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Home My WebLink About1410 W 1 St; 11-11-1879- FIRE SPRINKLERJul 08 11 09:25a Alan L Schultz 07/08,011 07:44 hAx Jannbdaaa4 2626953886 p.2 JUL 12 2011 CITY OF SANFORD BY. BUILDING & FIRE PREVENTION PERMIT APPLICATION 19 00 Application No; _ Docatnented Construction Value: S 1. 9 ` — Historic District, Yes i No Job Address! ., Z a_'' ..RS: $TRgti "1 Parcel TD• Zoning: Description of Work: Plan Review Contact Person: \Io-/A - Title: Ov..tH,Erz c 1 Phone: 3$G-c<L8-$-tti4 Fax: E-mail: SUNsT t iRe j11iiE7C.C6!'C Property Owner information Name Phone: Street: Resident of property! City, state Zip: Contractor information Name S u..T .,.T e. +x pR u La Phone: x C- ' ..A'1 % Street: r P o C'S ox 3d ti Z' Fax: - c, c, a - City, State Zip: De r larz- F'. 32 53 State License No.: 02 i3?L+zt7o01ZaD0 Architact/Engineer Information Name: N f Street: - City, St, Zip: Bonding Company: - N1 A Address: Building Permit Square Footage: No, of Dwelling Units: Electrical New Service -- No. of AMPS: Phone: Fax: E-mail: Mortgage Leader: _ M /A Address: PERMIT INFORMATION Construction Type: No. of Stories: Flood Zane: Mechanleal O (Duct layout required for new systems) Plumbing New Construction - No. of Fixtures: Fire Sprinkler/Alarm % No. of heads; —_ 06 07/08/2011 07:44 FAX 3866686884 1a002/002 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. 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. 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. 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, ES 713. The City of Sanford requires payment of a plan review fee. A copy of the executed contract is required in order to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the plan review fee based on past permit activity levels. Should calculated charges exceed the documented construction value when the executed contract is submitted, credit will be applied to your permit fees when the permit is released. Signature of Owner/Agent Date Sifphtutdf C:01MC16t/Agcm Dw „„y Print OwneNAgettt's Name Sibm;uufe of NotaryStatc of Florida gate Owner/Agent is personally Known to Me or Produced ID . Type of ID _ APPROVALS: ZONING: UTILITIES: ENGINEERING: COMMENTS: Rev 11.08 FIRE: Print Cammetor/Agent's of NotarySwe f rich LJ(stor i dEN! 1ARy T it ; q'r PU8\' . F 0 F W c'GV Contractor/Agent is Personally Known to Me or Produced ID Type of ID WASTE WATER: BUILDING: c) co OD rn c) N k El S N I Or— Lt TIVAi W Rtr4--.,fU: l:K!-TlVJC_ Q1.! ouTuLfs INDICATES EXISTING SPRINKLER AND PIPING Q INDICATES NEW 1/2" PENDENT SPRINKLER 1/2" - 155 DEGREE -WHITE FINISH SPRINLER ESCUTCHEONS - SEMI -RECESSED LEXINGTON PLAZA DONUTS TO GO 1410 FIRST STREET SANFORD, FLORIDA DATE: 7-6-11 SHEET # I OF 1 This is an existing system designed for ordinary hazard, SUN STATE FIRE SPRINKLER CO., INC. SCOPE P. 0. BOX 53027 EXISTING UPRIGHT SPRINKLERS ARE TO BE REMOVED AND NEW I" DEBARY, FLORIDA 32753 386-668-8719 OP ID: SE 14 CERTIFICATE OF LIABILITY INSURANCErDA TEMM/DDNYYY) 4/14/11 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements . PRODUCER 407-869-0962 SIHLE INSURANCE GROUP, INC. 407-774-0936 P. O. BOX 160398 ALTAMONTE SPRINGS, FL 32716 Tom Knudsen NAME: CONTACT Shelley Fane ac"ro Ext:407-389-3540 Fv No: 407-389-8440 E-MAIL PRODUCERSFane sihle.com CUSTOMER ID#:SUNST-2 INSURERS AFFORDING COVERAGE NAIC # INSURED Sun State Fire Sprinkler Co. PO Box 530427 Debary, FL 32753-0427 INSURER A: Madison Insurance Company INSURER B: Indian Harbor Ins Co INSURER C: Travelers Incleminity Co. 25658 INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSRLTR TYPE OF INSURANCE INSRA D SUBrl POLICY NUMBER EFFMMIDDPOLICY/YYYY MM DDnYYYLIMITS B GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS - MADE I —XI OCCUR RMG640004604 04/22/11 04/22/12 EACH OCCURRENCE 1,000,00 AMA TO N ED PREMISES Ea occurrence 100,00 MED EXP (Any one person) 5,00 PERSONAL & ADV INJURY 1,000,00( GENERAL AGGREGATE 2,000,00 GEN' L AGGREGATE LIMIT APPLIES PER: POLICY X PRO LOC PRODUCTS - COMP/OP AGG 2,000,00 C C C AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON - OWNED AUTOS BA- 3413N705-10-SEL BA- 3413N705-10-SEL BA- 3413N705-10-SEL 04/ 22/11 04/ 22/11 04/ 22/11 04/ 22/12 04/ 22/12 04/ 22/12 COMBINED SINGLE LIMIT Ea accident) 1,000,00 X BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE Per accident) XX UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS - MADE EACH OCCURRENCE AGGREGATE DEDUCTIBLE RETENTION $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/ MEMBER EXCLUDED? Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A WCV0000057- 01 01/01/11 01/01/12 X WC STATU- X OTH- YIMIE. L. EACH ACCIDENT 1,000,00 E. L. DISEASE - EA EMPLOYEE 1,000,00 E. L. DISEASE - POLICY LIMIT 1,000,00 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) CERTIFICATE HOLDER CANCELLATION CITYSAN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Sanford THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 300 N Park Ave Sanford, FL 32771 AUTHORIZED REPRESENTATIVE 1988- 2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD 2010/2011 Volusia County Business Tax Receipt Issued pursuant to F.S. 205 and Volusia County Code of Ordinances Chapter 114-1 by: Volusia County Revenue Division - 123 W Indiana Ave, Room 103, DeLand, FL 32720 — 386-736-5938 Receipt # 198901310001 Expires: September 30, 2011 Business Location: 333 E HIGHBANKS RD Business Name: SUN STATE FIRE CO Owner Name: WAYNE M WILHELM Volusia County Mailing Address: P O BOX 427 FLORIDA DEBARY, FL 32713 BUSINESS TYPE CODE COUNT TAX Business Service 471 4 $22.00 This receipt indicates payment of a tax, which is levied for the privilege of doing the type(s) of business listed above within Volusia County. This receipt is non -regulatory in nature and is not meant to be a certification of the holder's ability to perform the service for which he is registered. This receipt also does not indicate that the business is legal or that it is in compliance with State or local laws and regulations. The business must meet all County and/or Municipality planning and zoning requirements or this Business Tax Receipt may be revoked and all taxes paid would be forfeited. The information contained on this Business Tax Receipt must be kept up to date. Contact the Volusia County Revenue Division for instructions on making changes to your account. THIS PORTION OF THE BUSINESS TAX RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS Volusia County Business Tax Receipt Revenue Division - 123 W Indiana Ave, Room 103, DeLand, FL 32720 — 386-736-5938 DATE PAID: 09/14/2010 PAYMENT Lockbox-09-00110759 Business Name: SUN STATE FIRE CO RECEIPT #: Owner Name: WAYNE M WILHELM Mailing Address: P O BOX 427 TOTAL TAX: 22.00 DEBARY, FL 32713 PENALTY: 0.00 TOTAL PAID:22.00 Receipt # 198901310001 Expires: September 30, 201 Business Location: 333 E HIGHBANKS RD PLEASE DETACH THIS PORTION OF THE BUSINESS TAX RECEIPT FOR YOUR RECORDS STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF STATE FIRE MARSHAL TALLAHASSEE, FLORIDA CERTIFICATE OF COMPETENCY`' fi THIS CERTIFIES THAT: WAYNE M WILHELM 333 E HIGHBANKS ROAD - SUITE 22 DEBARY, FL 32713-2615 BUSINESS ORGANIZATION: SUN STATE FIRE SPRINKLER CO CONTRACTOR 11 IS LIMITED TO THE EXECUTION OF CONTRACTS REQUIRING THE ABILITY l-O LAYOUT, FABRICA I'I., INS'I All. INtiPI:('"I ALTER. OR SERVICE WATER SPRINKLER SYSTEMS, WATER SPRAY SYSTEMS, FOAM -WATER SPRINKLER SYSTEMS, FOAM -WA 11:k SPRAY SYSTEMS, STANDPIPES, COMBINATION STANDPIPES AND SPRINKLER RISERS, ALL PIPING THAT IS AN INTEGRAL PAR OI 11 R SYSTEM BEGINNING AT THE POINT OF SERVICE, SPRINKLER TANK HEATERS, AIR LINES, THERMAL SYS7"IiMS USED IN C'ONNI:(' I'I()N WITH SPRINKLERS, AND TANKS AND PUMPS CONNECTED THERETO, EXCLUDING PRE-ENGINEERED SYSTEMS. 07 1 01 12010 1 07 1 16 VOILISM Issue Date iTypelClassi County 09834200012000 I 1910440001 License/Permit Number I Application N Crier Financial Officer 150.00 06 30 2012 Taxes & Pecs I I-xpirc Date I M P.O Box 530427 Debary, Florida 32753-0427 386-668-8719 FAX: 386-668-6894 June 15, 2011 Fire c First Commercial Construction Fax # 866-567-7703 Attn: Richie Re: Tenant # 1410 Lexington Shopping Center Sanford Florida Fire Sprinkler Modifications Ni Inc. Fire Sprinkler Systems Installation Repair Design To modify the existing fire sprinkler system for the new tenant layout our price is 1794.00 Scope: New ceiling height is to be 10'-0". System design will be for light hazard occupancy as described in NFPA 13. Piping will be Allied threadable thin wall. Fire sprinklers will be pendent chrome with semi -recessed plates. Work consist of extending the existing fire sprinklers down for the new ceiling. A new bathroom is to be installed. No other tenant partitions are to be installed. The following items are noted for your information as items not included in our price. Painting, labeling or preparation for painting. Electrical wiring of any type. Light,water and electric during construction. Bonding of any type. MIC protection. Additional insurance above our company policy Wayne M. Wilhelm