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HomeMy WebLinkAbout152 Woodridge Trl-(15-2520) stop w/o (15-2417)Job Address: Nam'_ AUG 4 2015 CITY OF SANFORD 4111-DING & FIRE PREVENTION 1 J -'y PERMIT APPLICATION Application No: 15, v� Documented Construction Value: $Z'Kb:i 6-1 � cf r�. 3211� Historic District: Yes No Parcel ID: 32-1 q _ W - 5G S _ OOfo — 02-7 0 Residential 9 Commercial ❑ Type of Work: New ❑ Addition ❑ Alteration 1�71 Repair ElDemo ❑ Change of Use ❑ Move ❑ Description of Work: f i c1, A ' r4 t-)-y`st , � rA0, Plan Review Contact KA.C4 �, �2 � �b Title: [ �cs" lIPerson: Phone: y�� •`'�V 7 35 I`� Fax: ���.ZZ�. `{�`i Fi Email: CA &1• rnfo r AA . Ga," Property Owner Information Name .Darya S,n�( nyo n ir) cr Phone: 407S -41 -4 8 E) Z Street: 162 w (XA K I l(Q' 71 • Resident of property? City, State Zip: t�'(� i1�UY(� , R_ SZ71 1 Contractor Information Name CoLpn Wi is C -ors S Phone: 40 4 - za& Li (Q4 S Street: I a.18 Pa_hA U ill' m s I` • Fax: qo- " a ae - q (O 4 8 City, State Zip: 0 r� an do �1. 3 210a State License No.: 66C0 S 8 9 9 Name: Street: City, St, Zip: Bonding Company: Address: Arch itect/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. 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 Revised: June 30, 2015 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 in be done in compliance with all applicable laws regulating con; 04 Q-C�k� -7 28 Signature O er/A nt Date /Satu. tion is accurate and that all work will ion a oning. �J3 (is of Contractor/Agent Date Dana Scot/ n ner K. 0, 6 I /1'1. Print Over/Agent's Name Print Contractor/Agent's Name � ANGELA HARMS NOTARY COMMISSION It FF222075 - PUBLIC �1 STATE OF EXPIRES May 23, 2019 FLORIDA, BONDED THROUGH qw, RU INSURANCE COMPANY —I,;�.,Yl ,..., — . I-..-- YUQIT Gil Notary Public • State of Florida • Commission 0 FF 230415 My Comm. Expires May 13, 2019 •fill t`��'�� Bonded ftouoh Natiagl Notary Assn. Owner/Agent is /\ Personally Known to Me or Contractor/Agent is A Personally Known to Me or Produced ID Type of ID Produced ID Type of ID BELOW IS FOR OFFICE USE ONLY Permits Required:._Building Electfical _Mechanical Plumbing❑ Gas[] Roof ❑ Construction Type: Total Sq Ft of Bldg: Occupancy Use: Min. Occupancy Load: New Construction: Electric - # of Amps Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads APPROVALS: ZONING: B GUTILITIES: ENGINEERING: COMMENTS: FIRE: Flood Zone: # of Stories: Plumbing - # of Fixtures, Fire Alarm Permit: Yes ❑ No ❑ WASTE WATER: BUILDING: <r Revised: June 30, 2015 Permit Application } Revision ❑ City of Sanford Response to Comments El/ Building & Fire Prevention Division SEP 14 2015 Ph: 407.688.5150 Fax: 407.688.5152 Email: building@sanfordfl.gov 4"--L Permit # /GJ —o9 9�D Submittal Date q J 1 LIl /Is Project Address: 1,502 uV ood , ?M'd ee- r' . Contact: rl U*u e Y it. t ntff u ``II / Ph:_g03-' 61�.��9y Fax: � 03-o2o29-Ll oLis Email: Ca r'1 . ra �o ei P'i�i I Coro Trades encompassed in revision: General description of revision: V Building C a raaP Qenova hbn ❑ Plumbing ❑ Electrical ❑ Mechanical ❑ Life Safety ❑ Waste Water g ROUTING INFORMATION Department Approvals ❑ Utilities ❑ Waste Water ❑ Planning ❑ Engineering ❑ Fire Prevention 0 Building CITY OF SANFORD ; I - BUILDING AND FIRE PREVENTION DIVISION 300 N. PARK AVENUE SANFORD, FLORIDA 32772 PHONE: 407.688.5150 FAx: 407.688.5152 PLAN REVIEW COMMENTS Application Number: 15-2520 Date: August 26, 2015 Contact Person: Rafael Prieto Contact Fax Number: Contact E-mail Address: capri.rafaelODgmail.com Project Description: Residential Alteration Job Address: 152 Wood Ridge TO The following is a list of the areas of the submitted plans that contained violations of the codes adopted by the City of Sanford and enforced by the Building Division. The violations noted must be addressed before the plans can be approved. Changes to plans shall be submitted on the same size format as the original submittal. Changes to construction documents that require an Architect or Engineer's seal must be submitted with the appropriate seal. Provide two copies of affected plan sheets and/or supplemental information as requested. COMMENTS: 1. The entire altered space is considered habitable space. Receptacles are required to be installed so that no point measured horizontally along the floor line of any wall space is more than 6 feet from a receptacle outlet (6' —12' rule). Please revise the drawing to reflect this requirement. FBC 107, FBCR E3901.2.1 2. All new installed branch circuits supplying the altered space shall be protected by a combination type arc -fault circuit interrupter. Please place a note on the plans reflecting this requirement. FBC 107, FBCR E3902.12 3. All new installed receptacles are required to be tamper -resistant. Please place a note on the plans reflecting this requirement. FBC 107, FBCR E4002.14 4. The plans depict a dedicated receptacle for a refrigerator. Please provide the total number of amps for this dedicated circuit for clarification. FBC 107 5. Converting the garage space to habitable space also converts the exterior door to a required egress door. Egress doors accessible from grade level require a wall switch controlled lighting outlet to provide illumination on the exterior side of the door. Please revise the drawing to reflect this requirement. FBC 107, FBCR E3903.3 6. The existing garage space is required to have at least one wall switch controlled lighting outlet. Please revise the drawing to reflect this requirement. FBC 107, FBCR E3903.3 7. The existing garage space is required to have at least one receptacle, GFCI protected, in addition to any provided for specific equipment like a water heater. Please revise the drawing to reflect this requirement. FBC 107, FBCR E3901.9 -1- 8. The door between the garage and ,converted habitable space is required to be solid wood, steel or 20-minute fire rated equipped with a self -closing device. Please provide the type of door that will comply with this code requirement on the plans. FBC 107, FBCR R302.5.1 9. The exterior walls of the new conditioned space, as well as the wall separating the existing garage space and conditioned space are required to be insulated. Please provide the insulation R-value and type of insulation that will be used on the construction drawings. FBC 107, Florida Energy Conservation Code Chapter 4 10. The attic/ceiling space over the new conditioned space is required to be insulated. Please provide the insulation R- value and type of insulation that will be used on the construction drawings. FBC 107, Florida Energy Conservation Code Chapter 4 11. Please provide how the conditioned space will be heated and cooled. Any new duct work must be indicated on construction drawings, including the size of duct and register size/location for both supply and return air. FBC 107, FBCR R303.9 12. Please provide an interior non -bearing wall detail that provides the spacing of studs, and the attachment of the top and bottom plates, for clarification. FBC 107 **Incomplete Plan Review, based on the missing and inconsistent information.** ***Please note all aspects of the project will be required to be completely visible for inspection.*** Any error or omission in this plan review shall not be construed to grant approval of any violation of any of the adopted codes or municipal ordinances of this jurisdiction. Please direct any questions you may have to Steve Morey at 407-688-5065 or by E-mail at steve.florey@sanfordfl.gov. Respectfully, Steve Fiorey Residential Plans Examiner -2- LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: B% L/ I f 5 I hereby name and appoint: 0,('Z'61iQL e0LS}Qf'Q QA an agent of: C. p r 1 Colgh-a c+01 S (Name of Company) 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): ❑ The specific permit and application for work located at: 1.5 Ul000l R.;daP +r /. Sa► Cord (Street Address) Expiration Date for This Limited Power of Attorney: License Holder Name: 9!24o -eQ M . Pn ��o State Licens Signature of STATE OF COUNTY( The foregoing ins�4JJ ment was knowledged before me this day ofe�S`i 204, by KA&-9L. %�� Tlt who is personally known to me or ❑ who has produced identification and who did (did not) take an oath. (Notary Seal) ♦,4/�� p!�I•�,y YU017 GIL Notary Public - State of FlorWa • ' •= Commission #► FF 23044 My Comm. Expires May 13. 2019 %Fa. .•� ea�ded�,pgtior,al Assn. (Rev. 08.12) _ 0 S Unature V 0 �Vp,fl— 6"IL Print oritype name Notary Public - State of kelerOff Commission No. fF,230YYy My Commission Expires: as CAPRI CONTRACTORS INC.. PROPOSAL FOR GENERAL CONTRACT WORK_ PROJECT: Scovanner Garage 152 Woodridge Trail Sanford, FL 32772 Customer: Dana Scovanner Date: 6/12/2015 1) We hereby propose to furnish labor and materials for the lump sum of: Fifteen Thousand Nine Hudred Sixtv Eight Dollars and Zero Cents 2) Scope of Work: Garage Addition including labor and material for the following items: - A/C 700.00 Bench & Shelves 1,000.00 Carpet Allowance 650.00 Electrical 1,150.00 Framing & Drywall 3,910.00 Insulation 460.00 Painting 1,400.00 Tile Allowance 850.00 Trim Allowance 1,380.00 Wood Frame Door 1,300.00 Miscllaneous 500.00 Supervision 1,000.00 Profit & Overhead 1,668.00 Total 15,968.00 Respectfully submitted. - Rafael M. Prieto - President Capri Contractors Inc. 1218 Mt. Vernon St. Orlando, FL 32803 Phone:407-228-4645 Fax:407-228-4648 License CGC 058997 If you have any question, please do not hesitate to contact Rafael Prieto at (407) 467-3594 fir. ».. .... ' /�-252 � li�lll iilil Bill liiil illl lilli fill till l`ARYANNE MORSE? SEMINOLE COUNTY THIS INST ��QQE��JJ',,T,R€P,[�RE B : I ,� CLERK OF' CIRCUIT COURT & CONF'TROLLER Name:C Cii�.l tJl XkS�—U rGI n.{ BK 8��24 Fs 1449 (iF'3s ) Address: CLERK'S a 2015087586 Or &0Y-) cto 4q. 32,903 'RECORDED 08/10/2015 02.52-114 FIN NOTICE OF COMMENCEMENT RECORDED YEhdevoi-le�ll� State of Florida County of Seminole Permit Number: Parcel ID Number: 32 - 1 ✓ 30- 56S�-000Q -0270 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) LnT 21 �' LESS 5 25 FT P09 P- 1CA`(WOOD RC —PLAT E13 3o P61s 2-7 ci 28. GENERAL DESCRIPTION OF IMPROVEMENT: �? Ene-losin 1201`f or) Of a n6c -for egfra r om (p1a`frOcrn/ vnerrxo;r,) OWNER INFORMATION: Name: nQ o Q SGOVGL n n-er Address: 152. _VV L)Q . I21 CAQ e- -4-1. SG(rl �r�, 3271 Fee Simple Title Holder (if other than owner)�Name: CO Address: 1_4-1 Q 1 1120171 V (—'F-1) U1) > I . %JFf LJ Y-Ir.10 A--1. S/Xt7 5 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 of 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) 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. Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in it are true o he best knowledge and belief. Dana 5cyyanner er's Signature Owners Printed Name .,-id Stat 13.13(t)(g); `The owner must sign the notice of commencement and no one else maybe permitted to sign in his or her stead. - State of L. County of M V. The foregoing tJ�/-' f � Instrument was acknowledged before me this i-day of �(([L� � 20 by Q Jcc)ycL oer Who is personally known to mex Name of person making statement OR who has produced identification ❑ type of identification produced: R RECORD COPY 7" DUCT CONNECTED TO PLENUM / MOVE EXISITING EXISITI ELECTRICAL WH 3'"11' PANE 4'-5" 7'-4" NEW CI]OSE m VENT 8"X12" � EXISITIDOOR 1 TO REM IN 3'-11" 36" 1 �W D z 0 12"X12" RET Jp JUMPER �Q 12 �D -0" 5' I1" ALL NEW I NEW WILL BE T 13'-11" RESISTAN EXISITING A/C DROP 0 k EXISTERIOR AND NEW INTERIOR WALLS WILL BE INSULATED WITH LOS ET R15 4'-4" ATTIC/CEILING WILL BE INSULATED WITH R30 '-10 SOLID D DOOR (A SELF G DEVICE 36" NEW GFCIlb NEW NON BEARING INTERIOR WALL '/ WH NEW BRANCH CIRCUIT NEW as NEW PLACE FOR WH TO BE ARC -FAULT COMBINATION TYPE NEW LIGHT BREAKER NEW 20A CIRCUIT FOR REFRIGERATOR EXISTING WINDOW TO REMAIN s IEXISTING GAGARE DOOR TO REMAIN _ C O acdPe w�c C.aEE Co►.tiJE2.sl0►J covxm wtTN 2014 Fee. P..f$ID"lv, Zol1 tJF-C Co1>f'S 1EVIEWED FOR CODE COMPLIANCE ~ SANFORD BUILDING DIVISION • PLANS EXAMINER _ g N PERMIT ISSUED SHALL BE CONSTRUED TO BE A - 23- iS ' DATE 'CE 4E TO PR CE D WITH THE WORK AND T AS N� 0 E NO AUTHORITY TO VIOLATE, CANCEL, ALTER OR SET ASIDE ANY OF THE PROVISIONS OF THE TECHNICAL COZIES, NOR SHALL ISSUANCE OF A PERMIT PREVENT t` y THE BUILDING OFFICIAL FROM THEREAFTER REQUIRING A CORRECTION OF ERRORS IN PLANS, CONSTRUCTION OR VIOLATIONS OF THIS CODE S E P 1 42015 R'v. L4 a NAIL 2 -16D 2"X4" PLATE NAILS INTO EACH EXISTING BOTTOM CORDTRUSS TAPCOI` EVERY' -E SANFORD o�AgRTti��� #15-2520 CEIVED SEP 14 2015 BY: REQUIRED INSPECTION SEQUENCE RP# # 1 5— 2 5 2 0 Address: /L BUILDING PERMIT Min Max Inspection Description Footer / Setback Stemwall Slab / Mono Slab Prepour Lintel / Tie Beam / Fill / Down Cell Sheathing — Walls Sheathing — Roof Roof Dry In 10 Frame Eo Insulation Rough In Firewall Screw Pattern Drywall / Sheetrock Lath Inspection Building Ceiling Air Barrier Insulation Roof (Com'l) Building Ceiling Grid Final Roof Final Stucco / Siding Insulation Final Final Utility Building Final Door Final Window Final Screen Room Final Pool Screen Enclosure Final Solar Pre -Demo Final Demo Final Single Family Residence Final Commercial — New Final Commercial — Addition / Alteration Final Commercial — Change of Use �Gp Final Building (Other) ELECTRICAL PERMIT Min Max Inspection Description Electric Underground Footer / Slab Steel Bond Electric Ceiling Rough Electric Wall Rough Electric Rough Pre -Power Final Temporary Pole Electric Final PLUMBING PERMIT Min Max Inspection Description Roof Storm Drain Rough Plumbing Underground Plumbing 2nd Rough Plumbing Tubset Plumbing Sewer Plumbing Grease Trap Rough Plumbing Steam / Chill Water Rough Plumbing Final MECHANICAL PERMIT 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 Light / Water Test Ck Welds Mechanical Grease Duct Wrap Mechanical Final 'REVISED: June 2014 ' CITY OF SANFORD BUILDING & FIRE PREVENTION Z5 PERMIT APPLICATION OCT p � -Za 2015 Application No: 1-- 2S 2_cy Documented Construction Value: $ f0 l/ • a a Job Address: 1 SZ Wo ac(% /�-% �P,2 `� (, S��ox� Historic District: Yes ❑ No ❑ 3 Z7'7 Parcel ID: Kesidential ❑ Commercial El Type of Work: New ❑ Addition Alteration ❑ Repair ❑ Demo ❑ Change of Use ❑ Move ❑ Description of Work: P t! e-f W 0 (L_1_�- rv e. C_0--0 Plan Review Contact Person: S2 P/i -A o Title: Phone: Y % S%2-2-�% 'Fax: Email: I t �-�-o� S " � �a� �t��t e o >� Property Owner Information Name A Phone: Street: City, State Zip: Y Name Street: City, State Zip: Name: Street: City, St, Zip: Bonding Company: Address: Resident of property? : Contractor Information Phone: Fax: State License No.: 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. FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 51h Edition (2014) Florida Building Code Revised: June 30, 2015 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 ofOwner/Agent Date Signature of 1 ctor/Agent Date Print Owner/Agent's Name t tractor/A nt's Name Signature of Notary -State of Florida Date S' nature of o ry-State UFlorida Date " LISA ANTONINI __ Notary Public • State of Florida My Comm. Expires May 21. 2018 •;;o�l�o.. Commission N FF 125242 Owner/Agent is Personally Known to Me or Co n to Me or Produced ID Type of ID Produced ID Type of ID BELOW IS FOR OFFICE USE ONLY Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing❑ Gas❑ Roof ❑ Construction Type: Total Sq Ft of Bldg: Occupancy Use: Min. Occupancy Load: New Construction: Electric - # of Amps Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads APPROVALS: ZONING: ENGINEERING: COMMENTS: UTILITIES: FIRE: Flood Zone: # of Stories: Plumbing - # of Fixtures Fire Alarm Permit: Yes ❑ No ❑ WASTE WATER: BUILDING: Revised: June 30, 2015 Permit Application CITY OF SANFORD j' BUILDING & FIRE PREVENTION PERMIT APPLICATION 5 � Application No: 1)-()Documented Construction Value: $ Job Address: 152 Wood Ridge Trl Historic District: Yes ❑ No ❑ Parcel ID: 32-19-30-5GS-0000-0270 Zoning: Description of Work: 5 New light fixtures,8 outlets, 5 new switches, 1 ceiling fan, relocate water heater Plan Review Contact Person: Title: Phone: Fax: E-mail: Property Owner Information Name Scovanner Dana C Phone: Street: 152 Wood Ridge Trl Resident of property? City, State Zip: Sanford FL 32771 Contractor Information Name Sampro Electrical Services Phone: 407-758-9644 Street: Po Pox 772496 Fax: City, State Zip: Orlando FL 32877 State License No.: EC13006003 Name: Street: City, St, Zip: Bonding Company: Address: Architect/Engineer Information Phone: Fax: E-mail: Mortgage Lender: Address: PERMIT INFORMATION Building Permit ❑ Square Footage: Construction Type: No. of Dwelling Units: Flood Zone: Electrical E$ x New Service — No. of AMPS: Mechanical ❑ (Duct layout required for new systems) No. of Stories: Plumbing ❑ New Construction - No. of Fixtures: Fire Sprinkler/Alarm ❑ No. of heads: .Shall be inscribed with the date of application and the code in effect as of that date (Code 2010 FBC) 731.135(5)(6) Florida Statutes. REV 07.14 SAMPR-1 OP ID: KB A� �* CERTIFICATE OF LIABILITY INSURANCE DATE 10 05/2015Y) 10/05/2015 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 endorsement(s). PRODUCER Harry Levine Insurance 7587 West Sand Lake Road CONTACT KathyBarton PHONE FAX A/c No Ext :407-855-1000 A/c No): 407-855-1001 Orlando, FL 32819 Kathy Barton E-MAIL ADDRESS: kathy@hlinsure.com INSURERS AFFORDING COVERAGE NAIC # INSURER A: Southern Owners 10190 INSURED Sampro Electrical Service Inc INSURER B : Markel Insurance Company 3897OF dba Jeeteemek Electrical Mr. Samuel Diaz INSURER C: Auto Owners 18988 INSURER D : PO Box 772496 INSURER E : Orlando, FL 32877-2496 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. I�TR TYPE OF INSURANCE POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE PCIOCCUR Hired & Non Owned 72429894 07/12/2015 07/12I2016 EACH OCCURRENCE $ 1,000,00 PREMISES Ea occurrence $ 300,00 X MED EXP (Any one person) $ 10,00 Auto PERSONAL & ADV INJURY $ 1,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY F1PRO- JECT LOC OTHER: GENERAL AGGREGATE $ 2,000,00 PRODUCTS-COMP/OP AGG $ 2,000,00 hired/non $ 1,000,00 C AUTOMOBILE LIABILITY ANY AUTO ALTOS X SCHEDULED AUTOS AUTOS HIREDAUTOS NON -OWNED AUTOS 4942989400 03/1512015 03115/2016 COEa aMBcciINED SINGLE LIMITdent $ 1,000,00 BODILY INJURY (Per person) $ BODILYINJURY (Per accident) $ PROPERTY DAMAGE Per accident $ $ UMBRELLA LIAB EXCESS LIAB CLAIMS -MADE EACH OCCURRENCE $ HOCCUR AGGREGATE $ DED RETENTION$ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A MWC0027936-04 03/1612015 03/15/2016 X PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 100,00 E.L. DISEASE - EA EMPLOYEE $ 100,00 E.L. DISEASE - POLICY LIMIT $ 500,00 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached If more space is required) CERTIFICATE HOLDER CANCELLATION CITYOSA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Sanford ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 1788 AUTHORIZED REPRESENTATIVE Sanford, FL 32772-1788 Q--ram`---- ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD f T 0SAMPRO EL ECTRICAL P.O Box 772496,Orlando F1 32877 Ph:407-758-9644 samproelectricalftahoo.com DBA JEETEEMEK ELECTRICAL Lic. EC 13006003 10-01-2015 Proposal for Capri Construction Job Location: 152 Wood Rigde Trl Sandford 32771 At. Cecilia Castro Sampro Electrical Service, Inc proposes to provide all labor and materials necessary to complete the following electrical systems: Job description Relocate existing fluorescents to garage space Move existing switch for garage to new wall In new room ad 5 outlets, 4 recess cans, relocate fan box and install new fan (furnish by others) In new hallway install 2 new recess, ad an outlet for Fridge At trim, install all devices and fixtures Permit and inspections as required Grounding by NEC 2008 *(One year warranty on all labor and materials provided by Sampro Electrical Service, Inc) Items not included: Dumpster & drywall repairs; painting Payment Terms: t00% within 30 after complition Proposal amount Sincerely, Sam Diaz, Electrical Contractor $ 1,700.00 Acr P �('- � (cq '. 1-1 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 pm erfored 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, FS 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 Sign on ctor/Agents Date Print Owner/Agent's Name Signature of Notary -State of Florida Date Owner/Agent is Personally Known to Me or Produced ID Type of ID APPROVALS: ZONING: UTILITIES: ENGINEERING: COMMENTS: Print Contractor/Agent's Name atu of otary- e talo Florida Date r KATINA GUTIERREZ MNOTARY PUBLIC STATE OF FLORIDA Comm# FF140984 `'• E M' Explres 0/2018 Contractor/Agent is ersonally Known to Me or Produced ID Type of ID WASTE WATER: BUILDING: Shall be inscribed with the date of application and the code in effect as of that date (Code 2010 FBC) 731.135(5)(6) Florida Statutes. REV 07.14 DBPR - DIAZ, SAMUEL; Doing Business As: SAMPRO ELECTRICAL SERVICE INC... Page 1 of 1 3:23:53 PM 101812015 Licensee Details Licensee Information Name: DIAZ, SAMUEL (Primary Name) SAMPRO ELECTRICAL SERVICE INC (DBA Name) Main Address: POBOX 772496 ORLANDO Florida 32877 County: ORANGE License Mailing: LicenseLocation: 12836 BOGGY POINTE DR ORLANDO FL 32824 County: ORANGE License Information License Type: Certified Electrical Contractor Rank: Cert Electrical License Number: EC13006003 Status: Current,Active Licensure Date: 03/24/2014 Expires: 08/31/2016 Special Qualifications Qualification Effective Alternate Names View Related License Information View License Complaint ........ .... .......... ............. ............. .... .......... ....................... ... ... I 1940 North Monroe Street Tallahassee FL 32399 :: Email: Customer Contact Center :: Customer Contact Center: 850.487.1395 The State of Florida is an AA/EEO employer. Copyright 2007-2010 State of Florida. Privacy Statement Under Florida law, email addresses are public records. If you do not want your email address released in response to a public -records request, do not send electronic mail to this entity. Instead, contact the office by phone or by traditional mail. If you have any questions, please contact 850.487.1395. *Pursuant to Section 455.275(1), Florida Statutes, effective October 1, 2012, licensees licensed under Chapter 455, F.S. must provide the Department with an email address if they have one. The emails provided may be used for official communication with the licensee. However email addresses are public record. If you do not wish to supply a personal address, please provide the Department with an email address which can be made available to the public. Please see our Chapter 45S page to determine if you are affected by this change. https://www.myfloridalicense.com/LicenseDetail.asp?SID=&id=82192C76F9BD76FCOOB... 10/8/2015