HomeMy WebLinkAbout20 Towne Center Cir - BC18-000796 - Restroom remodelF"OE3 4111Ell "2 0118 CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No:
Documented Construction Value: S ",00D,00
Job AddreSS: 20 Towne Center Circle Sanford, FL 32771 Historic District: Yes D NOE]
ParcelID: 31-19-305MR-2600,OWO Residential[] Commercial Efl Type
of Work: Ne-,v, El AdditionEl Alterationepait-0 DemoE] Change of Ilse El MoveEl Description of Work:
Restroom remodet only, Replacing finishes and fixtures in the Men's and women's restroorns, Plan Review Contact
Person: Norma Medero for Howl Group z0,I) I'
itle: Pernift
CoordinatorAM Phone: (305)594-
2975 Fax: (305)594-2979 Ernail: iiiiiederoCo))imdgrouparchitects.com Property Owner Information70liin C',
e -0 , I-L-
C , -q43-5 Name S" Hd!, Phone: Street: '450 SOJ14N MO —
lit -1,V0Q-111vC &Vf-r 961c) Resident of property? L City, State Zip: Contractor Information
Name Totiedetermined Phone:
Street: Fax:
City, State Zip:
State License
No,: Arch itect/E ngineer Information
Name- Wilfredo F,Perez Phone: (
305) 594-2975 Street: 10556 NW 26 Street
Suite #DC 101 Fax: (305t 594-2979 City, St, dip; D.,.I,
FL33172 E-mail: hrndgroup@beflsouth,net Bonding Company: Mortgage 1.,ender;
Address: Address: V'\ WARNING TO
O'VN'NER-
YOUR FAILURETO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENT'S
TO YOU'R PROPERTY. A NOTICE OF COMMENCEMENT MUST BE <) RECORDED AND POSTED ONTHE JOB
SITE BEFORE T14E FIRST INSPECTION. tF 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 pentrit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction. I understand that
a separate pernot must be secured for electrical work, Plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and an,
conditioners, etc. IN f1l(' 105.3 Shall be inscribed
vi ith the date of itiplivation and the code in effect as of that date- 5` Edition (2014) Florida Building Cride owt q Revi'ed: June it).
20 15oD-,kTc- 1-:S303 Pernin Application
NOTICE- In addition to the reqUirernents; of this permit, there may be additional restrictions applicable to this property that atay be
found in the public records of this county, and there may he additional permits required faun 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 1,aw, FS 713
rhe city of satifiord requires payment of plan review fee at tile 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 cif 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 tile executed contract exceed the actual construction value,
credit will be applied to your permit fees when tile 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.
W
r Agent I Date
S Name
910 ILL
ek
signature of Contractor.Agent Date
Print Contractor/Agent's Name
SNOtme ot opff "Skate ate at F Rohde- Date signature ot'Notary-State ofFlorida Date
KAT is' L. KIETZMAN
Notary Public - State of Florida
Commission # GG 109240
my Comm Expires Jun 10, 2021Owner !Agerrt is X- Ped a 'till r iio r tfiPlit Wonal Notary Assn. Contractor/Agent is Personally Known to Me or
Produced ID -- Type 01 Produced ID Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: BuildingEl Electrical El MechanicalE] PlurnbingE] Gas[] Roof
Construction Type: Occupancy Use: Flood Zone:
Total Sq Ft of Bldg: in, Occupancy Load: # of Stories:
Next, Construction: Electric - # of Amps Plumbing - 9 of Fixtures
Fire Sprinkler Permit: Yes[] No #ofHeads----- Fire Alarm Permit: Yes[] No[]
APPROVALS, ZONING-.------ UTILITIES:
ENGINEERING, FIRE:
COMMENTS!
WASTE WATER:
BUILDING:
ReN eie& June 30,2015 flemm Application
FEB I Z 2018 CITY OF SANFORD
4_ BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No.
fcr 44
Documented Construction Value: S ",000.00
Job Address: 20 Towne Center Circle Sanford, FL 32771 Historic District: Yes D NO
ParcelID: 32-19-30SMR-2600-0000 Residential 11 Commercial El
Type of Work: NeivEl Addition El Alteration El Repair 0 Demo 11 Change of Useove 11 Description
of Work: Restroom remodel only. Replacing finishes and fixtures in the Men's and women's restroorns, -nn Plan
Review Contact Person: Norma Medero for Haut Group Title: Permit Coordinator Phone: (
305)594-2975 -Fax: (305) 594-2979 Email: nmederoL@hmdgrouparchitects.com P _
T ropeyOwnerInformationName
e- iLa Skv- 1, d5l Phone: '107-q6 3 -Sr 11 (b 0S.)EVIlt street:,,'
4'S0 Sa;.Ak 1(oh -V&vc, U0 Resident of property? mR'A City,
State Zip: 61rlah o Contractor
Information Name
To be determined City,
State Zip: Street:
10556 No/ 26 Street Suite #D-101 City,
St, Zip: coral, FL 33172 Bonding
Company: I=
State
License No.: 3=
Phone: (
305) 594-2975 Fax: (
305) 594-2979 E-
mail: hnidgroup@bellsouth,net Mortgage
Lender: 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. Revised:
June 30, 20 15 OVA Pennit Application Kk'
k-vAn_a\A r(N ts-M a-T C
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 ofContractor/Agent Date
Print Contractor/Agent's Name
signature of Notiry-State of r1orida Date
KATHYLKIETZMAN
Notary Public -State of Florida
S Commission # GG 109240
MY Comm, Expires Jun 10, 2021Owner/Agent is X Per )a omtwlto tMe worol t4ouryksn, Contractor/Agent is Personally Known to Me or
Produced III Type o Produced ID _ Type of ID _
BELOW IS FOR OFFICE USE ONLY
Permits Required: BuildingEl Electrical E] Mechanical o PlumbingE] Gas[] RoofE]
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 0 No D # of Heads — Fire Alarm Permit: Yes [] NoE]
APPROVALS.- ZONING: UTILITIES: WASTE WATER:
ENGINEERING: — FIRE: BUILDrNG:
COMMENTS:
Revisc& June 30,20 15 Permit Application
4_1
FEB I Z 2018 CITY OF SANFORD
4 IL. TIDING & FIRE PREVENON
PERMIT APPLICATION
Application No-
Ck Lobs Documented Construction Value: $ ",000,00
Job Address: 20 Towne center circle Sanford, FL32771 Historic District: Yes 0 NoD
Parcel ID: 32-19-305MR-2600.0000 ResidentialEl Commercial El
Type of Work: NevvEl Addition El Alteration El Repair N DemoEl Change of Use MoveEl
Description of Work: Restroorn remodel only. Replacing finishes and fixtures in the Men's and women's restrooms. 0 I R), J!, rm inav n r,
j
Plan Review Contact Person: Norma Medero for Hard Group Title: Permit Coordinator
Phone: (305) 594-2975 Fax: (305)594-2979 Email: nmedero@hmdgrouparchitects.com
Property Owner lnformationObi
Name 01S 45 ,4 I-L.. Phone: -ZY07- q63- 6_I I -(WSjLlCkwG Street:
SdtA Y4h J7VC, -S-V.* fc 0 Resident of property? City,
State Zip: ddah 0 V1-- 580 Contractor
Information Name
To be determined Phone: Street:
Fax: City,
State Zip: State License No.: Arch
itect/Eng! neer Information Name:
wllfrecloF.Perez Phone: (305) 594-2975 Street:
10556 NW 26 Street Suite #D-101 Fax: (305) 594-2979 Dural,
Fl. 33172 City, St, Zip: E-mail: hmdg,oup@bellsouth.net Bonding
Company: Mortgage Lender: Address-
Address: WARNING
TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED
AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,
CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
Application
is hereby made to obtain a permit to do the work and installations as indicated, I certify that no work or installation has commenced
prior to the issuance of a permit and that all work will be performed to meet standards of all laws regulating construction in
this jurisdiction. I understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces,
boilers, boaters, 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 F
Revised: June 30,2015 Vlw C16X Ikvo permit Application
NOTICE: It) 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 estirnated construction value of the job at the time of submittal.
The actual construction value will be figured based on the current ICC Valuation Table in effect at the time the permit is issued, in
accordance with local ordinance. Should calculated charges figured off the executed contract exceed the actual construction value,
credit will be applied to your pen -nit fees when the permit is issued,
OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will
be done in compliance with all applicable laws regulating construction and zoning.
at re of c Date Signature ofContractor/Agent Dateur /Agent
Print Contractor/Agent's Name
Signature ofFlotary-State of Florida Date
Contractor/Agent is _ Personally Known to Me or
Produced ID _ Type of ID _
BELOW IS FOR OFFICE USE ONLY
PermitsRequired: Building[] Electrical E] Mechanical[] Plumbing[] Gas[] Roof Construction
Type: Occupancy Use: Flood Zone: Total
Sq Ft of Bldg: in. Occupancy Load: # of Stories: New
Construction: Electric - # of Amps Plumbing - # of Fixtures Fire
Sprinkler Permit: Yes El No El # of Heads — Fire Alarm Permit: Yes E] No E] APPROVALS:
ZONING: 4,_2_±-1T1 UTILITIES: WASTE WATER: ENGINEERING:
FIRE: BUILDINQ— COMMENTS*
t-IL 'U0 V\AAV"Dr UL" vy) I Revised:
June 30,2015 Permit Application
FEB I Z 2018 CITY OF SANFORD
J BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No- 21
Documented Construction Value: $ 75,000oo
90
Job Address: 20 Towne Center Circle Sanford, FL 32771 Historic District: Yes El NOD
Parcel ID: 32-19-305MR-2600-ODOO Residential 0 Commercial El
Type of Work: NeNvEl addition El Alteration[] RepairN Demo El Change of Use MoveEl
Description of Work: Restroom remodel only. Replacing finishes and fixtures In the Men's and women's restrooms.
Plan Review Contact Person: Norma Medero for Hind Group Title. Permit Coordinator
Phone: (305) $94-2975 Fax: (305) 594-2979 Email: nrnedero@hmdgrouparchitects.com
Property Owner Information-TOn
Name cry 4`J t .4 1- L p one: Z107
Street: I cl uic -!;v-Ft 960 Resident of property? LL-
City, State Zip: 61yddh lo 1:1- go 80 1
100
City, State Zip:
Name: wllfredr>F.Perez
Street: 10556 NW 26 Street Suite ND-101
City, St, Zip: octal, Ft. 33172
Bonding Company:
Fax:
State License No.:
Phone: (305) 594-2975
Fax: (305) 594-2979
E-mail: hmdgroup@bellsouth.net
Mortgage Lender:
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESUI;r 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
b INANCING, CONSULT WITH YOUR LENDERR 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: 5111 Edition (2014) Florida Building Code
Pevised: June 30,2015 Pennit Application —
7L]
N_OTICE: 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 of the property ofthe requirements of Florida Lien Law, FS 711
in order to calculate a plan review charge and will be considered the estimated construction value of the job at the time of submitt
stTheactualconstructionvaluewillbefiguredbasedonthecurrentICCValuationTableineffectatthetimethepermitisissued,
accordance widt local ordinance. Should calculated charges figured off the executed contract exceed the actual construction vat
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
Rae done in compliance with all applicable laws regulating construction and zoning.
2-111, rl
ature of er/Ageni Date Signature ofContractor/Agent Dater, qukc Pvt c,
a f e",
50% erl/A ent, Print Contractor/Agent's Name
C , Cg , 05 kl) LL-(,
0/1 A
Sf fture or Ne7SUtte bfFlohdzt— Date
KATHY LKIETZMAN
NotaryPublic -StateofFlotida
sComnasion # GG 109240
My Comm, Expares Jun 10, 2021Owner/Agent is X_ Per n xxowmt W00al NotaryArsn.
Produced ID _ Type o
Signature ot'Notary-State of Florida Date
Contractor/Agent is _ Personally Known to Me or
Produced ID _ Type of ID _
13ELOW IS FOR OFFICE USE ONLY
Permits Required: Building[] Electrical E] MechanicalE] PlumbingE] Gas[:] RoofE]
Construction Type: Occupancy Use: Flood Zone: -
Total Sq Ft of Bldg: in. Occupancy Load: # of Stories:
New Construction- Electric - f/ of Amps Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes D No # of Heads - Fire Alarm Permit: Yes [] NoEl
APPROVALS: ZONING: UTILITIES: WASTE WATER:
ENGINEERfNG: FIRE: BUILDING:
COMMENTS:
Revisc& June 30,2015 Perron Application
FEB I Z 2018
LtLi I rca_l
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No- _Is --
Documented Construction Value: $ ",000,00
Job Address: 20 Towne Center Circle Sanford, Ft. 32771 Historic District: Yes 0 No
ParcelID: 32.19-305MR-2600-0000 Residential 0 Commercial El Type
of Work: New Addition El Alteration El Repair 0 Demo El Change of Use El MoveEl Description
of Work: Restroom remodel only. Replacing finishes and fixtures in the Men's and women's restrooms, Plan
Review Contact Person: Norma Mederci for Hmd Group Title: Permit Coordinator Phone: (
305) 594-2975 FaX: (305)594-2979 Entail: nmedero@hmdgrouparchitects,com Pr _
operty Owner Information T Dvnd M\WLD AkA QjWV1(ZW W0 Name
e- z10q6 3 --t JT 5,gI — Phone: 7- Eft Street: "4-
SdA1 Ohl eltUc V , fc, 960 Resident of property? 6S V,, City, Mate Zip:
01`10h o Name To be
determined Erm City, State
Zip;
Name: Wilfredo F.
Perez City, St, Zip:
Coral, FL 33172 Bonding Company: NMMMRZ
a Phone:
Fax: State
License
No.:
M= Phone: (305)
594-
2975 Fax: (305) 594-
2979 E-mail: hmdgroup@bellsouth.
net Mortgage Leader: Ift
WARNING TO
OWNER:
YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENTMAY 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
Shelf be inscribed with the date of application and the code in effect as of that date: 5"' Edition (2014) Florida Building Code Revised: June&A,
Permit Application 30, 2015 0 —V L b
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 ofthis 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 oftile requirements of Florida Lien Law, FS 713.
The City of Sanford requires payment ofa plan review fee at the time of permit submittal. A copy of the executed contract is required
in order to calculate a plan review charge and will be considered the estimated construction value of the job at the time of submittal.
The actual construction value will be figured based on the current ICC Valuation Table in effect at the time the permit is issued, in
accordance with local ordinance. Should calculated charges figured off the executed contract exceed the actual construction value,
credit will be applied to your pen -nit fees when the permit is issued.
OWNER'S AFFIDAVIT: I certify taut till 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 Contractor/Agent Date
Print Contractor/Agent's Name
Signature of Notary -State of Florida Date
KATHY L. KIETZMAN
Notary Public - State of Florida
CO-allssital itGG 109240
MY Comm, Expires Jun 10, 2021Owner/Agent is X- Per lowwld WOMINOtaryAun. Contractor/Agent is Personally Known to Me or
Produced ID - Type of Produced ID - Type of ID _
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building[] Electrical El MechanicaIE] PlunibingE] GasE] RoofE]
Construction Type: Occupancy Use: Flood Zone: -
Total Sul Ft of Bldg: in. Occupancy Load: # of Stories:
New Construction: Electric - # of Amps Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes El No # orHeads Fire Alarm Permit: Yes E] NoE]
APPROVALS. ZONING: UTILITIES: WASTE WATER:
ENGINEERING: FIRE: BUILDING:
COMMENTS:
Rv 4scd: June 30,2015 E'er uft Application
Blanton, Deborah
From: Riley, Sandra <SRiley@seminolecountyfl.gov>
Sent: Friday, March 02, 2018 12:00 PM
To: Alan Black
Cc: Blanton, Deborah; Bland, Annette
Subject: RE: Road Impact
Good Afternoon,
The permit for the Red Lobster bathroom will not have any additional Seminole County impact fees for this project.
Please let me know if you have any questions,
Sa*L&rO., Rut)
F1 rog r a r,,n ihvl t i; i a r 1 E Ie c I,- ro n, Ye. P I fu, i IR, e vi ew A 3 a n, i is t r, a t o r
Planning & Development I AyLlding PerrWitting I ePlan Applicant User Guide I How to Apply Online Guid for BU-1 I
Permits I ePlan Video Tutorials I ePlan Login PMe I plannin Nid Div
Forms pDd Applications
g & Development Review Division Processes I ___Z_l
From: Alan Black [mailto:alanblackconstruction@gmaii.com]
Sent: Friday, March 02, 2018 11:22 AM
To: Riley, Sandra <SRiley@seminolecountyfl.gov>
Subject: Road Impact
A
As we spoke about on the phone, I ain the contractor for the Restroom Remodel at the Red Lobster in Sanford,
permit # 18796.
Briefly, this involves interior remodeling only with no changes to the footprint. We are changing tiles,
countertops, and stall partitions.
Thank you
Alan Black
Florida has a very broad Public Records Law. Virtually all written communications to or from State and
Local Officials and employees are public records available to the public and media upon request. Seminole
County policy does not differentiate between personal and business emails, E-mail sent on the County system
will be considered public and will only be withheld from disclosure if deemed confidential pursuant to State
Law.****
I
ME INSTRUMENT PREPARED SY: GRANT NALOYP SEMINOLE COUNTYName: Alan Black
Addres-- A992 N _04.1ion Or #1 O:L_ CH'RK OF CIRCUIT COURT & COMPTROLLER
BK 9174 Per 1095 (Wqs)
CLERK'S AV 2018082102
State of Florida RECORDED BY lidevore
County of Seminole
Permit Number. Parcel to Number 3o P'2.4 ao -eccc
GENERAL DESCRIPTION OF IMPROVEMENT:
Men's and Ladies'Restroom Remodel
no
ifother than
f&k4j
CONTRACTOR:
Name: Alan Black Construction, Inc
Address: 4W 1 'iation r#102, Delray Beach, FL33445
Persons within the State of Florida Designated by Owner upon whom notice or other documents may be servedasprovidedbySection713.13(l)(b), Florida Statutds
Name:
Address:
In addition to himself, Owner Designates
Section 713.13(l)(b), Florida Statutes,
Expiration Date of Notice of Commencement (The expiration date Is I year from date of recording unless adifferentdateIsspecified)
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 1, 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 ATTORNEYBEFORECOMMENCINGWORKORRECORDINGYOURNOTICEOFCOMMENCEMENT,
Under penalties of perjury: I de re that I have read the foregoing and that the facts stated In it are true
to he bets IF In knowle flat.
tisd R6 5544,
r' are Owner's printed Non)
foridestet e 7 .131)(g:'Th owner at sign the notice of commencement and no one etse maybe permitted to sign intesorher Stood'
State of County of to te,
The foregoing Instrument was acknowledged before me this 0Hday of Lod-g
by tT t1.Yfied Who Is personally known to meRNameofpersonmakinglement — -----
OR who has produced IdenfificationEl type of Identification produced:
110% go is -do 0
KATHY L. KIETZMJAN
0N FloridaNotaryPublic - State of Florida0 Commission # GG 109240092
7Y My 1 0 0MYComm. Expires Jun, 10,2021
BBordedthmughNatt'onaiNctaryA$sn. ctNotary Assn
DATE:
BUSINESS/PROJECr NAME:
ADDRESS: —D--c
CONTACTNAME:
CITY OF SANFORD BUILDING AND FIRE PREVENTION DIVISION
FIRE PLAN REVIEW SERVICE FEES
PHONE: 407.688.5052
FAX: 407.688.5051
C -
PERMIT NUMBER:
PLAN REVIEW INFORMATION
ksT RUCTION []C/O [IFIREALARM [IFIRE SPRINKLER []HOOD ]PAINT BOOTH AN DOES
20% REDUCTION IN FIRE IMPACT FEES APPLY: YES NO TOTAL
FEES:42:5
herewith as per your request under separate via cover
For your:
El review approval use
El record Ej information N distribution to parties
El other
The following:
drawings Ej blueprints El shop drawings
signed/sealed drawings E:1 disk/cd 1 specifications
El reproducible drawings 1:1 samples El change order
other-
iesDate Rev. No.. Descri tion
5 11/20/2017 1 Signed and sealed sheets C,A9.1, A9.2, A93,
City of Sanford Building Permit Application.
Copy of approved proposal for your records,
COMMENTS: Tom,
Enclosed find requested documents for your submittal. Please let us know if you need anything
further. Thank you.
architecture interior design corporate planning
10556 n.w. 26 street, suite d-101, doral, fl 33172 phone 305,594.2975 fax 305.594,2979
email hmdgoupCa)beIlsoufh,net web wvvw.firiidgrouparcPiitects.com
License # AA F000074
INSPECTION SEQUENCE
BP# 18-796 1
IMIGHWO&M
BUILDING PERMIT
Min Max Invivetion Descri tion
Footer / Setback
Sternwall,
Slab "' Mono Slab
Lintel / Tie Beam / Fill J Down Cell
Sheathin — Walls
Sheathing, — Roof
Roof Dry In
To— Frame
Insulation Rough
Firewall Screw Pattern
Lath Ins ection
Building CeilingAir Barrier
Insulation Roof (Corn'l)
Buildin Ceiling Grid.
Final Roof
Tin —al Stucco / Sidin
Final Insulation
Final Firewall
Final Door
Final Window
Final UtjjjjLBuildin....
Final Screen Structure
Final Pool Screen Enclosure
Pre -Demo
Final Demo
Final Single Familv Residence
Final Commercial —
1000 Final Commercial — Addition / Alteration
Final Commercial — Chan of Use
Final Building (Other
General Services Agreement Proposal
Section 1. Vendor shall perform the Services at Company's restaurant operating under the name of Red Lobster, # 848
and located at 20 Town Center Circle, Sanford FL 32771 ("Restaurant, City & State").
Section 2. Vendor shall itemize all costs of materials, labor, permits, taxes, equipment rental fees, and any other costs
for the Services, All Services described in this Proposal shall be performed in a manner that vAll not disrupt the normal
operations of the Restaurant. Upon acceptance of the Proposal by Company, Vendor shall contact the Restaurants general
manager and/or the Facility Manager to schedule a time to perform the Services.
Section 3. Upon acceptance by Company, Vendor shall perform the Services described in the Scope of work as described
in this section or as attached hereto as a breakdown sheet. Company shall pay Vendor the total Price for Services actually
rendered by Vendor upon receipt of Company Invoice Package.
other: Restroom Remodel as per HMD Plans and Local Codes.
Supply All Labor, Materials, Plumbing, Electric, Fixtures, and Tiles as Per Specs and Drawings. Relocate Plumbing as
Required, Re -Construct Men's Room Wall, Install New Woodwork in Halfway, Exclude Restroorn Doora.
Mailterials & Sales Tax
Cost of Labor
Cost of Permits $
Equipment Rental 0 —0-00
Tax Remitted to State I —
Total Price $73,&40.00
Section 4. The Services Will commence within 30 days of Vendor's receipt of an a Purchase Order issued by Company
and the Vendor will complete the Work no later than 90 days after the work has commenced,
Section 5, Does Vendor qualify as a minority vendor under federal law? —_ (Yes or No)
If yes, — MBE — WBE — OTHER enter — Eertificate Number
Red Lobster Hospitality LLC
Address: Red Lobster Vendor -,Alan Black ConQfntr-finn
Aftn- Facilities Dept. ;3P.O. Box 4969 Signed By:
Orlando, FL 32802
Print Signature Name:Alan Black
Phone 407-245-5040 Full Address:4992 N Citation Dr #102 Deis r Beach FL 33446
Phone; jg§jjjA§:4M
Fax:
General Services Agreement Proposal Rev. 7-27-14
Residential 1:1 Commercial 11
Type of Work NevvEl Addition [:1 Alteration 9 RepairE] DenmE] Change of UseE] Move [:1
Description of Work: Installing new plumbing fixtures in bathroom
IMMUM
Phone. 954-7984,880
1111, "1',-,' ---1— Fay.
Property Owner Information
Title- Contractor —
Naore Darden / Red Lobster Phone:
Street: Resident of property?:
City, State Zip:
Contractor Information
Name Alan Black Phone: 954-798-4880
Street: 6300 NW 2nd Ave #210 Fair:
City, State Zip: Boca Raton, Florida 33487 State License No.:
nLA-b ect-) lya.0 01z'
Nam,. Phnv.
zmffiffa
Bonding Company:
Address:
Fax:
E-mail:
76)f ob
Mortgage Lender:
WARNING TO OWNER: YOURfAILUMTO RECORD A NOTICE OF COMMENCEMFNT MAY RESULT IN YOUR PAYING
TWICX FOR IROVFAENTS", YOUR PROPE WrY, A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED
ON THE JOB SITE BEFORE THE Ili SST INSPECTION. IF YOU INTEND TO OBTAIN FtNANCINCI, CONSULT WITH
YOUR LEE ER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT Appliattion
is hereby made to obtain a permit to do the work and instAlations as indicated. I cert4 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 regtdatin g constructionin this jurisdiction. I understand that a
separate permit must be secured for el"Ir" work, plumbing, signs, wells, pools, furnaces, bodem heatem ranks, and air conditioners, MM
Fk 105.3 Shall he inscribed with the to of application and the code in of as of that date: 01 Edition (2017) Florida Building Code
E, In addition to the requirements ofthis 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 per., required from other governmental entities such iLs water management districts, state
agencies, or kderal agencies.
Acceptance of Ivrinit 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 three (if 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 1CC Valuation Table in eflact at the time the permit is issued, in accordance with local ordinance. Should calculated
charges figured offthe executed contract exceed the actual construction value, credit will be applied to your permit fees when the permit is issued,
OW'N I 'IS 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 OwncrtAgent Date Signature of Contractor/Agent Date
Print Owner/Agent's Narne +Pifit Contractor/Agent's NNamerr "r
eaofk4ary4M Florida DateSignatureofNotary -State of Florida Date Si, cure of Not of florida
Owner/Agent is —_ PersonaHy Known to Me or Contractor/Agent is eple rsonally Known to Me or
Produced ID __ Type of ID Produced, ID Type of ID
in#* $prxy
NOTARY PUBLIC
STATE OF FLORIDA
Cotoff* FF974"l
EVIros 3123/2020
Permits Required: Building El Electrical 11 Mechanical E] PlumbingEl Gas El RoofEl
Construction Type:— — Occupancy Uw. Flood Zone: —_
Total Sq Ft of Bldg: Min. Occupancy is # of Stories.:
New Construction: Electric - # of Amps______ Plumbing - # of Fixtures_ ---
Fire Sprinkler Permit: YesE]NoEl # of Heads Fire Alann Permit: Yes E] NoEl
APPROVALS: ZONING: UTILITIES:
ENGINEERING r FIRE:
WASTE WATER:
BUILDING:
SCPA Parcel View 32-19-30-5MR-2600-0000
j!rppgLjy,jRLqcart C,a.rd
Parcef 32,19-30-5MR-2600 0000
Property Address 201'OWNECENT ER CR SANFORD, FL 32771 Value
Summary 00-
0000 2018 Working 2017 Certified R
OWNER LLC Values
Values Valuation
Method ER
Costr1darket
Cost/Market CIF
SANFORD, FL 32771 Number
of Buildings 1 1 ALIAS,
TX 75380-0729 Depreciated
Bldg Value 680,947 668,024 E
Depreciated EXFT Value 55,995 58,204 Land
Value (Market) 1 ,729,055 1,680,870 Land
Value Ag Ls1/
Mark,0 Vanuo 2,465,997 2,407,098 Portability
Adj Save
Our Homes Adj 0 0 Amendment
I Ad 0 0 P&
G Adj 0 0 Assessed
Value 2,466,997 2,407,098 Tax
Amount s4thout SON, $45,834.00 EZ3
458 3400 Tax
Save
Our Homes Savings, $0,00 Does
NOT INCLUDE Non Ad Valorem Assessments Legal
Description TRACT26
SEMINOLE
TONE CENTER REP NO 2 PB
49 PGS 27 THRU 29 Taxes
Taxing
Authority Assessment Value Exempt Values Taxable Value County
General Fund 2,465,997 0 2,465,997 Schools
2,465,997 0 2,465,997 City
Sanford 2,465,997 0 2,465,997 SJWM(
Saint Johns Water Management) 2,465,997 0 2,465,997 County
Bonds 2,465,997 0 2,465,997 Sales
Description
Date Book Page Amount Qualified vactimp SPECIAL
WARRANTY DEED 1011/2016 l2, 5,926,600 No Improved SPECIAL
WARRANTY DEED 7/1/2014 3,683,700 No Improved SPECIAL
WARRANTY DEED 5/1/2008 Q7020 345b 100 No Improved SPECIAL
WARRANTY DEED NI/1995 1,282,800 No Vacant arceldetall.
sepafl.org/ParcolDetailinfo.aspx'?PID=3219305MR26000000 1/2
ALL ABOUT PLUMBING OF
GREAllATER ORLANDO, INC
825 E SR 434
Winter Springs, FL 32708
407 366-0067
MOM
Xv ALL ABOUT
PLUMBING
OF ORLANDO
DATE ACTIVITY ACTIVITY RATE
07/18/2018 Joe Renovate men's and ladies restrooms. 5,000.00
Pull and reset new fixtures in men's and woman's restroom
2 lays and 1 AA lav and 4 toilets in woman's restroom
2 lays and 1 ADA lav and 2 toilets and 2 urinals in men's
restroom.
Install all contractor supplied fixtures and faucets.
This work to be performed after hours at timely fashion.
07/18/2018 Fixtures Customer to supply the following fixture. All About Plumbing 0.00
does not offer a warranty or assume any liability for the
material supplied by others.
07/18/2018 Disdalmer Disclaimer - Disclaimer - I hereby authorize the work 0.00
described above and agree to the terms and conditions as
stated on this form, I recognize that aged and deteriorated
plumbing, fixtures, piping and appurtenances may no longer
be serviceable, and I agree to hold All About Plumbing of
Orlando,Inc. blameless for any damage or destruction to
those items as a result of these conventional repair efforts. I
agree to pay for all work, goods and services received. A
service charge of 1 % per month (18% per annum) will be
charged on all balances 30 days or more past due.
M
14M
We gladly accept Visa / Mastercard. For charges over $500.00 PAYMENT 3,000.00
a 3% processing fee will be added to the total amount due.
Thank You for choosing All About Plumbing of Orlando!
TOTAL DUE $2,000.00
Disclaimer - I hereby authorize the work described above and agree to the terms and conditions as stated on this form. I
recognize that aged and deteriorated plumbing, fixtures, piping and appurtenances may no longer be serviceable, and I agree to
hold All About Plumbing of Orlando,blameless for any damage or destruction to those items as a result of these conventional
repair efforts.
BUILDING PERMIT - 18-796
CITY OF
PERMIT APPLICATION
WILDING DIVISION
Application No:
Documented Construction Value: $ 0 _0
job Address: _ 20 1`01IN2 CENTER CIR Historic District: Yes D NOO
Parcel ID: ResidentialEl Commercial M
Type of Work: New 0 Addition at AlterationEl Repair 0 DemoEl Change of Use [] Move 11
Description of Work: e are ,,, jjjL__s 3 new hand
dr rs and Inew GPI outlet under the sink for automatic faucets to plug into. WE ARE ATTACHING 0 BUILDING NORMIT 18-796
Plan Review Contact Person- —_ BEN EVERARD Title.
Phone: 407 654 0155 Fax: 407 654 1455 Email: INSPECTIONSOPPIPUTELECTRIC . COM
Property Owner Information
Name Phone.
Street- Resident of property?:
City, State Zip:
Contractor Information
Name BRIGHT FUTURE ELECTRIC LLC Phone: 407 654 0155
Strt: 630 KAGUIRE RD FaW 407 654 1455 eecity,
state zp: ECO002131
uOCOEE
FL, 34761 State License No,- Architect/Engineer
Information Name, Phone:
Street: Fax!
City, St,
Zip: E-mail: Bonding Company:
Mortpge Lender. Addresw, Address:
WARNING TO
OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESUIN IN YOUR PAYING T'WICE
FORIMPROVEMENTS 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, CONSIJI.,r WITH YOUR
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT AppliCaLion is
hereby made to obtain a permit to do the work and installations as holicatexi, I certify that no work or installation has commenced prior to the
issuance of a permit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction. I understand that a
separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, beaters, tanks, and air conditioners, etc.
FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 6111 Edition (2017) Florida Building Code
NO -[I In addition to the requirements ofthis permit, there may be additional restrictions applicable to this property that maybe 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 of the property of the requirements ofFlorida 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 III 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 RXValuation 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 tie applied to your permit fees when the permit is issued. QlArNEW
j_ALF'IDAr'r: Icertify that all of the foregoing information is accurate and that all work will be Ar_ donein
compliance with all applicable laws regulating construction and zoning. ov of
Co 7 SignatureofOwner/Agent Date Signature ofC o Iwcton• SgrnlDate g 'grt" Allen Mcca
n Print Owner/
Agent's Name Signature of'
Notary-State of Florida Dare 17te Owner/Agent is —
Personally Known to Me or tlly 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 El Mechanical El Plumbing [I Gas [-I Roof [:1 Construction I ccupancy
Use: Flood one: Total SqFt of .
eMin, Occupancy Load; Storres:--- New Construction: Electric - #
of Amps----,--- Plumbing - # of Fixtures ---,—.-,,— Fire Sprinkler Permit:
Yes [J No # of Heads Fire Alarm Permit: Yes E] No APPROVALS: ZONING: UTILITIES:
WASTE WATER - ENGINEERING: FIRE: BUILDING:
COMMENTS: