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Home My WebLink About1002 W Eigth Sti' D 7VW JUN 0 9 2016 Y - CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: �— Documented Construction Value: S 3(2 19,0o Job Address: 1002 WEST V16-14 STREET Historic District: Yes ❑ No ❑ Parcel ]D: 2S'19 -30-5111-091S-0110 Residentiada Commercial ❑ Type of Work: New ❑ Addition ❑ Alteration ❑ Repair ❑ Demv�rChange of Use ❑ Move ❑ Description of Work: DEIrn o / S, NQ ie Ta.A , I t1 1.1 ()nA', Q Plan Review Contact Person: -b4 ' C ftLt&A Title: Phone: 409 a9a l)CQ Q Fax: Email: 0+LkkQ4 A L0&RlQ6E-C(_ Co Property Owner Information Name LOUP_16►E CONSTMC- C)d CORP. Phone: 417?- 2CYA- 7020 Street: ZZIS 1414WIISSEE 2.OPQ SU lie Resident of property? City, State Zip: OELAUM F L 3Z83S Contractor Information Name LM42IDCE (NJS-MVC111)4 CORP. Phone: X10 c')48 90an Street: D.)95 S. 141fr► MSEE'ROA0 StkAe Fax: City, State Zip: 02LA JIDI f 3DMSS State License No.: CtiC 152.3445' Architect/Engineer Information Name: Phone: Street: Fax: City, St, Zip: E-mail: Bonding Company: Address: 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. 1 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: 5" Edition (2014) Florida Building Code Revised: Junc 30, 2015 Pcrmit 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. y.! ON 1J '�"'• Pmt Pripq Owner/Agent's Name re of Notary -State oli F p:i:'ryl*: SAMA HA ROORIGUEZ My COMMISSION FF211019 EXPIRES March 19.2019 foregoing egulating c, 14 i is accurate and that all work will andioning. Contractor/Agent's :• My COMMISSION it FF211910 �✓��C��3' EXPIRES March 19.2019 Owner/Agent is Personally Known to Me or Contractor/Agent is Pcrsonall Known to'Me or Produced ID 1%—Type of ID diver's UCCviv- Produced ID ype of ID r1ve4- 'S LAC.,% BELOW IS FOR OFFICE USE ONLY Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing[] Construction Type: Occupancy Use: Total Sq Ft of Bldg: Min. Occupancy Load: New Construction: Electric - # of Amps Fire Sprinkler Permit: Yes ❑ No ❑ APPROVALS: ZONfNG: ENGINEERING: COMMENTS: Gas ❑ Roof ❑ Flood Zone: # of Stories: Plumbing - # of Fixtures, # of Heads Fire Alarm Permit: Yes ❑ No ❑ UTILITIES: WASTE WATER: FIRE: BUILDING: Revised: Junc 30, 2015 Pcrmit Application �'• Florida Department of DEP Form 62.257.900(7) 1(' EHedve 10.12-08 Environmental Protection Page tof2 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? OYES (31 NO IF RENOVATION: IS IT AN EMERGENCY RENOVATION OPERATION? OYES ❑ NO IS IT A PLANNED RENOVATION OPERATION? OYES ❑ NO 1. Facility Name Address 1002 W. 8th Street Parcel IN 25-19-30- 5A1-0913-0110 city Sanford State FL zip 32771 County Seminole Site Consultant Inspecting Site Building Size 2098 (Square Feet) # of Floors 1 Building Age in Years Prior Use: ❑ School/College/University ® Residence ❑ Small Business ❑ Other Present Use: ❑ School/College/University ❑ Residence ❑ Small Business ® Other Vacant It. Facility Owner l orkRirfgp f:nnstnurtinn f:nnnratinn Phone( 407 ) 298-7020 Email Address dchurcj@lockridgecc.com Address 2295 S. Hiawassee Road Suite 304 City Orlando Slate FL Zip 32835 III. Contractor's Name LockRidoe Construction Corp. Phone( 407 ) 298.7020 Email Address dchurch0lockndaecc.com Address 2295 S. Hiawassee Road Suite 304 City Orlando State FL Zip 37835 Is the contractor exempt from licensure under section 469.002(4), F.S.? Q YES ❑ NO IV. Scheduled Dates: (Notice must be postmarked 10 working days before the project start date) Asbestos Removal (mm/dd/yy) Start: Finish: em enovation (mm/dd/yy) Start: 7/1/2016 Finish: 811/2016 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. f �mr torn AnmMidnn Procedures to be Used (Check All That Apply): ❑ Strip and Removal ❑ Glove Bag [@I Bulldozer ❑ 1 Wrecking Ball Wet Method ❑ Dry Method ❑ I Explode ❑ I Burn Down OTHER: VI. Procedures for Unexpected RACM: Reports of No Asbestos attached VII. Asbestos Waste Transporter: Name Phone (_) Address Citv VIII. Waste Disposal Site: Name Address City State State Class Zip Zip IX. RACM or ACM: Procedure, including analytical methods, employed to detect the presence of RACM and Category I and II nonfriable ACM. Amount of RACM or ACM* RACM ACM square feet surfacing material linear feet pipe cubic feet of RACM off facility components square feet cemenlitious material square feet resilient flooring square feet asphalt roofin {ro€n ify and describe suAacing rl�aterial and other materials as applicable: X. Fee Invoice Will Be Sent to Address In Block Below: (Print or Type) Name: John F. Burt Address: 2295 S. Hiawassee Road Suite 304 City: Orlando Stale/Zip: FL, 32835 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. John F. Burt 6/1/2016 (Print Name of Owner/Operator) (Dale) — jo-hi/ _f $wt 6/1/2016 (Signature of Owner/Operator) (Date) DEP USE ONLY Postmark/Date Received ID# LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: 5/31/16 I hereby name and appoint: De'Ann Church an agent of: LockRidge Construction Corp 402 a98 - 90,;20 (Name of Company) to be my lawful attomey-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): R The specific permit and application for work located at: 1002 W. Eigth Street Sanford, FL 32771 (Street Address) Expiration Date for This Limited Power of Attorney: December 31, 2016 License Holder Name: John F. Burt State License Number: CGC1523445 Signature of License Holder: %hN I Fka-t STATE OF FLORIDA COUNTY OF orange The foregoing instrument was acknowledged before me this __3j_day of May , 20016 , by John F. Burt who is rg personally known to me or o who has produced 4 as identification and who did (died -M11- kke an o , (Notary Seal) (Rev. 08.12) 01, -AW C'ft), c// Print or type name Notary Public - State of FL Commission No. FF025960 My Commission Expires: 62&0,12Q1? DVANN ROBIN CHURCH I �' MY COMMISSION #FF025700 of EXPIRES June 10. 2017 (407) 308.0153 FlorldallotarySorvlco.com (Rev. 08.12) 01, -AW C'ft), c// Print or type name Notary Public - State of FL Commission No. FF025960 My Commission Expires: 62&0,12Q1? PRO -LAB® 1675 North Commerce Parkwa ,Weston, FL 33326 954 384-4446 r t AMERICAN HOME SERVICES 8933 REYNOLDS RD CLERMONT, FL 34711 CERTIFICATE OF BULK ASBESTOS ANALYSIS Prepared for: AMERICAN HOME SERVICES Phone Number: (557) 429-7062 Fax Number: Email Address: tom@home-inspection-fl.com Project Name: DEANN CHURCH Test Location: 1002 WEST 8TH ST SANFORD, FL 32771 Chain of Custody #: 951126 Date Sampled: May 19, 2016 Date Reported: May 24, 2016 Andrew Pittman, Analyst It is certified by the signatures above that PRO-LAB/SSPTM, Inc. is accredited by the National Institute of Standards and Technology for Polarized Light Microscopy (PLM) analysis under the EPA 600/M4-82- 020 Method All analyses are performed using the EPA 600/R-93/116 method. The refractive index was determined by using'Rapidly and Accurately Determining Refractive Indices of Asbestos Fibers by using Dispersion Staining Method', by S -C. Su. This report must not be reproduced in full, without written approval from PRO-LAB/SSPTM, Inc. These test results apply only to the samples actually tested Polarized light microscopy is not always an accurate way to analyze floor tiles. When a non -detect or very low percentage of asbestos occurs, a transmission electron microscopy analysis (TEM) may be warranted All samples will be stored for a period of three months. The information contained in this NVLAP Lab Code 200790-0 report and any attachments is confidential information intended only for the use of the individual or entities named above. Limit of Detection (LOD) = 1%. For more information please contact PRO -LAB at (954) 384-4446 or email infoAprolabinc.com Page 1 of 2 PRO -LA 1675 North Commerce Parkway, Weston, FL 33326 (954) 384.4446 DEANN CHURCH 1002 WEST 8TH ST SANFORD, FL 32771 5/19/2016 Samples CH=Chrysotile AM=Amosite CR -Crocidolite AN=Anthophylite TR=Tremolite AC=Actinolite ND=None detected Page 2 of 2 Asbestos Mineral Percentage CH AM CR AN TR AC ND Client 10 PRO -LAB ID LOCATION COMMENTS #1 052316-0576 BLACK 0 0 0 0 0 0 NO 0Glue TILE AND MASTIC 98% Binders # 2 052316-0577 WHITE 0 0 0 0 0 0 ND 10% Cellulose POPCORN CEILING 90% Binders # 3 L 052316-0578 I WHITE 0 0 0 0 0 JON D 90% Fiberglass INSULATION 10% Glue CH=Chrysotile AM=Amosite CR -Crocidolite AN=Anthophylite TR=Tremolite AC=Actinolite ND=None detected Page 2 of 2 SCPA Parcel View: 25-19-30-5A]-0913-01 10 Page 1 of 2 Property Record Card P� Parcel: 25.19-30-5AI-0913-0110 MJi6 Owner: LOCKRIDGE COURT HOLDINGS LLC otrw+outoouKrv,wont>11 Property Address: 1002 W 8TH ST SANFORD, FL 32771 Parcel Information Parcel 25 -19.30 -SAI -0913-0110 Owner LOCKRIDGE COURT HOLDINGS LLC Property Address 1002 W 8TH ST SANFORD, FL 32771 Mailing 8001 LOCKRIDGE CT ORLANDO, FL 32835 Subdivision Name SEMINOLE PARK Tax District St-SANFORD DOR Use Code 01 -SINGLE FAMILY Exemptions Value Summary Tax Amount without SOH: $1,073.82 2015 Tax Bill Amount $1,073.82 Tax Estimator Save Our Homes Savings: $0.00 Does NOT INCLUDE Non Ad Valorem Assessments Taxing Authority 2016 Working Values 2015 Certified Values Valuation Method Cost/Market Cosl/Market Number of Buildings 2 2 Depreciated Bldg Value $42,052 $44,673 Depreciated EXFT Value $50,143 s0 Land Value (Market) $8,091 $8,091 Land Value Ag $50.143 Schools Jusl/Market Value " $50,143 $52,764 Portability Adj Save Our Homes Adj s0 $0 Amendment 1 Adj -- P&G Adj Assessed Value s0 -- — so $50,143 - $0 -- - $52.764 Tax Amount without SOH: $1,073.82 2015 Tax Bill Amount $1,073.82 Tax Estimator Save Our Homes Savings: $0.00 Does NOT INCLUDE Non Ad Valorem Assessments Taxing Authority Assessment Value Exempt Values Taxable Value Page County Bonds $50.143 s0 $50,143 SJWM(Saint Johns Water Management) $50,143 $0 $50.143 County General Fund $50,143 s0 $50,143 City Sanford $50,143 s0 $50.143 Schools $50,143 $0 550.143 Description Date Book Page Amount Qualified Vac/Imp SPECIAL WARRANTY DEED 1/1/2016 08626 1022 $17,300 No Improved SPECIAL WARRANTY DEED 1/1/2016 08628 0340 $19,900 No Improved QUIT CLAIM DEED 8/1/2015 08538 0035 $100 No Improved CERTIFICATE OF TITLE 6/1/2015 08495 1055 $100 No Improved is beeR7atn count IncorreG7 GIICx Mere. 0 Description Year BuiltFixtures ActuaUERective Bed Bath Base Area Total SF Living SF Ext Wall Adj Value Rept Value Appendages 1 1953 9 4 4.0 1 1,122 1,945 1,666 $36,280 1 $67,49811 Description I Area http://parceldetail.scpafl.org/ParcelDetaillnfo.aspx?PID=2519305AI091301 10 6/7/2016 r I • t LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: 5/31/16 I hereby name and appoint: De'Ann Church an agent of: LockRidge Construction Corp (Name of Company) 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): Gd The specific permit and application for work located at: 1002 W. Eigth Street Sanford, FL 32771 (Street Address) Expiration Date for This Limited Power of Attorney: License Holder Name: John F. Burt State License Number: Signature of License H STATE O17171 IDIT'IA COUNTY OF orange December 31, 2016 The foregoing instrument was acknowledged before me this _•_day of May 200_16___, by John F. Burt who is 1g personally known to me or o who has produced identification and who did (did not) take an oath.. (Notary Seal) Print or type name SAMANTHA RODRIGUEZ Notary Public -State of 11-0r1 ;• DIY COMMISSION N FF211919 Commission No. _VF 23 Ici Iq EXPIRES March 19, 20119 My Commission Expires: 3 lei 12Dici • H'i YUh•0'SI rtw.urrut�•.eww. �„�• (Rev. 08.12) k\ as THIS INSTRUMENT PREPARED BY: II Namer '(Ob 1 LrCkf'1 AQP CowSbL:(..l:,*C,tj Address: NOTICE OF COMMENCEMENT State of Florida County of Seminole J illlil Mill liiii illll Illll !II!! 1111 Iii! MARYANNE 11ORSEY SEMINOLE COUNTY CL I'RK OF CIRCUIT' COURT t% COMPTROLLER OK 8717 F'3 4.53 Wss) CLERK'S : 201LO67287 RECORDED 06/29/2016 1! i:33:.' ! All REt•Ui DING FEES $10.00 RECORDED BY hd-E •)n•:t Permit Number: 11016-11 Parcel ID Number: a. 5. i 1. W 5. AS '6`' 15- 6 it (j 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: (Legal description of the property and street address if available) k0o? Q. ' "J KF FT 5 lA KI-FOQ D FL 32-9"71 C GENERAL DESCRIPTION OF IMPROVEMENT: (l� ownc, �1tvCJI� rr•,' ��•.iU -&C�'iAPJCP OWNER INFORMATION Name. Loc, CO ST CORP Address: cid PJZ, S " AA%CF-. RQPb Sit -taOF-71.1 -r-L 3a`2�ZS Fee Simple Title Holder (if other than owner) Name: Address: / CONTRACTOR] ,,,, J1 Name: r)Lc.,e Rj (JE. COI�I�T CORP 012 (� / r� _ Address: C�C�i Lid 9- �-�Ill ll)ASSC E R(Ao Sie ZOL o1?c•amoo R. 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)(b), Florida Statutes. Name: Address - In addition to himself, Owner Designates of To receive a copy of the Lienors Notice as Provided in Section 713.13(1)(b), Florida Statutes. Expiration Dato of Notice of Commencement (The expiration date Is 1 year from 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 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 INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Under penalties of perjury, I declare that I have read the foregoing and that the facts stated In It are true ,to-ths best f :my Fowldge and belief. A_ nl-) c hLA r Owner's Signature o Owner's Printed Name Florida Statute 713.13(1)(g): ' The owner must sign the notice of commencement and no one else may be permitted to sign in his or her steed.' State of 0 Countyof The foregoing Instrument was acknowledged before me this LR41 day of 201 C. by I t,L ±- C �,-,un. C k . Who is personally known to me ❑ Name of person making statement OR who has produced identification D—ty'pe of identification produced: �NMf �Q- t+ CERT! IED COPY—MARYANNEMORSE11'J�y CLERIE THE CIRCUIT COURT AND COMPTROLLER SEMINOLE COUN P°rr�� • BY DEPUTY CLERK 292016 ca Noter7 Signature l•