HomeMy WebLinkAbout1011 W P Ball BlvdCITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: 6
Documented Construction Value: $ —1 , l (00. b C
Job Address: / 6/ / L,; P R4 C e (3 L V,4 Historic District: Yes No 0
Parcel ID: Residential Commercial
Type of Work: New Addition Alteration 4 Repair Demno Change of Use Move
Description of Work:
Plan Review Contact Person: /r,Fr Title: (/
V0
P
Phone: j 3 3 S r
2 Fax: qo7^ G&S" `71 -Email:
Property Owner Information
Name P b?&, L ft4d efd Phone: '8(6 ^ Z.Y?" —5 3 SD
Street: 1) C 1 l r'[%t-. G"h'C b-i '"`G' f
w"
Resident of
a +1
property?
City, State Zip: A f' D Pl 1 LY„ 27 •?
Information
Name f vV 1- !b C kV rwrs Phone: '-/ 0 7- 6 3 S 3 S 2
Street: ,, 7 21 j b 7 t t S I Fax: LL' b 7_ s'G 2(-/ 1 S 2-
City, State Zip: 0 C S 2 G State License No.: C( 300 Z06 U
Architect/Engineer Information
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Phone:
Fax:
E-mail:
Mortgage Lender: z 2 / -
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
Revised: June 30, 2015 Permit Application
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 information is accurate and that all work will
be done in compliance with all applicable laws regulating construction and zoning.
Signature of Owner/Agent Date
1 .
Print Owner/Agent's Name
Signature of Notary -State of Florida Date
i ature of Contractor/Agent Date
Print Contractor/Agent's Name
Z -
Signature o
DEBBIE BLANTON
MY COMMISSION K FF 178648
t a-` EXPIRES: Febivary 25. 2619 ti
V Bonded ihru Notary Public UndeiwMer:;
u
Owner/Agent is Personally Known to Me or Contractor/Agent is Personal own to Me or
Produced ID Type of ID Produced ID Type of ID
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: # of Stories:
New Construction: Electric - # of Amps Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes No # of Heads Fire Alarm Permit: Yes No
APPROVALS: ZONING: UTILITIES: WASTE WATER:
ENGINEERING: FIRE: BUILDING:
COMMENTS:
Revised: June 30, 2015 Permit Application
v
y1A Document A401T" - 2007
Standard Form of Agreement Between Contractor and Subcontractor
AGREEMENT made as of the Twenty-fifth day of March in the year Two Thousand Sixteen
In words, indicate day, month and year.)
BETWEEN the"Contractor:,
Name, legal siatus,'addrrss and other information)
Geneva Construction, Inc.
P.O. Boz 621858
Oviedo, FL 32762-1858
Telephone Number: 407-349-5904
Fax Number: 407-349-0888
F and the Subcontractor:
Name, legal slatits,"address and other information)
J & Kr Investment Company of Orlando Inc.
2722,R16th Street
21 Orlando, FL/'32820,i'
Telephone Number: 407-963-5352
Fait Number: 1407-568-3755'
It The Contractor has made a cohtract for construction (hereinafter, the Prime Contract) .
dated: Mar_chk01, 2016
with the Owner:'-`
i (Name,'ligdl status, address and ofheFiifformation)
x.
Brain Balance Lake Mary
1101'Deer Gulley Ct. € "
Apopka, FL 32712 --
Telephone Number. &16-249-5350
for the following Project: ^
u (Name, location and detailed description)
Brain Balance Lake Mary._,. ,
1011 W P Ball Blvd.
Sanford; FL 32771
interior build -out, _
The Prime Contract provides for the furnishing of labor, materials, equipment and services
in 'codni&_n with the construction of the Project. -A copy of the Prime Contract, consisting
of the Agreement Between Owner and Contractor (from which compensation amounts
may be deleted) and the other Contract Documents enumerated therein, has been made
available to the Subcontractor.
The Architect for the Project:
Name, legal status, address and other information)
ADDITIONS AND DELETIONS:
The author of this document has
added information needed for Its
completion. The author may also
have revised the text of the original
AIA standard form. An Additions and
Deletions Report that notes added
Information as well as revisions to the
standard form text is available from
the author and should be reviewed. A
vertical Ilse in the left margin of this
document indicates where the author
has added necessary information
and where the author has added to or
deleted from the original AIA text.
This document has important legal
consequences. Consultation with an
attorney Is encouraged with respect
to its completion or modification.
AIA Document A201 TO-2007,
General Conditions of the Contract
for Construction, is adopted In this
document by reference. .
This document has been approved
and endorsed by the Associated
Specialty Contractors, Inc.
AIA Document A401 TM — 2007. Copyright O 1915, 1925 1937, 1951, 1958, 1961, 1963, 1966, 1067, 1972. 1978, 1987. 1997 and 2007 by The American InstituteIntt•
of Architects. All rights reserved. WARNING: This AIA + Document Is protected by U.S. Copyright Law and Intemational Treaties. Unauthorized
reproduction or distribution of this AIAe Document, or any portion of It, may result in severe civil and criminal penalties, and will be prosecuted to the
t maximum extent possible under the law. This document was produced byAlA software at 09:53:09 on 03125/2016 under Order No.5558322597-1 which expires
on 01121/2017, and is not for resale. .
User Notes: (1249146211)
ARTICLE 10 SUBCONTRACT SUM
10,1 The Contractor shall pay the Subcontractor in current funds performance of th ubcontract the Subcontract
Sum of Nine Thousand Four Hundred Sixty Dollars and Zero C is ($ 9,460.00 ), s ect to additions and deductions
as provided in the Subcontract Documents.
10,2 The Subcontract Sum is based upon the following alte es, if any, which are described in the Subcontract
Documents and have been accepted by the Owner and the Contractor"
Insert the numbers or other identification of accepted alternates.)
Y
10.3 Unit prices, if any: t
Identify and state the unit price, and state the quantity limitations, if any, to which the unit price will be applicable.)
Item Units and Limitations Price Per Unit ($0.00)
10.4 Allowances included in the Subcontract Sum, if any:
Identify allowance and state exclusions, if any, from the allmvance price.)
Item Price
ARTICLE 11 r PROGRESS PAYMENTS
11.1 Based iapon`applications'for payment submitted to the Contractor by the Subcontractor, corresponding to
applications for payment"submitted by the Contractor to the Architect, and certificates for payment issued by the
Architect, the Contractor' shall make progress payments on account of the Subcontract Sum to the Subcontractor as
provided belowwandelsewherein the Subcontract Documents. Unless the Contractor provides the Owner with a payment
bolid in the full penal sum of the Contract Sum, payments received by the Contractor and Subcontractor for Work
properly performed'by their contractors and suppliers shall be held by the Contractor and Subcontractor for those
contractors or suppliers'who performed Work or fiirnished materials, or both, under contract with the Contractor I
or Subcontractor for wh ich'payment was made to the Contractor by the Owner or to the Subcontractor by the Contractor;
as applicable. Nothing contained herein shall require money to be placed in a separate account and not commingled
with money of the Contractor or Subcontractor, shall create any fiduciary liability or tort liability on the pat
of the Contractor or Subcontractor for breach of trust or shall entitle any person or entity to an award of punitive damages
against the Contractor or Subcontractor for breach of the requirements of this provision. n %
t
1,
1.2 The period covered by each application for payment shall be one calendar month ending on the last day of the morith,
or as follows: 11.
3 Provided'an application" for payment is received by the Contractor not later than the day of a month, the Contractor
shall include the Subcontractor's Work covered by that application in the next application for payment which
the Contractor is entitled to submit to the Architect. The Contractor shall pay the Subcontractor each progress payment
ndiater than seven working days after the Contractor receives payment from the Owner. If the Architect does not
issue a certificate for payment or the Contractor does not receive payment for any cause which is not the fault of the
Subcontractor, the Contractor shall pay the Subcontractor, on demand, a progress payment computed as provided in
Sections 11.7, 11.8 and 11.9. 11.
4 If the Subcontractor's application for payment is received by the Contractor after the application date fixed above,
the Subcontractor's Work covered by it shall be included by the Contractor in the next application for payment submitted
to the Architect. 11.
5 The Subcontractor shall submit to the Contractor a schedule of values prior to submitting the Subcontractor's first
Application for Payment. Each subsequent application for payment shall be based upon the most recent schedule AIA
Document A401 "" — 2007. Copynghl m 1915, 1925 1937, 1951, 1958, 1961, 1963, 1966, 1967, 1972, 1970, 1987, 1997 and 2007 by The American Institute Init. of Arehltecls. All rights reserved. WARNING: This AIA+ Document Is protected by U.S. Copyright Law and International Treaties. Unauthorized 11 reproduction
or distribution of this AIA* Document, or any portion of it, may result In severe civil and criminal penalties, and will be prosecuted to the t
maximum extent possible under the law. This document was produced by AIA software at 09:53:09 on 0312512016 under Order No.555B322597 1 which expires on
01/2112017, and is not for resale. User
Notes: (1249146211)
In
16.1.1 This executed AIA Document A401-2007, Standard Form of Agreement Between Contractor and
Subcontractor.
16.1.2 The Prime Contract, consisting of the Agreement between the Owner and Contractor dated as first entered
above -and the other Contract Documents enumerated in the Owner -Contractor Agreement.
16,1,3 The following ivlodiffcations to the Prime Contract, if any, issued subsequent to the execution of the
Y.- Owner -Contractor Agreement but prior to the execution of this Agreement:
Modification Date
16.1.4 Additional Documents, if any, forming part of the Subcontract Documents:
1 AlkDocument E201Tm-2007, Digital Data Protocol Exhibit, if completed by the parties, or the
following:'
l
2 Other documents:
List here any;additional documents that are iniended to form part of the Subcontract Documents.
Requests for proposal and the Subcontractor's bid or proposal should be listed here only if intended to
be made par. t of the Subcontract Documents.)
V f
This Agre t entered into the day and year first written above.
CO MACTOR (Signature) . CONTRACTOR (Signatut y)
Stephen P. Smith; PVesident; Jon Bowman
Printed name and title),,.(Printed name and title)
AIA Document A401TM — 2007. Copyright m 1915. 1925 1937, 1951. 1958, 1961, 1963, 1966, 1967, 1972, 1978, 1987, 1997 and 2007 by The American InstituteInit.
of Architects. All rights reserved. WARNING: This AlA Document is protected by U.S. Copyright Law and International Treaties. Unauthorized 15reproductionordistributionofthisAIODocument, or any portion of it, may result In severe civil and criminal penattles, and will be prosecuted to the
t maximum extent possible under the law. This document was produced byAIA software at 09:53:09 on 03/25/2016 under Order No.5558322597_1 which expires
on 01/21/2017, and is not for resale.
User Notes: (1249146211)
Samuel Olmedo, Architect '
FL REG AR0015027
ID 6029 ( `
NCARB 50,367
P.O. Box 784825 Winter Garden, FL 34778
Telephone 407.967.3109
Email soarcht@yahoo.com
April 13, 2016
Re: Electrical MC Installation.
City of Sanford Building Division P.O. Box 1788
Sanford, Florida 32771
Response to Plan Review Comments Letter
This letter is in response to acknowlege that MC (Metalic Cable) is acceptable in -lieu of
EMT, IMC and Rigid as noted on plans, for this project.
Cordially, r
Samuel edo, Architec "
FLAR0015027
1
n