State License No.: Architect/Engineer
Information Name: Street:
City,
St,
Zip, Phone: Fax:
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: 6" Edition (2017) Florida Building Code 7 Revised:
January
1, 2018 Permit Application
At V4
NOTICE: In addition to the requirements of this pen -nit, 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 711
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 [CC Valuation Table in effect at the time the permit is issued, in
accordance with local ordinance. Should calculated charges Figured off the executed contract exceed the actual construction value,
credit will be applied to your permit fees when the permit is issued.
OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will
be done in compliance with all applicable laws regulating construction and zoning.
Date
01
Print Owner/A is N,
J-
S atureofNotary- a a DOROTHYS-
MY COMMISSION # GG 125586
EXPIRES: OcOW 3,2021
Dow~ Ttn NOWWOW YPubk ~ I/
Owner/
Agent is Personally Known to Me or Produced
ID ___ Type of ID Signature
ofContractor/Agent Data Tew-',
ftv m&pp- Print
Contractor/Agent's Name 7777---
MEN MCKINUEY State
of Florida-NotarY Publi Commission #
GG 186203 My
Commission Expires Contractor/
Agent is V Personally Known to Me or Produced [
D___. Type oflD Permits
Required: Building D ElectricalEl MechanicaIE] Plumbing[ ] Gas[] Roof[ Construction Type:
Occupancy Use: 4!92szcml Flood Zone: y- —4,
jf,—t( 4-Z W Total Sq
Ft of Bldg: Min. Occupancy Load: # of Stories: g6-r— New Construction:
Electric - # of Amps &c?'C Plumbing - # of Fixtures Fire Sprinkler
Permit: Yes r-1 No #of [leads 4V — Fire
Alarm
Permit: Yes [] No APPROVALS: ZONING:
ENGINEERING: COMMENTS:
UTILITIES:
FIRE:
WASTE
WATER:
Revised January
1, 2018 Permit Application
CITY OF JUL I ' 2018
r S,,FORDI
FIRE DEPARTMENT
f
Type of Work:
Description of Work:
Plan Review Contact Person:
Phone: '7i - (07'q -ow,
Building & Fire Prevention Division
PERMIT APPLICATION
Application No: I F_ q 8-1
Document -end' Construction Value $
Il / 1,, cx/LI IPO f 21-toric District: Yes No
1 ( Residential Commercial
Demo Change of Ilse MoveQ
Property Owner Information "
Name 01/ f C Phone:
Street: N • OV-A K< 6 Resident of property?
City, State Zip: av-L, -'
Contractor Information
Name 1Gf t, V Phone:?
1
Street:' C Fax:
GI C 12-- 30 Z, 0City, State Zip: rY1/l.l, State e License No.:
Architect/Engineer Information
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Phone:
Fax:
E-mail:
Mortgage Lender:
Address:
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. _ IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet standards of all laws regulating construction
in this jurisdiction. I understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools,
furnaces, boilers, heaters, tanks, and air conditioners, etc.
FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 04 Edition (2017) Florida Building Code
Revised: January 1, 2018
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 [CC Valuation Table in effect at the time the permit is issued, in
accordance with local ordinance. Should calculated charges figured off the executed contract exceed the actual construction value,
credit will be applied to your permit fees when the permit is issued.
OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will
be done in compliance with all applicable laws regulating construction and zoning.
Signal fr—Wwncr/Agg*-'— Date
Print OwneCiAg&'s Narfie-
rv.-AM Thfu Notm PON Und%Vftmv. 1.1SiatureofNotary- akq,-,OF ,tj,da DOROTHY S. %W
MyComMISSION#GG125586
EXPIRES, October 3,2021
Signature of Contractor/Agent Date
Tcrpipfy "Lpv-
Print Contractor/Agent's Name
KA4,4 I 1)A'A hi A
wqgE
Owner/Agent is ;<, Personally Known to Me or Contractor/Agent is VPersonally Known to Me or
Produced ID Type of ID Produced ID Type ofID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building D ElectricalEl MechanicaIF1 PlumbingE] Gas] RoofF]
Construction Type:
Total Sq Ft of Bldg:
Occupancy Use:
Min. Occupancy Load:
New Construction: Electric - # of Amps,
Fire Sprinkler Permit: YesF] No El # of Heads
APPROVALS:.ZONING: Je6
LX ITILITIES:
ENGINEERING:
COMMENTS:
Flood Zone:
of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: YesF] No []
WASTE WATER:
BUILDING:
Revised: January 1, 2018 Permit Application
COUNTY OF SEMINOLE
IMPACT FEE STATEMENT
STATEMENT NUMBER: 18100006 DATE: August 14, 201E
BUILDING APPLICATION #: 18-10000682
BUILDING PERMIT NUMBER: 18-10000682
UNIT ADDRESS: ORLANDO DR S 2676 01-20-30-504-2200-0010
TRAFFIC ZONE:022 JURISDICTION:
SEC: TWP: RNG: SUF: PARCEL:
SUBDIVISION: TRACT:
PLAT BOOK: PLAT BOOK PAGE: BLOCK: LOT:
OWNER NAME:
ADDRESS:
APPLICANT NAME: 2670 SOUTH ORLANDO DR LLC
ADDRESS: 303 E WACKER DR STE 1040 CHICAGO IL 60601
LAND USE: OFFICE
TYPE USE:
WORK DESCRIPTION: CITY-SANFORD
SPECIAL NOTES: 2676 S ORLANDO DR / PHYSICAL THERAPY /
FORMER RETAIL
n------------------ ------------ ---------- - -------------------------
FEE BENEFIT RATE UNIT CALC UNIT TOTAL DUE
TYPE DIST SCHED RATE UNITS TYPE
ROADS-ARTERIALS N/A
00
ROADS -COLLECTORS N/A
00
FIRE RESCUE N/A
00
LIBRARY N/A
00
SCHOOLS N/A
00
PARKS N/A
00
LAW ENFORCE N/A
00
DRAINAGE N/A
00
AMOUNT DUE .00
PERSONS ARE ADVISED THAT THIS IS A STATEMENT OF FEES DUE UNDER THE
SEMINOLE COUNTY ROAD, FIRE/RESCUE, LIBRARY AND/OR EDUCATIONAL
ISSUANCE OF A BUILDING PE IT.
PERSONS ARE ALSO ADVISED THAT ANY RIGHTS OF THE APPLICANT, OR OWNER,
TO APPEAL THE CALCULATION OF ANY OF THE ABOVE MENTIONED IMPACT FEES
MUST BE EXERCISED BY FILING A WRITTEN REQUEST WITHIN 45 CALENDAR
DAYS OF THE DATE ABOVE BUT NO LATER THAN
CERTIFICATE OF OCCUPARY OR OCCUPANCY. THE REQUEST FOR REVIEW
MUST MEET THE REQUIREMENTS OF THE COUNTY LAND DEVELOPMENT CODE.
COPIES OF RULES GOVERNING APPEALS MAY BE PICKED UP, OR REQUESTED,
FROM THE BUSINESS OFFICE: 1101 EAST FIRST STREET,
SANFORD FL, 32771; 407-665-7356.
PAYMENT SHOULD BE MADE TO: SEMINOLE COUNTY OR CITY OF SANFORD
BUILDING DEPARTMENT
1101 EAST FIRST STREET
SANFORD, FL 32771
PAYMENT SHOULD BE BY CHECK OR MONEY ORDER, AND SHOULD REFERENCE
THE COUNTY BUILDING PERMIT NUMBER AT THE TOP LEFT OF THIS STATEMENT.
THIS STATEMENT IS NO LONGER VALID IF A BUILDING PERMIT IS NOT
ISSUED WITHIN 60 CALENDAR DAYS FROM THE DATE ABOVE
e< wCITY OF JUL' 24
s} SAJI4FORD
FIRE DEPARTMENT
Job Address:
Parcel ID:
Type of Wi
Descriptioi
Plan Review Contact Person:
Phone: ?- -(Oz "-DQLt,
N
Building & Fire Prevention Division
PERMIT APPLICATION
Application No: I _ ; ^i
Documented Construction Value: $
t0%G0'l
1. , cI/i V ffii ric District: Yes No[:]
Fax:gV(P '` - ' —1 !
Title:
i
Jl _ '! L _
Email: Ut fib VIS .•( 0)'1
Property Owner information
Name-,,,
awe
Phone:
blltStreet: Resident of propertyQmK(e, '
City, State Zip: ova
ma
Contractor Information
V Phone:
c1 Name
t'
C'101 - Fax: Street: City,
State Zip: 5 rY. e State License No.: GAG i-'O t,3Architect/
Engineer Information Name:
Street:
City,
St, Zip: Bonding
Company: Address:
Phone:
Fax:
E-
mail: Mortgage
Lender: Address:
WARNING
TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED
AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,
CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
Application
is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced
prior to the issuance of a permit and that all work will be performed to meet standards of all laws regulating construction in
this jurisdiction. I understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces,
boilers, heaters, tanks, and air conditioners, etc, FBC
105.3 Shall be inscribed with the date of application and the code in effect as of that date: 6" Edition (2017) Florida Building Code Revised:
January 1, 2018 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 [CC Valuation Table in effect at the time the permit is issued, in
accordance with local ordinance. Should calculated charges figured off the executed contract exceed the actual construction value,
credit will be applied to your permit fees when the permit is issued.
OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will
be done in compliance with all applicable laws regulating construction and zoning.
mar
Signa wnel/A Date
X5,5 25-
Print OwneOAgdt's N
S" store of Notary- atkIda DOROTHY S. VOW qq, MY
COMMISSION # GG 12550 J,:
J EXPIRES: October 3,2021 Signature
of Contractor/Agent Date Tcr-
r-ocy "ram Print
Contractor/Agent's Name rr/,
o A , /) A Ahp) 0-21(oll KrKEN
MCKIN'CrY State
of Florida -Notary Publi Commission #
GG 186203 My
Commission Expires February
18, 2022 Owner/
Agent is X, Personally Known to Me or Contractor/Agent is VPersonally Known to Me or Produced
ID Type of ID Produced ID _ Type of ID BELOW
IS FOR OFFICE USE ONLY Permits
Required: Building D Electrical 0 Mechanical F] PlumbingE] Gas[—] Roof [] Construction
Type: Total
Sq Ft of Bldg: Occupancy
Use: Min.
Occupancy Load: Flood
Zone: of
Stories: New
Construction: Electric - # of Amps Plumbing - # of Fixtures Fire
Sprinkler Permit: YesF] No 0 # of Heads Fire Alarm Permit: Yes [] No APPROVALS:
ZONING: ENGINEERING:
COMMENTS:
UTILITIES:/
7-16 -16 a "
R WASTE
WATER: BUILDING:,—,
Revised:
January 1, 2018 Permit Application
CITY OF
V
FIRE DEPARTMENT
Job Address: 9-
Parcel ID: (Q I -o - _ 0 —
Type of Work: NewElAdditionE
Description of Work:
Plan Review Contact Person:
Phone:
1?
11r ( - (" 71Lf _0041
JUL 0 9 2018 Building & Fire Prevention Division
A PERMIT APPLICATION
r) c)
Application No: / F_ Q, 10 -1
Documented Construction Value: $ i:?' ZI; 00. C)0
11
ufto. r, 3(Anoo 4iistoric District: YesoNoFl _V
4 — '?-'&0_0 — Residential[] Commercial
DrationRepairll DemoF]Change of UseE] Move
Title:
Fax:g(a --Z,9-1 to Email: V so u b VIS
OVtp
Prop uti PropertywnerinTormaonName
r)J" , G C/ Phone: Street:
0a K( 6 "t - f
Resident
of property? City,
State Zip: W t t r Contractor
Information 2-
1 q Name
DG V Phone: Street:
10? Fax: IJ City,
State Zip: E4rs 5 tyVkYnce R, _34 N State License No.: -D Z' Architect/
Engineer Information Name:
Street:
City,
St, Zip: Bonding
Company: Address:
Phone:
Fax:
E-
mail: Mortgage
Lender: Address:
WARNING
TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED
AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,
CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT,
Application
is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced
prior to the issuance of a permit and that all work will be performed to meet standards of all laws regulating construction in
this jurisdiction. I understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces,
boilers, heaters, tanks, and air conditioners, etc. FBC
105.3 Shall be inscribed with the date of application and the code in effect as of that date: 61b Edition (2017) Florida Building Code Revised:
January 1, 2018 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.
Signa runcr/A Date Print
Owner/Ag6t's Narrii /01 S'
ature of Notary- t ' Qr 'Ada DOROTHYS39W MY COMMIssioN #
GG 125556 EXPIRES: October
3,2021 Bondod Thru
Nottry Public Underonli to Signature of
Contractor/Agent Date Terr-ftf/ "
Lpr- Print Contractor/
Agent's Name K EN
MCKINLEY State of
Florida -Notary Pubil commission # GG
186203 My Commission
Expires FabruarY 18,
2022 — Owner/Agent
is K, Personally Known to Me or Contractor/ I Agent
is
Vpersonally Known to Me or Produced ID
Type of ID Produced ID _ Type of ID BELOW IS
FOR OFFICE USE ONLY Permits Required:
BuildingEl ElectricalEl MechanicalEl Plumbing[ GasF] RoofF] Construction Type: Total Sq Ft
of Bldg:
Occupancy Use: Min. Occupancy Load:
New Construction:
Electric - # of Amps
Fire Sprinkler Permit: YesE] No
n # of Heads APPROVALS: ZONING: ENGINEERING: COMMENTS: Flood
Zone: of
Stories:
Plumbing - #
of Fixtures
Fire Alarm
Permit: YesF1 No
F] UTILITIES: WASTE WATER: FIRE-A '
717 4 BUILDING:
Revised: January 1, 2018 Permit
Application
CITY OF SANFORD BUILDING AND FIRE PREVENTION DIVISION
FIRE PLAN REVIEW SERVICE FEES
PHONE: 407.688.5052
FAX: 407.688.5051
DATE:
BUSINESS/PROJECT NAME:
ADDRESS: S - -i2cli
CONTACT NAME:
2jlf)v'f I
PERMIT NUMBER: /r-Z'X7
PHONE:
PLAN REVIEW INFORMATION
CONSTRUCTION []C/O JIFIRE ALARM (IFIRE SPRINKLER [,JKOOD J)PAINTBOOTI-I []TANK DOES 20%
REDUCTION IN FIRE IMPACT FEES APPLY: YES NO TOTAL FEES:
I
rn CITY OF
171 T"NSAj4F0X%_"
FIRE DEPARTMENT
Job Address:
Parcel ID:
Type of W,
Descriptioi
JUL 0 9 2018 Building & Fire Prevention Division'"
PERMIT APPLICA TION
Application No:
Documented Construction Value: $
4,0(u 1)r, csavlpo filisli-oric District: Yes NoF-1
0
Plan Review Contact Person: Oi?ft VVII)i UE Title: 1'r c '444YIVVI
19SQ 1 Kf] Phone: 09v(4_0()LK FaxAAP Email: V ff 0 C J_ VIS .( 0)41
Property Owner Information
Q_
f;ti
Name 0)L/ LU C/ Phone:
W,
Street: 0a K( e, Resident of property?
City, State ZiP:.Q(4AA!M t ru :2-)2oq-
Contractor Information
Name 1 uya ul UYF Phone: iA1'w i - Street: "
40 ejk k J 0 Fax. City,
State Zip: K:14,5 Wkee_ , f- State License No.: 6A612-1; 3-0 Z- Architect/
Engineer Information Name:
Street:
City,
St, Zip: Bonding
Company: Address:
Phone:
Fax:
E-
mail: Mortgage
Lender: Address:
WARNING
TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED
AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,
CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
Application
is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced
prior to the issuance of a permit and that all work will be performed to meet standards of all laws regulating construction in
this jurisdiction. I understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces,
boilers, heaters, tanks, and air conditioners, etc. FBC
105.3 Shall be inscribed with the date of application and the code in effect as of that date: 611 Edition (2017) Florida Building Code Revised:
January 1, 2018 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 [CC Valuation Table in effect at the time the permit is issued, in
accordance with local ordinance. Should calculated charges figured off the executed contract exceed the actual construction value,
credit will be applied to your permit fees when the permit is issued.
OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will
be done in compliance with all applicable laws regulating construction and zoning.
Sig . aT. r;;Fr6w—ne 11A Date
Print Ownc0A&Kt's Nanie'
S' ature of Notary- _kq,,qFyftda DOROTHY S. V6W
My COMMISSION # GG 126586
EXPIRES: October 3,2021
Signature of Contractor/Agent Date
Tocf 404E y "&Fp-
Print Contractor/Agcnt's Name
A'A'hp
TKKEN MCKINVEY
State of Florida -Notary Publi
commission # GG 186203
My commissioary 18n Exp2ires
Pabru. 202
Owner/Agent is K, Personally Known to Me or Contractor/Agent is Vpersonally Known to Me or
Produced ID Type of ID Produced ID _ Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building D ElectricalEl Mechanical D Plumbing[] GasF] Roof E] Construction
Type: Total
Sq Ft of Bldg: Occupancy
Use: Min.
Occupancy Load: New
Construction: Electric - # of Amps Fire
Sprinkler Permit: YesFJ No [] APPROVALS:
ZONING: ENGINEERING:
COMMENTS:
of
Heads UTILITIES:
FIRE:
Flood
Zone: of
Stories: Plumbing - #
of Fixtures Fire
Alarm Permit: Yes [] No [I WASTE
WATER: BUILDING:
Revised:
January 1, 2018 Permit Application
7/5/2018 SCPA Parcel View: 01-20-30-504-2200-0010
r P"r _Re d Gard
Parcel: 01-20-30-504-2200.0010
ter Property Address: 2688 ORL.ANDO DR SANFORD, FL 32771
Parcel Information
Value Summary
Parcel , 01-20-30-504-2200-0010
2018 Working 2017 Certified
Owner(s) 2670 SOUTH ORLANDO DR LLC Values Values
D — Property Address 268$ ORLANO DR SANFORQ, FL 32771 Valuation Method Income Income
Mailing { 303 E WACKER DR STE 1040 CHICAGO, IL 60601-5212 Number of Buildings 3 3
Subdivision Name yVOj, Depreciated Bldg Value
Depreciated EXFT ValueTaxDistrictS4-SANFORD- 17-92 REDVDST
Land Value (Market) DOR Use Code 17-ONE STORY OFFICE NON -PROF
Land Value Ag
Exemptions ,
gMark I VA4g $1,860,276 $923,413
ao 00 an 60 00 60 66 ` Portability Adi
pg
Save Our Homes Adj $0 $0
1 — 16 17 ; 18 ., , .. , 0 21 22 23 24
amendment 1 Aa) $844,522 $0
J- 4.1LL . I ,
9
Legal Description
LOTS 1 - 8 & 18 - 27 (LESS
PT LOTS 24 TO 27 DESC AS BEG SE COR
LOT 27 RUN W 86A7 FT N 228.39 FT
SELY ON CURVE 216,45 FT S 10 FT S
31 DEG 48 MIN 31 SEC W 50.25 FT TO
BEG)BLK22
DREAMWOLD
PB4PG99
Taxes
Taxing Authority
county General Fund
Schools
City Sanford
SJWM(Saint Johns Water Management)
County Bonds
Sales
eu Seminole County GIS-
Assessment Value
P&G Ad} $0 $0
Assessed Value $1,015,754 $923,413
Tax Amount without SOH: $17,583,00
x it Ar hunt $17,583.00
Tax E_stimit (
Save Our Homes Savings: $0.00
Does NOT INCLUDE Non Ad Valorem Assessments
Exempt Values
1,015,754
1,860,276
1,015,754
1,015,754
1,015,754
Taxable Value
0..,... $1,015,754
0 $1,860,276
0 $1,015,754
0 $1,015,754
0 $1,015,754
Description Date Book Page Amount Qualified Vac/Imp
SPECIAL WARRANTY DEED 1/1/2018 9L) S- U4 5 2,200,000 Yes Improved
QUITCLAIM DEED 9/1/1989 0<112 M8 375,700 No Improved
CERTIFICATE OF TITLE 11/1/1988 11 1' 1 100 No Improved
WARRANTY DEED 9/1/1984 96L7 715,000 yes Improved
WARRANTY DEED 11/1/1981 011Cal 1 a 725.000 No Improved
Land
Method Frontage Depth Units Units Price Land Value
SQUARE FEET 0.00 0.00 128938 5.00 547,987
Building Information
t/ Description Year Built
StoriesActual/Effective Total SF Ext Wall Adi Value Repi Value Appendages
1 MASONRY 1971 1 14,136 CONCRETE BLOCK -STUCCO- 527.798 $1,199,542
t
PILASTER, MASONRY Description Area
LOADING
PLATFORM 300.00
CANOPY
http://parceidetail.scpafl.org/ParceiDetailinfo.aspx?PI D=01203050422000010 1/2
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date:
I hereby name and appoint: t,,) bVA lkAU 5 5U anagent
of: cl-MOEM, t:7 /0" Pr U I i& ) N n Name of
Company) i to be
my lawful attorney -in -fact to act for me to apply for, receipt for, sign for and do all things necessary to
this appointment for (check only one option): 0 The
specific permit and a pli ation for work located at: D 5A
f-J Ft) P/P 12 StreetAddress)
Expiration Date
for This Limited Power of Attorney:_ License Holder
Name: W State License
Number: Signature of
License Holder:_4 7"
STATE
OF
FLO ,&IDA COUNTY OF
The day
foregoing instruentwasacknoedgedbeforemethis200, by
who is erson known to me
or o who has produced as identification and
who did (did not) take an oath. 4Notui 5.
ealL KAREN MCKINLEY
State of
Florida -Notary Public Commission # GG
186203 My Commission
Expires tebruary 18,
2022 Rev. 08 .
12) Signature Print
or
type name Notary Public -
State of _Ok_ cy Commission No,
L6_1 (Po My Commission
Expires: _4J:_6_Lz_z_
7
KEY PLAN
SCALE: 1/64" = V-0"
500 SQ FT
REA OF SCOPE
F WORK (TYP)
r
r-o' 6;-d r^a r._d 9'-6• Iz'-6• iz'-B' .
oosrBfo etaoac
fa.e-
NOTE' ALL %(T DOORS TO NAVE PANIC NARDV TIP.
EXISTING 2 SEPAR Tt-0. vALt TORF DECK m
ECEPT
6 ,
F t02 FITS UANC u rf•fAu
S -.
RMPCCCPT. INTAKECLERKSFILES/CERENCC CENTRAL FILES MAIL AFDC rt AFDC rt "` LOBBr ca.yx r0"`,f„f cy„•• , . -. --. 104
192 t67 tat ROOM L` SEC. I07 RR• 137
132 17t 141VF
193 .. f
SM
HERS EMSTITK 2 HR, a'
as i
N -ALL TO ROOF } ^e T .-
Id@ 11_ - _ f (PT—. .. — —RE ARY t afDC Ti-.- .LEE --HAND aPPED DECK t80
Pi, VpkICSTATPON STaTM. k SECRETARY STATEON VORKSTATION TOILE RWNS V TB5wr
STATION 160 {59 ta3 134 1 130 106 105 EEWIP, t0a . CtaP
CSE ERKSc
TAT " 4T Af# (. STATION
0 J4 'L ,. AFDC It St0
N itij! t te6
SECRETARY Pj. S.S.I. SS-[. VORt(STAtiON Q} V ! t 0169RKS6TIATFONIVORKSTAT[(7f S'AF 10" pRKSTAT ON t29 t 2 II F
t59 tas tl5 ?E
fCONFERENCE70
71
F 'P f(
y} QICS0PtiAFDCr2SSt. V IZBaTIW i'
D"9 E%
tSTFNG t
b
e
CSE
tJ8 V
It KSTaifON ircSTATtpN ! TATI
AFDC t _ _ ` - ELEC RFt SUPERviSOR
1 . TATI£W ItsT% }¢ kl 167
REPROD.
PRINTER
ta5 i3b tAF U -DC
TI z
m
7 '¢• I@
0' S tJtl II3
AFDC R2 AFDC rz V lbRK2STATIODC N K
faitpN EMPLOYEE `
2 x SSC VORKSTATt
KS:a7iON T6T(W _ Ly7 _ P p
VORKSTATION . I92 2-CLfN,RKyR (63 t36 AFDC
Bi -0 _ .
l itz `t btoe[
76
TAIIW { 125 VORKzb tION of ..- . ._. .. -1D I71
AFDC r2 AFDC r2 PRINTER
VORKSTATtONSTATONt53YELEPNO+eE ; Q CSE
0
166 16a 155 iBOON STATION '
A OUTSIDE COVER 0
TRAM
SNGPATIO
AREA t w
i
r-tv tta 5_7' W-Is TT (-
STORAGE/ ST. i 122 i19 S
A IT IX( STATION ON - AFDC i2 AFDC rt vORK VORK 0 ! ! ESE
al' VLMKSTAT(Qf TECRETaRr STATION STATION tFER
73 t72 f 165 154 {a8 k39 T -T ..a AFDC
Rz 2. Rti AFDE f4 AFDC EI a . CSE
CSf . i2 K6C RVISOa
RVIS{,IR ST AT STT STApt sa
b •.
F
STATION WORKSTATION 2 ta9 RI E tza lz3 f
SCbiRVtSpt VDRKSTaiIERt tJ5
tta t5P t50 j t
0 0'-
0' UNDER
S OF i3'-
b tY•-b 4'-6' 7'-6' -0' 6'-6' tt'-0' 9'-d tt'-0' IB'-0' NOTE,
ALL EW DOORS TO NAVE PANIC HARDvARE TIP. EXI$
IYB6 P.W;IV4S ~`l-3ifAEAMW PIiR06 4
NOTES TO DRAWING H.R.S. FLOOR PLAN r+
N L- I. CaSNIER'S BWTNS.vi7N ISSUANCE WINDOW£. REF. HRS SPECIFICATIONS REWIRENENTS, e
z. VALCT AND VALL,T DOOR. REF. NRS SPECIFICATIONS NOTE, TOTAL LEASE SPACE TO NAVE A STATE 1.
BASE AND vet CABINET, Etpti FEET !N LENlGTN V{TN PLASTIC tAMtNATE FENtSF( INPLASTICLAPPROVED
AUTONATIC SPRINKLER SYSTEM, BASE
CABINET TO NAVE A DOUBLE CONVARTNENT STAINLESS STEEL SINK. a,
EXISTING CWCREiE BLOCK V LL. 5.
OPENING It E%IS TINN CONCRETE BLOCK VALL CONTRACTOR TO INSTALL A PRECAST 8YUDI.7L LEOEN > CONCRETE
LINTEL VITN A MtN1NW OF t r5 STEEL REBPR. REP, LENGTH DETAIL EXIT S(GN./LICAIT (BATTERY BACK-UP) 6
CONWIE BLOCK LW VALL V' MILK n TAEfREGA[ErCE CEINNF. A_, Fror
7, €
XISTING CDNCRE IS MCK. tAtM
RCIto NCE
tEs ECTEO CFRw6 AE AKt Y 55. fRE_Rk
ram{
KEYFLAX
B. CKISi}roG ELECTRECat SERVtCE AND PANELS. 4. PLYVfX1D
AC GRADE, 3/a• A$ REWIRED FOR TELEPONE PANELS. ND SGKeFIREEKTINWISNEk
SPACED AT 75' Max NA.vfa oNN•uf r•or ..
I cncaNar nr s.•ena .a.rw.N.F, Z.TO
ORawWO i t0-
LINE
OF THE REF. itittStCD £CFEDtA.E V tt,
F
ft AROUND EKI$TR TELEPHONE PANEL, PAOYRNi AMES$ PANEL FOR YANKTE%ANCE. nAEL SICI— I —I-- TYPE GENERAL NOTES
ffeY " AfF.R t PARK. lee NNTERgp / eKFERKNN EMEeT . NNt a[
NEUN CePT•urq ruin Dean rPRr awe coa•RnAN ..e. rNT orxa •u ..i sFet+<aNKn 000R TYPE REFEAfNCE YAAA . see DOOR scN*xNRR Net, ... FYo•.p6paN.
psNN/rR COtlsNWCTWw. m wefROW ir-E REK1NlNC[ YARN. let TFROOYf sCNeWLe eNEET;..,y OWrfwrf ttrl1
RAtTCCO(1NTE11fAeiC.T LICE. ( .Tf TALLaigY OF ALL fNELYNO, YE. TT011RE''Y —
GYP, GYP, W FA .T i2ZS Y
CYG *ALL 0
krAVAE0
tPyRE:
TAtt. ACE
PAMCM
a
COVOtED
WALK € KILL
Lp F E XUTM « VAM cam
VALE PAAfItRi
771
NQ SCALE NOTEt
f
L
CASI 2.
VAU 3.
BASI BAST
4.
EXI` 5.
PE COIN
CON
7,
EXI! 8,
EXI: 9.
PLY 10.
LINE 11.
FUR wr..
r
W
n
1
O d Q:
O
O Q
O W
LO (If
r-- -- EXWrM (BELOW
I
CSCRECEP T.
IBa
E
CSE '
TAT i
VOR%.STAtiON RT9
L ® CSE
c - —
S rant
CSE 8
St1vERVESIM- 187REPROD.
10
t
Q Vool'TA1 19! 2_Q 188
t42 t76
CSE
i84—_.
I
CSE
af' S
TFO1 StIPERVI
73 o (
i98
0 CSE,
t 5to, ETS ,tttt
i3A O
EXISTNES PAWNG
r/;/F//,
0,0,
0V00 //0Som Eli, 0 VEIN= C D
E ee•o
I I
r-
f' 4-D' r-r r-B' 8'-6• it-6' !r-r NOTE, L
KIT BOORS TO HAVE RAMC HMCDWARESTrP. ExisnFG z
SEPARATION WALL TO RDaF REEK m b
b b Cf E
AFDC
L
RECEPT. rwo
STAMP .cro• rR
nFC.ewt: _ (_... f` 1
ISYUAKE caw? f.fcrAc•*Ao«f Far IKS FEI..
E S/CONFERENEE CENTRAL FILES HAtt KO< ft AFDC ft t IF LOBBY rcow}.r•NCrAOI A rHK ca}wt• t t67 Ift
ROB Vs- SEC- t01 EptPT}• 7 133 tat
tat I '•' 141 m1
m• 143 CASHIERS Qy 103
E%SST{
NG 2 tR. ,. a' s
f 1 "
vALtrO
ROOF i 41
VaRiC$TAT(
pa ORKSiATION i $[CRETARY STAtiOt—VaRKSTATECM TQlLE ROANS fi AFDC I-
APPEO DECK I (( STATION I [
6D 154 1a3 134 E 130 i66 !DS J[OTW2A
V _ ST13tAGE
v.
l.
AFDC At do N
SECRETARY I
Pt. s.s.t. Ssa. vORK$TATtmi Q} (~} 164 STATIONytRICSTATCO+ t24 W t6t 158
S taf OR%St ;ON H _ k GEXERENU
aFDf
i{
1D4 7 ' Py
AFDC Ez S.S.I- $Yx, VoRKSTATION EKISTISG
WORK
STATIONOR%STATItSN CVA4T+E!(OfT Af. LI . CLEC. Rlt 113T OOBTIEid Ei PRINTER !a3
K 176• , r KDC }! - — _
STATION frty-- WORKSTATION 171 AFDC
fZ Ar DC i IZT I
AFDCEZAFDCftWORKWORKSTATIONEMPLOYEEQ OR%
D
tm
STAR
aRK5T:Ai{E1N tATtW _ _t37 . _ _ 4LbEASE _ _I{ !A
Y
F2 £. E
i63
156 Aroc it
iB`e .--
m. _ tIz T . C+ • ' INTE - } -
WORKSTATiOH
t TATION 6'
tz5
1z6
af'
177 Afa
f2 TATIaH MFDC fz ORK$TATlL+ 153 FELEPHONE PRINTER i66 16f
155
POOH i 7STATIONTRAININGIHG
OUTSIDE
COVE its RATIO
AREA LS j_. _..._.
QI
DC f2— AFDC Bt _ T i-
t}'ttf 5'-3' tf•-tR WORK KDC
f2 AFC f2 StORAGE/ VOR% SiORm t22 t9 i t
STATION
VfMKSTATIOH
SECRETARY STATION STAT'a' tT2 fa• (
i65 i5f Ise t34 F AFpC f2
AFDC By[ f CSE AFDC
B2 RVI St
WORK STE2fKDC
ft
1IBM 5ff'
ygr
VowsTATEDN SUPERVISOR
AFDC r2
VOR)(STATION
149 f<
9rSI Tim flfi Ht ITS 9'-
6'
T'-6' _O' 6'-6• IS'-o' 4'-D' tl'-4' O It'-
o' '-
6' f8'-o' 12'-D' EB r
NOTE,
ALL
EK11 DOOR$ to HAVE PANIC HARDWARE, TYP. l 4•i-
3_-/F EXIBfIp PApaip NOTES TO
DRAWING H.R.S. FLOOR PLAN 1. CASHIER'
S BOOTH$ WITH ISSUANCE WINDOWS. REF. IRS SPECIFICATIONS REDUIREMENTS. 2, VAULT
AND VAULT DOOR, REF, IRS SPECIFICATIONS REOtltREMENtS. NOTE- TOTAL LEASE SPACE TO HAVE A STATE 3 BASE
AND WALL. CABINET, EIGHT FEET IN LENGTH WITH PLASTIC LAMINATE FINISµAPPROVED AUTOMATIC
SPRINKLER SYSTEM BASE CABINET
TO HAVE A DOUBLE COMPARTMENT STAINR,ESS STEEL SINK. a. EKISTNG
CONCRETE BLOCK VALL. s. aPEKING
IN EXISTING CONCRETE BLOCK WILL CONTRACTOR TO WSrALL A PRECAST BYMWL LEGEM> IL COERE tE
LINTEL WITH A MlNI}fM OF i ES STEEL REBAM REF. LENGTH DETAIL- EXIT SIGH/UCM MATTERS BACK-IP) Ij 6 CONCRE
iE BL.00K LOW WALL• Y-a' HIGH. REFERENCE" LECTEO C£KRNo KANt 7. EKTSTtNG
CONCRETE OOCK. EMERGENCY LIGHT `.
RffE11EMC£ REfLECTto
CE14Mo KA.Mt coA•„ -y
P
f IFEKISTIFG
ELECTRLCAL SERVICE AND PANELS. v..r CITIN ISH R SPACCO TIRE C%T1NgUlSHER SDACED AT 75' WK r•aVK.t Rnr.ICf A t 4.
PLYVOGD
AC GRAX 3/4' AS REWNE IRED FUR TELEPHONEPALS. FIRE .aaEMHA. •rr
NOTff TO i
f T
L to. LINE
OF
TILE PET. FtNiSHED SCNETRLC--- tJ- ott— t
t, ftMR
ARONNf EKrSTAN I ltlfPHOHE PANEL. PROVRE ACCESS FAME, FOR .—CNAMCf. watt SECT— I PARTITNON TYPE 6F.NERAL NOTES
rw[ oTEttu CRIrrACrol
CJ EtfVATgf Pfff"ACE
RAPE, SEE WTERIOP t EKTER SHEET, oOOA TYPE REPtNENCE
YAIR o0oR SC—o ,SHEEP Nyfr graFr FOPaIpCoo•ewaif aArH rK bIE}•, att. wf sHCr.Eargl OOMKWri ti(p01
rOopigrpPpPEtItEq COPwKrWCRrMgfP m SEE MIMOO}r
TYPE
REPERENCt PARK. fEf RWOOM fCN1EDOLE SHEET, P( Rp T
R STALLATMM Of ALl LTMO tlt COYNTERfETC. i Il rr REWRIENtMT{ TTI.fHftYMo• I C tMOR
GYP. W.
PPRT.KAN I c . _ :! ^v I
R •r*'E ... . - ii '"'." B } - E ct S
F-tisrvoc% ?Lpvj
A,qpj-scc qf3e
Demo
Vurw. W"
u NO SCALE
NOTEi
I. CAST
2. VAU
3. BASI
BASI
4. EXI'
5, OPE
CON
6. CON
T EXI!
EXI!
9. PLY
10. LINE
11. FUR
W%W-ftfts-
111l1111111111111111111111111111fill 1111 THISINSTRUMENTPREPAREDBY: Name:
f0. W /A,.ti0,P Address:
Aoo,0 K or Vic G
Q t2 L_ 2- NOTICE
OF COMMENCEMENT Permit
Number: Parcel
ID Number: C7il .- c? ^ Z OQ ^ 0010 GRANT
MALOYr SEMINOLE COUNTY CLERK
OF CIRCUIT COURT & COMPTROLLER BK
9153 Ps 1995 (1P9s) CLERK'
S s 2018068735 RECORDED
06/18/2018 08:05:04 AN RECORDING
FEES $10.00 RECORDED
BY hdevore 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. 1.
DESCRIPTION OF PROPERTY: (Legal description of the property and street address if available) 4lk
cli 111at.K.. LOTS I 4-Vra.-8k 1-1 t+nc- b n:. 4A-"\ uz:c.Z=L wY Jc Qldr a-uaycttrlp 4c Woe
Yta-* +h 2uca4- a.*> r`t.4=g-dCA f A PFtt-1 4. Pa ft9 .tit R,,.6,I.LL s cn•v \t,e 2.
GENERAL DESCRIPTION OF IMPROVEMENT: Z„yt 3.
OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: Name
and address: 2.tortp ',rj, t`,;, t avNdQ g'o'= 4. E.'r('f,q. Qel, 1. 32i F Interest
in property: Fee
Simple Title Holder (if other than owner listed above) Name: Address:
A,
CONTRACTOR: Name: al MI-4ACk ldk C.W IAL Phone Number: Address: « -
bb P 4 4e. —zT , +-W- 10-6 F-(— 5.
SURETY (If applicable, a copy of the payment bond is attached): Name: Address:
Amount of Bond: 6.
LENDER: Name: Phone Number: Address:
7.
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)(a)7., Florida Statutes. Name:
Phone Number: Address:
8.
In addition, Owner designates of to
receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Phone number: 9.
Expiration Date of Notice of Commencement (The expiration is 1 year from date of recording unless a different date is specified) WARNINGWN
ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED
IMP ER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING
TWICE FO IMPROVEMENTS TO YOUR PROPERTY, A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB
SITE BEFOR HE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR.LENDER OR AN ATTORNEY BEFORE
COMME ING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. State
of The
foregoing by
wrier
or lessee, or Owners or Lei Ofter/
Dredor/PartnerMtenager) P '
nt Name and Provide Signatory's TttM/Utace) 1s
County of C.71 qp nt
was acknowledged before me this -Z- 6 d day of Q 20 4 Name
or person maKmg statement who
has produced Identification type of identification produced: Who
Is personalty known to me 0 OR W
COMMISSION # GG 125566 EXPIRES:
October 3, 2021 Bonded
That Notary Public Und0rild"
C E' N'T R A L F L 0 R 11) A B U1 I L 1) 1 N G (11' 0 R 14.
July 6, 2018
2670 South Orlando Dr, LLC
2000 N Orange Ave., STF' , 100
Orlando, FI, 32804
Re: 2676 S Orlando
Central Florida Building Corp is submitting a proposal request from a site visit renovation of
existing space for a future Professional Medical Office. Central Florida Building Corp will
complete the pre -construction and construct project with the proper specifications and
quality of workmanship.
Description: Provide Pre construction and Construction of Interior Improvements for a
renovation of an existing space. Saw Cut Concrete for new toilet room locations, interior
walls, doors/ hardware, paint, millwork, Fire Alarm and sprinkler, new light fixtures, outlets
as needed, and plumbing as shown on plan. The total construction cost is below.
The following is a lump sum of.
EXCLUSIONS
1. Permit fees
2. Impact fees
3. Data Wire and Phone Systems
4. Any fees levied by local jurisdictions
5. Any F'ccs by Local water and electrical authorities.
6. As-Builts
7. Survey
Hazardous materials report
9. Environmental testing
PAYMENTS
122,500,00
Provide payment upon received application for payment on percentage of construction cost
from the A703—Schedule-value sprecd sheet. This can be approved by owner representative
or owner and can be submit in two week periods. Payment is upon receipt.
THIS PROPOSAL is for construction and design provided by Central Florida Building
Corporation, Inc.
All work will be done in strict accordance with governing bodies, codes and ordinances.
S R i, I 'I S i 1 1 11 1'0- !< %INIi I H.()R11')A - 3 1
ir (A,,NTRAI, H ()RIJ) \ VIA(),,\, I\,(",
Thank you very much for the opportunity to provide our services.
ACC ETTED BY:
Jeffrey Wolff, President
Dated:
INSPECTION SEQUENCE
BP# 18-2987
ADDRESS: 2676 S. Orlando Drive
BUILDING PERMIT
Min Max Inspection Description
Footer / Setback
Sternwall
10 Slab / Mono Slab
Lintel / Tie Beam / Fill Down Cell
Sheathing — Walls
Sheathing — Roof
Roof Dry In
20 Frame
Insulation Rough
Firewall Screw Pattern
30 Drywall / Sheetrock
Lath Inspection
Building Ceiling Air Barrier
Insulation Roof (Com'l)
Building Ceiling Grid
Final Roof
Final Stucco / Siding
Final Insulation
Final Firewall
Final Door
Final Window
Final Utility Building
Final Screen Structure
Final Pool Screen Enclosure
Pre -Demo
Final Demo
Final Single Family Residence
Final Commercial —
1000 Final Commercial — Addition / Alteration
Final Commercial — Change of Use
Final Building (Other)
Min Max 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
Min
N
Max Inspection Description
Rough Plumb
10 Plumbing Underground
20 Plumbing 2 "d Rough
Plumbing Tubset
Plumbing Sewer
Plumbing Grease Trap Rough
Plumbing Steam / Chill Water Rough
1000 Plumbing Final
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 Wrap
1000 Mechanical Final 777771
REVISED: June 2014
rz-
Ile PERMIT APPLICATION
0TY OF lu
S F OR a'i'v,
DIV 'ION680ILDING
Application No:
Documented Construction Value:
Job Address. — — ------- ---------- axif' Historic District: Yes No[]
Parcel ID: Residential 11 C ommercialmw!o
Type of Work: NewE] Addition U Alteration 11 Repair 1:1 DcmoE1 change of use El move El
Description of Work:
Plan Review Contact Person: Title: k
Phone: Fax:
11 Email:
Property Owner Information
Name Phone: . ..... ...... . ......
Street: Resident of property?
City, State Zip:, ------
Contractor Information
Name Phone: 'I
Street: Fax:
City, State Zip: State License No-
Street:
City, St, Zip: — ----------
Bonding Company:
Address:
Architect/Enginc-er Information
Phone:
Fax:
F-mail:
Mortgage Lender:
Address:
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROWMENTSTO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE "THE FIRST INSPECTION. IF YOU INTENDTO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NoTwE OF COMMENCEMENT
Application is hereby made to obtain a per'1111 to do the work and installations as indwatet1 I certify that nowork or installation hascommenced prior to the
issuance of a Permit and that all work will bt pci-lormed to meet standards of all laws regulating construction in thus jurisdiction, I understand that a
separate permit must lite secured for electrical work, plumbing, signs, wells, punts, furnaces, Imilers, heaters, tanks, and air conditioners, etc. 00
VBC: 105. t Shall be irrscrilxd with the date of application and the code in effect as of that date:6r" Edition (2017) Florida Budding, C;odc
N J,: In addition to the reclutretzaertts of this permit, there may he additional restr'wctrons apphcAilc to tills propeov that may be round in the public
records of this county, and there relax. Ice additional perttuts required front other poveruntental entities such as wetter owtiaproent districl state
agwricics, or federal at etrc ic°s.
Acceptance of pcorlit is verwficauort that I will ootily the: owner of the property of the requirements of Florida lien Law, FS 'i 13,
Tdtc: C.try of Sanford requires pavurent of a plan review fee at the time of permit submittal, A copy of the executed contract is required in order to
calcofatc: a pfeut review, ctt ti-ge and will be c oosictCrcd tktc cstimalcki (ronsll value of t1wlot) at the binc cif suttrnittat, Hie actual coostrut:tiott valve
will he figured haled oil the. current KV Valuation I`ahle ill effect tit the tittle the permit is issued, ill accordance with local ordinance, Shaalcl e:ticulatecl
hartcs tirured off the exec uteri coottact oxceed the actual comstru(tioo value, credit will be applied to your permit fees when the permit is issued,
C T: 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.
iig;naitureofowrroriAgent [Date t§tnat ai`('etrteatetrtt\}ent Date
Print Ctc„uertAp,cnt s Nasrte
a a
t h WCM 1 ( tSignaturecifNotarystave , of Horida Datc: `it P N tar' t ire ss1
MY
C;4MMISSION 0 GG030454 f ,
EXPIRES Setiterrib wr K 2020 C
wliierlAgeut is Persotlally KrioNvu to ;vie or C:outractor(Agetit is .. `` tersotially Kriowrl to Me or Produced
11) ._ ...__ Type of 11) _ . . Produced 11) Type of 11) _.,.._. BELOW
IS FOR C)FFICE USE ONLY Permits
Required: Building El Electrical El Mechatucal El Plumbing El Gas El Roof El Construction
Type: Occupancy Use: Flood Zane: Total.
Sq Ft of Itic g ....__ Min. Occupancy Load: .v_ .._.m_._ # of
New
Construction: Electric - # of Amps, Plumbing - # of i ictures_._._ Fire
Sprinkler Permit: Yes D No 1:1 of heads ---- ------ — APPROVALS:
ZONING: U"I"iEt'ru'S: ENGINEERING: ._
FIRE: COMMENTS:
Fire
Alarm Permit: Yes E] No E] WASTE
WA`I'I R: BUILDING
110- r, ri I if M17 Ta -76 N WWT, 17,
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 or after the indicated date, This is permission for a single transaction only, and does not
provide authorization for any additional unrelated debits or credits to your account.
Please complete the information below:
authorize the City of Sanford charge my credit card
account indicated below for -11111", - _ — on or after - ---- This payment is for
amount) (date)
ri.. .. ......
1-':
adc ress or parcel ID
Billing Address Phoned . ........... . ...
City, State, Zi, Email
Account Type: El Visa [4 Mastercard El AMEX El Discover
R.
Cardholder Name
Account Number.
Expiration Date
CcV
Billing Zipcode
M_
SIGNATURE DATE Fd
I authorize the above named business to charge the credit card indicated in this authorization form according to the terms outlined
above. This payment authorization is for the goods1services described above, for the amount indicated above only, and is valid for
one time use only, I certify that I am an authorized user of this credit card and that I will not dispute the payment with my credit card
company; so long as the transaction corresponds to the terms indicated in this form,
CITY OF
Building & Fire Prevention Division
AUG I s, 2S,kNFO PMMIT APPLICATION
FIliE
Application No:
Documented Construction Value: $ 23,785.00
Job Address: 2676 S. Orlando Dr. Historic District: YesEIN07
Parcel ID: 01-20-30-504-2200-0010 ResidentiaIF-ICommerciai'r-vf-"I
Type of Work: New[] AdditionD Alteration 7107 RepairF]Demoll Change of Use7 Moverl
Description of Work: Wiring of office space remodel per permitted plans, attaching to permit # 18-2987.
Plan Review Contact Person: Nicole Fusco Title: Commercial admin
Phone: 877-906-1113 ex. 1257 Fax: 407-585-1002 Email: commercial@stradaelectric.com
Property Owner Information
Name 2670 SOUTH ORLADO DR LLC Phone:
Street: 303 E WACKER DR STE 1040
City, State Zip: CHI GACO, I L 60601-5212
Name Joseph Strada
Street: 3400 St. Johns Pkwy.
City, State Zip. Sanford, FL 32771
Name:
Street:
City, St, Zip.
Bonding Company:
Address:
Resident of property? : No
Contractor Information
Phone: 877-906-1113
Fax: 407-585-1002
State License No.: EC 13003715
Arch ItectlE ngineer Information
Phone:
Fax:
E-mail:
Mortgage Lender:
Address:
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT,
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet standards of all laws regulating construction
in this jurisdiction. I understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools,
furnaces, boilers, beaters, 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: 611 Edition (2017) Florida Building Code
Revised: January 1, 20 1 & Permit Apptication
1 / I
NQJ—L(M: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be
found in the public records of this county, and there may be additional permits required from other governmental entities such as water
management districts, state agencies, or federal agencies.
Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713,
The City of Sanford requires payment of a plan review fee at the time of permit submittal. A copy of the executed contract is required
in order to calculate a plan review charge and will be considered the estimated construction value of the job at the time of submittal.
The actual construction value will be figured based on the current ICC Valuation Table in effect at the time the permit is issued, in
accordance with local ordinance, Should calculated charges figured off the executed contract exceed the actual construction value,
credit will be applied to your permit fees when the permit is issued,
OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will
be done in compliance with all applicable laws regulating construction and zoning.
signature of Owner/Agent Date
Print Owner/Agent's Name
Signature ofNetary-State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID - Type of ID
hdl
PRISCILLA ROSARIO
WCOMM9001,11#000"
EXPIRM APO 19,2D21
9014W Thm Not" Pyl* Uft*Mk"
Contractor/Agent is _(Personal ly Known to MO or
Produced __ Type ofID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building Electrical[] Mechanical[] PlumbingE] Gas[:] Roof[:]
Construction Type: Occupancy Use:
Total Sq Ft of Bldg: Min. Occupancy Load:
Flood Zone:
of Stories:
New Construction: Electric - # of Amps Plumbing - # of Fixtures,
Fire Sprinkler Permit: Yes[] NOE] # of Heads Fire Alarm Permit: Yes (] No
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES: WASTE WATER-.
FIRE: BUILDING:
Revised: January 1, 2018 Permit Application
FIRE INSPECTIONS CITY OF SANFORD
407,562.2786 BUILDING & FIRE PREVENTION
BUILDING INSPECTIONS 300 N PARK AVE
55.541'2112 SANFORD FL 32771
DRIVEWAYS -SIDEWALK 407.688,5080
Application Number . . . . 18-00002987 Date 8/16/18
Application pin number . . . 692667
Property Address . . . . . . 2676 ORLANDO DR
Parcel Number . . . . . . . . 01.20.30.504-2200-0010
Application type description INTERIOR COMMERCIAL REMODELING
Subdivision Name . . . . . . DREAMWOLD 2ND & 4TH SECTION
Property Zoning . . . . . . . GENERAL COMMERCIAL
Application valuation . . . . 122500
Application desc
noc on file
Owner Contractor
S ORLANDO DR , LLC CENTRAL FLORIDA BUILDING CORPO
815 MABBETTE ST STE 108
ORLANDO FL 32804 KISSIMMEE FL 34741
321) 445-2141 (321) 445-2141
Structure Information 000 000 ----------------------
Construction Type . . . . . IIB
Occupancy Type . . . . . . BUSINESS USE GROUP
Other struct info . , . . . SQUARE FOOTAGE 3500.00
Permit . . . . . . ELECTRIC PERMIT-ALTER/ADD/FIX
Additional desc . .
Phone Access Code 1071273
Permit pin number 1071273
Permit Fee 150.00
Issue Date . . . . 8/16/18 valuation 23785
Expiration Date . , 2/12/19
Qty Unit Charge Per Extension
BASE FEE 30.00
24.00 5.0000 THOU ELEC PERMIT-ORD 4137 11.24.08 120.00
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 25.00
01-APPLCTN FEE -BUILDING 25.00
01-APPLCTN FEE -PLUMBING 25.00
01-BLDG PLAN REVIEW 369.00
01-FIRE INSPECT-ALTER/RPR 175.00
WD IMPACT:COMMERCIAL 335.75
SD IMPACT:COMMERCIAL 756.25
01-BLDG DCA SURCHARGE 16.95
01-BLDG DBPR SURCHARGE 23.62
Fee summary Charged Paid Credited Due
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,
FIRE INSPECTIONS CITY OF SANFORD
407.562.2786 BUILDING FIRE PREVENTION
BUILDING INSPECTIONS 300 N PARK AVE
855.541,2112 SANFORD FL 32771
AIVEWAYS-SIDEWALK 407.688.5080
Page 2
Application Number . . . . 18-00002987 Date 8/16/18
Application pin number . . . 692667
Permit Fee Total 150.00 00 00 150.00
Other Fee Total 1751.57 1721.95 00 29.62
Grand Total 1901.57 1721.95 00 179.62
CITY OF SA16ORD BOIL
3UO N PARK AVE
WORD. A 32771
Merchant 10: $450
lerm 11; 2901 Store 11: 4616
Ref ti: 0003
Phone Order
XXXXXXXWXX3791
VISA Entry Method: Manual
Total: $ 179.62
08/17/18
Inv 0: 182387 Appr Code: 707165
Transaction ID: 3882236086610
Apprvd: Online BAN: 022
CW2 Code: MATCH M
I agree to Pay above total amount
according to card issuer agreement
Merchant agreement if credit voucher)
Oper: ANTONINIL Type: OC Drawer: I
Date: 8/17/18 01 Receipt no: 178204
Mcrc ),ant copy 2018 2987
2676 ORLANDO DR
SANFORD, FL 32773
BP BUILDING PERMIT RECEIPTS
179.62
CC CREDIT CARD $179.62
Total tendered $179.62
Total payment $179.62
FAILURE TO COMPLY WITH MECHANIC'S LEIN LAW CAN RESULT IN THE
PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS. Trans date: 8/17118 Time: 8:56:30
NOTE: ALL FEES MUST BE PAID PRIOR TO C.O. BEING ISSUED.
NOTE: PLEASE BE ADVISED ALL PERMITS MUST BE INSPECTED.
or
qk
A
QIE'T "?`O'
ruilding & Fire Prevention Division
PERMIT APPLICATION
Application No:
Documented Construction Value: $ 1:_7-
Job Address: _L.Q-j Q_c C_1 . - P_ Historic District: YesF-]No
Parcel ID:
Type of Work: NewElAdditionElAlteration
Residential[] Commercial[21
Repairo Demo[] Change of Use[] MoveD
Description of Work: Tz OA -;Z, I ? C-)
Plan Review Contact Person: Heather Burkhart
Phone: 407-323-4200 Fax: 407-328-8931
Title: Permit Tech
Email: permifting@southernfire. net
Property Owner I"formation
Name 2.CQ732L. Phone:
Street: P, Resident of property? CI)CD
City, State lip:
Name
Contractor Information
Southern Fire Protection of Orlando PWM : 407-323-4200
Street: 3801 E SR 46
City, State Zip: Sanford, FL 32771
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Fax: 407-328-893',
State License No.: FPC 12-000152
Architect/Engineer Information
Phone:
Fax:
E-mail:
Mortgage Lender:
Address:
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY, A NOTICE OF COMMENCEMENT MUST BE
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
Application is hereby rnade 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 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. 10'
FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that da tei-6" Edition (2017) Florida Building Code
Nc_
Rcviscd, January 1, 2018 ee 11crinit Application
W, . -
NOTICE: In addition to the req1tifi-ements 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'Santord requires payment ot'a plan review ice 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'OwncrrAgcnt Datc
Print Owner/Agent's Name
Signature o(`Notary-State of Florida Dare
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
SLWWff rurcof get]( )a I c
I--
Pnr l Conl,,, 1,),/Age,,C , Name
Signature Norfqq R EE t3tJtFkARi
SIGN 4 ' GGO 14767
EXPIRES July 24, 2020
Contractor/Agent is'ersonally Known to Me or
Produced ID Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building[] ElectricaIE] Mechanical[] PlumbingE] Gas F] Roof]
Construction Type:
Total Sq Ft of Bldg:
Occupancy Use:
Min. Occupancy Load:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes El No El # of Heads
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
Flood Zone:
of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: YesE] NO[]
UTILITIES: WASTE WATER:
FIRE: BUILDING,
Revised: January 1, 2018 Permit Application
SOUTFIR-02 TYLER$,
TE(M wrioly
CERTIFICATE OF LIABILDAITY INSURANCE1-2/2,94,2917I'Yy
I, THIS
CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES I BELOW,
THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE
OR PRODUCER, AND THE CERTIFICATE HOLDER, IMPORTANT:
If the certificate holder is an ADDITIONAL INSURED, the poficy(ies) roust have ADDITIONAL INSURED provisions or be endorsed. If
SUBROGATION IS WAIVED, subject to the to and conditions of the policy, certain policies may require an endorsement. A statement on this
certificate does not confer 0 fits to the certificate holder in lieu of such endorse ont S) C2NTA(.,
T PRODUCER
N ME Insurance
Office of America, Inc. PHONE FAX 1856
West State Road 434 (A/C, Nc, Exty (800) 243-6899 JA;C , N.) (407) 788-7933 F-
MAIL Longwood,
FL 32750 ADDRES& tFISURER(
Si AFFORDIING GOVIERAGE NAIC N INSURER
A Everest Indemnity Insurance Company 10851 INSURFA)
INSURER B: Auto -Owners Insurance Company 18988 Southern
Fire Protection of Orlando, Inc, INSURER C Landmark American Insurance Company 33138 3801
E. State Road 46 INSURER D Zenith Insurance Company 13269 Sanford,
FL 32771-9165 tNSLIR(-',
R E NSURER
F-- -- ------ - --- -- - ---- --------- - - ------- --- ------ - --- COVERAGES
CERTIFICATE NUMBER: REVISION NUMBER: I
HIS IS TO CERTIFY THAT' THE POLICIES OF INSURANCE LISTED BELOW HAVEBEEN ISSUED TO THE iNSLIRED NANiED ABOVE FORTHE POLICY PERIOD INDICATED' NOTVVITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ACONTRACT ANY CACT OROTHERDOCUMENT WITH, RESPECT TO 1M-11CH THIS CERTIFICATE MAY BF
ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICI&S DESCRIBET) HER IN IS SUBJECT Tip Ali THE TERMS, EXCLUSIONS AND CONDITIONS
OF SUCH POLICIES LIMITS SHOWNIMAY HAVE BEEN REDUCED BY PAID CLAIMS INSR AIDDL SUBR
POLICY EFF POLICY EXP TYPE OINSURANCE OLICY
NMRER ff----- ---- LWIls I H_ JKMIOAYyO,-
AffiXJY -
A X COMMERCIAL
GENERALLfABILITY 1,000,000, - CtAWO, MAIN, X
OCCUR x 0110112018 0110112019 DAIAGT, F 1-) ,0001 PRFOO,A& $Oa,,aRNF500IMEDEXP (Anyone perconT 10,000l
i1i-RS0NiU & ADV N,A)
RY 1,
000,000 $ 1 2,0000001 AINI 1GGRf-,,T,A1E iJN1N'
4,PKPOORGENERAI, Af-,GREGATE 2,0000001 X PRODUCTS $ : B GOMBINa accideEI
SJN(',LLJMiTAUTOMOBILE
LIABK-NY iFJA)
S X ANY AU'
I-0 x 5155651000 01101/
2018 01/0112019 BOPiLY iNJURY S OINKED SCHEDULED AU70SIDNLY A'TI,')C, OICYTtY INJURY (
Pe, accxie,
in S X Nip'-p X IROPER y DAMAGE AU 1'
6S ONLY A Per acQdent) 1 C
UMBRELLA LIAB X "o'c'CoR F,
ACil (x_,CURRE,NU5 X EXCESS LIAR c',,vws O"'Ut x LHAO81757 0110112018
0110V2019 4GGRtGATE 10,000,000l L)L[-, X RFTENTIONw 0 WORITFAS COMPENSATION $PFR OTFr, —T A', AND
EMPLOYr-AS'LIAMLITY YiN Z071831007
0110112018 0110112019 L t,
EACH AG'Cti)ENT kNY 1,
000,000l FLiCERAIEMW? fXCLIUDFJ)? N NIA Manaitoryln W F LDISFAM, CA EN01i (D'
YC IT, 1,000,0001
desw"Wund g 1,000,000 I OESCRIPT*N OF OPERATIONS I LOCATIONS
i VEHICLES (AGORO 101, AddibonaI Remarks SchedWe
g"ay bt) attached if mom space is reciuiiredi City of Sanford is additional Insured as respects general liability per forms ECG26583
07104 # ECG20598 05/09 and for auto liability as required by written contract. Umbrella is excess over GL, Auto and workers compensationlemployers liability. J(407)
688-5041 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED
BEFORE THF EXPIRATION DATE
THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY
PROVISIONS. A1,11HORIZIEDRIFIRRESENTATIVE City of Sanford P 0 Box
1788 ACORD 25 (2016103) @
1988-2015
ACORD CORPORATION. All
rights reserved, The ACORD
name and logo are registered marks of ACORD
SEMINOLE COUNTY BUSINESSTAX RECEIPT
NB
V
VALID THROUGH 09/30/19
SOUTHERN FIRE PROTECTION OF ORLANDO INC
3801 E SR 46 Account #:053465
SANFORD, FL 32771
REGULATED
LEONARD M HOLLIS (PRES) License # - 740723000290/190
Qualifier- LEONARD HOLLIS
Receipt #: OLHS2018082200397 Amount Paid: $ 45.00 Date Paid: 08/22/2018
Jimmy Patronis
CHIEF FINANCIAL OFFICER
Julius Halas
DIVISION DIRECTOR
Casia Sinco
BUREAU CHIEF
Keith McCarthv
SAFETY PROGRAM MANAGER
FLORIDA DEPARTMENT OF FINANCIAL SERVICES
DIVISION OF STATE FIRE MARSHAL
200 East Gaines Strict - Tallahassee, Florida 32399-0342
Te1- 850-413-3644 Fax. 850410-2467
THIS CERTIFIES THAT:
CERTIFICATE OF COMPETENCY
OFFICIAL COPY
Kevin R Rodebaugh
0-rore][WINVEW"Aw
BUSINESS ORGANIZATION: Southern Fire Protection
Contractor I includes the execution of contracts requiring the ability, experience, knowledge, science, and
skill to intelligently layout, fabricate, install, inspect, alter, repair, or service all types of Fire Protection
Systems, excluding Pre -Engineered Systems.
Issue Date:
Type:
Class:
County:
License/Permit
Expiration Date
07/01/2018
07
10
Seminole
FPC 12-000152
06/30/2020
Central Florida Building Corp.
815 Mabbette St., Suite 108
Kissimmee, FL 34741
Phone: (314) 556-4770
Fax: (407)
Email: kevin(a) ,,cfbsolutions,com
Attn: Kevin Schneider
From: Jcf*f Caldwell
Date: 7/18/18
a 0 0 . I #LOW
Seller hereby submits specifications and estimates to provide labor and materials to
1. Isolate and drain the fire sprinkler system.
2. Add and relocate fire sprinkler heads due to the ceiling and wall modifications shown on plan
A 101 and A201 dated 6/20/18.
Total: $5,368.00
Note: Design, permit, and inspection fees are included in this proposal.
All work will be performed in strict accordance with N.F.P,A, 13, and all applicable local codes.
All piping- will tricet ASTM A 120 and ASTM A 135 standards,
The followiniz are succificaliv excluded:
I . Patching and painting of drywall
1 Relocating of existing mains and branch lines.
3. Centering of sprinklers in ceiling tiles.
4. Replacement of ceiling tiles.
5. Removal of piping
6. Concealed sprinkler heads
7. hydraulic Calculations
Sealed Drawings
9. Fire Watch
Labor: All work will be done by skilled, A.B,C./F.A,S,,r, (Florida Automatic Sprinkler Training) sprinkler fitters,
without union affiliation, Burin normal business hours, and when complete will be subject to inspection by the
local fire department.
Accepted by: Date:
Credibility # Integrity-
Southern Fire Protection of Orlando, Inc.
3801 E. SR 46, SANFORD, Fl, 32771-9155
PHONE: (407) 323-4200
FAX: (407) 328-8931
EMERGENCY: (407) 328-2912
LIMITED POWER OF ATTORNEY
A 'SaC):EQ)Cc1 Building Department
SP'ot- mnex- 7-) 2018
1 1
I hereby name and appoint the following:
Anton Mihelic, Brian Moore, anor Jeremy Wilkerson, Chris!Caldwell, Vince Hollis, Kenny
Callaghan, Les Jones, Lou Mirenda, David Dewey, Kent Bowman, Edward Russel, Fred
Griffin and/or Joseph A. Mello, Joseph Gracey, William Martin Printed Name Of
Appointee(s) Southern Fire Protection of Orlando, Inc. Company Name of Appointee To
be my lawful attorney -in -fact to act for me in submitting and receiving CommerciaVResidential Permitting,
and to do all things necessary to this appointment. C5]
CQ LflcncQ U6_I_cProject Name Z
o a C y nocic Ub r. Project Address Signed: . . ....
By_
kevin It augh Vice
President A
License # FPC12-000152 a —
WITNESS
WITNESS
State
of Florida County
of Seminole Sworn
to and subscribed before me this 15tom —day of 'OcAeMD:QI,2018 By
Kevin Rodebaugh who is personally known to me. H,
EATHER LE'L 0
ary Public My
Commissi&t-EVires:
NOTICE OF COMMENCEMENT
1 ermlt Number -
Peres! 10 Number.iP r r>QtP
GRANT 11ALOYP SEMINOLE COUNTY
CLEPK OF CIRCUIT COURT & COMPTROLLER
BV ?153 Ps 1??5 (jPqs)
CLERK'S ' 2018068735
RECORDED 06/18/2611, 081:05,
RECORDING FEES II10.00
RECORDED BY hdevori
The undersigned hereby gives notice that improvement wiq be made to cartain real Property, and in accordance with Chapter 713, Florida Statutes, the
following information Is provided in this Notice of Commencement-
1DESCRIPTION OF PROPERTY- (Legal description of the pro;*q and street address if avaitable) 1
06 -104c, t>C'jf, 0
C4.4 OKA 2GENERAL
DESCRIPTION OF IMPROr->rXS 3OWNER INFORMA"ON
OR LESSEE. INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT. Name and address: 94a-
mic, Ci C, Fee Simple Title Hokf*
r (if other than owner listed above) Namw Address: 4. CONTRACTOR: 2Name:
a4
FVC44d!r VtPhone Number: Add 135 - ress 15V5 fn'
r-
5,
SURETY (If appil"ble,#
copy of the payment bond Is snached): Name: Address: Amount of Bond: 6,
LENDER. NPhone Number. Address:
7, Persons within the State
of
Florida Designated by Owner upon whom notice or other documents may be served as provided by Section 71313(1)(a)7.. Florida Statutes.
Namw Phone Number Address: 8, In
addition, Owner designates
of --------
to receive a copy of the
Lianoir's Notice as provided in Section 713,13(1)(b), Ftorida Statutes. Phone number: 9. Expiration Date of Notice of
Commencement (The expiration is I year from date of rding unless a different date is specified) M ie EC'Ljj='=j6 County
of
was
soknowledged before me
this C4 -
day of Mono of porsan
M"
aw summwq
who has produced Identification 0 type
of Identification producerV Who Is personally known to me
0 OR
I
WUMM Pro n-ty_Rpfi,p,n,,!, qarq'
Parcel Information Value Summary
Parcel 01-20-30-504-2200-0010 2018 Working 2017 Coertified
Owner(s) 2670 SOUTH ORLANDO DR LLC
Values Values
Valuation Method Income Income
Property Address 2688 ORLANDO DR SANFORD, FL 32771
Number of Buildings 3 3
Mailing 303 E WACKER DR STE 1040 CHICAGO, IL 60601-5212
Depreciated Bldg Value
Subdivision Name
Depreciated EXFT Value
Tax DM-0 S4-SANFORD- 17-92 REDVDST
Land Value (Market)
DOR Use Code 17-ONE STORY OFFICE NON -PROF
Land Value Ag
Exemptions 1,860,276 $923,413
60 60 60 06 60 w
6 17 11 232122
24
45
ac RIK
4
9 8 7 6 5 4 ..............
as F"C' ) QJ N, 61)
LOTS 1 - 8 & 18 - 27 (LESS
PT LOTS 24 TO 27 DESC AS BEG SE COR
LOT 27 RUN W 86.07 FT N 228.39 FT
ELY ON CURVE 216.45 FT 8 10 FT S
31 DEG 48 MIN 31 SEC W 5025 FT TO
BEG} BLK22
DREAMWOLD
PB 4 PG 99
Taxes
Taxing Authority
County General Fund
Schools
City Sanford
SJWM(Salnt Johns Water Management)
County Bonds
Sales
Description Date
SPECIAL WARRANTY DEED 111/2018
QUIT CLAIM DEED 9/1/1989
CERTIFICATE OF TITLE 11/111988
WARRANTY DEED 9/111984
WARRANTY DEED 11/1/1981
Land
Method Frontage Depth
SQUARE FEET 0.00
Portability Adj
Save Our Homes Adj $0 $0
Amendment I Adj $844,522 $0
P&G Adj $0 $0
Assessed Value $1,015,754 $923,413
Tax Amount without SOH: $17,583.00
17,583.00
Save Our Homes Savings: $0.00
Does NOT INCLUDE Non Ad Valorem Assessments
Assessment Value Exempt Values Taxable Value
1,015,754 0 1,015,754
1,860,276 0 1,8W,276
1,015.754 0 1,015,754
1,015,754 0 1,015,754
1,015,754 0 1,015,754
Book Page Amount Qualified Vactimp,
2,200,000 Yes Improved
375,700 No Improved
100 No Improved
715,000 Yes Improved
725.000 No Improved
Units Units Price Land Value
0.00 128938 $5.00 $547,987
a^
Building InIlbrouttion
Year BuiltDescription Stories Total SF Ext Wall Adj valueActual/Effective Repi Value Appendages
1 MASONRY 1971 1 14,136 CONCRETE BLOCK -STUCCO - $527,798 1,199.542 Dow3j tlm Area
PILASTER, MASONRY
LOADING PLATFORM 300,00CANOPY
OPEN PORCH 1464.00FINISHED
2 MASONRY 1971 1 11,880 CONCRETEBLOCK-STUCCO - $318,637 724,176 Description Area
PILASTER. MASONRY
OPEN PORCH FINISHED 880.00
3 MASONRY 1971 1 13,160 CONCRETE BLOCK -STUCCO - $469,779 1,067,679 Description AreaPILASTER, MASONRY
OPEN PORCH FINISHED 224.00
Permits
Permit # Description Agency Amount CO Date Permit Date
02599 INTERIOR REMODEL- 2674 ORLANDO DR SANFORD 210.000 712412018
01760 DEMO WALLS & FLOORS- 2670 ORLANDO DR SANFORD 38,330 4125f2018
01718 FENCE. PAD PER PERMIT: 2680 - 2682 ORLANDO DR. SANFORD 7,129 7/7/2015
00118 HEIGHT REDUCTION OF PYLON SIGN; PAD PER PERMIT 2690 S ORLANDO DR SANFORD 2,254 11 r29r2W7
02875 MAIN BUILDING ID SIGN 8 ELECTRICAL; PAD PER PERMIT 2670 S ORLANDO DR SANFORD 9.000 8/1/2007
02647 INSTALLING FIRE SPRINKLER SYSTEM; PAD PER PERMIT 2670 S ORLANDO DR SANFORD 2,500 7 7
01676
INTERIOR BUILDOUT - CARQUEST; PAD PER PERMIT 2670 S ORLANDO AVE REVIEW (1600) SANFORD 12,000 71WM7 5124f2007INTFINISHONBLDG #2
02975 REROOF SANFORD 6,000 8/27/2004
02656 ADDITIONAL OFFICES (5); 1,5W SO FT; PAD PER PERMIT 2690 ORLANDO DR PARKLAND SANFORD 5,000 8/3/1999 6/1/1999CENTERREANCHPULLDRAWING
01279 INTERIOR BUILD -OUT AS PER PLANS; 2700 SO FT; PAD PER PERMIT 2690 S ORLANDO AVE SANFORD 4,5W 2/1/1999
Page 1 of 2 (16 items) (I]
P.M* daft 4-0.09W4W mom dq $*.* We C—*,f P,0pw1y Appr*W. office. F« dam. «m.d +• • pe-K pf r —K t d. ft0fto dapwtment mma w O"W i. wdticn dro pmwQy 1. k,....cd.
Extra Features
Description Year Built Units Value New Cost
COMMERCIAL CONCRETE DR 4 IN 8/111996 7,168 6,871 15,268
COMMERCIAL CONCRETE DR 4 IN 8/1/1996 3,968 3,803 8,452
WALKS CONC COMM 12/1/1979 992 1,314 3,284
COMMERCIAL ASPHALT DR 2 IN 12/111979 58,654 21,350 53,375
SOUTHERN FIRE PROTECTIORT, INC.
3801 E. State Road 46
Sar1ford, Florida 32771
TELEPHONE (407) 323-4200
FAX (407) 328-8931
BN
DEPARTMENT!ATTN.- PERMIT
MINN
76 ORLANDO AVE
SANFORD,
WE Ai E SENDING YOU E]Attached ® Under separate cover via the follauring items:
Shop draunngs ® Prints ElPlans ElSamples Speci/ioations ElLetter E]
Change order El CERnFICATE OF
CONTRACTOR MAINE
i .
ATTORNEY
il l •
sr APPRAISER
PROPERTY MEMO
N077CE OF
COMMENCEMENT O® FM
PROTECTION
SHOP DRA mNGS EQUIPMENT MERIN
HYDRAULIC
THESE ARE
TRANSMITTED as checked below. 0For approval ®
Approved as submitted Resubmit copies for approval For your
use Approved as noted j Submit copies for distribution As requested
Returned for corrections Return corrected booklet For review
and comment PRINTS RETURNED
AFTER LOAN IX) US RE: COPY
TO:
FILE SIGNED. HEATHER BURKHART
CITY OF
Sk 40RD Buildin Fire Prevention DiWIVIon
c Irr me r ial --MEP 'e rm t Card
At_ w..._ r ITx1'Ckwa
CONTRACTOR: '
w.
Icrlf AI)I)R:Sc
I' st 4hts F+ tacit ire ec r e t¢ ux k ttrtui €uai r fir € , ave ;dl n ui ut act i zit+€ FY c a cto ! € Frs+t 1fiwcuai anit t € s tatth , tttitt tart tt a+xs rtt 're, snc ttaha f trd>r 3 t + tau €ar €fie s e is w ct.r
PRC TC°T FRC?AI Y°'
I,.C"TRIC` PI:Er;4IBIi C: _
tAtddaX4l1P ,4+t7arr' rt ' Afie x p #3 t lfti 4A it sfF)t 73ti RaFZrtiO.!,.....:..h`17 £,!_t1 tt^.tIt, tWR
t Cl(I I I! SI At3 SITT1 IICIND
t°LLCIRIC UNt)FS ORt}UN €9't I S4I I ttt I)t12{rt2itl N )
n.._.
t I tC IRIC WALL RO Ott€t NI t}NMINGROUGH
w ...... _
k t t I% IC # t €t Itvtt tJUtrll I'I It4AING'?vl R(A GH
PRE I't}W R INSt'I C I )Iv' I'I t MI,1 `6 FINAL
CIIANGE CIF St RV1Cl ROOV STORM DRAIN
TEMPORARYMPORARI P O F 14Afst 710t 1211",. ELECTRIC[`«
z ltw tl(IF S t( 4! DRAIN RO 61I 1
CIfAtVICA iR0OV S'Iti M DRAIN kINAt i ltkt
ttra rte GAS
i
tt NICAI RtA1014 4
4' Mt
C tt FIRE I)tlsMPFR ANC)I I ( wM ._ .. .. , } _....._._ t Fi ? l i il7€ i2ftF2Q C "73 itt'INO na., . .............. ME
tt Ftt D1MPEIR @ k2F1Tx«iF C 1S t?E e,tE fla o-..
MU
II C UII ING R0tJGtl S3I I)€C,4t tt 1S ROUGH tG#I I MEC
It INSULATION WRAP ISII IIIC tt 4a 4S FINAL I .. ._ _.......... t
raw w
NIF04ANICAL
11`tri€ SPEC faAl. MISCELLANEOUS AEC)[r+ IIOOD
SYSTEM P'+#dAt} AtFlt r*tx? J'44+'et i!F#c" r
crrctArara srxr,tt r a ,rzz €a r r r PI'I NS I illoN H000SYSt°
tMFait_€t31t € t.,A*I°t txC I t4iA!' II61ItAVAlURT
S'I' 1_.__.. ..
tr l 4SI Itttt I2C tall IN I
It ?I? SYSTEM I IN hl ]GR ASt i R P € UNAI : WARNING
TO C)WNFR: YOUR FAILURE TO RI¢(`CIRf) A NOTICE OF CONIMFNCI< TENT MAY R SU1,T IN YOUR PAYING
TWICE F(,)R IIAMPRt)Vf¢IAiI":NT8 TO YOUR PROPFR"ITY. A NOTICE Of (Mt'l!MMI IwI 'P`IIr%NT MUST OF RI
CC)RI) I) AND POSTCO 1€ N THE OR SITE BEFORE TIIF FIRST INSPECTION. -I IFYOU INTEND TO OBTAIN FINANCING,
CONSULT WIT" YOUR LENDER OR AN A`I"TORNEV IIC'I*ORP u`OVa NOTICE Or, Tlr
A4-q)1V t) gt{. Im 01 wk,t ;Nt4{8t'DO&k1fi"'Ov, rf F4,'w1` m's00i I}i*'Afiiksmm. vo_l Iow,P%(,f`FP, tV 0, i a T ate) Ot 10UNfh a R Yi ,. < lt khtali ictsr,Ca4 idF tF'.LSt t.f.R`i' AND 73tfik 2n dtiret,Rx?:,t±."<2 f'i Ps'.hs"4 d?*f,. Ea67+',L3itEE #£3`.R4s€,t1G: .:ti"3t, +tfi65%'Citkt{Q bx t'ti to tl,RttiYt 3ta4`e4txP f, stt£.ICT" AFSt2: $,ta@;t"tfz§bt t&"I}$FkAt ,A#'Sf apt Yf :C#`t#i'R att Y$l,
Y A++FIF; Ps 3t fartuaium lix,
a€+"avk td'^r eafi,'dd.dt#3
CITY OF SANFORD BUILDING AND FIRE PREVENTION DIVISION
FIRE PLAN REVIEW SERVICE FEES
PHONE: 407.688.5052
FAX: 407.688.5051
DATE: NUMBER: PERMIT NUM
BUSINESS/PROJECT NAME:
ADDRESS:
CONTACT NAME: PHONE:
PLAN REVIEW INFORMATION
CONSTRUCTION [ ]C/O [ ] FIRE ALARM U/FIRE SPRINKLER I HOOD [ ]PAINT BOOTH ]TANK
DOES 20% REDUCTION IN FIRE IMPACT FEES APPLY: YES
TOTAL FEES:
Model F1 FR56 Sprinkler Types
Standard Upright
Standard Pendent
Conventional
Vertica|SidawoU
Horizontal Sidewall
ModeUF1 FR56 Recessed Sprinkler Types
StamdandPondenVF1/F2/FP
Huhzon\a|SidawaU
Model F1 FR56 Concealed Sprinkler Types
Standard Pendent
Model FlFR42, FIFRXK-H &FIFR28 Sprinkler
Types
Standard Upright
Standard Pendent
Model F1 FR42, F1 FRXLH & F1 FR28 Recessed
Sprinkler Types
Standard Pendent
Model F1 FR56LL & F1 FR42LL Low Lead Sprinkler
TYPW
Standard Pendent
Less than 0.25% Lead Content
Listing & Approvals
1. Undanw/iky/n Laboratories Inc. and Certified for
Canada(rULuu).
2. Factory Mutual Approvals (FM)
3. Loss Prevention Council (LPCB.UK)
4. VdSSohud*nverhO\ungGmbH
5. *NSF Certified toNSF/ANSiStandard G1Annex G UL Listing
Category Sprinklers, Automatic &
Open (VN|V) Quick Response
Sprinkler Product Description
Reliable Models
F1FR68.F1FR5GLL.F1FR42.F1FR42LL. F1FRXLH&F1FR2OSeries
Sprinklers are quick response sprinklers which combine
the durability ofa standard sprin- kler with the
attractive low profile ofadecorative, sprinkler. The Models F1FR56. F1FR50LL,
F1FR42, F1FR42LL. F1FRXLH&F1FR28Series Recessed automatic
sprinklers utilize a3.Ommfrangible glass bulb,
These sprinklers have demonstrated response times inlaboratory tests which
are five to ten times faster than standard
response sprinklers, This quick response enables the Model F1FR58.
F1FR58LL. F1FR42, F1FR42LL, F1FRXLH& F1FR28Senessprinklers Model u u
Series Quick mn u~~~-~~~
Standard m o " n-~~~
Uprig P d
mConventionalVertical Sidmwall
Mmizonta|SigmwU Recessed PendenVF1/F2
Recessed Concealed Recessed Hmizon/a|
SiUmwn|| Pendent
Pendent/FP XLH
Upright XLH Pendent toapply water toufire
much faster than standard
sprinklers of the same tem- perature mting. The
glass bulb consists ofon accu- rately
controlled amount
ofspecial fluid hermetically sealed inside aprecisely
L manufactured glass capsule. This glass
XLHReoeueed bulb iospecially constructed toprovide Pendent
FP fast thermal response. At normal
tmnpe/atuom, the glass bulb contains the
fluid inboth |holiquid
and vapor phases, The vapor phase can boseen eoasmall bubble.
Anheat ioapplied, the liquid expands, forcing the bubble smaller and
smaller uethe liq- uid pressure increases. Continued heating forces the
liquid 0opush out against the bulb, causing the glass tushatter,
opening the waterway and allowing the deflector to
distrib- ute the discharging water. The Reliable Automatic Sprinkler Co.,
Unc.,1D3Fairview Park Drive, EIDlGf0rd.New York 1O523
Application
Quick naoponm* sprinklers any used in fixed Una protection systems: Wet, Dry, Deluge or Pn*actinn. Cane must be
exercised that the orifice size, temperature rating, deflector style and sprinkler type are in accordance with the latest
published standards of the National Fire Protection Association or the approving Authority Having Jurisdiction. Quick
response sprinklers are intended for installation as specified in NFPA 13. Quick response sprinklers and standard re-
sponse sprinklers should not be intermixed.
Pin tle
XLH Only)
Deflector
Lood Screw
Wosher
Bulb
Frcme Cup
Model 1--II-K42, Fll-HXI,,H Upright
Technical data:
Models Discharge Coefficient Response
Thread
Max.
Working
Min'
Working
Temperature
Finish
Size
Pressure Pressure Rating
F1 FRXLH Ratings" Table.
Low Lead Sprinklers available only with 'temperature Rating ouor/9nr,
Frame Deflector Load Screw *Pintle Cup Washer Bulb
DZR Brass CDA Alloy 260,
CDA Alloy 360 ODA Alloy 360 GDA Alloy 651 Nickel Alloy 440 or Alloy 360
QM Brass CDA Alloy 220
or Or or coated with PTFE Adhesive Glass
Low Lead Brass
or
CDA Alloy 544 Gil -)A Alloy 544 GOA Alloy 693 Tape
Material Data:
Model F1 FR56, Upright, Pendent & Conventional Sprinklers
Model F1FR42, F1FRXLH & FIFR28 Upright & Pendent Sprinklers
Installation Wrench: Model D Sprinkler Wrench
Installation Data:
Nominal
Orifice
Thread Nominal K Factor Sprinkler Approval
Sprinkler Identification Number
SIN)
Size US Metric Height Organization Upright Pendent
Standard -Upright (SSU) and Pendent Deflectors Marked to Indicate Position
1/2" (1 5mm) (11 1/2" NPT (R1/2) 5.6 80 2.25" (57mm) 1,2,3.4 RA1425( 1)(243)(41 RA1414( 1)(2)(3)(4)
7/16" (10mm) 1/2" NPT (R1/2) 4.2 2.25" (57mm) 1 RA1423010) RA1413 (41
3/8" (1 Omm) 1/2" NPT (R1/2) 2.8
60
40 2.25" (57mm) I RA1421' 1 {4} RA141 10
Conventional -Install in Upright or Pendent Position
15mm 1/2" NPT (R1/2) 5.6 80 57mm 3,4 RA14750)
cULus listed corrosion resistant (Polyester coated) sprinkler.
Polyester coated FM approved sprinkler.
Polyester coated LPCB & VdS approved sprinkler RA1425, RA1414 & RA1475.
Electroless Nickel PTFE (TeflonO)' Plated - cULus listed Corrosion Resistant
q
Upright Pendent
Model F1 FR56LL & F1 FR42LL Pendent Sprinklers
Installation Wrench: Model D Sprinkler Wrench
Installation Data:
Conventional
Nominal Thread Nominal K Factor Sprinkler Approval
Sprinkler Identification Number
SIN)
Orifice
Size US Metric Height Organization Pendent
Standard -Pendent Deflectors Marked to Indicate Position
1/2" (15 1/2" NPT (RI/2 5.6 80 2,25" (57mm) 15 RA1415
7116" (fm,mmm) 1/2"NPT (Rl/2) 42 60 2,25" (57mm) 1,5 RA1410
0! cULus listed corrosion resistant (Polyester coated) sprinkler,
DuPont Registered Trademark
113.
Model F1 FR56, F1 FR42, F1 FRXLH & F1 FR28 Quick Response Recessed Pendent Sprinkler(')
Installation Wrench: Model GFR2 Sprinkler Wrench
Installation Data:
Nominal Thread — ----- K Factor Sprinkler Sprinkler Identification Number
Orifice Size us Metric Height (SIN)
1/2" (15mm) 1/2" NPT(RI/2) 5.6 80 2,25" (57mrn) RA1414
7/16" (1 Ornm) 112" NPT (R1/2) 4,2 60 2.25" (57mm) RA1413
3/8" (1 Ornm) I l 2.8 40 2,25" (57mm) RA 1411
Refer to escutcheon data table for approvals & dimensions
Model F1 FR56LL & F1 FR42LL Quick Response Recessed Pendent Sprinkler0)
Installation Wrench: Model GFR2 Sprinkler Wrench
Installation Data:
Nominal Thread K Factor Sprinkler Sprinkler Identification Number
Orifice Size us Metric Height (SIN)
1/2" (15mm) 112" NPT(RI/2) 5.6 80 2.25" (57mm) RA1415
7/16" (1 Omm) 112" NPT (R1/2) 4.2 60 2,25" (57mm) RA1410
Refer to escutcheon data table for approvals & dimensions
mooei I- it-hbb. r I t-WDbLL, 1-]hH42, [-I h-H421-1-, I- I 1-HXUI &
FlFR28 F1 or F2
ttc S
WCESS - I T25 mJ
Model F1FR56, F1FR56LL, FIFR42, F1FR42LL, FlFRXLH &
F I FR28 FP
Model F1 FR56 Quick Response Vertical Sidewall Sprinkler
Installation Wrench: Model D Sprinkler Wrench
Installation Position: Upright or Pendent
Approval Type: Light Hazard Occupancy
Installation Data:
Nominal
Nominal K Factor--,--
Sprinkler Approval
Sprinkler
Orifice
Thread Size
us metric Height Organizations
Identification
Numbers (SIN)
15mm) 1/2" NPT (R 112) 5.6 80 2,25" (57mm) 1,2.3
RA1485(10)
15mm 1/2" NPT (R1/2) 5.6 80 _2.25" (57mm 3M
LPC Approval is for pendent position only.
cULus Listed corrosion resistant (Polyester coated) sprinkler.
Electroless Nickel PTFE (TeflonO)* Plated - cULus listed Corrosion Resistant
Sprinkler Type Deflector , ——to CeilingDistanceUpright
4'- 112"X305mmPendent ,) 4'—'(-10-J1022mm) - 12" (305mm) Vertical
Sidewall DuPont
Registered Trademark 4,
Model F1 FR56 Quick Response Horizontal Sidewall Sprinkler
Deflector: HSW
Installation Wrench: Model D Sprinkler Wrench
Installation Data: Horizontal Sidewall
Nominal K Factor
Sprinkler Approval Organizations
SprinklerHeightandTypeofApproval
Nominal Orifice Thread Size Identification
us Metric Light Hazard OrdinaryHazard Numbers (SIN)
15mm) 1/2" NPT (R 1/2) 5.6 80 mm) 1,2 1 RA 14350)(-N-1)
cULus Listed corrosion resistant (Polyester coated) sprinkler.
Polyester coated FM approved sprinkler,
Electroless Nickel PTFE (Teflon")' Plated - cULus listed Corrosion Resistant
Horizontal Sidewall
A"'£ or FIMN6,
TO rA(Y OF (111WG I)IMENSION
FtI --OULC U10
AT MAXIMUM RECESS 41'
M111ATMINIMUMRCCESS - I
AT MAXIMUM RF(.t,,5,5 5141 19o-1
AT MINIMUM 6F(X55 3/6"(9 5--)
2 1/4" Hot[ D1A,
1512-1
I' X 112" RCVUCfR
Zfl ZZ =1/2
F I, EXV R,,tiOw
Al MAXIMUM RECESS 1
AT MINIMUM RECESS - 2-1I167524m-]
AT MAXIMUM R,-CFS5' f-,518-(4f-3mmj
1/8"
AT MINIMUM RECESS = 2- 1116-[52.4-Mj
J 2-11
M
00
4- 12'
10! 6 -JO
C01JNG TO
DEFLECTOR
I( jRN C Ott, 4 UNTIL
TICHT A-AINST SPRINKI,
WRENCH OOSNS,
14'rl9—] ADJUSTMENT
112'T12,7-1] ADJUSTMENT
REQF$5U -HaW W,/-rL0R- F2 E5 T HEON
0) fV APPROVED FUR 4" 6` [WV600M -- 152.4MM] CkfUNG TO 06f4EC/0R WITH f2 ONLY
Note: For Recessed HSW Sprinklers use installation wrench GFR2.
cULus permits use with F1, F2 or FP escutcheons for "Light Hazard"
only. While FM limits use for the same hazard with the F2 escutcheon
only.
Model F1 FR56 Quick Response Concealed Pendent Sprinklers
Installation Wrench: Model RC1 Sprinkler Wrench
Technical Data:
Nominal "
K" Factor -.--
Thread Temp. Rating Max.
Bulb
Sprinkler
Model Ambient Approvals IdentificationOrificeUSMetricSizeSprinklerCoverTemp
Color
Number(SIN)
112" (1 5mm) 5.6 80 1/?" NPT F1FR 1351-1571C 135'F/571C 1001F/38'C Orange 1 RA1414
112" (1 5mm) 5.6 80 1/2" NPT F1FR 1551F/681C 1351F/571G 1001F/381C Red 1,40) RA1414
1/2" (1 5mm) 5.6 80 1/2" NPT F1FR 1751F/791C 165'F/14'C 1001F/381C Yellow 1 RA1414
1/2" (1 5mm) 5.6 801 1/," NPT F1FR 2001'F/931C 165,F/-74"C 150'F/65'C Green 1 RA1414
ForVdS only = 155'F/68'C Norbulb and 112" [12,7mrni adjustment,
Model F1 FR56LL Quick Response Concealed Pendent Sprinklers
Installation Wrench: Model RG1 Sprinkler Wrench
Technical Data:
K" Factor Temp. Rating Max. SprinklerNominalThread
Model Ambient
Bulb
Approvals IdentificationOrificeUSMetricSizeSprinklerCoverTemp
Color
Number(SIN)
112" (1 5mm) 5.6 80 1/2" NPT F1FR56LL 200'F/93'C 165`"F(74°C 1501F/651C Green 1,5 RA1414
DuPont Registered Trademark
ICE OR E18.0w
MCOVERANUST
A V
Installation Aid
Aprotective cap iuincluded for use during installation. hupqq The
F1FR58Sprinkler with Model CCP cover plate ianot anFMApproved
combination. Installation Quick response sprinklers are
intended
for installation an specified inNFFA13. Quick response sprinklers
and stan- dard response sprinklers should not
be intermixed * The Model F1FR58, F1FR56LL. FlFR42,
F1FR42LL` F1FRXLH & F1FR28 Recessed Quick Response
Sprin- klers are tobeinstalled aushown. The
Model F1 o,F2Es- cutcheons illustrated are the only recessed escutcheons
W be used with the Model F1FR56.
F1FR56LL. F1FR42, F1FR42LL.F1FRXLH &F1FR28Sprinklers. The use ufany other
recessed escutcheon will void all approvals
and ne- gate all warranties. When installing K4mda| F1FR56.
F1FR56LL. F1FR42, F1FR42LL.
F1FRXLH &F1FR28Sprinklers, use the Model DSprinkler
Wrench. Use the Model GFR2Wrench for
install- ing F1FR56. F1FR56LL. F1FR42, F1FR42LL. F1FRXLH & F1FR28 Recessed Pendent
Sprinklers, Any other type of wrench
may damage these sprinklers, NOTE: Aleak tight H/^
NPT(R1/2)sprinkler joint
can be obtained with atorque of8-18h-|bo(1U.8- 24.4
N+n). Do riot tighten sprinklers over maximum recommended torque. tmay cause leakage orimpairment
ofthe sprinklers. The Models F1FR56XCCP&F1FR5GLL/CCPConcealed
Sprinkler use the 112" orifice, 112^ NPT(R1/2).
Model F1FR56 F1FR5GLLPendent Sprinkler with
athreaded Model CCP cup which iofactory attached Vzthe sprinklers. The Model
FlFR56Pnderkiaavailable intemperature rating of 135°F 57"C).
155"F(68"C). 175^F (79°C) or 200OF(
830C), The Model F1FR56LLPendent iaavailable only inarating cd
2OO"F(83°C).The concealed sprinkler assemblies are com- pleted by the installation
of the attractive low profile Model CCP push
on cover plate assembly, rated 135^F(57°C)or
185"F(74^C)for the F1FRSGand 1G5"F(74,
C)for the F|FR58 LE. The cover plate and sprinkler cup
assemblies are mined using a cover plate skirt with flexible tabs for threaded en- DuPont Registered
Trade Mark Cup TO FACE Of- (_TILING gagornmniAchoice cftwo cover
plate assemblies provide either 1/2^(13mn)or5/B~(Gom)odcover
adjustment, Dnnot install these
sprinklers
inceiling which have positive
pressure inthe space above, After 2Y8^ (67mm) diameter
hole io out inthe uai|ing, the sprinkler ioeasily installed
with the Model RC1 Wrench. A Teflon* based thread sealant
should beapplied tothe sprin- kler
thnaadaon|y The Model RC1 Wrench is then used to engage
the sprinkler wrenching surfaces and to install the sprinkler inthe
fitting, When inserting cvremoving the wrench from the sprinkler/
cup assembly, care should be tak- en to prevent damage to
the sprinkler. The cover plate iathen pushed onto
the cup. Final adjustment |omade byhand turning the cover
plate until the skirt flange makes full contact with the
ceiling. Cover p|nAo removal requires turning
inthe counter
clockwise direction. After installation, inspect all sprinklers Wensure that there
iaagap between the cover plate and ceiling and that the four
cup slots are open and free from any air flow
impedi- ment to the space above.
Concealed cover plate/cup assemblies are listed only for
use with specific sprinklers. The use ofany other concealed cover
plate/cup assembly with the yWud*| F}FR56 Pendent Sprinkler orthe use
ofthe yWude| CCP Concealed cover
plate assembly on any sprinkler with which it is
not specifi- cally listed my prevent good fire protection and
will void all guarantees, warranties, listings and approvals. Glass bulb
sprinklers have orange bulb protectors to Minimize bulb
damage during shipping, handling and in- stallation. REMOVE THIS PROTECTION AT
THE TIME THE SPRINKLER SYSTEM IS PLACED IN SERVICE FOR FIRE
PROTECTION. Removal of the protectors
before this time may leave, the bulb vulnerable
k/damage. RASCDwx*noh- oo are designed to
install sprinklers when covers are in place. REM0VEPROTECTORS
BYUNDOING THE CLASP BY HAND, DO NOT USE
TOOLS TO REMOVE THE PRO- TECl0RS,
Temperature Ratings
er
tMax. Ambient
Classification Tee
OC F Temp.
Bulb Color
Ordinary 57 135 1 00-F (WC) Orange
Ordinary 68 155 100-F(38-C) Red
Intermediate 79 175 150°F (66°C) Yellow
Intermediate 93 200 150°F (WG) Greer)
High,"' __141__ 286 225°F . F 10r Cj Blue_...___.
Not available for recessed sprinklers
Escutcheon Data (1)
t I; SIN RA1435 - cULus permits use with F1, F2 or FP escutcheons for "light
hazard" only, while FM limits use for same hazard with F2 escutcheon only,
Maintenance
The Model F1FR56, F1FR56LL, F1FR42, F1FR42LL.,
F1FRXLH and Model F1FR56, F1FR56LL, F1FR42,
F1 FR42LL, F 1 FRXILH & F1 FR28 Recessed Sprinklers should
be inspected and the sprinkler system maintained in accor-
dance with NFPA 25. Do not clean sprinklers with soap and
water, ammonia or any other cleaning fluids. Remove dust
by using a soft brush or gentle vacuuming. Remove any
sprinkler which has been painted (other than factory ap-
plied) or damaged in any way. A stock of spare sprinklers
should be maintained to allow quick replacement of dam-
aged or operated sprinklers. Prior to installation, sprinklers
should be maintained in the original cartons and packaging
to minimize the potential for damage to sprinklers, that would
cause improper operation or non -operation.
Sprinkler Types
Standard Upright
Standard Pendent
Conventional
Recessed Pendent
Vertical Sidewall
Horizontal Sidewall
Recessed Horizontal sidewall
Concealed pendent
Maximum Working Pressure
175 psi (12 bar)
100% Factory tested hydrostatically to 500 psi (34.5 bar)
I*DuPont Registered Trademark
7
Finishes (1)
0Other finishes and colors are available on special order. Consult the factory
for details. Custom color painted sprinklers may not retain their UL
Corrosion resistance listing. Coverplate custom paint is semi -gloss, unless
specified otherwise. cULus
Listed only. 200°
F (93°C) maximum. cULus
listed "corrosion resistance" applies to SIN Numbers RA1435 HSW),
RA1485(VSW), RA1425 (Upright). RA1414 (Pendent) and RA1415 (
Pendent) in standard black or white, Corrosion resistance in other
polyester colors is available upon request. FM
Approvals finish as "Polyester coated" applies to SIN Number RA1414.
RA1435 and RA1425 in standard black or white. 6'
LPCB and VdS Approved finish applies only to RA1425, RA1414 andRA1475. I
cULus listed Corrosion Resistant Ordering
Information Specify:
1.
Sprinkler Model 2.
Sprinkler Type 3.
Orifice Size 4.
Deflector Type 5.
Temperature Rating 6.
Sprinkler Finish 7.
Escutcheon Type 8.
Escutcheon Finish (where applicable) 9.
Cover plate Model 10.
Cover plate Thread size 11.
Cover plate Temperature 12.
Cover plate Adjustment 13.
Cover plate Finish Note:
When Model F1FR56 Recessed sprinklers are ordered, the sprinklers and
escutcheons are packaged separately,
Reliable ... For Complete Protectio4
Reliable offers a wide selection of sprinkler components. Following are some of the many
precision -made Reliable products that guard life and property from fire around the clock.
Automatic sprinklers
Flush automatic sprinklers
Recessed automatic sprinklers
Concealed automatic sprinklers
Adjustable automatic sprinklers
Dry automatic sprinklers
Intermediate level sprinklers
Open sprinklers
Spray nozzles
Alarm valves
Retarding chambers
Dry pipe valves
Accelerators for dry pipe valves
Mechanical sprinkler alarms
Electrical sprinkler alarm switches
Water flow detectors
Deluge valves
Detector check valves
Check valves
Electrical system
Sprinkler emergency cabinets
Sprinkler wrenches
Sprinkler escutcheons and guards
Inspectors test connections
Sight drains
Ball drips and drum drips
9 Control valve seals
9 Air maintenance devices
Air compressors
Pressure gauges
Identification signs
Fire department connection
The equipment presented in this bulletin is to be installed in accordance with the latest published Standards of the National Fire Protection Association, Factory
Mutual Research Corporation, or other similar organizations and also with the provisions of governmental codes or ordinances whenever applicable.
Products manufactured and distributed by Reliable have been protecting life and property for over 90 years, and are installed and serviced by the most highly
qualified and reputable sprinkler contractors located throughout the United States, Canada and foreign countries.
Manufactured by A0%
The Reliable Automatic Sprinkler Co, Inc. OLAA Recycled
800) 431-1588 Sales Offices W Paper
800) 848-6051 Sales Fax
Revision lines indicate updated or new data, 914) 829-2042 Corporate Offices
www.reliahlesprinkler.corn Internet Address EG. Printed in O.S.A. 04/14 P/N 9999970300
r,
mow H /k - 0Zi 9 7
i1,liFORD CITY
OF PERMIT
APPLICATION BUILDING
I
DIVISION
Application
No: Documented
Construction Value: Job
Address: # a4t t C?f - rfG DHistoric District: YeSEI No[' Parcel ID:
0 1 - A6 - 30 -5 01- ;L" 0 - Qa f 0 Residential El commercial Type of
Work: NewE] Addition AlterationE] Repair El Demo 0 Change of UseEl Move El Description of Work:
Plan Review Contact
Person: Phone: Name Street;
City,
State
Zip:
Fax: Email: Property
Owner Information
Phone: Tide Resident
of
property? -.
Contractor Information N
Phone- 7
9-7 V/ ame Street: 6213
C
Us 444, :7 U City, State
Zip:
3.4 ? 31 State License No.: Name: Street: City,
St,
Zip:
Bonding Company: Address:
Architect/Engineer
Information
Phone: Fax: E-
mail:
Mortgage
Lender: Address:
WARNING TO
OWNER:
YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RE -CORDED AND POSTEDON 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 nowork 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.
G-A
FBC 105.3 Shall be inscribed with die date of application and the code in effect as of that date: 601 Edition (2017) Florida Building Code
NQ'rlC : 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 pen -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:-1 — 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 of0wrner/Aptit Date
Print Owner/Agenes Name
11 — fit" el- fl;ZZ4
Signature ofContractor/Agent Date
r
Print Q)ntractor/ARent's Name
Signature of Notary -State of Florida Date WQWWWI-State of Florida Date
Coincolosion# G06-1469
EXPIM A01 21, 2021
Aoudad Thtu Tray Fain is 800. 010
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 El Electrical El Mechanical F1 Plumbing El Gas 0 Roof El
Construction Type:— Occupancy Use:
Total Sq Ft of Bldg:_ Min. Occupancy Load:
Flood Zone:
of Stories:_
New Construction: Electric - # of Amps Plumbing - # of Fixtures —
Fire Sprinkler Permit: Yes F]NoE] #of Heads
APPROVALS: ZONING:
COMMENTS:
ENGINEERING:
UTILITIES:
FIRE:
Fire Alarm Permit: Yes []No El
WASTE WATER-,
BUILDING: —
2135 U.S, Hwy. 441127
0. Nox 430
Prulttand Park, F 34731.0430
Pav (3 2) 787-8714
Proposal
f
Central Florida wilding Corp, August'29, 2018
Attention: Kevirt,Schneider
Job Site. 4 S, Qriando Dr x i r.. "o iCi
Site #2. .
iYiunn's Sales and Service, inc; will provide all. labor nand .material to completa the follow
work. Munn's will modify the,(2)` 5-ton roof top units existing duct per the, plans provid
the builder, Munn's will re -duct the supply and return duct including 4ll supply and retui
grilles. Munn's will Install (2) thermostat's with lock box
Warranty: 1-year labor and material for all work performed by Munn's.
Exclusions: No warranty on the existing roof top package units or the systems to maint
buildings climate control.
Total Investment• $
914.0
tIR•!f•f!f!•RR•!.lRf!!f•f!!RRlt••)ftflflf!!Rlff.lRf fff!!•flf R•RR•f!f!!R•fflff!•••
f •f RR•fR•4lf fR.!f!
0% due, upon completion of rough $4,567RQQ
5Q ti due upon rRornpleHon of trim ks67.Q0
Date: Authorized By Customer; MW 4v
Authorized. By Munn's: o-- Ca e} `
E James G. Morton
352-267-8559
jimh@munnair.com
ng
d by
In
Revision 0
Response to Comments 0
City of Sanford
Building & Fire Prevention Division
Ph: 407.688.5150 Fax: 407.688.5152
Email: building@sanfordtl.gov
Permit # /8 - ;z '7 S' 7 Submittal Date //.*
Project Address: Z& 74,
Contact: AkVI"V
Ph: -T/ft - 4V 7 70 Fax:
Email: 7-4,P F (F aA49 XOc" 7-/O'V-r - c-,OA4
Trades encompassed in revision:
D Building
0 Plumbing
Electrical
El Mechanical
Life Safety
0 Waste Water
Department
Utilities
El Waste Water
Planning
Engineering
13 Fire Prevention
0 Building
General description of revision:
ROUTING INFORMATION
Approvals
r2a