HomeMy WebLinkAbout1200 Red Cleveland Blvd - M08-001172 (REPLACEMENT OF AC) DOCUMENTSCITY OF SANFORD PERMIT APPLICATION
Application #: 11-72,* Submittal Date: March 17, 2008 Job
Address: 1200 Red Cleveland Blvd, Sanford F132773 _ Value of Work: $ 865,482 Parcel
ID: "&p'
ad-3t1 3 - 6olD -00C), . Zoning: Historic District: Z N/A Description
of Work: Replacement of Existing Air Cooled Chillers Square Footage: /378,833 Permit
Type:Building Electrical • • • • • Mechanical •`• • • • • • • Plumbing Fire Sprinkler/Ala=;Ko • , • • • Pool , • , • • • • Sign • Electrical:
New -Service — # of AMPS Addition/Alteration El Change of Service [ / Temporary Pole Mechanical:
Residential Non -Residential Replacement ® New (Duct Layout & Energy Calc. Required) Plumbing/
New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines Plumbing/
New Residential: # of Water Closets Plumbing Rep Residential Commercial Occupancy
Type: Residential Commercial Industrial Construction
Type: # of Stories: # of Dwelling Units: Property
Owner: Orlando Sanford Airport Authority C E Address:
1200 Red Cleveland Blvd. do Phone:
407-585-4017 E-mail: Bonding
Company: Liberty 1 Address:
175 Berl Architect/
Engineer: Address:
2 Plan
Review Contact Person: Occupancy
Use Group(s): Flood
Zone: (FEMA form required ) tractor:
Florida Steam Service Inc. ress:
PO Box 1199 Geneva,
Florida 32732 407-
417-1984 State License Number: CMC 057013 ge
Lender: ress:
Phone:
407-246-1688 Fax:
407-246-1664 407-
246-1688 Fax: 407-246-1664 E-mail: rking2peifla.com Application
is hereby made to obtain a permit to do the.vgrk 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 t6 meet standards of all laws regulating construction in this jurisdiction. I understand that a separate permit
must be secured for ELECTRICAL WORK, LIMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and AIR
CONDITIONERS, etc. OWNER'
S AFFIDAVIT: I certify that all of the oregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction
and zoning. WARNING
TO OWNER: YOUR FAIL E 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 requirem bits 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 additi at permits required from other governmental entities such as water management districts, state agencies, or federal agencies. Jure
permit
is verification th t I wills notify the owner of the property of the requirements of Florida Lien Law, FS 713. 3/
2)66 f?
Agent'
s er/
ent Date Si natureo Contractor/ t Date Q
1aN ie
Print mractor/Agent' ar Signat ire
of Nota -St to Florida Da Signature of Notary -State of Florida DIANA M.
MUNIZ-OLSON DIANA M.
MUNIZ-OLSON :°`'s°° MY
COMMISSION #
DD477605 MY COMMISSION #
DD477605 EXPIRES: OCT 02, 2009 R EXPIRES:
OCT
02, 2009OFP Bonded through 1 st State Insurance Bonded through
1 srState Insurpm onally Known
to Me or Contr tor/Agent is — Personall Known to Me or Produced ID
Produced ID S2fPZ- )iZ— 53' `sD — D APPROVALS: ZONIN
UTIL: FD: ENG: BLDG: 1 t s
Special Conditions:
l ® 1 Rev 07.
07
CITY OF SANFORD PERMIT APPLICATION
j ` 3 IApplication #: 07- l 1 l 01 t
Submittal Date: /
J
Job Address: 1.QO l4'fl G(jZv;(,,or e LVn $Arls' ! J Value of Work: S 3Li 3T
Parcel ID: 02 do `23 -001() _Ctpoz) Zoning: Historic District:
Description of Work: APA of (,N- Lik4. b L tJ f - G IF (41f O LS Square Footage: I................................................./
mpora*
rpy Permit
Type: Building Electrical ' Mechanical Plumbing Fire Sprinkler/Alarm ool Sign Electrical:
New Service - # of AMPS Addition/Alteration Change of Service Pole Mechanical:
Residential Non -Residential Replacement Plumbing/
New Commercial: # of Fixtures # of Water & Sewer Lines Plumbing/
New Residential: # of Water Closets Occupancy
Type: Residential Commercial New (
Duct Layout & of
Gas Lines Plumbing
Repair- F Industrial
Occupancy Use Construction
Type: of Stories: of Dwelling Units: Flood Zoi Property
Owner: 00-LAI -W S4,. ,,90 AiRAO k1f8fif.I Contractor: Cale.
Required) Commercial
up(
s): FEMA
form required) Address:
I44a 4 ( LC-Et'A-0 i3C.V,O_ Address: I )/
S 1 U.S. t4,6P-w 0,
X4 ict, 3a*) 1 3 S e 0 , cLt,,c..., i 33 iH - dr91 3
Phone: 407 -56,Y-W) E-mail: Phone: "S;3-O aState License Number: AL- a6 S-i6 Bonding
Company: t-t I i t f e C if-SLytArt ' spa"% Mort ge Lender: Address: ( ')
t3¢ c K euc f S1,u Ad ess: 13-
ssb," m a d211 1 Architect/
Engineer: Joe N Ntv(A Phone: qF,)7' .2-16 - / 60' Address:
2 O ! 6 A tdgrj 4A4 9 r<L.a O . 3z , 3 Fax: NJ) - aN & - it L. Plan
Review Contact Person: 1° C.N Ake3 K) W (- -Ph e: i 4 - (4 frax: `1J7 f16 - (60 4 E-mail: 9k ' b 9 00'C t * • f4wl Application
is hereby made to obtain a permit to do the work and ins 11 n 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 st da o 1 laws regulating construction in this jurisdiction. I understand that a separate permit
must be secured for ELECTRICAL WORK, PLUMBING, S S LLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and AIR
CONDITIONERS, etc. C.
OWNER'
S AFFIDAVIT: I certify that all of the foregoing inYkrmalop is accurate and that all work will be done in compliance with all applicable laws regulating construction
and zoning. WARNING TO OWNER: YOUR L TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE
FOR IMPROVEMENTS TO YOUR PROPERTY. IF YO TEND TO OBTAIN FINANCING; CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE RECORDING YOUR NOTICE OF COM ENCEMENT. 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 fromther governmental entities such as water management districts, state agencies, or federal agencies. Acceptance perrrlit
v on that will notify the o er of t property of the requirement f Florida en Law, S 713. 0 ignat
Ye
of Owner/AWent Date Signature of Con r/ ent Date TaIn t4
Fnv V r 13ti c,4 A Print er/
Agent's m Pri ontractor/Ag Na 3 1 -
o Signature of
Notary -State of Florida D to gnatur ie ofNotary- tate of Florid Date DIANA M.
MUNIZ-OLSON DIANA M. MUNIZ-OLSON MY COMMISSION #
DD477605 :, °o MY COMMISSION #DD477605 h EXPIRES:
OCT 02, 2009. EXPIRES: OCT 02, 2009 Bonded through
1stState Insu a Bonded through 1stState Insurance pally Known
to or Contractor/Agent is r Perso
Produced
ID
l'roduced ID "5(p -O(01 (P8_ APPROVALS: ZONING:
UTIL: FD: ENG: BLDG: Special Conditions:
Rev 02/
2007 2
CITY OF SANFORD PERMIT APPLICATION
Application #: l ` of Submittal Date: 3
Job Address: 120c, aLV,) SAr%1J44 fL 7 3 Value of Work: S _D /
Parcel ID: 02 o?O 36(3 —00I -OOCK) Zoning: Historic District: /
Description of Work: AAmAo4eA ai (.NUt4 LI Ikf, G ; U,..f e(,S s SquareFootage: Permit
Type: Building 9 Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool Sign 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 Lines # of Gas Lines Plumbing/
New Residential; # of Water Closets Plumbing Repair—Residentia Commercial i
Occupancy
Type: Residential Commercial CR Industrial Occupancy Use Grou s): Construction
Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required ) iProperty
Owner: O'LLAI—a) S4--Y,Al' IQI/e%'Y 04,f% Contractor: • s*,41 Address:-
R,40 tt Q LI 6N e.h' t3GVrD_ Address: 17 N.S. d G1' "° 1 Aa4 'G s
SA..i$, A-4 , IBC a 3 Sv.fe J , LU-At•ia 3 24Lf - 602 e
Phone: 4o7 -5d.5'q01'3 E-mail: Phone-e•,1 7 - 51"'1aState License Number: 4e. Bonding
Company: LI Iy 4 rS tArtG Mortgage Lender: _ Address:
Address: Architect/
Engine14 ;` ,;:, N t Nty ri.N ire(, Phone: (I,)7' .2`16 - Address: 2F01(
o t_,4 CAet-J 1lOA4 94,or c7 C .z b- 3 Fax:. W) ZN%- IL G/ Plan Review
Contact Person: ' C-ii Atli K WL Pho7in., Ji
1k6 - (%
1rWax: `1J1 z46. 166 N E-mail: 91t."L 9IPA t 1A - 4OW1 Application is hereby
made to obtain a permit to do the work and installs 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 stands[ ds 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: YOWFAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTYJIF 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 d from other
governmental entities such as water management districts, state agencies, or federal agencies. this county, andtheremaybeadditionalpermitsrequiieAcceptancepemtt
v on that will noti'f' y the oer of740 property of
the
requirement f Florida en Law, S 7I3. 3 , » v ignat
Ye of
Owner/AWent Date Signature of Con r/ ent Date t -IT (O
r dle cl A 69-0-16JY Print er/Agent'
s Pri ontractor/Ag Na Signature of Notary -
State f Florida -J to ignature of Notary- fate of Florid Date DIANA M. MUNIZ-
OLSON r DIANA M.
MUNIZ-OLSON MY COMMISSION #DD477605
MY COMMISSION #DD477605 EXPIRES: OCT 02,
2009 EXPIRES: OCT 02, 2009 Bonded through IstState
Insu r Bonded through istState Insurance nally Known to
or Contractor/Agent is Perso Produced ID _Z
oduced ID Sip -010 APPROVALS: ZONING: UTIL:
FD: ENG: BLDG: Special Conditions: Rev
02/2007
CITY OF SANFORD PERMIT APPLICATION
Application #
Job Address: 12200 Redd Cleveland Blvd, Sanford FI 32773
Parcel ID: 08 C) "3 ( "yno ` (3 o -Woo Zoning:
Submittal Date:
Value of Work: $ 360,284
Historic District: N/A
Description of Work: Connect Power to new replacement chillers, Install Variable Speed Drives Square Footage: 378,833
Permit Type: Building Electrical ® Mechanical Plumbing Fire Sprinkler/Alarm Pool Sign
Electrical: New Service — # of AMPS Addition/Alteration ® Change of Service Temporary Pole
Mechanical: Residential Non -Residential Replacement M New (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 Commercial
Occupancy Type: Residential Commercial Industrial Occupancy Use Group(s):
Construction Type: # of Stories: of Dwelling Units: Flood Zone: (FEMA form required )
Property Owner: Orlando Sanford Airport Authority Contractor: Bergeelectric Corp
Address: 1200 Red Cleveland Blvd. Address: 404 Sunport Lane Suite 550
Sanford, Florida 32773 Orlando, Florida 32809
Phone: 407-585-4017 E-mail: Phone: 407-859-8994 State License Number: EC 0002414
Bonding Company: Liberty Mutual Insurance Company Mortgage Lender:
Address: 175 Berkeley Street Address:
Boston, Ma 02117
Architect/Engineer: Peninsula Engineering, Inc Phone: 407-246-1688
Address: 2016 Alden Road, Orlando, Florida 32803 Fax: 407-246-1664
Plan Review Contact Person: Richard King Phone: 407-246-1688 Fax: 407-246-1664 E-mail: rkingopeitla.com
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. 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.
yqt% f per it is verification that
will7a
tify the owner of the property of the requirements of Florida Lien Law, FS 713.
3 r-
T--, 03/17/2008
VOIKAre of wn gent Date Signature of Contractor/Agent Date
O r
DIANA M. MUNIZ-OLSON
MY COMMISSION #DD477605
EXPIRES: OCT 02, 2009
Bonded throu h 1 st State Insenis nail Kn to Me or
Produced ID
APPROVALS: ZONING:
Special Conditions:
Rev 07.07
3
UTIL: FD:
William R. Surber
Print Contractor/Aiaent's Name i i
S I1Z<<
y-Stal:E< of FTorida _ Date
LUCY REYES
Notary Public - State of Florida
My Commission Expires Aug 29, 2009
ll ,,Commission # DD466936
is B4dPdrRvaallm,6Puwa"Uc or
ENG: BLDG:
2"
Mar 25 08 03:58p Energy Systems 727 533 0723 p.1
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
FAX (407) 328-3859
Date 3 :2 1 a
1. Business Name Er-6)r ' -rCM3
2_ Business 110ailing Address (-7l 7 % J W" 19 tg City-
La-1/ wc-kl-y,- State rL_ _ Zip 37te'l 3.
Business Phone -72j" 533 "OL'0'' Fix 4.
Name of Qualifier on State License il-x tie 't'nrS Qn_ -mac 1 5.
State License Classification 6.
State License Number f
n/ 2 licant'
s Signature If
State Certified: Must provide a copy of current State license and occupational license: Certificate
of Workman's Compensation Insurance or tiVaiver Affidavit. S10.00 registration fec will
be assessed in lieu of a current occupational license. 1f
State Registered: Must provide a copy, of current State license and occupational license: Certificate
of Workman's Compensation Insurance or Waiver Affidavit: a S2,000 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. $10.00 registration fee will be assessed in lieu of a current occupational
license. All
Other Specialty Contractors: Must provide a Certificate of Workman's Compensation Insurance
or Waiver Affidavit: a $2.000 surety bond. A $10.00 fee registration will be assessed. Certificates
of Insurance shall list the City of Sanford as a certificate holder. OFFICIAL
USE ONLY *,*k****,.*x K.x Control
City' Registrationg
Mar 25 08 03:59p Energy Systems 727 533 0723 p.2
vet i STATE OF FLORIDA
SiDEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
P.;y=1 CONSTRUCTION INDUSTRY LICENSING BOARD (850) 467-1395
1940 NORTH MONROE STREET
TALLAHASSEE FL 32399-0783
ENERGY SYSTEMS GROUP LLC
4655 ROSEBUD LANE
NEWBURGH IN 47630
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND
PROFESSIONAL REGULATION
QB55716 . 06/21/0.7 060638531
QUALIFIED BUSINESS ORGANIZATION
ENERGY SYSTEMS GROUP LLC
NOT A LICENSE TO PERFORM WORK.
ALLOWS COMPANY TO DO BUSINESS IF
IT HAS A LICENSED QUALIFIER.)
IS QUALIFIED under the pravieiau of Ch.489 PS.
c irecioa de:e: AUG 31, 2009 r.01062100144
DETACH HERE
AC# 3 2 6 8 3 6 8 STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
CONSTRUCTION INDUSTRY LICENSING BOARD SEQ#L07062100144
CENSE NBR
06/21/20071060639531 JOB55716
The BUSINESS ORGANIZATION'
Named below IS QUALIFIED
Under the provisions of Chapter 489 PS.
Expiration date: AUG 31, 2009
THIS IS NOT A LICENSE TO PERFORM WORK. THIS ALLOWS
COMPANY TO DO BUSINESS ONLY IF IT HAS A QUALIFIER.)
ENERGY SYSTEMS GROUP LLC
4655 ROSEBUD LANE
NEWBURGH IN 47630
CHARLIE CRIST
GOVERNOR
HOLLY BENSON
SECRETARY
Mar 25 08 03:59p Energy Systems 727 533 0723 p.3
T STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395
1940 NORTH MONROE STREET
TALLAFASSEE FL 32399-0783
SUMMERS, CHRISTOPHER D
BGA INC
2116 FLETCHERS POn1T CIRCLE
TAMPA FL 33613
AlSTATE OF FLORIDA ' AC# 3029529
DEPARTMENT OF BUSINESS AND
PROFESSIONAL REGULATION
CBC1253622 01/16/07 068124752
CERTIFIED BUILDING CONTRACTOR
SUMMRS,. CHRISTOPHER D
BGA INC
IS CERTIFIED under the provielona of Ch.499 TB.
axpiraclou a.u. AUG 31, 2008 noiollsoo979
DETACH HERE
AC# 3 0 2 9 5 2 9 STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
CONSTRUCTION INDUSTRY LICENSING BOARD SEQ#L07o11600979
The BUILDING CONTRACTOR
Named below IS CERTIFIED
Under the provisions of Chapter 489 FS.
Expiration,date: AUG 31, 2008
SUMMERS, CHRISTOPHER D
BOA INC
3550 W WATERS AVE SUITTE 31003614TAMPAFL
CHARLIE CRIST
GOVERNOR
HOLLY BENSON
SECRETARY
Mar 25 08 03;59p Energy Systems 727 533 0723 p.4
R }- CERTIFICATE OF INSURANCE CERTIFICATE NUMBER
CHI-001816859-07
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
MARSH USA INC. NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN TNDSE PROVIDED IN THE
CHASE TOWER POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE
111 MONUNIENTCIRCLE AFFORDED BY THE POLICIES DESCRIBED HEREIN.
SUITE 4300 COMPANIES AFFORDING COVERAGE
INDIANAPOLIS, IN 46204-2492
Attn: Patricia McPherson 317-261-9363 COMPANY
101379-ALL-07-08 A AMERICAN HOME ASSURANCE COMPANY
INSURED COMPANY
ENERGY SYSTEMS GROUP, LLC B ACE AMERICAN INSURANCE COMPANY
4655 ROSEBUD LANE
NEWBURGH, IN 47630 COMPANY
C
COMPANY
D
COVERAGES This certiricate supersedes end replaces any previously issued certificate for the policy period noted below. 3
THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED. -
NOTJVT'HSTANDM ANY REQUIREMENT, T2RM OR CONDITION OFANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY
PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES CESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. AGGREGATE
UMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO
LTR
TYPE OF INSURANCE POLICY NUMBER
POLICY EFFECTIVE
GATE(MIM)DDIVY)
POLICY EXPIRATION
CATE(MWDOIYY)
LIMITS
A GENERAL LIABILITY GL 360 22 22 03/31/07 03/31/08 GENERAL AGGREGATE 2,000,000
PRODUCTS -COMPIOP AGO 2,00,000XCOMMERCIALGENERALLIABILITY
PERSONAL 8 ADV INJURY 1,DDD,000CLAIMSMADEOOCCURj
EACH CCCURRENCE 1,ODD,000
OWNER'S 6 CONTRACTORS DROT
FIRE DAMAGE (Any one Oral 1,000,000
14EDEXP (Anyone personj 10,000
A AUTOMOBILE LIABILITY 172C51346 03/31/07 03/31/08 COMBINED SINGLE LIMIT 1,000,000
X ANY AUTO
BODILY INJURY
PeEperaon)
ALL M%'NECAUTOS
ECHED'JLED AUTOS
BODILY IN JURY
Peracddent)
HIRED AUTOS
NON-0WNEDAUTOS
PROPERTY DAMAGE4XOLL.
OMP. DIED: $500.
DED: $500.
GARAGELIABILITY AUTO ONLY - EA ACtlO ENT
OTHER THAN AUTO ONLY: ANY AUTO
EACH ACCIDENTPI
AGGREGATE
EXCESS LIABILITY EACH OCCURRENCE
AGGREGATEUMBRELLAFORM
OTHER THAN UMBRELLA FORM
A WORKERS COMPENSATION AND : WC 720 79 78 03/31/07
EMPLOYERS' LIABILITY
03131 /08 X '. TORY LIMITS ER
EL EACH ACCIOENT 1,00%000
EL DISEAS E-POLICY LIMIT 1,ODD,000THEPROPRIETOR/ X INCL
PARTNERSIEXECUTIVE
OFFICERS ARE: EXCL - ELDISEASE-EACHEMPLOYEE 1,000,000
OTHER
B PROPERTY ERPNO1943005 03/3V07 03/31/08 LIMITS 4,400,0DO
DEDUCTIBLE 5,000
ALL RISK
DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLEWSPECIAL ITEMS
TBI, SANFORD AIRPORTY AUTHORITY, CITY OF SANFORD ARE ADDITIONAL INSURED(S) AS RESPECTS THE ENERGY PERFORMANCE
CONTRACT DATED: 2/15/0% AMOUNT $3,438,080.00 - WAIVER OF SUBROGATION IS APPLICABLE
CERTIFICATE HOLDER CANCELLATION
SHOULO ANY OF THE POLICIES 0E6CRIIEO HERE N ell CANCELLED BEFORE CHE EXPIRATION DATE THEREOF,
THE INSURER AFFORDING COVERAGE WI.L ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE
ORLANDO SANFORD INTERNATIONAL, INC.CERTIFICATE HOLDER NAMED -EREW, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPCSE NO OBLIGATION OR
ATTN; KEITH ROBINSON, VP OF FINANCE
3200 RED CLEVELAND BLVD. LIABILITY OF ANY KIN) U'GY THE INSURER AFFORDING COVERAGE, ITS AGE VTS OR REPRE BE NTATNE S, OR THE
SANFORD, FL 32773 IS3UEROFT}19CERTIFICATE.
AU I NOIOZeO REPRCSENTAUVE
Marsh USA Inc. ..
BY: PaVicia A_ McPherson
MMI(3102) VALID AS OF:03/19/08
NOTICE OF COMMENCEMENT
Permit No.
Parcel ID: ( 08-Q0 -31
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.
7eytV1 r t Ta y a
PREPARED. BY
Tani lam
RETURN TO ?t n h I u
SANFORD AIRPORT AUTHORITY
1200 RED CLEVELAND BLVD.
SANFORD, FL 32773
1. Description of property: (legal description of the property and street
address if available) Orlando Sanford International Airport 3200 Red m m m X En M M r
Cleveland Blvd Sanford, FL
r:: 3
M o M,0 z
r3rsiz-+M4ZQz
2. General description of improvement: Installation of energy related upgrades
3. Owner Information r;
a. Name and address: Sanford Airport Authority, 1200 Red Cleveland blvd. Sanford, FL 32773 W. m
b. Interest in property: N/A o n: TVo n nc. Name and address of fee simple titleholder (if other than owner).N/A m , r
4. Contractor e o C,
a. Name and address:,Energy Systems Group, LLC, 4655 Rosebud Lane, Newburgh, IN 47630 iit W
b. b. Phone Number: 407-977-7678 Fax: 812-492-8355 c C
cs
r
5. Surety
a. Name and address: Liberty Mutual Insurance Company, 175 Berkeley Street, Boston, MA 02117 .
b. Amount of bond $3,438,080.00
c. Phone Number: 616-233-4200
6. Lender '
a. Name and address: N/A
b. Phone Number:
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: lERTIFIEQ, COPY
a. Name and address: Larry Dale, Sanford. Airport Authority, 1200 Red Cleveland Blvd. Sanford, FL 32FOVARYANNE M,ORSE
b. Phone Number: 407-585-4002 Fax: 407-585-4045 uCLERK'pF CIRCt1I COURT
8. In addition to himself or herself, Owner designates the following person(s) to receive a copy of the Lienor'sTTt•7FiN1W `&M
I
@4L
Section 713.13(1) (b), Florida Statutes:
a.. Name and address: Kenneth Wright, Shutts & Bowen LLP R
b. . Phone Number: (407) 423-3200 Fax: (407) 425-8316 ;
9. Expiration date of notice of commencement (the expiration date is 1 year from the date of recording unless a different at 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 1, SECTION 713.13,
FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A
NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUI"LENDER OR AN ATTORNEY
BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF CO ENC T.
S' ature of Own or Owner's Authorized
fficer/Director/P artner/Manager
Signatory's Title/Office
T e foregoing instrument was acknowledg d before me this 17 day of rr IiUIGG, 2008 by
Cw/i01/ (narpe f pe son) as (type of authority ...e.g. officer, trustee, attorney in
ct or A /l (name of party on behalf of whom instrument was executed).
PHYLLIS I. GIBSON
MY COMMISSION #DD477598
Signatur of Notary Public, State of Florida Commission Expires:
7 EXPIRES: OCT 02, 2009
OF Bonded through 1 st State Insurance
DATE:
CITY OF SANFORD FIRE DEPARTMENT
FEES FOR SERVICES
PHONE # 407-302-2516 - FAX # 407-302-2526
PERMIT #:
BUSINESS NAME / PROJECT:
ADDRESS: 2 0 %1e°/mod Ir '
pPHONENO.: FAX NO.:"e2/L
CONST. INSP. [ ] C / O INSP.:[) REINSPECTION [) PLANS REVIEW
F. A. [) F.S. [ ] HOOD ] PAINT BOOTH [ ] BURN PERMIT[ ]
TENT PERMIT [ ] TANK PERMIT ( ] OTHER [ } ;
TOTAL; FEES; S (PER UNIT SEE BELOW)
COMMENTS:
77
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 take
place. I certify that the above is true and correct and that
will comply with all applicable codes and ordinances
of the City of Sanford, Florida.
Sanfor ire Pr ention Division Applicant's Signature
r +, • a-. .:Y. ...; a...,;,i:
CITY OF SANFORD FIRE DEPARTMENT
FEES FOR SERVICES
PHONE # 407-302-2516 • FAX # 407-302-2526 j
DATE: y f'S%1 PERMIT #:
e
BUSINESS NAME / PROJECT:
ADDRESS:
E
I'
FAX NO.: y,Q`.2/66P
I
l _ CONST. INSP. [ '] C / O INSP.:[ j REINSPECTION [ ] PLANS REVIEW k,
F. A. (] F.S. [ j HOOD ] PAINT BOOTH [) BURN PERMIT [ }
TENT PERMIT TANK PERMIT. [ ] OTHER ( ]
TOTAL FEES; S(PER UNIT SEE BELOW) .
COMMENTS:
ka. :
Pi
Address 1 Bldg. # / Unit. # SQuare Footage Fees per Bldg. / Unrt
l
5. w;. .
6. F
7.
8.
9.
l p.
11.
12.
13.
14. 3
13. t
16:
I 17.
i 18. _
19
20. i
4j
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
i of the City of Sanford Florida.
Sanfr, ire f'r. vention D..ivision ;,- Applican't's Signature
b.i
sv.t.t:'x ami..tC a..:, ...4 i£ uLnte..c"_x.iy''sa.... .. .. . ....,_.... .._ ..........,..,a ......._. ,_.........._...z F._..,.._.
Seminole County Property Appraiser Get Information by Parcel Number Page 1 of 1
DAVID.7o[I7i5t7N A,ASiA:
PROPERTY,
MI5E'I
R
9E3dINOLE COUNTYFL.
1107E F7sbT,5T
9kiEFf3fftDy Fc'32771-i 468'
407 BfiS=`.'7506
2008 WORKING VALUE SUMMARY
Amendment 1 impact not reflected.
GENERAL Value Method: Market
Parcel Id: 08-20-31-300-0010-0000 Number of Buildings: 0
Owner: SANFORD ARPRT AUTH/CITY SANFRD Depreciated Bldg Value: $0
Mailing Address: 1 RED CLEVELAND BLVD STE 1200 Depreciated EXFT Value: $0
City;State,ZipCode: SANFORD FL 32773 Land Value (Market): $7,747,582
Property Address: 301 RED CLEVLAND BLVD Land Value Ag: $0
Facility Name: Just/Market Value: $7,747,582
Tax District: S1-SANFORD Assessed Value (SOH): $7,747,582
Exemptions: 80-CITY () Exempt Value: $7,747,582
Dor: 20-AlRPORT,BUS, MARINA T Taxable Value: $0
Tax Estimator
Portability Calculator
2007 VALUE SUMMARY
SALES 2007 Tax Bill Amount: $0
Deed Date Book Page Amount Vac/imp Qualified 2007 Taxable Value: $0
Find Sales within this DOR Code DOES NOT INCLUDE NON -AD VALOREM
ASSESSMENTS
LEGAL DESCRIPTION
LAND SEC 08 TWP 20S RGE 31E N 462 FT OF NW 1/4
Land Assess Method Frontage Depth Land Units Unit Price Land Value LESS W 2.94 CH BEG 2619.72 FT E & 50 FT S
ACREAGE 0 0 177.860 43,560.00 $7,747,582 OF S 1/4 COR 6-20-31 RUN S 363.88 FT W TO E
LI OF DIVISION OF PART OF MOSES LYMAN
Permits ESTATE PB 1 PG 68 N TO
A PT W OF BEG E TO BEG) + NE 1/4
NOTE: Assessed values shown are NOT certified values and therefore are subject to change before being finalized for ad valorem
tax purposes.
If you recently purchased a homesteaded property your next ear's property tax will be based on JustlMarket value.
http://www. scpafl. org/web/re_web. seminole_county_title?PARCEL=0820313 0000100000... 3/ 19/2008