HomeMy WebLinkAbout1199 Upsala RdKE-ECEIV'ro
MAR 14 20% CITY OF SANFORDBUILDING & FIRE PREVENTIOND
PERMIT APPLICATION6Y
Application No: / (p-
Documented Construction Value: S 27 (yore,
Job Address:
Parcel ID: ZEL j — .''bL Historic District: Yes ElNo,r
Residential Commercial Type of Work: New Addition Alteration Repair Demo 51"Change of Use Move ElutWork:
IL
Plan Review Contact Person:
Phone: Title:
Fax:
Email:
Name Property Owner Information
r' L Phone: Street:c
Resident ofproperty? City, State lip: F,r r1 3
Contractor InformationNameoCEC1- 1 n,E
Phone: L/a7 - — i 7i 1street: _S'o Dlc.•r- .
City, State Zip:
Fax:
State License No.:
Name: Architect/Engineer Information
7
Street: Phone: _
City, St, Zip: Fax:
E-mail:
Bonding Company:
Mortgage Lender: Address:
Address:
WARNING TO OWNER: YOUR -FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULTPAYINGTWICEFORIMPROVEMENTSTOYOURPROPERTY. A NOTICE OF COMMENCEMENT MRECORDEDANDPOSTEDONTHEJOBSITEBEFORETHEFIRSTINSPECTION. IF YOU INTEND Oily YOUR
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE BE
COMMENCEMENT. OBTAIN
ICE OF
Application is hereby made to obtain a permit to do the work and installations a indicated I eerlify that no work of instacornmencedpriortothe,
of a permit and that all work will be performed to meet standards of all laws regulating constructsin' this jurisdiction. I understand that
a separate permit' must he secured for electrical woe
Nation has
furnaces, boilers, heaters, tanks, and air conditioners, etc,
on
k, plumbing, signs, wells, pools,
FRC"Og.3 shall be Inscribed with the date of application and the code in effect as or that dust: 5" Fdition (2014) Florida BuildingRe•iscd. June 30. 2015 E Code
1 1
Permit Application
NOTICE: In addition to the requirements of this Permit, there may be additional resuictiuns applicable to this property that may befoundinthepublicrecordsofthiscounty, and there may be additional permits required from other governmental entities such as watermanagementdistricts, state agencies, or fedeml agencies.
Acceptance of permit is verification that I will notify the owner of life property of the requirements of Florida Licn 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 requiredinordertocalculateaplanreviewchargeandwillbeconsideredtheestimatedconstructionvalueofthejobatthetimeofsubmittal. The actual construction value will he figured based on the current ICC Valuation Table in effect at the time the permit is issued, inaccordancewithlocalordinaltec. Should calculated charges figured off the-exccuted 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 willbedonein' compliance with all applicable laws regulatin1costru "tion an zoning.
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40.1 01signatureC) ol'wnec!A
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Pnnl q cr/Agent s ante
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r-ltrS e of Ntt"otary•Statc of Flonda Date
CAD ERIM T. PICK
MY COMMISSION If F"r 891110
EXPIRES: My it. 2019
gen ts'7cTso ally Known to Me or
Produced ID ype of ID
tom.-=•— r>_tit i ks/
Signature of Notary -State of Florida Date
KATHLEEN SUSAN GREENE
NOTARY PUBLIC
STATE OF FLORIDA
CommllJ FF033347
Expires 10212017
Contractor/Agent is Personally Known to Me orProducedID ,/ Type of ID
BELOW IS FOR OFFICE USE nVir '
Permits Required: BuildingEl Electrical Mechanical Plumbing[] Gas Roof ElConstructionType: Occupancy Use: Flood Zone:
Total Sq Ft of Bldg: Nlin.-Occupancy Load: of Stories:
New Construction: Electric - # of Amps Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes No # of Heads -Fire Alarm Permit: YcsE1 No
APPROVALS: ZONING: UTILITIES:
ENGINEERING: FIRE:
COMMENTS:
WASTE WATER:
BUILDING:
Revised: June 30. 2015
permit Application
Date: l /l 9/16
Licensed(Bonded/Insured
CONTRACT
Demolition Contractor: Charles Vcigle. Jr. Ruilding and DeArelopment, LLC
dba R.ocl: and Roll Demolition Services
505 Plumosa Ave. Suite 101 1
Altanonte Springs, FI.32 7/
01
Project :1199 Upsala Rd
Project Description: Demolition
Scope of Work: See page 2
All changes in scope of work must be"signed for in change order before task will be started. Rock & Roll Demolition Services is not responsible for lost time caused by change orderdelay.
Inclusions: Rock and Roll Demolition Services 'shall have the salvage rights to all salvagematerialsinplaceatdateof.proposal. Pricing contingent upon salvage to include allsteel, aluminum, copper wire, copper pipe, electrical panels, wiring . generatorsandmechanicalequipmenttooperatefacility.
Fee:
jDaitCharlesVeigleJr
Rock and Roll Demolition Services
Page l of
S5,600.00
ACC' TED BY
N s' a Date
505 Plumosa Ave. STE 1011 Altamonte Springs, FL. 32701Telephone407-834.1771 Fax 407-834-1772 e-mail rrdemolition@gmail.com
3/14/2016 Gmail - FDEP Asbestos Submission Courtesy
Gmail- Rock & Roll Demolition Services Hl <rrdemolition@gmail.com>
br(ooglc
FDEP Asbestos Submission Courtesy
1 message
no-reply@dep.state.fl.us <no-reply@dep.state.fl.us> Mon, Mar 14, 2016 at 11:49 AM
To: rrdemolition@gmail.com
Cc: EPOST_ASB TAL@dep.state.fl.us, EPOST—ASB—CD@dep.state.f1.us
P Logo Florida Department of Rick Scott
Governor
Environmental Protection
Carlos Lopez-Cantera
Bob Martinez Center
Lt. Governor
2600 Blair Stone Road
Tallahassee, Florida 32399-2400
Submission Confirmation
March 14, 2016
Charles Veigle:
Jonathan P. Steverson
Secretary
Thank you for submitting your notification using the online system. Attached is a copy of your
submitted Notice of Demolition or Asbestos Renovation.
Notification ID: 87071
Facility Name: 1199 Upsala Rd
Facility 1199 upsala Rd
Address: Sanford, FL 32771
Site Name: 1199 upsala rd
If you have any questions, please contact the Asbestos Coordinator at (850) 717-9000 or
FI.Asbestos@dep.state.fl.us.
Customer
Servilce
ySurvey
2 attachments
https://mail.google.com/mail/u/0/?ui=2&ik=aO493dbb8O&view=pt&search=inbox&th=15375dl7f01c92ea8siml=15375dl7f01c92ea 1/2
0 Florida Department of DEP Form 62-257 9M1)
q _
Effective 10-12-M
Environmental Protection Page ,of2
FLORIDA Division of Air Resource Management
NOTICE OF DEMOLITION OR ASBESTOS RENOVATION
TYPE OF NOTICE (CHECK ONE ONLY): ORIGINAL REVISED CANCELLATION ® COURTESY
TYPE OF PROJECT (CHECK ONE ONLY): DEMOLITION RENOVATION
IF DEMOLITION, IS IT AN ORDERED DEMOLITION? DYES NO
IF RENOVATION:
IS IT AN EMERGENCY RENOVATION OPERATION? DYES NO
IS IT A PLANNED RENOVATION OPERATION? DYES NO
t 1199 Upsala RdI. Facility Name
Address 1199 upsala Rd
City Sanford State FL Zip 32771 County Seminole
Site 1199 upsala rd Consultant Inspecting Site RESIDENTIAL
Building Size 1500 (Square Feet) of Floors 1 Building Age in Years 58
Prior Use: School/College/University Residence Small Business Other
Present Use: School/College/University x Residence Small Business Other
It. Facility Owner ARMSTRONG LLC Phone (407) 463-9176
Address 201 speciality point
City Sanford State FL Zip 32771
Ill. Contractor's Name ROCK & ROLL DEMOLITION SERVICES - CHARLE: Phone (407) 834-1771
Address 505 Plumosa Ave Ste 1011
City Altamonte Springs State FL Zip 32701
Is the contractor exempt from licensure under section 469.002(4), F.S.? YES NO
IV. Scheduled Dates: (Notice must be postmarked 10 working days before the project start date)
Asbestos Removal (mm/dd/yy) Start: Finish: Demo/Renovation (mm/dd/yy) Start: 03/15/201f1Finish: 03/31/2016
V. Description of planned demolition or renovation work to be performed and methods to be employed, including demolition or renovation techniques
to be used and description of affected facility components. mechanical demolition and removal
Procedures to be Used (Check All That Apply):
Strip and Removal Glove Bag Bulldozer I Wrecking Ball
x Wet Method Dry Method Explode I Bum Down
OTHER: /
VI. Procedures for Unexpected RACM: stop work and notify abatement contractor
VII. Asbestos Waste Transporter: Name ROCK & ROLL DEMOLITION SERVICES - CHARLES VEIGI Phone (407) 834-1771
Address 505 Plumosa Ave Ste 1011
City Altamonte Springs State FL
Vlll. Waste Disposal Site: Name VISTA LANDFILL, LLC (BUTTREY/KEENE RD SOUTH) Class
Address 242 W Keene Rd
Zip 327012000
City Apopka State FL Zip 32703 7919
IX. RACM or ACM: Procedure, including analytical methods, employed to detect the presence of RACM and Category I and II nonfriable ACM.
none
Amount of RACM or ACM'
0 square feet surfacing material
0 linear feet pipe
0 cubic feet of RACM off facility components
0 square feet cementitious material
0 square feet resilient flooring
0 square feet asphalt roofing
X. Fee Invoice Will Be Sent to Address in Block Below: (Print or Type)
Name: ROCK & ROLL DEMOLITION SERVICES - CHARLES VEIGLE
Address: 505 Plumosa Ave Ste 1011
City: Altamonte Springs
State/Zip: FL / 32701 2000
Identify and describe surfacing material and other materials as applicable:
Other materials or facility components description:. (R)ACM to remain in place during demolition:
I certify that the above information is correct and that an individual trained in the provisions of this regulation (40 CFR Part 61, Subpart M) will be on -site
during the demolition or renovation and evidence that the required training has been accomplished by this person will be available for inspection during
normal business hours.
Charles Veigle
Print Name of Owner/Operator)
Charles Veigle
Signature of Owner/Operator)
Date)
DEP USE ONLY Postmark/Date Received ID#
111/M/ M b 13:55 4076653622 SCHD EH PAGE 01/03
PEMUT * : 59S2-1667244
STATE', OF FLORIDA APPLICATION +:AP12224,07 .
D>ZnAMtt224T OF HEALTH DATE PAID:
ON87TZ SENW3 TREATMM AM DISPOSAL SZSTM4 '
CONSTRUCTION PEY4= FLE PAID '
RECEIPT M: }
nocr rrr *: PR1002*
CONSTRUCTION PERMIT FOR: OSTDS Abandonment
APPLICANT: Shane Dhersee 16 ay
PROPERTY ASS: 1199 Upsala Sanford, FL 32771 `
LOT: BLOCK:
SIIHDIVIBION: Smith"s Subdivision
PROPERTY ID 28-19-30506-00MO29A [SECTION, TOWNSHIP, PANGE, PARCEL E
z
NtIMB3
OR TAX ID NUMBER)
SYSTEM MUST BE CONSTRUCTFrD IN ACCOREftFCL WITH SPECIFICATIONS381.0065, F_3_, AM CHAPTER 64E-6, F, STANDARDS OF ' SECTION
SATISFACTORY PERFORMANCE gpg
A.C. DEPARTMENT APPROVAL OF SYSTEM DOES NOT dUARANTEEANYSPECIFICaEF-XOD OF TIN(M. WHICH SERVED AS A BASIS MA ISSUANCE OF THIS•
ANY CHANGE IN MATERIAL. FACTS,
PERMIT APPLICATION. BDCH t•17DIFiCATIONB MAY
PElHQT REflt7IRE THE APPLTCANT TO M gXFY TAN
ISSUANCE OF THIS PEIU rT DOES NOT
L1 • IN THIS PTrRMIT BEING MARS NULL ANfJ VOID.
STATE. OR LOCAL PERMITTING RE UIR&D
EST THE APPLICANT FROM C I4IANCE WITH OTHER Ru. Q i,'OR DSWLOPMENT OF THIS PADPERTY.
SYSTEM DESIGN AND SPECIFICATIONS i
T [ ] GALLONS / GPf7
GALLONS / GPD
CAPACITY
N [ ] GALLONS BE BABEINTRCEPTORCAPACITY CAPACITY
K [ [
24.xs 1oR CAPACITY BiNGLE' TMK;1250 GALLONS] IC+MLLONBDOSING TANK CAPACITY [ ]GALLONS B[ )DOSES PER 24 8RS D
r ] SQUAM FEET SYSXZH
R [
1 SQUARE FEET SYSTVK '
ATYPESYSTEM: I 1 STANDARD [ ] PILLED I
CONFIGURATION. [ ] MOUND[ ] 1
TRLNCA [ ] BED [ ] N
F
LOCATION OF BENCHMARK: I
ELEVATION OF PROPOSED SYSTEM SITE ' ABOVE
B E
BOTTOM OF / );10W) BENCHMARK/REP NCg POD DRAINSITLDTOHE ( ABOVE/
BELOW IBENCgl 91RK/REFER>TClr ]POINT D
FILL 'REQUIRED: [ 0.001 INCHE8 ExCAVATION PBQUIRED: _ xrrcaz:s Have
the tank abandoned in accordance with the following procedune&(a) The tank shall be pumped out.(b) The bottom Oof
the tank shall be opened or ruptured, or.the entire tank collapsedtank' TThetankshallbefilledwithcleansandorothersuitablematerindCompletely, optvg go .Havefrom 'the gyngsternand(c) H inspected
by the health department after it has been Pumped and ruptured but before it is filled with sand and covered. Comments ContinuedonPageZ.) E tl
SPECIFICATIONS
B
David T Hurley TITLE: BAvironmaatal 8pocialiet.
II APPROVED BY: `
11 TITLE: P D _ :
rnaaotalsenialiatZI a° 1•Y Seminole : CHD DATE ISSUED: 01/29/2018 _ _ DR 4016,
08/09 (Obsoletea•all previoys edit3one which may not be used)EXP RAT
ON DATE! 04/28QOlG Incorporated: 64E-
6.003, FAC v 1.
1.4 AP12224D7 eE-1 Page 1 ?
t 3
Name: Jack Reynolds
Address: 1 orest Ave.
Alt-amonte S i ncs _ FT. -42701
NOTICE OF COMMENCEMENT
Permit Number:
111111111111 111111111111111111111111 I111
MARYANNE MORSE? SEMINOLE COUNTY
CLERK OF CIRCUIT COURT & COMPTROLLER
BYE 3635 Ps 947 (1F'3•s )
CLERK'S 201601774E
RECORDED 02/18/2016 12:43,.'6 PM
RECORDING FEES $10.00
RECORDED BY hdevare
Parcel ID Number: 28-19-30-506-0000-029A
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.
1. DESCRIPTION OF PROPERTY: (Legal description of the property and street address if available)
North 208.66, of the west 208.67' of lot 29, Smith's Third Subdivision,
as recorded in Prat B1. 1, pq 86 public records of Seminole Co FL
1199 1Ipsa1a Rrl_Sarif-ord-,—FT, '12771
2. GENERAL DESCRIPTION OF IMPROVEMENT:
remove exiSting Sin 1 e a ery (2000 a f) hnllgp
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name and address: Armstrong Development, LLC Shane Dharsee , Pres . 201 S ecialty__Pt .
Interest in property: 100o Ganfn_ ET• 19771
Fee Simple Title Holder (if other than owner listed above) Name:
Address:
4. CONTRACTOR: Name: Rock and Roll Demolition Phone Number.407-834-1771
Address. Chearles Veigle, Jr. 505 Plumosa Ave Altamonte Springs. FL 12701
5. SURLY (If applicable, a copy of the payment bond is attached): Name:
Address: Amount of Bond: a
6. LENDER: Name: N(A Phone Number:+r'
Address' c Si
e
V
7. Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served as provided by eii -
713.13(1)(a)7., Florida Statutes.
n
Name_ Phont- Number:
Address:
Y i2 o
8. In addition, Owner designates Of a a
to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Phone number: n
9. Expiration Date of Notice of Commencement (The expiration is 1 year from date of recording unless a different date Is specified) o
s
WARNING TO OWNER- ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEME-
u [
CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I. SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT 1 1 3
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTEDC6
JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATtO TI
BEFORE COMMENCING WORK OR RECORD OUR NOTICE OF COMMENCEMENT.
R+ U r_ oa
Shane Dharsee
Srgnetur or Les;ne• or m's or Lessee's (Print Name and Provrda signatory's-nife/Ot6ce) Authorizer! 0W.er/D riedur/P<'a !ena
State of JFL-L 2 ( County of Sa 1.li--
The foregoing Instrument was acknowledged before me this 1 day of
by Who is personally known to ,r yy OR
Nam or pers:m making sielernent
who has produced Identification type of identification produced:
1/
o1,r ry4 CATHERINE T. PICK
r , •'••. -
i * !
AY COMMISSION t. FF 897110
EXPIRES: July 11, 2019 Noia<y steJ'14donil wed ThruBwptNotary sarrim cht
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