HomeMy WebLinkAbout350 Persimmon Ave 17-962; NEW SFHCOUNTY OF SEMINOLE
IMPACT FEE STATEMENT
STATEMENT NUMBER: 17100002 DATE: April 11, 2017BUILDINGAPPLICATION #: 17-10000218
BUILDING PERMIT NUMBER: 17-10000218
UNIT ADDRESS: PERSIMMON AVE 350 26-19-30-300-004F-0000
TRAFFIC ZONE:022 JURISDICTION:
SEC: TWP- RNG: SUF: PARCEL: SUBDIVISION: TRACT: PLAT BOOK: PLAT BOOK PAGE: BLOCK- LOT:
OWNER NAME:
ADDRESS:
APPLICANT NAME. ADAM S FREEMAN TRUSTEE FBOADDRESS: 1617 S DIVISION AVE ORLANDO FL 32805
LAND USE: 600 SFMANUF/BATCM OFF ADDT'N
TYPE USE:
WORK DESCRIPTION: CITY-SANFORD
SPECIAL NOTES: 350 PERSIMMON AVE / 600SF MANUF/BATCH
OFFICE/Al BLOCK CORP/Al SANFORD REDIMIX
FEE BENEFIT RATE UNIT CALC UNIT TOTAL DUE-- TYPE DIST SCHED RATE UNITS TYPE
ROADS-ARTERIALS CO -WIDE ORD
Manufacturing*
ROADS -COLLECTORS
519,00 ,600 1000g5ftN/A 311.40
Manufacturing*
FIRE RESCUE N/A
00 .600 1000gsft 00
LIBRARY N/A
SCHOOLS N/A 00
PARKS N/A 00
LAW ENFORCE N/A 00
DRAINAGE N/A 00
AMOUNT DUE
00
31140
STATEMENT
RECEIVED BY: SIGNATURE: ......
PLEASE PRINT NAME)
DATE: 2 'A
NOTE TO RECEIVING SIGNATORY/APPLICANT: FAILURE 6NOTIFY OWNER ANDENSURETIMELYPAYMENTMAYRESULTINYOURLIABILITYFORTHEFEE,
DISTRIBUTION: 1-BLDG DEPT 3-APPLICANT
2-FINANCE 4-LAND MANAGEMENT
NOTE**
PERSONS ARE ADVISED THAT T IS A STATEMENT OF FEES DUE UNDER THESEMINOLECOUNTYROAD, FI&ENESCUE, LIBRARY AND/OR EDUCATIONALISSUANCEOFABUILDINGPEIT.
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 CALENDARDAYSOFTHERECEIVINGSIGNATUREDATEABOVEBUTTNOTLATERTHAN
MCERTIFICATETOF
OCCUPANCY OR OCOF THECUPANCY. TH9 REUEST FOR REVIEW USTMEETHEREUIREMENTSCOUNTYLANDDEVELOPMENTCODE. COPIES
OF RULES GOVERNING APPEALS MAY BE PICKED UP, OR REQUESTED, FROMTHEPLANIMPLEMENTATIONOFFICE: 1101 EAST FIRST STREET, SANFORDFL, 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STATEMENT IS NO LONGER VALID IF A BUILDING PERMIT IS NOT*** ISSUED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 OF THE RECEIVING SIGNATURE DATE ABOVE DETAIL
OF CALCULATION AVAILABLE UPON REQUEST. CALL 407-665-7356.
f
MAR 3 0 2017
Job Address: 350 Persimmon Ave., Sanford
APR 10 2017
CITY OFOF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No:
Documented Construction Value: $ 1
Historic District: Yes No
Parcel ID: 26 19 30 300 004F 0000 Residential Commercial Q
Type of Work: NewEl Addition Alteration Repair Demo Change of Use Move Description
of Work: Add a new Ready Mix Plant to an Existing Block Plant t Plan
Review Contact Person: John MacGregor, P.E. Title: Engineer Phone: (
863) 607-4455 Fax: (863) 607-4550 Email: john@stitzelgroup.com Property
Owner Information Name
Adam S. Freeman, Trustee of the Adam S. Freeman Trust Phone: (407) 422-3768 Street:
1617 S. Division Ave. Resident of property? : A-1 Block City,
State Zip: Orlando, FL 32805 Contractor
Information Name
Brian Rnhp tS Phone: 407-422-0721 Street:
19.50 Montp C arla Imil Fax: City,
State Zip: Orlando, EL 32805 State License No.: QUC 1257858 Architect/
Engineer Information Name:
John MacGregor, P.E. Phone: (863) 607-4455 Street:
317 W. Highland Drive, Suite #101 Fax: (863) 607-4550 City,
St, Zip: Lakeland, FL 33813 E-mail: john@stitzelgroup.com Bonding
Company:._ _ Mortgage. Lender: _. Address
Address: WARNING
TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED
AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,
CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
Application
is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced
prior to the issuance of a permit and that all work will be performed to meet standards of all laws regulating construction in
this jurisdiction. I understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces,
boilers, heaters, tanks, and air conditioners, etc. FBC
105.3 Shall be inscribed with the date of application and the code in effect as of that date: 5" Edition (2014) Florida Building Code Revised:
June 30, 2015 Permit Application
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be
found in the public records of this county, and there may be additional permits required from other governmental entities such as water
management districts, state agencies, or federal agencies.
Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713.
The City of Sanford requires payment of a plan review fee at the time of permit submittal. A copy of the executed contract is required
in order to calculate a plan review charge and will be considered the estimated construction value of the job at the time of submittal.
The actual construction value will be figured based on the current ICC Valuation Table in effect at the time the permit is issued, in
accordance with local ordinance. Should calculated charges figured off the executed contract exceed the actual construction value,
credit will be applied to your permit fees when the permit is issued.
OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will
be done in compliance with all applicable laws regulating construction and z ning.
Signature of Owncr/Agent Date Signature of contract r/Agent bate
Adam Freeman
Print Owner/Agent's Name
B. AMELLI
Signature of IoNdeary Public - State 3144otida
I• : •= My Comm. Expires Nov 12.2018
y;'
o... `•,;
Commission N FF 146646
rae„a` Bonded ltrouph National Notary AsM
Print Contractor/Agent's Name
to of F1StitfaRN B. AMELLINate
Notary Public - State of Florida
My Comm. Expires Nov 12. 2018
Commission is FF 146646
80rxted Throttyh National Notary Assn.
Owner/Agent is personally Known to Me or Contractor/Agent i-'Personally Known to Me or
Produced ID Type of ID Produced ID Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building Electrical Mechanical Plumbing Gas Roof
Construction Type:
Total Sq Ft of Bldg:
ENGINEERING:
COMMENTS:
Occupancy Use:
Min. Occupancy Load:
FIRE:
Flood Zone:
of Stories:
BUILDING:
Revised: June 30, 2015 Permit Application
0 % 31itou -/
MAR 2017
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: q
a 1 T5,( Documented Construction Value: ---U4 , -)00
Job Address: 350 Persimmon Ave., Sanford Historic District: YesEl No Parcel
ID: 26 19 30 300 004F 0000 ResidentialEl Commercial E Type of
Work: New 0 Addition El Alteration 11 RepairEl Demo[] Change of UseEl Move El Description of Work: Add
a new Ready Mix Plant to an Existing Block Plant, Plan Review Contact Person:
John MacGregor, P.E. Title: Engineer Phone: (863) 607-4455
Fax: (863) 607-4550 Email: john@sfitzelgroup.com Property Owner Information Name
Adam S. Freeman,
Trustee of the Adam S. Freeman Trust Phone: (407) 422-3768 Street: 1617 S. Division
Ave. Resident of property? : A-1 Block City, State Zip: Orlando,
FL 32805 ko(--t'da- Contractor
Information 407-422-0721 Name _
JJdan_Rnheds- Phone: Street: I P50 Monte
Ca Elp Ira *1 Fax: City, State Zip: Qr1andQ,
EL 32805 State License No.: QE3Q 1257a55 Architect/Engineer Information Name:
John MacGregor, P.
E. Phone: (863) 607-4455 Street: 317 W. Highland
Drive, Suite #101 City, St, Zip: Lakeland,
FL 33813 Bonding Company: Fax: (863)
607-4550
E-mail: john@stitzeigroup.com
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, CONSUI,T 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 s of that date: 51" Edition (2014) Florida Building Code Revised June 30, 2015
Permit Application
F.
NQffICE: 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, z mnQ.
Signature of0wrier/Agern [)are Signature of Cornraett(r/Agent [)are
Adam Freeman
Print (?v«ner Agent's Name
S1'T-'
F(jWW—y Public - State Oftir idaignature0
2018
6
My Comm Expires Nov 12, 201 a
Commission # FF 146646
0 0 11 d 1hro* 1111100nif " Ann.
4-'y 1 \'zi"
Print Co torAgent's Na rnc
to of FAUSAN 0, AMELLINatc
N0410Y Public - State of Florida
My Comm. Expires Nov 12, 2018
Commission Or FF 146646
WnW Tim* Na lonlil Notary Am
Owner/Agent is 'Personally Known to Me or Contractor/Agent is T----Personally Known to Me or
Produced ID - Type of ID Produced ID - 'Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building
r-1 '
Electrical — Mechanical E] PlurnbingR Gas E] Roof El
Construction Type: Occupancy Use: Flood Zone:
Total Sq Ft of B1dg:_1z1A-- Min. Occupancy Load: pf)/,4,— — # of Stories: —Y-4—
New Construction: Electric • # of Amps 4'o 0 Plumbing - # of Fixtures
Fire Sprinkler Permit: YesFJ NoEJ #ofHeads --- Fire Alarm Permit: Yes7 NoE] APPROVALS:
ZONING: COMMENTS
ENGINEERING:
W
UTILITIES:
A E WATER: UILDING: -
Jn —17 Z7
rzAf."
Revrscd:
June 30,2015 Pernut Application
P,"
J.
APR 10 201'1
k.
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
E Co E 9 V
MAR 3 0 210V
BY:
Application No:
Documented Construction Value: $
Job Address: 350 Persimmon Ave., Sanford Historic District: YesFJ No
Parcel ID: 26 19 30 300 004F 0000 ResidentialEl Commercial 2 Type
of Work: New El Addition 11 AlterationD RepairEl DemoEl Change ofUse ll MoveEl Description of Work: Add a
new Mix Plant to an Block Plant Plan Review Contact Person: John
MacGregor, P.E. Title: Engineer Phone: (863) 607-4455 Fax: (
863) 607-4650 Email: john@stitzelgroup.com Property Owner Information Name Adam
S. Freeman, Trustee
of the Adam S. Freeman Trust Phone: (407) 422-3768 Street: 1617 S. Division Ave.
Resident of property? : A-1 Block City, State Zip: Orlando, FL
32805 Contractor Information Name Rrian Rnhprts
I r-`
Lrl J4, 1Lf-(-Lf Phone: 407-422-0721 Street: 1950 Monte Carl Trail
Fax: City, State Zip: Qrlgndg, EL
328Q5 State License No.: CBC 1257858 Architect/Engineer Information Name: John
MacGregor, P.E.
Phone: (863) 607-4455 Street: 317 W. Highland Drive,
Suite #101 Fax: (863) 607-4550 City, St, Zip: Lakeland, FL
33813 E-mail: john@stitzeigroup.com Bonding,CMortage Lender: Mo rtgage
Address: Address: WARNING TOOWNER: YOUR
FAILURE TO
RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB
SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR
AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. Application is hereby made to
obtain
a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of
a permit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction. I understand that
a separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and air
conditioners, etc. FBC 105.3 Shall be inscribed
with the date of application and the code in effect as of that date: 51h Edition (2014) Florida Building Code Revised: June 30,2015 Permit Application
N QTICE: 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 L.aw, 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 . ning.
Signature of 0wncr/Agent Date Signature of Contract rtAgent batc,
Adam Freeman -RD\ i k5
Print Owner/Agent's Name Print Co tragtor/A cat's Name
5AN B. AMEIII
l
Signature of ioNdWry Public - State 6141orlda Sign re, tti .,State of FAWN B. AMELLiNate
i• a •£ My Comm. Expires Nov 12.2018 +°• = Notary Public - State of Florida
Commission # FF 146646 a• • MY Comm. Expires Nov 12, 2018
Bonded Throupb National tastysty Assn. •,' f ?
Commission N FF 146646
i• 8atxiad TtW* Nalbrad NOWY Assn
Owner/Agent is V Personally Known to Me or Contractor/Agent is Personally Known to Me or
Produced ID Type of ID Produced ID Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building Electrical Mechanical Plumbing[] Gas Roof[]
Construction Type: 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 [1 No # of Heads Fire Alarm Permit: Yes No
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
WASTE WATER:
BUILDING:
Revised: June 30, 2015 Pennit Application
g
171
APR CITY OF SANFORD
AR 2017M BUILDING & FIRE PREVENTION30
PERMIT APPLICATION
Application No:
Documented Construction Value: $ oo
Job Address: 350 Persimmon Ave,, Sanford Historic District: Yes [I No R
Parcel ID: 26 19 30 300 004F 0000 ResidentialEl Commercial Fx] [
A
Type
of Work: NewAdd , itionl] Alteration[] Repair Demo Change Move 1:1 Description of
Work: Add a new Ready Mix Plant to an Existing Block Plant Plan Review
Contact Person: John MacGregor, P.E. Title: Engineer Phone: (863)
607-4455 Fax: (863) 607-4650 Email: john@stitzeigroup.com Property Owner
Information Name Adam
S. Freeman, Trustee of the Adam S. Freeman Trust Phone: (407) 422-3768 Street: 1617
S. Division Ave. City, State
Zip: Orlando, FL 32805 Resident of
property? : A-1 Block Contractor Information
Name Brian
Roberts Phone: 407-422-0721 Street: 1950
Monte Carlo Trail Fax: City, State
Zip: Qdando, EL 328Q5 State License No.: QEQ 1257858 Arch itect/
Engi neer Information Name: John
MacGregor, P.E. Phone: (863) 607-4455 Street: 317
W. Highland Drive, Suite #101 Fax: (863) 607-4550 City, St,
Zip. Lakeland, FL 33813 E-mail: john@stitzeigroup.com Bonding .Company:
Mortgage Lender: Address: — Address:
WARNING TO
OWNER: YOUR FAILURE TO RECORD NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE
FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT, Application
is
hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior
to the issuance of a permit and that all work will be performed to meet standards of all laws regulating construction in this
jurisdiction. I understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers,
heaters, tanks, and air conditioners, etc. FBC 105.
3 Shall be inscribed with the date of application and the code in effect as of that date: 51h Edition (2014) Florida Building Code Revised: June
30, 2015 Permit Application
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be
found in the public records of this county, and there may be additional permits required from other governmental entities such as water
management districts, state agencies, or federal agencies.
Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713.
The City of Sanford requires payment of a plan review fee at the time of permit submittal. A copy of the executed contract is required
in order to calculate a plan review charge and will be considered the estimated construction value of the job at the time of submittal.
The actual construction value will be figured based on the current ICC Valuation Table in effect at the time the permit is issued, in
accordance with local ordinance. Should calculated charges figured off the executed contract exceed the actual construction value,
credit will be applied to your permit fees when the permit is issued.
OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will
be done in compliance with all applicable laws regulating construction and z ning.
Signature of Owner/Agent Date Signature of Contract(&Agent Date
Adam Freeman 4 1P\ '-) \zl
Print Omer/Agent's Narnc Print co t=tor/A ent's Name
d Ik
l
AN @. AMELCIll
Signature of IpNdlary Public - State 044orida Sign rc, tate of FtN B. AMELLIRate My
Comm. Expires Nov 12. 2016 • = Notary Public -State of Florida Commission #
FF 146646 •: My Comm. Expires Nov t2, 2018 6ortdetiThoupANatiora
tNotaryAssn. %,fE Commission # FF 146646 y+runr 80r1tted
Thro* Natiorad Notary Asap. Owner/
Agent is personally Known to Me or Contractor/Agent is -Personally Known to Me or Produced
ID Type of ID Produced ID Type of ID BELOW
IS FOR OFFICE USE ONLY Permits
Required: Building Electrical Mechanical Plumbing Gas[] Roof Q Construction
Type: Total
Sq Ft of Bldg: Occupancy
Use: Flood Zone: Min.
Occupancy Load: # of Stories: New
Construction: Electric - # of Amps Plumbing - # of Fixtures Fire
Sprinkler Permit: Yes No # of Heads Fire Alarm Permit: Yes Q No APPROVALS:
ZONING: ENGINEERING:
COMMENTS:
UTILITIES:
WASTE WATER: 177
BUILDING:
Revised:
June 30, 2015 Pennit Application
CITY OF SANFORD BUILDING AND FIRE PREVENTION DIVISION
FIRE PLAN REVIEW SERVICE FEES
DATE: PERMIT NUMBER: 17-
BUSINESS/PROJECT NAME: c- l<-
ADDRESS:
CONTACT NAME:
PLAN REVIEW INFORMATION
PHONE: 407.688.5052
FAX: 407.688.5051
M'CONSTRUCTION []C/O (IFIRE ALARM [ I FIRE SPRINKLER []HOOD [ ]PAINT BOOTH []TANK DOES
20% REDUCTION IN FIRE IMPACT FEES APPLY: YES NO TOTAL
FEES:jb1----l
CITY OF SANFORD
MAR 3 0 2017 SUILDING FIRE PREVENTION
PERMIT APPLICATION
APR I n
Appfi ton No:
Documented Construction Value: $ o
Job Address: 350 Persimmon Ave., Sanford Historic District: Yes n No
Parcel ID: 26 19 30 300 004F 0000 ResidentiaIE] Commercial
Type of Work: New El Addition n AlterationEl RepairEl DemoEl Change of Use 0 Move Description of Work:
Add a new Ready Mix Plant to an Existing Block Plant Plan Review Contact
Person: John MacGregor, P.E. Title: Engineer Phone: (863) 607-
4455 Fax: (863) 607-4650 Email: john@stitzeigroup.com Property Owner Information
Name Adam S.
Freeman, Trustee of the Adam S. Freeman Trust Phone: (407) 422-3768 Street 1617 S.
Division Ave. City, State Zip:
Orlando, FL 32805 Resident of property? :
A-1 Block Contractor Information Name
Rrian Raherts
Phone: 407-422-0721 Street: 1950 Monte
G arla Irail Fax: City, State Zip:
Qr1ando.EL328Q5State License No.: QBQ 125Z855 Architect/Engineer Information Name:
John MacGregor, P.
E. Phone: (863) 607-4455 Street: 317 W. Highland
Drive, Suite #101 Fax: (863) 607-4550 City, St, Zip: Lakeland,
FL 33813 E-mail: john@stitzeigroup.com Bonding.Company:.,__ Mortgage Lender:
Address: Address: WARNING TO
OWNER: YOUR
FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON
THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. Application is hereby
made
to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the
issuance of a permit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction. I
understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks,
and air conditioners, etc. FBC 105.3 Shall
be inscribed with the date of application and the code in effect as of that date: 511 Edition (2014) Florida Building Code Revised: June 30, 2015
Permit Application
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be
found in the public records of this county, and there may be additional permits required from other governmental entities such as water
management districts, state agencies, or federal agencies.
Acceptance of permit is verification that I will notify the owner of the 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 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 pen -nit 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 z ning.
Date Signatureofco— 6ate' Signatureof0wrier/Agent Contract Adam
Freeman Print
Owner/Agent's Name 4,
A SAND. AMELCIA Signature
o loNOUry Public -State 6iftrida 1
2i 2018 c
of z
6 **
3
MyComm. Expires Nov 12,2018 Commission #
FF 14:6646 NR
Mt OWN Tft* NO101181 Notary Assn. Print
C' " A ' Name r)
n Notary
Public - State of Florida My
Comm. Expires Nov 12, 2018 Commission #
FF 146646 ft"
Through National Notary Asap, Owner/
Agent is personally Known to Me or Contractor/Agent is personally Known to Me or Produced
ID Type of ID Produced ID Type of ID BELOW
IS FOR OFFICE USE ONLY Permits
Required: Building[] Electrical[] MechanicaIF] 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: YesF1 NoEl # of Heads Fire Alarm Permit: YeSE] No APPROVALS: ZONING:
tVIA (3 UTILITIES: WSTEWATER: 7B ENGINEERING: CIUILDING:-
OCOMMENTS: (
k.
oe (-
o t oyicx Revised: June 30, 2015
Permit Application
PREPARED BY and RPMRIN ID
It, )UHN FRI)MAN
A CAt.rij WN A FEIDMAN, P.A.
IV 211 North Amm Avenue
T#vWrs, Ft, 32779-).W
Putd 10 N- 26. 1 9-,10-300-004F4VW
TAN do— -*,% "arld on ior"Matiou
fursithed by Grantor, No examination ortirl't Nast
rqu"W by Gran w ._%d to title exeypiastim kas
btm arena on OW suwvrty, WWW
WRWitit 1tp CINWIT C= KKNXE
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TAX k7o REMIM
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W BY T Saith WARRANTY
DEED TWS
W DEED is made tbeU day Of 2012, 11Y.
GAIL D. a married woman, whose address is 4N Jennie Jewel Drive, Orlando. FL. 32906, Grititt.*
A0 1'
0: ADAM S—FRE4 Trustee of the ADAM S. FREEMAN IRREVOCABLE TRUs1'&tvd November 2Ql1,
whose jTy 1617 South Division Avenue, Orlando, FL 32805, ("Grantee"); Mmmver
tmd herein U)c k:rm., or- and sand
WWWC
all the Patricem Patricetothis4j urnrnt and the*im kga[l rqxCsMtjttjcrs mid wnigniofwdividusis. mid 11 41 WiTNESSF1"":
That r and in consideration of the suet Of Tell And Noll 00 00iiam ($ 10.00) and other
valuable considerationk rem is hereby acknowledged, hereby grairits, bargains, sells, aliens, rerniscs, l *'3 m1c4ics,
conveys and confirms unto Gr " \atl t certain land situatc, in SEMINOLE County, Florida. viz All
of Grantor's rwriainin intereat in the following property: Begin
at the ial right -of -Nap of Atlantic Coast Line Railroad, now
Seaboard Coast U right -of --way, and the Westerly right -or -way live of Persimmon
Avenue, run th 956.69 W along Westerly right-of-way line of Persimmon
Avenue to I point, run W 453.6 feet to a point, thence run S to a point
on the Easterly right-of-w f Atlantic Coast Line Railroad, now Seaboard Coast
Line Railroad, thence runt along the Easterly side of Atlantic Coast Line
Railroad, now Seaboard Coast eihbad to a point of beginning. Subject
to casetuents, rvvrictiens, reservations of record, if any, but no-( to mimpose any void or tariscil
restrictions or easements, -tI4 , Neither
the Grantor nor anyone dependent upon m on the above described property, and the same
does not constitute the Grantoes, homestead as defined b p,5n or the laws ofthr State offlori& TOGETHER
With all the tenements," herodition,na an porlen ances thereto belonging or in any -wise appertaining.
Ot TO
HAVE AND W HOLD, the same in fee simple forever, tied
of said laod it, fee simple; that ANDGrantorherebycovenantswithsaidGranteethatGrantorislawnmGrantor
has good right and lawful authority it> sell and convey said land; hereby fully warrants the title to said
land and will defend the satne against the lawful claims of all persons 4whomso and that said land is free of all encumbrances,
except taxes accruing subsequent to December 31, 2011, QNI-r-— IN
WITNESS WHE"',OF, Grantor has signed and sealed those presents the day and year fina above: Nvrinen. Signed
in the Prcsenco of Tff
r4 n -OfT 6 FM STATE
OF FLORIDA COU"
I'lly OF The
foregoing Wistrtiment was acknowledged before me this: I f day of FREEMAN
a married woman who is personally know f,, 2012
by GAIL D. Susan
t AMELU, Notary
Pvbk - stay of" my
Comm Elqwtl comn##
144 F1 120110 Rj: Print v, 7 pe V44W 6"
M TN"o NOW" "owl MW Notary Public My
Commission vxpims: Book7814/
Page1941 CFN#2012084052
I. . .... .
4
APR 1 1 2017
Construction Value
Scope —Place Ready Mix Concrete Plant on existing block mfg. facility
Address -350 Persimmon Ave.
Site Work including retention pre pond and final pond $65,000.00
Type two structure 10,000-00
Material Storage 4,500.00
Modular Office U, s,ke 16,000.00
Plant Erection 22,000.00
Concrete Work 35,000.00
Electrical 27,000.00
Landscape 5,500.00
Misc. 10,000.00
Total 195,000.00
Adam S. Freeman
Property Owner
Brian Roberts
Certified Building Contactor
Construction Value
Scope —Place Ready Mix Concrete Plant on existing block mfg. facility
Address -350 Persimmon Ave.
Site Work including retention pre pond and final pond $65,000-00
Type two structure 10,000.00
Material Storage 4,500,00
Modular Office 16,000.00
Plant Erection 22,000.00
Concrete Work 35,000-00
Electrical 27,000.00
Landscape 5,500.00
Misc. 10,000.00
Total $195,000.00
Adam S. Freeman Brian
I
Robeis Property
Owner Certified Building Contractor
THIS INSTRUMENT PREPAREDLY:
Name:
Address
Permit Number: 1 ? - 9 (0
Parcel ID Number: 2 re/ - 4 - 3 l? _ C+ A -t t= ' v R a e7
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 Qf the property and street address if avaitable)
2, GENERAL DESCRIPTION OF IMPROVEMENT:
d S4 A") r" P 1 a., f „1
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name and address:
Interest in property. -
Fee Simple Title Holder (if other than owner fisted above) Name: %
Address
4. CONTRACTOR: Name: O r t o., f2 Phone Number:
S. SURETY (If applicable, a copy of the payment bond Is attached): Name:
Address..— Amount of Bond:
6. LENDER: Name: Phone Number:
7. Persons within the State of Florida Designated by Owner upon whom notice or other documents may beAcsj?Vif' satxtat«
x
713.13(1)(a)7., Florida Statutes.
Name` Phone Number:
Address: a
8. in addition, Owner designates of e
7U
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)
WABhLINQ 'O OtNNE'R. 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.
OwnK, .
Sirsurt ofOwner w Lessee, +w 0wrmfl df Lessee's. ..(print Name and Pravda S,yu'S#ttr7y's T140,,101%4)
Authorized Officer/Director/Partner/Manager)
State of
fCounty
of The
foregoing Instrument was acknowledged before+ me this day of 0 by ` " .
Who is personalty known to me *'O' R Name
of person making statement who
has produced Identification 0 type of Identification produced: r-
rr.
Nr Stl6Aft 8. AMELLIN Notary
Public • State of Florida My
Comm. Expires Nov 12. 2018 wary gn .o Commission
M FF 1416646 t ''
Do dellThrough Netiolnt Notary Assn.
THIS INSTRUMENT PREPARED BY:
Name: Adam Freeman / A-1 Block Corporation
Address: j617 S. Divisi n Ave.
NOTICE OF COMMENCEMENT
State of Florida
County of Seminole
Permit Number: Parcel ID Number, 26 19 30 300 004E 0000
The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with
Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement_
DESCRIPTION OF PROPERTY: (Legal description of the property and street address if available)
35Q P rsimm n Aye.,Sgnford / 5ge Attached Legal.
GENERAL DESCRIPTION OF IMPROVEMENT:
Adding a Ready Mix Concrete Plant to an existing Block Plant.
OWNER INFORMATION:
Name: Adam S. Freeman, Trustee, FBO
Address: 1617 S. Division Ave., Orlando, FL 32805
Fee Simple Title Holder (if other than owner) Name:
CONTRACTOR:
Name:
Address:
Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served
as provided by Section 713.13(1)(b), Florida Statutes,
Name:
Address:
In addition to himself, Owner Designates
Section 713.13(1)(b), Florida Statutes.
of
To receive a copy of the Lienor's Notice as Provided in
Expiration Date of Notice of Commencement (The expiration date is 1 year from date of recording unless a
different date is specified)
WARNING T QWNER. ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13,
FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY, A
NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in it are true
to the best of my knowledge_and t0of,
Adam Freeman
Owner's Signature Owner's Printed Name
Florida Statute 713.13(1)(g): " The owner must sign the notice of commencement and no one else may be permitted to sign in his or her stead."
State of d-cCounty of b. c'r
1 q4Theforegoinginstrumentwasacknowledgedbeforemethisdayof , 20 by .
a . Who is personally known to me Name
of person making statement OR
who has produced identification type of identification produced: SUSAN
0. AMELLIN Notary
Public - State of Florida My
Comm, Expires Nov 12, 2016 Notary Signature Commission #
FF 146646 bonded
TIKcu6lt Nitipgl NoUMy,
Letter of Transmittal
Date: January 21, 2016
To: Adam Freeman
Al Block Corporation
1617 S. Division Ave.
Orlando, FL 32805
From: Greenway Electrical Services, LLC
2718 Pemberton Drive
Apopka, FL 32703
407) 532-2778
407) 532-2779 FAX
E-mail: cduffield@greenwayelecsvc.com
APPLICATION FOR IMPACT FEE STATEMENT
SEMINOLE COUNTY
Check one box:
ALTAMONTE SPRINGS El LAKE MARY KSANFORD
F-] CASSELBERRY (East of Hwy 17 & 92) 1 LONGWOOD WINTER SPRINGS
0 CASSELBERRY (West of Hwy 17 & 92) El OVIEDO El CENTRAL FL RESEARCH PK
Site Street Address:
Tax parcel I.D,#: Legal Description Attached
Subdivision Name: Lot: Block:
Owner Name:
Mailing Address:
City: 6 (z /"4 State: Zip:
Phone: q 2;(, - 3 ? Fax. no.:
Contractor Name:
Mailing Address:
City:
Phone:
State:
Fax. no.:
Proiect Name: A ( IC /*) Building Name:
Zip:
Proi)osed Residentail Use: (Check one)
E:1 Single -Family El Duplex [:1 Townhome/Condominiurn El Mobile Home
List the number of dwelling Units: - Number of Buildings:
E] Apartment
Proposed Nonresidential Use:
List the use and size of Building: (Example: Restaurant, medical office, general office. if a mixed use, list all,)
Use# 1 le Ie`"/4'c F Use #3 Size
Use #2 Size Use #4 Size
Proposed Change of Use: (Applicant may be entitled to impact fee credits for prior uses.)
This use replaces a use of: Size: —
Size:
Yes F-1 No If within the City of Altamonte Springs, is a fire sprinkler system proposed?
If yes, please submit construction drawings indicating the sprinkler system.
NOTE- Please submit a site construction and building floor plan with the application. It will be
returned to you once the assessment is co=/ete.
OFFICE USE ONLY
Statement no. Date: Input by:
Comments:
CAW1NN1ATEMP\notesEA312D\City impact fee form.doc
1
FPL
Project Name:
Location:
Company Name:
mercial and Industrial Project Checklist
i A I uiocm uo. Heady MIX ACIdition
350 Perii7m—on Ave.
West or Road Address
Sanford, Seminole
Primary Point of Contact:
Electrical Contractor:
Contact for Design:
Other.
For Agreements and
Contact Name:
Mailing Address:
Office: MM- Cell: 7
t4
Email: 0 30 8]
Office: 7=777T_ Cell: 71710-11009 Email:
Office: Cell: 941-915-0332 Email:
Office: Cell: Email:
r)iAa.qn nmvirip-
lAdam Ireeman I SUSM AMOlin
Iml.nlve. . Orlando, F
Person FPL will contact to discuss the
Type of Business (Ptea"
Office8Multiple-Unit Comp
Number of Units
Number of Meters
Meter Designation
01 /21 /2016
Form Submittal Date
duffield 0 greenwayelecsvc.1Uff
cluffielcElOgreeiiwayelecave.com
te Yptia..' laagmall.com
or Email: I Adam*AIBIOC
and send communications to regarding Chang" affecting the status ofthajob
one)
Concrete Block Marrulacturer
Suite, Unit, Apt, etc)
Retail
Medical
Restaurant (specify)
Seating Capacity
a All Electric
Gas I Electric
Site Plan, Water, Sewer, Drair age, Paving and Landscape Plans including but not limited to:
Existing and proposed facilities
Existing utility poles, meters and, D(padmounted transformer locations
Easement designations, wetland boundaries
Electrical Riser Diagram
Panel Schedule
CAD File: Can beanel ironic file ore file an a disc. Should be In DXF or DING format and include the following.,
a. Contact ph# of CAD firm that d d the design e. Drainage areas
b. Site plan f. Dedicated utility easements
c. Sewer lines (both main and service lines) g. Wetland area -if applicable
d. Water lines (both main and service lines) h. Lift Station
Location of Wetlands or Environmentally protected areas I N/A
Location of any protected spac as on or near site (within 2 miles)
Location of any contaminated oil concerns C
Can utilities be permitted with developers crossing of environmental areas? Yes? No?
IFMI
120/240 1 Phase 120/208 3 Phase
0 3 Phase (Open Delta) El 277/480 3 Phase
0 3 Phase (Closed Delta) I
M
Commercial and Industrial Project Checklist I Page 1 of 2
FPL
0-120 !?21l
Wire Size
Number of Sets:
Total Estimated Demand
Total A/C Square Footage
Number of A/C Units
Other electrical needs
merciaf and Industrial Project Checklist
6g Itlgngl Elgctrigal RgQuJrgm2!1Js
404 Main Panel disconnect size (amps)
1 Number of meters required
51.87 (kw) .the Meter address / designation (suite, unit, apt, etc)
i no Lift Station (Yes / No)
size tons
Please include the below required information in (mm/ddtyy) format.
1) Clearing, Site Work, We r & Sewer 3) installation completed by:
2) FPL design layout by: I 4) Desired date for Permanent Service 2/15/2016
Customer to install: all FPL
FPL to install all of its facilit
Platted: Yes:
Specific: Yes:
Utility: Yes:
Final Plat recorded by:
170 Are there any existing FPL
Explain: F
No Are there any special c
work outside of normal
Explain: r-
Fel Are there
Explain:
MN Are there existing overhead
Explain: F-
Once all above information is
Design Phase =
Scheduling Phase
Construction Phase
for credit Directional Bores for crossing under roadways or environmental areas to get into project
Customer to directional bore Yes: R No: X
FPL to directional bore Yes:IJ No: IX
EXISTING
In conflict with proposed construction & critical dates for relocation or removal?
Dn requirements / restrictions. (Use construction entrance only, no weekend work or
hours)?
to remain in operation durinq construction?
lines and/or service lines that need to be removed and/or abandoned?
we can begin Design of the Project.
6 - 8 weeks
3 weeks
dependent on the scope of the project
Please send completed form and CAD file to your Area CPM ***
Please contact vqur Area CPM for assistance ***
Commercial and industrial Protect Checklist 1 Page 2 of 2
City of Sanford
Commercial Permit Application Checklist
All permit application packages must be complete prior to acceptance. You must check each
box to the left or indicate n/a on this submittal. A complete application package shall
include the following:
Building Permit Application completed, signed and notarized. Application must include correct address
and complete parcel I.D. number.
Copy of a contract, signed by the contractor and property owner, indicating the documented construction
value
Copy of the contractor's license issued by the State of Florida (if contractor is applicant).
A site specific notarized power of attorney shall be required from the licensed contractor if
he/she appoints an employee of his/her company to sign the permit application as the contractor.
Certificate of insurance indicating worker's compensation insurance coverage and naming the City of
Sanford as certificate holder, or a copy of a worker's compensation exemption issued by the State of
Florida (must be submitted with each application if contractor is the applicant).
Completed, signed, and notarized Property Owner Builder Disclosure Statement Affidavit (if owner is
applicant). IA -CAN 'I t- N
Approval letter from sanitary sewer pt der (if other than the City of Sanford).
L1 Copy of the onsite sewage disposal system construction permit issued by Seminole County Health
Department for new or existing septic systems, grease interceptors, etc. (it'applicable).
F1 Seminole County Impact Fee Statement.
Five (5) sets signed and sealed building construction plans.
Two (2) sets signed and sealed site development plans approved by City of Sanford Planning &
Development Services Department.
L-1 N Letter from Planning & Development Services agreeing to submittal of plan without development plan
approval. This is at the developer's risk.
0 Two (2) sets signed and sealed floor and roof truss engineering.
D 1,: Completed and signed Statewide Product Approval Specification Form.
D ,) Two (2) copies of the manufacturer's installation instructions for the following products: windows, doors,
roofing materials, engineered lumber products, glass blocks, soffit materials and siding.
0 t4 I i Three (3) sets of completed and signed energy calculations (signed/sealed if required by Florida Statute
or code).
F1 N State of Florida Division of Hotel and Restaurant approval (if applicable).
0 1 110 Florida Department of Environmental Protection Notice of Asbestos Renovation or Demolition (if
applicable),
C3 ik State of Florida Notification on Gas Tanks (if applicable).
1] P i Floodplain development application completed and signed if any portion of the property is in a flood
hazard area as identified on the most current flood insurance rate map.
THE BUILDING CONSTRUCTION DOCUMENTS MUST INCLUDE, AT A MINIMUM, THE
FOLLOWING:
SITE PLAN (Development Wan includes additional requirements)
0 All parking and accessible routes
E] Accessible parking space(s) and signage details
Lj Accessible entrances
D- Accessible ramps, handrails, guardrails, curb cuts and details
All required building exits accessible (not less than 60% if all are not required exits)
Areas of rescue assistance
Accessible signage
Revised. February 2016
Page I of 7 Commercial Peond Application Guidelines
INSPECTION SEQUENCE
BP# 17-962
ADDRESS: 350 Persimmon Avenue
BUILDING PERMIT
Min Max Inspection Description
10 Footer / Setback
Stemwall
Slab / Mono Slab
Lintel / Tie Beam / Fill Down Cell
Sheathing — Walls
Sheathing — Roof
Roof Dry In
20 Frame
Insulation Rough
Firewall Screw Pattern
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
1000 Final Commercial —
Final Commercial — Addition / Alteration
Final Commercial — Change of Use
Final Building (Other)
ELEgRICAL PERmIT
Min Max Inspection Description
10 Electric Underground
Footer / Slab Steel Bond
Electric Ceiling Rough
Electric Wall Rough
Electric Rough
20 Pre -Power Final
Temporary Pole
I 000 Electric Final
Min Max
A 'r
Inspection Description
Rough Plumb
Plumbing Underground
Plumbing 2 nd Rough
Plumbing Tubset
Plumbing Sewer
Plumbing Grease Trap Rough
Plumbing Steam / Chill Water Rough
Plumbing Final
MWEC HANICAEPERMIT
Min Max Inspection Description
Mechanical Rough
Mechanical Fire Damper Framing
Mechanical Ceiling Rough
Mechanical Fire Damper Annular Space
Mechanical Insulation Wrap
Mechanical Fire Damper Angle
Light / Water Test Ck Welds
Mechanical Grease Duct Wrap
Mechanical Final
REVISED: June 2014
cl/
40-
U)
EQUIPMENT CONNECTION SCHEDULE
MARK EQUIPMENT DESCRIPTION
EQUIPMENT
LOAD VOLTAp
DISCONNECTING
MEANS
TYPE/RATING
CIRCUITED TO
PANEL
FEEDER OR BRANCH WIRE SIZE NOTES
CP-1 CONTROL PANEL 110 kVA 480/3 N/A HA 4#1/0,#6G,2"C 3
P-1 15 HP PUMP 15 HP 48013 60/3/40FU CP-1 3#8,#10G,3/4"C 1,2
P-2 15 HP PUMP 15 HP 480/3 60/3/40FU CP-1 3#8,#10G,3/4C 1,2
P-3 5 HP PUMP 5 HP 480/3 30/3/15FU CP-1 3#10,#10G,3/4°C 1,2
P-4 5 HP PUMP 5 HP 480/3 30/3/15FU CP-1 3#10,#10G,3/4"C 1,2
ST-1 STACKER BELT 20 HP 480/3 60/3/60FU HA 3#6,#10G,3/4"C 1,2
EQUIPMENT CONNECTION SCHEDULE GENERAL NOTES:
A. VERIFY ALL FLA, MCA, AND MOCP REQUIREMENTS WITH SUBMITTED AND APPROVED EQUIPMENT PRIOR TO ELECTRICAL ROUGH -IN.
B. REFER TO SPECIFICATIONS FOR SPECIFIC REQUIREMENTS AND SCOPE FOR CONTROL WIRING, LINE WIRING, STARTERS, AND DISCONNECTS.
C. LOCATIONS OF DISCONNECTS/STARTERS FOR EACH PIECE OF EQUIPMENT MAY NOT BE SHOWN ON PLANS. IF NOT SHOWN, CONTRACTOR TO FIELD
COORDINATE LOCATION IN ACCORDANCE WITH CODE.
D. COMBINATION STARTER/DISCONNECTS SHALL BE USED WHERE APPLICABLE.
E. EXISTING BESSER PORTABLE BLOCK PLANT BEING RELOCATED FROM OWNERS EXISTING FACILITY. ELECTRICAL CONTRACTOR SHALL CONFIRM ALL EXISTING
MOTOR SIZES AND ANY CONTROL WIRING REQUIRED BY OWNER.
F. ALL DISCONNECT AND STARTERS SHALL BE NEMA 3R RATED.
EQUIPMENT CONNECTION SCHEDULE SPECIFIC NOTES:
1. PROVIDE ALL CABLING BETWEEN CONTROL PANEL AND ASSOCIATED EQUIPMENT AS REQUIRED, FOR A COMPLETE WORKING SYSTEM.
2. POWER SUPPLIED BY CONTROL PANEL. ELECTRICAL CONTRACTOR SHALL PROVIDE CONDUIT AND WIRING AS REQUIRED BY FOR A COMPLETE WORKING
SYSTEM.
3. EXISTING BESSER PORTABLE BLOCK PLANT CONTROL PANEL BEING RELOCATED. ELECTRICAL CONTRACTOR SHALL VERIFY FINAL CONDUCTOR COUNTS,
SPECIFICALLY IF A NEUTRAL IS REQUIRED. IF NEUTRAL CONDUCTOR IS NOT REQUIRED, ELECTRICAL CONTRACTOR SHALL NOT PROVIDE THE NEUTRAL
CONDUCTOR.
City of Sanford
Building Division PERMIT
P.O. Box 1788
Sanford, Florida 32771
Phone: 407.688.5150
Fax: 407.688.5152
CONDITIONS OF PERMIT
Date: April 20, 2017
Contact Person: Brian Roberts
Contact Phone Number: 407 422-0721 Contact Fax Number:
Contact E-mail Address:
Building Permit Application Number: 17-962
Project: Ready Mix Plant
Job Address: 350 Persimmon Avenue
The above permit is issued under the following conditions:
1. Separate permits required for Modular Office Building.
2. Shop Drawings and Engineering required for all Batch Equipment, Silo, AGG
Bin, Hopper etc.
3. Additional Permits and Plans may be r uired d ng construction.
Contractor / Agent Signature -- ------ --------- -- ----
Please direct any questions you may have to Joy Deen at 407.688.5064 or fax to
407.688.5152. You may also contact me by e-mail at joy.deen@sanfordfl.gov.
Respectfully;,
of:
J101, Deen Plans `ExamineryI
I
RevisionA 4
City of Sanford
Response to Comments 11 Building & Fire Prevention DivisionEC ;HVE, Ph: 407.688.5150 Fax: 407.688.5152
Email: building@sanfordfl.govNOV212017
Permit # Z(I Z-- Submittal Date X/
Project Address:
2
A -SContact:
11"
Ph: -41C11- 5 3 2 Z2 -a Fax:. --,5?;z
Trades encompassed in revision:
11 Building
11 Plumbing
JW Electrical
11 Mechanical
0—LifeSafety 11
Waste Water Department
Utilities
Waste
Water Planning
Engineering
Fire
Prevention General
description of revision: ROUTING
INFORMATION Approvals
it