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Home My WebLink About152 Bob Thomas CirCITY OF SANFORD Fig 20ILDING & FIRE PREVENTION D PERMIT APPLICATION Application No: Documented Construction Value: $ al% Job Address: k"4 %70m/ff !i/ICle Historic District: Yes Noe Parcel ID: 33 `Ip "90'"'_11'04 0" a7776) Residential, Commercial Type of Work: New Addition AlterationlKJ Rye//pair Demo Changee of Use Move Description of Work: Axz''ce C/ /(/'a If k Plan Review Contact Person: // Title: AXpi- Phone: &_',2-Q%%%/T Fax: Property Owner Information Name Phone: Street:&&*ml G //k4c Resident of property? &Wae City, State Zip: S/7/ ' Sum Contractor Information Name L%- i' Phone: Street: 14 Fax: u%- %Zt- 13 3A City, State Zip: i/ei/jFl L .Z 7 State License No.: 41W /Z7 9T Name: Street: City, St, Zip: Bonding Company: Address: Architect/Engineer Information Phone: Fax: E-mail: Mortgage Lender: Address: 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. 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. FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 511 Edition (2014) Florida Building Code RrvigM- Tune 10 ?01 i Pnrmit Annlientinn 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 at the time of permit submittal. A copy of the executed contract is required in order to calculate a plan review charge and will be considered the estimated construction value of the job at the time of submittal. The actual construction value will be figured based on the current ICC Valuation Table in effect at the time the permit is issued, in accordance with local ordinance. Should calculated charges figured off the executed contract exceed the actual construction value, credit will be applied to your permit fees when the permit is issued. OWNER'S AFFIDAVIT: I certify that all of the foregoing info io is accu nd that all work will kbedoineii, compliance with all applicable laws regulating c structi an ninnr/Agent Date Sign Cont t Date t Q Print wner/Agent's Name Print Contractor/Ag nt's Name Signature of Notary-SMreof Flori&1'S `S Signatureof Notary-StateAFlorida `\1§111 y•`D t t•S+p!/ a . y s•zs . ln; OFF J7359p : =—I : a F co Owner/Agent is Personally '4®IM or• o Contractor/Agent is P+ to 9i Produced ID Type of Il O..lii; ••••• Produced ID Type d •: ,Q; BELOW IS FOR OFFICE USE ONLY Permits Required: Building Electrical Mechanical Plumbing Gas Roof Construction Type: Occupancy Use: Flood Zone: _ Total Sq Ft of Bldg: Min. Occupancy Load: New Construction: Electric - # of Amps, Fire Sprinkler Permit: Yes No # of Heads APPROVALS: ZONING: ENGINEERING: COMMENTS: UTILITIES: FIRE: of Stories: Plumbing - # of Fixtures Fire Alarm Permit: Yes No WASTE WATER: BUILDING: RPvierrl• TnnP In M S Prrmit Annliratinn Peat Lynch Construction LLC 909 Dennis Avenue Orlando, Florida 32907 NOTICE TO PROCEED Subject: IFS Contract for ROOF & HVAC and Replacement Services for Residential Properties. PO # 37794 *** Total Order $ 12,950.00 b J Liu Address:152 Bob Thomas Circle, Sanford 7 Parcel ID #: 35-19 30 515-0000-0770 Contact person: Eldora Cain Phone Number: (407)328-9647 i— The services provided by our firm shall begin on 112312016 and shall reach final completion 30 days from Notice To Proceed, as described in the contract documents. The timely and accurate performance of the work set forth in the contract documents is important to the County. It is also a primary consideration for the contractor selections on future projects. Please acknowledge below, retain a copy for your records and return the original to the Seminole County Community Development Office. Do not start the job until the required permits have been obtained and the work scheduled: Please email a digital copy of ROOF & HVAC permit to: isandiey!Eseminolecount'lfl.gov v Upon completion, please notify the Construction Project Manager and submit a copy of the inspection final. We are glad to have you as part of the County's project team and we look forward to a successful project. Sincerely, 17910-1AA&tf _ . COnSfrUCflOn ProjectManager COmmunliy De velopment Seminole CountyGovemment Phone.•407-665-2376 Fac 407-665-2399 MV3a:semf701ecefuntvf .g0V Acce By `' ACCEPTANCE OF NOTICE nce of the above "NOTICE TO PROCEED" is hereby acknowledged, this day of Title: 0 e5J City of Sanford HVAC Permit Application Checklist All permit application packages must be complete prior to acceptance. You must check each box to the left or indicate n/a on this submittal. A complete application package shall include the following: Building Permit Application completed, signed and notarized. Application must include correct address and complete parcel I.D. number. Copy of applicable contractor's license issued by the State of Florida (if the contractor is the pplicant). A site specific notarized power of attorney shall be required from the licensed contractor if he/she appoints an employee of his/her company to sign the permit application as the contractor. Certificate of insurance indicating worker's compensation insurance coverage and naming the City of Sanford as certificate holder, or a copy of a worker's compensation exemption issued by the State of Florida (must be submitted with each application if contractor is the applicant). i' Completed and signed Owner Builder Statement / Affidavit (if the owner is the applicant). Q' One (1) copy of equipment sizing calculations — for new construction installations: o Residential - ACCA Manual J-2003 or other approved heating and cooling calculation methodology. o Commercial - ACCA Manual N-2005 or other approved heating and cooling calculation methodology. These guidelines were compiled to assist the applicant in preparing a RVAC change out permit application and may not be complete. The applicant is required to meet all City of Sanford, state, and federal code requirements. Revised. March 2014 Right J® Mobile Report Entire House 77-7 Project Information For: eldora cain 152 Bob Thomas Circle, Sanford, FL 32771 Location: Orlando Sanford AP, FL, US Elevation: 52 ft Latitude: 29 °N Outdoor: Heating Dry bulb (°F) 41 Dailyrange (°F) - Wet bu Ib (° F) - Wind speed (mph) 15.0 Job: Date: 1/28/2016 By: Indoor: Heating Cooling Indoor temperature (°F) 70 75 Design TD (°F) 29 18 Relative humidity (%) 30 50 Cooling Moisture difference (gr/lb) 2.4 37.7 93 Infiltration: 17 ( M) Method Simplified 75 Construction quality Average 7.5 Fireplaces 0 Component Btuh/fl? Btuh of load Walls 2.6 2685 16.1 Glazing 25.2 2986 17.9 Doors 17.4 842 5.0 Ceilings 1.4 1854 11.1 Floors 4.5 5829 34.9 Infiltration 2.1 2493 14.9 Ducts 0 0 Piping 0 0 Humidification 0 0 Ventilation 0 0 Adjustments 0 Total 16689 100.0 Component Btuh/fl? Btuh of load Walls 1.5 1500 10.5 Glazing 45.4 5378 37.8 Doors 18.4 892 6.3 Ceilings 2.2 2826 19.8 Floors 0 0 0 Infiltration 0.7 787 5.5 Ducts 0 0 Ventilation 0 0 Internal gains 2860 20.1 Blower 0 0 Adjustments 0 Total 14242 100.0 Latent Cooling Load = 1423 Btuh Overall U-value = 0.129 Btuh/ft22F Data entries checked. VWl kfilMcn Gad RagsiDOYS Wings aa q 1 WI'1F1ftsOf3' 2016-Jan-2811:05:42 Right - Suite® Universal 2015 15.0.23 Right A Mobile Page 1 wstmp1eb28d49d- e639-4483-ba39-727ea186320e.rup Calc=MJ8 FrontDoorfaces: N i l l fJlf V r AL Project Summary Entire House Project Information For: eldora cain 152 Bob Thomas Circle, Sanford, FL 32771 Notes: Job: Date: 112812016 By: Weather: Orlando Sanford AP, FL, US Winter Design Conditions Summer Design Conditions Outside db Inside db Design TD Heating Summary 41 ° F 70 ° F 29 ° F Structure 16689 Btuh Ducts 0 Btuh Central vent (0 cfm) 0 Btuh Humidification 0 Btuh Piping 0 Btuh Equipment load 16689 Btuh Infiltration Method Simplified Construction quality Average Fireplaces 0 Heating Cooling Area ( ftZ) 1305 1305 Volume (f13) 10440 10440 Air changes/hour 0.45 0.23 Equiv. AVF (cfm) 78 40 Heating Equipment Summary Make Rheem Trade RHEEM Model RP1524BJl NA AHRI ref 8204599 Outside db 93 F Inside db 75 F Design TD 18 F Daily range M Relative humidity 50 Moisture difference 38 gr/lb Sensible Cooling Equipment Load Sizing Structure 14242 Btuh Ducts 0 Btuh Central vent (0 cfm) 0 Btuh Blower 0 Btuh Use manufacturer's data y Rate/swing multiplier 1.00 Equipment sensible load 14242 Btuh Latent Cooling Equipment Load Sizing Structure 1423 Btuh Ducts 0 Btuh Central vent (0 cfm) 0 Btuh Equipment latent load 1423 Btuh Equipment total load 15666 Btuh Req. total capacity at 0.70 SHR 1.7 ton Cooling Equipment Summary Make Rheem Trade RHEEM Cond RP1524BJlNA Coil RBHP-17AOONH1 AHRI ref 8204599 Efficiency 8.5 HSPF Efficiency 12.5 EER, 15 SEER Heating Input Sensible cooling 15960 Btuh Heating output 20600 Btuh @47°F Latent cooling 6840 Btuh Temperature rise 25 ° F Total cooling 22800 Btuh Actual air flow 760 cfm Actual air flow 760 cfm Air flow factor 0.046 cfm/Btuh Air flow factor 0.053 cfm/Btuh Static pressure 0 in H2O Static pressure 0 in H2O Space thermostat Load sensible heat ratio 0.91 Calculations approved by ACCA to meet all requirements of Manual J 8th Ed. wri htsOR' g Right -Suite® Universal 2015 15.0.23 Right A Mobile 2016-Jan-2811: 05:42 Pagel i tmp% eb28d49d- e639-4483-ba39-727ea186320e.rup Calc = MJB Front Door faces: N Right-M Worksheet Entire House AL Job: Date: 1/28/2016 By: 1 Room name Entire House First Floor 2 Exposed wall 148.0 ft 148.0 ft 3 Room height 8.0 ft d 8.0 ft heat/cool 4 5 Room dimensions Room area 1305.0 ft' 45.0 x 29.0 ft 1305.0 fN Ty Construction U-value Or HTM Area (ft') Load Area ' I LoadInumberBtuh/ft'-'F) Btuh/fl') or perimeter (ft) Btuh) or perimeter (ft) Stuh) Heat Cool Gross N/P/S Heat Cool Gross NIP/S Heat Caol 6 12C-6bw-- T 0.091 n 2.64 1.47 360 297 783 437 360 297 783 437 1D-c2om 0.870 n 25.23 26.61 36 0 904 954 36 0 904 954 0,600 n_ 17.40 18.42 27 27 477 505 27 w27 477 w 505 12C-0bw 0.091 a 2.64 1.47 232 188 495 277 232 188 495 277 11 1D-c2om 0.870 a 25.23 71.92 23 0 589 1678 23 0 589 1678 ll ppp 11J0- _ 0.600 e _ 17.40_ 18.42 21 21 365 387 21 21 365 387 Vy 12C-0bw 0.091 s 2.64 1.47 360 324 855 478 360 324 855 478 1D-c2om __a _ _ _ 0.870 s 25.23 29.80 36 00 904 1068 36 0 V9041068 12C4)bw 0.091 w 2.64 1.47 232 209 551 308 232 209 551 308 G 1D-c2om_ _ 0.870 w 25.23 71.92 23 0 589 1678 589 A 16Cd9zl _ _ 0.049 r 1.42 2.17 1305 1305 Y__ 1654 2826 23 1305 0 1305 1854. 1678 2826 F___.. 22A-lph__ _ 1.358 39.38. 0.00 1305 148 5829 0 1305 148 5829_ 0 61 c) AED excursion Oj i I 10 Envelope losstgain 1 141951 105961 1 1 141951 10596 12 a) Infiltration 2493 787 2493 787 b) Room ventilation 0 0 0 0 13 Internal gains: Occupants 230 2 460 2 460 Appliances/other 2400 2400 Subtotal (lines 6 to 13) 16689 14242 16689 14242 Less external load 0 0 0 0 Less transfer 0 0 0 0 Redistribution 0 0 0 0 14 Subtotal 16689 14242 16689 14242 15 Duct loads 0% 0% 0 0 0% 0% 0Total 0 loadl I 16689 147602421 16760 147421 Ai required () I 60 I I I 6600 Calculations aDDroved by ACCA to meet all reauirements of Manual J 8th Ed. wrrilghtsoft' Right -Suite® Universal 2015 15.0.23 Right JO Mobile 2016-Jan-2811:05:42 Page 1 lwstmp1eb28d49d-e639-4483-ba39-727ea186320e.rup CaIc=MJB FronlDoorfaces: N I r 5 AL Component Constructions Job: Date: 1128/2016 Entire House By: For: eldora cain 152 Bob Thomas Circle, Sanford, FL 32771 Location: Orlando Sanford AP, FL, US Elevation: 52 ft Latitude: 29 °N Outdoor: Heating Dry bulb (°F) 41 Daily range (°F) - Wet bulb (°F) - Wind speed (mph) 15.0 Indoor: Indoor temperature (°F) Design TD (°F) Relative humidity (%) Cooling Moisture difference (gr/lb) 93 Infiltration: 17 ( M) Method 75 Construction quality 7.5 Fireplaces Construction descriptions Walls 12C-Obw: Firm wall, brk 4" ext, r-13 cav ins, 1/2" gypsum board int fish, 2"x4" wood frm, 16" o.c. stud Partitions none) Windows Heating Cooling 70 75 29 18 30 50 2.4 37.7 Simplified Average 0 Or Area Ll-value Insul R Htg HTM Loss Clg HTM Gain W Btuhla'-'F It'-°FBth Btuh/t' Btuh RUMP Btuh n 297 0.091 13.0 2.64 783 1.47 437 e 188 0.091 13.0 2.64 495 1.47 277 s 324 0.091 13.0 2.64 855 1.47 478 w 209 0.091 13.0 2.64 551 1.47 308 all 1017 0.091 13.0 2.64 2685 1.47 1500 1 D-c2om: 2 glazing, clr outr, air gas, mtl no brk fnn mat, dr innr, 1/4" n 36 0.870 0 25.2 904 26.6 954 gap, 1/8" thk; 50% outdoor insect screen; 6.67 it head ht a 23 0.870 0 25.2 589 71.9 1678 s 36 0.870 0 25.2 904 29.8 1068 w 23 0.870 0 25.2 589 71.9 1678 all 118 0.870 0 25.2 2986 45.4 5378 Doors 11JO: Door, mtl fbrgl type n 27 0.600 6.3 17.4 477 18.4 505 e 21 0.600 6.3 17.4 365 18.4 387 all 48 0.600 6.3 17.4 842 18.4 892 Ceilings 16C-19zl: Attic ceiling, membrane roof mat, r-19 ceil ins, 1/2" gypsum 1305 0.049 19.0 1.42 1854 2.17 2826 board int fish Floors 22A-tph: Bg floor, heavy damp soil, on grade depth 148 1.358 0 39.4 5829 0 0 wri htsoft• 2016-Jan-2811:05:42 9 Right -Suite® Universal 2015 15.0.23 Right J® Mobile Page 1AM ...\wstmp1eb28d49d-e639-4483-ba39-727ea186320e.rup Calc=MJB FrontDoorfares: N AL AED Assessment Entire House For: eldora cain 152 Bob Thomas Circle, Sanford, FL 32771 Location: Orlando Sanford AP, FL, US Elevation: 52 ft Latitude: 29 °N Outdoor: Heating Dry bulb (°F) 41 Dailyrange ff) - Wet bu Ib (° F) - Wind speed (mph) 15.0 8 7 6 5 4 3 2 1 Indoor: Indoor temperature (°F) Design TD (°F) Relative humidity (%) Cooling Moisture difference (gr/lb) 93 Infiltration: 17 (M ) 75 7.5 Hourly Glazing Load Hour of Day Fb* / Aerage / AED imit Maximum hourly glazing load exceeds average by 18.7%. House has adequate exposure diversity (AED), based on AED limit of 30%. AED excursion: 0 Btuh Job: Date: 1/28/2016 By: Heating 70 29 30 2.4 Cooling 75 18 50 37.7 wri htsoft' 2016-Jan-2811:05:42 9 Right -Suite® Universal 2015 15.0.23 Right J® Mobile Page 1 lwstmpleb28d49de639-4483-ba39-727ea186320e.rup Calc=MJB FronlDoorfaces: N First Floor First Flool Job M Scale: 1 : 75 Performed for: Page 1 eldom cain N g htSu ite@ Universal 2015 152 Bob Thomas Circle AL 1 Sanford, FL 32771 2016- fight J®Mobile 016-Jan-28 11:05:42 e639-1483-ba39-727ea186320e.r... 11` CERTIFICATE OF LIABILITY INSURANCE DATETE( oi THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy (!as) must be endorsed. if SUBROGATION IS WAIVED, subjectto the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME PHONE (AIC, No, Ext : 1400-277-1620 x4800 FAX A/C, No): 2 797-0704 E-MAIL ADDRESS: FrankCrum Insurance Agency, Inc. 100 South Missouri Avenue Clearwater, FL 33756 INSURER(S) AFFORDING COVERAGE NAIC# INSURERA: Frank Winston Crum insurance Co. 11600 INSURED INSURER B: INSURER C: FrankCrum L/C/F Pat Lynch Construction LLC INSURER D. 100 South Missouri Avenue INSURER E: Clearwater, FL 33756 INSURER F: vwrur rvu,nocrcc THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEASOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECTTO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAYHAVEBEENREDUCEDBYPAIDCLAIMS. INSR LTRTYPE OF INSURANCE ADDL INSRDSUER VIVIDPOLICY NUMBER POLICY EFF MWDDIYYYY) POUCYEXP MWDDIYYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE S COM1iMERCWL GENERAL LIABILITY CLAIMS- tdADE OCCUR DAII ETORENTED PREMISES Ea occurtenu S MEDEXP( Arryoneperson) S PERSONAL d ADV INJURY S GENERAL AGGREGATE S GENI. AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOPAGG S POUCY PROJECT LOC S AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT Ea accident S BODILYINJURY ( Porperson) S ALLOWNEDSCHEDULEDBODILY INJURY (Peracddent) S AUTOS AUTOS PROPERTY DAMAGE Per accident S HIRED AUTOS NON -OWNED AUTOS S UMBRELLA UAB CLAIMS- MADE OCCUR EACH OCURRENCE S AGGREGATE S EXCESS LIAR DED I RETENTIONS S A WORKERS COMPENSATION AND E1PLOYERT LIABILITY ANY PROPRIETORIPARTNaVEXECUTIVE /N OFFICERIMEMBER EXCLUDED? Q Mandatory in NH) N/ A VC201600000 01/01/2016 01/01/2017 XWTU TORY LIMITSOH ERE. L EACH ACCIDENT S1.000.000 E. L. DISEASE -EA EMPLOYEE S7,000.000 Ryes, describe under DESCRIPTION OF OPERATIONS below E. L. DISEASE -POLICY LIMIT Si OOD.DOD DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks, Schedule, If more space Is required) Effective 1112512013, coverage is for 100% of the employees of FrankCrum leased to Pat Lynch Construction LLC (Client) for whom the client is hours reportingtoFrankCrum. Coverage is not extended to statutory employees. ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE PION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE PROVISIONS. City of Sanford AUTHORIZED REPRESENTATIVE PO Box 1778 Sanford, FL 32772 1988- 2010 ACORD CORPORATION. All rights reserved. ACORD26 (2010/05) The ACORD name and logo are registered marks ofACORD CERTIFICATE OF LIABILITY INSURANCE °'``015 ' 12/16 2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THISCERTIFICATEDOESNOTAFFIRMATIVELYORNEGATIVELYAMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIESBELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZEDREPRESENTATIVEORPRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject tothetermsandconditionsofthepolicy, certain policies may require an endorsement. A statement on this certificate does not confer rights to thecertificateholderinlieuofsuchendorsement(s). PRODUCER coNraCT T'iffanie EIGsHeritageInsuranceServicesLLCNAME: PO Box 1508 PHONE (941) 723-1400 FAR Palmetto. FL 34220 e{,c1ANAIC .:u__:_ ( 941) 723 1440 NoINSURED 909 Dennis Ave Orlando, FL 32807 D: Accident Insurance Co 11573 COVERAGESt- CERTIFICATENUMBER: REVISION NUMBER: THISISTOCERTIFYTHATTHEPOLICIESOFINSURANCELISTEDBELOWHAVEBEENISSUEDTOTHEINSUREDNAMEDABOVEFORTHEPOLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATEMAYBEISSUEDORMAYPERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONSANDCONDITIONSOFSUCHPOLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSRLTRII Ii TYPEOFIMSl2ANINI YES P IO I)DIYA nr rco LIABILITYLU1TSskCtAIM rIActiRoCCOR I 12116/2015 12/16/2016 EACHO rsURREt•ICE s 11000.000 LA:v'1 OvIKES (Ea eccurrencol 100,000 I t.tEG EXF (Any .ina p tsrm) S 5,000 1 EJ LAG ARE= =LOC POLICY OTHER PERSONA! 8 L41tJJUR 1,000,000 GENERAL AG3REGATE g 2,000,000 PROLUCrS - COtIF^OP AGG S 2.000,000 AUTOMOBILE LIABILITY ANY AUTO ALLOWNIED SCHEDULED AUTOS AUTOS HIREDAUTOS I•l01- 1-9R'J=D AUTOS UMBRELLA LIAB OCCUR IXCESS LIAR , .... .. - _ I I I I Uvtvt'tl IWr_L UMI E3 tad-nt r BOUL'r INJURY (Per person) •; BOCALY INJURY (Per accident) 1 3 PROPERT'r DAAIAGE IF arcidant EACH GCCURREr• ACE I S AND EMPLOYERS' LIABILITY AI PROMFET0 fPA RTNE', ECLRIIc YIN OFRCERJMEtIEOF EYCLUCEEr) rvlandatory in NH) i L es. d- scnG? underC=SCRIPTICd' nF ._ PEPATICflS belcw N 1 A TATLrrE I ERH E.L. EACH AC.CIDEFIT £ E. L USE SE - E4 Etrlr LOYEE & E.L CISFA5 P. Prdl—-n, ur .. i i DESCRIPTION OF OPERATIONS/ LOCAMONS1VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached irmore space Is required) CERTIFICATE HOLDER City of Sanford kAUTHOR— IZEDREPRESENTA-nVE ULD ANY OF THEABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 300 North Park Ave. EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ORDANCE WITH THE POLICY PROVISIONS. Sanford, FL 32772 r O 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014J01) The ACORD nameandlogoareregisteredmarksofACORD r4 11 — I iI FFL. RICK SCOTT, GOVERNOR KEN LAWSON, SECRE IAKY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD ICENSE'NUIVIBER'; The MECHANICAL CON I KAU I UK Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2016 MILLS, JOHN F PAT LYNCH CONSTRUCTION LLC 919 N SHINE AVENUE ORLANDO FL 32803 RICK S—COTT, GOVERNOR i_! i I& KEN LAWSON, SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD CFC1427539 he PLUMBING CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2016 MILLS, JOHN F PAT LYNCH CONSTRUCTION LLC 919 N SHINE AVENUE ORLANDO FL 32803 ICCI uzn• nR1nR17n1A nlCpl av aC PP:ru iippn Rv 1 A%A1 RICK SCOTT, GOVERNOR 0 a ecn 4 i a Ananonnna rm KEN LAWSON, SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD CVC56951 The SOLAR CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2016 7 MILLS, JOHN F PAT LYNCH CONSTRUCTION LLC 909 DENNIS AVENUE ORLANDO FL 32807 LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: /O"ZO—Z r I hereby name and appoint: an agent of 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): O The specific permit and application for work located at: Street Address) Expiration Date for This Limited Power of Attorney: 3/ 1.901KO License Holder Name: 0-1gfj State License Number:_ c/f e l 7cle r Signature of License Holder: I STATE OF FLORIDA \ COUNTY OF The foregoing instrument was acknowledged before me this 76 day of , 20t, by 'S f ,,jt who is personally known to me or o who has produced as identification and who did (did not) take an oath. 111NHUIIIIh ge`,;O1NA SP8 a•.•Mi s'sioy'• Signature - v o .• y pgA 4 Notary Seal) 5'-'-(@- o• Print or type name FF 173590 Ir lil I Notary Public - State of V-e.12.E{9'n Commission No. k11r-"_A4_A q0 n{i My Commission Expires: Rev. 08.12)