HomeMy WebLinkAbout900 French Ave - BC18-004644 - NEW ROOF NEW CONSTRUCTIONpx BU ILDING DIVISION
PERMIT APPLICATION
Application No: 1 i_1 y
AA
D ocumented Construction Value: $ 11 Q 0
Job Address: q 0y rC< h /y Historic District: Yes [I NoE) Parcel
ID: S 1 1 - 11 S' I 1 1 () Cj- 0 () f iResidential Commercial Type
of Work: New [.Addition Alteration Repair Demo Change of Use Move Description
of Work: _--"A bt j me'^- cofi 0 (1
Yl-P L,--) 0,0 /ucii 6 Plan Review
Contact Person: Phone: Fax:
Email: Title: Property
Owner
Information Name / CT
C U n.Su %-j n h-t/1 L_ Phone:. Street: ( Ci
u-) 3 g:FD e Id s Resident of property? City, State
Zip: Contractor Information
Name epD
i 04-0 ct.nn` Phone: Street lZ
01 L,) tn e 1 i r.C' l Fax: '-c4C( '{ - City, State
Zip: &-,L U State License No.: Cz__' 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 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. 2
t &-
qq t8
FBC 105.3 Shall be inscribed with the date ofapplication and the code in effect as of that date: 6`, Edition (2017) Florida Building Code
NOTICE: In addition to the requirements of this 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 of permit 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 in order to
calculate a plan review charge and will be considered the estimated construction value of the job at the time ofsubmittal. 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 ofOwner/Agent
Print Owner/Agent's Name
Date
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
c
Signature of Contractor/ ent Date
A 6 ems- S- sto
Print Contractor/Age Name
r
Signature of Notary -State ofFlorida Date
Contractor/Agent is X Personally Known to Me or
Produced ID T
T6`1`011 leTrrlill lPOPU09 0" oao3`
Z 'OZ qe3 satidx3 -wwoo AVy
90560 09 # 1101ssiww00
ePholj to ale1S - oilgnd AMONBELOWISFOROFFICEUSEONLYS3NUVO 'l 13dH31A
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 # of Heads
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
Fire Alarm Permit: Yes []No
WASTE WATER:
BUILDING:
Grant Maloy, Clerk Of The Circuit Court & Comptroller Seminole Countv, FL
Inst #2018088062 Book:9182 Page:1901; (1 PAGES) RCD: 8/2/2018 12:08:38 PM
REC FEE $10.00
THIS INSTRUMENT PREPARED BY: Ci?Riit `Ltd 4
Name: Rodney Jones CLERK U TO','t f tJ{; CC,U(T i ti
Address: •250 Owl Haven Cove gfd000MP1 I'tJ ->t'Q
Geneva; FL 32732 a i iit NTY, FLORIDA
m1pun CLERK
TIC E OW COMMENCEMENT Date-
e';( (
Permit Number. 0
Parcel ID Number: 25-19-30-512-1109-0010
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
1. DESCRIPTION OF PROPERTY: (Legal description of the property and street address if available)
904 French Ave, Sanford, FL 32771
2. GENERAL DESCRIPTION OF IMPROVEMENT:
Renovating Car wash for new office building
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name and address: Adept Consulting 1922 Wingfield Dr. Longwood, FL 32779
Interest in property: Vwner
Fee -Simple -Title Holder (ifother -than -owner -listed above) Name: -N/A
Address:
4. CONTRACTOR: Name: R.W. Jones Construction Phone Number. 407-349-9616
Address: 250 Owl Haven Cove, Geneva, FL 32732
5. SURETY (If applicable, a copy of the payment bond is attached): Name: N/A
Amount of Bond:
r 6. LENDER: Name: N/A Phone Number.
Address:
7. 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)(a)7., Florida Statutes.
Name: R.W. Jones Construction Phone Number 407-349-9615
Address: 250 Owl Haven Cove, Geneva, FL 32732
8. in addition, Owner designates of
to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Phone number:
9. Expiration Date of Notice of Commencement (The expiration is 1 year from 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.
of Ovner or Lessee, or Owner's or Lessee's (Print Name and Provide Signatory'sTitletOffice)
AuthorizedOfficetiDirectoNPartner/Manager) .
State of i /C.l%1/ G. County of -
The foregoing Instrument was acknowledged before me this day of .20
by Who is personalty known to me O OR
Name of person malting statement
v who has produced identifrcationdtype of identification produced:
Deneha Ruth LinkoSNOTARYPUBLIC
STATE OF FLORIDA
K <'GiComm #FF937222 (
WE ° Expires 8/24/2019 Notary Signature
1 ®
AcoRc': CERTIFICATE OF LIABILITY INSURANCE
DATE (MMIDD/YYYY)
04/12/2018
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 have ADDITIONAL INSURED provisions or 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 CONTACT Noel Brown A032583NAME:
PHONE 941-493-1886 IfFAX 941-497-6325A/C NoBrownInsuranceInc.
AADMAIDRRESS: noel@brownins.net1872TamiamiTrailS.
INSURERS AFFORDING COVERAGE NAIC # Suite G
INSURER A: GEMINI INSURANCE COMPANY 10833VeniceFL34293
INSURED INSURER B :
INSURER C : STEPPI ROOFING INC
INSURER D : 3609 OLD WINTER GARDEN RD A9
INSURER E :
INSURER F : ORLANDO FL 32805
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
ADD SUBR
POLICY NUMBER
POLICY EFF -
MMIDDIYYYY(MM/DDIYYYYI
POLICY EXP LIMITS
X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 1,000,000
CLAIMS -MADE a OCCUR
DAMAGE RENTE
PREM SESOEa occurre50,000 MED
EXP (Any oneperson) 5,000 PERSONAL &
ADV INJURY 1,000,000 A30000063489804/16/2018 04/16/2019 GEN'
L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 2,000,000 PRODUCTS -
COMP/OP AGG 2,000,000 XPOLICYPE LOC OTHER:
AUTOMOBILE
LIABILITY COMBINED SINGLE LIMIT E
cident BODILY
INJURY (Per person) ANYAUTOOWNED
SCHEDULED AUTOS
ONLY AUTOS BODILY INJURY (Per accident) PROPERTY
DAMAGE Per
accidentl HIRED
NON -OWNED AUTOS
ONLY AUTOS ONLY UMBRELLA
LIAB OCCUR EACH OCCURRENCE AGGREGATE
EXCESSLIABCLAIMS -MADE DED
I I RETENTION $ WORKERS
COMPENSATION AND
EMPLOYERS' LIABILITY YIN ANY
PROPRIETOR/PARTNER/EXECUTIVE PER
OTH- STATUTE
ER E.
L. EACH ACCIDENT OFFICER/
MEMBER EXCLUDED? N / A Mandatory
in NH) E.L. DISEASE - EA EMPLOYEE E.
L. DISEASE - POLICY LIMIT Ifyes, describe under DESCRIPTION
OF OPERATIONS below DESCRIPTION
OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) ROOFING
CONTRACTOR STATE OF FLORIDA. ALBERT J. STEPPI LICENSE # CCC036967 CFRTIFICATF
HOI DER CANCFLLATION SHOULD
ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN CITY
OF SANFORD BUIDLING DEPARTMENT ACCORDANCE WITH THE POLICY PROVISIONS. 300
N. PARK AVE AUTHORIZED
REPRESENTATIVE SANFORD
FL 32771 Noel Brown / A032583 / @
1988=2015 ACORD CORPORATION. All rights reserved. ACORD
25 (2016/03) The ACORD name and logo are registered marks of ACORD
INSURE STATE CERTIFIED
CCC 036967
STEM ROOFRVG C
3609 Old Winter Garden Rd. Suite A-9 Orlando, Fl 32805
Ph # 407 293 6574 Fax 407 294 3420
Name R W Jones Cott ,gdo—r Location 904 French 1. s datdd, June m;, 201
Owner of Record Address
City Phone Fax
Legal Description Date June 26's 2018
We submit this estimate to install a new modified roof system as per manufacturer's recommended specifications on
new construction as follows:
Install new 1/2" tapered roof insulation behind one 1.5' wall as needed for cricket areas ( plan shows tapered b oard
incorrectly).
Install new fibered cant strip at base of all walls and curbs.
Install new Polyglass Elastaflex nail base sheet mechanically fastened over 5/8" min plywood roofdeck
Install new Polyglass selfadhered modified base sheet over nail base
Install now 26 GA painted galvanized cave edge flashing
Install new Polyglass SAP self adhered modified bitumen granular surfaced cap sheet roof membrane over self
adhered base sheet.
Install new plumbing riserflashing on all riser pipes, supplied by others
Install new galvanized mechanical hood vents on rooftop as needed, to be supplied by others
Install new 26 GA painted galvanized coping cap metal on parapet tops
We Propose to Furnish Materials and Labor as stated above for the sum of
N_ ji ft one hundred & 00/100 Dollars {59,100.00)
Price includes Five-year workmanship warranty With payments as follows: net 15
This Price is good for 30 days and is void thereafter at the option ofthe contractor.
Access to building is implied, and though we will use due care, we will not be responsible for cracked drivewaysIftheowneroragentfailstopayinthemannersetoutabove, the owner agrees to pay interest on the unpaid
balance in the amount of 1.5% per month and the contractor's attorney fee's and costs ofcollection.
Sign all copies and return
AcceptedA'"
Date I 'Lq! ig
I
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date:
I hereby name and appoint: Dar\a.t krs-s
an agent of. I e-U (a 3;t C
Name of Co y)
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):
L The specific permit and application for work bated at:
Street Address)
Expiration Date for This Limited Power of Attorney:
License Holder Name:
State License Number: CCC- O 3 fo c? (
r
Signature of License Holder:
STATE OF FLORIDA
COUNTY OF
The foregoing Alstrumentwasac o vledged before me this day of lV w ei K 20V
t , by - a - t who is.b'personally known to
me or o who has produced as identification
and who did (did not) take an oath. Signature
Notary
Seal) MICHAEL
L. BARNES Notary
Public -State of Florida Commission #
GG 045069 My
Comm. Expires Feb 20, 2021 Bonded
through National Notary Assn. Rev.
08.12) M
j4 o—e ` L- - ,0. --e S Print
or type name Notary
Public - State of rL - Commission
No.- (- 7 O q 5D f My
Commission Expires:
jCR& CERTIFICATE OF LIAR11 ITV 1NC1I12Atdt%C DA1 IMM0D"n)
luuuon
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THISCERTIFICATEDOESNOTAFFIRMATIVELYORNEGATIVELYAMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIESBELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZEDREPRESENTATIVEORPRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the ceraincate holder is an ADDITIONAL INSURED, the POIIGY(les) must be endorsed. If SUBROGATION IS WAIVED, subject tothetermsandConditionsofthepolicy, certain policies may require an endorsement A statement on this certificate does not conferrights tothecertificateholderInlieuofsuchendorsementa). PNDOUCER -
FRSA
Self Insurers Fund, Inc. 4099
Metric DriveCONTCT
Debra Guidry, CPCU FNONE . (
800) 7673772 u a . (407) 671-2520 X.MBL . debra®frSaSltCOm WriterPark, FL 32792 INSURE
a AFFORDINMVE"GENAIC 0INSURER INSUREDStappi
Roofing, Inc. A:
FRSA Self InsurersFun76 INSURER
B : INSURER
C' 3609OldWinterGardenRoadA-9 INauRER
o : Orlando, FL 32805 E :
INSURERNSURER
F : CDVFRAr:FR ncVIJIVN
NUI brit: 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 CERTIFICATEMAYBEISSUEDORMAYPERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONSANDCONDITIONSOFSUCHPOLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSURANCE
I L POLI :Y NUMBER MIN ILYEFPW cyE Ltl11T8 ENERAL LIABUTYEACH
OCCURRENCE S DE OCCUR
R A EreMEDEXP oneNIA MOTHER7PERSONALSADVINJURYSLIMITAPPLIES
PER: C7 LOC
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COMBINED SINGLE LI I T Ea accidentfBODILYINJURY(Per
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OWNED N/A
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diwb. undr DESCRIPTION OF
OPERATIONS bW- NIAN 870-
03332313DY3150 01/01/2018 Di/Ot/2018 R H.
X TATTERE.L.
EACH ACCIDENT 100,000 E.L.
DISEpSE-EAEMPLOVE S iD0.000 E.L.
DISEASE -POLICY LIMIT S 600.000 7-1
1 DESCRIPTION OF
OPERATIONS I LOCATIONS IVEHICLES (ACORDIM, Addldwul rbmarb Schaeub, may W alhalyd S man Rid— Y re"IIW) REMARKS: Non-
canCelable, without 30 days prior written notice, except for non-payment of premium which Wig be a 10 day written notice. t:AN6LLLA
1 IVN Attn: SHOULD
ANY
OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH
THE POLICY PROVISIONS. City Of
Sanford 300N.
Park Ave. Sanford, FL
32772 pebr REPRESENTATIVE Guidry A
Debra GuidryCPCUUnderwritingManager
01988-2014
ACORD CORPORATION. All rlahts reserved. ACORD 26 (
2014/01) The ACORD name and logo are registered marks of ACORD