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Home My WebLink About3100 Red Cleveland BlvdECED 17 F D JUL 16 2015 CITY_OF SANFORD r.. , ; BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: Documented Construction Value: $ 5,: ( o, = a Job Address: 31 06 - ie -d Historic. District`. 'Yes - , No , ' , ' , ,- Parcel ID: 6 ay313 6 o cz i o"' os 101 ' "'' ` toning: Description of Work: x ca a AY1I C(-N1(`J ons e( • x ` ` : . 1 Plan Review Contaet Person: Title: Phone: i ; ° • .: s' , ` ; E -F Fat: , . , } - j E=mail: ' _ ; f )l t. 1 • 't fy I, . r `t = `'', . .t;s r_ ,/ .r. Tr +_k' *, F.Y r : w Property Owner Information Name '50 - r A -i -r,j20 r - Phone: _ L401 •SS - 14L' wo Street:( e ( eVe_fcl_ G Z 8 ( Resident of property? c- I UCity, State Zip: % n 3 % 7 Contractor Information Name(' y N.l` 11 i Phone:_ (QGI O,- Eo C( Street: 16 0g%e- eiuI p_ '` Fax:CO `l (0Clp-° City, State Zip: `J C L S , a5 State License No. C mc, Arch itect/Engineer cInformation f Name: Street: .' City, St, Zip: Bonding Company: Address: Phone: Fax: E-mail: Mortgage Lender: Address: '. o: ah ;PERMIT INFORMATION :•r+» ' '" - tinx 3 f,, .•: „a k.; = x;a3 ;•i crv; •; %T - Building Permit y. b+sslPn.iM•q'/ W'F?w•-:n+.Mm.]..clkr s--4,.eY•.i.Ye e•,w Square Footage: Construction Type: _.No. of Stories: No. of Dwelling Units: ' ` - Flood Zone: Electrical 0 Plumbing - New Service - No. of AMPS: New Construction - No. of Fixtures: Mechanical (Duct layout required for new systems) Fire Sprinkler/Alarm No. of heads: Shalt be inscribed with the date of application and the code in effect as of that date (Code 2010 FBC) 731.135(5)(_6) Florida: Statutes' REV 07.14 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 DIANA M. MUNIZ-OLSON MY COMMISSION #FF053469 EXPIRES: OCT 02, 2017 Bonded through 1st State Insurance Owner/Agent isPerson Kn.xm rn Me or Produced ID Type of ID APPROVALS: ZONING: UTILITIES: ENGINEERING: COMMENTS: FIRE: 714 / A)J71si5" ignature of Contractor/Agent Date Print Contractor/Agent's Name Signature of Notary -State of Florida Date oDANIELLE CAIRD 0411101Commission 4 FF 146410 My Commission Expires oe' duly 29, 2018 Contractor/Agent is Personally-KnDwntoMeor Produced ID Type of ID WASTE WATER: BUILDING: Shall b6 inscribed with the date of application and the code in effect as of that date (Code 2010 FBC) 731.135(5)(6) Florida Statutes. REV 07.14 SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS 1. REQUISITION NUMBER PAGE OF OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, d 30 Ucmlxmal mxsw mroa 12115205MC0003 1 1 41 2. CONTRACT NO. 3. AWARD/ 4.ORDER NUMBER5. SOLICITATION NUMBER 0. SOLICrrATION HSTS 05-15-P-MCO0 03 EFFECTIVE DATE 1 DATE 7. FOR SOLICITATION NAME b. TELEPHONE NUMBER (No cooed calls) 1ISSUE 8. OFFER DUE DATEILOCAL TIME INFORMATION CALL:' Ia. Michael Momb 3016750421 9. ISSUED BY CODE 05j 10. THIS ACQUISITION IS UNRESTRICTED OR MSErASIDE 100.00 %FOR: MISSION ESSENTIALS DIVISION WOMEN -OWNED OS13)EIBLEUN LLTHEWOMEN- OWNEDBUSINESS UNDER THESMALLBUSINESS 701 S 12TH STREET HUBZONESMALLSMAII RII.SINFRSPROrRAM NAICS:238220 Arlington VA 20598 BUSINESS EDWOSB SERVICE -DISABLED 8(A) OSIZESTANDARD: $14VETERAN -OWNED • SMALLBUSINESS 11. DELIVERY FOR FOB DESTINA- 12. DISCOUNT TERMS 13b. RATING TION UNLESS BLOCK IS Net 30 13a. THIS CONTRACT ISA MARKED RATED ORDER UNDER 14. METHOD OF SOLICITATION SEE SCHEDULE DPAS (15 CFR 700) RFD IFB 11 RFP 15. DELIVER TO CODE 16. ADMINISTERED BY CODE 2 0 ATTN: Leticia Duarte OFFICE OF ACQUISITION Orlando International Airport 701 S 12TH STREET 3181 Red Cleveland Rd Arlington VA 20598 Sanford FL 32773 17a. CONTRACTOR/ CODE 1624455627 FACILITY 18a. PAYMENT WILL BE MADE BY CODE SAI. OFFEROR CODE TRI M MECHANICAL SERVICES INCORPORATED US Coast Guard Financial'Center Attn: MARK GILL TSA Commercial Invoices 495 N HWY 17 92 STE 149 P.O. Box 4111 LONGWOOD FL 327504487 Chesapeake VA 23327-4111 TELEPHONE NO. 407-6963291 017b. CHECK IF REMITTANCE IS DIFFERENTAND PUT SUCH ADDRESS IN OFFER 18b. SUBMIT INVOICES TOADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW IS CHECKED SEEADDENDUM 19. 20. 21. 22.23 24. ITEM NO. SCHEDULE OF SUPPLIESISERVICES QUANTITY UNIT UNIT PRICE AMOUNT Tax ID Number: 74-3164098 DUNS Number: 624455627 Accounting Info: 5AV156A000D2015SWE020GE00002500590359BMCO-59030011 11020000 -252Q -TSA DIRECT -DEF. TASK -D Period of Performance: 07/01/2015 to 08/03/2015 00001 Installation of new 10 ton condenser at SFB 1 JB 5,032.23 5,032.23 airport. See Statement of Work. Continued ... Use Revetse andlorAttach Additional Sheets as Necessary) 25. ACCOUNTING AND APPROPRIATION DATATOTALAWARD AMOUNT (For Govt. Use Only) See schedule r, $5,032.23 27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.2125 AND 52.2125 ARE ATTACHED. ADDENDA ARE ARE NOT ATTACHED. 27b. CONTRACTIPURCHASE ORDER INCORPORATES BY REFERENCE FAR52.212-4. FAR 52.2125 IS ATTACHED. ADDENDA ARE ® ARE NOT ATTACHED. 028. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENTAND RETURN ® 29. AWARD OF CONTRACT: Quote OFFER COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DELIVER DATED . YOUR OFFER ON SOLICITATION (BLOCKS), ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANYADDITIONAL INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE SET FORTH SHEETS SUBJECTTO THE TERMS AND CONDITIONS SPECIFIED. HEREIN, IS ACCEPTED AS TO ITEMS: 30a. SIGNATURE OF OFFERORICONTRACTOR 131 a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRAC77NG OFFICER) 30b. NAME AND TITLE OF SIGNER (Type orprint) DATE SIGNED 1 July 2015 AUTHORIZED FOR LOCAL REPRODUCTION STANDARD FORM 1449 (REV. 2/2012) PREVIOUS EDITION IS NOT USABLE Prescribed by GSA - FAR (48 CFR) 63.212 Ucmlxmal mxsw mroa b. NAME OF CONTRACTING OFFICER (Type or print) ater Larsen DATE SIGNED 1 July 2015 AUTHORIZED FOR LOCAL REPRODUCTION STANDARD FORM 1449 (REV. 2/2012) PREVIOUS EDITION IS NOT USABLE Prescribed by GSA - FAR (48 CFR) 63.212 I Milli Hiii If 11"Iifi iflil" Iiiii fill HIMI MARYANNE MORSE? SENINOLE COUNTY CLERK OF CIRCUIT COURT 1, CONr'TROLL-ER NOTICE OF COMMENCEMENT CL RK'S z 1150 c335 - CLERK'S x _ ii]7683 . Permit No. Parcel ID: 05-20-31-300-0010-0590 RECORDED 071/16/201` 11:45:03 AN State of Florida County of Seminole € RECORDING FEES $10.00 ftEt:ORD•D, 2Y hdpvare The undersigned hereby gives notice that improvement will be made to certain real property, an m accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. Description of property: (legal description of the property and street address if available) Orlando Sanford International Airport 3100 Red Cleveland Blvd, Sanford, F132773 (Terminal B) General description of improvement: Replace 10 ton Condenser Owner Information a. Name and address: Sanford Airport Authority, 1200 Red Cleveland blvd. Sanford, FL 32773 Contractor: Name and address: Mark Gill, 1665 Baltimore Avenue, Deltona, Fl 32725 Phone Number: 407-696-3291 Fax:407-696-3294 Surety Name and address: N/A b. Amount of bond $ 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: Name and address: Larry Dale, Sanford Airport Authority, 1200 Red Cleveland Blvd. Sanford, FL 32773 Phone Number: 407-585-4002 Fax: 407-585-4045 In addition to himself or herself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1) (b), Florida Statutes: Name and address: Kenneth Wright, Shutts & Bowen LLP Phone Number: (407) 423-3200 Fax: (407) 425-8316 Expiration date of notice of commencement 12/1/15 (the expiration date is 1 year from the date of recording unless a different date is specified) WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 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 YO%INTEND TO OBTAIN FINANCING, CONSULT WITH YOUIR LENDER OR AN ATTORNEY BEFORtCQk11ENCI G WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Sig of wner or , wner's Authorized Owners Printed Name N( . Per Florida tatute 713.3 1 (1)(g),owner must sign and no one else may be permitted to sign in his or her stead.) The foregoing instrument was acknowledged before me this 15day of July 2015 by Jennifer Taylor (name of person). Who is personall lrnown to_ me L-- OR who has produced identification —iv A- — type of identification produced VERIFICATION URSUANT TO SECTION 92.525, FLORIDA STATUTES. UNDER ZNA'ES QF"$ERJURY, I DECLARE THAT HAVE READ THE FOREGOING AND THAT THE FACTS STATED IN IT ARE TRUE TO THE BEST 0 Yx NOWLEEIGE AND $EHALF. of Notary F -ublic, State'of Florida PREPARED BY J-enn, Yer -r u RETURN TO Tom. T21t,(d SANFORD AIRPORT AUTHORITY 1200 -SED CLEVELAND BLVD. SANFORD, FL 32773 ABOVE Commission Expires: 0-of", DIANA M. MUNIZ-OLSONMYCOMMISSION #FF053469 EXPIRES: OCT 02, 2017 Bonded through 1st State Insurance 0 rjut16245 SCO ARY NNE MORSE 9 CLERK OF E C CUIT TA N; COMPTR LLER i s.•,, SEMINOL BY DEPUTY CLERK 0-of", DIANA M. MUNIZ-OLSONMYCOMMISSION #FF053469 EXPIRES: OCT 02, 2017 Bonded through 1st State Insurance 0 rjut16245