HomeMy WebLinkAbout162 Rose Hill TrlItav
CITY OF SANFORD
LDING & FIRE PREVENTION
PERMIT APPLICATION
Application No:, — to 5 Documented Construction Value: $
Job Address: • '_LP W fY Historic District: Yes No
Parcel ID: 'r-Q - S63 -Oe00 03d=0 Zoning:
Description of Work: Q"V-k \A <A0ArA,2A
Plan Review Contact Person: 9,,t Title: to `
Y: = . •P ii'-'!f.. .. . .. _ . .tom C -.A _ . ._ .. .=_ i-..._l S ... Sa f- 'S.'h .i. .2 a3':. ' Y .r•
Phone: LJO -
fL
wO- L(.a_ Fax: 4 -Soo E-mail: Property
Owner Information ' • o Name
e.S 1 • Phone: 7 (y 20..y Street:
Resident of property? City,
State Zip: MAR
16 2011 U
Contractor Information Name (
G Phone: Q
Street:
City,
State Zip: Rj.L ?37 State License No.: Architect/
Engineer Information 2
Name:
Phone: d ` ' 7 7a L f 3 Street: -
Fax: City,
St, Zip: E-mail: t
Bonding
Company: Address:
Mortgage
Lender: _ Address:
PERMIT
INFORMATION Building
Permit Square
Footage: Construction Type: 9
No.
of Dwelling Units: Flood Zone: Electrical
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: -Q
a
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: 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
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: 0,16'01 A UTILITIES:
ENGINEERIN 3 -2_z ( FIRE:
COMMENTS:
r, 3. . {
ature#PN84-Stat"jQfjfflMHtM Date
MY COMMISSION # DD 761978
EXPIRES: March 23, 2012
Nr
OF FLo\ae Bonded Thor Budget Notary SeMcea
Contractor/Agent is Personallyp to Me or
Produced ID Type of ID
WASTE WATER:
Rev 11.08
j ft
I>N IHNNI NN NiNgINNi 1Nl Rl il lll
Prepared by and return to:
Owner set forth below
EARTH TECH DE LLC.
2620 HUNT ROAD
LAND O' LAKES, FL 34638
Permit No.: t `_ W40 S Lk
Tax Folio No.: 18-20-31-503-0000-0320
NARYWE NOSE, CLERK OF CIRCUIT COURT
SENINDLE COUNTY
iBK 075B Pgs 1676 - 1677; (Rpgs)
CLERIKI S 0 2011026003
RECORDED 03/1112011 11:20:09 AN
RECORDING FEES I& SO
RECORDED BY T Smith
NOTICE OF COMMENCEMENT
Cxw E`E
pRyoE NroR v
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: LOT 32 ROSE HILL PB 54 PGS 41 & 42
Street address:162 Rose Hill Trail,Sanford FL 32773-7237
2. General description of improvements: DRILLING & GROUTING TO STABILIZE SINKHOLE CONDITIONS
3. Owner Name(s): Atuesta, Jesus G. and Yolanda
Owner Address: 563 Freeman Street Longwood, FL 32750
Owner Interest in Property: Fee Simple
Name And Address of Fee Simple Title Holder (If Other than Owner): N/A
4.
5.
Contractor Name and Address: Earth Tech (DE) LLC, 2620 Hunt Rd., Land O' Lakes, FL 34638
813-909-8000
Surety Name and Address (if any):
Surety Phone Number:
Amount of Bond: $
N/A
A copy of such bond Is attached hereto and Incorporated herein)
6. Lender Name and Address (if any): N/A
Lender Phone Number:
7. Persons within the State of Florida designated by Owner upon whom notice or other documents may be
served as provided by Section 713.13(1)(a)7., Florida Statutes:
Name and Address: N/A
Phone Number of designated persons:
8. In addition to himself/herself Owner designates N/A of
to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes.
Phone Number of person or entity designated by owner:
9. Expiration date of this Notice of Commencement (the expiration date is one (1) year from date of recording
unless a different date is specified herein) N/A
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
Page 1 of 2
INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR
RECORDING YOUR NOTICE OF COMMENCEMENT.
Individual Ownef(s):
Signature -
1 Hsu
Printed Name)
L
Signature
1-4 ,:p i - A+/-4es)
Printed Name)
INDIVIDUAL ACKNOWLEDGMENTS:
1) STATE OF F RI15A
COUNTY OF 4 e-)
The foregoing instrument was acknowledged before me this c/ 0 day of , 20—L, by
US ( .ATUC.S If l (name of person), wh ersonally ap eared before me, and who is personally
know tQPsgr a as I en ca I
yp 4
MY CO-W AISSION # EE037337SEA '
a;,,,'' EXPIRES October 25, 2014 of ryublic - St a Florida 407) 3laB-0153 :IoddallotaryServloexom Verification
Pursuant to Section 92.525, Florida Statutes: Under
p nalties of perjury I eclare that I have read the foregoing and that the facts stated in it are true to the best of my knowledge
and elief. Signature
o atural Per Sign' g Above) 2)
STATE OF FLORIDA COUNTY
OF The
foregoing instrument was acknowledged before me this day of 1_, 20U, by i)
L -ND V =S— A (name of person), who personally peared before me, and who is personally known
Qc,w A
as
id t]i ication. e
MY COMMISSION i# EE037337 SEAL) ;;. A, ono; •
F"FIRES October 25, 2014 Notary Public - e of Florida 1407)
398-0153 F104dallotaryService.com Verification
Pursuant to Section 92.525, Florida Statutes: Under
penalties of perjury, I declare that I have read the foregoing and that the facts stated in it are true to the best of my knowledge
and belief. Signature
of Natural Person Signing Above) Page
2 of 2
Seminole County Property Appraiser Get Information by Parcel Number Page 1 of 1
DAVRLIOHHON.0 A,ASA
PROPERTY
APPRAISER
N " r• i /•
SEMINOLE COUNTY-Fl-
1101 E. F1RST.ST
SAHFORo.FL32771-1468
407-665 7508
m
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Xrp1c, r
7 .
M.?iy-r3 _ f k•
7
35
32
W
VALUE SUMMARY
VALUES
2011
Working
2010
Certified
GENERAL Value Method Cost/Market Cost/Market
Parcel Id: 18-20-31-503-0000-0320 Number of Buildings 1 1
Owner: ATUESTA JESUS G & YOLANDA Depreciated Bldg Value 88,393 96,582
Mailing Address: 563 FREEMAN ST Depreciated EXFT Value 0 0
City,StateApCode: LONGWOOD FL 32750 Land Value (Market) 16,000 16,000
Property Address: 162 ROSE HILL TRL SANFORD 32773
Subdivision Name: ROSE HILL
Tax District: S1-SANFORD
Exemptions:
Dor: 01SINGLE FAMILY
Land Value Ag 0 0
Just/Market Value 104,393 112,582
Portablity Adj 0 0
Save Our Homes Adj 0 0
Amendment 1 Adj 0 0
Assessed Value (SOH) 104,393 112,582
Tax Estimator
2011 TAXABLE VALUE WORKING ESTIMATE
Taxing Authority Assessment Value Exempt Values Taxable Value
County General Fund 104,393 0 104,393
Amendment 1 adjustment is not applicable to school assessment) Schools 104,393 0 104,393
City Sanford 104,393 0 104,393
SJWM(Saint Johns Water Management) 104,393 0 104,393
County Bonds 1 $104,393 0 104,393
The taxable values and taxes are calculated using the current years working values and the prior years approved millage rates.
SALES
2010 VALUE SUMMARY
Deed Date Book Page Amount Vac/imp Qualified
WARRANTY DEED 07/1999 03685 1823 $98,000 Improved Yes
SPECIAL WARRANTY DEED 09/1998 03496 1719 $1,456,500 Vacant No
a
20Tax Bill Amount: $2,261 2010
Certified Taxable Value and Taxes DOES
NOT INCLUDE NON -AD VALOREM ASSESSMENTS Find
Comparable Sales within this Subdivision LAND
LEGAL DESCRIPTION Land
Assess Method Frontage Depth Land Units Unit Price Land Value PLATS:'Pick... 0- LOT
0 0 1.000 16,000.00 $16,000 LOT 32 ROSE HILL PB 54 PGS 41 & 42 BUILDING
INFORMATION Bid
Num Bid Type Year Bit Fixtures Base SF Gross SF. Living SF Ext Wail Bid Value Est Cost New
Building
1 SINGLE FAMILY 1999 8 1,353 1,797 1,353 CB/STUCCO FINISH $88,393 $92,558 Sketch
Appendage
I Sqft OPEN PORCH FINISHED / 24 Appendage
I Sqft GARAGE FINISHED / 420 NOTE:
Appendage Codes included in Living Area: Base, Upper Story Base, Upper Story Finished, Apartment, Enclosed Porch Finished,Base Semi
Finshed Permits
rrTE—
Assessed values shown are NOT certified values and therefore are subject to change before being finalized for ad valorem tax purposes. if
u recentlyurchased a homesteaded proour next ear's o tax will be based on JusUMarket value. hftp://
www.scpafl.org/web/re—web.seminole—countytitle?parcel=l8203150300000320&c... 3/16/2011
Custom
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The
Atuesta Residence
162 Rose Hill Trail
RECOMMENDEDSanford, FL 32773
Proposal number: 10-1554
Universal Insurance
Stabilization Grouting Claim number: FL10-0009257
INTRODUCING THE MOST EXPERIENCED TEAM
IN THE STABILIZA TION IND USTR Y
LE ARTH TECH
TECHNICAL CONSTRUCTION SERVICES
Earth Tech, LLC
2620 Hunt Road
Land O' Lakes, Florida 34638
www.floiidasinkhole.com
This page is not part of the proposal
RBroadrick@Earthtech.net
Telephone: 813-909-8000
Facsimile: 813-909-8001
C U S T O M P R O P O S A L
Atuesta Residence » 162 Rose Hill Trail » Sanford, FL 32773
2620 Hunt Road I Land O' Lakes, Florida 34638
Telephone: 813-909-8000
Facsimile: 813-909-8001
10/11 /2010
Dear. Jesus G. and Yolanda Atuesta,
At the request of Universal Insurance, we are pleased to
present the following proposal for your consideration. We have
based this proposal upon the recommendations specified in the
Engineering report prepared by Geohazards, Inc.. Our goal at
Earth Tech is to provide you with the highest level of service
combined with the best construction techniques in the business.
All of the work that we perform will be in accordance with this
proposal, industry standards and any further direction by the
Engineer of Record. We look forward to the possibility of
working for you.
OBJECTIVE
The Subsidence Investigation that was recently performed confirmed that Sinkhole Activity
is affecting your property. The Engineering company has specified a Grouting Program
that will address the treatment of the entire perimeter of your home and rear yard
depressions. This Grouting Program will improve the soils beneath the structure by
injecting a cement based grout material above the limestone to fill voids and densify soft
soils that have resulted from subsurface raveling or solutioning. It should be understood
that the grouting may induce additional wall or structure settlement before deep conditions
are stabilized.
OUR PROCESS IN ACTION
S T A G E 0 N£ S T A G E T W O i S T A G E T N R E E ; S T A G E F 0 V R
MISININIAM",
C U S T O M P R O P O S A L
Atuesta Residence)) 162 Rose Hill Trail)) Sanford, FL 32773
WHAT IS GROUT?
Grout is a mixture of cement, sand, flyash and water that is mixed together to form a
material that looks like the mortar that is used to lay bricks. The Grout material is specially
designed to be pumped into the ground under pressure and under water.
THE FIRST PHASE - DRILLING
An initial project walk-thru will address any special needs or concerns
that you might have. The Drilling Phase should take about 2 to 4
days depending on the actual depth and number of Injection Holes.
Our specialized Drilling Equipment is designed to drill holes in almost
any space - between houses, around pools and most other areas
S T 'A G E T O with limited access. Our modified rotary drilling methods will be usedLV
to place steel casing through the soils beneath your home and down
to the competent limestone below. This technique is the safest method of installing the
grout injection pipes since it simultaneously advances the steel casing as the hole is being
drilled. This method causes minimal disturbance to the surrounding soils and will not
cause vibrations that could cause additional damage.
Our primary objective during this phase is to install the grout casing that will provide a
conduit to place the grout material beneath your home. To accomplish this, we will:
Drill an average of 65 feet below the ground's surface
Insert injection casing to transport grout to targeted soil zones
Utilize our custom, Limited Access Drilling Equipment to locate injection holes in
areas that may be inaccessible to others
commit to providing an unparalleled level of respect for your property and quality of
life.
We will locate the Injection Points as shown on the attached drawing or as directed by the
engineering representative from Geohazards, Inc.. These Injection Points may be
adjusted to deal with actual field conditions such as utilities or obstacles.
PHASE TWO - GROUTING
We will normally use Grout Material from our own facility on local
projects. This allows us to maintain control over quality and quantity
of grout material for your project. Recent shortages of cement
products and grout allocations by traditional suppliers have caused
many problems in the grouting industry. Earth Tech is the only
company in the business to own a Grout Supply that is used
exclusively for Earth Tech customers.
I A. E I II N t h
C U S T O M P R O P O S A L
Atuesta Residence » 162 Rose Hill Trail » Sanford, FL 32773
Once the Injection Pipes have been installed, the Grouting Crew
will be scheduled. This is the phase where we begin to inject the
grout material to stabilize the sinkhole condition beneath your
home. An experienced, full-time Field Supervisor and Crew will
be dedicated to your project. Your Field Supervisor has been
empowered to coordinate daily operations and communicate with
you on a daily basis. In addition to your field Team, you will have
the full resources of Earth Tech's customer service and top level
management.
We will locate our specialized pumping equipment at the street in front of your house. The
grout material will be delivered from our plant in typical concrete mixer trucks. The
consistency of the grout material will be dictated by the site specific conditions that are
encountered or as directed by the.Engineer.
To accomplish our Grouting Objectives we will:
Use injection pipes to transport grout to the problematic soil zones
Y Monitor your home and adjacent structures with survey equipment to detect
possible movement
Extract the grout pipes in one foot increments treating each soil zone from the
bottom proceeding upwards
Grout material will be injected into each soil zone until one of the following conditions
occur:
A rapid pressure increase is observed at the injection point
Ground heave or structure movement is observed
A target quantity of grout material has been injected into the zone (target quantities
to be established in the field)
Once we have achieved one of these criteria, the injection pipe will be raised to the next
zone and the process repeated until we get to within 15 - 20 feet from the surface. Our
Field Supervisor will work closely with the Engineering company representative to
document the stabilization process and insure a quality job.
3
EARTH1,1:'
C U S T O M P R O P O S A L
Atuesta Residence)) 162 Rose Hill Trail)) Sanford, FL 32773
S T A G E F 0 V R
THE FINAL PHASE
Upon completion of Phase 1 and 2, yourfield Supervisorwill provide
you with a Completion Checklist. Using this list as a guide, they will
walk the property with you. His final goal is to address any concerns
that you may have and insure that you are fully satisfied with our
work. Even after the project is complete, Earth Tech will continue
to assist you in working with your insurance company or mortgage
company to finalize this phase of your project.
HOW LONG WILL IT TAKE TO COMPLETE MY PROJECT?
Once you have signed and returned the enclosed acceptance page, Earth Tech will begin
to schedule this important project. Once the work begins, it will normally take between 8
and 14 working days to complete, depending on the actual conditions that we may
encounter.
OUR ESTIMATE
This estimate is based upon the information provided by the Engineer. Since the exact
quantities of drilling and grout material are unknown, we have quoted unit prices for each
item. The accuracy of this estimate will be determined by the actual conditions
encountered and we will invoice for the final quantities verified by the Engineer. It is
possible that the final quantities will be significantly higher or lower than this estimate.
DESCRIPTION QUANTITY* UNIT PRICE AMOUNT*
Mobilization &Building
Permits
1 2,500.00. 2,500.00
Demobilization 1 2,500.00 4500.00
Injection Hole Drilling 14951-ineal Feet 17A0 per LF , 25,415.00
Grout Material.:. 140Cubic Yards 175.00 er CY 24,500.00
Total Estimated Cost = 54,915.00
Estimated. Note: Any grout delivered but not used will be charged at a rate of $105.00 per CY
4
C U S T O M P R O P O S A L
Atuesta Residence » 162 Rose Hill Trail » Sanford, FL 32773
WHAT YOU CAN DO TO HELP
Certain aspects of this project are not included in Earth Tech's scope of work. However,
these items must be provided by others at no cost to us to ensure completion of the
project. They are:
Work Area Access: The proposed stabilization program may require passage onto
adjacent properties. Therefore, you must arrange permission for unrestricted access to
these properties before we start work. It may also be necessary to move wood decking,
fences, air conditioners, pool equipment, etc. If this is required, we will invoice you for the
cost of this additional work.
Water Availability: We will need a water supply that is suitable for drilling and cleanup at
the work area.
Electricity: Access to a minimum 110 volt, 20 Amp power source is needed at the work
site.
Underground Utility Identification: Earth Tech will contact "Call Sunshine" prior to the
start.of construction. It is the homeowner's responsibility to locate, mark and notify us of
any utilities or lines such as water, sewer, electrical, phone, irrigation, etc. that may be
beneath the surface of the ground or the floor of the home.
Landscaping: Stabilizing your home is our first priority. In performing this work it will be
necessary to access areas where plants and sod are present. While we will use our best
efforts to minimize damage, we will not be responsible for the replacement or repair of
landscaping.
Inspections: The homeowner or insurance company will be responsible for providing all
third party engineering, monitoring and/or inspections that may be required.
Cosmetic Repairs: Some additional damage may occur as a result of the stabilization
process. Repairs to slabs, walls, etc. due to cracking of the structure are considered
cosmetic and are not included in our scope of work.
Wells: Subsurface stabilization activities may cause grout or soils to be drawn into nearby
wells. To avoid possible damage, all pumping equipment should be removed prior to the
commencement of the grouting work. Earth Tech will not be responsible should any well
or water equipment become damaged or unusable. This includes neighboring properties.
Organics and Clay: This proposal addresses the development of a subsurface grouting
program to stabilize sinkhole activity beneath your home. The proposed work will not
mitigate the adverse effects of organics or clay.
MEIA161ZJ1731
C U S T O M P R O P O S A L
Atuesta Residence » 162 Rose Hill Trail » Sanford, FL 32773
Concrete Finishes: We will fill all holes in concrete with a regular cement material. We
will not attempt to match or repair special finishes, the or colored concrete.
Tile, Brick, and Pavers: Earth Tech, LLC shall not be responsible for the removal,
replacement, possible damage, or displacement to exterior tile, brick, paver, patio block /
patio stone work or landscape border / edging.
MAINTAINING YOUR QUALITY OF LIFE
We are committed to your satisfaction. Your Earth Tech Team will make every possible
effort to insure your current standard of living is maintained throughout the duration of this
stabilization project. Our equipment is designed to cause minimal disturbance by
eliminating excess noise and vibrations within your home. We muffle and shroud our
equipment to further minimize work site interruptions and disturbance. If you have any
questions, our friendly, courteous staff is there to provide whatever assistance you need
to make it through this process as smoothly as possible.
TERMS AND CONDITIONS
Once we have completed each phase of our work an invoice will be sent to you. Payment
is due in full within 10 days of the invoice date. We are available to work with you and your
mortgage company to help expedite the process. You will receive a "Final Lien Release"
from Earth Tech upon request once your payment has cleared.
The attached conditions are an integral part of this proposal.
We appreciate the opportunity to quote this work and look forward to working for you on
this important project. If we may be of any further assistance, or provide any additional
information regarding this proposal, please feel free to contact us at your convenience at
813) 909-8000. Thank You.
Respectfully Submitted,
Ron L. Broadrick
President
EARTH ®TECH
C u S T O M P R O P O S A LAtuestaResidence » 162 Rose Hill Trail » Sanford FL 32773
Dear Homeowner,
2620 Hunt Road I Land 0' Lakes, Florida 34638
Telephone: 813-909-8000
Facsimile: 813-909-8001
It is our goal to fully comply with all state and local laws and to maintain the highest IOfethicsintheconstructionbusiness. Earth Tech is fully licensed and insured to performalloftheworkthatisproposedinthiscontract. We are proud of our 18 e
g ever
excellence in the industry. In accordance with Florida Statute 713.015 we arep ongthefollowingstatement: year reputation for
providing
ACCORDING TO FLORIDA'S CONSTRUCTION LIEN LAW S713.001-713.37 FLORIDA STATUTES THOSE WHO WORK N CTIUONPROPERTYOFFPROVIDEMATERIALANDSERVICESANDYOURPAIDINFULLHAVEARIGHTTOENFORCT RE NOTP-AYMEN-T-AGAINST-YOtJR-PRTY. THIS CLAIM IS KNOW CONSTRUCTIONLIEN. IF YOUR CO Itll—
FOR- SUBCONTRACTOR
FAILS TO -PAY SUBCOTRACTOR ORS A SUBCONTRACTORSORMATERIALSUPPLIERSTHECTORSv'E SUB -
AREOWEDMONEYMAYLOOKTOYOURPROPERTYFORPAYMENTWHOEVEN
IF
YOU HAVE ALREADY PAID YOUR CONTRACTOR IN FU YOU FAILTOPAYYOURCONTRACTOR, YOUR CONTRACT L. IFS ALSO HAVEALIENONYOURPROPERTY. THIS MEANS IF q R MAYFILED YOUR
PROPERTY COULD BE SOLD. AGAINST YOUR WILL O PAY FORLABORMATERIALSOROTHERSERVICESLLTOCONTRACTORORASUBCONTRACTORMAYHAVEFAILEDATT, YOUR TO PROTECTYOURSELFYOUSHOULDSTIPULATEINPAY. CONTRACT
THATBEFOREANYPAYMENTISMADENTHIS
CONTRACTOR ISREQUIREDTOPROVIDEYOUWITHAYOURRELEASEOF
LIEN FROM ANY PERSON OR COMPANY THAT PROVIDED YOUA "NOTICE TO OWNER . FLORIDA'S CONSTRUCTION HAS LIEN
LAWISCOMPLEXANDITISRECOMMENDEDTHAYOUCONSULTANATTORNEY. T YOU We will
work with you during this process to insure that you are provided with all necessary documentationandreleasespursuanttothepaymentforourservices. Ethe arth Tech
takes
greatprideinourworkandwe- look forward to including you as satisfied client. another . Signature(s)
of
all persoryp named on deed ust sign. Jesus G. andYolandaAGtuesta) Accepted and Approved:
c Print
V V
Name(s): J
es u S kh,a,k
Date: f) 7_ —
7 -`
W141-91,M!
C U S T O M P R O P O S A L
Atuesta Residence » ...162 Rose Hill Trail » Sanford, FL 32773
ACCEPTANCE AGREEMENT
In accordance with pages 1-6 of the above referenced proposal and its attached conditionsandlienlawpage, this page shall represents the acceptance and agreement of all TermsandConditionsandScopeofWorkdescriptionscontainedtherein. This page andreferencedproposalshallrepresenttheonlycontractand/or agreement for this work andshallsupersedeanypriorrepresentationseitherexpressedorimplied.
PAYMENT AUTHORIZATION
We, the undersigned, hereby expressly agree, and hereby irrevocably authorize and directourinsurancecompanyandlender(s), to name Earth Tech, LLC as the named payee onallchecks, payments and other disbursements -made by our lending institution (and/or anyservicingagentforanysuchlender) and/or our insurance company for any labor, servicesand/or materials supplied by Earth Tech, LLC pursuant to this agreement, and/or for anydamageorrepairtoourrealproperty. In addition, we also hereby irrevocably transfer andassigntoEarthTech, LLC, to the extent of the -sum s_ now-and/or-hereafter-owed-tcFEarth -- Tech; L-L-C—pursuant-is agreement, any and all rights and claims we now and/or hereafterhavetoanyinsuranceproceedsand/or sums at any time payable to us and/or held (in escrow or otherwise) by our insurance company and/or lender (and/or any servicingagentforanysuchlender) with regard to our real property or any damages or repairstoourrealproperty. The total sum due to Earth Tech, LLC, pursuant to the terms ofthisagreementshallbebasedonEarthTech, LLC's final invoice. Signature(
s) of all perso s named on d e must sign. JesusG. and Yolanda tuesta) Accepted
and Approved: //// ..
Print
Name(s): Date: /()
7 - j
Mortgage
Company Acct.
No.: Address &
Tess
W
rj, L,,0 VI C%- : Earth
Tech, LLC 2620
Hunt Road Land
O' Lakes, Florida 34638 www.
floridasinkhole.com Ron
L. Broadrick RBroadrick@earthtech.
net Telephone:
813-909-8000 Facsimile:
813-909-8001 7
Z,
C U S T O M P R O P O S A L
Atuesta Residence » 162 Rose Hill Trail » Sanford, FL 32773
CONTRACT CONDITIONS: Customer (as defined below) agrees to the following contract conditions, which are hereby Incorporated
Into the proposal to which these contract conditions are attached. The proposal, and these contract conditions, shall together be
referred to herein as the "Agreement". For the purpose of the following contract conditions, Earth Tech, LLC, also known in Florida as
Earth Tech (DE), LLC, will be referred to as "Earth Tech". The person(s) and/or entities to whom the Agreement was written, together
with their representative(s) and all persons accepting or executing the Agreement, shall hereinafter be jointly and severally referred to
as the "Customer".
1. WARRANTY: If Earth Tech's scope of work includes underpinning, see the "Lifetime Underpinning Limited Warranty", and the
terms and conditions therein. There are no other express nor implied warranties by Earth Tech in this Agreement, nor with regard to
any labor, services or materials.
2. HIDDEN, UNKNOWN OR CHANGED CONDITIONS; LIABILITY: After the date this Agreement is first prepared by Earth Tech,
conditions on or about the project site that were hidden and/or unknown may become known to Earth Tech, conditions on or about the
project site may not be in accordance with the Project Information (as defined below), and/or conditions may change. As a result
thereof, this Agreement, and the scope of work and materials In this Agreement, may not be correct or complete, and extra or different
work or materials may need to be performed or provided by Earth Tech in order to complete the project. In such an event, it is agreed
and acknowledged that:_(a) such conditions, and anySAnsequeDces_therefrom,-ar_e beyond Earth Tech'scontrol, and -Earth -Tech -shall not
have any responsibility or liability for any such conditions, nor any consequences or damages therefrom; and (b) Customer shall pay
Earth Tech (at Earth Tech's normal rates and markups) for any and all extra and/or different labor, materials, services, costs, expenses
and work, including, but not limited to, any efforts by Earth Tech (if any, at its sole discretion) to try and avoid or minimize any
such consequence(s). In addition, Earth Tech shall have no liability whatsoever for any acts of God, weather events, delays, and/or conflicts
between Earth Tech's work and any work of others. 3.
PRE -BID AND PROJECT INFORMATION: Customer agrees and acknowledges that this Agreement (including the bid, proposal. material
specifications and scope of work herein), and the work performed pursuant to this Agreement, are based upon the information, reoommendation(
s), plan(s), specifications) and/or other documentation (collectively referred to as the "Protect Information") previously provided
to Earth Tech by the Customer and/or Customer's agent, insurance company and/or the project engineer. It is agreed that Earth
Tech may rely upon the Project Information (whether in preliminary and/orfinal form) in preparing this Agreement, and in planning and
performing the work pursuant to this Agreement. It is also agreed that Earth Tech has, and assumes, no responsibility for the accuracy
or completeness of the Project Information. Additionally, it is agreed that if any Project Information is updated or finalized after the
date this Agreement is first prepared by Earth Tech, then any additional costs or expenses as a result thereof, and any additional labor,
services and materials, shall be paid by Customer to Earth Tech (at Earth Tech's normal rates and markups). Notwithstanding anything
in this Agreement to the contrary: (a) to the extent any Project Information requires or provides for, or purports to require or provide
for, Earth Tech to indemnify, defend and/or hold harmless any Customer, or any other person or entity, such provisions) in the Project
Information is/are expressly excluded from this Agreement and not incorporated herein; (b) Earth Tech shall have no Implied obligations
to anyone pursuant to this Agreement; (c) there are no intended third party beneficiaries to this Agreement; and (d) Earth Tech
shall not have any obligations or responsibilities to Customer or anyone else except as expressly provided in this Agreement, if at
all. 4.
PRIOR NEGOTIATIONS: ETC.: All prior negotiations, discussions, agreements, bids, proposals, correspondence and/or memoranda
between Customer (and/or Customer's agents, engineers and/or Insurers) and Earth Tech are superseded by, and incorporated
into, this Agreement. This Agreement contains the full and final agreement between the parties hereto. Earth Tech's offer to
perform work pursuant to this Agreement is subject to possible revision in scope, price and terms if not accepted in writing by the Customer
within thirty (30) days of the date of this Agreement. 5.
LIEN RIGHTS: REMEDIES, ETC.: It is agreed that Earth Tech shall have and retain any and all rights and remedies conferred upon
it by any and all applicable laws, Including, without limitation, any rights to a statutory and/or equitable lien. It is the express intent of
the parties that the Customer's property shall stand as security for all sums owed to Earth Tech. If Earth Tech is not paid when required
by this contract, any and all warranties will be void. Interest on the delinquent amount is 1 %% per month. 6.
EXCLUSIONS; EXTRA COSTS: Earth Tech shall not be required to perform or provide any labor, services and/or materials not specifically
included in this Agreement. In the event any change, alteration or deviation from this Agreement, or any Project Information, M
C U S T O M P R O P O S A L
Atuesta Residence » 162 Rose Hill Trail » Sanford, FL 32773
Is requested by Customer, or its agent or the project engineer, and such alteration or deviation involves or requires any extra labor,
services and/or materials, then such extra labor, services and/or materials shall be paid by Customer to Earth Tech (at Earth Tech's
normal rates and markups). Earth Tech shall, however, have the right and option to refuse to perform any such change, alteration or
deviation, or any other additional work, until a written change order has been executed by the Customer or any project engineer
representative. Notwithstanding the foregoing, Earth Tech may obtain, provide, perform, and charge the Customer for any additional
labor, services and/or materials which Earth Tech deems necessary In order to access and/or work on the project and/or project site,
Including, without limitation, moving, removing and/or resetting/reconnecting HVAC units and/or any other equipment, moving any other
obstacles or Impediments, and/or removing, cleaning and/or resetting any pavers or other property or materials.
7. AUTHORITY: OWNERSHIP: If any Customer is an entity, then the person(s) executing this Agreement on behalf of any such
entity hereby warrants) and represent(s) that he/she/they is/are duly authorized and empowered by such entity to execute and enter
into this Agreement on behalf of such entity. Customer warrants and represents that no one other than Customer owns any interest
in the real property which is the subject of the Agreement. In the event any other person owns any interest in said real property,
Customer herebywarrants and represents that Customer is the agent of such otherowner(s) and that Customer is expressly authorized
by such other owners to enter into and execute this Agreement on their behalf. In addition, if the titre to the real property is owned (in
whole or in part) by a trust or trustees, then each person signing this agreement as/for the Customer is signing this agreement both
individually, and as trustee of such trust if they are a trustee, and represents that all trustees of such trust have signed this agreement,
and that this Agreement is binding on such trust.
8. PAYMENT: COSTS OF ACTIONS AND COLLECTION: Sums owed by Customer to Earth Tech are due and payable within ten
10) days of the date of the invoice. In the event that it shall become desirable or necessary for Earth Tech, LLC to take any action for
the enforcement, construction or interpretation of this Agreement, or any of the provisions hereof, then Earth Tech shall be entitled to
recover all costs, (including reasonable attorney's fees and court costs) incurred in any actions, trials, appeals, mediations, arbitrations,
bankruptcy proceedings, collection proceedings, supplementary proceedings and any pre and postaction Investigations, demands, and
negotiations.
9. WAIVER OF JURY TRIAL: To the extent permitted by law, Earth Tech and Customer agree to, and do hereby, waive trial by Jury
In any action, proceeding, or counterclaim, brought by any of the parties against the other(s) on any matters whatsoever arising out of,
or in any way connected with, this Agreement.
10. ESTIMATION OF QUANTITIES: The estimated quantities in this Agreement have been based upon estimates and/or limited
Information provided to Earth Tech by the Customer and/or agents insurance company or engineer. Since it is impossible to predict
the exact quantities of drilling or grout material actually required to complete this project, it is possible that the quantities and total cost
in this Agreement might change. It is important that the Customer require Customer's engineer to keep Customer informed regarding
the depth of injection points and grout material quantities as the project progresses. Earth Tech shall have no liability or responsibility
for any such estimates or information.
11. WORK: RIGHTTO STOP WORK OR TERMINATE CONTRACT; DE -MOBILIZATION: Customer agrees that the project engineer
Is Customer's agent, and Earth Tech may work at the direction of a representative of that engineer and/or the Customer. In the event:
a) the real property which is the subject of this Agreement is or becomes subject to a lis pendens or foreclosure action; (b) any
mortgage or encumbrance on such real property is in default or goes into default; or (c) Customer fails to pay Earth Tech, as and when
due, any sums invoiced or billed by Earth Tech to Customer, then, in any such event(s), Customer shall be automatically deemed to
be in material default under the terms of this Agreement and Earth Tech shall have the right and option, at any time thereafter, to stop
part or all of the work on this project, and/or to terminate this Agreement, In which event Earth Tech shall be paid for all labor, services
and materials through the date work was stopped and/or this Agreement was terminated, and Earth Tech shall have absolutely no
liability whatsoever to the Customer, including, but not limited to, no liability pursuant to this Agreement, no liability for any repairs, no
liability for any costs to re -start and/or complete the project, and no liabilityfor any losses ordamages suffered or incurred by Customer,
and any such liability, if any, is hereby waived by Customer. If any work on this project is stopped or terminated for any reason and by
any person or entity, Customer shall pay Earth Tech a de -mobilization fee and Earth Tech's contract rates for labor and materials in
connection with such de -mobilization, including, without limitation, the costs of pulling any pipe, and grouting as pipe is removed.
12. BILLING BY PHASE OR SCOPE OF WORK: In the event the work is to be performed in more than one phase by Earth Tech,
or includes more than one type of work (such as cement grouting, polymergrouting, underpinning, etc.), Earth Tech shall have the right
and option to invoice the Customer for each separate phase or type of work.
10
Sinkhole:;• Expansive Clays °Land SUbsicivnc
P.O. Box 24566
Gainesville, FL 32604
352) 371-7243 1-800-770-9990
Fax: (352) 371-4410
PROPOSED GROUT INJECTION
LOCATIONS
Atuesta Residence
162 Rose Hill Trail
Sanford, Florida
FOR: Universal Property and DATE: 9-28-10 BY: David Bloomquist, PhD, PE
Casualty insurance Company PAGE: C3 of C8 Investigation#2010583
NORTH
Low Area
22 23
e
21
Surface
Depression
19
17
16
1
23 Injection Point Locations
Approximately 8' -10' between points
Estimated average insertion depth: 65 feet
Injection Point is
Angled Injection Point ®—y
2 3 4 FA-c
5 6
7
Driveway
8
15 14 13 12
Approximate
Graphic Scale
0 5 10 15
Note: All angled injection points shall be
installed at an angle between 12 and 15
degrees from the vertical. 1"=15'
LMTED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date X) I I
I hereby name and appoint: f Ac) r asi ,lam N(
a \Czu x-n
an agent of
Name
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):
All permits and applications submitted by this contractor.
The specific permit and application for work located at:
3a.rl'l 3
Street Address)
Expiration Date for This Limited Power of Attorney: 0 25
License Holder Name: 'Fpy1
State License Number: Crigc no 19-->-+ Signature
of License Holder, STATE
OF FLORIDA COUNTY
OF 0 S Co The
foregoing instrument was acknowledged before me this ,Lday of Mh , 2@(
1 , by torn L. 6yWal[,- cAc— who is ?personally known toter ?
who has produced as identification
and who did (did not) take an oath. Notary
Seal) Ay °,
Notary Public State of Florida AADiane
Hernandez
A`
My Commission EE005045 expires
06/29/2014 Rev.
3/27/07) Signature
7D
I A-fj G— qtl e Z Print
or type name Notary
Public - State of PLO r-- D-' Commission
No. CE p O Sa4+s' My
Commission Expires: (p q --L-v t y-