HomeMy WebLinkAbout1701 WP Ball Blvd 18-556 INTERIOR REMODELi CITY OF SANFORD
BUILDING & FIRE PREVENTIONi ! PERMIT APPLICATION
Application No: 55
Documented Construction Value: $ 125,600
1.701 WP Ball Blvd, Sanford, FL 32771
Job Address: (Mall Address: 200 Towne Center Cir., Sanford, FL 32771) Historic Aistrict: Yes No'Q
J/
Parcel ID: 29-19-30-5LW-0100-0000 Residential Commercial El
Type of Work: New .Addition Alteration ® Repair Demo Change: of Use Move lJ Description of Work: Interior Remodel/Refresh
Plan Review Contact Person: Jamie Bergman, BRR.Architecture, Inc. "" 'Title. Pemlit-.00rdinator
Phone: 913-236-3.465 Fax: Email;_ jamie.bergmattAftarch.com
Property Owner Information
Name Seminole Towne Center, LP Phone: 407-322-1847
Street: 180 Broad St.
City; `State Zip: Columbus, OH 43215
Resident of properly? : No
Contractor Information
Name TB&Wee_ke s CU^ u- "&-ia Phone: RL,, `7 , J 3 3 ' O o c
Street:7 1 % -2 Fax:
City, State Zip: fit° S C State License No.i C cC' I $ ) / 7 / tf
ArchitectlE"ineer Information
Name: Boyd Woodrow Rau., BRR Arcli tecture, Inc. phone: 913-236 3465
Street. 6700 Antioch, Suite 300 Fax:
City, St, Zip: Merriam, KS 66204 E-mail: boyd.rau@brrarch.com
Bonding Company: N/A Mortgage Lender: N/A
Address: Address:
WARNING TO 01 rNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF CUikli\1E\iCE111ENT MUST BE
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YQU iNTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCE MENT. 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 inept standards of all laws regulating construction in
this jurisdiction. I understand that a separate permit must be secured for electrical work, plutnbing signs, wells, pools, furnaces,
boilers, heaters, tanks, and`air conditioners, etc. FBC
105.3 Shall be inscribed with the. date of application and .the code in effect as of that date: 511 Edi h (2014) Florida Building Code Revised:
Junc 30, 201 i Penni(:A}>plicaiion S
NOTICE; In addition to the requirements of this pennit, 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 1 will notify the owner of the properly 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 subnttal.
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 perrnil 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:
SignatumorOwncr/Agent V Date SignafureofConlractod%kgent Dale
Print 0",ner/Agent's Name Print ContractorlAgent's Name
Signature ofNolary-Slop; of Florida Date Signature oofar)=Slate of F1yK(}F F ELANT(iN Tate
r
Pc' `:OP{111'i SI0P1 fi FI=1?E648
i 30.._' i ,'u'rc.a,; Publicllnderwrilers
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
Contractor/Agent is Personally Known to Me or
Produced ID Type of IcD,, L
i 1 )al/9
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building Electrical Mechanical Plumbing Gas Roof
Construction Type: Occupancy Use: Flood Zone:
Total Sq Ft of Bldg: Min. Occupancy Load: # of Stories:
New Construction: Electric - # of Amps Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes No # of Heads Fire Alarm Permit: Yes No
APPROVALS: ZONING: UTILITIES: WASTE WATER:
ENGINEERING: FIRE: BUILDING:
COMMENTS:
Reprised: June 30. 2015 Permit Application
Weekes
City of Sanford
From:
Weekes Construction, Inc.
237 Rhett Street
Greenville, SC 29601
Ph: 864.233.0061
Fx: 864.235.9971
To Whom It May Concern:
May 10, 2018
This is to authorize the following individuals to pick up, sign, and obtain any permitting or
licensing documents for Weekes Construction:
Benny DeJesus
Rich Fraelich
If there are questions, please contact the office at 864.233.0061 ext.304.
kN
Weekes Construction
Subscribed and, sworn to before me, this
r.
Notary Public'
My oommissior'oxPses: \
Notary' Public, South Caro'; at Large
My Commission Expire:... _ , i 2, 2021
of
n 12015
e6llil)ego9
l P T. C0 °ram
NOTARY.
v
d,•
PUBLIC
Weekes Construction, Inc. (864) 233-0061 Fax (864) 235-9971 Member ICSC and RCA
Mail — P.O. Box 17977, Greenville, SC 29606 Overnight — 237 Rhett St., Greenville, SC 29601
Visit us on the Web at www.weekesconstruction.com
Iv k f6"3lil isrfaf 2111a :tits 195111 33111331 3)rl )ao1
THIS INSTRUMENT PR P RED BY-
Name:nCL'111 11 t t L
Address•
NOTICE OF COMMENCEMENT
Permit Number: 18-556
Parcel ID Number:
CLEPK rF 1 -i r
AN iF:r
1JN•;
u
ry i
Date —
LEK
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. D NPTI Nlb ar, CROetpace : ( linole ption of the property and street address if available) dl
ffVV '
lfbi
2.
GENERAL DESCRIPTION OF IMPROVEMENT: minor
interior upfit of existing retail space 3.
OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: Name
and address: Gap, Inc -1 Harrison Ave - San Francisco, CA 94105 Interest
in property: Tenant Fee
Simple Title Holder (if other than owner listed above) Name: N/A Address:
N/A 4.
CONTRACTOR: Name: Weekes Construction, INC Phone Number: 864.233.0061 ext 304 Address:
PO Box 17977 Greenville SC 29606 5.
SURETY (If applicable, a copy of the payment bond is attached): Name: N/A Address:
N/A Amount of Bond: N/A 6.
LENDER: Name: N/A Phone Number: N/A Address:
N/A 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:
N/A Phone Number: N/A Aririrpee•
N/A 8.
In addition, Owner designates N/A of N/A to
receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Phone number: N/A 9.
Expiration Date of Notice of Commencement (The expiration is 1 year from date of recording unless a different date is specified) N/A WARNING
TO OWNER. ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED
IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB
SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Srghatecerokiwn6r,
zir Lessee, or Owner's or Lessee's (Print Name and Provide Signatory's Title/Office) Aidhoritea
OffiieNDi[edorlPartnerlManager) i
State;
of, V County of I 1JhCfosegt
y. y instrume acknowledged before me this TT day of 20 by<<
eAi4 T Who is personally Inown to me OR Name
of person maxmg statement who
has PTO identification type of identification produced: r,
llllll/I P
T. Co 1%
PUB0 f.' 410
Notary
Public, South Caroli a, State at MY
Commission Expires At 12r
SCPA Parcel View: 32-19-30-507-0000-0090 Page 1 of 2
rP RWdJWMW,CFA Property Record Card
Parcel: 32-19-30-507-0000-0090
EhW*XcMMY, FLORIDA Property Address: 1301 W P BALL 1329&1333 BLVD SANFORD, FL 32771
Parcel Information Value Summary
Parcel 32-19-30-507-0000-0090
Owner(s) 1 SEMINOLE MARKETPLACE LLC
Property Address i 1301 W P BALL 1329&1333 BLVD SANFORD, FL 32771
Mailing i PO BOX 924133 HOUSTON, TX 77292-4133
Subdivision Name 1 MARKETPLACE AT SEMINOLE TOWNE CENTER REPLAT
Tax District St-SANFORD
DOR Use Code 1602-RETAIL-POWER CENTER
Exemptions. — ----
r
Legal Description
LOT 9
MARKETPLACE AT SEMINOLE TOWNE CENTER REPLAT
PB 75 PGS 35 - 37
GIS
2018 Working 2017 Certified
Values Values
Valuation Method Income Income
Number of Buildings 14 14
Depreciated Bldg Value
Depreciated EXFT Value
Land Value (Market)
Land Value Ag
Just/Market Value " 30,749,839 30,462,734
Portability Ad/
Save Our Homes Ad1 0 0
Amendment t Ad1 C $0 0
P&G Adl 0 I_ _
0
Assessed Value 30,749,839 30,462,734
Tax Amount without SOH: $580,056.00
2017 Tax Bill Amount $580,056.00
j Tax Estimator
Save Our Homes Savings: $0.00
Does NOT INCLUDE Non Ad Valorem Assessments
Assessment Value I Exempt Values I Taxable Value
30,749,839i 0 30,749,839
30,749,839 ; 0 30,749,839
30,749,839 0 30,749,839
30,749,839 0 ; 30,749,839
30 749 839 0 f 30,749,839
Page Amount
No Sales
Qualified I Vac/Imp
Find Comparable Sales
Land
Method Frontage Depth Units Units Price Land Value 24.
568 1 $268,958 52 6,607,773 Building
Information Description
I Year Built ActuaVEffective
Stories ( Total SF Ext Wall Ad' Value ReValue Appendages 1 1pi
p
MASONRY2005
PILASTER. 1
41,
500 CONCRETE TILT UP - $2,045,318 1 $2,442,171 MASONRY Description
i Area OPEN PORCH
FINISHED 278.
00 http://parceldetail.
scpafl-org/ParcelDetailInfo.aspx?PID=32193050700000090 511012019
INSPECTION SEQUENCE
BP# 18-556
ADDRESS: 1701 WP Bald Blvd.
BUILDING PERMIT
Min Max Inspection Description
Footer / Setback
Stemwall
Slab / Mono Slab
Lintel / Tie Beam / Fill / Down Cell
Sheathing — Walls
Sheathing — Roof
Roof Dry In
10 Frame
Insulation Rough
Firewall Screw Pattern
20 Drywall / Sheetrock
Lath Inspection
Building Ceiling Air Barrier
Insulation Roof (Com'1)
Building Ceiling Grid
Final Roof
Final Stucco / Siding
Final Insulation
Final Firewall
Final Door
Final Window
Final Utility Building
Final Screen Structure
Final Pool Screen Enclosure
Pre -Demo
Final Demo
Final Single Family Residence
Final Commercial —
1000 Final Commercial — Addition / Alteration
Final Commercial — Change of Use
Final Building (Other)
Min Max Inspection Descri tion
10 Electric Underground
Footer / Slab Steel Bond
Electric Ceiling Rough
Electric Wall Rough
20 Electric Rough
Pre -Power Final
Temporary Pole
1000 Electric Final
PxLTMNG
Min
it, R1VIiIT
Max Inspection Description
Rough Plumb
Plumbing Underground
Plumbing 2nd Rough
Plumbing Tubset
Plumbing Sewer
Plumbing Grease Trap Rough
Plumbing Steam / Chill Water Rough
Plumbing Final
1VIEGHANICA#I PERMIT s
i
3
Min Max Inspection Descri tion
Mechanical Rough
Mechanical Fire Damper Framing
Mechanical Ceiling Rough
Mechanical Fire Damper Annular Space
Mechanical Insulation Wrap
Mechanical Fire Damper Angle
Light / Water Test Ck Welds
Mechanical Grease Duct Wrap
Mechanical Final
REVISED: June 2014
EXHIBIT A
FORM OF AUTHORIZATION TO
EXECUTE CONSTRUCTION
PROJECT NAME: 0N.3913.Marketplacea.MINS.2018
CONTRACTOR: Weekes Construction Inc
AUTHORIZATION PURCHASE NUMBER AND DATE:
This Authorization to Execute Construction ("Authorization') is entered into as of the date set forth above and is issued pursuant to, and
Incorporates the terms and conditions of, that certain Master Agreement for Contractor Services dated as of the 22nd day of
September, 2008 (the 'Agreement") by and between Gap, Inc. ('Owner') and Contractor. In accordance with Section 1.1 of the
Agreement, this Authorization represents a contract between Owner and Contractor separate from all other Authorizations issued
under the Agreement Upon receipt of this Authorization, the Contractor is authorized to and shall mobilize and commence construction
of the above -referenced Project in accordance with the terms set forth below and in the Agreement.
CONTRACT SUM Competitive Bid - one hundred twenty thousand seven hundred twenty US Dollars
120,720.90) USD
PROJECT SCHEDULE (including Substantial Completion, Final Construction Start Date: 05/08Y2078.
Completion, and Key Dates for submittals and construction) Substantial Completion Gele .16— 1
Construction End Date
Punchwork Complete): 05/25/2018
Tum-Over Date: 05/112018
DRAWINGS AND SPECIFICATIONS Drawings dated as Indicated by Gap Inc Sr PM during bid
process.
PAYMENT SCHEDULE AND PAYMENT RELEASE DATES Per Article 4, Payments and Exhibit B -
OWNERS DESIGNATED PERSONNEL, PHONE NUMBER, Anabell Felix
AND ADDRESS,
ARCHITECTS NAME, PHONE NUMBER, AND ADDRESS BRR Architecture
6700 Antioch Plaza, Suite 300
USA
913-262-9095
OWNERS REPRESENTATIVE'S NAME, PHONE NUMBER, SJG Management Group
AND ADDRESS 495 Heritage Way
Sandy Springs GA
ADDRESS TO WHICH APPLICATIONS FOR PAYMENT SHALL Gap, Inc.
BE SENT Store Construction Project Accounting
40 First Plaza
Albuquerque, NM 87102
Please include the following information on the invoice:
GC supplier number
Invoice number (do not reuse invoice numbers on different
billings)
Purchase order number
GAP, INC.
F. Digitally signed by
Name: ,___.h__ .__
1JQa t i a .P' - —
Jonathan
Bauer, pa `
s
email=
jonathan_bauer@ e{ 'jp
gap.com,c=us V
Cl C1 pate: 2018.04.12 12:
25:49.OTOO' RECENED
AND ACCEPTED BY: Name:
Title: ', (
L'c_),_ .b160-11Date: _
l w Gap:
Inc.
COUNTY OF SEMINOLE
IMPACT FEE STATEMENT
STATEMENT NUMBER: 18100004 DATE: May 09, 2018
BUILDING APPLICATION #`: 18-10000456
BUILDING PERMIT NUMBER: 18-10000456
UNIT ADDRESS: WP BALL BLVD 1701 32-19-30-507-0000-0090
TRAFFIC ZONE:022 JURISDICTION:
SEC: TWP: RNG: SUF: PARCEL:
SUBDIVISION: TRACT:
PLAT BOOK: PLAT BOOK PAGE: BLOCK: LOT:
OWNER NAME:
ADDRESS:
APPLICANT NAME:. WRI SEMINOLE MARKETPLACE LLC
ADDRESS: PO BOX 924133 HOUSTON TX 77292
LAND USE: OLD NAVY INTERIOR RENO
TYPE USE:
WORK DESCRIPTION: CITY-SANFORD
SPECIAL NOTES: OLD NAVY @ THE MARKETPLACE AT SEMINOLE
TOWNE CENTER / INTERIOR RENOVATION ONLY
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 PERMIT.
PERSONS ARE ALSO ADVISED THAT ANY RIGHTS OF THE APPLICANT, OR OWNER,
TO APPEAL THE CALCULATION OF ANY OF THE ABOVE MENTIONED IMPACT FEES
MUST BE EXERCISED BY FILING A WRITTEN REQUEST WITHIN 45 CALENDAR
DAYS OF THE DATE ABOVE, BUT NO LATER THAN
CERTIFICATE OF OCCUPANCY 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
Job Address:
I--CITY 01= SANFOI D---- - --
BUIL-.OINC -FIRE-PRF-V NTION--- --_-
PERMIT APPLICATION
Application No:
Documented Construction Value: $ 125,000
1701 WP Ball Blvd, Sanford, F-L32771 A4all
Address: 200 Towne Center Cir., Sanford, FL 32771) Historic District: 3'es No Parcel
ID: 29-19-30-5LW-0100--0000 Residential n Commercial XD Type
of Work: New Addition Alteration 91 Repair Demo Change of Use Move Bescripilon
of Work: Remodel/Refresh Plan
Review Contact Person:; Jamie Bergman;;BRR Architecture, Inc. Title: Permit Coordinator Phone:
913-236=3465 Fax: Email: iainie.bergma i(cDbirarch.coni Property
Owner Information Name ;
Seminole Towne Center, LP Phone: 407-3224847 Street:
1.80 Broad St. Res-iClent of property? ; No City,
State; Zip.: Columbus; 0H 43215 Contractor
Information Name .
TBD Phone: Street:
Fax: City,
State;Zip:: State License. No.i ArchitecgEngineerInformation
Dame:
Boyd Woodrow Rau, BRR Architecture, Inc: Phone: 913-236 3465 Street:
6700 Antioch, Suite 300 Fax: City,
St, Zip: Merriam, KS 66204 E-mail: boyd.rau@brrarch.conl Bonding
Company: N/A h1ortgage Lender: N/A Address:
Address: WARNING
TO OWNER: YOUR FAILURE TO RECORD. A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR I-NIPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COI14i1'IENCEIVIENT 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
isbereby-made to obtain a permit to do the work and installations as indicated. I certify tliat no %%,ork or installation leas commenced
prior to tiie issuance of a permit and that all work- iivill be performed to meet standards of all laws regulating construction in
this jurisdiction. I understand that a separate permit must be seeured 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 cude in effect as ofthat date: 5'1'Edition (2014) Flokida Building Code Reused:
June 30, 2015 Petmit. AppIiention
NOTICE:-Iitaddition-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 1 wiIl 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 basedon the current ]CC Valuation Table in effect at the time the permit is issued, in accord.
ance with local ordinance. Shoi.uld 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 certify that all of the foregoing'information is accurate and that all work will be
done in compliance with all applicable laws regulat big, construction and zoning. r
Signature
of 0%vilcr/Agent Date Print
0%vacr/Agent's Name Signaturc
omotary-Slalc of Florida : Date Owner/
Agent is PersonallyKnown to Me or Produced
ID Type ofD) Signature
of conlraclor/Agent Dale Print
Contractor/Agent's Name Signature
of`Nbtan'-State of Florida Date Contractor/
Agent is . Personally Known to Me or Prodoced
ID . Type of ID: BELOW
IS FOR OFFICE USE ONLY Permits.
Required, Building Electrical Mechanical Plumbing Construction
Type: Occupancy Use: Total
Sq Ft of Bldg: Min. Occupancy Load: New
Construction: Electric- # of Amps, Fire
Sprinkler Permit: Yes No # of Heads APPROVALS:
ZONING: ENGINEERING:
COMMENTS:
Revised:
June 30. —1015 Gas
Roof Flood
Zone: of
Stories: - Plumbing - #
of Fixtures. Fire
Alarm Permit: Yes No UTILITIES: -
S' WASTEWATER: FIRE:
BUILDING: Pennit
Application J.®
W-
f4
4
Y
t, ------ ------CITY- Oiz- SANFORD-----
i'JAN li 2 - - BUILDING & FIRE PREVENTION
PERMIT APPLICATION r
Application No:
Documented Construction Value: $ 125,000
1,701 WP Ball Blvd, Sanford, FL 32771
Job Address: (Mall Address: 200 Towne Center Cin, Sanford, FL 32771) Historic District- Yes No 0
Parcel IM 29-19-30-5LW-0100-0000 Residential Q Commercial NQ
Type of Works New Addition Alteration K1 Repair Demo. Change of Use Move
Description of Work: or Remodel/Refresh
Plan Review Contact Person.:; Jamie Bergman; BRR Architecture, Inc. 'title: Permit Coordinator
Phone: 913-236-3465 Fax: Email: iainie.bergtnan ct bn-arch.com
Property Owner Information
Name ;Seminole Towne Center, LP Phone: 407-322-1847
Street: 180 Broad St. Resident of property? No
City,;State,Zip : Columbus OH 43215
Contractor Information
Name . TBD ;Phone:
Street: - Fax:
City, State Zip: State License No.:
Archltec#Eng neer information
Name: Boyd Woodrow Rau, BRR Architecture,: Inc Phone:. 913-23673465
Street:0700 Antioch, Suite 300 Fax:
City, St, Zip: Merriam, KS 66204 E-mail: Boyd. au rr brrarch.cohi
Bonding Company: N/A Alortgage Lender: N/A
Address: Address`. -
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RE-SULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY, A NOTICE OF COMMENCEAIENT MUST BE
RECORDED AND POSTED. ON THE JOB SITE BEFORE THE FIRST INSPECTION. 'It+ YOU. INTEND TO OBTAIN'
FINANCING, CONSULT \'VITA YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
CONINIENCEMENT.
Application is hereby made to obfain 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, tangs, and air conditioners, etc.
FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 5°-'Edition (2014) Florida'Building Code
Revised: 3une 30. 201 i Pemiit: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 pennit 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 submttal.
The actual construction value Nvill be figured based on the current ]CC Valuation Table in effect at the time the permit is issued, in
accordance with local ordinance. Shoi.uld calculated charges figured off the executed contract exceed the actual construction value,
credit will be applied to your pennit fees when tlic pennit is issued.
OWNER'S AFFIDAVIT:1 certify that all of the foregoing information is accurate and that all work will
be done in compliance with all applicable laws regulaturg.construction and zoningi
Signature of0micdAguit Date
Print 0%%mer/AgciWs Name
Signature ol'Notary-Slate of Florida Date
Owner/Agent is Personally Known to Abe or
Produced IDType°ofID Signature
cif CorllractorlAgent Datc Print
Contractor/Agent's Narne Signature
of TJotan•-Stale of Florida Date Contractor/
Agent is . Personally Known to Me or Produced
11) 'Type .of ID. BELOW
IS FOR. OFFICE USE ONLY Permits
Required: Building Electrical[] Mechanica] Plumbing[] Gas Roof Construction
Type: Occupancy Use: Flood Zone: _ Total
Sq Ft of Bldg; Min. Occupancy Load:. New
Construction: Electric - # of Amps, Fire
Sprinkler Permit: Yes No # of Heads APPROVALS:
ZONING: -I 'JJ5i'UTILITIES: ENGINEERING:
COMMENTS:
Revised:
June 30. 2015 FIRE:
of
Stories: Plumbing - #
of Fixtures, Fire
Alarm Permit: Yes No WASTE
WATER: BUILDING:
Pcnnit
Application
13 BUIL-DING4 FIRE- PREVENTION —
PERMIT APPLICATION
Application No:
Documented Construction Value: $ lLJ,vw
1701 WP Ball Blvd, Sanford, FL 332771
Job Address: (Mall Address: 200 Towne Center Cir., Sanford, FL 32771) Historic District- Yes No
Parcel ID: 29-12-30-5LW-0100--0000 Residential 0 Commere al FR
Type of Work: New 1:1 Addition Alteration M Repair Demo. Change of Use Move
Description of Work: Interior Remodel/Refresh
Plan Review Contact Person:: Jamie Bergman; BRR Architecture, Inc. Title:.Permit Coordinator
Phones 913-236-M6,5 Fax: Email: ianiie.berginaii(alirrirch.coiii
Property Owner Information
Name ;Seminole Towne Center, LP Phone: 407-322-1847
Street: 1=80 Broad St. Rcsidentofpropery? ; No..
City ;State Zip: Columbus, OH 43215
Contractor Information
Name . TBD Phone:
Street: Fax:
City, State; Zip: State License No.
ArchitecoEngineer Information
Dame: Boyd Woodrow Rau, BRR Architecture. hic: phone: 913-236 3465
Street:6700 Antioch, Suite 300 Fax:
City, St, Zip: Merriam, KS 66204 E-mail: boyd.iau rr brrarch.coni
Bonding Company: N/A h1ortgage Lender: N/A
Address: Address
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TNA710E FOR. VVIPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOk INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
Applica ion is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
comtnenced'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 seebred for electrical work, plumbing, signs, wells, pools,
furnaces, boilers, heaters, tanks, and air conditioners, etc.
I?BC 105.3 Shall be inscribed with the date of application and the code in effect as ofthat date: 5111 Edition (2014) Florida Building Code
Revised: June 30, 201 d Pennit,Application
NOTICE.:-In-addition-to-ilte_requirements-of_this.-permit,-there-maybe=additional-restrictions-applicable-to-this-property-that--niny 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 penAl 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 pcirnit fees when (lie 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 regulatuig.construction and zoning:
iV 1/ it s C 4L -iI n rz-
SignaturcofOmtcr/Agent V Date
C,- Li-z i i1,_a CLAN -E-
Print 0%mcr/Ageni's.Name
Fy r%%..c.l. Gl.l:..'l'r 14 VifiL
SignaturcorNotary-StaleofFlorida ":Date
Owner/Agent is Personally Known to Me or
Produced W Type ofID
Signature of Conlractor/Agent Dale
Print Contractor/Agent's Name
Signature ofNbtaiy Swe of Florida Date
Contractor/Agent is Personally Known to Me or
Produced ID Type of iD,
BELOW IS FOR, OFFICE USE ONLY
Permits. Required: Building[] Electrical Mechanical[] Plulribing
Construction Type:
Total Sq Ft of Bldg:.
Occupancy Use:
Min. Occupancy Load:
New Construction: Electric- ## of Amps,
Fire Sprinkler Permit Yes No
APPROVALS: ZONING:
COMMENTS:
Gas Roof
Flood Zone:
of Stories:
Plumbing - # of Fixtures
of Heads Fire Alarm Permit: Yes No
WASTE WATER:
ENGINEERING: P l41 /1 BUILDING:
UTILITIES:
Revised: June 30. 2015 PehnitApplication
CIT-Y OF=--SANFORD---- --
r - JN ) - BUIL-DING-& FIRE- PREVENTION---- - PERMIT
APPLICATION Application
No: 1:
Documented
Construction Value: $ 125,000 1701
WP Ball Blvd, Sanford, FL 32771 Job
Address: (hull Address: 200 Towne Center Cir., Sanford, FL 32771) Historic District: Yes 1\To Parcel
ID: 29-12-30-5LW-0100-'0000 Type
of Work: Nett' Addition Alteration Description
of Work: Interior Remodel/Refresh Residential
Q commercial RI Repair
El Demo. Change of Use Move 12
Plan
Rey iew Contact Person:; Jamie Bergman;'BRR Architecture, Inc. Title. Permit Coordinator Phone:
913-236=3465 Fax: Email: jamie.berginan(cDbn-arch.com Property
Owner Information is a
Name :
Seminole Towne Center. LP 407-322--1847, Phone: } Street:
ISO Broad St. Resident of property? No G.
City; :
State; Zip.. Colunibus; OH 43215 Contractor
Information - i Name .
TBD _ Plione: Street:
Fax: r City,
State Zip: State License No.i _ ArchitecdEn.
gineee Information Dame:
Boyd Woodrow Rau, BRR Architecture,Inc: Phone: 913-236: 3465 Street:
6700 Antioch, Suite 300 Fax: City,
St, Zip: Merriam, KS 66204 E-mail: boyd.rau@brrarch.coin Bonding
Company: N/A Mortgage Lender: N/A Address:
Address WARNING
TO OVi'NER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE -FOR .TiyIPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED
AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. 'iB YUU INTEND TO OBTAIN FiNANCING,
CONSULT \'VITA YOUR LENDER OR AN ATTORNEY BEFORE RECORUiNG. YOUR NOTICE OF COMMENCEMENT.
Applicationis
hereby made to obtain a permit to do the work and installations as indicated. I certify that no pork or installation has commenced prior
to the issuance of a permit and that all work will be perfonned to ineet standards of all laws regulating construction in this
jurisdiction. I understand that a separate permit must be secured for electrical work, plumbing, signs, weds, pools, furnaces, boilers,
heaters, tanks, and air conditioners, etc. IBC 105.
3 Shall be inscribed with the date of application and the code in effect as ofthat date: 5111 Edition (20I4) Florida Building Code Revised: June
30. 2015 Penui. Application
NOTICE:_I n_addition_to_tlie_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 1 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 pcnnit 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 wherthe permit is issued. OWNER'
S AFEIDAViT:1 certify that all of titre foregoing information is accurate and that all work will be
done in compliance with all applicable laws regulating construction and zoningi Signature
of 0micr/Aguit Date Print
Owner/Agent's. Name i
I.CLt;..C'[:f lti. IVifit_ Signature
orNotary-Slate of Florida Date Owner/
Agent is Personally Kno«m to Me or Produced
ID Type of ID Signature
of Contractor/Agent Dale Print
Contractor/Agent's Name Signature
of Notary State of Florida Date Contractor/
Agent is . _ Personally Known to Me. or Produced
ID. Type of ID: BELOW
IS FOR. OFFICE USE ONLY Permits.
Required: Building Electrical Mechanical Plumbing Construction
Type: Occupancy Use: Total
Sq Ft of Bldg: Min. Occupancy Load: Gas
Roof Flood
Zone: of.
Stories• New
Construction: Electric- # of Amps Plumbing - # of Fixtures Fire
Sprinkler Permit; Yes No # of Heads Fire Alarm Permit: Yes No APPROVALS:
ZONING: ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
WASTE
WATER: llzqllgp BUILDING:
Revised:
June 30. 2015 Permit Application
DATE: lit
BUSINESS/PROJECT NAME:
ADDRESS: W a I
CONTACT NAME:
CITY OF SANFORD BUILDING AND FIRE PREVENTION DIVISION
FIRE PLAN REVIEW SERVICE FEES
PHONE: 407.688.5052
PERMIT NUMBER: I p " SsIG
v
PHONE:
FAX: 407.688.5051
PLAN REVIEW INFORMATION
CONSTRUCTION [ ]C/O [ ] FIRE ALARM [ ] FIRE SPRINKLER [)HOOD []PAINT BOOTH [ ]TANK
DOES 20% REDUCTION IN FIRE IMPACT FEES APPLY: YES
TOTAL FEES: %f
A notary public or other officer completing this certificate verifies on the identity of the individual who
signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of
that document
CALOFORNIA ,JURAT WITH AFFIANT STATEMENT GQVE'RNPAONT CODE § 9202 i0aw
D
Xee Attached Document (Notary to -cross out lines 1-6 below) 0
See Statement Below n (Lines 1 -6 to be completed only by document signer[s], not Notary) 1
t-L 04 I_
VVA LC T, _1 ", -A M_ 5 ,
Sibnall6re
of Document State
of California County
of M1C=
MONTANA Commistion #
213734 9Notary *
Public -_.Ca1i.fdrn1_8, t9an
Fra'ncisO.County M1
Comm. ExCires Dec 2019 Place
Notary Seal Above Signature -
of Document 2 (1f any) Subscribdd'
and sworn to. (er-affirmed) before me on
this _day of bea"e-.v- 20 1-1 Date
Month 'Year by
Name
of Signer proved
to me r on the basis of satisfactory ' sfactoevidenceto be
the person who appeared me 2) and
of
Signer
pfcived to
Me on the basistsatisfactory evidence to he
the. person who wbefore abed befo mg.) Signature I, L-
Ok )a 8ignatire of Notary
Public OPTIONAL Though the -
information
below is not required by law, it may prove valuable to parsons relrng'
bn the document and could prevent ftiudulent removal and reattachment of
this fdrm to another documbrit Further Descri , pilbri
of Any Attached Document T-rtJe or
Type of Document. Document Date: 5igner(
p) other
Than Named, Above.: Number of Pages:
RIGHT THUMBPRINT hldkTS
A(YMB - - R F" T.,A00,
SfGNEFtT2 Top of thumb
here 0 2010Nafional Notary
Association - NationalNotary.orp 1.900-US NOTARY . (1-800-876-68 . 27) Item 55910
Letter of Transmittal
To: Plan Reviewer From: Jamie Bergman
City of Sanford, FL
Address: Building & Fire Prevention Division Date: December 22, 2017
300 Park Avenue
Sanford, FL 32771
Old Navy Store #3913
Re: Sanford, FL
OTP - RM
Phone: 407-688-5150 Project #: 65015065
Fax: Via: FeclEx — 2Day
We transmit the following:
5 full size sets
1
Signed/Sealed Construction Documents for Old Navy Store
3913 Sanford, FL RM
Building Permit Application w/check #75618 in the amount
of $400.00 for plan review.
Attached are plans and documents for Old Navy Store #3913 Sanford, FL RM for plan review. This store is located at 1701
WP Ball Blvd., Sanford, FL 32771.
The scope of work includes: Interior Remodel/Refresh
Please do not hesitate to contact us if you require anything further or if you have any questions. I can be reached by phone
at (913) 236-3465 or by e-mail at jamie.bergman@brrarch.com.
CC:
vwvwi.brrarch.com
6700 Antioch Plaza, Suite 300, Merriam, KS 66204 MAIN 913.262.9095
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