HomeMy WebLinkAbout2 Red Cleveland Blvd - 96-001070 (SANFORD AIRPORT AUTHORITY) (ADDITION - WELCOME CENTER) DOCUMENTSactd"C-
SUBDIVISION:.
ZONE DATE - 1(a -,9 (o
CONTRACTOR 1 47 l(A-KA-) ll
ADDRESS
PHONE#
LOCATIO?
OWNER
ADDRESS
6 - PHONE #
PLUMBING CONTRACTOR
ADDRESS
PHONE#
ELECTRICAL CONTRACTOR
ADDRESS
PHONE#
MECHANICAL CONTRACTOR
ADDRESS
PHONE#
MISCELLANEOUS CONTRACTOR
ADDRESS
SEPTIC TANK PERMIT NO.
SOIL TEST REQUIREMENTS
FINISHED FLOOR
ELEVATION REQUIREMENTS
ARCHITECTURAL APPROVAL DATE:
PERMIT . # - qbt -/ 0? 0 LOT NO.
Joe( 6 " &,XBLOCK:
SECTION:
COST S
SQUARE FEET.—s-973-0
FEE S-C33 MODEL
STATE NO. OCCUPANCY CLASS:
FEE $
FEE& 3--
FEE 't -
INSPECTIONS
TYPE DATE OK REJECT BY
FEE I ENERGY SECT
CERTIFICATE OF OCCUPANCY
ISSUED # DATE:
FINAL DATE
EPI:
4D
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CITY OF SANFORD, FLORIDA 5kkPPLICATIONFORBUILDINGPERMIT
PERMIT ADDRESS Red Cleveland Blvd. o C)
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Total Contract Price of Job A41,0410-rlao I
Describe Work ILLbtUtl St fft-frOr,
Type of Construction
Number of Stories One
Occupancy: Residential N/A
q (QPERMITNUMBER
Total Sq, Ft. 3,750
Flood Prone (4
Number of Dwellin(Ts--- N/A Zoning
Commercial N7A Industrial
X NO)
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LEGAL DESCRIPTION (please attach printout from Seminole County)
TAX I.D. NUMBER
Sanford Airport Aut_H_0rTt_y____
OWNER Central Florida Terminals, Inc. PHONE NUMBER 407/324-9681
ADDRESS One Red Cleveland Blvd.
a ZIP 3Z771CITYSanfordSTATEYIOrT
TITLE HOLDER (IF OTHER THAN OWNER)
ADDRESS
CITY STATE ZIP
BONDING COMPANY Guignard Co.
ADDRESS F. 0. Box 180817
CITY Casnelberry STATE Florida ZIP 32718
ARCHITECT Nelson BlankenshiR ' Jr.
ADDRESS One Red Cleveland Blvd.
CITY Sanford STATE Florida ZIP 32771
MORTGAGE LENDER
ADDRESS
CITY STATE ZIP
CONTRACTOR Mark Construction Co '_ PHONE NUMBER
ADDRESS 1969 CorRorate Square Dr. ST. LICENSE NUMBER CGCO01227
CITY Longwood STATE Florida ZIP 32750
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, PLUMBING, MECHANICAL, SIGNS, POOLS, ETC.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that
all work will be done in compliance with all applicable laws regulating construction
and zoning. A COPY OF THE RECORDED COPY OF THE NOTICE OF COMMENCEMENT WILL BE POSTED
ON THE JOB SITE WITH PERMITS NO LATER THAN SEVEN (7) DAYS AFTER THE PERMIT HAS BEEN
ISSUED. FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOU PAYING TWICE FOR
THE 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.
ACCEPTANCE OF
THE REQUIREME
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PERMIT IS VERIFICATION THAT I WILL NOTIFY THE OWNER OF THE PROPERTY OF
TS OF FLORIDA LIEN LAW, FS713
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Signature 91 Owner/Agent e
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Florida Terminals. nc. Mark Construction Co. 1< ZCentral
Type or Pr . nt wnerZAgent Name
Ne 1son Blan ens Jr.
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T or Print Contractor's Nameo-P Kqil D Jorgensep-- 0
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Signa re of Notary & Date gignatu -1V Ldly & VaLePfficialSeal) EfficiaJPR§eAXk.VALEWNE
Notory Public - Sic;to of Florida
g
My Co, MARY D. WILLIAMSON My Commisrion Expires Aug 6.1999
Notary Public. State of Floda Commission #CC 486282
kly comm. expires May 23, ING
No. CCI91851
Application Approved BY:_, Elate: Z:00W
FEES: Building Radpar- _n_S_0 Police f Fire
Open Space Ro d I pact App ication
PERMIT VALIDATION: CHECK 7 CASH DATE C h 156 BY
ORIGINAL (BUILDING) YELLOW (CUSTOMER) PINK (COUNTY TAX OFFICE) GOLD (CO. ADMIN)
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THIS APPLICATION USED FOR WORK VALUED $2500.00 OR MORE
CITY OF SANFORD
FIRE -DEPARTMENT
FEES FOR SERVICES
PHONE #: 407-322-4952
DATE: -C9 %P PERMIT #:q 0-7 0
BUSINESS NAME: 1AJe1C0rne-
ADDRESS:
PHONE NUMBER:(
PLANS REVIEW N TENT PERMIT
BURN PERMIT El REINSPECTION
TANK PERMIT 1-1 FIRE SYSTEM
AMOUNT $-'7S-, 0 0
COMMENTS: /qddjr) -G e42 r)+t t?,
47 5- 0
Fees must be paid to Sanford Building Department,,300 N.
Park Avenue, Sanford, Florida. Phone # 330-5656.
Proof of payment must be made to Sanford Fire Prevention
before any further services can take place.
11-73 1 V
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I certify that the above
information is true and
correct and that I will
comply with all applicable
Mes and ordipafm4qs of the
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Fire Prevention S-11ifat
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CITY OF SANFORD. FLORIDA
PERMIT NO 5.6—No DATE.
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO INSTALL THE FOL-
LOWING ELECTRICAL WORK:
OWNER'S NAME
ADDRESS OF JO (crq, 01
ELEC. CONTR -—isidential Non-residentiaLx—
Subject to rules and regulations of the city and national electric codes.
Number AMOUNT
Alteration. Addition, ReRair
Chanee of Service Residential
Commercial
Mobile Home
Factory Built Housing
New Residential 0-100 Amp Service
101-200 Amp Service
201 Amp and above
New Commercial Amp Service
Atiplication Fee
TOTAL
by signing this application I am slating I will be in compliancewilh the NEC including Article 110, Section 110-9 and 110-10.
4 -
Willing Official Maitir flecfrician
STATE COMPETENCY NO.
G
IBectric Services,lnc.
INDUSTRIAL & COMMERCIAL ELECTRICAL CONTRACTORS EC0000 1415
306 S. Sxth Street, Leesburg, FL 34748
TELEPHONE ('904) 787-1322 / FAX (904) 787-7871
POWER OF ATTORNEY
1"hereby name and appoint James L., Thompson
of Electric Services, Inc- to be my lawful attorney
in fact to act for me and apply,to the City of Sanford Building
Department for a Electrical permit for Vrork,to be performed at a
location described as:
owner of property and 8"r'ess)
and to sign my iiame and ao ali things neuesuary to- ti-iis
appointment.
Steven W. Strong
CdFrtified Contractor
Sr6-ature
306 S 6th St, Leesburg, FL 34748
Address
Acknowledge:
Sworn and subscribed before me this 20th day of Febrluary
19_96 by Steven W. Strong President '4!i
of
Electric Services, Inc.,
STEPPANIE S. JOINER
Notary ruNic, State of Florida
My comm. expires Nov, 15, 1996
Comm No CC 340873
Bonded By Service ins.
ersonally Known n Other I.D.
My Commission Expires:
11/15/96
H.W. "BILL" SUBER, CFA, ASA
TERRY GOEMBEL, CFE Seminole County Property Appraiser
ADMINISIFLATTV13 DMCFOR
SEMINOLE COUNTY SERVICES BUILDING
1101 EAST FIRST STREET
SANFORD, FLORIDA 32771
TELEPHONE (407)321-1130 EXT 7506
FAX (407)330-9542
April 1, 1996
Sanford Building Department
Post Office Box 1788
Sanford, Florida 32771
Attention: Gary Winn
Ref: Exempt Status for Property Used for Afrport Operaffons
Dear Mr. Winn,
TERRY P. MANFRE, CFE, ASA
APPRAISAL DMCrOR
Under current guidelines, property that is being used exclusively for normal
operations of the airport is tax exempt.
The new terminal, concourse, departure building and welcome center fall
within these guidelines and would therefore be exempt from taxation.
This office requires that. the Airport Authori(try provide updated information
regarding exemption status and use of property on an annual basis. This
assists in ensuring proper compliance with current laws and regulations.
The property mentioned aboveshould be included on all such reports, in
the future.
If you'have any additional questions, please feel free to contact this office.
Sincerely,
H.W. "Bill" Suber, CFA, ASA
Seminole County Property Appraiser
Cindi L. Robinson, CFE
Customer Service/ExemPtion Supervisor
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CITY OF SANFORD, FLORIDA
APPLICATION FOR THE DEMOLITION AND REMOVAL
OF BUILDINGS AND STRUCTURES
PERMI-T ADDRESS'Two Red Cleveland Blvd. Sanford, FL 32 RIMIT NUMBER
TOTAL CONTRACT PRICE OF DEMOLITION $6,000.00 TOTAL SQUARE FT. 5000
TAX PARCEL NUMBER ]got Applicable
OWNER Orlando Sanford International, Inc.
PHONE NUMBER (
407) 324-9681
ADDRESS Three Red Cleveland Blvd.
CITY Sanford STATE Florida ZIP U773
CONTRACTOR Mark Construction Company PHONE NUMBER 407-831-6275
ADDRESS 1969 Corporate Square Drive ST. LICENSE NUMBER 355518
CITY LonMod STATE FL zip 3MU
TYPE OF STRUCTURE TO BE DEMOLISHED: ]Not Applicable
FRAME CONCRETE BLOCK STEEL OTHER
PREVIOUS USE OF BUILDING OR STRUCTURE Angbix
PROPOSED USE OF THE SITE Annpmhj3E
GAS COMPANY DISCONNECT NUMBER (IF APPLICABLE)
GAS COMPANY PERSONNEL ISSUING NUMBER
NOTE: GAS COMPANY SECTION MUST BE COMPLETED BEFORE DEMOLITION PERMIT WILL BE ISSUED.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED
WITHIN 180 DAYS OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF
180 DAYS AT ANYTIME AFTER THE WORK IS COMMENCED.
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.
THE NAMED CONTRACTOR/OWNER BUILDER TO WHOM THE PERMIT IS ISSUED SHALL HAVE THE
RESPONSIBILITY FOR SUPERVISION, DIRECTION, MANAGEMENT, AND CONTROL OF THE
CONSTRUCTION ACTIVITIES ON THE PROJECT FOR WHICH THE BUILDING PERMIT WAS ISSUED.
OWNER'S AFFIDAVIT: I CERTIFY THAT ALL THE FOREGOING INFORMATION IS ACCURATE AND THAT
ALL WORK WILL BE DONE IN COMPLIANCE WITH ALL APPLICABLE LAWS REGULATING CONSTRUCTION
AND ZONING. A COPY OF THE RECORDED COPY OF THE NOTICE OF COMMENCEMENT WILL BE POSTED
ON THE JOB SITE WITH PERMITS NO LATER THAN SEVEN (7) DAYS AFTER THE PERMIT HAS BEEN
ISSUED. FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOU PAYING TWICE
FOR THE IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
ASBESTOS NOTIFICATION STATEMENT (SEC. 553.79(11), FL STATUTES) FOR FACILITIES OTHER
THAN SINGLE FAMILY OR DUPLEX HOUSING.
I HEREBY AFFIRM THAT I HAVE COMPLIED WITH T P ISION FLHEVOFSECTION455-302,
OFSTATUTES, AND HAVE NOTIFJED THE DEPARTMENT OF =VIR OrTA GULATION OF MY
INTENTIONdICY REMOVE -AS11&TOS.- IF APPLICABI,
07A MUATM". z'"Poro"!?
PRINT OWNER/AGENT
rURE OF NOTARY DATE
OFFICIAL SEAL)
160MDO # VOISS!wU901
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APPLICATION APPROVED BY
P. Todd Jorzeusen Mark Construction Co.
NT CONTRACTOR'S NAME
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WVt4O)
SIGIOPURE OF NOTARY & DATE
I
OFFICIAL SEAL)
Tor" WOW$
Commission CCO13270
4s,,7 Eipres FeWuary 23.2o04
DATE 2:
OTHE
PERMIT VALIDATION: CHECK CASH DATE.Z_,.2j-( B(
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PERMIT ADDRESS
Total Contract Price of Job
Describe Work 4doe spez&
Type of Construction
I
Number of Stories
Occupancy: Residential
CITY OF SANFORD, FLORIDA
APPLICATIONIFOR P' 0ILDING PERMIT
0 Il.n-
PERMIT NUMBER ()I —319_
Total Sq. Ft.
k' r Flood Prone (YES) (NO)
Numbei of Dwellings Zoning
Commercial Industrial
LEGAL DESCRIPTION (please attach printout from Seminole County)
TAX I.D. NUMBER
OWNER
ADDRESS
CITY
TITLE H
ADDRESS
CITY
BONDING COMPANY
ADDRESS
CITY
ARCHITECT
ADDRESS
CITY
MORTGAGE LENDER
ADDRESS
CITY
STATE
STATE
STATE
STATE
ZIP
ZIP
ZIP
ZIP
CONTRACTOR NUMBER
ADDRESS
PHONE
ST. LICENSE NUMBER(Z& MAIO
CITY STATE Z I P
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, PLUMBING, MECHANICAL, SIGNS, POOLS, ETC.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that
all work will be done in compliance with all applicable laws regulating construction
and zoning. A COPY OF THE RECORDED COPY OF THE NOTICE OF COMMENCEMENT WILL BE POSTED
ON THE JOB SITE WITH PERMITS NO LATER THAN SEVEN (7) DAYS AFTER THE PERMIT HAS BEEN
ISSUED. FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOU PAYING TWICE FOR
THE 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.
ACCEPTANCE OF PERMIT IS VERIFICATION THAT I WILL NOTIFY THE OWNER OF THE PROPERTY OF
THE REQUIREMENTS OF FLORIDA LIEN LAW, FS713. A
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Signature of Owner/Agent & Date Signature 61f crntr`actor & Date 0 n-<
Type or Print Owner/Agent Name
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s Name 01
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Signature of Notary & Date S:rg'nature ag.Ncotary DateJrNwak,'
Official Seal) Sea IADA 1. ALLEE
Notary Public State offlodda YO
k MY vomm, Up. 09FI. ", AVU-1
Comm. No. CC 955641
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0r. Application Approye4 Bx: Date; 0
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to FEES: Building (0 1. UU -Rg-don Police Fire MZ >-
4 Open Space Road Impact Application
CL
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CD 44
C 0 DATE BY 6
4 PERMIT VALIDATION: CHECK CASH 100
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ORIGINAL (BLIILDING) YELLOW (CUSTOMER) PINK (COUNTY TAX OFFICE) GOLD (CO. ADMIN
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THIS APPLICATION USED FOR WORK VALUED $2500.00 OR MORE
I
CITY OF SANFORD FIRE DEPARTMENT
FEES FOR SERVICES
PHONE # 407-302-1091 * FAX #: 407-330-5677
DATE: 0 1 PERMIT#: 0149 -
BUSINESS NAME / PROJECT:-Ull IL rt, Y' '5 tz Ig 5 7-- // t— T 0 PI ):, -S
ADDRESS 44 -2— d? jr 0 el it VI-f 1'H jo
PHONE NO.: '-/0-7 - Y3 / - I? '/J Y FAX NO.:
CONST. INSP. [ 1 0 INSP.:[ j REINSPECTION [ I PLANS REVIEW [ ]
F. A. [ ] F. S. [ 1
1
HOOD PAINT BOOTH BURN PERMIT
TENT PERMIT [ ] TANK PERMIT OTHER [ I
TOTAL FEES: $ y-D
COMMENTS: A IT A e 14.kn <-
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3.
4.
5.
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7.
8.
9.
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11.
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18,
19.
20.
PER UNIT SEE BELOW)
Address / Bldg. # / Unit # Square Footne Fees per Bldg. / Unit
Fees must be paid to Sanford Building Department, 300 N. Park Ave., Sanford, Fl. 32771 Phone # -407-
330-5656. Proof of Payment must be made to Fire Prevention division before any further services can take
place. I certify that the above is true and correct and that I
will comply with all applicable codes and ordinances
of
Sanford Fire Prevention Division
10
Sernipble County Property Appraiser Database Information Pagel of3
2M
Assessed values shown are NOT certified values and therefore are subject to change before being
finalized for ad valorem tax purposes.
Parcel Id 06-20-31-3 00-0010-2960 Tax District
Owner
Address
tate,ZipCode]
Dor 10
Exemptions IPropertyAddress]
VALUE SUMMARY
Value Method Market
Number of Buildings 3
Depreciated Bldg Value $0
Depreciated EXFT Value $0
Land Value (Market) $0
Land Value Ag $0
Just/Market Value
Assessed Value (SOH)
Exempt Value 6,353,002
F—Taxable Value
http://ntweb.scpafl.org:8080lowalowalseminole—County_itle?PARCEL=06203130000102960 1/5/21001
Seminole County Property Appraiser Database Information Page 2 of 3
SALES INFORMATION
Find Comparable Sales within this Subdivision
I LEGAL DESCRITTION
I I
I SEC 06 TWP 20S RGE 3 1 E BLDG 296 (LESS 296A,296B,296C,296D) SANFORD AIRPORT]
I LAND INFORMATION I
ILand Assess Method] I Land Units1i Unit Price 11 Land Value]j
IFLO-T 1E:::T:31 1.000]1 .10] 1
BUILDING INFORMATION
s'.
Bid Class Ext Wall I Bid Value EN
MASONRY
CONCRETE
I
PILAS
1964 16 17,110 15,980 BLOCK - $1,008,656 $1,0(
MASONRY
REINFORCED
METAL
2
CO
1996 100 57,224 51,857 PREFINISBED $3,984,294 $4, 1
INSULATED
STEEL/PRE
METAL
3
ENG
1997 42 61,097 20,923 PREFINISHED $1,343,911 tl,4(
INSULATED I I
EXTRA FEATURE INFORMATION I
EXFT Valuej New]Description Est. Cost
FREEZE 4,032 11 4,032 11
ICOLD R 9,27411 9,2741
11 CHILL ROOM 1[EEJ 2,83511 2,835 1
New Search I F Find Comparable Sales within this Subdivision ]
http://ntweb.scpafl.org:8080lowalowalseminole—County_itle?PARCEL=06203130000102960 1/5/2001
WIGINTON FIRE SPRINKLERS, INC.
450 S. County Road 427
LONGWOOD, FL 32752-0160
407) 831-3414
Jacksonville 0 Tampa 0 Pompano 9 Miami
TO: City of Sanford
Building Dept.
City Hall
LETTER OF TRANSMITTAL
DATE: 1/8/2001 1 JOB NO. # 24146S
ATTN: Plan Review
RE: Jerry's Restaurant
2 Red Cleveland
WE ARE SENDING YOU 0 Attached 0 Under separate cover via _
0 Shop drawings 0 Prints D Plans D Samples
0 Copy of letter 0 Change order 0
the following items:
0 Specifications
COPIES DATE NO. DESCRIPTION
3 Fire Sprinkler Drawings
1 Application.
I Certificate of Insurance
1 Certificate of Competency
I Property Appraisal Legal Description
THESE ARE TRANSMITTED as checked below:
0 For approval 0 Approved as submitted D Resubmit copies for approval
D For your use 0 Approved as noted D Submit copies for distribution
D As requested D Returned for corrections D Return —2— corrected prints
D For review and comment 0
D FORBIDS DUE 19 D PRINTS RETURNED AFTER LOAN TO US
REMARKS: Notifv our office when Dians are readv for i)ick UD. Should vou have anv auestions.
lease call our office.
COPYTO
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S I G N E D: ex,
Aiaa 1. Allee, Permit Administrator
Ext. 134
Scott Workman, Designer
I
JAN-05-2001 FRI 03:40 PM BROWN & BROWN INC FAX NO. 9042395795 P, 04/05
WTnTNTON
AGORD- CERTIFICATE OF INSURANCE CATE (MMiDW")
12/28/00
PHODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
BROWN & ARROWN INC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
220 SOTITH ]ID60WOOD AVENUE HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
P 0 BOX 2412— COMPANIES AFFORDING COVEUGE
DAYTONA BEACH, FL' 32115
COMPAPYcc"
AEXECUTIVE RISK-SPEC.I.ALTY
I COMPANY
WIGINTON FIRE SPRINKLERS, INC. BAMER GUARANTEE & LIAB INS CO
450 SOUTH COUNTY ROAD 427
LONGWOOD, FL 32750
j C0161PANY
CTRANSPORTATION INSURAN.CE CO
CCMPANY
DVALLEY FORGE INS CO
COVERAGES
THIS IS TO cER,riFY THAT THE POLICIES OF INSURANCE USTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TEAM OR CONDITION OF A14Y CONTRACT OR OTHER DOCUMENT VATH RESPECT TO -WHICH THIS
CERTIFICATE MAY BE ISSUED CA 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.
c- T- TYPr OF INSURANCE POUCYNUMBER
LTn I POLICY EFFECTIVE POLICY EXPIRATION
DATE tMMIDDIYY) DATE I MIDO" LIMITS
A 8178-7832 01/01/01 01/01/02 EEPJ 2LLASLESL 0
X CONIMCACIAL GCMERAL LIABILITY PRODUCTS-COMPiOPAGG 31_, 0 0 0 , 0 0 0
r—1
L--
r-.71
ummsmne LAJ OCCUFt INJURY jj.,'Q Qp.,.p 0 0
OWNEFtS L CONTRACTOWS PROT EACH OCCURRENCE 3ij-0-0 10,66-
X PER PROJECT AG(; FIRE DAMAGE (AN ore 2 5 0 ,0 0 0
5.000
AL vroml)011; LIABILITY 8178-7832 01/01/01101/01/02
COMBINED SINGLE LM41T 31,000,000
ANY AUTO
BODILY INJURYALLCAAMEDAUTOS
SCHEDULEO AUTOS
HIRCO AUTOS BODILY INJURY
a
X NON OWNCO AUTOS i
Pvr3=idw4)
FPROPERTYXCOMPREHENSIVE
XICOLLISION
DAMAGE I
GARAGE LIABILITY AUTO ONLY -EA ACCIDENT S
OTHER THAN AUTO ONLY. ANYAUTO
EACH ACCIDENT
AGGREGATE Is
EXCESS UADIUTY AU03658000-05 01/01/01.!01/01/02 EACH occ I UNLl ! 9 j..qqql.000-
UMBnELLA FORM AGGREGA 000 , _000
OTHFR THAN VMRRELIA FORM
C WORKERS COMPIENSArON AND WC2025684422 01/01/01101/01/02 ILTAMo t
EMPLOYrRS'UABIUTV
EACMACCIDENT Soo, O Lo
DISEASE -POLICY jsqR0 pq 0nicPROPRIETCriINCLI
PAnTNERSil.XECUTWE
OFFICEAS ARE EXCL I D ISEASE. EACH EM PLOYEEIS500,000
D OTNCR CONTRACTORS L131786212 01/01/01 01/01/02 LEASED/RENTED EQUIP.
EQUIPME,NT LIMIT: $55,000
DEDUCTIBLE: $1, 000
DESCRIPTION OF OPEItAllONS&OCA'nONSNENCLESiSPECI&L ITEMS
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
CITY OF SANFORD EXPIRATION DATE THEREOF, THE ISSUING COMPANY VALL ENDEAVOR TO MAIL
PO BOX 1778 10 DAYS WRITTEN NOTICE TO THE CERTiFicATE HOLDER NAMED TO THE LEFT.
Sanford, FL 32772 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF AMY KIND UPON_TWG COMPANY, ITS AGIiNTS OR RIEPRESCUTILTIVES.
A
UT
I ACORD 25--S (3193) 1 of I #MR5071 TiC 0 ACORD CORPORATION 1993
STATE OF FLORIDA
OFFICE OF TREASURER
DEPARTMENT OF INSURANCE
TALLAHASSEE, FLORIDA
STATE FIRE MARSHAL
CERTIFfCATE OF COMPETENCY
THIS CCUPTIFIC.S CHAT: MICHAEL A. MCKFEVEQ
202 PTDGE RnAD
LAKF MAPY, FLORIDA 3:2746
HUSINFSS ORGAN117ATrOrl: WIGINTnN FIRF SPRINKLERS INC
FMOO109
CnNTPACTOP Tj IS L1 41TED TO THE EXF_CUTInN C)F- CONTPACTI, PFOUTRINC THE ARILTTY TO
LAYOUTo FAG:ZICATEo 1,',ISTAt-Lo INSPFCTo ALTER, OR SERV Cr WATF SPRTNKLr-P SYSTEMS,
WATFP SPPAY sysrF-,iSg rnAll—WATFr? SPRINKLER SYSTEMS9 FOAM —WATER SPRAY SY.q7FtA.l.;
STAfll0PjPFl_;* crl,mr'lATTlN ISTANDPIPES AND SPRINKLER RISERS, EXCLUDING PRE—ENGYNEFRIF0
5 Y STFMS
071 07 1 1 71 0 0.-1., 1 (1 1 0 () 0 10 0 1 00? 1 0 t0001 1 300.001 JOA 1 3 01 ID
MFR
ISSOF OA
UTILITY DEPARTMENT
MEMORANDUM
DATE: January 8,2001
TO: Building Official
FROM: Utility Director
RE: Wiginton Fire Sprinklers Inc. Plans
Jerry's Restaurant - Sanford Airport
Dan -
I have reviewed the above referenced plans. The plans show a tie in to the city
line to be done by Wiginton. The Utility Department needs to see details on this
connection with appropriate materials. A City inspector needs to witness the tap.
A minimum of forty-eight (48) hours notice is needed to schedule inspections.
Thank You.
PM/ap
C,