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Home My WebLink About819 Catalina Dr; 18-4127; WATER HEATER9-1 CITY OF bANFORDPERMIT APPLICATION BUILDING DIVISION Application No: Documented Construction Value: $ Job Address: P I e Historic District: Yes Non Parcel ID: Residential Commercial Type of Work: New Addition Alteration Repair Demo Change of Use Move Description of Work: 011', 12 e g ^ L( C) p Plan Review Contact Person; Phone: Fax: Email: Title: Property Owner Information Name `) Zz.t Phone: Street: 1.114 (s(/t'yw ).p t c OVIVe3A, ,a Resident of property?: WIN Contractor Information Name PI i jr Phone: - ,27 `f Street jo ,S"lq(f r f 1f i v , '+ i d Fax: City, State Zip: c/ AQ .L- Ll `% State License No.: 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 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 priortotheissuanceofapermitandthatallworkwillbeperformedtomeetstandardsofalllawsrcgulatingconstructioninthisjurisdiction. 1 understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, beaters, tanks, and air conditioners, etc. FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 611 Edition (2017) Florida Building Code IOTA: In addition to the requirements of this permit, there maybe additional restrictions applicable to this property that may be found in the publicrecordsofthiscounty, and there may be additional permits required from other governmental entities such as water management districts, stateagencies, 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 valuewillbefiguredbasedonthecurrentICCValuationTableineffectatthetimethepermitisissued, in accordance with local ordinance. Should calculatedchargesfiguredofftheexecutedcontractexceedtheactualconstructionvalue, 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 t Date Print Owne ent's N Signature of Notary -State of. v vee•• ee AOTgMaw9 m• Owner/Agent is _ >nail or1 to N ebr Produced ID vvB0 C v 0 e ' S FC VP 14-- atureofContractor/Agent Date 1 r Print Contractor/Agent's Name Signature ofNotary-State of i lorida Date /1 t v did"• SARA GIROUX 1 t a XpREgs1p rsonally Known to Me or ProducedIllypofIDPermits Required: Building Electrical Mechanical Plumbing Gas Roof Construction Type: Occupancy Use: Flood Zone: Total Sq Ft of Bldg: Min. Occupancy Load: # of Stories: New Construction: Electric - # of Amps Plumbing - # of Fixtures Fire Sprinkler Permit: Yes No # of Heads Fire Alarm Permit: Yes No APPROVALS: ZONING: UTILITIES: WASTE WATER: ENGINEERING: FIRE: BUILDING: COMMENTS: R ESIDENTIAL SERVICES SUBCONTRACTOR WORK AUTHORIZATION FORM Project Name and Address: 819 Catalina Dr sanford Fl 32771 Project Manager: Phillip Hicks Project Owner: LSF8 Master Participation Trust Contractor Name and Address: Ameritrust Residential Services, LLC 3630 Peachtree Road NE, Suite 1500 Atlanta, GA 30326 Subcontractor Name and Address: Biasi Plumbing This Work Authorization Form supplements and amends the Master Subcontract Agreement ("Agreement") between Ameritrust Residential Services, LLC ("Contractor') and Biasi Plumbing ("Subcontractor"), dated ############### with respect to the Project identified above. This Work Authorization Form between Contractor and Subcontractor modified and supplements the provisions contained in the Agreement and all other Contract Documents incorporated therein by reference with respect to the Project identified above. Terms that are not defined in this Work Authorization Form shall have the same meaning as in the Agreement. In the event of any conflict, inconsistency, or ambiguity between the terms and provisions of this Work Authorization Form and any other Contract Documents, this Work Authorization Form shall control. T/ /U PMB ARTICLE I PAYMENT SCHEDULE I.I. Contract Payment. In consideration for the performance of the Work (defined below), Contractor shall pay Subcontractor, in current funds, the following Contract Payment, subject to additions or deletions by Change Order, as provided in the Agreement. Total Price for the Work described in this Work Authorization Form is $425.00 , which shall be paid in accordance with the provisions of the Agreement. 1.2. Final Payment. A final payment of $425.00 shall be made by Contractor upon Subcontractor's one hundred percent (100%) completion of all Work and other requirements under the Agreement and the Contractor's acceptance of that work. Once the above conditions are satisfied, Final Payment shall be made to the Subcontractor within twenty (20) days after the Contractor's receipt of an invoice and a full release of all Subcontractor claims from the Subcontractor. 1.3. Invoices. The Subcontractor shall submit an invoice to Contractor referencing the Project and obtain the Contractors approval on invoice for Final Payment to: Ameritrust Residential Services, LLC, 3630 Peachtree Rd NE, Ste 1500, Atlanta, GA 30326. ARTICLE II CONSTRUCTION SCHEDULE 2.1. Schedule. All construction activities will be completed within 5 days starting on 9/12/2018 ARTICLE HI SCOPE OF WORK 3.1. Scope of Work. Subcontractor shall perform the following work ("Work") in connection with the Project: See Exhibit A attached. 3.2. Requirements. Subcontractor shall furnish all labor, equipment, material, and services incidental to, related to, or necessary to complete the above Work, for the above Work to be functional, or where typically provided under industry custom and practice, even if the Work described in the above scope is discussed in other provisions of the Contract Documents or is not specifically called out in any Plans or Specifications referred to herein. All Work shall strictly comply with the Contract Documents for the Project, and with all applicable, codes, regulations, laws and ordinances. ARTICLE 1V CONTRACT DOCUMENTS Ameritrust Master Subcontract Agreement Exhibit A — Scope of Work Exhibit B — Waiver and Release Upon Final Payment Exhibit C — Contractor's Final Payment Affidavit PMB EXHIBIT `B" WAIVER AND RELEASE OF LIEN UPON FINAL PAYMENT The undersigned lienor, in consideration of the sum of the final payment in the amount of hereby waives and releases its lien and right to claim a lien for labor, services, or materials furnished to o Ameritrust Residential Services, LLC » on the job of LSF8 Master Participation Trust to the following described property: INSERT LEGAL DESCRIPTION OF PROPERTY 819 Catalina Dr Sanford Fl 32771 DATED on Biasi Plumbing PMB EXHIBIT "C" CONTRACTOR'S FINAL PAYMENT AFFIDAVIT STATE OF FLORIDA COUNTY OF Seminole County Before me, the undersigned authority duly authorized in the State and County aforesaid to take acknowledgments, personally appeared Biasi Plumbing (the "Affiant"), who, after first being duly sworn, deposed and stated the following: 1. He or she is the Owner/President, of Biasi Plumbing State of Florida, hereinafter referred to as the "Contractor." which does business in the 2. Contractor, pursuant to a contract with ( LSF8 Master Participation Trust ) , hereinafter referred to as the "Owner," has furnished or caused to be furnished labor, materials, and services for the construction of certain improvements to real property as more particularly set forth in said contract. 3. This affidavit is executed by the Contractor in accordance with section 713.06 of the Florida Statutes for the purposes of obtaining final payment from the Owner in the amount of $ 4. All work to be performed under the contract has been fully completed, and all lienors under the direct contract have been paid in full, except the following listed lienors: NAME OF LIENOR AMOUNT DUE 819 Catalina Dr sanford F132771 Signed, sealed and delivered this day of 20 SWORN TO and subscribed before me this day of 120, by who [ ] is personally known to me, or [ ] produced a Florida driver's license as identification. Notary Public Signature: Email: f[orida@ameritrustresidential.com PMB