HomeMy WebLinkAbout1401 W Seminole Blvd 18-1640; generator (a)CITY OF
I NSt %..I
fl"IRE , EPAF T%IEN
1A, 1_1 R ["i
Building & Fire Prevention Division
PERMIT APPLICATION
Application No: i ?" ... (;" '4'
00DocumentedConstructionValue: 4C90
Job Address: Z!O/ yvwvo 14-0 &2 Historic District: Yes[] No[]
Parcel ID: Residentiall_ Commercial
Type of Work: NewF-]Add ition[ErAlte ration[] Repair[] Demo Change of UseE] Move H
Description of Work: (
7_k4_4 u i5tle C L----I-C at z
Apo k (-.> ci Pot e t-o"C'_q r--% ra apz re, n
Plan Review Contact Person: Title: lhl Az:__)_XD
Phone: 2.j9 35-5-C Fax: 70 Lf JO (6- 097F Email: r q art
Name
Property Owner Information
Phone:
Street: Resident of property? :
City, State Zip:
t
LjU_(_,,Contractor Information
W lwur -% r\ 2-1 3,S;(- Name 4 4 Phone:
Street: 'f 2-00 C Fax: g0(./_ YO(,- 072f,-
City, State Zip: 2 EL 3206jr State License No.: CGC- IS-20Lj__M
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Architect/Engineer Information
Phone:
Fax:
E-mail:
Mortgage Lender:
Address:
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAVING 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.
FRC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 6"' Edition (2017) Florida Building Code
Revisedi January 1, 2018 Permit Application
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be
found in the public records of this County, and there may be additional permits required from other governmental entities such as water
management districts, state agencies, or federal agencies.
Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713,
The City of Sanford requires payment of a plan review fee at the time of permit submittal. A copy of the executed contract is required
in order to calculate a plan review charge and will be considered the estimated construction value of the job at the time of submittal.
The actual construction value will be figured based on the current ICC Valuation Table in effect at the time the permit is issued, in
accordance with local ordinance. Should calculated charges figured off the executed contract exceed the actual construction value,
credit will be applied to your permit fees when the pert -nit 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 ot'Owner/Agent
Print Owner/Agent's Name
Date
Signature of Notary -Skate of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
AgentSignatureofContractoi-7/ Date
Agent's
Signature of a 0 10riAKNE17F- t41State of ROM
NoWy f GG X9CC
corrrf, 4V
Contractor/Agent is Personally Known to Me or
Produced ID _ Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building[] Electricaln Mechanical[] Plumbing[] GasE] RoofE]
Construction Type:
Total Sq Ft of Bldg:
Occupancy Use:
Min. Occupancy Load:
Flood Zone:
of Stories:
New Construction: Electric - # of Amps Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes[] NoE] # of Heads
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
Fire Alarm Permit: Yes [] No []
WASTE WATER:
BUILDING:
Revised, January 1, 2018 Permit Application
CITY OF
Building & Fire Prevention DivisionSkNFORD,1 PE"ITAPPLICATION
Fillil DEPARTIMENT
Application No: ftu
00DocumentedConstructionValue: $ L 00
Job Address: Z'101 4)eS _S04141D le- Historic District: Yes 11 No 11
Parcel ID: ResidentialF] Commercial
Type of Work: New[] Addition[iTAlteration DRepair 0 Demo F]Change of UseEl Move El
Description of Work:
10 C) & 0 L2 e. in c.,, a.
Plan Review Contact Person: a h o Title:
Phone: 20q 219 35- Sy. Fax: !YOG-01`2-" Email: rVan iL A t/
Property Owner Information
JJf'g, BY
Name Phone:
1, 7 9Z_e/_/J- ILI-
Street: Resident of property?
City, State Zip:
Contractor Information
Name RM001, WiD r W W Phone: ZI — 3Qr(-
I
Street: q 20Q C K 21 'P Fax:
City, State Zip: ,dd _ b k r, L 32_0 6 State License No.: C&C- IS-202-J--m
Arch itect/Engineer Information
Name: Phone:
Street: Fax: —
City, St, Zip: E-mail:
Bonding Company:
Address:
Mortgage Lender:
Address:
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet standards of all laws regulating construction
in this jurisdiction. I understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools,
furnaces, boilers, heaters, tanks, and air conditioners, etc.
FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 6'h Edition (2017) Florida Building Code
Revised: January 1, 2018 Permit Application
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be
found in the public records of this county, and there may be additional permits required from other governmental entities such as water
management districts, state agencies, or federal agencies.
Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713.
The City of Sanford requires payment of a plan review fee at the time of permit submittal. A copy of the executed contract is required
in order to calculate a plan review charge and will be considered the estimated construction value of the job at the time of submittal.
The actual construction value will be figured based on the current ICC Valuation Table in effect at the time the permit is issued, in
accordance with local ordinance. Should calculated charges figured off the executed contract exceed the actual construction value,
credit will be applied to your permit fees when the permit is issued.
OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will
be done in compliance with all applicable laws regulating construction and zoning.
Signature of Owner/Agent Date Signature of Contractor Agent Date
Print Owner/Agent's Name Print tontr ctor/Agent's Dame--_
Signature of Notary -State of Florida Date Signature of o oriAlkhE E Ni BLANPPubltC State of 0% N Notari I # GG -7090CIcCommissions:
NI'l Gomm. ExPw(es ASP
rcec
Owner/Agent is Personally Known to Me or Contractor/Agent is Personally Known'to Me or
Produced ID Type of ID Produced ID _ Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building D Electrical n MechanicalEj Plumbing[] GasFJ 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 R No R #of Heads
6/ 10,1 qo
APPROVALS: ZONING: 6 f -6 Jf UTILITIES:
ENGINEERING:
COMMENTS:
FIRE:
Fire Alarm Permit: Yes [-] No []
WASTE WATER:
BUILDING:
Revised: January 1, 2018 Permit Application
INSPECTION SEQUENCE
BP# 18-1640
ADDRESS: 1401 WEST Seminole Blvd.
BuILDING PERMIT
Min Max Inspection Description
Footer / Setback
Sternwall
10 Slab / Mono Slab
20 Lintel / Tie Beam Fill Down Cell
Sheathing — Walls
Sheathing — Roof
Roof Dry In
Frame
Insulation Rough
Firewall Screw Pattern
Drywall / Sheetrock
Lath Inspection
Building Ceiling Air Barrier
Insulation Roof (Com'l)
Building Ceiling Grid
Final Roof
Final Stucco / Siding
Final Insulation
Final Firewall
Final Door
Final Window
Final Utility Building
Final Screen Structure
Final Pool Screen Enclosure
Pre -Demo
Final Demo
Final Single Family Residence
1000 Final Commercial —
Final Commercial — Addition / Alteration
Final Commercial — Change of Use
Final Building (Other)
ELECTRICAL PERMIT
Min Max Inspection Description
10 Electric Underground
Footer / Slab Steel Bond
Electric Ceiling Rough
Electric Wall Rough
10 Electric Rough
Pre -Power Final
Temporary Pole
1000 Electric Final
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
Min Max Inspection Description
Mechanical Rough
Mechanical Fire Damper Framing
Mechanical Ceiling Rough
Mechanical Fire Damper Annular Space
Mechanical Insulation Wrap
Mechanical Fire Damper Angle
Liv,ht / Water Test Ck Welds
Mechanical Grease Duct Wrap
Mechanical Final
IkEVISED: June 2014
Johnson, JoAnn
From: ]ohnson]nAnn
Sent: Thursday, April 19.20182i8 PK4
To; 'ryan@Dadvantogee|ecconn'
Cc: Blanton, Deborah; Bland, Annette
Subject: 1401 VVSeminole Blvd - need info tofinal process permit
I need a copy of the contract, to know who the GC is doing the structural work, and a recorded NOC.
Thank you.
oAnUM.Johnson
PcUnU1i & 1-icensing Coordinator
Building & Fire Prevention Division
City 0fSanford
0UN.Park, Avenue
Sanford, F[l277l-}744
Ph0ne:407.h08.5057
Fau:407.688.5157
Joann. iohnsVn(a)saofordfl.P-0v
Out of Office Dates:
CITY OF
11) TNSFOIJIMLOF
FIRE DEPARTMENT
14
ECHO Power Engineering, LLC
EE17-095 / AAEl
MCA Central Florida Regional Hospital
This agreement is entered upon the date first written below between ECHO Power
Engineering, LLC and A ADVANTAGE ELECTRIC, INC., (hereinafter "Subcontractor").
1. INDEMNIFICATION.
The work performed by the subcontractor shall be at the risk of the Subcontractor exclusively.
Subcontractor shall indemnify, defend (at subcontractor's sole expense) and hold harmless
ECHO Power Engineering, LLC its members, joint venturers, representatives, designees,
officers, directors, employees, agents, successors, and assigns ("Indemnified Parties"), from
and against any and all claims for bodily injury, death or damage to property, demands,
actions, causes of action, suits, losses, judgments, obligations and any liabilities, cost and
expenses ( including but not limited to investigative and repair costs, and consultants' fees
and costs) ("Claims") which arise or are in any way connected with the Work performed,
Material furnished, or Services provided under this Agreement by Subcontractor or its agents.
These indemnity and defense obligations shall apply to any acts or omissions, negligent or
willful misconduct of Subcontractor, its employees or agents, whether active or passive. Said
indemnity and defense obligations shall further apply, whether or not said claims arise out of
the concurrent act, omission, or negligence of the Indemnified Parties, whether active or
passive. Subcontractor shall not be obligated to indemnify and defend ECHO Power
Engineering, LLC for claims found to be due to the sole negligence or willful misconduct of
Indemnified Parties.
Subcontractor's indemnification and defense obligations hereunder shall extend to claims
occurring after this Agreement is terminated as well as while it is in force, and shall continue
until it is fully adjudicated that any and all actions against the Indemnified Parties for such
matters which are indemnified hereunder are fully and finally barred by applicable Laws.
EPE Agreement EE1 7-095 HCA Central Florida Regional Hospital
2. INSURANCE.
Upon execution of this Agreement, and prior to the Subcontractor's commencing any work
or Services with regard to the Project, the Subcontractor shall carry commercial general
liability insurance on ISO form CG 00 01 10 01 ( or a substitute form providing equivalent
coverage) and the Subcontractor shall provide ECHO Power Engineering, LLC with a
Certificate of Insurance and Additional Insured Endorsement on ISO form CG 20 10 07/04 (
or a substitute form providing equivalent coverage) or on the combination of ISO forms CG
2010 10 01 and CG 20 37 07/04 ( or substitute forms providing equivalent coverage) naming
ECHO Power Engineering, LLC as Additional Insured there under.
Additional insured coverage shall apply as primary insurance with respect to any other
insurance afforded to ECHO Power Engineering, LLC. The coverage available to the
Contractor and Owner, as Additional Insured's, shall not be less than:
2 million dollars per each occurrence
2 million General Aggregate (subject to a per project general aggregate provision
applicable to the project)
2 million Products/Completed Operations Aggregate
1 million Personal and Advertising Injury limits
Such insurance shall cover liability arising from premises, operations, independent
contractors, products -completed operations, personal and advertising Injury, and liability
assumed under an insured contract (including the tort liability of another assumed in a
business contract). There shall be no endorsement or modification of the Commercial
General Liability form arising from pollution, explosion, collapse, underground property
damage or work performed by subcontractors. All coverage shall be placed with an
insurance company duly admitted in the State of TN and shall be reasonably accepted to
ECHO Power Engineering, LLC. All subcontractor insurance carriers must be "A" rated.
Coverage shall be afforded to the Additional Insured's whether or not a claim is in litigation.
The insurance coverage required under this agreement shall be of sufficient type, scope, and
duration to ensure coverage for ECHO Power Engineering, LLC, for liability related to any
manifestation date within the applicable statutes of limitation and/or repose which pertain to
any work performed by or on behalf of ECHO Power Engineering, LLC, in relation to the
Project. Subcontractor agrees to maintain the above insurance for the benefit of ECHO
Power Engineering, LLC over a period of two years, or the expiration of the statute of
Limitations whichever is later.
Each Certificate of Insurance shall provide that the insurer must give ECHO Power
Engineering, LLC at least 30 days prior written notice of cancellation and termination of the
subcontractor's coverage there under. Not less than two (2) weeks prior to the expiration,
cancellation or termination of any such policy, the Subcontractor shall supply ECHO Power
Engineering, LLC with a new and replacement Certificate of Insurance and Additional Insured
endorsements shall be similarly endorsed in favor of ECHO Power Engineering, LLC as set
forth above.
Page 2 of 3
EPE Agreement EE 17-095 HCA Central Florida Regional Hospital
Additionally and prior to commencement of the Work, the Subcontractor shall provide ECHO
Power Engineering, LLC with a certificate of Insurance showing liability insurance coverage
for the Subcontractor and any employee's agents, or Sub -Subcontractors of the
Subcontractor for any Workers' Compensation, Employer's Liability and Automobile Liability.
In the event any of these policies are terminated, Certificates of Insurance showing
replacement coverage shall be provided to ECHO Power Engineering, LLC and coverage
shall be no less than the following:
Workers' Compensation and Employers' Liability Insurance: as required by law And
affording thirty (30) days written notice to ECHO Power Engineering, LLC prior to
cancellation or non -renewal, providing coverage of not less than statutory limits for
bodily injury by disease.
Business Auto Liability Insurance: Written in the amount of not less than $1,000,000
each accident.
3. WAIVER OF SUBROGATION.
Subcontractor shall obtain from each of its insurers a waiver of subrogation on Commercial
General Liability in favor of ECHO Power Engineering, LLC with respect to Losses arising
out of or in connection with the Work.
ENTERED this 4th day ofAgril 2018.
Joe
BY:
Maynard
Joe Maynard, President
BY: A Advantage Electric, Inc.
NAME: Ryan Worthin ton TITLE:
President Page
3 of 3
THIS INSTIJUMENT PR P RE Y„•
Name: K ler i'l
Address;
NOTICE OF COMMENCEMENT
State of Florida
County of Seminole
i...ENK. OF r 1RCUIT t::OURi
CLERK'S ,r 2018055638
FEEST.)I:ltii.)i
Permit Number: Parcel ID Number.X 4? 57— I %3 fa' ' "" 0 0 d
The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with
Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement.
DESCRIPTION OF PROPERTY: (Legal description of the property and street address if available)
14Q1 Wpst SgminglgBlvd nford Florida 32771
GENERAL DESCRIPTION OF IMPROVEMENT:
Replace a 3,00 amp normal switchboard in NMSB#1, replace a 1,200amp
emergency switchboard in Gen Set #1, Install two new Gen Sets.
OWNER INFORMATION:
Name: Central Florida Regional Hospital
Address: 1401 West Seminole Blvd Sanford, FL 32771
Fee Simple Title Holder (if other than owner) Name:
Address:
CONTRACTOR:
Name: A Advantage Electric, Inc.
Address: 4200 CR 218 Middleburg, FL 32068
Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served
as provided by Section 713.13(1)(b), Florida Statutes.
Name:
In addition to himself, Owner Designates Eddie G. Brooks, Director of Plant Operations of
Central Florida Regional Hospital To receive a copy of the Lienor's Notice as Provided in
Section 713.13(1)(b), Florida Statutes.
Expiration Date of Notice of Commencement (The expiration date Is 1 year from date of recording unless a
different date is specified) .. _.aril 30. 2019
WARNiN 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.
Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in it are true
to the b t fypy snot fledge nd belief.
Owner's Signature
Eddie G. Brooks
Owner's Printed Name
Florida Statute 713.13(1 xg): " The owner must sign the notice of commencement and no one else may be permitted to sign in his or her stead.*
State of tci County of(w ( Q
The foregoing instrument was acknowledged before me this 20 day of % 1 20 ( b
by CJ1 2rOC15 Who is personally known to me VN-
Name of person making statement
OR who has produced identification type of identification produced:
SHELLY SNYDER
NOTARY PUBLIC - STATE OF FLORIDA
COMMISSION #1302242
My Commission Expires 05/2512021
9
ellj Notary Vnature