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Home My WebLink About1401 Magnolia Ave 16-2898; INTERIOR ALTERATION; RAMP REPAIRCITY OF SANFORD TolUILDING & FIRE PREVENTION PERMIT APPLICATION Application No. 4" qq Documented Construction Value: $ aw, &o l cwi +4 Job Address: 1401 PV\Aet stL(A AvL Historic District: Yes No Parcel ID: ;;).S - Iq - 30 -- Sig, -14zeD - oocb Residential Commercial [ Type of -Work: -New- Addition El -Alteration ®- Repair -Demo--Change-of- Use - Move - - -- --- Description of Work: (_c*4'r' .Uc,-r YI'F. t bloAlow-A koptno.i of acpA,¢- ee- putt, _ aka ec&tAe of yJc'ftOttiJ Rootrlo,.l of F6-t.14.E Plan Review Contact Person: Title: SeNtoa. Gmr-yrcta2. Phone: Fax: Email: o-e a w,ckat$c. co.. Property Owner Information &(O&l u 40 Name G Ac.e LUC- Street: 1401 IA*4Nog,.to,- A-& City, State Zip: St if'.' o T2. -4 -1 1 Phone: Resident of property? : Contractor Information Name At_Vtg Phone:-1- 3}3-lt5o Street: Ito t Acbsa.,.e__ 4t, Fax: q%*S11- 3>3 __q bd`4 City, State Zip: o L State License No.: C6c. o4EIRII- Architect/ Engineer Information Name: A)ft t %m-_t mA4_ L 1 wtt _S due Phone: 4wl- 9T7- 15 146,1 Street: oi81(e exFir.tZ T City, St, Zip: GL 3a 6a3 Bonding Company: Address: Fax: E- mail: c, rcLsolya gel . cv,.., 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. 1 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 Rev, sed. June 30.2015 I.-,, Penmt ApplicationJ - / S /d - Fj r •, T SS • S. 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 l 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. o a". A P Signature of Owner gent Date Stgn. ure Of CCo-ntractor/ntAgen/ Lbat A& ks CMI14Print Owner/Agent's Name Print Contructor/Agent's Name 1 1Cj I Zr t Signature of Notary -State of Florida Date Sig otary-st !!'Flo ' Date KATHRYN BOWEN awlNOTARY PUBLIC STATE OF FLOMDA Cunt O FF14W4 Owner/ Agent is Personally Known to Me or Contractor/Age E*&'%fi a BIR816&n to Me or Produced 1D 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 No APPROVALS: ZONING: ENGINEERING: COMMENTS: of Heads UTILITIES: FIRE: Fire Alarm Permit: Yes No WASTE WATER: BUILDING: Revised: June 30, 2015 Permit Application Wr McKee CONSTRUCTION CO. GENERAL CONTRACTORS Since 1973 November 17, 2016 City of Sanford Building Department Re: Gracious Age ALF —1401 Magnolia Ave — Cost Breakdown The following is an itemized estimate of the expected construction costs associated with the renovations and addition to Gracious Age ALF located at 1401 Magnolia Ave in Sanford, Florida. Scope - Demolition $ 26,070.00 Fencing $ 5,303.00 Concrete $ 34,300.00 Metals $ 19,561.00 Wood Material/Framing $ 26,175.00 Roofing $ 7,775.00 Doors & Windows $ 6,393.00 Finishes $ 34,663.00 Elevator $ 42,000.00 Plumbing $ 9,500.00 RVAC $ 18,634.00 Fire Sprinklers $ 8,900.00 Electrical $ 29:358.00 Total Cost - $ 268,632.00 If there are any questions, please contact Joe Nicholas, Senior Estimator, McKee Construction Co. at (407)1323-1150. S' rely, L . Jo is o as ee nstruction Co. 790 Monroe Road • Sanford, Florida 32771 Phone (407) 323-1150 • Fax (407) 323-9304 www.mckeegc.com CBC 048972 Joe Nicholas From: Forte, Jami <JForte@seminolecountyfl.gov> Sent: Thursday, November 17, 2016 2:53 PM To: Joe Nicholas Cc: Blanton, Deborah; Scott, Annette; Johnson, JoAnn Subject City BP 16-2898 for Gracious Age ALF Dinning additionfint. alt. Good afternoon, This is to advise that there will not be any Seminole County road impact fees for city BP # 16-2898 for Gracious Age ALF, dining addition, and interior alterations, with a minor change to building footprint but not to the use. Please let me know if you have any questions. Please note ... due to the over whelming number of concurrency & impact fee application submittals as well as emoils, for both county and city projects, processing may take a few days longer than normal, and I would like to apologize in advance for any inconvenience this has or might cause. I am working at a non-stop pace to review/process each and every submittal as timely as possible. Best Regards, Jami Jami Forte l Planning Coordinator / Impact Fees & Concurrency Seminole County Planning and Development 1 Business office 1 Building Div. 1101 East First Street / Sanford, FL 32771 / 407-665-7356 / jLor/e crseminolecoun[yLLgov MhAMY tart tam Oct x We are paperlessf Please submit electronically... NEWT Digital Signarure Appearance Requirements for aft censed Design Professionals Click to find out more: Planning & Development I Building Permitting I Digital Signature Requirements Customer Service, our top priority. www.seminolecountvfl.gov/devcustomersurvey From: Joe Nicholas (mailto:Joe@mckeegc.com] Sent: Thursday, November 17, 2016 2:41 PM To: Forte, Jami <JForte@seminolecountyfl.gov> Subject: Impact Fees for City of Sanford Permit 16-2898 Jami, Can you send me the Road Impact Fee Statement for the City of Sanford Permit Application #16-2898? If you have any questions, please give me a call. r CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: f Documented Construction Value: $ , 006 Job Address: 1401 a4ctL4tL (A Ave Historic District: Yes E No Parcel ID: D-5 - 111- 3a -- SDK, -14=oQ - eat Residential Commercial [f Type-of-Work:-New-0 Addition® Alteration-g-Repair---Demo--Change-of-Use--Move-0 — Description of Work: (C -lSMUI T ,nt5t Dta,otct 2neM, I%ootne,'- of-„,,-t. t ( tc-,PM2 eF r vwUtETE Pik 1t wtC. of We bOev,1 174tMP A"Q A-Ootrlc.J pir F*-OCe Plan Review Contact Person: IJ cktot.I s Title: Se ,toa. 6 r0 A rL Phone: Fax: Email: ' e¢ a w,ckaege. cow-. Property Owner Information , Name _6 LAr_teyS AZ4E Phone: nPftaR Street: I4ol IVIAc,Na.Aar /mac-. Resident of property? D City, State Zip: SA,4(=e0 JPL 32-'t11 Contractor Information Name VC -VC -a C-ssc¢,c o-4 Phone: Street: '1Go P/lcN eod: 1_N Fax: qis"1- 1:),3-q'..`( City, State Zip: S-tif:6 fL 3a-'t'11 State License No.: Ggc- o4IRRI t. Vt/ n Architect/Engineer Information Name: Atco-%%QTA 1"*mtcs 1"C- Phone: 4cr1- eR 7- 1q46_,1 Street: 451(fl @ Fop- -r City, St, Zip: 62 3a3 Bonding Company: Address: Fax: E-mail: a cells W o t9 r_Q 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: 5i 1 Edition (2014) Florida Building Code Revised: June 30. 2015 Permit Application n 1 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 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 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 AFFIDAVI-T: I -certify -that -all -of -the -foregoing -information -is -accurate -and -thatall-work.will-------- be done in compliance with all applicable laws regulating construction and zoning. GQ.. 10 yc. /t V 6 Signature of Owner gent Date Stgn ure of Comractor/Agents DmC.-P rZ V "7,- : C.p-rivnS AA d — 1`07A &A— a I Print Owner/Agent's Name Print Contractor/Agent's Name Signature of Notary -State of Florida Date Si P otary-St Flo JDate KATHRYN BOWEN NOTARY PUBUc STATE OF FLORIDA Comn* FF140974 Owner/Agent is Personally Known to Me or Contractor/AgVii d8ftn 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: 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 APPROVALSZONING: , p UTILITIES: WASTE WATER: ENGINEERING: FIRE: COMMENT 6 BUILDING: I o Revised: June 30, 2015 Permit Application As k 00. CERTIFICATE OF APPROPRIATENESS HISTORIC PRESERVATION BOARD CITY OF SANFORD 300 S. Park Avenue Sanford, Florida 32771 407.688.5145 • www.sanfordfl.gov/HP THIS DOCUMENT MUST BE POSTED AT ALL TIMES UNTIL PROJECT IS COMPLETED. ISSUED TO: DATE ISSUED: Gracious Age October 24, 2016 at 1401 Magnolia Avenue DATE EXPIRES: Sanford, FL 32771 April 24, 2017 BP#16-2840 Approved to remove wooden ramp and replace with concrete ramp per ADA requirements and add 6' decorative aluminum fence for outdoor seating area. Russ L. Gibson, AICP Director of Planning and Development Services Please be advised it is the owner and/or agent's responsibility to notify staff of any potential changes from the approved COA that arise and obtain approval prior to commencing the changes. This Certificate of Appropriateness does not constitute final development approval. The applicant is responsible for obtaining all necessary permits and approvals from applicable departments before initiating development. IS A BUILDING PERMIT REQUIRED FOR THE ACTIVITY LISTED ABOVE? IR YES NO Building Department Representative CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: t' '(;'q Documented Construction Value: $ _99, OOd Job Address: 140k aACGtsot, (A Ave Historic District: Yes yNo Parcel ID: Residential Commercial d Type- of-AVork:-New- Addition® Alteration0--Repair--Demo--Change-of-Use*-Move-- Description of Work: (.M SM1,c.-c ,n<,t ptaJkb, 2—M /kootno of CL ,AjteL, 2c-PAI2 6 ortt11F1 1g81J1"C% _ of yJftftOt'_.J 9XMP MAQ AWtflo,•1 oP t CE Plan Review Contact Person: Title: rallo4- Gnyl,iRL,t2 Phone: 401-3 3-1tS.7 Fax: Email: poet a &NJA"$c. co.+-. Property Owner Information Name 6 QAV—'ta..+s A -46 LA-C Phone: Street: 14ol MAGNe*Ao, A, c- Resident of property? City, State Zip: Sfwkwoo fL 32l-I I Contractor Information Name ( Ae_VgE Phone: 4"i- 3 3-IiSo Street: ') rio Mo"ate e-& Fax: Lto"i - 1:),3-5bc'`4 City, State Zip: SAt"f6g_o fL lzv-n I State License No.: Ggc- oak $97 Z Architect/ Engineer Information Name: V 4&JAMIcs 15c.. Phone: 4r1- eR'?- ICI Street: City, St, Zip: Bonding Company: Address: Fax: E- mail: Mortgage Lender: Address: WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and air conditioners, etc. FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 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 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 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 gcnt Date Stgn ure of Contracto r A gen t Dar G P Z-/t `7i C A -'2t J%---)S Print Owner/Agent's Name Print Contractor/Agent's Name Signature of Notary -State of Florida Date Date KATHRYN BOWEN NOTARY PUBLIC STATE OF FLORIDA C=M# FF140974 Owner/Agent is Personally Known to Me or Contractor/Age idDO12f)$Wn 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: 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: COMMENTS: UTILITIES: WASTE WATER: ENGINEERING: FIRE: BUILDING: Revised: June 30. 2013 Permit Application 1 CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION FiApplication No: ' Documented Construction Value: S Job Address: I401 AAGuot(A fivL Historic District: Yes YNo Parcel ID: ;;)-S- Iq- 3a -- Sit, - IW - ooxz)o Residential Commercial [2f Type-of-Work:-N-ew- Addition® Alteration-O-Repair--0-Demo-O-Change-of-UseEl-Move-- Description of Work: .o.ysnz c-c ,n"t Dt.s, , 2A3,_M /ootno i of 6cE.,-twt 2c-PKt2 eF P&it.tt- _ &.eVL*C&Mt-tSr of yJa-Qtrl 9*v^P M44 A-001Tlc..l oP NGE Plan Review Contact Person: 3-r-_ tl tCOOLks Title: semoQ tart,, A-L4_ Phone: 4-1-3 3-itS. Fax: Email: toe a w,cJX-2e$C- co"_ Property Owner Information Name Acc-ge LAt-*- Phone: Street: Not NA*e meet t*- A- -. Resident of property? City, State Zip: _SAtAk o JFZ- ' a-111 Contractor Information Name (&_V&E C.-c-iSt1P uL'lo• Phone: -1- 3}3-1150 Street: --Ag, PAc it2oi I.i Fax: 4en City, State Zip: (_ I State License No.: G3c- o4 SR-7 2- Arch itect/En g i neer Information Name: _At cWirrt-_1%_ ,ate 0-1LJ*mtcs I Jc- Phone: mil- eR'?- IP.1(,,t Street: ail le Qi e to l=ii,2 gT City, St, Zip: Bonding Company: Address: Fax: E-mail: c..gel-W g s' &c l . ce.,,. Mortgage Lender: Address: WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and air conditioners, etc. FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 51° Edition (2014) Florida Building Code Revised: June 30, 2013 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 AFFIDAVI-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. Signature of Ownerl gent Date Stgn ure o/f Comractorr//AAggent( C. P-T-2 q I 'Z- C-A-r24-X--%S A Print Owner/Agent's Name Print Contractor/Agent's Name Signature of Notary -State of Florida Date Sig P otary-Staff Floird—e---J Date KATHRYN BOWEN NOTARYPUBUC STATE OF FLORIDA C mnW FF140974 Owner/Agent is Personally Known to Me or Contractor/Age r E*MM0126t&n 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: 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 No APPROVALS: ZONING: UTILITIES: `" WASTE WATER: ENGINEERING: FIRE: COMMENTS: BUILDING: Revised: June 30.2015 Permit Application DEVELOPMENT FEE WORKSHEET CITY OF SANFORD P.O. Box 1788 Sandford, FL 327721788 Project Name: G!('0. c- i ou s Permit M c ! — a F 9S Owner/Cotitact Person: Date: /D '- l & Address: I L{ 0 1 i s 5 C a ti -& A k 2 Phone: Type of Development: Total Bldg /units RESIDENTIAL Single Family I NON-RESIDENTIAL Commercial LOCATION City Resident Multi -Family Industrial HCounty Type of Utilities: WATER Ind. HTal) 3/4" 400 [] Tap 111 600 81.&' 800 82" 975 METER: Master 100 100 Tap 150 Tap 636 Meter Supplied by Contractor SEWER 04ft depth [—]4.5 - 6ft depth F -1Oft depth >10fi depth By Contractor TAPS: 1,000 1600 3,600 at cost Existing Tap RECLAIM Ind. [Tap1V- 400 1" 600 1.5=' 800 ]2!' 975 METER: Master 100 []Tap 100 Tap 160 ETap 636 Meter Supplied by Contractor COMMENTS: WATER SYSTEM IMPACT FEES (Equivalent Residential Connection (ERC) - 300 gallons per day (GPD) RESIDENTIAL 1 343.00 /unit Single or Multi -Family Structure with Three (3) or more bedrooms (300GPD) 1 007.25 /unit Mobile Home or Multi Family Structure with LESS THAN Three (3) bedrooms Estimated usage for such family units on average requires only 225GPD of water and sewer services. . COMMERCIALk1343.00 /ERU Fixture Unit Schedule from Southern Plumbing Code will be used. One ERU will be assessed for connection & up to twenty (20) Fixture units. Projects with greater than twenty (20) Fixture Units shall be assessed in quarter fractions (0.25) based on the first ERU. Example: Twenty-five (25) fixture units will be rated as 1.25'ERU: twenty-six (26) fixture units will be rated 1.5 ERU. SEWER SYSTEM IMPACT FEES (Equivalent Residential Connection - 270 gallons per day (GPD) RESIDENTIAL 3 025.00 /unit Single or Multl-Family Structure with Three (3) or more bedrooms (300GPD) 2 268.75 /unit Mobile Home or Multi Family Structure with LESS THAN Three (3) bebrooms This is based on judgmenVassumption, that such family units on average require 76% of water and sewer service of an average single family unit CO ERCIAL: Industrial - Institutional 3 026.00 /ERU Fixture Unit Schedule from Southern Plumbing Code will be used. One ERU will be assessed for connection & up to twenty (20) Fixture units. Projects with greater than twenty (20) Fixture Units shall be assessed in quarter fractions (0.25) based on the first ERU. Example: Twenty-five (26) fixture units will be rated as 1.25 ERU: twenty-six (26) fxture units will be rated 1.5 ERU. FEE SUMMARY Water Impact Fees $ S-3 7 Water Meter $ SewerTep $ Reclm Meter $ Sewer Impact Fees $ ---IOleter Tap $ Street Cut $ Meter Tap $ Other $ Road Bore $ Road Bore $ Le 319a ire - Utility Director or Engineer Date DEVELOPMENT FEE WORKSHEET .(Continued) CITY OF SANFORD P.O. Box 1788 Sanford, FL. 32772-1788 TABLE 709.1 DRAINAGE FIXTURE UNITS FOR FIXTURES AND GROUPS FIXTURE TYPE ILOAD. DRAINAGE FIXTURE UNIT VALUE AS 1OFMINIMUM SIZE TRAP (inches) Automatic clothes washers, commercial a) 3 2 Automatic clothes washers, residential 2 2 Bathroom group consisting of water closet, lavatory, bidet and bathtub or shower 6 n/a Bathtub (with or without overhead shower or whirlpool attachments) (b) 2 1112 Bidet 2 11/4 Combination sink and tray 2 1112 Dental Lavatory 1 1114 Dental unit of cuspidor 1 1114 Dishwashing machine. domestic (c) 2 11/2 Drinking fountain 112 11/4 Emergency floor drain Standard Floor drains (a) 0 2 1 2 Footnote (a) Kitchen sink. domestic (a) 2 1112 Kitchen sink, domestic with food waste grinder and/or dishwasher 2 11/2 Laundry tray 1 or 2 compartments 2 1112 Lavatory 1 1114 Shower compartment. domestic 2 2 Sink (a) Urinal 2 4 1 112 Footnote (d Urinal,1 gallon per flush or less 2e Footnote (d) Wash sink (circular or multiple) each set of faucets Water closet, flush-o-meter tank. public or private Water closet, private installation 2 4c 4 1 112 Footnote (d) Footnote (d Water closet, public installation 6 Footnote (d) For SI: 1 inch=25A mm,1 gallon=3.785 L a) For traps larger than 2 inches. floor sinks and trench type drains use Table 709.2. (Add one fixture unit value (per trap size) for every 10ft of trench drain) . b) A showerhead over a bathtub or whirlpool bathtub attachments does not increase the drainage facture unit value. c) See section 709.2 through 709A for methods of computing unit value of fixtures not -fisted in Table 709.1 or for rating of devices intermittent flows. d) Trap size will be consistent with the fixture outlet size. e) For the purpose of computing loads on,building drains and sewers, water closets or urinals shall not -be rated at a lower drainage facture unit unless the lower values are confirmed by tesling. TABLE 709.2 DRAINAGE FIXTURE UNITS FOR FIXTURE DRAINS OR TRAPS MMMERCIAL— INDUSTRIAL— INSTITUTIONAL FEE CALCULATION: Total ERU(s) : Total F.U. divide by 20 = l. ERU(s) Water Impact Fee: 1 343- x = ERU(s) _ $ Sewer Impact Fee. $3025 x ' q ERU(s) _ $ _ Impact Fees Effective: Oct. 1, 2008 CITY OF SANFORD BUILDING & FIRE PREVENTION F PERMIT APPLICATION Application No: ' (?q Documented Construction Value: $ _ 889' OOd Job Address: 140 1 AAGt4ot_(A Ave Historic District: Yes YNo Parcel ID: ;)-S - Iq- ;o -- SiK, Residential Commercial L J Type-of-NVork:-New- Addition-®-Alteration-g-Repair---Demo--Change-of-Use--Move- Description of Work: ('c*_V M.uLT ,n',a 61 a101C. Q.o='t.n ` tcoo rnb-,- a F 6 vM It t 2c- PM 2. bt=_ Lot.,G EiE {J&J1"C% _ of VJObOtr) 94cv^P A"Q FMotTIoaJ of f E Plan Review Contact Person: 3'r-_ tJtck4ot_h's Title: JCrtoe. GTnvetttL Phone: 4'-3 3-ItS. Fax: 4J'I-3'a3-9`ScA Email: to¢ a r%cJcaQgC. co.+ Property Owner Information Name l 2-Ar-A -1 A-Cle LIL. Phone: OStreet: 14ol t AA4,4*&A o, i C= Resident of property? . D City, State Zip: Ska1;0&0 fil- Contractor Information Name ALYt_a t!o...tsc o- Phone:-1- 3-3-1t5o Street: -Ac> t Am,6%ebe__ 4 s Fax: 4? - SDI3 City, State Zip: S."irt'eo ft, la-1-t I State License No.: C&r- o48972 n Architect/Engineer Information Name: Al2uttr&ct%ma VL1y*wttCs WC. Phone: 4--'11- eR?- IP.I6,1 Street: 9ucFi„2 ^zT City, St, Zip: (:eL,1,..,e (:2 3aaaa3 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 YOURNOTICE OF COMMENCEMENT. Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction. i understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and air conditioners, etc. FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 51" Edition (2014) Florida Building Code Revised: June 30. 2015 Permit Application NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713. The City of Sanford requires payment of a plan review fee at the time of permit submittal. A copy of the executed contract is required in order to calculate a plan review charge and will be considered the estimated construction value of the job at the time of submittal. The actual construction value will be figured based on the current ICC Valuation Table in effect at the time the permit is issued, in accordance with local ordinance. Should calculated charges figured off the executed contract exceed the actual construction value, credit will be applied to your permit fees when the permit is issued. OWNER'S-AFFIDAVI-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. Signature of Owner gent Date Sign ureofff^C__oniracto r-/A-gentt// WC, PrZVt `Ti c.P-v S A! —r 1` J l Print Owner/Agent's Name Print Contractor/Agent's Name Signature of Notary -State of Florida Date Si F otary-St F o Date KATiiRYN BowEN NOTARY PUBUc STATE OF FLORIDA COMM# FF140974 Owner/Agent is Personally Known to Me or Contractor/Age t )E*k%fiW1286&n 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: Flood Zone: Total Sq Ft of Bldg: Min. Occupancy Load: # of Stories: New Construction: Electric - # of Amps, Fire Sprinkler Permit: Yes No APPROVALS: ZONING: Plumbing - # of Fixtures of Heads Fire Alarm Permit: Yes No UTILITIES: WASTE WATER: 1 ko ENGINEERING: FIRE: BUILDING: 0 COMMENTS: Revised: June 30.2015 Permit Application CITY OF SANFORD BUILDING AND FIRE PREVENTION DIVISION FIRE PLAN REVIEW SERVICE FEES PHONE: 407-688 5052 FAX: 407-688 5051 ATE: PERMIT #: ISINESS/PROIECT NAME: r DRESS: NTACT NAME: P t PHONE: PLAN REVIEW INFORMATION Zonstruction ElC/O 0 Fire Alarm Fire Sprinkler Hood OTank Paint Booth REDUCTION IN FIRE IMPACT FEES APPLY: OYES ONO ETA FE ES: EES: J ' r Prom Record Card a 0 CµParcel: 25-19-30-5AG-1602-0000 TPA Owner: GRACIOUSAGELLC ar ewnu-co rnv.trMAW Property Address: 1401 MAGNOLIA AVE SANFORD, FL 32771 Parcel Information Parcel 25-19-30-5AG-1602-0000 Owner GRACIOUS AGE LLC Property Address 1401 MAGNOLIA AVE SANFORD, FL 32771 Mailing 1401 MAGNOLIA AVE SANFORD, FL 32771 Subdivision Name SANFORD TOWN OF Tax District St-SANFORD DOR Use Code 74-HOMES FOR THE AGED/ALF Exemptions Value Summary 2017 Mrking 2016 Certified values Values Valuation Method Cost/Market Cost/Market Number of Buildings 1 1 Depreciated Bldg Value 531,170 531,170 Depreciated EXFT Value 19,514 20,000 Land- Value (Market)— 163;588 163,588 Land Value Ag Just/ MarketValue'• 714,272 714.758 Portability Adj Save Our Homes Adj 0 0 Amendment 1 Adj 0 0 P& G Adj 0 0 Assessed Value 714,272 714,758 Tax Amount without SOH: $14,327.76 2016 Tax Bill Amount $14,327.76 Tax Estimator Save Our Homes Savings: $0.00 Does NOT INCLUDE Non Ad Valorem Assessments Legal Description - - - - - ALL BLK16TR2&S1/2 OF VACD STADJ ON N & ALL VACD ST BET BLK16TR2 TOWN OF SANFORD PB 1 PG 60 Taxes Taxing Authority Assessment Value Exempt Values Taxable Value Schools 714,272 0 714,272 City Sanford - - - 714.272 0 714,272 SJWM( Saint Johns Water Management) 714.272 0 714,272 County Bonds 714,272 0 714,272 County General Fund 714,272 0 714,272 Sales Description Date Book Page Amount Qualified VaGlmp CORRECTIVE DEED 12/1/2003 05129 1384 100 No Improved WARRANTY DEED 9/1/2000 03927 1867 250,000 No Improved Find Comparable Sales Land - - - - ---• - Method Frontage Depth Units Units Price Land Value FRONT FOOT &DEPTH 297.00 124.00 0 $270.00 $81,794 FRONT FOOT&DEPTH 297.00 124.00 0 $270.00 $81,794 Building Information WOR McKee GENERAL CONTRACTORS Since 1973 POWER OF ATTORNEY October 27, 2016 I hereby name and appoint Joseph Nicholas, Of McKee Construction Co. to be my lawful attorney in fact to act for me at City of Sanford concerning all permitting issues and Certificate of Occupancy pick up for the following property: Gracious Age 1401 South Magnolia Ave Sanford, Florida 32771 Parcel Number 25-19-30-58G-1602-0000 and to sign my name and to do all things necezvRobertSignature. VonHerbulis Acknowledged before me this 27th day of October, 2016 by Robert F. VonHerbulis who is Personally known to me and did not take an oath. Notary Pub c• My Commission Expires: KATHM DOINEN AMWATE OF FWNDA FF14W4 E*fee 10261201S 790 Monroe Road • Sanford, Florida 32771 Phone (407) 323-1150 • Fax (407) 323-9304 www.mckeegc.com CBC 048972 N Q'i 8,=7 CERTIFICATE OF APPROPRIATENESS HISTORIC PRESERVATION BOARD CITY OF SANFORD 300 S. Park Avenue Sanford, Florida 32771 407.688.5145 • www.sanfordfl.gov/HP THIS DOCUMENT MUST BE POSTED AT ALL TIMES UNTIL PROJECT IS COMPLETED. ISSUED TO: DATE ISSUED: Gracious Age October 24, 2016 at 1401 Magnolia Avenue DATE EXPIRES: Sanford, FL 32771 April 24, 2017 BP#16-2840 Approved to remove wooden ramp and replace with concrete ramp per ADA requirements and add 6' decorative aluminum fence for outdoor seating area. Russ L. Gibson, AICP Director of Planning and Development Services Please be advised it is the owner and/or agent's responsibility to notify staff of any potential changes from the approved COA that arise and obtain approval prior to commencing the changes. This Certificate of Appropriateness does not constitute final development approval. The applicant is responsible for obtaining all necessary permits and approvals from applicable departments before initiating development. IS A BUILDING PERMIT REQUIRED FOR THE ACTIVITY LISTED ABOVE? Q YES NO Building Department Representative City of Sanford Commercial Permit Application Checklist F D All permit application packages must be complete prior to acceptance. You must check each 13 box to the left or indicate n/a on this submittal. A complete application package shall include the following: f3"' 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 d - 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. Q( 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). 00- Approval letter from sanitary sewer provider (if other than the City of Sanford). Ac Copy of the onsite sewage disposal system construction permit issued by Seminole County Health Department for new or existing septic systems, grease interceptors, etc. (if applicable). Seminole County Impact Fee Statement. Five (5) sets signed and sealed building construction plans. p Two (2) sets signed and sealed site development plans approved by City of Sanford Planning & Development Services Department. d?c Letter from Planning & Development Services agreeing to submittal of plan without development plan approval. This is at the developer's risk. Two (2) sets signed and sealed floor and roof truss engineering. Completed and signed Statewide Product Approval Specification Form. 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. Three (3) sets of completed and signed energy calculations (signed/sealed if required by Florida Statute or code). State of Florida Division of Hotel and Restaurant approval (if applicable). 10c Florida Department of Environmental Protection Notice of Asbestos Renovation or Demolition (if applicable). State of Florida Notification on Gas Tanks (if applicable). 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 plan includes additional requirements) Qk, fcAll parking and accessible routes 4p. Accessible parking space(s) and signage details Op- Accessible entrances 4* Accessible ramps, handrails, guardrails, curb cuts and details 1# 01 All required building exits accessible (not less than 60% if all are not required exits) Alk Areas of rescue assistance l* Accessible signage Revised: February 2016 Page 1 of 7 Commercial Permit Application Guidelines Ut Fire access voe Vehicle loading Driving/turning radius rE Fire hydrant/water supply/post indicator valve (PIV) t* Location of septic systems (if applicable) Setbacks/fire separation (assumed property lines) AP` Utility lines (water, sewer, irrigation 1> k- Meters and backflow devices BUILDING PLAN Gr Construction documents shall indicate code edition being applied G; --Page-size minimum I I" x 17" CK Plans to minimum 1/411'scale C All pages numbered and labeled l Plans signed/sealed and dated by a Florida Design Professional as applicable O Designer information: name, address, registration # on all pages 13" Reference the currently adopted code editions Wind design data required on drawings per FBC 1603.1.4 to meet 129 mph ultimate design wind speed for risk category I buildings, 139 mph ultimate design wind speed for risk category II buildings and 149 mph ultimate design wind speed for risk category III and IV buildings Ultimate design wind speed (Vult) Nominal design wind speed (Vasd) Risk category Exposure category Enclosure classification Internal pressure coefficient Component and cladding design wind pressures in terms of psf Structural Calculations, if necessary Threshold Inspection Plan (for threshold buildings) 21' All areas dimensioned and use noted Or Corridors 12( Shafts and elevator hoistways Qr Stair location/guardrails/handrails O" Partition denotations and schedule 9!( Door locations, sizes, door and hardware schedule I< Window locations, sizes and schedule V Tempered glass locations GI' Attic ventilation and access Q" Air barrier requirements @' Interior finish ratings and schedule OK Light and ventilation GY Sanitation GK' Elevators e(M Escalators fV Lifts 21" Roof coverings Construction type design criteria: GIB Type of construction denoted (per table 503) 191 Occupancy group classification denoted for building and rooms/areas G3 Gross square footage — Net square footage calculations Revised: Fehruary 2016 Page 2 of 7 Commercial Permit Application Guidelines 03' Building height Q" Percentage of exterior openings calculations Gl Classification of hazard of contents (if applicable) Structural Design Criteria: 2" Ultimate design wind speed (Vult) e' Nominal design wind speed (Vasd) GY Risk category Ga' Exposure category Gd' Enclosure classification Ga' Internal pressure coefficient GR' Component_and cladding design wind_ pressures_in term_ s of psf StructGr ural Calculations, if necessary G3' Floor loads — psf Gr Stair loads — psf GK Roof loads — psf Ca' Balcony loads — psf Ga' Corridor loads — psf Ga"' Storage loads — psf Materials to be reviewed shall at a minimum include the following: Qr Wood / grade — species G3' Steel / type - grade 2" Aluminum EY Concrete 13' Plastic 3" Glass 0' Masonry O- Gypsum board and plaster Ca' Insulating (mechanical) Gr Roofing a' Insulation d Alternate materials Structural: 4 Signed and sealed soil report with a positive conclusion required jk Compaction requirements E( Foundation locations, dimensions and depth specified Q' Foundation denotations, schedules and details 63' Reinforcing steel, amount, size, grade, spacing, and lap specified Q" Footing dowel locations 63' Maximum filled cell spacing E7' Embedment's Er Slab thickness and reinforcement 2' Vapor barrier G3' Termite protection C( Relieving arch steel details at pipe penetrations 44* Brick ledge detail including flashing and weep hole size and spacing e' Building materials used R( Lintel locations, denotations and schedule Cad' Exterior and interior structural wall sections d Columns Revised: Fehruary 2016 Page 3 of 7 Commercial Permit Application Guidelines Q' Tie beams Structural steel size, type, connections f3 Framing details and fastening 13"' Load path connectors Y Floor deck and fastening Q" Wall sheathing and fastening CK Roof deck and fastening d Stair construction K Window and door details, including design pressure of openings 13' Fastening details for windows and doors, (type, length, and quantity) Q," Exterior mounted mechanical units fastening methods to meet wind load GY — Roof and -floor framing; -truss -layout, -connector schedule - — Fire Protection Requirements: 63" Fire separation requirements for corridors, elevators, stairways, floors & shafts Pik Occupancy separation requirements Tenant separation requirements GY Fire resistant protection details for type of construction GK Rated requirements for walls, floor -ceiling and roof -ceiling assemblies 2" Design numbers and details for all rated assemblies Ga' Design numbers and details for all rated penetrations Ga' Rated door and hardware schedules BO"' Fire blocking and draft stopping Qr Calculated fire resistance Q' Interior finishes (flame spread/smoke development) Life Safety: @' Occupant load calculations and egress capacities Gff' Special occupancy requirements Ca' Egress plan 0' Number of exits GY Capacity of exits 8" Arrangement of exits Ga' Travel distance to exits/common path of travel 6t Stairs construction/geometry and protection Al Horizontal exits/exit passageways fa' Illumination of exits G2' Exit signs 2' Emergency lighting 9' Enclosures GY Handrails CY Guardrails Ramps P(r Early warning systems schematic Smoke control systems schematic drr Stair pressurization systems schematic Alk Extinguishing requirements Ak Areas of rescue assistance Accessibility Building: Q' Door sizes, hardware schedule Ga' Vertical accessibility Revised: February 2016 Page 4 of Commercial Permit Application Guidelines 62( Accessible route dimensions O'*' Maneuvering clearances oe Hi-Lo drinking fountain Pf Equipment clear floor space/reach ranges 4k Areas of rescue assistance Signage ar ATM machines Accessibility Restrooms/Bathrooms: Turning radius Required floor space for fixtures Fixture and equipment mounting dimensions Adaptability Accessible requirements for special occupancies in addition to general requirements will also be reviewed. PLUMBING PLAN Plumbing plans submitted 6;r Piping materials Q Piping supports dk Determine minimum plumbing fixtures required based on occupant load calculated per FBC 1004 Ak Water distribution diagram obk Water hammer arrestors 2( Plumbing drain, waste and vent riser diagram 1 Grease trap detail Grease trap Health Dept. report on existing Interceptors Roof drains/calculations for flat roofs r Backflow prevention gor Medical gas 4 Oxygen systems Environmental requirements Water Heaters: T & P drain Air gap Pan drain Thermal expansion device Heat traps Mounting platform GAS PLAN Type of gas Gas pressure Appliances schedule and BTU's e Chimneys and Vents Combustion air LP tank size and location (above or below grade) Protection requirements Gas Riser Diagram: t(r Pipe type Pipe sizing Revised: Fehruaty 2016 Page 5 of 7 Cotnntei ciul Permit Application Guidelines Im Total developed length Segment lengths Appliance locations Shut -offs valves MECHANICAL PLAN Q' Mechanical plans submitted O' Energy calculations 62r Duct systems and sizing e Duct work clearances at mechanical room (4" minimum) O( Duct supports Means for balancing HVAC system__ Gd" Diffusers (size and direction) CFM requirements d Ventilation lid' Combustion air 19' Outdoor air calculations 0' Balanced return air CY Make-up air Q' Equipment location and working clearances ( 30" wide by 36" deep, 6' high minimum) 0' Condensate piping and disposal B' Required platforms and catwalks G3' Roof mounted equipment (including equipment and curb anchorage) Gy Details and specifications G3' Equipment sizing calculations G3' Equipment specifications fib Joint sealing methods and product specification SK Air balance table 8' Rated penetrations - fire damper details and manufacturer's installation instructions t..& Means for automatic fan shutdown 1 Kitchen hood, duct plans, fire suppression and specifications Bathroom exhaust systems Special exhaust systems Chimneys, fireplaces and vents Other appliances Boilers Refrigeration Ak Bathroom ventilation 14 Laboratory ELECTRICAL PLAN r Maximum available fault current at service 2' AIC rating of equipment Ga' Voltage and phase of electrical system Load calculation GK Electrical service riser diagram indicating overcurrent protection sizes, conductor and conduit types and sizes, number of service disconnecting means, grounding electrode system: bonded to the foundation steel, structural steel, metal piping, size and type, separately derived system or not? (solid neutral or switching) r Transformer sizes and types if used Eg" Panel schedules and ratings G?" Power plan G2" Panel locations and working clearances Revised- February 2016 Page 6 of 7 Commercial Permit Application Guidelines f Lighting plan Device legend Wiring methods and materials E Feeders and branch circuits, conduit sizes and types G3 Grounding conductors 2( Exit lights Emergency lighting Cal' Egress lighting p c Signage and disconnecting means location Generator type: emergency or standby P,, Remote annunciation rk - Load shed (if necessary) -- - - - - - GY Required receptacle outlets EI/ GFCI's I( Equipment 4 Special occupancies Emergency systems Communication systems N ft Low voltage FIRE PROTECTION/FIRE SUPPRESSION PLAN o* Early warning smoke evacuation and control OR Sprinkler design criterion (separate permit required) AR Fire alarm design criterion (separate permit required) Ak Pre-engineered systems v be Riser diagram Standpipes These guidelines were compiled to assist the applicant in preparing a new commercial permit/plan submittal and may not be complete. The applicant is required to meet all City of Sanford, state, and federal code requirements. Please be aware that a separate permit is required for any fire sprinkler system and fire alarm system. All site related signs, fences, hardscape features, guard/hand rails, fi-ee standing walls, retaining walls, canopies, accessory structures, site electrical and lighting, satellite dishes, dumpster enclosures, irrigation systems, lift stations, and any demolition ofstructures. Revised: February 2016 Page 7 of 7 Commercial Permit Application Guidelines Florida Building Code, Fifth Edition (2014) - Energy Conservation EnergyGauge Summit® Fla/Com-2015, Effective Date: June 30, 2015 ASHRAE 90.1-2010 - Energy Cost Budget Option OFFICE Check List PERMIT # & - MEP Applications for compliance with the Florida Building Code, Energy Conservation shall include: Ed This Checklist ed An Input report generated from the software just after completing compliance calculations without any further changes Ef The full compliance report generated by the software that contains the project summary, complaince summary, certifications and detailed component compliance reports Boxes appropriately checked in the Miscellanous report generated by the software at the end of the compliance report EnergyGauge Summit® Fla/Com-2014. TAM 2014-1.0 Compliant Software. Effective Date: June 30, 2015 10/21 /2016 Page 1 of 13 \ PROJECT SUMMARY Short Desc: AGE Description: GRACIOUS AGE DINING Owner: --- Addressl: 1401 S. MAGNOLIAAVENUE City: sanford Address2: --- State: FLORIDA Zip: 0 Type: Retail Class: Renovation to existing built Jurisdiction: SANFORD, SEMINOLE COUNTY, FL (691500) Conditioned Area: 1000 SF Conditioned & UnConditioned Area: 1000 SF No of Stories: l Area entered from Plans 0 SF Permit No: 0-- Max Tonnage 5 If different, write in: Compliance Summa Component Gross Energy Cost (in $) LIGHTING CONTROLS EXTERNAL LIGHTING HVAC SYSTEM PLANT WATER HEATING SYSTEMS PIPING SYSTEMS Met all required compliance from Check List? 750.0 Design Criteria Result 924.0 PASSED PASSES No Entry PASSES No Entry No Entry No Entry Yes/No/NA IMPORTANT MESSAGE Info 5009 -- -- -- An input report of this design building must be submitted along with this Compliance Report EnergyGauge Summi* Fla/Com-2014. TAM 2014-1.0 Compliant Software. Effective Date: June 30, 2015 10/21/2016 Page 2 of 13 v 4RJ 'ITyW,/ATIONS \ AwRErlcr F F N f4j No. 30761 I hereby certify that the planAnM.- Vic:anfiok red t4hiscalculation are in compliance with the Florida Energy CodeF : to Prepared Bn\Building Official: Date: L i p'f \'\` Date: I certify that this building is in compliance with the Florida Energy Efficiency Code Owner Agent: Date: If Required by Florida law, I hereby certify (') that the system design is in compliance with the Florida Energy Efficiency Code Architect: Reg No: Electrical Designer: Reg No: Lighting Designer: ALEX PIPER P.E. Reg No: Mechanical Designer: KENNETH EIERMANN P.E. Reg No: 30761 Plumbing Designer: KENNETH EIERMANN P.E. Reg No: 30761 Signature is required where Florida Law requires design to be performed by registered design professionals. Typed names and registration numbers may be used where all relevant information is contained on signed/sealed plans. EnergyGauge Summit® Fla/Com-2014. TAM 2014-1.0 Compliant Software. Effective Date: June 30, 2015 10/21/2016 Page 3 of 13 Project: AGE Title: GRACIOUS AGE DINING ROOM ADDITION Type: Retail WEA File: Orlando.TMY) Building End Uses 1) Proposed 2) Baseline Total 46.80 57.70 750 $924 ELECTRICITY(M8tu1kWh1$) 46.80 57.70 13708 16930 750 924 AREA LIGHTS 10.50 11.80 3063 3460 168 189 MISC EQUIPMT 5.00 5.00 1465 1465 80 80 PUMPS & MISC 0.10 0.10 29 26 2 1 SPACE COOL 23.30 24.80 6837 7275 374 397 SPACE HEAT 2.80 2.40 818 712 45 39 VENT FANS 5.10 1496 82 Credits Applied: None Passing Criteria = 924 Design (including any credits) = 750 Passing requires Proposed Building cost to be at most 100% of Baseline cost. This Proposed Building is at 81.1% 13.60 3992 218 PASSES EnergyGauge Summit® Fla/Com-2014. TAM 2014-1.0 Compliant Software. Effective Date: June 30, 2015 10/21/2016 Page 4 of 13 4 External Lighting Compliance Description Category Tradable? Allowance Area or Length ELPA CLP W/Unit) or No. of Units (VV) (W) Sgft or ft) None Project: AGE Title: GRACIOUS AGE DINING ROOM ADDITION Type: Retail WEA File: Orlando.TMY) Lighting Controls Compliance Acronym Ashrae Description Area Design Min Compli- ID (sq.ft) CP CP ance AGE 8 Food Service - Leisure Dining 1,000 3 1 PASSES PASSES Project: AGE Title: GRACIOUS AGE DINING ROOM ADDITION Type: Retail WEA File: Orlando.TMY) System Report Compliance AMICI System 2 Constant Volume Packaged No. of Units System I Component Category Capacity Design Eff Design IPLV Comp- Eff Criteria IPLV Criteria liance Cooling System Air Conditioners Air Cooled 60000 13.00 13.00 11.20 PASSES 0 to 65000 Btu/h Cooling Capacity Heating System Electric Furnace 43687 1.00 1.00 PASSES Air Handling Air Handler (Supply) - 2000 0.30 0.82 PASSES System -Supply Constant Volume 1 PASSES III EnergyGauge Summit® Fla/Com-2014. TAM 2014-1.0 Compliant Software. Effective Date: June 30, 2015 10/21/2016 Page 5 of 13 Plant Compliance Description Installed Size Design Min Design Min Category Comp No Eff Eff IPLV IPLV liance None Water Heater Compliance Description Type Category Design Min Eff Eff Design Max Comp Loss Loss Hance None Piping System Compliance Category Pipe Dia Is Operating Ins Cond Ins Req Ins Compliance inches] Runout? Temp [Btu-in/hr Thick [in[ Thick [in[ F[ .SF.Fj None EnergyGauge Summit® Fla/Com-2014. TAM 2014-1.0 Compliant Software. Effective Date: June 30, 2015 10/21/2016 Page 6 of 13 Mandatory Requirements (as applicable) Mandatory requirements compiled by US Department of Energy and Pacific Northwest National Laboratory. Adopted with permission Topic Section Component Description Yes NIA Ex iY . _."rem :—•---.--Ts---•--•e^r;•GL-; • .. --,, ; - -r-•- -:- T • •------;--7--:•--.--;rr: - 1:-T.o`aie ciiecked;a. Desli ne t'or En i ees' e.. •.A:16..rxf.. ma. =s. y".y S ' Fenestration 5.8.2.3,5.5.3.6 Envelope U-factor of opaque doors associated with the building thermal envelope meets requirements. Insulation 6.4.4.1.5 Envelope Bottom surface of floor structures incorporating 119(13 radiant heating insulated to > R-3.5. Insulation 5.5.3.1.1 Envelope High-albedo roofs satisfy one of the following: Solar reflectance >= 0.55 and thermal emittance 0.75, Solar reflectance index — 64.0, or increased insulation (assembly — U-0.03 or >_ Rxteri lighting insulation Ed Wattage 9.4.3 Exterior Lighting Exterior grounds lighting over 100 W provides >60 Im/W unless on motion sensor or fixture is exempt from scope of code or from external LPD. Wattage 9.4.2 Interior Lighting Exit signs do not exceed 5 watts per face. E-3413 Controls 10.4.3 Mechanical Elevators are designed with the proper lighting, 13 EK ventilation power, and standby mode. HVAC 6.5.6.1 Mechanical Exhaust air energy recovery on systems meeting Table 6.5.6.1. SYSTEM_SPECIFIC 6.5.1.4 Mechanical Economizer operation will not increase heating energy use during normal operation. SYSTEM_SPECIFIC 6.5.2.2.1 Mechanical Three -pipe hydronic systems using a common return for hot and chilled water are not used. SYSTEM_SPECIFIC 6.5.2.2.3 Mechanical Hydronic heat pump systems connected to a common water loop meet heat rejection and heat addition requirements. SYSTEM_SPECIFIC 6.5.2.4 Mechanical Water economizer specified on hydronic cooling and humidification systems designed to maintain inside humidity at >35 OF dewpoint if an economizer is required. aSYSTEM_SPECIFIC 6.5.3.1.1 Mechanical HVAC fan systems at design conditions do not exceed allowable fan system motor nameplate hp or fan system bhp. SYSTEM_SPECIFIC 6.5.3.1.2 Mechanical HVAC fan motors not larger than allowable limits. SYSTEM_SPECIFIC 7.4.2 Mechanical Service water heating equipment meets efficiency 13 W requirements. SYSTEM_SPECIFIC 7.5.2 Mechanical Service water heating equipment used for space 11 heating complies with the service water heating equipment requirements. 2. To be checked by Plan Reviewer Air Leakage 5.4.3.4 Envelope Vestibules are installed where building entrances separate conditioned space from the exterior, and meet exterior envelope requirements. Doors have self -closing devices, and are >=7 ft apart. Insulation 5.8.1.7.3 Envelope Insulation in contact with the ground has —0.3% water absorption rate perASTM C272. Plan Review 4.2.2,5.4.3.1.1,5.7 Envelope Plans and/or specifications provide all information with which compliance can be determined for the building envelope and document where exceptions to the standard are claimed. EnergyGauge Summit® Fla/Com-2014. TAM 2014-1.0 Compliant Software. Effective Date: June 30, 2015 10/21/2016 Page 7 of 13 Plan Review 9.7 Exterior Lighting Plans, specifications, and/or calculations provide 01111 all information with which compliance can be determined for the exterior lighting and electrical systems and equipment and document where exceptions to the standard are claimed. Information provided should include exterior lighting power calculations, wattage of bulbs and ballasts, transformers and control devices. Wattage 9.4.3 Exterior Lighting Exterior lighting power is consistent with what is shown on the approved lighting plans, demonstrating proposed watts are less than or equal to allowed watts. Plan Review 4.2.2,9.4.4,9.7 Interior Lighting Plans, specifications, and/or calculations provide all information with which compliance can be determined for the interior lighting and electrical systems and equipment and document where exceptions to the standard are claimed. Information provided should include interior lighting power calculations, wattage of bulbs and ballasts, transformers and control devices. HVAC 6.4.3.4.4 Mechanical Ventilation fans >0.75 hp have automatic controls to shut off fan when not required. HVAC 6.4.3.9 Mechanical Demand control ventilation provided for spaces 500 ft2 and >40 people/1000 ft2 occupant density and served by systems with air side economizer, auto modulating outside air damper control, or design airflow >3,000 chn. HVAC 6.4.4.1.4 Mechanical Thermally ineffective panel surfaces of sensible heating panels have insulation — R-3.5. HVAC 6.5.2.3 Mechanical Dehumidification controls provided to prevent reheating, retooling, mixing of hot and cold airstreams or concurrent heating and cooling of the same airstream. HVAC 6.5.4.1 Mechanical HVAC pumping systems >10 hp designed for variable fluid flow. HVAC 6.5.7.1.1 Mechanical Kitchen hoods >5,000 cfm have make up air 50% of exhaust air volume. HVAC 6.5.7.2 Mechanical Fume hoods exhaust systems > 15,000 cfm have VAV hood exhaust and supply systems, direct make-up air or heat recovery. HVAC 6.5.8.1 Mechanical Unenclosed spaces that are heated use only 13 radiant heat. HVAC 6.4.3.3.2 Mechanical Setback controls allow automatic restart and temporary operation as required for maintenance. Other Equipment 10.4.1 Mechanical Electric motors meet requirements where applicable. Plan Review 4.2.2,6.4.4.2.1,6.7.2 Mechanical Plans, specifications, and/or calculations provide 00 all information with which compliance can be determined for the mechanical systems and equipment and document where exceptions to the standard are claimed. Load calculations per acceptable engineering standards and handbooks. Plan Review 4.2.2.7.7.1.10.4.2 Mechanical Plans, specifications, and/or calculations provide all information with which compliance can be determined for the service water heating systems and equipment and document where exceptions to the standard are claimed. Hot water system sized per manufacturers sizing guide. Plan Review 6.7.2.4 Mechanical Detailed instructions for HVAC systems commissioning included on the plans or specifications for projects > 50,000 ft2. SYSTEM_SPECIFIC 6.4.3.10 Mechanical Single zone HVAC systems with fan motors > 5 hp have variable airflow controls. Air conditioning equipment with a cooling capacity > 110.000 Btu/h has variable airflow controls. EnergyGauge Summit® Fla/Com-2014. TAM 2014-1.0 Compliant Software. Effective Date: June 30, 2015 10/21/2016 Page 8 of 13 SYSTEM —SPECIFIC 6.5.1,6.5.1.1,6.5.1.3 Mechanical Air economizers provided where required, meet the requirements for design capacity, control signal, ventilation controls, high -limit shut-off, integrated economizer control, and provide a means to relieve excess outside air during operation. SYSTEM_SPECIFIC 6.5.1,6.5.1.2,6.5.1.3 Mechanical Water economizers provided where required, 13011 meet the requirements for design capacity, maximum pressure drop and integrated economizer control. SYSTEM 6.5.3.2.1 Mechanical VAV fan motors > 10 hp to be driven by variableSPECIFIC speed drive, have a vane -axial fan with variable pitch blades, or have controls to limit fan motor demand. SYSTEM 6.5.3.2.3 Mechanical Reset static pressure setpoint for DDC controlled 11 SPECIFIC VAV boxes reporting to central controller based on the zones requiring the most pressure. SYSTEM 6.5.3.3 Mechanical Multiple zone VAV systems with DDC of individual 0SPECIFIC zone boxes have static pressure setpoint reset controls. SYSTEM 6.5.3.4 Mechanical Multiple zone HVAC systems have supply air 13SPECIFIC temperature reset controls. SYSTEM —SPECIFIC 6.5.4.2 Mechanical Reduce flow in pumping systems >10 hp. to 13 multiple chillers or boilers when others are shut down. SYSTEM_SPECIFIC 6.5.4.3 Mechanical Temperature reset by representative building 13 El loads in pumping systems >10 hp for chiller and boiler systems >300,000 Btu/h. SYSTEM —SPECIFIC 6.5.4.4.1 Mechanical Two -position automatic valve interlocked to shut 0 off water flow when hydronic heat pump with pumping system >10 hp is off. SYSTEM_SPECIFIC 6.5.4.4.2 Mechanical Hydronic heat pumps and water-cooled unitary air conditioners with pump systems >5 hp have controls or devices to reduce pump motor demand. SYSTEM_SPECIFIC 6.5.5.2 Mechanical Fan systems with motors —7.5 hp associated 13 13 with heat rejection equipment to have capability to operate at 2/3 of full -speed and auto speed controls to control the leaving fluid temperature or condensing temp/pressure of heat rejection device. SYSTEM 6.5.6.2 Mechanical Condenser heat recovery system that can heatSPECIFIC water to 85 OF or provide 60% of peak heat rejection is installed for preheating of service hot water in 24/7 facility, water cooled systems reject 6 MMBtu, SHW load > 1 MMBtu. SYSTEM_SPECIFIC 6.5.7.1.2 Mechanical Conditioned supply air to space with a kitchen 0 13 hood shall not exceed the greater of a) supply flow required to meet space heating or cooling, or b) hood exhaust flow minus the available air transfer from available spaces. SYSTEM 6.5.7.1.3 Mechanical Kitchen hoods with a total exhaust airflow rateSPECIFIC 5000 drn meet replacement air, ventilation system, or energy recovery requirements shown in Table 6.5.7.1.3. SYSTEM_SPECIFIC 6.5.7.1.4 Mechanical Kitchen hoods with a total exhaust airflow rate 11 5000 cfrn meet replacement air, ventilation system, or energy recovery requirements. SYSTEM —SPECIFIC 6.5.9 Mechanical Hot gas bypass limited to: 13 240 kBtu/h — 50% 240 kStu/h — 25% SYSTEM_SPECIFIC 7.5.1 Mechanical Combined space and water heating system not allowed unless standby loss less than calculated maximum. AHJ has approved or combined connected load <150 kBtu/h. SYSTEM —SPECIFIC 6.4.3.1.1 Mechanical Heating and cooling to each zone is controlled by a thermostat control. SYSTEM —SPECIFIC 6.4.3.3.3 Mechanical Systems with air capacity >10,000 cfm include 0 El 0 optimum start controls. SYSTEM_SPECIFIC 6.4.3.5 Mechanical Heat pump controls prevent supplemental electric resistance heat from coming on when not needed. EnergyGauge Summit® Fla/Com-2014. TAM 2014-1.0 Compliant Software. Effective Date: June 30, 2015 10/21/2016 Page 9 of 13 SYSTEM SPECIFIC 7.4.4.3 Mechanical Public lavatory faucet water temperature < 110'F. Controls 8.4.2 Project Plan Review 4.2.2,8.4.1.1,8.4.1.2 Project At least 50% of all 125 volt 15- and 20-Amp receptacles are controlled by an automatic control device. Plans, specifications, and/or calculations provide all information with which compliance can be determined for the electrical systems and equipment and document where exceptions are claimed. Feeder connectors sized in accordance with approved plans and branch circuits sized for maximum drop of 3%. 4 :; w ad ^ _::. • e chedkedibv'ins aectbrla'L'e ?Tj nwst.e wure s.nai Air Leakage 5.4.3.1 Envelope Continuous air barrier is wrapped, sealed, caulked, gasketed, and/or taped in an approved manner, except in semiheated spaces and in climate zones 1-6. Air Leakage 5.4.3.2 Envelope Factory -built fenestration and doors are labeled as meeting air leakage requirements. Air Leakage 5.4.3.1 Envelope All sources of air leakage in the building thermal envelope are sealed, caulked, gasketed, weather stripped or wrapped with moisture vapor -permeable wrapping material to minimize air leakage. Fenestration 5.8.2.1 Envelope Fenestration products rated in accordance with NFRC. Fenestration 5.8.2.2 Envelope Fenestration products are certified as to performance labels or certificates provided. Insulation 5.8.1.2 Envelope Below -grade wall insulation installed per manufacturer's instructions. Insulation 5.8.1.2 Envelope Slab edge insulation installed per manufacturers instructions. Insulation 5.5.3.1 Envelope Roof R-value. For some ceiling systems, 0 verification may need to occur during Framing Inspection. Insulation 5.8.1.2,5.8.1.3 Envelope Roof insulation installed per manufacturers instructions. Blown or poured loose -fill insulation is installed only where the roof slope is < 3 in 12. Insulation 5.5.3.1 Envelope Skylight curbs are insulated to the level of roofs with insulation above deck or R-5. Insulation 5.8.1.2 Envelope Above -grade wall insulation installed per 0 0 manufacturers instructions. Insulation 5.8.1.2 Envelope Floor insulation installed per manufacturers 0 instructions. Insulation 5.8.1.1 Envelope Building envelope insulation is labeled with R-value or insulation certificate providing R-value and other relevant data. Insulation 5.8.1.4 Envelope Eaves are baffled to deflect air to above the 0 insulation. Insulation 5.8.1.5 Envelope Insulation is installed in substantial contact with the inside surface separating conditioned space from unconditional space. Insulation 5.8.1.6 Envelope Recessed equipment installed in building envelope assemblies does not compress the adjacent insulation. Insulation 5.8.1.7 Envelope Exterior insulation is protected from damage with 13 0 a protective material. Verification for exposed foundation insulation may need to occur during Foundation Inspection. Insulation 5.8.1.7.1 Envelope Attics and mechanical rooms have insulation 13 0 protected where adjacent to attic or equipment access. Insulation 5.8.1.7.2 Envelope Foundation vents do not interfere with insulation. 13 13 EnergyGauge Summit® Fla/Com-2014. TAM 2014-1.0 Compliant Software. Effective Date: June 30, 2015 10/21/2016 Page 10 of 13 Insulation 5.8.1.8 Envelope Insulation intended to meet the roof insulation 000 requirements cannot be installed on top of a suspended ceiling. Mark this requirement compliant if insulation is installed accordingly. Controls 9.4.1.7 Exterior Lighting Automatic lighting controls for exterior lighting 000 installed. Controls 9.4.1.1 Interior Lighting Automatic controls to shut off all building lighting 0 installed in buildings >5,000 ft2. Controls 9.4.1.2 Interior Lighting Independent lighting controls installed per 0 approved lighting plans and all manual controls readily accessible and visible to occupants. Controls 9.4.1.3 Interior Lighting Parking garage lighting is equipped with required lighting controls and daylight transition zone lighting. Controls 9.4.1.4 Interior Lighting Primary sidelighted areas —250 ft2 are equipped with required lighting controls. Controls 9.4.1.5 Interior Lighting Enclosed spaces with daylight area under skylights and rooftop monitors >900 ft2 are equipped with required lighting controls. Controls 9.4.1.6 Interior Lighting Separate lighting control devices for specific uses installed per approved lighting plans. Wattage 9.6.2 Interior Lighting Additional interior lighting power allowed for special functions per the approved lighting plans and is automatically controlled and separated from general lighting. Wattage 9.6.3 Interior Lighting Where space LPD requirements are adjusted based on room cavity ratios, dimensions are consistent with approved plans. Wattage 9.2.2.3 Interior Lighting Interior installed lamp and fixture lighting power is consistent with what is shown on the approved lighting plans, demonstrating proposed watts are less than or equal to allowed watts. HVAC 6.4.3.8 Mechanical Freeze protection and snow/ice melting system sensors for future connection to controls. HVAC 6.4.1.4.6.4.1.5 Mechanical HVAC equipment efficiency verified. Non-NAECA HVAC equipment labeled as meeting 90.1. HVAC 6.4.3.4.1 Mechanical Stair and elevator shaft vents have motorized dampers that automatically close. HVAC 6.4.3.4.2,6.4.3.4.3 Mechanical Outdoor air and exhaust systems have motorized dampers that automatically shut when not in use and meet maximum leakage rates. Check gravity dampers where allowed. HVAC 6.4.3.4.5 Mechanical Enclosed parking garage ventilation has automatic contaminant detection and capacity to stage or modulate fans to 50% or less of design capacity. HVAC 6.4.4.1.1 Mechanical Insulation exposed to weather protected from damage. Insulation outside of the conditioned space and associated with cooling systems is vapor retardant. HVAC 6.4.4.1.2 Mechanical HVAC ducts and plenums insulated. Where ducts or plenums are installed in or under a slab, verification may need to occur during Foundation Inspection. HVAC 6.4.4.1.3 Mechanical HVAC piping insulation thickness. Where piping is installed in or under a slab, verification may need to occur during Foundation Inspection. HVAC 6.4.4.2.1 Mechanical Ducts and plenums sealed based on static pressure and location. HVAC 6.5.7.1.5 Mechanical Approved field test used to evaluate design air flow rates and demonstrate proper capture and containment of kitchen exhaust systems. HVAC 6.4.3.1.2 Mechanical Thermostatic controls have a 5 'F deadband. HVAC 6.4.3.2 Mechanical Temperature controls have setpoint overlap restrictions. HVAC 6.4.3.3.1 Mechanical HVAC systems equipped with at least one automatic shutdown control. EnergyGauge Summit® Fla/Com-2014. TAM 2014-1.0 Compliant Software. Effective Date: June 30, 2015 10/21/2016 Page 11 of 13 HVAC 6.4.3.7 Mechanical When humidification and dehumidification are provided to a zone, simultaneous operation is prohibited. SYSTEM_SPECIFIC 7.4.4.1 Mechanical Temperature controls installed on service water 13 heating systems (<=120°F to maximum temperature for intended use). SYSTEM_SPECIFIC 7.4.4.2 Mechanical Automatic time switches installed to automatically switch off the recirculating hot-water system or heat trace. SYSTEM_SPECIFIC 7.4.6 Mechanical Heat traps installed on non -circulating storage 01111 water tanks. SYSTEM_SPECIFIC 6.4.1.5.2 Mechanical PTAC and PTHP with sleeves 16 in. by 42 in. 00 labeled for replacement only. SYSTEM_SPECIFIC 6.4.4.2.2 Mechanical Ductwork operating >3 in. water column requires air leakage testing. SYSTEM_SPECIFIC 6.5.2.1 Mechanical Zone controls can limit simultaneous heating and cooling and sequence heating and cooling to each zone. SYSTEM_SPECIFIC 6.5.2.2.2 Mechanical Two -pipe hydronic systems using a common distribution system have controls to allow a deadband >=15 OF, allow operation in one mode for at least 4 hrs before changeover, and have rest controls to limit heating and cooling supply temperature to <=30 OF. SYSTEM_SPECIFIC 6.5.3.2.2 Mechanical VAV fans have static pressure sensors positioned so setpoint <=1/3 total design pressure. SYSTEM_SPECIFIC 7.4.4.4 Mechanical Controls are installed that limit the operation of a recirculation pump installed to maintain temperature of a storage tank. SYSTEM_SPECIFIC 7.4.5.1 Mechanical Pool heaters are equipped with on/off switch and no continuously burning pilot light. SYSTEM_SPECIFIC 7.4.5.2 Mechanical Pool covers are provided for heated pools and 13 0 0 pools heated to >90'F have a cover >=R-12. SYSTEM_SPECIFIC 7.4.5.3 Mechanical Time switches are installed on all pool heaters 13 and pumps. SYSTEM_SPECIFIC 7.4.3 Mechanical All piping in circulating system insulated 0 SYSTEM_SPECIFIC 7.4.3 Mechanical First 8 It of outlet piping is insulated 0 0 SYSTEM_SPECIFIC 7.4.3 Mechanical All heat traced or externally heated piping 0 insulated Post Construction 8.7.1 Interior Lighting Furnished as -built drawings for electric power systems within 30 days of system acceptance. Post Construction 8.7.2 Interior Lighting Furnished O&M instructions for systems and equipment to the building owner or designated representative. HVAC 6.7.2.4 Mechanical HVAC control systems have been tested to ensure proper operation, calibration and adjustment of controls. Post Construction 6.7.2.1 Mechanical Furnished HVAC as -built drawings submitted within 90 days of system acceptance. Post Construction 6.7.2.2 Mechanical Furnished O&M manuals for HVAC systems 13 within 90 days of system acceptance. Post Construction 6.7.2.3 Mechanical An air and/or hydronic system balancing report is 13 provided for HVAC systems serving zones >5,000 ft2 of conditioned area. EnergyGauge Summi* Fla/Com-2014. TAM 2014-1.0 Compliant Software. Effective Date: June 30, 2015 10/21/2016 Page 12 of 13 EnergyGauge Summit® Fla/Com-2014. TAM 2014-1.0 Compliant Software. Effective Date: June 30, 2015 10/21/2016 Page 13 of 13 EnergyGauge Summit® v5.20 INPUT DATA REPORT Proiect Information Project Name: AGE Project Title: GRACIOUS AGE DINING ROOM ADDITION Address: 1401 S. MAGNOLIA AVENUE State: FLORIDA Zip: 0 Owner: ___ Orientation: North Building Type: Retail Building Classification: Renovation to existing building No.of Stories: 1 GrossArea: 1000 SF Zones No Acronym Description Type Area Multiplier lsfl Total Area lsfl 1 AGE Zone 1 CONDITIONED 1000.0 1 1000.0 Spaces No Acronym Description Type Depth lftl Width Height Multi Total Area IN lftl plier lsfl Total Volume lcfl 10/21/2016 EnergyGauge Summit® v5.20 1 In Zone: AGE 1 AGE DINING Food Service - Leisure 1.00 1000.00 10.00 1 1000.0 10000.0 Dining Lighting No Type Category No. of Watts per Power Control Type No.of Luminaires Luminsire W] Ctrl pts In Zone: AGE In Space: AGE 1 Recessed Fluorescent - General Lighting 1 1000 1000 Occupancy sensor with 3 No vent Daylighting 3 step Walls No Description Type Width H (Effec) Multi Area Orientation Conductance Heat Dens. R-Value Ift] ft] plier Isf] Btu/hr. sf. F] Capacity Ib/cf] Ih.sf.F/Btu] Btu/sEF] In Zone: AGE 1 NORTH 0.75 in. stucco, 18.00 12.00 1 216.0 North 0.1118 1.183 14.94 8.9 2x4x 16" oc, RI IBatt, 0.5 in. gyp 2 WEST 0.75 in. stucco, 36.00 12.00 1 432.0 West. 0.1118 1.183 14.94 8.9 2x4x16" oc, RI IBatt, 0.5 in. gyp Windows No Description Orientation Shaded U SHGC Vis.Tra W H (Effec) Multi Total Area Btu/hr sf F] IN ft] plier sfJ In Zone: AGE In Wall: WEST 1 GLASS West No 0.6100 0.50 0.50 6.00 3.00 4 72.0 . 10/21/2016 EnergyGauge Summit® v5.20 Doors No Description Type Shaded? Width H (Effec) Multi Area Cond. Dens. Heat Cap. R-Value IN [ft] plier sf] Btu/hr. sf. F] [Ib/cfl [Btu/sf. F] [h.sf.F/Btul In Zone: In Wall: Roofs No Description Type Width H (Effec) Multi Area Tilt Cond. Heat Cap Dens. R-Value IN IN plier sf] deg) Btu/hr. Sf. F] [Btu/sE F] [Ib/cf) [h.sf.F/Btu] In Zone: AGE 1 ROOF Shngl/1/2"WD 36.00 18.00 1 648.0 0.00 0.0320 1.50 8.22 31.2 Deck/WD Truss/9" Ban/Gyp Brd Skylights No Description Type U SHGC Vis.Trans W H (Effec) Multiplier Area Total Area Btu/hr sf F] ft] IN [Sf] [S11 In Zone: In Roof: Floors No Description Type Width H (Effec) Multi Area Cond. Heat Cap. Dens. R-Value IN ft] plier sf] Btu/hr. sf. F] [Btu/sf. F] [Ib/cf] [h:sf.F/Btu] In Zone: AGE 1 FLOOR wood floor, carpet 36.00 18.00 1 648.0 0.5987 9.33 140.00 1.67 and rubber pad 10/21/2016 EnergyGauge Summit® v5.20 Systems ANHCI System 2 Constant Volume Packaged System No. Of Units 1 Component Category Capacity Efficiency IPLV 1 Cooling System 2 Heating System 3 Air Handling System -Supply 60000.00 13.00 11.20 43687.00 1.00 2000.00 0.30 Plant Equipment Category Size Inst.No Eff. IPLV LJ Water Heaters W-Heater Description Capacit3Cap.Unit I/P Rt. Efficiency Loss 0 Ext-Lighting Description Category No. of Watts per Area/Len/No. of units Luminaires Luminaire [sVft/No] Control Type Wattage W] O Piping No Type Operating Insulation Temperature Conductivity IF] ] Btu-in/h.sf.F] Nomonal pipe Diameter in] Insulation Is Runout? Thickness in] 10/21/2016 EnergyGauge Summit@ v5.20 01. Fenestration Used Name Glass Type No. of Glass SHGC VLT Panes Conductance Btu/h.sEF] ApLbWndl4 User Defined 1 0.6100 0.5000 0.5000 Materials Used Mat No Acronym Description Only R-Value RValue Thickness Conductivity Density SpecificHeat Used h.sEFBtu] ft] IBtu/h.ft.F] Ib/cf) Btu/Ib.F) 31 at es ROLL 244 Mat1244 PLYWOOD, 1/21N No 0.6318 0.0417 0.0660 34.00 0.2900 187 Mad 187 GYP OR PLAS No 0.4533 0.0417 0.0920 50.00 0.2000 BOARD,1/21N 151 Matll51 CONC HW, DRD, 140LB, No 0.4403 0.3333 0.7570 140.00 0.2000 41N 178 Matl178 CARPET W/RUBBER PAD Yes 1.2300 267 Matl267 0.75" stucco No 0.1563 0.0625 0.4000 16.00 0.2000 266 Matl266 2x4Q16" oc + RI I Batt No 8.3343 0.2917 0.0350 9.70 0.2000 12 Matl12 3 in. Insulation No 10.0000 0.2500 0.0250 2.00 0.2000 23 Mat123 6 in. Insulation No 20.0000 0.5000 0.0250 5.70 0.2000 Constructs Used Simple Massless Conductance Heat Capacity Density RValue No Name Construct Construct [Btu/h.sf.F] Btu/sf.F] Ib/cfJ h.sf.F/Btu] 1009 0.75 in. stucco, 2x4x16" oc, RI IBatt, 0.5 in. No No 0.11 1.18 14.94 8.9 gyp 10/21/2016 EnergyGauge Summit® v5.20 Layer Material Material Thickness Framing No. IN Factor 1 267 0.75" stucco 0.0625 0.000 2 266 2x4Q16" oc + R1 I Batt 0.2917 0.000 3 187 GYP OR PLAS BOARD,I/2IN 0.0417 0.000 No Name Simple Massless Conductance Heat Capacity Density RValue Construct Construct [Btu/h.sEF] Btu/sEF] Ib/cf] h.sf.F/Btu] 1038 Shngl/1/2"WD Deck/WD Truss/9" Batt/Gyp No No 0.03 1.50 8.22 31.2 Brd Layer Material Material Thickness Framing No. ft] Factor 1 81 ASPHALT -ROOFING, ROLL 0.000 2 244 PLYWOOD, 1/21N 0.0417 0.000 3 12 3 in. Insulation 0.2500 0.000 4 23 6 in. Insulation 0.5000 0.000 5 187 GYP OR PLAS BOARD,1/21N 0.0417 0.000 No Name Simple Massless Conductance Heat Capacity Density RValue Construct Construct [Btu/h.sEF] Btu/sf.F] Ib/cf) h.sEFBtu] 1063 wood floor, carpet and rubber pad No No 0.60 9.33 140.00 1.7 Layer Material Material Thickness Framing No. ft] Factor 1 151 CONC HW, DRD, 140LB, 41N 0.3333 0.000 2 178 CARPET W/RUBBER PAD 0.000 10/21/2016 EnergyGauge Summit® v5.20 6 r CHVAC - Full Commercial HVAC Loads Calculation Program Elite Software Development, Inc. Eiermahn Engineering Inc. GRACIOUS AGE DINING ROOM Orlando, FL 32804 AL Page 2 General Project Data Input General Project Information Project file name: C:\Elite\Chvacw32\Projects\gracious age alf dining room.CHV Project title: GRACIOUS AGE DINING ROOM Designed by: Thomas Jaeger Project date: Project location: ORLANDO, FLORIDA, USA Client name: ARCHITECTURAL DYMANICS Client address: Client city: Client phone: Client fax: Client e-mail address: Client website: Company name: Eiermann Engineering Inc. Company representative: Thomas Jaeger Company address: Company city: Company phone: Company fax: Company e-mail address: Company website: Barometric pressure: 29.813 in.wg. Altitude: 100 feet Latitude: 29 Degrees Mean daily temperature range: 19 Degrees Starting & ending time for HVAC load calculations: lam - 12am Floor heat loss coefficient: 0 Btuh per foot of slab Number of unique zones in this project: 2 Calculations performed: Both heating and cooling loads Lighting requirements: 0.00 Watts per square foot Equipment requirements: 0.00 Watts per square foot People sensible load multiplier: 250 Btuh per person People latent load multiplier: 250 Btuh per person Zone sensible safety factor: 10 Zone latent safety factor: 10 Zone heating safety factor: 10 People diversity factor: 100 Lighting profile number: 1 Equipment profile number: 1 People profile number: 1 Building default ceiling height: 0.0 feet Building default wall height: 0.0 feet Internal O e'rating Load PirofileS C = 100 hr hr hr hr hr hr hr hr hr hr hr hr hr hr hr hr hr hr hr hr hr hr hr hr 1 2 31 4 5 6 1 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 1 C C C c C C C C C c C C C c C C C C C C C C C C 2 C C C C C C c C C C C C C C C C C C C C c C C C 3 C C C C C C C C c C C C C C C c C C C C c C C C 4 C C C C C C C C C C C C C C C c C C C C c c C c 5 C C C C C C C C C C C C C C C C C C C C c C c c 6 C c C C C C C C C C C C C C C C C C C C C C C C 7 C C C c C C C C C C C C C C C c C c C C C C C C 8 C C C C C C C C C C C C c c C C C C C C C C C C 9 C C C c C C C C C C C C C C C C C c C C C C C C 10 C C C C C C C C C C C C C C C C C C C C C C C C C:\Elite\Chvacw32\Projects\gracious age alf dining room.CHV Friday, September 30, 2016, 3:10 PM CHVAC -Full Commercial HVAC Loads Calculation Program Elite Software Development, General Project Data Input cont'd) rSuilding-Level Design Conditions Design Outdoor Outdoor Indoor Indoor Grains In/Outdoor Month Dry Bulb Wet Bulb Rel.Hum Dry Bulb Diff Correction August 94 77 50% 76 46.04 2 June 94 75 50% 76 33.52 2 July 94 76 50% 76 39.71 2 September 93 77 50% 76 47.68 1 January 82 69 50% 75 20.92 10 December 83 70 50% 75 24.71 9 Winter 35 74 Master Roofs Roof ASHRAE Roof Dark Susp. No. Roof# U-Fac Color Ceil 1 5 0.050 Yes Yes Master Walls Wall ASHRAE Wall Wall No. Group U-Fac Color 1 C 0.100 L Master Partitions Partition Partition Cool Heat No. U-Factor T-D T-D 1 0.100 25 25 Master Glass Glass Summer Winter Glass Interior Interior Room Glass Glass No. U-Factor U-Factor Shd.Coef. Shading Shd.Coef Const Width Height 1 0.600 0.600 0.600 2 0.000 M 4.000 6.000 2 1.000 1.000 1.000 2 0.000 M 4.000 6.000 Master ShadingDevices Shade Dist Dist Dist Dist Dist Dist Ht Dist Dist Ht No. Horiz Beyond Beyond Overh Right R-Fin Of Left L-Fin Of Overh Right Left Above Fin Beyond Right Fin Beyond Left Projects W.Edge W.Edge Wind Pioj W.Edge Fin Proj W.Edge Fin 1 8.00 8.00 8.00 2.00 0.00 0.00 0.00 0.00 0.00 0.00 2 20.00 10.00 10.00 3.00 0.00 0.00 0.00 0.00 0.00 0.00 Inc. Eiermann Engineering Inc. Orlando FL 32804 GRACIOUS AGE DINING ROOM Pa e 3 C:\Elite\Chvacw32\Projectslgracious age alf dining room.CHV Friday, September 30, 2016, 3:10 PM CHVAC - Full Commercial HVAC Loads Calculation Program Elite Software Development, Inc. Eiermann Engineering Inc. ALGRACIOUS AGE DINING ROOM Orlando FL 32804 Page 4 Building Summary Loads Building peaks in August at 5pm. Bldg Load Area Sen Tot Lat Sen Net Net Descri otions Quan Loss Loss Gain Gain Gain Gain Roof 964 2,068 6.53 0 3,069 3,069 4.15 Wall 562 2,411 7.62 0 830 830 1.12 Glass 168 5,560 17.57 0 11,866 11,866 16.04 Floor Slab 0 0 0.00 0 0 0 0.00 Skin Loads 10,039 31.72 0 15,764 15,764 21.31 Lighting 964 0 0.00 0 3,618 3,618 4.89 Equipment 0 0 0.00 0 0 0 0.00 People 40 0 0.00 11,000 11,000 22,000 29.74 Partition 0 0 0.00 0 0 0 0.00 Cool. Pret. 0 0 0.00 0 0 0 0.00 Heat. Pret. 0 0 0.00 0 0 0 0.00 Cool. Vent. 473 0 0.00 15,806 8,295 24,101 32.58 Heat. Vent. 473 19,851 62.72 0 0 0 0.00 Cool.lnfil. 16 0 0.00 589 312 900 1.22 Heat.lnfil. 16 742 2.34 0 0 0 0.00 Draw-Thru Fan 0 0 0.00 0 732 732 0.99 Blow-Thru Fan 0 0 0.00 0 0 0 0.00 Reserve Cap. 0 0 0.00 0 0 0 0.00 Reheat Cap. 0 0 0.00 0 0 0 0.00 Supply Duct 0 1,018 3.22 0 3,427 3,427 4.63 Return Duct 0 0 0.00 0 3,427 3,427 4.63 Misc. Supply 0 0 0.00 0 0 0 0.00 Misc. Return 0 0 0.00 0 0 0 0.00 Building Totals 31,649 100.00 27,394 46,574 73,969 100.00 Building Sen Tot Lat Sen Net Net Summ' a " Loss Loss Gain Gain Gain Gaih Ventilation 19,851 62.72 15,806 8,295 24,101 32.58 Infiltration 742 2.34 589 312 900 1.22 Pretreated Air 0 0.00 0 0 0 0.00 Zone Loads 10,039 31.72 11,000 30,382 41,382 55.95 Plenum Loads 0 0.00 0 0 0 0.00 Fan & Duct Loads 1,018 3.22 0 7,586 7,586 10.26 Building Totals 31,649 100.00 27,394 46,574 73,969 100.00 Check Fi' ures Total Building Supply Air (based on a 210 TD): 1,563 CFM Total Building Vent. Air (30.26% of Supply): 473 CFM Total Conditioned Air Space: 964 Sq.ft Supply Air Per Unit Area: 1.6217 CFM/Sq.ft Area Per Cooling Capacity: 156.3907 Sq.ft/Ton Cooling Capacity Per Area: 0.0064 Tons/Sq.ft Total Heating Required With Outside Air: 31,649 Btuh Total Cooling Required With Outside Air: 6.16 Tons C:\Elite\Chvacw32\Projects\gracious age alf dining room.CHV Friday, September 30, 2016, 3:10 PM CHVAC - Full Commercial HVAC Loads Calculation Program Elite Software Development, Inc. Eiermann Engineering Inc. GRACIOUS AGE DINING ROOM Orlando FL 32804 a Pa e 5 Air Handler #1 Summary Loads 11 Zn . Description' Area Htg. Loss Sen.Gain Lat.Gain Htg.O.A. Clg.O.A. No peak Time People Htg.CFM Clg.CFM S.Exh Req.CFM Req.CFM Volume CFM/S ft CFM/S q ft W.Exh Act.CFM Act.CFM 1 New Dining Room 6pm June 2 Existing Diing Room 5pm August Zone Peak Totals: Total Zones: 2 Unique Zones: 2 576 5,883 16,097 30 258 781 5,760 0.45 1.36 388 4,897 16,144 10 215 783 3,880 0.55 2.02 964 10,780 32,241 40 473 1.563 9,640 0.49 1.62 8,495 Direct Direct 0 328 328 0 258 236 2,987 Direct Direct 0 145 145 0 215 237 11,482 0 473 473 0 473 473 C:\Elite\Chvacw32\Projects\gracious age alf dining room.CHV Friday, September 30, 2016, 3:10 PM CHVAC - Full Commercial HVAC Loads Calculation Program Eiermann Engineering Inc. f Elite Software Development, Inc. GRACIOUS AGE DINING ROOM Orlando, FL 32804 Page 6 Air Handler #1 Total Load Summary Air Handler Description: Office Space Constant Volume - Proportion Supply Air Fan: Draw-Thru with program estimated horsepower of 0.29 HP Fan Input: 85% motor and fan efficiency with 1 in. water across the fan Sensible Heat Ratio: 0.76 This system occurs 1 time(s) in the building. --- Air System Peak Time: 5pm in August. Outdoor Conditions: 92° DB, 77° WB, 116.27 grains Because of the diversity in zone, plenum and ventilation loads, the zone sensible peak time in June at 5pm is different from the total system peak time, hence the air system CFM was computed using a zone sensible load of 31,824. Summer: Ventilation controls outside air, --- Winter: Ventilation controls outside air. Zone Space sensible loss: 10,039 Btuh Infiltration sensible loss: 742 Btuh 16 CFM Outside Air sensible loss: 19,851 Btuh 473 CFM Supply Duct sensible loss: 1,018 Btuh Return Duct sensible loss: 0 Btuh Return Plenum sensible loss: 0 Btuh Total System sensible loss: 31,649 Btuh Heating Supply Air: 11,798 / (.996 X 1.08 X 23) = 473 CFM Winter Vent Outside Air (100.0% of supply) = 473 CFM Zone space sensible gain: 30,382 Btuh Infiltration sensible gain: 312 Btuh Draw-thru fan sensible gain: 732 Btuh Supply duct sensible gain: 3,427 Btuh Reserve sensible gain: . 0 Btuh Total sensible gain on supply side of coil: 34,853 Btuh Cooling Supply Air: 35,983 / (.996 X 1.1 X 21) = 1,563 CFM Summer Vent Outside Air (30.3% of supply) = 473 CFM Return duct sensible gain: 3,427 Btuh Return plenum sensible gain: 0 Btuh Outside air sensible gain: 8,295 Btuh 473 CFM Blow-thru fan sensible gain: 0 Btuh Total sensible gain on return side of coil: 11,722 Btuh Total sensible gain on air handling system: 46,574 Btuh Zone space latent gain: 11,000 Btuh Infiltration latent gain: 589 Btuh Outside air latent gain: 15,806 Btuh Total latent gain on air handling system: 27,394 Btuh Total system sensible and latent gain: 73,969 Btuh Check •Fi 'Ures Total Air Handler Supply Air (based on a 21° TD): 1,563 CFM Total Air Handler Vent. Air (30.26% of Supply): 473 CFM Total Conditioned Air Space: 964 Sq.ft Supply Air Per Unit Area: 1.6217 CFM/Sq.ft Area Per Cooling Capacity: 156.3907 Sq.ftlTon Cooling Capacity Per Area: 0.0064 Tons/Sq.ft Total Heating Required With Outside Air: 31,649 Btuh Total Cooling Required With Outside Air: 6.16 Tons C:\Elite\Chvacw32\Projectslgracious age alf dining room.CHV Friday, September 30, 2016, 3:10 PM A •1 1 CHVAC - Full Commercial HVAC Loads Calculation Program Elite Software Development, Inc. Eiermann Engineering Inc. JI=1(1a GRACIOUS AGE DINING ROOM Orlando, FL 32804 Page 7 Zone Detailed Loads (At Zone Peak Times) Load Unit SC- CLTD U.Fac Sen. Lat. Htg. Htg. Description Quan CFAC SHGF CLF- Gain Gain Mult. Loss Zone 1-New Dining Room peaks sensible in June at 6 m, Air Handler 1, Group 0 Roof-1-5-Susp.C-D 576 1.00 60.1 0.050 1,732 1.950 1,123 Wall-1-N-C-L 84 0.65 11.7 0.100 99 3.900 328 Wall-2-W-C-L 320 0.65 17.1 0.100 547 3.900 1,248 GIs-N-1-90-Tran 96.0 1.000 14 0.600 778 23.400 2.246 0%S-0-M-NS-Solar 96.0 0.600 41 0.790 1.866 Lights-Prof=1 576 1.000 1,965 People-Prof=1 30.0 1.000 7,500 7,500 Cool.InfiI.AC/hr 10 147 223 Heat.Infil.AC/hr 10 41.968 403 Sub -total 14,633 7,723 5,348 Safety factors: 10% 10% 10% Total w/ safety factors: 16,097 8,495 5,883 Zone 2-Existing Ding Room peaks sensible in August at 5 m, Air Handler 1, Group 0 Roof-1-5-Susp.C-D 388 1.00 57.9 0.050 1,123 1.950 757 Wall-1-W-C-L 158 0.65 14.3 0.100 225 3.900 616 GIs-W-2-90-Tran 72.0 1.000 15 1.000 1,044 39.000 2,808 0%S-0-M-NS-Solar 72.0 1.000 207 0.560 8.346 Lights-Prof=1 388 1.000 1,324 People-Prof=1 10.0 1.000 2,500 2,500 Cool.InfiI.AC/hr 6 114 215 Heat.Infil.AC/hr 6 41.968 271 Sub -total 14,676 2,715 4.452 Safety factors: 10% 10% 10% Total w/ safety factors: 16.144 2,987 4,897 C:\Elite\Chvacw32\Projects\gracious age all dining room.CHV Friday, September 30, 2016. 3:10 PM OFFICE— F D City of Sanford Building and Fire Prevention Product Approval Specification Form Permit # Project Location Address I aI WAY446 c. k OV& PERMIT# /G_f As required by Florida Statute 553.842 and Florida Administrative Code 9N-3, please provide the information and product approval number(s) on the building components listed below if they are to be utilized on the construction project for which you are applying for a building permit. We recommend that you contact your local product supplier should you not know the product approval number for any of the applicable listed products. Be aware that windows, skylights, and exterior doors must be tested in accordance with the Florida Building Code, Section 1714.5. More information about Statewide Product Approval can be obtained at www.floridabuildinQ.oro. The following information must be available on the jobsite for inspections: 1. This entire product approval form 2. A copy of the manufacturer's installation details and requirements for each product. Category / Subcategory Manufacturer Product Description Florida Approval # include decimal 1. Exterior Doors Swinging 6e Ft-1r2t1.6 Sliding Sectional Roll U Automatic Other 2. Windows Single Hun Horizontal Slider Casement Double Hun Fixed 1 otc a..+s o - 2/ 2 Awnin Pass Through Projected Mullions Wind Breaker Dual Action Other June 2014 Category / Subcategory Manufacturer Product Description(including Florida Approval # decimal 3. Panel Walls Siding Soffits Storefronts Curtain Walls Wall Louver Glass block Membrane Greenhouse E.P.S Composite Panels Other 4. Roofing Products Asphalt Shingles Underla ments Roofing Fasteners Nonstructural Metal Roofing Wood Shakes and Shin les Roofing tiles Roofing Insulation Waterproofing Built up roofing System Modified Bitumen Zr33 - 414 Single Ply Roof Systems Roofing slate Cements/ Adhesives / Coatin Liquid Applied Roofing Systems Roof Tile adhesive Spray Applied Polyurethane Roofing E.P.S. Roof Panels Roof Vents Other June 2014 1 at Category / Subcategory Manufacturer Product Description Florida Approval # include decimal 5. Shutters Accordion Bahama Colonial Roll u Equipment Other 6. Sk li hts Skylights Other 7. Structural Components Wood Connectors / Anchors Truss Plates En ineered Lumber Railing Coolers/Freezers Concrete Admixtures Precast Lintels Insulation Forms Plastics Deck / Roof Wall Prefab Sheds Other 8. New Exterior Envelope Products Applicant's Signature Applicant's Name Please Print) June 2014 161 ., . — R W R W Building Consultants, Inc. B Consulting and Engineering Services for the Building Industry C P.O. Box 230 Valrico. FL 33595 Phone 813.659.9197 Florida Board of Professional Engineers Certificate of Authorization No. 9813 Product Sub Category Manufacturer Product Name Category Plastpro, Inc. Smooth / Wood Grain I White Wood Grain Exterior Swinging Exterior-Door— 5200 West Century Blvd. Rustic /Mahogany __ _ Doors Assemblies Los Angeles, CA 90045 Series 0 Fiberglass Ooor Inswing/Outswing - "Non -impact" Scope: This is a Product Evaluation report issued by R W Building Consultants, Inc. and Lyndon F. Schmidt, P.E. (System ID # 1998) for Plastpro, Inc. based on Rule Chapter No. 61G20-3, Method 1D of the State of Florida Product Approval, Department of Business & Professional Regulation. RW Building Consultants and Lyndon F. Schmidt, P.E. do not have nor will acquire financial interest in the company manufacturing or distributing the product or in any other entity involved in the approval process of the product named herein. Limitations: 1. This product has been evaluated and is in compliance with the 5th Edition (2014) Florida Building Code structural requirements excluding the "High Velocity Hurricane Zone". 2. Product anchors shall be as listed and spaced as shown on details. Anchor embedment to base material shall be beyond wall dressing or stucco. 3. When used in areas requiring wind borne debris protection this product is required to be protected with an impact resistant covering that complies with Section 1609.1.2 of the Florida Building Code. 4. For 2x stud framing construction, anchoring of these units shall be the same as that shown for 2x buck masonry construction. 5. Site conditions that deviate from the details of drawing FL-15221.6 require further engineering analysis by a licensed engineer or registered architect 6. See drawing FL-15221.6 for size and design pressure limitations. Supporting Documents: 1. Test Report No. ETC-10-209-24642.0 ETC-10-209-24644.0 TEL 01390365 2. Drawing No. No. FL-15221.E 3. Calculations Anchoring Test Standard ASTM E330-02 ASTM E330-02 TAS 202-94 Prepared by RW Building Consultants, Inc. (CA #9813) Prepared by RW Building Consultants. Inc. (CA #9813) Testing Laboratory ETC Laboratories ETC Laboratories Testing Evaluation Lab.,lnc. 4. Quality Assurance Certificate of Participation issued by National Accreditation and Management Institute, certifying that Plastpro. Inc. is manufacturing products within a quality assurance program that complies with ISO/IEC 17020 and Guide 53. Sheet 1 of 1 Sinned by Mark Sennett Mark Sennett Lyndon F. Schmidt, P.E. Signed & Sealed by Lyndon F. Schmidt, P.E. Staned & Sealed by Lyndon F. Schmidt, P.E. Lyndon F. Schmidt, P.E. FL PE No. 43409 4/17/2015 5200 W. CENTURY BLVD. LOS ANGELES, CA 90045 Smooth / Wood Grain / White Wood Grain z zRustic / Mahogany Z Fiberglass Door INSWING / OUTS WING W NON -IMPACT' Q LL J JJ a GENERAL NOTES O 1. This product has been evaluated and is in compliance with the 5th Edition ID o 2014) Florida Building Code (FBC) structural requirements excluding the co High Velocity Hurricane Zone" (HVHZ). 2. Product anchors shall be as listed and spaced as shown on details. Anchor embedment to base material shall be beyond wall dressing or stucco. 3. When used in areas requiring wind borne debris protection this product is required to be protected with an impact resistant covering that complies With Section 1609.1.2 of the FBC. 4. For 2x stud framing construction, anchoring of these units shall be the same as that shown for 2x buck masonry construction. 5. Site conditions that deviate from the details of this drawing require further engineering analysis by a licensed engineer or registered architect. TABLE OF CONTENTS SHEET# DESCRIPTION 1 Typical elevations, design pressures & general notes 2 Glazing details 3 Door panel details 4 Horizontal cross section 5 Vertical cross sections 6 Buck and frame anchoring 7 Bill of materials and components 37.50" MAX. OVERALL FRAME WIDTH SWING ; .:: MAX.- -_ = =. GLASS. FRAME:.::': DIMENSION ':. MAX...",-` D.L.O DIMENSION - . TYPE.:. _ DE). SIGN PRESSURE (PSF POSITIVE; NEGATIVE INSWING 37.5" x 82.0" 21.0" x 63.0" G4 35.0 35.0 G1, G3, G5 45.0 45.0 G2 50.0 50.0 OUTSWING 37.5" x 80.50" 21.0" x 63.0" G4 35.0 35.0 G1, G3, G5 45.0 45.0 G2 50.0 50.0 F// rn n CO. z.00, 6 0 in N z v Z 0 Z U o F0 a m daC0J O d C W n ItO C Z W a _,a W o V o O Q ZD OZ agCDLAJ J am tn a a U li Q: o U aNo Y a Q a a d W DATE: 2115112 SCALE: N.T.S. DWG. BY: JK CHK.BY: LFS DRAWING NO.: FL-15221.6 OF 7 0z z J N z 0 U n z ii J m 3 rc N 0 N LN 23.88" MAX. 23.88" MAX. FRAME WIDTH 21.0" MAX. FRAME WIDTH 21.0" MAX. D.L.O. WIDTH D.L.O. WIDTH n. Lu UJ = c w i BOLT TYP.) BOLT 1 /2" GLASS BITE24PLACES) GASKA TAPE 20 1" OVERALL INTERIOR GLASS THK. 1 /8" TEMPERED6GLASS AIR SPACE EXTERIOR NYLON THERMAL BREAK — SNAP IN LITE FRAME 6.0" TYP) 3.0" TYP) WROUGHT IRON FRAME 23.88" MAX. a FRAME WIDTH SNAP FRAME INTERLOCK .813" b CA 21.0" MAX. D.L.O. WIDTH O o a 9 3 N = = 0.31 a' w Q i u- O J o X g 4 (TYP.) z '° 10 10 1 3.2P" TYP) ODL WE FRAME SNAP FRAME ASSEMBLY DEfA1L SNAPS TOGETHER 28 PLACES) 4 k GS GLAZING DETAIL 1 /8" TEMPERED GLASS SUPER SPACER• EDGETECH) 3M VHB TAPE 9 21 1 /7' GLASS BITE 1" OVERALL GLASS THK. INTERIOR 1 /8" TEMPERED GLASS AIR SPACE OPTIONAL DECORATIVE INSERT INTERIOR EXTERIOR I \1 /8" TEMPERED GLASS SUPER SPACER° 21 (EDGETECH) G4 GLAZING DETAIL 1 /7' GLASS BITE 1 OVERALL GLASS THK. 1 /8" TEMPERED GLASS I 03" PVB INTERLAYER SOLUTIA) 1 /8" TEMPERED GLASS AIR SPACE EXTERIOR 1 /8" TEMPERED GLASS ALUM SPACER G2 GLAZING DETAIL 6 Trimlite Sound Bonier 4 Ff II Mrntn o: o yGjO. ? rn M U N Z m m y Z 0 Z U o 10) omm rL co O -' 0 a 0oCOZ A luC41 0° o_ S 7/16"GLASS BITE r co 0 C.D 1"OVERALL GLASS THK. 0 N S INTERIOR 1 /9' TEMPERED GLASS o CK 0 0 AIR SPACE 0. a a 1 /8" TEMPERED G$ GLAZING DETAIL G1 GLAZING DETAIL 6 EXTERIOR ALUM SPACER ITE o OVERALL GLASS THK. 1 /8" TEMPERED GLASS AIR SPACE * 1 /8" TEMPERED GLASS I I I I ^ z DAM 2/15/12 UM SPACER SCALE: N.T.S. DING. BY: JK CHK. BY' LFS DRAWING NO.: FL-15221.6 SHEET 2 OF % u 0 w O 0 0 in CV 0. 0.7' 0.4" CAP (PVC) HINGE STILE (LVL) 35.75' DOOR WIDTH 40 DOOR PANEL Plastpro Fiberglass EXTERIOR t IIIIIIIII I III INTERIOR Gl G2 G3 G4 G5 LATCH STILE (LVL) 1 HORIZONTAL CROSS SECTION CAP (PVC) 113 HARDWARE TABLE : .' •.::•::,.. "....... :::.::':::...: :;':.:::::::::: `•: MAX. -DESIGN MANUFACTURER MODEL:..,::. ':: PRESSURE P.S :.. . POSITIVE`..NEGATIVE KWIKSET KNOB: SIGNATURE SERIES 50.0 50.0DEADBOLT: SIGNATURE SERIES (780) KNOB: "F' SERIES (F10) SCHLAGE LEVER: "F' SERIES (F10) 45.0 45.0 DEADBOLT: "8" SERIES 860/62 SCHLAGE HANDLE SET W/DEADBOLT: "F' SERIES (F60) 45.0 45.0 E HARDWARE TABLE TOP RAIL COMP.) 31419120 INTERIOR G1 XG2)(G3 FOAM CORE — POLYURETHANE - 1.9 PCF MIN.) FIBERGLASS SKIN 0.075" MIN. THK.) BOTTOM RAIL COMP.) A VLL.O1 07 orn y : • Qg. L 1111 { U N .. v 10 Z Z U o E 4m p co J a r00. 4—m a a' m LL o cz CW 0° 3`0: 2 VERTICAL CROSS SECTION 3 Q: cn J 0 Q zEXTERIOR J Z I/y W a am o 0 a a DATE: 2115112 scALE: N.T.S. M. BY- JK CHK. BY: LFS DRAWING NO.: FL-15221.6 SHEET 3 OF 7 Niu 4 5 X 5/ \5 4O 3 4 C 0.15" p CSINK L (TYP.) 1 2 7 o CL B E EXTERIOR_ 24 INTERIOR J 29 1 HORIZONTAL CROSS SECTION 4 Inswing shown - outswing also approved 3 HORIZONTAL CROSS SECTION 4 Shown w/I X sub -buck 2 HORIZONTAL CROSS SECTION 4 Inswing shown - outswing also approved i i u'1 J !u 6. r Y N• L n 7 cZvi a F- O 0) y, I- iP it o ° ° z U N •• I o Z 0 Z U n uqt o od N M 3 Lm OC d—Ol-O -0 IL v 2 OaCZ 0 CWG3n: v l Z 0: W zo cn o 0 CO U cn cD m m F¢- o Q: IV O a x a a R 0 UZ a W FZ a N Z Z U DATE: 2115112 i WAL- N.T.S. DWG. BY.- JK m CHK BY- LFS 3 DRAWING NO.: FL-15221.6 N 0 SHEET 4 OF 7 N INTER 2 VERTICAL CROSS SECTION 5 Inswing threshiold 1 VERTICAL CROSS SECTION 5 Inswing shown - outswing also approved E INTERIOR p EXTERIOR 40 18 3 VERTICAL CROSS SECTION 5 Outswing threshold 4K N z V-' Obi 6 `. % M o•J=cis Va_z n 0: Z :: t` 2%% z O co 0 o n z U N o Z 0 Z U c Ern o m O m 56rm E Co z° o c 4i ( 0 a v Z p U Z O N0 no m U am Q U o cc W IRK a a R J M vl W a J O N u DATE: 2115112 i J m 3 SCALE: N.T.S. DWG. BY: JK CHK. BY: LFS DRAWING NO.: FL-15221.6 N O N SHEET 5 OF 7 MASONR OPENING 2X BU BUCK ANCHORING 4" i f-- (TYP.) CONCRETE ANCHOR NOTES: I. Concrete anchor locations at the comers may be adjusted to maintain the min. edge distance to mortar joints. 2. Concrete anchor locations noted as MAX. ON CENTER" must be adjusted to maintain the min. edge distance to mortar joints, additional concrete anchors may be required to ensure the MAX. ON CENTER" dimension are not exceeded. 3. Concrete anchor table: ANGHOR.: ANCHOR MIN: ':;•.:`: MIN. CLEARANCE- MIN.:C'LEARANCE TYPE SIIE :..•::.EMBEDMENT..:•::. TO MASONRY`' TO ADJACENT. - EDGE. :.•.:. ANCHOR:..: . ITW ® TAPCON 1/4" 1-1/4" 2" 4" ELCO ® ULTRACON 1 4" 1-1/4" 1" 4" 3/16" 1-1/4" 3" TAPCON® v9VVU JGKtW IMIALLAHUN NVIt3: 1. Maintain a minimum 5/8" edge distance, I"end distance, & 1"o.c. spacing of wood screws to prevent the splitting of wood. MASONRY OPENING STRIKE JAMB 2X BUCK 1 X BUCK e FRAME 2X BUCK LATCH & DEADSOLT DETAIL 2X BUCK 1 X.BUCK _- TYP. HEAD JAMBS FRAME ANCHORING Masonry construction 1 X BUCK 1 X BUCK 2X BUCK 2X BUCK 6" TYP J I o HINGE DETAIL I SEE HI DETAI SEE HINGE DETAIL 2 i i rn 0) Ct npnAJ: V;a- Z 0) O) 0,•, Z 1 Z u00) M W M 00 oZ00o Z U N mO w Z O Z U Ern oomva-CpJCw0. Otm o, EC z° 0 cc 4i o ti z cc it a Q 00 Li m it o, cn d M a m V z a a 0 a 0 U w a m a a HINGE JAMB 1 X BUCK 2X BUCK W to CL 0 W- 0 O+ TE: 2115172 SCALE: N. T. S. OWG. BY: JK CHK. BY: LFS ORAWINC NO.: FL-15221. 6 SHEET 6 OF % 0 BILL OF MATERIALS ITEM R DESCRIPTION MATERIAL A 1 X BUCK SG >= 0.55 WOOD B 2X BUCK SG >= 0.55 WOOD C 1 /4" MAX. SHIM SPACE D 1 /4" X 2-3/4" ELCO OR ITW CONCRETE SCREW STEEL E MASONRY - 3,000 PSI MIN. CONCRETE CONFORMING TO ACI 301 OR HOLLOW BLOCK CONFORMING TO ASTM C90 CONCRETE G 1 /4" X 3-3/4" ELCO OR ITW CONCRETE SCREW STEEL H 3/16" X 3-1 /4" ITW CONCRETE SCREW STEEL I 10 X2-1 /2" PFH WOOD SCREW ---- STEEL- 1 POLY FIBER JAMB COMP. 2 WOOD JAMB (FINGER JOINTED PINE) WOOD 3 ODL LITE FRAME (1/2" I.G.) HP POLY 4 ODL LITE FRAME (1" I.G.) HP POLY 5 8 X 1-1 /2" PPH SMS STEEL 6 READISEAL SEALANT 7 FORCE 5 WEATHER STRIPPING BY ENDURA FOAM 8 SWEEP VINYL 9 SNAP IN FRAME ABS 10 INSWING THRESHOLD ALUM/COMP 18 OUTSWING THRESHOLD ALUM/COMP 20 WROUGHT IRON FRAME IRON 21 Q'SO GLAZING COMPOUND SILICONE 23 8 x 1-1/7' PFH WOOD SCREW STEEL 24 9 x 3/4" PFH WOOD SCREW STEEL 27 LATCH STRIKE PLATE STEEL 28 DEADBOLT STRIKE PLATE (SECURITY STRIKE) STEEL 29 4 X 4 HINGE STEEL 40 DOOR PANEL 9 T n L 1.4" 3 ODL LITE FRAME HP Polypropylene 1" I.G. 4.56' L C N F 2.44"— 1--- -2.13" _— — POLY FIBER JAMB 1.7s' 0I L SWEEP INSWING THRESHOLD By Endura T T 'j,2 n ODL SNAP IN FRAME91" I.G. 4.56' I 2.36' 2-2 -- — - 2 WOOD JAMB @jt OUTSWING THRESHOLD By Enduro h s L 20 WROUGHT IRON FRAME I" I.G. z° i c m X. O' .1:: d o: 0 41: O , v; P '_ ui r- U N z o'0 (3 o Z U o E0) Omd N , ma— M-a. 0.16 — y 0 z u CW O J 0_ o g Z WW z LL- W N U U 0 m o a a 9 DATE: 2 15/12 SCALE: N.T.S. OWG. BY: JK CHK. BY: LFS NAME, NO.: FL- 15221.6 OF 7 r. . Ilt. 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Search I Floqda r " Product Approval I j USER: Pudic User Product Approval Menu > Product or Aodlcatlon search > Aoollcatlon List > Application Detail FL # FL9909-1112 Application Type Revision Code Version 2014 Application Status Approved Comments Archived Product Manufacturer Address/Phone/Email Authorized Signature Technical Representative Address/Phone/Email Quality Assurance Representative Address/Phone/Email Category Subcategory Compliance Method Florida Engineer or Architect Name who developed the Evaluation Report Florida License Quality Assurance Entity Quality Assurance Contract Expiration Date Validated By Certificate of Independence Referenced Standard and Year (of Standard) Equivalence of Product Standards Certified By Associated Materials Inc. 3773 State Road Cuyahoga Falls, OH 44223 330) 922-2108 rickw@rwbldgconsultants.com Marsh Fernbaugh rickw@rwbidgconsultants.com Windows Fixed Evaluation Report from a Florida Registered Architect or a Licensed Florida Professional Engineer Evaluation Report - Hardcopy Received Lyndon F. Schmidt, P.E. PE-43409 Architectural Testing, Inc. 12/31/2018 Ryan J. King, P.E. Validation Checklist - Hardcopy Received Standard Year AAMA/ W DMA/CSA 101/I. S.2/A440 2008 AAMA/W DMA/CSA 101/I. S.2/A440 2011 ASTM E1886 2002 ASTM E1886 2005 ASTM E1996 2002 ASTM E1996 2012 ASTM E1996 2006 r Sections from the Code Product Approval Method Date Submitted Date Validated Date Pending FBC Approval Date Approved Summary of Products Go to Page 0 mber or Name Method 1 Option D 08/18/2016 08/22/2016 08/25/2016 10/13/2016 40 O Page 1/ 2 40 0 19909.1 I a. Model 0104 1 Extruded PVC "Non -Impact" Fixed Window with Nailing Fin Limits of Use Installation Instructions Approved for use in HVHZ: No FL9909 R12 II INST 9909.1.odf Approved for use outside HVHZ: Yes Verified By: Lyndon F. Schmidt, P.E. 43409 Impact Resistant: No Created by Independent Third Party: Yes Design Pressure: N/A Evaluation Reports Other: See INST 9909.1 for Design Pressure Ratings, any FL2909 R12 AE Eval 9909.1.odf additional use limitations, installation instructions and product Created by Independent Third Party: Yes particulars. 19909.2 1 b. Model 0170 1 Extruded PVC "Non -Impact" Fixed Window with Nailing Fin Limits of Use Installation Instructions Approved for use in HVHZ: No FL9909 R12 II INST 9909.2.odf Approved for use outside HVHZ: Yes Verified By: Lyndon F. Schmidt, P.E. 43409 Impact Resistant: No Created by Independent Third Party: Yes Design Pressure: N/A Evaluation Reports Other: See INST 9909.2 for Design Pressure Ratings, any FL9909 R12 AE Eval 9909.2.odf additional use limitations, installation instructions and product Created by Independent Third Party: Yes particulars. 19909.3 1 c. Model 0204 1 Extruded PVC "Non -Impact" Fixed Window Limits of Use Installation Instructions Approved for use in HVHZ: No FL9909 R12 II INST 9909.3.odf Approved for use outside HVHZ: Yes Verified By: Lyndon F. Schmidt, P.E. 43409 Impact Resistant: No Created by Independent Third Party: Yes Design Pressure: N/A Evaluation Reports Other: See INST 9909.3 for Design Pressure Ratings, any FL9909 R12 AE Eval 9909.3.odf additional use limitations, installation instructions and product Created by Independent Third Party: Yes particulars. 19909.4 1 d. Model 02A4 I Extruded PVC "Non -Impact" Fixed Window Limits of Use Installation Instructions Approved for use in HVHZ: No FL9909 R12 II INST 9909.4.odf Approved for use outside HVHZ: Yes Verified By: Lyndon F. Schmidt, P.E. 43409 Impact Resistant: No Created by Independent Third Party: Yes Design Pressure: N/A Evaluation Reports Other: See INST 9909.4 for Design Pressure Ratings, any FL9909 R12 AE Eval 9909.4.odf additional use limitations, installation instructions and product Created by Independent Third Party: Yes particulars. 19909.5 1 e. Model 0404 1 Extruded PVC "Non -Impact" Fixed Window Limits of Use Installation Instructions Approved for use in HVHZ: No FL9909 R12 II Product Currently Not Available.odf Approved for use outside HVHZ: Yes Verified By: Lyndon F. Schmidt, P.E. 43409 Impact Resistant: No Created by Independent Third Party: Yes Design Pressure: N/A Evaluation Reports Other: This Product is Currently Not Available by Associated FL9909 R12 AE Product Currently Not Available.odf Materials, Inc. (See FL 9909.5 R10 - 2014 FBC version for Created by Independent Third Party: Yes Historical Documents regarding this Approval) 19909.6 1 f. Model 0504 1 Extruded PVC "Non -Impact" Fixed Window Limits of Use Installation Instructions Approved for use in HVHZ: No FL9909 R12 II INST 9909.6.odf Approved for use outside HVHZ: Yes Verified By: Lyndon F. Schmidt, P.E. 43409 Impact Resistant: No Created by Independent Third Party: Yes Design Pressure: N/A Evaluation Reports Other: See INST 9909.6 for Design Pressure Ratings, any additional use limitations, installation instructions and product FL9909 R12 AE Eval 9909.6.odf particulars. Created by Independent Third Party: Yes 9909.7 g. Model 0604 Extruded PVC "Non -Impact" Fixed Window Limits of Use Installation Instructions Approved for use in HVHZ: No FL9909 R12 II INST 9909.7.odf Approved for use outside HVHZ: Yes Verified By: Lyndon F. Schmidt, P.E. 43409 Impact Resistant: No Created by Independent Third Party: Yes Design Pressure: N/A Evaluation Reports Other: See INST 9909.7 for Design Pressure Ratings, any FL9909 R12 AE Eval 9909.7.odf additional use limitations, installation instructions and product Created by Independent Third Party: Yes particulars. 19909.8 1 h. Model 0614 1 Extruded PVC "Non -Impact" Fixed Window Limits of Use Installation Instructions Approved for use in HVHZ: No FL9909 R12 II Inst 9909.8.odf Approved for use outside HVHZ: Yes Verified By: Lyndon F. Schmidt, P.E. 43409 Impact Resistant: -No Created -by .Independent Third -Party. _Yes Design Pressure: N/A Evaluation Reports Other: See INST 9909.8 for Design Pressure Ratings, any FL9909 R12 AE Eval 9909.8.pdf additional use limitations, installation instructions and product Created by Independent Third Party: Yes particulars. 19909.9 11. Model 0704 1 Extruded PVC "Non -Impact" Fixed Window with Nailing Fin Limits of Use Installation Instructions Approved for use in HVHZ: No FL9909 R12 II INST 9909.9.odf Approved for use outside HVHZ: Yes Verified By: Lyndon F. Schmidt, P.E. 43409 Impact Resistant: No Created by Independent Third Party: Yes Design Pressure: N/A Evaluation Reports Other: See INST 9909.9 for Design Pressure Ratings, any FL9909 R12 AE Eval 9909.9.odf additional use limitations, installation instructions and product Created by Independent Third Party: Yes particulars. 19909.10 1 J. Model 0970 1 Extruded PVC "Non -Impact" Fixed Window Limits of Use Installation Instructions Approved for use in HVHZ: No FL9909 R12 II Inst 9909.10.odf Approved for use outside HVHZ: Yes Verified By: Lyndon F. Schmidt, P.E. 43409 Impact Resistant: No Created by Independent Third Party: Yes Design Pressure: N/A Evaluation Reports Other: See INST 9909.10 for Design Pressure Ratings, any FL9909 R12 AE Eval 9909.10.odf additional use limitations, installation instructions and product Created by Independent Third Party: Yes particulars. 19909.11 1 k. Model 8014 1 Extruded PVC "Non -Impact" Fixed Window Limits of Use Installation Instructions Approved for use in HVHZ: No FL9909 R12 II Inst 9909.11.odf Approved for use outside HVHZ: Yes Verified By: Lyndon F. Schmidt, P.E. 43409 Impact Resistant: No Created by Independent Third Party: Yes Design Pressure: N/A Evaluation Reports Other: See INST 9909.11 for Design Pressure Ratings, any FL9909 R12 AE Eval 9909.11.odf additional use limitations, installation Instructions and product Created by Independent Third Party: Yes particulars. 19909.12 11. Model 9014 1 Extruded PVC "Non -Impact" Fixed Window Limits of Use Installation Instructions Approved for use in HVHZ: No FL9909 R12 II Inst 9909.12.odf Approved for use outside HVHZ: Yes Verified By: Lyndon F. Schmidt, P.E. 43409 Impact Resistant: No Created by Independent Third Party: Yes Design Pressure: N/A Evaluation Reports Other: See INST 9909.12 for Design Pressure Ratings, any FL9909 R12 AE Eval 9909.12.odf additional use limitations, installation instructions and product Created by Independent Third Party: Yes particulars. 19909.13 1 m. Model 3104 1 Extruded PVC "Non -Impact" Fixed Window Limits of Use Installation Instructions Approved for use in HVHZ: No FL9909 R12 II INST 9909.13.odf Approved for use outside HVHZ: Yes Verified By: Lyndon F. Schmidt, P.E. 43409 Impact Resistant: No Created by Independent Third Party: Yes Design Pressure: N/A Evaluation Reports Other: See INST 9909.13 for Design Pressure Ratings, any FL9909 R12 AE Eval 9909.13.odf additional use limitations, installation instructions and product Created by Independent Third Parry: Yes particulars. 9909.14 n. Model 3104 Extruded PVC "Non -Impact" Fixed Window with Nailing Fin Limits of Use Installation Instructions Approved for use in HVHZ: No I FL9909 R12 II INST 9909.14.odf 4 Approved for use outside HVHZ: Yes Verified By: Lyndon F. Schmidt, P.E. 43409 Impact Resistant: No Created by Independent Third Party: Yes Design Pressure: N/A Evaluation Reports Other: See INST 9909.14 for Design Pressure Ratings, any FL9909 R12 AE Eval 9909.14.odf additional use limitations, installation instructions and product Created by Independent Third Party: Yes particulars. 19909.15 1 o. Model 3104 1 Extruded PVC "Impact" Fixed Window Limits of Use Installation Instructions Approved for use in HVHZ: No FL9909 R12 II INST 9909,1S.odf Approved for use outside HVHZ: Yes Verified By: Lyndon F. Schmidt, P.E. 43409 Impact Resistant: Yes Created by Independent Third Party: Yes Design Pressure: N/A Evaluation Reports Other: See INST 9909.15 for Design Pressure Ratings, any FL9909 R12 AE Eval 9909. iS.odf additional use limitations, installation Instructions and product Created by Independent Third Party: Yes particulars. 9909.16 1 p. Model 3104 Extruded PVC "Impact" Fixed Window with Nailing Fin Limits of Use Installation Instructions Approved for use in HVHZ: No FL9909 R12 II INST 9909.16.odf Approved for use outside HVHZ: Yes Verified By: Lyndon F. Schmidt, P.E. 43409 Impact Resistant: Yes Created by Independent Third Party: Yes Design Pressure: N/A Evaluation Reports Other: See INST 9909.16 for Design Pressure Ratings, any FL9909 R12 AE Eval 9909.16.odf additional use limitations, installation instructions and product Created by Independent Third Party: Yes particulars. 19909.17 1 q. Model "1" 204 1 Extruded PVC "Non -Impact" Fixed Window Limits of Use Installation Instructions Approved for use in HVHZ: No FL9909 R12 II INST 9909.17.odf Approved for use outside HVHZ: Yes Verified By: Lyndon F. Schmidt, P.E. 43409 Impact Resistant: No Created by Independent Third Party: Yes Design Pressure: N/A Evaluation Reports Other: See INST 9909.17 for Design Pressure Ratings, any FL9909 R12 AE Eval 9909.17.odf additional use limitations, installation instructions and product Created by Independent Third Party: Yes particulars. 19909.18 1 r. Model "1" 204 1 Extruded PVC "Impact" Fixed Window Limits of Use Installation Instructions Approved for use in HVHZ: No FL9909 R12 II INST 9909.18.odf Approved for use outside HVHZ: Yes Verified By: Lyndon F. Schmidt, P.E. 43409 Impact Resistant: Yes Created by Independent Third Party: Yes Design Pressure: N/A Evaluation Reports Other: See INST 9909.18 for Design Pressure Ratings, any FL9909 R12 AE Eval 9909.18.odf additional use limitations, installation instructions and product Created by Independent Third Party: Yes particulars. 9909.19 S. Model "1" 970 Extruded PVC "Non -Impact" Fixed Window Limits of Use Installation Instructions Approved for use in HVHZ: No FL9909 R12 II INST 9909.19.odf Approved for use outside HVHZ: Yes Verified By: Lyndon F. Schmidt, P.E. 43409 Impact Resistant: No Created by Independent Third Party: Yes Design Pressure: N/A Evaluation Reports Other: See INST 9909.19 for Design Pressure Ratings, any FL9909 R12 AE Eval 9909.19.odf additional use limitations, installation Instructions and product Created by Independent Third Party: Yes particulars. 9909.20 t. Model "1" 970 Extruded PVC "Impact" Fixed Window Limits of Use Installation Instructions Approved for use in HVHZ: No FL9909 R12 tI INST 9909.20.odf Approved for use outside HVHZ: Yes Verified By: Lyndon F. Schmidt, P.E. 43409 Impact Resistant: Yes Created by Independent Third Party: Yes Design Pressure: N/A Evaluation Reports Other: See INST 9909.20 for Design Pressure Ratings, any FL9909 R12 AE Eval 9909.20.odf additional use limitations, installation Instructions and product Created by Independent Third Party: Yes particulars. Go to Page (0 0 0 Page 1/ 2 0 0 BaCk Ne:t Contact Us :: 2601 Blab Stone Road. Tallahassee FL 32399 Phone: 850-487.1824 The State of Florida Is an AA/EEO employer. copyright 2007.2013 State of Florida.:: Privacy Statement :: Accessibility Statement :: Refund Statement Under Florida law, email addresses are public records. If you do not want your e-mail address released In response to a publkrreCords request, do not send elidronlc f ASSCCIATEDF,4 3773 STATE ROAD CUYAHOGA FALLS, OH 44223 MATERIALS 0 R A T E D 97.74" MAX. OVERALL FIN WIDTH \ PVC FIXED WINDOW w/ NAILING FIN NON -IMPACT" W z JJ Q Uj w O Q 0 GENERAL NOTES 10 1. This product has been evaluated and is in compliance with the 5th Edition (2014) Florida Building Code (FBC) structural requirements excluding the "High Velocity Hurricane Zone" (HVHZ). 2. Product anchors shall be as listed and spaced as shown on details. Anchor embedment to base material shall be beyond wall dressing or stucco. 3. When used in areas requiring wind bome debris protection this product is required to be protected with an impact resistant covering that complies with Section 1609.1.2 of the FBC. 4. Site conditions that deviate from the details of this drawing require further engineering analysis by a licensed engineer or registered architect. TABLE OF CONTENTS SHEET # DESCRIPTION 1 Typical elevations, design pressures & general notes 2 Vertical & horizontal cross sections 3 Vertical & horizontal cross sections 4 Buck & frame anchorin 5 Bill of materiols, Qlaiing detail and components 95.0" X 59.0" FRAME SHOWN OVERALL OVERALL OVERALL DESIGN PRESSURE FIN FRAME DAY LIGHT TYPES PSO DIMENSION DIMENSION DIMENSION POS. NEG. 97.74" X 61.74" 95.0" X 59.0" 91.88" X S5.88" G1 35.0 35.0 62.74" X 62.74" 60.0" X 60.0" 56.88" X 56.88" 50.0 50.0 G2 74.74" X 50.74" 72.0" X 48.0" 68.88" X 44.89" r+45.0 45.0 74.74" X 38.74" 72.0" X 36.0" 68.88" X 32.88" G1 65.0 65.0 vkl z_ C a twn UN •• z O Z UE TS ID ii maamNoaev E0 0 z C W I] Ln z L_j o cn z W O z O Z J QU' X W wN W W W it U 0 OW a c0. o_ m U- W O W fr DATE: 12/03/08 sCALE: N. T. S. DWG. BY: ,JK CHK. BY: LFS DRAWING NO.: FL-9909.1 SHEET 1 OF 5 Uz IHz a J o, z 0 U Wz 0 J 5 ID 3 0 N rru 3 3 1 -- .. 0- 2 1 C. AH INTERIOR EXTERIOR 1 HORIZONTAL CROSS SECTION Z 2X BUCK MASONRY CONSTRUCTION 1-1/4" MIN. DAB. (TYP.) EXTERIOR INTERIOR 2 VERTICAL CROSS SECTION 1 2X BUCK MASONRY CONSTRUCTION N Z 01T0j10 i z n °D i UN•• xzq c o " ILg...- ol o LL 0 CZ c Li 8 a Q ti ZN 30 N O Z 2W 3 Ln m X Nn U Q F= U a j 0 j 0 a a a Um awo a cn zV 0N W O O O N Q W Q j 1 z h ol w z n nN O Q F n 0 m N Z Z U 12103 08 Z E: N.T.S. BY: JK 5 m I Y: LFS 3 LING NO.: a FL-9909.1 0 T 2 OF 5 A E NOTE. Sheet Metal Screws must penetrate o min. of 3 threads through metol stud. Maintoin o minimum 518" edges distonce. 1 K G1 G2 EXTERIOR INTERIOR 3 VERMAL CROSS SECTION 3 Shown w/ Steel Stud Framing Option INTERIOR EXTERIOR 1 HORIZONTAL CROSS SECTION 3 A EXTERIOR INTERIOR 2 VERTICAL CROSS SECTION 3 J U M i•' Z O_ Z ice'''''''•• 5; C fill%%% Z C CO Z U cV Z Z 0 Z U mo G1 g -C.g 9 o a a o cZ o cW z u, 30 . O 0 Z = W 3 m AS X v) UCK 0 j O j a 0. Q aW W a Crz c> W W NE Cx 12103101 E: N.T.S. BY: JK BY: LFS nNc No.: FL- 9909.1 T 3 OF 5 2X BUC MASONRY OPENING S. BUCK ANCHORING 2X BUCK) Add anchor for width > 59' Add anchor for height > 59' CONCRETE ANCHOR NOTES: 1. Concrete anchor locations at the comers may be adjusted to maintain the min. edge distance to mortar joints. 2. Concrete anchor locations noted as "MAX. ON CENTER" must be adjusted to maintain the min. edge distance to mortar joints, additional concrete anchors may be required to ensure the MAX. ON CENTER" dimension ore not exceeded. 3. Concrete anchor table: ANCHOR" MIN. •;';';:::.:.... MIN: CLEARANCE:' MIN.'CLEARANCE ANCHOR:.: EMBEDMEM:::..:;. TO MASONRY; O ADJACEN • :. TYPE.: SITE::::: E : .: ANCHOR::.:.... ITW o 1/4" 1.1/4" 2" 40 TAPCON ELCO 1.1/4" 1" 4":1ULTRACON WOOD SCREW INSTALLATION NOTES: 1. Maintain a minimum 5/B" edge distance, I" end distance, & 1"o.c. spacing of wood screws to prevent the splitting of wood. 16" PP.) 4" ITYD 1, v0- 2X BUCK MASONRY OPENING b oa.ueY i O.C. (TYP.) t I y' TYP. F 1 L En 0 a0 FRAME ANCHORING 2X BUCK) 2X/STEEL STUD FRAMING TO BE DESIGNED BY THE ENGINEER OR ARCHITECT OF RECORD BASED ON WIND LOADS AND THE CLADDING Bri FRAME FRAME ANCHORING STUD CONSTRUCTION) CL C; C; N J:ci M J Vy _ . O W CDO00 V N •• v E E o, Z 0ZV t `gNn C3 LLJ a t c°m Z a-a-b• s e cZ 10 3`a U NZEr- 3 v O 2 Q 3 W W CE O j 0 co 0 a a Co 2 m iw 7m z 0 h N z DATE: 12103108 Z SCALE: N.T. S. o 3 DWG. gY: X m CHK. BY. LFS 3 DRAWING No.: r FL-9909.1 c SHEET 4 of 5 N n n a o r 0?A6-0', . * ' Business & Professional Regulation SCIS Home I Log In I User Registration 1 Hot Topics Submit surcharge i Scats d Facts j Publications FSC Staff j SCIS Site Map , Links Search ; b a r Q Product Approval USER: Public User Product Approval Menu > Product or Application Search > Aoollcatlon List > Application History > Application Detail FL # Application Type Code Version Application Status Comments Archived Product Manufacturer Address/Phone/Email Authorized Signature Technical Representative Address/Phone/Emal I Quality Assurance Representative Address/Phone/Email Category Subcategory Compliance Method FL2533-R14 Revision 2014 Approved CertainTeed Corporation -Roofing 18 Moores Road Malvern, PA 19355 610) 651-5847 mark.d.harner aint-gobain.com Mark Harner mark.d.harner aint-gobain.com Mark D. Harrier 18 Moores Road Malvern, PA 19355 610) 651-5847 Mark.D.Harner aint-gobain.com Roofing Modified Bitumen Roof System Evaluation Report from a Florida Registered Architect or a Licensed Florida Professional Engineer Evaluation Report - Hardcopy Received Florida Engineer or Architect Name who developed Robert Nieminen the Evaluation Report Florida License PE-59166 Quality Assurance Entity UL LLC Quality Assurance Contract Expiration Date 07/03/2017 Validated By John W. Knezevich, PE Validation Checklist - Hardcopy Received Certificate of Independence Referenced Standard and Year (of Standard) Standard Year ASTM D6162 2000 ASTM D6163 2000 ASTM D6164 2005 ASTM D6222 2008 ASTM D6509 2009 FM 4470 1992 FM 4474 2004 Equivalence of Product Standards Certified By Sections from the Code Product Approval Method Method 1 Option D Date Submitted 08/25/2015 Date Validated 08/29/2015 Date Pending FBC Approval 09/06/2015 Date Approved 10/16/2015 Date Revised 10/19/2015 Summary of Products r- FL # Model, Number or Name Description 2533.1 Flintlastic Modified Bitumen Modified Bitumen Roof Systems Roof Systems Limits of Use Installation Instructions Approved for use in HVHZ: No FL2533 R14 II 2015 08 FINAL Al ER CERTAINTEED MODBIT FL2533- R14,odfApprovedforuseoutsideHVHZ: Yes Impact Resistant: N/A Verified By: Robert Nieminen, PE PE-59166 Design Pressure: +N/A/-630 Created by Independent Third Party: Yes Other: 1.) Refer to ER Section 5 for Umits of Use. Evaluation Reports 2.) The design pressure noted in this application FL2533 R14 AE 2015 08 FINAL ER CERTAINTEED MODBIT FL2533- R14,odfrelatestoonespecificsystem. Refer to the ER Appendix for all systems and max design Created by Independent Third Party: Yes pressures. Back Next Contact lls :: 2601 Blair Stone Road. Tallahassee FL 32399 Phone: SSO-487.1824 The State of Florida Is an AA/EEO employer. Coovridht 2007-2013 State of Florida.:: Privacy Statement :: Accessibility Statement :: Refund Statement Under Florida law, email addresses are public records. If you do not want your e-mail address released In response to a pudic -records request, do not send electronic mall to this entity. Instead, contact the office by phone or by traditional mall. If you have any questions, please contact 850.487.1395. 'Pursuant to Season 4S5.27S(1), Florida Statutes, effective October 1, 2012, licensees licensed under Chapter 4S5, F.S. must provide the Department with an email address If they have one. The emails provided may be used for official communication with the licensee. However email addresses are public record. If you do not wish to supply a personal address, please provide the Department with an email address which can be made available to the public. To determine If you are a licensee under Chapter 4SS, F.S., please click jlgLp_ Product Approval Accepts: lCNtl Credit Card Safe DEC 2 0 RECO i CA 9_3 CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: Documented Construction Value: $ 307 Ss- V Job Address: 1 6 / M/7 q /a//X X /11 Historic District: Yes No Residential Commerciale Demo Change of Use Move Parcel ID: Type of Work: New Additioffp Alteration Repair Description of Work: Al g7tn> you A e -e , E1 yiaTd Plan Review Contact Person: M /I.< S,.M tr_z Title: Phone: y 7-,3,23 31-4 Fax: 3ei?/-a27s"-Y.Ja / Email:.owl*es,"-,Wele, WeT A/o 2-yi_? ew.? Property Owner Information Name LAAC.nA&S 2 Ss/Sr .41A01 Street: l ya / Ag A-C ,rt/d /,, City, State Zip: S 4 a pea z%'z 3,?z / Phone: Resident of property? : Contractor Information Name M, 11C e .5;pu Gl C- Phone: 1po p % 3,2-7-39.3/ 3 Street: i« L.o Al !2 zLc -ly Qr1 Fax: 3a2/ - a75- - 'W,? / City, State Zip: State License No.: 1 Co o C) lg y Name: Architect/Engineer Information Phone: Street: Fax: City, St, Zip: Bonding Company: Address: E-mail: Mortgage Lender: Address: WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and air conditioners, etc. FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 5"Edition (2014) Florida Building Code Revised: June 30, 2015 Permit Application 6 NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713. The City of Sanford requires payment of a plan review fee at the time of permit submittal. A copy of the executed contract is required in order to calculate a plan review charge and will be considered the estimated construction value of the job at the time of submittal. The actual construction value will be figured based on the current ICC Valuation Table in effect at the time the permit is issued, in accordance with local ordinance. Should calculated charges figured off the executed contract exceed the actual construction value, credit will be applied to your permit fees when the permit is issued. OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Signature of Owner/Agent Date Print Owner/Agent's Name Signature of Notary -State of Florida Date Owner/Agent is Personally Known to Me or Produced ID Type of ID 44AO.-i2,O _ -X 0/0' Signature of Contractor/Agent Date M ll,c e 4i • S A" e T Print Contractor/Agent's Name 2D-1Ci IT018Y Public - State of Florida My Comm. Expires Jan 16.2018 Commission M FF 071760 Bonded Through National Notary Assn. Contractor/Agent is Personally Pown to Me or Produced ID Type of ID l%_ 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 APPROVALS: ZONING: UTILITIES: ENGINEERING: COMMENTS: Fire Alarm Permit: Yes No WASTE WATER: FIRE: BUILDING: Revised: June 30. 2015 Permit Application 2) emergency lights 1) gfi outlet in pit 1) switch for pit light Exclusions: fire alarm, telephone wiring, relocating any hidden wiring above existing grid ceiling above elevator, no night time hours total for elevator: $21,900.00 Total: $32,358.00 Sincerely, I . , I c ee CONSTRUCTION CO. GENERAL CONTRACTORS TO: Mike Smith Electric 790 MONROE ROAD SANFORD, FLORIDA 32771 PH ONE(407)323-1150 FAX (407)323-9304 From: Kathy Fax: Pages: 0 INCLUDING COVER Re: Gracious Age Date: 11/18/16 YOUR PROPOSAL HAS BEEN ACCEPTED ON THE ABOVE REFERENCED PROJECT. ATTACHED IS YOUR CONTRACT, YOUR QUOTE AND PAY APPLICATION. PLEASE REVIEW SIGN AND FAX BACK CONTRACT. THE PAYMENT APPLICATION MUST BE USED REQUESTING PAYMENT. THE FOLLOWING INDICATED ITEMS BELOW MUST BROUGHT TO THE OFFICE PRIOR TO WORK BEING DONE ON THE JOB. CERTIFICATES OF INSURANCE NEED TO REFERENCE JOB PLEASE. OTHERWISE YOUR CONTRACT CANNOT BE PROCESSED, AND PAYMENT WILL NOT BE MADE TILL RECEIVED OR UPDATED. ALL PAY APPLICATIONS (ON OUR FORM) MUST BE RECEIVED IN OUR OFFICE NO LATER THAN THE 20TH OF EACH MONTH. NEED 1. CERTIFICATE OF WORKMAN'S COMPENSATION (MIN 100,000. 100.000. 500,000.) 2. CERTIFICATE OF LIABILITY, PROPERTY DAMAGE INSURANCE (MIN 1,000,000. S0,000. S,000.1,110 1,000,000 1,000,000) 3. CERTIFICATE OF AUTOMOBILE LIABILITY (MIN 500,000.) HAVE 0 0 0 4. W-9 X 11111111111111111111111111# IIIII 11111111 Prepared By and Return To: Kristen G. Dickey, Esq. Starfield & Smith, PC 2600 Maitland Center Parkway, Suite 330 Maitland FL 32751 407)667-8811 Matter #: 2561.0047 IIARYNNNE NORSEr SENINOLE COUNTY CLFIO" OF CIRCUIT COURT h COMPTROLLERSK827Pas1006-1008 QP9s) CLERK'S 0 2016131139 RECORDED 12/19/2016 11:22.:-.3 All RECORDINGFEES $27.00 RECORDED BY hdevur._ Permit No. y ' C') Tax ID Number: 25-19-30-5AG-1602-0000. NOTICE OF COMMENCEMENT STATE OF FLORIDA ) COUNTY OF 09A 6 C ) ss.: THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713 of the Florida Statutes, the following information is provided in this Notice of Commencement. 2. 3. 5. 6. Description of property (legal description of the property, and street address if available): 1401 S. Magnolia Avenue, Sanford, FL 32771 (see attached Exhibit "A" Legal Description). General description of improvement: Addition and improvements to building Owner information: a. Name: Gracious Age, L.L.C. b. Address: 1401 S. Magnolia Avenue, Sanford, FL 32771 C. Interest in property: Fee Simple d. Name and address of fee simple titleholder (if other than owner shown above): COvR Contractor::' `•, e y a. Name: McKee Construction Company b. Address: 790 Monroe Road, Sanford, FL 32771 C. Phone number: (407) 323-1150 *,/' Surety: a. Name: N/A b. Address: C. Phone number: d. Amount of bond: $ Lender: a. b. C. A Name: Evolve Bank & Trust Address: 999 18th Street, Suite 1415N, Denver, CO 80202 Phone number: 720-921-8826 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(I)(a)7., Florida Statutes: a. Name: N/A b. Address: C. Phone number: In addition to himself, Owner designates the Lienoes Notice as provided in section 713.13(I)(b), Florida Statutes. a. Name: b. Address: 19 TO% to receive a copy of 01738989: 0 ) C. Phone number: Expiration date of notice of commencement (the expiration date is one year from the date of recording. unless a different date is specified): WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE 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. Gracious Age, L.L.C. By: Carviz V. Carlos, Manager By. — 2 Jocelyn T. Carlos, Manager The forgoing instrument was acknowledged before me this Ir day of December, 2016 by Carviz V. Carlos and Jocelyn T. Carlos, as Managers of Gracious Age, L.L.C., a F orida limited liability company, who are personally known to me or who have -produced L as identification check one). tary Public, State r'dK"/ 4'i GLORIA FA. SUAREI Notary Public State of My Comm. Expires May Florida21.2018 scL„`,; (Q8 g1gISihg f F 125314 Verification pursuant to Section 92.525, Florida Statutes: C— IsTame hand printed, typed or rubber stamped) Under Penalties of perjury, we declare that we have read the foregoing and that the facts in it are true to the best of our knowledge and belief. e- ). f Carviz V. Carlos, Individually Joce yn T. Carlos, Individually 01738989:v1 } EXHIBIT A Lots 1 to 10, inclusive, Block 16, Tier 2 , E.R. TRAFFORD'S MAP OF THE TOWN OF SANFORD, together with the South 1/2 of vacated Fourteenth Street adjoining on North and all the vacated street or alley lying within Block 16, according to the plat thereof as recorded in Plat Book I, Page 56, Public Records of Seminole County, Florida. 01738989;v1 } CONSTRt Eno CO. GENERAL CONTRACTORS SUBCONTRACT AGREEMENT 790 Monroe Road Sanford, FL 32771 Phone: (407) 323-1150 Fax (407) 323-9304 CONTRACTOR: McKee Construction Co. CONTRACT NO: 2016-09-15 SUBCONTRACTOR: Mike Smith Electric, LLC. JOB NO: 2016-09 PROJECT: Gracious Age DATE: 11/14/16 ADDRESS: 1401 Magnolia Ave, Sanford, FL 32771 CODE: 16100- S 32,358.00 CONTRACT PRICE (INCLUDES ALL TAXES) NOT TO EXCEED f3,358.00 WITH 1M RETAINAGE. PAYABLE AS FOLLOWS: BILL AS PER BILLING SCHEDULE PROVIDED, ONLY MCKEE CONSTRUCTION CO. SUPPLIED PAY APPLICATION WILL BE ACCEPTED. APPLICATIONS ARE DUE BY THE 201" OF EACH MONTH. SUBCONTRACTOR PAYMENT WILL ONLY BE PAID WHEN THE CONTRACTOR IS PAID BY OWNER. PER CONTRACTOR'S CONTRACT WiTH OWNER, OWNER SHALL PAY CONTRACTOR BY THE 101W OF THE MONTH. ALL LIEN LAWS ARE APPLICABLE. RETAINAGE TO BE HELD UNTIL THE CONSTRUCTION OF THE PROJECT IS COMPLETED. (SCOPE OF WORK R RIiTEN SCHEDULE MUST BE PROVIDED PRIOR TO 1s APPUCATION FOR PAYMENT BEING PROCESSED 1. Subcontractor agrees to perform all labor in a workmanlike manner, to prosecute said work In accordance with Contractors schedule and to complete all work in a prompt and professional manner. Subcontractor is required to clean up scope of work lob debris on a daily basis. failure to maintain this enlicu wm mciiu in 2. Subcontractor further agrees that he has in full force and effect this date and will continue in force during the course of his work, Workmen's Compensation Insurance, as required by law, and Public Liability and Property Damage Insurance as is reasonably necessary to insure against the risk arising out of this contract A certificate of said insurance is to be received by the Contractor within three (3) days following the execution of this contract. In no case will any work be commenced prior to receipt of the Certificate by the Contractor. "Prior to the completion of work operations on this property, none of the above insurance is to be cancelled, changed, or allowed to lapse until 30 days prior written notice has been given to the Contractor." 3. In addition to standard manufacturer's warranties for any equipment installed by Subcontractor, Subcontractor guarantees all work against defects from the use of inferior or defective materials, equipment or workmanship for one year from the date of occupancy by the owner. All repairs or changes required in connection with this Guarantee will be performed promptly at the Subcontractor's expense. 4. Subcontractor required to acknowledge McKee Construction Co. safety policies manual on site, and adhere to all such policies. McKee Construction Co. requires hard hats to be worn at all times on jobste, failure to adhere to this policy will result In the Immediate expulsion of violators from jobsite. The - subcontractor agrees to furnish McKee Construction Co. with Material Safety Data Sheets for all hazardous materials that will be used on this project bysubcontractororhissub -subcontractors. 5. The subcontractor is to comply with all current OSHA regulations. Safety for the Subcontractor's employees is the responsibility of the Subcontractor. Subcontractor shall maintain a competent person on site -during the course of the subcontractor's work. In the event that the Subcontractor is in violation on any OSHA safety regulations, all loses, damages, and expenses Incurred including OSHA fines incurred as a result of said violation shall be bome by and charged against the Subcontractor. 6. Mckee Construction Co.adhere's to a drug free work environment All companies and their employees who perform work under this subcontract agreement on McKee Construction Co. jobsites are subject to random drug testing as a requirement of this contract If refusal or positive testing takes place McKee Construction Co. reserves the right to ban from performing work under this contract individual or individuals that violate this policy. 7. McKee Construction Co. requires the subcontractor to have on jobste at all times at least one English speaking employee. Violation of this agreement will result in Immediate termination of this subcontract If termination of contract occurs, subcontractor agrees to cover any cost overage's that may take place incompletingthescopeofwork. 8. As part of the acceptance of this Subcontract, Subcontractor will provide to McKee Construction Co. a list of all principal's and key employee's home and cellular phone numbers. Monthly Pay request will not be paid until these numbers have been supplied to McKee Construction Co. If at any time the Subcontractor falls to respond In a timely manner, McKee Construction Co. has the right to terminate said contract as described in paragraph 7. 9. Subcontractor is responsible for the maintenance of their scope of work items until Certificate of Occupancy is secured. 10. This Subcontract Agreement can be terminated by McKee Construction Co. if Subcontractor makes any false statement to McKee Construction Co., Including, but not limited to, any false statement which would subject Subcontractor to criminal charges pursuant to Section 713.35, Floirda Statues. 11. Jobsite meetings will be scheduled regularly. Subcontractor shall have adeast one employee at a timely scheduled jobsite meeting for but not I ited to the following reasons: saftey, job schedule, quality of work or failure to perform. Accepiea.n:onvac[o mod: Su cG—on a or t McKee Construction Co. Mike Smith Electric 0'' 790 MONROE ROAD 420 Lemon Bluff Rd. SANFORD, FL 11 Osteen, FL 32764 Signature: Authorized Corporate Signature: Print Name: Ck&V)c.L%C/G VrxlAFE 8ate:1241 Print Name 0e j6Title r/Gc/ Zox ---/, Date - ,a . Since 1973 m 790 MONROE ROAD SANFORD, FL 32771 Phone: (407) 323-1150 Fax: (4071323-9304 CONTRACT #: 2016-09-15 ALL PAY REQUESTS MUST HAVE THIS FORM ATTACHED REVISED 3 2013 PROJECT: Gracious Age SUBCONTRACTOR: Mike Smith Electric PAY APPLICATION # Original Contract Amount 32,358.00 CODE AMOUNT Approved Change Orders 0 0.00 16100 32,358.00 Total Revised Contract 0 32,358.00 Value of Work to Date Value of Material Stored at Site TOTAL Lessi 10 Retainage Earned to Date Less Previous Payment Payable this Request RELEASE - The Subcontractor certifies that all materials, labor and services furnished by him through the above mentioned pay period have been fully paid for (except as listed below) and the premises of the above named job cannot be made subject to any valid lien or claim by anyone who furnishes material, labor or services to the Subcontractor for use in said job; and the Subcontractor hereby releases McKee Construction Co. General Contractors and the Owner from any further liability in connection with all materials, labor and services furnished by the Subcontractor though the pay period. MCKEE USE ONLY MO. ENDING DATE. VENDOR # IOB # 2016.09 CODE # APPROVED BY: DUE DATE: This release is given in order to induce payment in the amount of and on receipt of said payment by the Subcontractor this release becomes in full force and effect Any false certification provided in this Release shall result in the immediate termination of the Contract, with Subcontractor liable for any and all extra amounts required to be paid by Contractor to complete Subcontractor's scope of work. APPLICATION WILL BE AN ESTIMATED PROJECTION OF.WORK FROM THE 1ST TO THE END OF THE MONTH. EXCEPTIONS ARE AS FOLLOWS: STATE OF: SUBCONTRACTOR SWORN TO AND SUBSCRIBED BEFORE ME THIS By: DAY OF 20 Title: Date: NOTARY PUBLIC Since 1973 10/21/2016 TO: McKee Construction Co. JOB: Gracious Age Bid Date: 10/21/2016 MIKE SMITH ELECTRRIC, LLC 420 LEMON BLUFF RD. OSTEEN, FL. 32764 Phone:407-323-9313 Fax: 321-2754221 Bid Proposal Work Description: Proposal to complete the following scope: Dining room: 8) type FA 2x4 lay in fixtures 1) ceiling Occ sensor 1) exit 2) emergency lights 6) 20 amp duplex receptacles 1) washer outlet 1) dryer outlet 1) 100 amp 3 phase feeder and new sub panel 1) new rooftop ac hook up with w/p gfi receptacle Our total price for the above job is: $10,458.00 Elevator: 1) new 400 amp 3 phase service 1) new secondary to fpl provided handhole at base of pole 1) new 100 amp feeder to elevator connection to elevator pump 1) sump pump outlet 2) pit lights 1) cab light hook up 1) new panel E Documented Coi Job Address: PAU S ParcelU): St?—M - SDrb x I OIJ/ ' Type of Work: New Addition Alteration nescrintion of Work: ag0QLAVA CITY OF SANFORD UILDING & FIRE PREVENTION PERMIT APPLICATION cation No•= a ion Value: $ I - i Historic District: Yes No Residential Commercia) c El Repair Q Demo [IChange of Use Move Plan Review Contact Person: Phone- `, Fax: Property Owner Inv Name Street: City, SrZip: Contractor Infoi Nam StreetA City, State Zip: Architect/Engineer Name: Street: City, St, Zip: Bonding Company: Address: WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICI PAYING TWICEFORIMPROVEMENTSTOYOURPROPER'n RECORDED ANDPOSTEDONTHEJOBSITEBEFORETHEFIIFINANCING, CONSULTWITHYOURLENDERORANATrOFCOMMENCEMENT. Application is hereby made to obtain a permit to do the work and installati coninienced prior to the issuance of a permit and that all work will be perfc in this jurisdiction. I understand that a separate permit must be seci furnaces, boilers, heaters, tanks, and air conditioners, ete. RIC 105. 3 Shall be inscribed with the date of application and the cude in effect Phone: Resident of property? Phone: 'b Fax: State License NO.: cc 1 !?2 Ot—- Phone: Fax: E- mail: Leader: OF COMMENCEMENT MAY RESULT IN YOUR A NOTICE OF COMMENCEMENT MUST BE ST INSPECTION. IF YOU INTEND TO OBTAIN iEY BEFORE RECORDING YOUR NOTICE OF ins as indicated. I certify that no work or installation has mcd to meet standards of all laws regulatins construction red for electrical work, plumbing, signs, wells, pools, of that date: st° Edition (2014) Florida Building Code Pcnnit Application Revised: June 30. 2015 is permit, there may be additional restrictions applicable to this propNOTICE: In addition to erty that may be the requirements of this found in 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 I'Ime City of Sanford requires payment of a plan review fee at the time of perm' in order to calculate a plan review charge and will be considered the estimate The actual construction value will be figured based on the current ICC Valtu accordance with local ordinance. Should calculated charges figured off the credit will be applied to your pernmit fees when the permit is issued. OWNER'S AFFIDAVIT: I certify that all of the foregoing be done in compliance with all applicable laws regulating a Siwtntun: of0%mer/Agent Dam Print 0tvncr,'A9t:nt's tj lotary-StrtG4thti141tidAN'ITT Dam Notary Public - State of Florida My Comm. Expires Oct 21.2018 Commission 0 FF 163972 Of `° Bonded through Nation +J NotaryAssn. i' Owner/ Agent is ___ Personally Known to Me or Produced 1D Type of ID f the requirements of Florida Lien Law, FS 713. submittal. A copy of the executed contract is required construction value of the job at the time of submittal. ion Table in effect at the time the permit is issued. in tecuted contract exceed the actual construction value, and that all work will Datc 5tgoa l erY itS tste of Florida Uatc t• ; Notary ubllc •State o1 florida E illy Corn. Expires Ocl 21.2018 o}' COm isslon fF 163972 11 t o' P,',`.,`' Bon&dt.roughN'-'iW?%'.try sn Contractor/ Agent is Personally Known to Me or Produced 1D Type of 1D M Permits Required: Building Electrical Mechanical Construction Type: Occupancy Use: Total Sq Ft of Bldg: Min. Occupancy New Construction: Electric - # of Amps Fire Sprinkler Permit: Yes No # of Heads APPROVALS: ZONING; UTILITIES: ENGINEERING: FIRE: COMMENTS: Plumbing[] Gas[] Roof Flood Zone- of Stories: mbing - # of Fixtures Fire Alarm Permit: Yes No WASTE WATER: BUILDING: Pertnit Application Revised: June 30. 2015 McKee ColNaTnNM CO. GENERAL CONTRACTORS SUBCONTRACT AGREEMENT 790 Monroe Road Sanford, FL 32771 Phone: (407) 323-1150 Fax (407) 323-9304 CONTRACTOR: McKee Construction Co. CONTRACT NO: 2016.09-08 SUBCONTRACTOR: Gold Key Roofing JOB NO: 2016-09 PROJECT: Gracious Age DATE: 11/14/16 ADDRESS: 1401 Magnolia Ave, Sanford, FL 32771 CODE: 7305- S 5,865.00 CONTRACT PRICE (INCLUDES ALL TAXES) NOT TO EXCEED 115,8"M WITH 10% RETAINAGE. PAYABLE AS FOLLOWS: BILL AS PER BILLING SCHEDULE PROVIDED, ONLY MCKEE CONSTRUCTION CO. SUPPLIED PAY APPLICATION WILL BE ACCEPTED. APPLICATIONS ARE DUE BY THE 20" OF EACH MONTH. SUBCONTRACTOR PAYMENT WILL ONLY BE PAID WHEN THE CONTRACTOR IS PAID BY OWNER. PER CONTRACTOR'S CONTRACT WITH OWNER OWNER SHALL PAY CONTRACTOR BY THE 10TM OF THE MONTH. ALL LIEN LAWS ARE APPLICABLE. RETAWAGE TO BE HELD UNTIL THE CONSTRUCTION OF THE PROJECT IS COMPLETED. (SCOPE OF WORK VoW=N SCHEDULE MUST BE PROVIDED PRIOR TO fs APPIJCAT ONFOR PAYMENT BEING PROCESSED 1. Subcontractor agrees to perform all labor in a workmanlike manner, to prosecute said work in accordance with Contractors schedule and to complete all work In a prompt and professional manner. Subcontractor Is reaulred to clean un Scone of work Inh dehda on n Aanv haele falturn to malMnln We Mllw u811 roe,dl In L Subcontractor further agrees that he has in full force and effect this date and will continue in force during the course of his work, Workmen's Compensation Insurance, as required by law, and Public Liability and Property Damage Insurance as is reasonably necessary to insure against the risk arising out of this contract A certificate of said insurance Is to be received by the Contractor within three (3) days following the execution of this contract In no case will any work be commenced prior to receipt of the Certificate by the Contractor. "Prior to the completion of work operations on this property, none of the above Insurance Is to be cancelled, changed, or allowed to lapse until 30 days prior written notice has been given to the Contractor" 3. In addition to standard manufacturers warranties for arty equipment Installed by Subcontractor, Subcontractor guarantees all work against defects from the use of Inferior or defective materials, equipment or workmanship for one year from the date of oeeupanry lox the owner. All repairs or changes required in connection with this Guarantee will be performed promptly at the Subcontractors expense. 4. Subcontractor required to acknowledge McKee Construction Co. safety policies manual on site, and adhere to all such policies. McKee Construction Co. requires hard hats to be wom at all times on jobsite, failure to adhere to this policy will result in the immediate expulsion of violators from jobefte. The subcontractor agrees to furnish McKee Construction Co. with Material Safety Data Sheets for all hazardous materials that will be used on this project by subcontractor or his sub -subcontractors. 5. The subcontractor Is to comply with all current OSHA regulations. Safety for the Subcontractors employees is the responsibility of the Subcontractor. Subcontractor shall maintain a competent person on eke during the course of the subcontractors work. In the event that the Subcontractor is In violation on any OSHA safety regulations, all loses, damages, and expenses (pcured including OSHA fines incurred as a result of said violation shall be bome by and chargedagainsttheSubcontractor. 6. Mckee Construction Co.adhenYs to a drug free work environment All companies and their employees who perform work under this subcontract agreement on McKee Construction Co. jobsites are subject to random drug testing as a requirement of this contract. If refusal or positive testing takes place McKee Construction Co. reserves the right to ban from performing work under this contract individual or individuals that violate this policy. 7. McKee Construction Co. requires the subcontractor to have on jobsite at all times at least one English speaking employee Violation of this agreement will result In immediate termination of this subcontract 9 termination of contract occurs, subcontractor agrees to cover any cost overage's that may take place Incompletingthescopeofwork. B. As part of the acceptance of this Subcontract, Subcontractor will provide to McKee Construction Co. a list of all princlnal s and key emoloveWs home and cellular phone numbers. Monthly Pay request will not be paid until these numbers have been supplied to McKee Construction Co. If at any time the Subcontractorfallstorespondinatimelymanner, McKee Construction Co. has the right to terminate said contract as described in paragraph 7. 9. Subcontractor is responsible for the maintenance of their scope of work items until Certificate of Occupancy is secured. 10. This Subcontract Agreement can be terminated by McKee Construction Co. if Subcontractor makes any false statement to McKee Construction Co., Including, but not limited to, any false statement which would subject Subcontractor to criminal charges pursuant to Section 713.35, Flolyds Statues. 11. Jobsite meetings will be scheduled regularly. Subcontractor shall have atleast one employee at a timelyscheduled jobsite eesing for but not limited to the followingreasons: safeey, job schedule, quality of work or failure to perform. Accepted: Contractor Accepted: Subcontractor McKee Construction Co. Gold Key Roofing 790 MONROE ROAD 6009 S. Orange Ave. SANFORD, FL 32771 Orlando, FL 32809 Signature: Authorized Corporate Signature: Print Name: Date: Print Na f EgRIOENT Date:/ / 7 Since 1973 790 MONROE ROAD SANFORD, FL 32771 Phone: (407) 323-1160 C-%W- /AA91 140D4 ®9AA CONTRACT M 2016-09-08 ALL PAY REQUESTS MUST HAVE THISPROJECT: Gracious Age SUBCONTRACTOR: Gold Key Roofing FORM ATTACKEDIPAYAPPLICATION # REVISED 3 2013 Original Contract Amount 5.865.00 CODE AMOUNT Approved Change Orders 0 0.00 7305 5,865.00 Total Revised Contract 0 5.865.00 Value of Work to Date Value of Material Stored at Site TOTAL Lessl 10 % Retainage Earned to Date S Less Previous Payment Payable this Request RELEASE - The Subcontractor certifies that all materials, labor MCKEE USE ONLYandservicesfurnishedbyhimthroughtheabovementioned NO. ENDING DATE: pay period have been fully paid for (except as listed below) and the Premises of the above named job cannot be made subject to any VENDOR # valid lien or claim by anyone who furnishes material, labor or Jos # 201 &09 services to the Subcontractor for use in said job; and the Subcontractor hereby releases McKee Construction Co. General Contractors and the Owner from any further liability in connection CODE # APPROVED BY. with all materials, labor and services furnished by the DUE DATE: Subcontractor though the pay period. This release is given in order to induce payment in the amount of and on receipt of said payment by the Subcontractor this release becomes in full force and effect Any false certification provided in this Release shall result -in the immediate termination of the Contract, with Subcontractor liable for any and all extra amounts required to be paid by Contract to complete Subcontractor's scope of work. APPLICATION WILL BE AN ESTIMATED PROJECTION OF WORK FROM THE 1ST T THE F T ONTH. EXCEPTIONS AREAS FOLLOWS: STATE OF: °. :>'•: UBCON CTOR SWORN TO AND SUBSCRIBED BEFORE ME THIS y . Z, DAY OF44 I NOTARY PUBLIC SI 9E3 INSPECTION SEQUENCE BP# 16-2898 ADDRESS: 1401 Magnolia Avenue BUILDING PERMIT Min Max Inspection Description Footer / Setback Stemwall Slab / Mono Slab Lintel / Tie Beam / Fill / Down Cell Sheathing — Walls 10 Sheathing — Roof 20 Roof Dry In 30 Frame 40 Insulation Rough Firewall Screw Pattern 50 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) ELECTRICAL PERMIT Min Max Inspection Description Electric Underground Footer / Slab Steel Bond Electric Ceiling Rough Electric Wall Rough 10 Electric Rough Pre -Power Final Temporary Pole 1000 Electric Final PLUMBING PERMIT, Min Max Inspection Description Rough Plumb Plumbing Underground Plumbing 2"d Rough Plumbing Tubset Plumbing Sewer Plumbing Grease Trap Rough Plumbing Steam / Chill Water Rough Plumbing Final MECHANICAL PERMIT Min Max Inspection Description 10 Mechanical Rough Mechanical Fire Damper Framing Mechanical Ceiling Rough Mechanical Fire Damper Annular Space Mechanical Insulation Wrap Mechanical Fire Damper Angle Light / Water Test Ck Welds Mechanical Grease Duct Wrap 1000 Mechanical Final REVISED: June 2014 Revision 0 O3 Response to Comments Perm. it # I n — 2 $MA City of Sanford Building & Fire Prevention Division Ph: 407.688.5150 Fax: 407.688.5152 Email: building@sanfordfl.gov Submittal Date ! — 1 _1 Project Address: 1 Un —M hr-, tide & A V r-- Contact: A0 r"IL Lk, rl J E V, 6 Q Li Ph: 2 323 11 50 Fax: L4 D 7 3Z Email:, MAU F,&ICk— C:, C4 L& v Trades encompassed in revision: Building Plumbing NJ L7 Electrical Mechanical T-t Life Safety Waste Water Department Utilities Waste Water Planning Engineering Fire Prevention General description of revision: r O ROUTING INFORMATION Building J'- J - / 7 Approvals CITY OF SANFORD BUILDING & FIRE PREVENTION D PERMIT APPLICATION Application No: 16'd89e Documented Construction Value: S Job Address: uG. Historic District: Yes No Parcel ID: Residential Commercials. Type of Work: New Addition Alteratio Repair Demo Change of Use Move Description of Work: \t`s c k [)e 6,P—IQ Plan Review Contact Person: ' o \N CXerx-me L Title: Phone: 401•(443-(e3 I l Fax: Email: tohnC C.'re.cJme-r-ccs-*0(hm Property Owner Information Name Street: City, State Zip: , n_ 1_ 12-a11 Phone: Resident of property? : Contractor Information Name Vor clG .Su-cthrYTS LLC. Phone: 40-7 • il (W- t)n-n Street: n 01 .lud 37a Fax: O • $(opt a05cjs .^ City, State Zip: U -R State License No.: Ffo1=1 Name: Street: City, St, Zip: Bonding Company: Address: ArchitecVEngineer 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 O/ commenced prior to the issuance of a permit and that all work will be performed to meet standards of all laws regulating construction f / 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 dale:.5'" Edition (2014) Florida Building Code Revised. June 30, 2015 Permit Application Awt" NOTICI3: 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 ofpermit is verification that I will notify the owner ofthe property ofthe 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 ofthe job at the time of submittal. The actual construction value will be figured based on the current ICC Valuation "fable 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 14fig lure o Contractor/Agent Date Print Owner/Agent's Name Print Contractor/Agent's Nate Signature of Notary -State of Florida Date i lure of o ary- tart of Florida Datc o•""••", J001 LEE HARRISON Notary Public - State of Florida My Comm. Expires Oct 27.2018 Commission # FF 171848 y AssnOwner/Agent is Personally Known to Me or Contractor/Agent is Produced ID Type of ID Produced ID ype o I 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[] No APPROVALS: ZONING: ENGINEERING: COMMENTS: of Heads Fire Alarm Permit: Yes No UTILITIES: WASTE WATER: BUILDING: r• J1-1 Revised June 30.2015 Permit Application DATE: '/,.., BUSINESS/PROJECT NAME: ADDRESS: l / al CONTACT NAME: A CITY OF SANFORD BUILDING AND FIRE PREVENTION DIVISION FIRE PLAN REVIEW SERVICE FEES PHONE: 407.688.5052 FAX: 407.688.5051 RECEIV E'D PERMIT NUMBER: /b " g99 PHONE: PLAN REVIEW INFORMATION LIgDd' [ ]C/0 [ FIRE ALARM [ ] FIRE SPRINKLER [ ] HOOD [ ]PAINT BOOTH [ ]TANK DOES 20% REDUCTION IN FIRE IMPACT FEES APPLY: YES NO TOTAL FEES: 7`r' dv LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: hereby name and appoint: , an agent of: -6e r- t c c— Name 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): O The specific permit and application for work located at: Street Address) Expiration Date for This Limited Power of Attorney: 1 Y lCk,f 0/-Li 9 License Holder Name: State License Number Signature of License 1- STATE OF FLORIDA COUNTY OF The foregoing instrument as acknowledged before me thi>ay of, 200]ff__, by - lc>cW who is o personal) own to me or o who has produced J identification and who did (did not) take an Bath. L(!SIature Notary Seal) t=zom Print or type name Rev. 08.12) Notary Public - State of EL Commission No. My Commission Expires: Q- ' g W LEE HARRISON Notary Public -State of Florida My Comm. ERINres Oct 27. 2018 A;= Commis ion N FF 111848 Bonded twougn National Notary Assn. Page 1 of 2 4!iO., Fss Providing Safety dire Solutions" State License # 20001201 Proposal Number: 17 — 0107 Proposal Date: May 14, 2017 Customer: Gracious Age ALF Property Location: 1401 S. Magnolia Ave. Sanford Fla. Work Description: Fire Alarm / Elevator Installation 1.0 SCOPE OF WORK FSS will provide Three (3) Addressable Modules in the Elevator Equipment Room. FSS will provide Three (3) Addressable Smoke Detectors at each elevator lobby. FSS will provide One (1) SLC Data wire from the Fire Alarm Control Panel to each module and each smoke detector. FSS will provide to the elevator company three (3) modules to operate as such; Primary Recall, Alternate Recall and Firefighter Hat Light. FSS will provide All Labor, Programming, Testing and Inspections. FSS will provide complete permit package. Two (2) Year Warranty for work completed. 2.0 PROPOSAL PRICE Material and Labor...............................................................$3>250.Q_0 The above price is firm for thirty days from the date of this quotation. Purchase orders or contracts received after twenty (20) days will be subject to review and possible adjustment in price and/or delivery. The above pricing does not include any applicable sales tax. 3.0 PAYMENT TERMS 3.1 Customer will be invoiced 50% upon receiving permit. Customer will be invoiced remaining balance upon final inspection. Florida Safety Systems, LLC 522 Hunt Club Blvd, #372 Apopka, FL 32703 Phone: (407) 948-0079 " Fax: (888) 869-2059 r - IN 05/15/2017 2:19 PM FAX 4073236310 GRACIOUS AGE 0 0002/0002 Page 2 of 2 A a t 1 IRTOMER'S RESPONSIBILTIES ITEM NO YES^ NO-- DISCRIPTION I . X 1'0 provide a conduit Stub u s with pull string at F/A Locations 2. X To provide and install back boxes with stub -ups X To provide and install any neccs2a fire caulking or fire sleevin . 4. X To provide a raceway with pull string for any required underground raceway. 5. X To provide a common ground for surge protection Sguipment. 6. X When applicable to provide any necessary core drillin 7. X To install fire alarm power supply back boxes. 8. X To provide termination cabinets as required. 9. X To provide electronic CAD file of the base building plan for the creation of engineered shop drawings. 10. X To provide a copy of the contract drawings with the engineer of records seal for permitting, unless the seal is provided by FSS as a separate option. 11. X To provide 120 VAC as required. 12. X If a lift is required, customer to supply or a separate quote will be provided ifdesircd. 13. X To provide a hard copy of die specifications and contract drawings used for bidding u if awarded bid. I A. 2LITwo 2 dedicated phone lines for the fire panel. 5.0 FSS WILL PROVIDE THE FOLLOWING DISCRIM'ION YES / NO DISCRIPTION YES / NO Equipment Y Panel Back Boxes Y En 'nccred Shop Drawings Y Functional Pre -Test Y Fire Inspector Test Y PT_&mTming Y Data Submittals Y Permit Y Wire / Materials Y Labor for Installation Y faxes Y Florida PE Seal N Lock Box Y 6.0 SIGNED AND DATED Au. Si a7A- Date ety Systc s, LLC Date Todd Bengtson Florida Safety Systems, LIX 527 Hunt Club Ulvd, #372 Apopka, Ft.32703 Phone: (407) 94841079 Y Fax: (888) 869-2059 Page I of Providing Safety & Solutions" State License # 20001201 May 23, 2017 City of Sanford 300 N Park Ave Sanford, FL 32771 RE: Permit Submittal Package Gracious Age ALF 1401 S. Magnolia Ave. Sanford, FL 32771 To whom it may concern; Florida Safety Systems has been hired to add fire alarm devices because of a new elevator installation. We will be adding three (3) smoke detectors at each of the landings, in the hallway and add one (1) smoke detector in the new elevator electrical/mechanical room. Along with these smoke detectors we will be adding three (3) relays in the elevator electrical/mechanical room. These relays will be programmed as follows; Primary Recall, elevator to first floor. Secondary Recall, elevator to alternate floors. Firemen Hat Light, to operate when electric room smoke is activated. If you have nay questions please feel free to contact me. Sincerely, Todd Bengtson President Florida Safety Systems, LLC Florida Safety Systems, LLC 522 Hunt Club Blvd, #372 Apopka, FL 32703 Phone: (407) 948-0079 } Fax: (888) 869-2059 Page I of tio, IFMss Providing Safety & Solutions" State License # 20001201 May 23, 2017 City of Sanford 300 N Park Ave Sanford, FL 32771 RE: Permit Submittal Package Gracious Age ALF 1401 S. Magnolia Ave. Sanford, FL 32771 To whom it may concern; Florida Safety Systems has been hired to add fire alarm devices because of a new elevator installation. We will be adding three (3) smoke detectors at each of the landings, in the hallway and add one (1) smoke detector in the new elevator electrical/mechanical room. Along with these smoke detectors we will be adding three (3) relays in the elevator electrical/mechanical room. These relays will be programmed as follows; Primary Recall, elevator to first floor. Secondary Recall, elevator to alternate floors. Firemen Hat Light, to operate when electric room smoke is activated. If you have nay questions please feel free to contact me. Sincerely, Todd Bengtson President Florida Safety Systems, LLC Florida Safety Systems, LLC 522 Hunt Club Blvd, #372 Apopka, FL 32703 Phone: (407) 948-0079 * Fax: (888) 869-2059 PERMIT # df-52130:B2 • E-350 cMF-300(A) Fine•iTe•A arms Control Module "`" ' or. E by Honeywell Addressable Devices General The CMF-300(A) Addressable Control Module provides Fire•Lite intelligent control panels a circuit for Notification Appliances (horns, strobes, etc.). Addressability allows the CMF-300(A) to be activated through panel programming, on a select (zone or area of coverage) basis. LiteSpeedTM" is a communication protocol developed by Fire•Lite Engineering that greatly enhances the speed of com- munication between analog intelligent devices. Intelligent devices communicate in a grouped fashion. If one of the devices within the group has new information, the panel CPU stops the group poll and concentrates on single points. The net effect is response speed greater than five times that of other designs. Features Built-in type identification automatically identifies these devices to the control panel. Internal circuitry powered directly by two -wire SLC loop. The CMF-300(A) module requires power (for horns, strobes, etc.). Integral LED "blinks" green each time a communication is received from the control panel and turns on steady red when activated. High noise immunity (EMF/RFI). The CMF-300(A) may be used to switch 24-volt NAC power. Wide viewing angle of LED. SEMS screws with clamping plates for wiring ease. Direct -dial entry of address: 01— 159 for MS-9600 series panels, 01 — 99 on MS-92000DLS and MS-9050UD. Applications The CMF-300(A) is used to switch 24 VDC audible/visual power. Construction The face plate is made of off-white heat -resistant plastic. Controls include two rotary switches for direct -dial entry of address setting. The CMF-300(A) is configured for a single Class B (Style Y) or Class A (Style Z) Notification Appliance Circuit. Operation Each CMF-300(A) uses one of the module addresses on a SLC loop. It responds to regular polls from the control panel and reports its type and status, including the open/normal/ short status of its Notification Appliance Circuit (NAC). The LED blinks with each poll received. On command, it activates its internal relay. The CMF-300(A) supervises Class B (Style Y) or Class A (Style Z) notification or control circuits. Upon code command from the panel, the CMF-300(A) will dis- connect the supervision and connect the external power sup- ply in the proper polarity across the load device. The disconnection of the supervision provides a positive indication to the panel that the control relay actually turned ON. The CMF-300(A) external power supply is always relay -isolated from the com- munication loop so that a trouble condition on the external power supply will never interfere with the rest of the system. Rotary switches set a unique address for each module. The address may be set before or after mounting. The built-in TYPE CODE (not settable) will identify the module to the con- trol panel, so as to differentiate between a module and a sen- sor address. Specifications Normal operating voltage: 15 to 32 VOC. Maximum SLC current draw: 6.5 mA (LED on). Average operating current: 350 pA direct poll (CLIP mode), 375 pA group poll (LiteSpeed mode) with LED flashing. External supply voltage: maximum 80 volts (RMS or OC). Drain on external supply: 2 mA maximum (using internal EOL relay). EOL resistance: 47K ohms. Temperature range: 320F to 120•F (0•C to 490C). Humidity range: 10% to 93% non -condensing. Dimensions: 4.5' (11.43 cm) high x 4- (10.16 cm) wide x 1.25' (3.175 cm) deep. Mounts to a 4' (10.16 cm) square x 2.125• (5.398 cm) deep box. Agency Listings and Approvals In some cases, certain modules may not be listed by certain approval agencies, or listing may be in process. Consult fac- tory for latest listing status. ULC: S2424 Product Line Information CMF-300: Intelligent addressable control module. d1-52130.92.4/20/10 — Page I of 2 16 CMF-30OA: Canadian Intelligent addressable control module. SMB500: Optional surface -mount backbox. CB500: Optional control module barrier, required by UL for separating power -limited and non -power -limited wiring in the same junction box as CMF-300(A). NOTE: For installation instructions, see document 156-1189-009 and refer to the SLC Wiring Manual, document 51309. The CRF- 300(A) relay module, previously on this data sheet, is now on DF- 60379. LiteSpeed'" is a trademark and Fire-Lite® Alarms is a registered trademark of Honeywell International Inc. 02010 by Honeywell International Inc All rights reserved. Unauthorized use of this document is strictly prohibited SO 9001 This document is not intended to be used for installation purposes. We try to keep our product information up-to-date and accurate. We cannot cover all specific applications or anticipate all requirements. MillffJNi A MANMTDMNC QUALITY SYSTEMS All specifications are subject to change without notice. Made in the U.S. A. For more information, contact Fire-Lite Alarms. Phone (800) 627-3473, FAX: (877) 699-4105. www.firelite corn Page 2 of 2 — df-52130.B2.4/20/10 PERMIT # /G _ .L r FF DF-52418:E1 • At-20 MS-9050UD(E) Rre•LITUALWMS Fire Alarm Control Panel with DACT OFFICE?by Honeywell General The Fire-Lite MS-9050UD(E) is a Fire Alarm Control Panel FACP) and Digital Alarm Communicatorfrransmitter (DACT) combined into one circuit board. This compact, intelligent addressable control panel supports up to 50 addressable devices of any type of detectors and modules. With an exten- sive list of powerful features, the MS-9050UD programs just like Fire•Lite's larger products, yet fits into applications previously served only by conventional panels. The MS-9050UD's integral DACT transmits system status alarms, troubles, AC loss, etc.) to a Central Station via the pub- lic switched telephone network. It also allows remote and local programming of the control panel using the PK-CD Upload/ Download utility. In addition, the control panel may be pro- grammed or interrogated off -site via the public switched tele- phone network. Any personal computer with Windows" 95 or greater, and compatible modem with a speed of 14.4 kbps or faster and Fire•Lite Upload/Download software kit PK-CD, may serve as a Service Terminal. This allows download of the entire program or upload of the entire program, history file, walk -test data, current status and system voltages. The power supply and all electronics are contained on a single circuit board supported on a new quick install chassis and housed in a metal cabinet. Available accessories include local and remote upload/download software, remote annunciators, and reverse polarity/city box transmitter. (4XTMF) New options include a UL listed printer, PRN-6F and the new IPDACT Internet Monitoring module.The FireWatch Series Inter- net monitoring modules IPDACT2 and IPDACT2UD permit monitoring of alarm signals over the Internet, saving the monthly cost of two telephone lines. Although not required, the second- ary telephone line may be retained providing backup communi- cation over the public switched telephone line. NOTE. Unless otherwise specified, the term MS-905OUD is used in this data sheet to refer to both the MS-90SOUD and the MS- 9050UDE FACPs. For MS-9050UDC, refer to DF-60445. Features Listed to UL Standard 864, 9th edition. Auto -program (learn mode) reduces installation time. Reports two devices set to the same address. On -board DACT. Two independently programmable Style Z (Class A) or Style Y (Class B) NAC circuits. Selectable strobe synchronization for System Sensor, Whee- lock, and Gentex devices. Remote Acknowledge, Silence, Reset and Drill via address- able monitor modules. Two programmable relays and one fixed trouble relay. Built-in Programmer. Telephone Line Active LEDs. EIA-232 PC interface. Integral 80-character LCD display with backlighting. Real-time clock/calendar with automatic daylight savings control. History file with 500 event capacity. Automatic detector sensitivity testing (NFPA 72 compliant). Automatic device type -code verification. Point trouble identification. Waterflow selection per module point. Alarm verification selection per detector point. Maintenance alert warns when smoke detector dust accumu- lation is excessive. One -person audible or silent walk test with walk -test log and printout. System alarm verification selection per detector point. PAS (Positive Alarm Sequence) and Pre -signal per point NFPA 72 compliant). Up to eight ANN-BUS annunciators Remote Acknowledge, Alarm Silence, Reset and Drill via addressable modules or remote annunciator. Upload/Download (local or remote) of program and data via integral DACT. SLC COMMUNICATION LOOP Single addressable SLC loop which meets NFPA Style 4, 6 and 7 requirements. 50 addressable device capacity (any combination of address- able detectors and modules). Compatible with Fire•Lite's addressable devices (refer to SLC Wiring Manuao. NOTIFICATION APPLIANCE CIRCUITS (NACS) Two independently programmable output circuits. Circuits can be configured for the following outputs: Style Y (Class B) Style Z (Class A) Door Holder Service (cannot be used for notification appliances) Aux Power Source (cannot be used for notfication appliances) Silence Inhibit and Autosilence timer options. Continuous, March Time, Temporal or California code for main circuit board NACs with two -stage capability. Selectable strobe synchronization per NAC. 2.5 A total power for NACs. NOTE. Maximum or total 24VOC system power shared between all NAC circuits and the ANN-BUS is 2.7 A. OF-52418:E 1 •127/12 — Page 1 of 4 I. - M35SM355RM355K T Heal Detector MOF-300 Dual Monitor Module 8G-12LX Addressable Manual Pull Station Multi -Modules CRF-300.6 Six -Relay Control Module CMF-300-6 Six -Circuit Supervised Control Module MMF-302.6 Six -Zone Interface Module MMF-300-10 Ten -Input Monitor Module ADDRESSABLE FIRE ALARM CONTROL PANEL Page 2 of 4 — OF-52418.E1 • 1/27/12 PROGRAMMING AND SOFTWARE Autoprogram (learn mode) reduces installation time. Custom English labels (per point) may be manually entered or selected from an internal library file. Two programmable Form-C relay outputs. 20 software zones. Continuous fire protection during online programming at the front panel. Program Check automatically catches common errors not linked to any zone or input point. OFFLINE PROGRAMMING: Create the entire program in your office using a WindowsS-based software package(order programming kit PK-CD, containing PS -Tools, separately). Upload/download system programming locally. User interface LED INDICATORS AC Power (green) Fire Alarm (red) Supervisory (yellow) Trouble (yellow) Alarm Silenced signals (yellow) KEYPAD 16 key alpha -numeric pad Acknowledge/Step Alarm Silenced Drill (Manual Evacuate) Reset (lamp test) Product Line Information MS-9050UD(E): Combination DACT/Fire Alarm Control Panel with one SLC loop. Includes main circuit board with display, chassis with transformer, backbox with door, plastic bag contain- ing screws, cables, key, etc., manual. (For MS-905OUDC, refer to DF-60445.) PK-CD: Contains PS -Tools programming software for Win- dowsS-based PC computer (cable not included). OP-51050: Optional dress panel for the MS-9050UD. TR-CE: Optional trim ring for semi -flush mounting. BB-2F: Optional cabinet for one or two modules. BB-6F: Optional cabinet for up to six modules mounted on CHS-6 chassis. BS-26: Battery backbox, holds up to two 25 AH batteries and CHG-75. BB-55F: Battery box, houses two 55 AH batteries CHS-6: Chassis, mounts up to six multi -modules in a BB-6F cabinet. CHG-75: Battery charger for lead -acid batteries with a rating of 25 to 75 AH. CHG-120F: Remote battery charging system for lead -acid bat- teries with a rating of 55 to 120 AH. Requires additional BB-55F for mounting. BAT Series: Batteries, see data sheet OF-52397. PRT/PK-CABLE: Cable printer/personal computer interface cable. PRN-6F: UL listed compatible event printer. Uses tractor -fed paper. IPDACT, IPDACT2/2UD Internet Monitoring Module: Mounts in bottom of enclosure with optional mounting kit (PN IPBRKT). Connects to primary and secondary DACT telephone output ports for internet communications over customer provided ether - net internet connection. Requires compatible Teldat Visoralarm Central Station Receiver. Can use DHCP or static IP. (See data sheet df-52424 for more information.) IPBRKT: Mounting kit for IPDACT2/2UD in common enclosure. IPSPLT: Y-adaptor option allows connection of both panel dialer outputs to one IPDACT2/2UD cable input. AC-TRMBLK: AC Terminal Block mounts to a metal bracket, in turn, mounts to the FRCP chassis. Use AC-TRMBLK when wire nuts are not allowed for AC connections to the transformer. OPTIONAL MODULES 4XTMF Reverse Polarity Transmitter Module: Provides a supervised output for local energy municipal box transmitter, alarm and trouble. Includes a disable switch and disable trouble LED. ANN-SEC: Optional secondary ANN-BUS interface module. Note: Used only with firmware 3.0 or higher. COMPATIBLE ANNUNCIATORS ANN-80(-W): Remote LCD annunciator mimics the information displayed on the FACP LCD display. Recommended wire type is un-shielded. (Basic model is red; order -W version for white; see DF-52417.) ANN-1/0: LED Driver Module provides connections to a user supplied graphic annunciator. (See DF-52430.) ANN-LED: Annunciator Module provides three LEDs for each zone: Alarm, Trouble, and Supervisory. Ships with red enclo- sure. (See DF-60241.) ANN-RLED: Provides alarm (red) indicators for up to 30 input zones or addressable points. (See DF-60241.) ANN-RLY: Relay Module provides 10 programmable Form-C relays. Can be mounted inside the cabinet. (See DF-52431.) ANN-S/PG: Serial/Parallel Printer Gateway module provides a connection for a serial or parallel printer. (See DF-52429.) ADDRESSABLE DEVICES All feature a polling LED and rotary switches for addressing. CP355: Addressable low -profile ionization smoke detector. SD355: Addressable low -profile photoelectric smoke detector. S0355T: Addressable low -profile photoelectric smoke detector with thermal sensor. SD355R: Remote test capable addressable photoelectric smoke detector for use with DNR(W) duct detector housing. H355: Fast -response, low -profile heat detector. H355R: Fast -response, low -profile heat detector with rate -of - rise option. H355HT: Fast -response, low -profile heat detector that activates at 190017/880C. AD355: Low -profile, intelligent, "Adapt" multi -sensor detector B350LP base included). BEAM355: Intelligent beam smoke detector. BEAM355S: Intelligent beam smoke detector with integral sen- sitivity test. D355PL: InnovairFlex tow -flow non -relay duct -detector housing; includes SD355R. DNR: InnovairFlex low -flow non -relay duct -detector housing. Order SD355R separately.) DNRW: InnovairFlex low -flow non -relay duct -detector housing, with NEMA-4 rating. Watertight. (Order SD355R separately.) MMF-300: Addressable Monitor Module for one zone of nor- mally -open dry -contact initiating devices. Mounts in standard 4.0' (10.16 cm.) box. Includes plastic cover plate and end -of -line resistor. Module may be configured for either a Style B (Class B) or Style D (Class A) IDC. MDF-300: Dual Monitor Module. Same as MMF-300 except it provides two Style B (Class B) only IDCs. MMF-301: Miniature version of MMF-300. Excludes LED and Style D option. Connects with wire pigtails. May mount in device backbox. MMF-302A: Similar to MMF-300A. Addressable Monitor Module for one zone of conventional two -wire detectors. Requires reset - table 24 VDC power. Refer to the Device Compatibility Docu- ment for listed compatible devices and quantity limitation. CMF-300: Addressable Control Module for one Style Y/Z (Class B/A) zone of supervised polarized Notification Appliances. Mounts directly to a 4.0' (10.16 cm.) electrical box. Notification Appliance Circuit option requires external 24 VDC to power noti- fication appliances. CRF-300: Addressable relay module containing two isolated sets of Form-C contacts, which operate as a DPDT switch. Mounts directly to a 4.0' (10.16 cm.) box, surface mount using the SMB500. BG-12LX: Addressable manual pull station with interface mod- ule mounted inside. 1300: This module isolates the SLC loop from short circuit condi- tions (required for Style 6 or 7 operation). SMB500: Used to mount all modules except the MMF-301 and M301. MMF-300-10: Ten -input monitor module. Mount one or two mod- ules in a BB-2F cabinet (optional). Mount up to six modules on a CHS-6 chassis in a BB-6F cabinet. MMF-302-6: Six -zone interface module. Mount one or two mod- ules in a BB-2F cabinet (optional). Mount up to six modules on a CHS-6 chassis in a BB-6F cabinet. CMF-300.6: Six -circuit supervised control module. Mount one or two modules in a BB-2F cabinet (optional). Mount up to six mod- ules on a CHS-6 chassis in a BB-6F cabinet. CRF-300-6: Six -relay control module (Form-C relays). Mount one or two modules in a BB-2F cabinet (optional). Mount up to six modules on a CHS-6 chassis in a BB-6F cabinet. NOTE: For more information on Compatible Addressable Devices for use with the MS-905000, see the following data sheets (docu-. ment numbers): AD355 (DF-52386), BG-12LX (DF-52013), CMF- 300-6 (DF-52365), CRF-300-6 (OF-52374), CMF/CRF Series (OF- 52130), CP355 (DF-52383), H355 Series (DF-52365), 1300 (DF- 52389), MMF-300 Series/MDF-300 (DF-52121), MMF-300-10 DF-52347), MMF-302-6 (OF-52356), SD355ISD355T (DF- 52384). ADDRESSABLE DEVICE ACCESSORIES End -of -Line Resistor Assembly (R-47K and R-3.9K): The 47k ohm assembly supervises the MMF-300, MDF-300, MMF- 301, and CMF-300 module circuits. The 3.9kohm assembly supervises the MMF-302 module circuit. These resistors are included with each module. Power Supervision Relay: Supervises the power to 4-wire smoke detectors and notification appliances. Wiring Requirements While shielded wire is not required, it is recommended that all SLC wiring be twisted -pair to minimize the effects of electrical interference. Refer to the panel manual for wiring details. DF-52418:E 1 - 127/12 — Page 3 of 4 SYSTEM SPECIFICATIONS System Capacity Intelligent Signalling Line Circuits ......................................... 1 Addressable device capacity .............................................. 50 Programmable software zones ........................................... 20 Annunciators.........................................................................8 Electrical Specifications AC Power: MS-9050UD 120 VAC, 60 Hz, 3.0 A. MS-9050UDE: 240 VAC, 50 Hz, 1.5 A. Wire size: minimum 14 AWG (2.00 mm2) with 600 V insulation. Nonpower-limited, supervised. Battery: Two 12 V 18 AH lead -acid batteries. Battery Charger Capacity: 7-18 AH (MS-9050UD cabinet holds maximum of two 18 AH batteries.) Communication Loop: Supervised and power -limited. Notification Appliance Circuits: Terminal Block provides con- nections for two NACs, Style Y (Class B) or Style Z (Class A). Special Application power. Power -limited, supervised circuitry. Maximum signaling current per circuit: 2.5 A. End -of -Line Resis- tor: 4.7k ohm, 'fa watt (P/N 71252 UL listed) for Style Y (Class B) NAC. Refer to the Fire -Life Device Compatibility Document for listed compatible devices. Two Programmable Relays and One Fixed Trouble Relay: Contact rating: 2.0 A @ 30 VDC (resistive), 0.5 A 0 30 VAC resistive). Form-C relays, nonpower-limited, nonsupervised. Cabinet Specifications Door: 19.26' (48.92 cm.) high x 16.82' (42.73 cm.) wide x 0.72' 1.82 cm.) deep. Backbox: 19.00" (48.26 cm.) high x 16.65' 42.29 cm.) wide x 5.25" (13.34 cm.) deep. Trim Ring (TR-CE): 22.00" (55.88 cm.) high x 19.65' (49.91 cm.) wide. Shipping Specifications Weight: 26.9 lbs. (12.20 kg.) Dimensions: 20.00" (50.80 cm.) high x 22.5" (57.15 cm.) wide x 8.5" (21.59 cm.) deep. Temperature and Humidity Ranges This system meets NFPA requirements for operation at 0 — 49•C/32 — 120•F and at a relative humidity 93%:2% RH (non - condensing) at 32•C x 2•C (90•F s 3•F). However, the useful life of the system's standby batteries and the electronic compo- nents may be adversely affected by extreme temperature ranges and humidity. Therefore, it is recommended that this system and its peripherals be installed in an environment with a normal room temperature of 15 — 27•C/60 — 806F. NFPA Standards The MS-9050UD(E) complies with the following NFPA 72 Fire Alarm Systems requirements: LOCAL (Automatic, Manual, Waterflow and Sprinkler Supervisory). AUXILIARY (Automatic, Manual and Waterflow) (requires 4XTMF). REMOTE STATION (Automatic, Manual and Waterflow) Where a DACT is not accepted, the alarm, trouble and supervisory relays may be connected to UL 864 listed transmitters. For reverse polarity signaling of alarm and trouble, 4XTMF is required.) PROPRIETARY (Automatic, Manual and Waterflow). CENTRAL STATION (Automatic, Manual and Waterflow, and Sprinkler Supervised). OT, PSDN (Other Technologies, Packet -switched Data Net- work) Agency Listings and Approvals The listings and approvals below apply to the basic MS-* 9050UD(E) control panel. In some cases, certain modules may not be listed by certain approval agencies, or listing may be in process. Consult factory for latest listing status. UL: S624 FM approved CSFM: 7165-0075:210 MEA: 442-06-E NOTE. See DF-60445 for ULC-listed model. FIreLlte® Alarmse and System Sensor® are registered trademarks of Honeywell International Inc. MicrosoftO and Windows® are registered trademarks of the Microsoft Corporation. 02012 by Honeywell International Inc. All rights reserved. Unauthorized use - of this document is strictly prohibited. 1S0 9001 This document is not intended to be used for installation purposes. We try to keep our product information up-to-date and accurate. We cannot cover all specific applications or anticipate all requirements. BM A 1111111111111tim All specifications are subject to change without notice. QQAIITT SYSTEMS Made In the U.S. A. For more information, contact Fire-Lite Alarms. Phone: (800) 627-3473, FAX: (877) 699-4105. www.firelite.com Page 4 of 4 — DF-524181I • 1 /27/12 e . 1 Pt:KMI 1 N 1. •- 1v r DF-52384:D • E-160 SD355(A) Series Addressable Photoelectric Fire-LIWALarms Smoke Detectors by Honeywell Addressable Devices General The S0355(A), S0355T(A), and S0355R(A) addressable, , low -profile plug-in photoelectric detectors use a state-of-the- art photoelectric sensing chamber with communications to provide open area protection and are used exclusively with Fire-Lite's Addressable Fire Alarm Control Panels (FACPs). The S0355T(A) adds thermal sensors that will alarm at a fixed temperature of 135•F (570C). Since these detectors are addressable, they will help emergency personnel quickly locate a fire during its early stages, potentially saving precious rescue time while also reducing property damage. Two LEDs on each sensor light to provide a local, visible sensor indica- tion. Remote LED annunciator capability is available as an optional accessory, PN RA100Z(A). The S0355R(A) is a remote test capable detector for use with D355PL(A) or DNR(A)/DNRW duct smoke detector housings. Features SLC LOOP Two -wire loop connection.OFFICEUnitusesbaseforwiring. ADDRESSING Addressable by device. Rotary, decimal addressing: 01 — 99 with MS-92000D(LS), and 01 — 159 with MS-96000D(LS). ARCHITECTURE Unique single -source, dual -chamber design to respond quickly and dependably to a broad range of fires. Sleek, low -profile design. Integral communications and built-in type identification. Built-in tamper -resistant feature. Removable cover and insect -resistant screen for simple field cleaning. OPERATION Withstands air velocities up to 4,000 feet -per -minute (20 m/ sec.) without triggering a false alarm. Factory preset at 1.5% nominal sensitivity for panel alarm threshold level. Visible LED "blinks" when the unit is addressed (communi- cating with the fire panel) and latches on in alarm. MECHANICALS Sealed against back pressure. Direct surface mounting or electrical box mounting. Mounts to: single -gang box, 3.5" (8.89 cm) or 4.0" (10.16 cm) octagonal box, or 4.0" (10.16 cm) square electrical box using a plaster ring — included). OTHER SYSTEM FEATURES Fully coated circuit boards and superior RF/transient pro- tection. 94-VO plastic flammability rating. Low standby current. y W 1 Vm NN SD355(A) in B210LP(A) Base OPTIONS Remote LED output connection, PN RAIOOZ(A). Applications Use photoelectric detectors in life -safety applications to pro- vide a broad range of fire -sensing capability, especially where smoldering fires are anticipated. Ionization detectors are often better than photoelectric detectors at sensing fast, flaming fires. Construction These detectors are constructed of off-white fire resistant plas- tic. SD355(A) series plug-in, low -profile smoke detectors are designed to commercial standards and offer an attractive appearance. Installation SD355(A) series plug-in detectors use a detachable mounting base to simplify installation, service and maintenance. Mount base (all base types) on an electrical backbox which is at least 1.5" (3.81 cm) deep. For a chart of compatible junction boxes, see DF-60059. NOTE. Because of the inherent supervision provided by the SLC loop, end -of -line resistors are not required. Wiring 7-taps" or branches are permitted for Style 4 (Class B) wiring. SD355R(A) mounts in a D355PL(A) or DNR(A)/DNRW duct detector housing. Operation Each SD355(A) series detector uses one of 99 possible addresses on the MS-92000D(LS) and up to 318 (159 on each loop) on the MS-96000D(LS) Signaling Line Circuit SLC). It responds to regular polls from the system and reports its type and status. The addressable photoelectric sensor in the SD355(A) series has a unique unipolar chamber that responds quickly and uni- formly to a broad range of smoke conditions. It can withstand wind gusts up to 4,000 feet -per -minute (20 m/sec.) without. sending an alarm level signal. Because of its unipolar cham- ber, the S0355(A) series is approximately two times more responsive than most photoelectric sensors. This makes it a more stable detector. DF-52384:0.2/11/2015 — Page 1 of 2 Detector Sensitivity Test Each detector can have its sensitivity tested (required per NFPA 72, Chapter 14 on Inspection, Testing and Maintenance) when installed/connected to a MS-92000D(LS) or MS- 96000D(LS) addressable fire alarm control panel. The results of the sensitivity test can be printed off the MS-92000D(LS) or MS-96000D(LS) for record keeping. Specification Voltage range: 15 - 32 VDC (peak). Standby current: 300 pA 0 24 VDC. LED current: 6.5 mA ® 24 VDC (latched "ON"). Air velocity: 4,000 ft./min. (20 m/sec.) maximum. Size: 2.1" (5.33 cm) high; base determines diameter. 8210LP(A): 6.1" (15.5 cm) diameter. B501(A): 4.1" (10.4 cm) diameter. B200SR(A): 6.875" (17.46 cm) diameter. B224RB(A): 6.2" (15.748 cm) diameter. Weight: 3.6 oz. (102 g). Operating temperature range: for SD355(A): 0•C to 49•C 32•F to 120•F); for S0355T(A): 0•C to 38•C (320F to 100•F). SD355R(A): installed in a DNR(A)/DNRW -200C to 70•C (-4•F to 158•F). Temperature: 0•C - 49•C (320F - 120•F). Relative humidity: 10%- 93%, non -condensing. Listings Listings and approvals below apply to the SD355(A), SD355T(A), and SD355RT(A) detectors. In some cases, cer- tain modules may not be listed by certain approval agencies, or listing may be in process. Consult factory for latest listing status. UL Listed: S1059. ULC Listed: S1059. CSFM:7272-0075:0194. MEA:243-02-E. FM approved. Product Line Information NOTE: A"suNix indicates ULC Listed model. SD355: Addressable photoelectric detector; B21OLP base included. SD355A: Sames as SD355 with ULC Listing; B21OLPA base included. SD355T: Same as SD355 but with thermal element; B210LP base included. S035STA: Same as S0355T with ULC Listing; B21 OLPA base included. SD355R: Remote test capable addressable photoelectric detector for use with a D355PL(A) or ONRA/DNRW duct detector housing; B210LP base included. SD355RA: Same as SD355R with ULC Listing for use with a D355PL A or DNRA duct detector housing; B21 OLPA base included. INTELLIGENT BASES NOTE: "A" suffix indicates ULC Listed model. NOTE: The detectors plug-in base can be changed off for special applications. For details about intelligent bases and their mount- ing, see OF-60059. B210LP(A): Plug-in detector base (included); standard U.S. flanged low -profile mounting base. B21OLPBP: Bulk pack of B210LP; package contains 10. 8501(A): Standard European flangeless mounting base. B501BP: Bulk pack of B501; package contains 10. B200SR(A): Intelligent sounder base capable of producing sound output with ANSI Temporal 3 or continuous tone. Replaces B501 BH series bases in retrofit applications. B224RB(A): Plug-in System Sensor relay base. Screw termi- nals: up to 14 AWG (2.0 mm2). Relay type: Form-C. Rating: 2.0 A 0 30 VDC resistive; 0.3 A 0 110 VDC inductive; 1.0 A 0 30 VDC inductive. 8224BI(A): Plug-in System Sensor isolator detector base. Maximum 25 devices between isolator bases (see DF-52389). . ACCESSORIES F110: Retrofit flange to convert B210LP(A) to match the B350LP(A) profile, or to convert older high -profile bases to low -profile. F110BP: Bulk pack of F110; package contains 15. F210: Replacement flange for B210LP(A) base. RA100Z(A): Remote LED annunciator. 3 - 32 VDC. Mounts to a U.S. single -gang electrical box. For use with B501(A) and B210LP(A) bases only. SMB600: Surface mounting kit M02-04-00:Test magnet. M02-09-00: Test magnet with telescoping handle. XR28: Detector removal tool. Allows installation and/or removal of detector heads from bases in high ceiling applica- tions. XP-4: Extension pole for XR28. Comes in three 5-foot 1.524 m) sections. T55-127-010: Detector removal tool without pole. OCK-20OB: Black detector covers for use with SD355(A) only; box of 10. WCK-20OB: White detector covers for use with SD355(A) only: box of 10. FireLiteO Alarms is a registered trademark of Honeywell International Inc. C2015 by Honeywell International Inc. All rights reserved. Unauthorized use of this document is strictly prohibited I O oo This document is not intended to be used for installation purposes. We try to keep our product information up-to-date and accurate. We cannot cover all specific applications or anticipate all requirements 81dfE9111 III ItAgMtTlRl ll All specifications are subject to change without notice. QUALITY SYSTEMS For more information, contact Fire-Lite Alarms Phone: (800) 627-3473. FAX: (877) 699-4105. www firelite.com Page 2 of 2 - DF-52384:0.2/11/2015 f Revision. Response to Comments O nECE1V l JAN 182017 ar._ Permit # ! G — a b 9 Project Address: I Li i? ( 1' Submittal Date I o I i Q- Contact: A 1 a4l-ei c Ph: 14U `7 - 3 d 3- I t S 6 Fax: Email: Trades encompassed in revision: Building Plumbing Electrical Mechanical Life Safety Waste Water Department Utilities Waste Water Planning Engineering City of Sanford' Building & Fire Prevention Division Ph: 407.688.5150 Fax: 407.688.5152 Email: building@sanfordfl.gov General description of revision: ROUTING INFORMATION Fire P evention Building Approvals do — 6' DIA. PIPE 2) #5 CONT. BARS TOP BTM. OF PIPE 8' DIA. PIPE CONCRETE WALL 2) #5 CONT BARS TOP BTM. OF PIPE i L 1 1 1 1 1 Ir11 _ _ -- 1 PIPE DIA.'D' eSECTIONSCALE: 1/2"=1'-0" 1) #5x1'-0"ALL (4) SIDES AT PIPE SET BARS 1'-0" APART W' WIDE x 2'-0" LONG ENCASEMENT FOOTING WF1 D, 1) #5x1'-0"ALL (4) SIDES AT PIPE SET BARS 1'-0" APART i -4------i J 1 1 1 1 D' 1 1 1 1 1 1 1 1 OFFICE PERMIT # A6 - o?d' S P 1) #5x1'-0"ALL (4) SIDES AT PIPE SET BARS 1'-0' APART I '%, PARTIAL FOUNDATION PLAN: SKS3 % NEW DINING AREA 2) #5 CONT. BARS TOP BTM. OF PIPE W - 3" "' PIPE DIA. 'D' REVISION 1/' ARCHITECTURAL DYNAMICSDRAWNBY: L.V. CHECKED BY: K.D.T. GRACIOUS AGE DATE: 01/18/17- OASSISTED LIVING FACILITY PROJ. NO: 16988 1 1401 S. MAGNOLIA AVE., SANFORD, FL 32771 RECEIVE JAN18201TSKS3 MKT ENGINEERS, INC. STRUCTURAL ENGINEERS.. ENGINEERING BUSINESS #26349 2265 LEE ROAD. SUITE 123. WINTER PARK. FL 32789 — TEL.:407.828.8555 — FAX:407.844.8518 SEAL \ Kishore D Tolia 2017. 01.18 10: 28:17 1:' J 1Z.' 05' 00' KISHORE D. TOLIA PROFESSIONAL ENGINEER No 18092 STATE OF FLORIDA / be I z 8