HomeMy WebLinkAbout1300 French Ave - BC04-000003 (FARMERS MARKET) DOCUMENTSl
PERMIT ADDRESSr :.
CONTRACT
ADDRESS
PHONE NUMBER
PROPERTY OWNER
ADDRESS
PHONE NUMBER
ELECTRICAL CONTRACTOR
MECHANICAL CONTRACTOR
PLUMBING CONTRACTOR
MISCELLANEOUS CONTRACTOR
PERMIT NUMBER
MISCELLANEOUS CONTRACTOR
PERMIT NUMBER
F2A
a
FEE
FEE
SUBDIVISIONT,2x~'.s' Aa
PERMIT #
a& 03N0 DATE -4Lf A06
PERMIT DESCRIPTION T44 6miamt 9&"Q
PERMIT VALUATION 1poo
SQUARE FOOTAGE (POW
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CERTIFCATE OF OCCUPANCY]
REQUEST FOR FINAL INSPECTION
INTERIOR REMODEL TO A COMMERCIAL BUILDING****
DATE:
PERMIT #: y -
ADDRESS:
CONTRACTOR:
PHONE #:
The building division has prepared a Certificate of Occupancy for the above
location and is requesting final inspection by your department. After your
inspection, please sign off and date the C. O. or submit addendum if it has
been denied or approved with conditions. Your prompt attention will be
appreciated.
ngineering z .S- :]Fire
Public Works
D Utilities
Zoning
Licensing
CONDITIONS: (TO BE COMPLETED ONLY IF APPROVAL IS CONDITIONAL)
M, I •
0 I
r 1
CERTIFCATE `. OF OCCUPANCY ; ,
REQUEST FOR FINAL INSPECTION
1 1
INTERIOR REMODEL TO A COMMERCIAL BUI!661NiP,
1 1
DATE:
PERMIT #: bkA
ADDRESS:
r1
CONTRACTOR:
PHONE #:
The building division has prepared a Certificate of Occupancy for the above
location and is requesting final inspection by your department. After your
inspection, please sign off and date the C. O. or submit addendum if it has
been denied or approved with conditions. Your prompt attention will be
appreciated.
3Engineering
JPublic Works
ties ! o s v
CONDITIONS:
Fire
X
J .c
OIL% PR 1S `ONDITIONAL)
1
1
1
11
1
I
1
1
I
1
1
1
1
1
1
1
1
C_+
CERTIFCATE OF OCCUPANCY
REQUEST FOR FINAL INSPECTION
INTERIOR REMODEL TO A COMMERCIAL BUILDING****
DATE:
PERMIT #: by -
ADDRESS:
CONTRACTOR:
PHONE #: \ ,__ S?" • \\'Z -
The building division has prepared a Certificate of Occupancy for the above
location and is requesting final inspection by your department. After your
inspection, please sign off and date the C. O. or submit addendum if it has
been denied or approved with conditions. Your prompt attention will be
appreciated.
Engineering Fire
Public Works "onin l2•-O3
Utilities OLicensing
CONDITIONS: (TO BE COMPLETED ONLY IF APPROVAL IS CONDITIONAL)
Ep-u t*5? Ff
CERTIFCATE OF OCCUPANCY
REQUEST FOR FINAL INSPECTION
INTERIOR REMODEL TO A COMMERCIAL BUILDING****
DATE:
PERMIT #: bkA
ADDRESS: 1 U) (',o \, ;
CONTRACTOR:
PHONE #: Lw lwwvlr
The building division has prepared a Certificate of Occupancy for the above
location and is requesting final inspection by your department. After your
inspection, please sign off and date the C. O. or submit addendum if it has
been denied or approved with conditions. Your prompt attention will be
appreciated.
j)E,,,nneering FireicWorksZoning
1 Utilities :1 Licensing
CONDITIONS: (TO BE COMPLETED ONLY IF APPROVAL IS CONDITIONAL)
Pert
Job
Dest
Hist
Permit Type: Building -X— Electrical
Electrical: New Service — # of AMPS
Mechanical: Residential Non -Residential _
Plumbing/ New Commercial: # of Fixtures
Plumbing/New Residential: # of Water Closets _
Occupancy Type: Residential Commercial
Mechanical Plumbing Fire Sprinkler/Alarm Pool _
Addition/Alteration Change of Service Temporary Pole
Replacement New (Duct Layout & Energy Calc. Required)
of Water & Sewer Lines # of Gas Lines
Plumbing Repair — Residential or Commercial
Industrial Total Square Footage: 600 d
V11
IIL
r
Construction Type: Co # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X)
Parcel #:
Owners Name & Address: _
Contractor Name & Address:
Phone & Fax: _ b rJ —r4b3-7CW —
Bonding Company: 1-t1,
Address: J`• 1A
Mortgage Lender: N li
Address:
j
Architect/ttE..ngineeerr t\ •61 sn
Address:
Attach Proof of Ownership & Legal Description)
A I
CLaMtykS F Sgn( o/1' 7
SX ME— , .5,QAQd1 Phone: 10 ^33 G ? al
if III—. 600b f1 //11S ttate License `N umber: LOI. lJ 1-1 / 0
Contact Person: G-GIE IAM L Phone: PIS - ".6
6/
la ()
i• PAv.
Phone: Ir/3— 9O6-1/40
0 Fax: '8121 985- ` 60(
Application is hereby m de tai a p rrn)t o do tns Ila#i s t dicated. 1 certify that no work or installation has commenced prior to the
issuance of a permit and t 11 o wi erfo
t
to e n s s;regulating construction in this jurisdiction. 1 understand that a separate
permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and
AIR CONDITIONERS, etc. [
pp 11 (((( OWNER'S AFFIDAVLT:'lli:4tify that alshe fo ling fdit'xhtation is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoninE;; WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPRQV`J W%NTS TO YOUR PROPERTY. IF YOU INTEND.TO:OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
ATTORNEY BEFORrj- l YORDIN IC
Fhma,
14 NCEMENT:='
NOTICE: In addition: "Ft, require NWs t t r additional iest%Ictions applicable to this property that may be f nd in the public records of
this county, and theroibia be additio al i e ogovemmi ntaltities such as water management districts, encies, or federal agencies.
Acceptance
rrtt``
cation that I will notify the owner of the property of the requirements of F ida Lien w, F 7
9 - s-03
4Signa re of Owner/Agent Dat Sig azure of Contractor/Agen Date
Print Owner/ g is Name Print Contractor/Age n t's)Name
Signature of IotaState of FloRd ... 7 s R New Signature of N ry-State of , o MY COMMMIti1N # DD231133 EXPIRES
W COMMISSION # DDQ49660 EXPIRES 7uy 10, 2007
August13,2005jri,;h aoNOED7tiRutRorFAx+tt+wwtNCEwc
BOWED THRU iROY FAIN INSMAKE W-
Owner/A ent is _Per pall k• t M rContractor/Agent i V Personal) Known to Me or-_- g so y $'io o e o s_ y—
Produced I D _ Produced I D
APPLICATION APPROVED BY: Bldg *V ` *1:'--03
Zoning:
Initial & Date)
Special Conditions:
Initial & Date)
q
r
Utilities: `1y1• FD: • .3
Initial & Date) kinitial & Date)
w
CITY OF SANFORD PERMIT APPLICATION
Permit # :
Job Address:
Description of Work:
Historic District:
Date: %.I ' / 0
Zoning: Value of Work: S 1iT . M
Permit Type: Building Elect!iAElectrical: New Service — # of AMPS
Mechanical: Residential Non -Residential
Plumbing/ New Commercial: # of Fixtures
Mechanical Plumbing Fire Sprinkler/Alarm Pool
Addition/Alteration Change of Service Temporary Pole _
Replacement New (Duct Layout & Energy Calc. Required)
of Water & Sewer Lines # of Gas Lines
S
Plumbing/New Residential: # of Water Closets Plumbing Repair — Residential or Commercial
Occupancy Type: Residential Commercial Industrial Total Square Footage: 600 O
Construction Type:c # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X)
Parcel #: (Attach Proof of Ownership & Legal Description)
State License Number: t-'.L. Z—I l r 3
Phone & Fa>C Contact Person: Ketn K' tS Phone: Bonding
Company: Address:
Mortgage
Lender: Address:
Architect/
Engineer: Address:
M 14 Phone:
Fax:
813- 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. OWNER'
S AFFIDAVIT: 1 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. 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. re
o Owner Agent Prin!
I
Z=l Sign
ure of Notary -State of Owner/
Agent is _VPerson Produced
ID I
will notify the owner of the property of the requirements of Florida Lien Law, FS 713. Date
Lamm
R Now WCOMNtAISSION#
DW9660 EXPIRES August
13, 2005 to
lIPA WTHRUTROYFAININSURANCE INC APPLICATION
APPROVED BY: Bldg: DrA ^C1 2Z'-07 Zoning: Initial &
Date) Special
Conditions: 1>'>
Signature
ol'!'Mrr-acTo-rTNI;ent Date aay+
i n lJ.'R4- mpwn P
i Co tracto gene's Name J.
gnareo tary-State of Florida ate Lission
M.
MWRE F
Public, State Of Florida Contractor/
Agent is k Personal rnmission Expires 8/24/07 Produced
I D t No. #
DD209351 Initial &
Date) Utilities:
FD: Initial &
Date) (Initial & Date)
U
CITY OF SANFORD PERMIT APPLICATION
Permit # : Date: 2 10 /iUri ep-3
Job Address: S 'r/i 'r* x4R entp es E 7 %&per S , F,Peenee-/t< we/9
Description of Work: /*C Z `Co01f 49,6WI /vs -- AAdy,- S T/J 7, bLt/ — Z 1APr ar 6, 6s
Historic District: Zoning: Value of Work: S / S A,
Permit Type: Building Electrical Mechanical Plumbing >C Fire Sprinkler/Alarm Pool
Electrical: New Service - # of AMPS Addition/Alteration Change of Service Temporary Pole
Mechanical: Residential Non -Residential Replacement New (Duct Layout & Energy Calc. Required)
Plumbing/ New Commercial: # of Fixtures # of Water & Sewer LinesAL # of Gas Lines I Plumbing/
New Residential: # of Water Closets Plumbing Repair - Residential or Commercial Occupancy
Type: Residential Commercial —'T
Industrial
Total Square Footage: G 000 Construction
Type: W A & # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X) Parcel #:
Owners
Name & Address: .%Ti4Tt m 0C Attach
P oof of Ownership & Legal Description) en/
r ti WaA e_ C
Son rG' Phone: V3-6 S"S - 7S- 2-O Contractor
Name &Address: 4z vieeg ,rb/ S..AC.t<./3!/t/t?/ % /7iJ7pA ,e' 14 State
License Number: C /C Phone &
Fax: B/' 6•t j•7J-.Z.Q Contact Person: '4Z /iCd/giC¢Z Phone: IF/'3-6rr-73 Bonding
Company: r E fi0 :/3 6 /C - z O Address:
Mortgage
Lender: Address:
Architect/
Engineer: Address:
1P Phone:
O /3 • V6- Wt 06 Fax:
als - grs-'V50G 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. 1 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: 1 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. 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. ptanc
rmtt is ' ation that I will notify the owner of the property of the requiremenSpefflqrida Lien Law, F5l/T3y C Sign :
ture of Owner/Agent D to Signah fContractor/Agent Date c\
Print
l5wRVIAKent'S Name Stgna
reo Notary-StatefgT ifZ1 MYC0W4WI0N*D9lX49660 EXPIRES Si Alfa fNo iD iD Date August
13, 2005 * MY COMMISS tip;
h•' aONDEDiFNIUTROY FAN INSURANCE WC EXPIRES: November 12,20 i t
D odTNuliowNo r' Owner/Agentis _ Personally Known to Me or C 91t'atraNgent t Pe Ily Known to Me or Produced I
D Produced 1 D APPLICATION APPROVED
BY: Blda)A&F C'7-7-OZoning: Initial & Date)
Special Conditions:
Initial & Date)
Utilities: FD:
Initial & Date) (
Initial & Date)
CITY OF SANFORD PERMIT APPLICATION
Permit # :
Job Address:
Description of Work: L
Historic District:
Date: Sim
Ls i- R
Zoning: Value of Work: S 000 1-
Permit Type: Building Electrical Mechanical —X— Plumbing Fire Sprinkler/Alarm Pool
Electrical: New Service - # of AMPS Addition/Alteration Change of Service Temporary Pole
Mechanical: Residential Non -Residential Replacement New
T (
Duct Layout & Energy Calc. Required)
Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines
Plumbing/New Residential: # of Water Closets Plumbing Repair - Residential or Commercial
Occupancy Type: Residential commercial —X— Industrial Total Square Footage: boo
pq/JL, 3ConstructionType: m C g I # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than x)
Parcel #: (Attach Proof of Ow hi & Legal Description)
Owners Name & Address: 54'c&u
n
rZ m SQn n jQ , 3c%7
nicyyu 16AC 1300 S " l; 2 e.4- NJf-Phone: _*%'.3 0`b%OJ
Contractor Nameame & Add ($s:
lf
iA o1.
1e17 PtaL3
6State License Number; CTG 035 D TI Phone&Fax: `3—ppContactPerson:
W"h Phone: Bonding CompanyIL Address: Mortgage Lender:
1 _ Address: ` Architect
Address:
Application is hereby
made
to
obtain
a permit to do the work and installations as indicated. 1 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. 1 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.
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 agenc' or federal agencies. Acceptance of is ve on that
I will notify the owner of the property of the requirements of F ien La , S 713 Q*Dt 9 903 Signa re
of
Owner/
Agent na
re of Contractor/Agent Date Print er/Agent's Name Print
Contractor/Agent's Name Qn W •Cy n 9/3
Sign re f Notary-S - imemW #
D EXPIRES Signature of Lary -State of Florida Date Owner/Agent is _ Produced ID August
15, 2005 1MptilRUMFAIMW0RANM
IIIC Personally
Known to Me
or APPLICATION
APPROVED BY Special Conditions: BldgTl '
2 Zoning: Initial &
Date) Mgr"
rr
Terry
W.
Barrett r
MY COMMISSION # DD251133 EXPIRES Contractor/
Agent is Personally Kn r
July 1% 2007 Produced ID -31, Tr SONI)EMTHRU
FAIN INSURANCE INC Initial & Date) Utilities: Initial & Date) FD:
IV Initial &
Date)
COiyHTY OF SFMINOLE
IMPACT FEE STATEMENT
STATEMENT NUMBER: 03100010
BUILDING APPLICATION On 03-10001008
lMILDING PERMIT NUMBER: 03-10001008
UNIT ADDRESS: FRENCH AVE S 1300
DATE: October 03, 2003
36-19-30-512-0000-0040
TRAFFIC ZONE:022 JURISDICTION:
SEC: TWP: RNG: SUF: PARCEL:
SUBDIVISION: TRACT:
PLAT BOOK: PLAT BOOK PAGE: BLOCK: LOT:
OWN[R HAM[:
ADDR[SS:
APPLICANT NAME: RCS COMPANY OF TAMnA
ADDRESS: 9637 PALM RIVER RD TAMPA FL 33619
LAND US[: SANFORD FARMERS MARKET
TYPE USE:
WO K B[C IPTIO: CITY-9AMFORD
SPECIAL NOTES: Florida Department of Agriculture
Sanford Farmers Market
F[[ BENEFIT RATE UNIT CALC UNIT TOTA'- DU
TYPE DIST SCAED RATE UNITS TYPE
ROADS'ARTERIALS N/A
Warehousing* 358.00 6.000 1000gsft 2,148.00
XOADS-COLLECTORS N/A
Warehousing* 72.00 6.000 1000gsft 432.00
FIRE RESCU[ N/A
O0
LIBRARY N/A
00
SCHOOLS N/A
00
PARKS N/A
00
LAW ENFORCE N/A
00
DRAINAGE N/A
00
CREDIT FEES:
SCI ROAD ARTERIALS
Warehousing* 358.00 6.000 1000gsft 2,148.00-
SCI ROAD COLLECTORS NORTH
Warehousing* 72.0O 6.000 432.00-
AMQU T DUE 00
ENTSTAT[:M /, /
RECEIVED B _\~__t^//_ / ____
PLEASE PRINT NAME)
DATE: L/.~______________
NOTE TO RECEIVING SIGNATORY/APPLICANT: FAILURE TO NOTIFY OWNER AND
ENSURE TIMELY PAYMENT MAY RESULT IN YOUR LIABILITY FOR THE FEE. W**
DISTRIBUTION: 1-BLD8 DEPT 3-APPLICANT
2-FINANCE 4-LAND MANAGEMENT
HOTE**
PERSONS ARE ADVISED THAT THIS IS A STATEMENT OF FEES DUE UNDER TH[
SEMINOLE COUNTY ROAD FIRE/RESCUE, - | IBRARY AXD/OR EDUCATIO AL
lSSUANC[ OF A BUILDInS PERMIT.
PERSONS ARE ALSO ADVISED THAT ANY RIGHTS OF THE APPLICANT, OR OWN[R,
TO APPEAL THE CALCULATIOU OF ANY OF THE ABOVE MENTIONED IKPACT F[[S
MUST BE EIERCISED BY FILING A WRITTEN REQUEST WITHIN 45 CALENDAR
DAYS OF THE RECEIVING SIGNATURE DATE ABOVE BUT NOT LATER THAN
CERTIFICATE OF CC PAKCY OR CCC[P CY. TKc REQUEST FOR VIEW
MUST MEET THE REQUIREMENTS OF THE COUNTY LAND DEVELOPMENT CODE.
COPIES OF RULES GOVERNING APPEALS MAY BE PICKED P OR REOUEST[D,
ROM THE PLAN IMPLEMENTATION OFFICE: 1101 EAST FIR T STRE[T,
SANFORD FL, 32771; 407-665-7356.
PAYMENT SHOULD BE MADE TO: SEMINOLE COUNTY OR CITY OF SANFORD
XDLDING DEPARTM[NT
1101 [AST FIRST,' CTRE[T
SANFORD, FL 32771
PAYMENT SHOULD BE BY CHECK OR MONEY ORDER AND SHOULD REFERENCE
TKE COUNTY BUILDING PERMIT NUMBER/ AT TKE OP LEFT OF THIS STATEMrNT.
THIS STATEMENT IS NO LONGER VA` -ID IF A BUILDING PERMIT IS NOT***
ISSUED WITHIN 60 CALENDAR DAYS OF THE RECEIVING SIGNATURE DATE ABOVE
DETAIL OF CALCULATION AVAILABLE UPON REQUEST. CALL 407-665-7356~
tG 3
CITY OF SANFORD FIRE DEPARTMENT
FEES FOR SERVICES
PHONE # 407-302-1091 * FAX #: 407-330-5677
DATE: -2j ®1 PERMIT #:It) 4 —0
BUSINESS NAME / PROJECT:
ADDRESS:
PHONE NC
CONST. INSP. [ ] C / 0 INSP.:[ ] REINSPECTION [ ] PLANS REVIEW l7
F. A. [ ] F.S. [ ] HOOD [ ] PAINT BOOTH [ ] BURN PERMIT [ ]
TENT PERMIT ] TANK PERMIT [ ] OTHER [ ]
TOTAL FEES: $ a6, (PER UNIT SEE BELOW)
COMMENTS: t-'i A I --V
Address /Address / Bldg. # / Unit ## / Unit # Square Footage Fees per Bldg. / Unit
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
Fees must be paid to Sanford Building Department, 300 N. Park Ave., Sanford, FI. 32771 Phone # -407-
330-5656. Proof of Payment must be made to Fire Prevention division before any further services can to
place. I certify that the above is true and correct and t 't
will comply with all app ' codes and ordi a
of the City of Sanford orida. i
Sanford Fire Pre ention Division p 'cant's Signature
W
NOTICE OF COMN ENCEM ENT
Permit No. Tax Folio No.
State of Florida
County of Seminole ,
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)
F/o.. D.4- F A ,-c„ opt - s4Ai A x+n vtis M I. epos_
k uc 5AA9ti a 2.
General description of improvement: IZ-tiq %cf, w god Owner
information a.
Name and address C.
Interest
in property Name
and address of fee simple titleholder (if other than Owner) 4.
Contractor n a.
Name and address q
6 )m R: v . 3"S / b.
Phone number 'Bid - G t; 3 - 95,00 Fix ifumber Y/3 - G 6 3 o 5.
Surety a.
Name and addressPR
N
I till II III 11 IU U IU 11 IU U UI n ill U ill U III 11 UI U III 1 IIU b.
Phone number Fax CIRCUIT c.
Amount of bond SENINOLE MWY 6-
08a 6.
Lender CLERK'S # 2003160858 a.
Name and address N RE12RDINS
FEES 6-W b.
Phone number FaxdWMMD BY L McKinley 7.
Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided
by Section 713.13(1)(a)7., Florida Statutes: a.
Name and address C Co a b.
Phone number - . 6 6 3- ,Sob Fax number / - 8.
In addition to hims if or herself, Owner designates C.S co of F/. of L31
P4,1 -- l2ii'N.r a+. _ h 33619 to receive a copy of the Lienor's Notice as provided in Section 713.
13(1)(b), Florida S, tutes. Q a.
Phone number S /3 - 4 C'.? - gS0V Fax number '8/3 0 9.
Expiration date of notice of commencement (the expiration date is 1 year from a of recording unless a different date
is specified) Signature
of Owner Sworn
to (o rme and subscribed before me this day of Spite " ° 20 0 by l
Rl IFILD CUPjI IWARYANNE
MORSE Personally
Known OR Produced Identification CLERK OF CIRCUIT COURT Type
of Identification Produced 6 BA JOLEM44111
7em sKNew THIS
INSTRUMENT PREPARED BY: trMYCOMMISSIONtDW9660EWRESWPUTWOLEW h:•
August 0YFAINNlSURF *
wA 2005BONDED1NRUTRAlICEwc
NAME
Signature of (Votary
Public, State of Florida ADDR. 6 3 ; `, 2003 Commission Expires:
t
CONTRACTOR REGISTRATION APPLICATION
City of Sanford
300 N. Park Avenue P. O. Box 1788
Sanford, FL 32772-1788
407) 330-5656 or (407) 330-5660
407) 330-5677 FAX
Date 9—IX 05
1. Business Name P s
2. Business Mailing Address IT& 3`7 IA-LPVII RcuQ01 Rd
City -(ci State r-(
3. Business Phone P Il "I -QSn o Fax
Zip 53 & I o1
13 &.43--g400
4. Name of Qualifier On State License _ I f "1'4' .'Q-
5. State License ClassificationlG
6. State License Number G -3q e S-c-
ceZyu v-
Applicant's Signature
If State Certified: Must provide a copy of current State license and occupational license;
Certificate of Workman"s Compensation Insurance or Waiver Affidavit.
If State Registered: Must provide a copy of current State license and occupational
license; Certificate of Workman"s Compensation Insurance or Waiver Affidavit; a $2,000 Surety
Bond; a Letter of Reciprocity sent from jurisdiction the H. H. Block exam was taken; a City of
Sanford Competency Card will be issued.
All Other Specialty Contractors: Must provide a copy of current occupational license;
Certificate of Workman's Compensation Insurance or Waiver Affidavit; a $2,000 surety bond.
OFFICIAL USE ONLY *********************
City Registration # _ 2--,I Control # ` tJ -zz2
CONTRACTOR REGISTRATION APPLICATION -
City of Sanford
300 N. Park Avenue P. O. Box 1788
Sanford, FL 32772-1788
407) 330-5656 or (407) 330-5660
407) 330-5677 FAX
Date
1. Business Name L s
2. Business Mailing Address l 3 -7 PAS(-wl Qt u _/L P-4
City 'T;. Wa , State l Zip 3341 3.
Business Phone 3 - 66 3 —JL 0 Fax g 13 'a 3 _ 9 b D 4.
Name of Qualifier On State License I -Ay O (Q 5.
State License Classification 6.
State License Number Gacc 379? 8 Applicant'
s Signature If
State Certified: Must provide a copy of current State license and occupational license; Certificate
of Workman's Compensation Insurance or Waiver Affidavit. If
State Registered: Must provide a copy of current State license and occupationai license;
Certificate of Workman's Compensation Insurance or Waiver Affidavit; a $2,000 Surety Bond;
a Letter of Reciprocity sent from jurisdiction the H. H. Block exam was taken; a City of Sanford
Competency Card will be issued. All
Other Specialty Contractors: Must provide a copy of current occupational license; Certificate
of Workman's Compensation Insurance or Waiver Affidavit; a $2,000 surety bond. OFFICIAL
USE ONLY City
Registration # (/ bJ Control # Z
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
CONSTRUCTION INDUSTRY LICENSING BOARD
T1940 NORTHAMONROE STREET
LLAHASSEEFL32399-0783 ESTRADA, ALFRED
ROBERT JR RCS COMPANY
OF TAMPA 9637 PALK
RIVER ROADTAMPA FL 33619vDETACH
HERE
850) 487-
1395 0 STATE
OF
FLORIDA AC ] 003458
DEPARTMENT OF.
BUSINESS AND PROFESSIONAL ,t$
GULATION 7_1
084l CBC057978 %r •030035184 RCS COMPANZYQF;`
T A.;:X IS CERTIFIED
u wer the provisions of Ch.489 rs. awsr•tsoo "
to. AUG 31, 2004 ' L0308080113t AC# 10
0 34 5.8 "- STATE OF FLORIDA DEPARTMENT OF
BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY
LICENSING BOARD SEONLO3080801131 LICENSE NBR
108//08/2003 030035184 CBC057978. ''' ' : `'• :.a" __ The BUILDING
CONTRACTOR Named below
IS CERTIFIED = Under the
provisions of Chapiei Expiration date:
AUG 31, 2004: ESTRADA,-ALFRED
ROBERT JR RCS COMPANY
OF-TAMPA 9637 PALM
RIVER u48.9"
Fg: TAMPA FL
33619 JEB BUSH
GOVERNOR DIANE
CARR
SECRETARY
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395
1940 NORTH MONROE STREET
TALLAHASSEEL32399-0783 ESTRADA, ALFRED
R JR RCS COMPANY
OF TAMPA 9637 FALK
RIVER ROADTAMPA FL 33619STATEOF
FDA AC# 10
0 3 4 5 6 LORI 0
DEPARTMENT
OF,BUSINESS AND PROFESSIONAL .• itfGULATION
CAC 039682 %
0.8. 03003SI69 CERTIFIED:AIR`
CQN CQ] BSTi;ADA; '
ALFRED'R-'Jii,?':,,' •. . RCS COMPANY
LTW••: IS CERTIFIED
under the yrovi.tons o: Cb.489 ie. mwiration date.
AUG 31, 2004 L07000001179 DETACH HERE AC# 10 0 3 4 5.
6:* .., ' = STATE
OF FLORIDA DEPARTMENT OF -BUSINESS AND PROFESSIONAL REGULATION' CONSTRUCTION INDUSTRY
LICENSING BOARD SEQ#L03080801129 LICENSE NBR
b '•' ' 08 08 2003 030035169 CAC039682 .'*-"• _: '=
The CLASS A
AIR CONDITIONING CONTRACTOR Named below
IS CERTIFIED Under the provisions of
Chaptax489''r'FS.. _• Expiration
date: AUG 31, 2004.,..• :r=i';ti
IatLr.,.. •cr. ... ESTRADA, ALFRED RJR y'?'' . ;'"• 1 RCS
COMPANY OF *
TAMPA 9637 PALM RIVER TAMPA
FL 33619 JEB.BUSH `'
DIANE CARR r,
0VFRW0R SECRETARY
HILLSBOROUGH COUNTY OCCUPATIONAL LICENSE RENEWAL INSTRUCTIONS
Chapter 205.0535 (5) Florida Statutes requires one of the following:
FEDERAL EMPLOYER IDENTIFICATION NUMBER OR SOCIAL SECURITY NUMBER
1. SIGN and return entire form in enclosed envelope. Your validated license will be returned to you.
2. Licenses expire midnight, September 30th. Failure to display a valid occupational license after September 30th
is a violation of Hillsborough County Ordinance 95-4.
MAKE CHECK PAYABLE TO:
DOUG BELDEN, TAX COLLECTOR
P O Box 172920
TAMPA, FL 33672-0920
NSE EXPIRES 9-30-2004 FouoNo.
118859
H. WASTE TAX
SURCHARGE
BUSINESS 9637 PALM RIVER RD
I.ocATION TAMPA 33619
NAME RCS COMPANY OF TAMPA
MUUNG 9637 PALM RIVER RD
ADDRESS
DOUG BELDEN, TAX
619
COLLECTOR TAMPA FL 33
LICENSE 8,3 Zoo **laUPL=A-rE***
THIS BECOMESATAX RECEIPTWHEN VAUGATED. Doug Belden, Hillsborough Co Tax Coll. W PAID-
CK $
30.00 08/25/2003 rum, oroorw,e s. WI BRDN
TRAN:0006K 116081.0000 12:18PN EunosEsaoN. oRooairAnoN
sdcs,EO H aa _ _ 5U370000500-019
RGD' 4104 4206 11885900008 000036004
00004000'6 4K $106.00 CHANGE $0.00
ri
OP ID TACORDCERTIFICATEOFLIABILITYINSURANCERCsco-1
DATE (MMIDDNYYY)
os 21 03
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Brown & Brown, Inc.
P . 0. Box 1229
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Tampa FL 33601-1229
Phone : 813-226-1300 Fax : 813-226-1313 INSURERS AFFORDING COVERAGE NAIC #
INSURED INSURER A: Hartford Casualty. Insurance
INSURERS: HARBOR SPECIALTY INS CO
RCS Company of Tampa
Alfred Estrada
Ta63mpaPFLm33619r Road
INSURER C:
INSURERD:
INSURER E:
r'nVFRA[SFS
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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MMIDD/YY DATEPOL'UyMMIFEDDIYYLIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE X OCCUR
X agg per project
21UUNV3474 05/17/03 05/17/04
EACH OCCURRENCE 1,000,000
PREMISES Eaoccurence 300,000
MED EXP (Any one person) 10 , 000
PERSONAL 3ADV INJURY 1 , 000, 000
GENERAL AGGREGATE s2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY jECT LOC
PRODUCTS - COMP/OP AGG 2 , 0 0 0 , 0 0 0
Emp Ben. 1,000,000
A
AUTOMOBILE LIABILITY
ANYAUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
21UUNUV3474 05/17/03 05/17/04
COMBINED SINGLE LIMIT
Ea accident) 1,000,000
X
BODILY INJURY
Per person)
BODILY INJURY
Per accident)
S
PROPERTY DAMAGE
Per accident)
GARAGE LIABILITY
ANY AUTO
AUTO ONLY - EA ACCIDENT
OTHER THAN EA ACC
AUTO ONLY: AGG
S
S
A
EXCESSIUMBRELLA LIABILITY
X OCCUR CLAIMSMADE
DEDUCTIBLE
X RETENTION. $10 000
21XHUUV3388 05/17/03 05/17/04
EACH OCCURRENCE 1,000,000
AGGREGATE
S
B
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
II yyes, describe under
5PECIAL PROVISIONS below
5597203 05/17/03 05/17/04
X TORY LIMITS ER
E.L. EACH ACCIDENT 1 000 000
E.L. DISEASE - EA EMPLOYEE 1 , 000 , 000
E.L. DISEASE - POLICY LIMIT I S 1 000 000
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
Contractor CA-0039682 CB-0057978; Alfred R Estrada Class A A/C
CFRTIFICATF hlnl nFR CANCELLATION
CITYOFS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 010 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
City of Sanford
300 N Park Ave
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
PO BOX 1788 REPRESENTATIVES.
AUTHORIZED REPRESENT
ffSanfordFL32772
Rob Nation
ACORD 25 (2001108) vAwrcU t VKrVKAI Iv PI 1voa
134 1 Y Li'N 7,(., !'l V ll''y'Yl pAi fi 4 ja l!,• i yJ Y} ,ii R"_ .M1, I t! r gYi'1 R 1 j.,t F/ti T. i''i 1'{{ i' J Y M li•' 'h.. r4 i 4 rYl.'"h t L •r:: r .Yd •ia
l 4 i. 4.a' 'jl",'c ... C4% ,r' ° "'• i" N iY fi Y 1 i .
G f y7 Y i, x''% y.Fi.'4 ti .f •i r i t tsi.L••
POWER OF ATTORNEY
Date: 8—AO •0 3
I, 41 F12 t D do hereby authorize aiy P aJ 4 4 4-
to pull the &r /di,v'y permit for /30o .Sri a
type of permit
Signature
1,,PY PVgr. FLORENCE A DE MVE
my commss DN i DD 154280
m Baked Tlw BudpM NamY 8wvkw
Notary
address
Personally known to me or drivers license # Qp \O'A ' 0 State
of Florida, County of Qon day of v , 2002.
POWER OF ATTORNEY
Date: 9"?01 0 3
I, Ali t 45-10 cs ?/eA 4 4 , do hereby authorize 6'-'&.ve uJ.4 [—
to pull the !we A permit for /3 v s v )at A e type
of permit address 1;
11Z lzlr'e Signature
FLpREtrCE
A. DE GRAVE MY
COMMISSION t DD 16M EXPIRES:
November 12, 2W6 11,
771"
Wole ea4e0 TMU eid" Now SWOM t
Notary
Personally
known to me or d 'vers license # to 'y\\D-'"( S
to of Florida, County of o;\-Sk- on c9c) day of 20
FROM
EZ
1*%&Pw,&&d6sMs"'
FAX NO. :
xt4
Sep. 23 2003 11:22AM P1
U9. MUCO 10219
501 S. Falkenburg Rd,, Suite E-5
Tampa, Florida 33619
813) 655-7520 • Fax (513) 657-1820
FAX TRANSMISSION
To: c,r /From: /q C
Attu:
Pages;
Fax 0 , 1
y
O , .f
r 7
pale: .73 03
Phone g r-c- r.
ZUnww For Review Pw. a..,, P/eose Reply
Sincerely,
AI%nso Alvarez, Jr., Pr"denVOwner
Alvarez Plumbing Company
F
1
I
1
7 w i a r•ls,G f ..
To dAivn ir j
4 hlle d ./lcwri led
ALvA
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9rk'iicRrb a Q.s 71eb.t
Gon!,vtc7'
CFG018219 ..
JnNi
a 13) 655.7520 • Fax ($13) 657.1820 t
501 $. Fokenburg fad.. SLOW E-6 'lareVs. FL 33619 —. ru
y
FROM :
4/22/1)3 09:45 FAX
FAX NO. : Sep. 23 2003 11:22AM P3
r-j
gGOULDS PUMPS
APPLICATIONS
Specfically designed for the
Wowing uses:
Homes
Sewage systems
DewaterirrglEilluent
Watertransfer
light Industrial
Commerdal applicadons
Anywhere waste or drainage
must be disposed of qukidy,
quietly and of icimy.
51WIFICATIONS
Pump
Solids handling apabllft
2' maximum.
Capacities. up t4 22D GPM.
Total heads; up to 81 feet TDH.
Discharge Sae: r NP1
threaded companion flange as
standard. 3" option
available but must be ordered
separately. (Order no. A1.3)
Temperature
104OF (4VQ contirnrous
1401F (M Intamittent.
See order numbas on reverse
side for specilk HP, voltage.
phase and RIMS available.
FEATURES
Impeller cast bUR OKIO d,
non<b% dynamically balanced
with pump out vanes for
mcduutirdl sear provectlom
Optional s COn W= impeller
mralable.
Is Casing: Cast bon flanged
volutetype for maximum
efl erq. Designed for easy
11 rotalaa<ion on A10.20 slide rail.
1 Medlar k* Seal: SMKON
C/YiBfiDE VS. SILICON CARBIDE
sealing fam for superiorabrasive
O 200, cMMS lumps
MOW Nos•mba, 2001
038970NF
resrstm, swnkm steel metal
Parts, SUNAM elastomers.
a Shaft corrosion MsatW4
400 suits stairdem s>eel. Threaded
design lodarut on three phase
modelstogmd
nest damages on aoddental reverse
nxa WL
Fasteners 300 series
sowers steel.
Capable of nrmtirrg dry
With ut darnageLovomponents.
Designed fcrosnftcus
operation, when fully submerged.
MOTORS
Fully submerged in high grade
turbine oil for lubrication and
efficient heattranskr. M ratings
are within the working limits of the
motor.
rwtwna OUT
1
is sc
4E
002
Submersible
Sewage Pump
Awl
3887BHF
Procurance available for mMenU appilcations.
ous 9 insaulaWn.
AO single phase models
feaWre adtorsta(t motors
for maximum sw6ng torque.
Single phase (60 Ha):
Built-in overload with
automatlC reset.
h and % HP-1513 SM W
vft 115 V or230 Vtlaee
Pig Plug.
l;102HP-1413SM
withpps. bareleadOvedoaddpprukdfr
must be provided
in starterunit. 14/
4 STOW vrldv bare leads. Designed
for ContinuoWs Operation;
Pump ratings are
within the motor marrutactirrpfs
recvmmendcd wonting
limits, can be operated
continuously without damage
when fully sub- merged.
ilea
fts: Upper and krwer heavy
duty ball bearing corstrnxdon.
Power
CAA Severe duty rated,
oil and weber lesisbrd. Epoxy
seal on motor end provides
seaondaty moisture bonier
in we of outer )earth damage
and to prewnnt onl widdng.
Standard cord is w. Optional
lerrglhs are avadablc. rCCaror
Oginy: Auwrs lng
against contaminant
and al leakage. on
575v rrforinfamhation
AGENCY LISTINGS
cp TeaAprM7r8aad
e
x3r
n.2lunseawnrl sane oorrsk
Pumps
B 50 vroot rleablered mill lu
nil
Urn 09
i11"231"
11 IN all n i
toM_ 20 •
0
W a n0o IN Ilia 160 IM zoo "770 210U..GM Flow UR
Goulds Pumps
W ITT
Industries
FROM .
09/22/93' 09:47 FAX
FAX NO. : Sep. 23 2003 11:23AM P4
GD004
gGOULDS PUMPS
APPLICATIONS
Superb quality simplex liquid
level controller, automatically
maintains pump operation,
includes high level alarm
warning for a variety of sump,
effluent, sewage and water
transfer appliralim.
SPECIFICATIONS
Accepts single or dual
power feed.
Hand-off automatic (f-O-A)
pump selection switch.
On -off control circuit
switch.
Oversized magnetic
contactur.
Numbered terminal strip -
screw type.
NEMA 4X, 30 watt, flashing
red light.
NEMA 4x, Aberglass
enclosure with gasketed.
hinged door and stainless
steel hardware.
NEMA 4x, alarm hom •-
956.
Auxiliary alarm contacts.
Single Phase
Field adjustable for 115 or
230 V, 50 HE.
Mewbnum Pump*
ftinlro Ampszu
7..7 l3 HP)
36 S NP)
SES Series Customized
Control Panels
Simplex/weather Proof
Controller with Alarm
Thm Phase
Field ad stable for 2OW230
I460i575 v, 60
for
115V control circuit
transiormw.
Ajustable motor overload
protectors.
Heaters not required.
M—Wrwn Pump
Running Ames
Pend
Order No.
1.6 to 2.5 S31625
S329402.5104.0
4.0 % 5.3 34063
S363105.31n 10
101916 31016
16 to 20
101025
31620
32025
FEATURES
a Rugged NEMA 4X construc-
tion withstands even the most
severe weather conditions and
prevents corrosion.
a Hinged door with lockable
stainless steel latch for safe
operation indoors and out.
a High level alarm circuit
includes spring loaded
through door mounted silence
switch for manual silence of
alarm horn.
Through door mounted
alarm test switch insures
proper operation of the alarm
clrcutt without the need to
open the panel.
Through door mounted
pump run light.
Top mounted high intensity
flashing red light provides
350• visibility.
Pulsating, corrosion proof
alarm horn.
a Color coded wiring, screw
type terminals and plug in
sockets, ensure ease of field
servicing.
Field wiring diagram, panel
schematic and installation
irtatnrctions included.
Panel can be wiled for a
single power feed for pump
and control circuit or the
control circuit can be wired tv
a separate power supply to
insure alarm inmgrlty in case
of a tripped pump breaker.
Auxiliary alarm contacts
provided for remote alarm
connection.
a Entire unit is UL and
CUL listed
Gnu* now 6ISO 9001 Re9bmit
Goulds Pumps
9 200+ GO•Ms w"V> ITT Industries
E kKlive Move bm. 2001
VIVANEL
CA
City of Sanford
Building Divison
P O Box 1788
aCS le l l u W Sanford,
17
32772
To: Gene Wahl Fax: 813-663-9400
PH: (407)330-5656
FAX: (407)330-5657
From: Paul Moore, Utility Director Date: 9/22/2003
Re: 1300 French Ave. Pages: 1
CC:
O Urgent 0 For Review O Please Comment O Please Reply 0 Please Recycle
Questions regarding the proposed left station at the above noted address:
What is the pumping capacity of the proposed lift station?
S
2) Where does the sanitary sewer line discharge to? (show piping rout to City owned line)
r