HomeMy WebLinkAbout610 E 5 StJob Address:
Parcel ID:
6►o t6:Y,S.
Is- iq - -30-
1UQ 12016
Type of Work: Ne"�q Addition ❑ Alteration
Y
Description of Work: ew +-6mc—
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Plan Review Contact Person:
Phone:
Fax:
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PFERMIT APPLICATION
X41
Application No: j
Construction Value:
k Historic District: Yes ❑ No ❑
3C 'QO qG Residentialo Commercial ❑
Repair Demo ❑ Che of Use ove ❑
Email:
Title:
Property Owner Information
Name S Le c� Phone: LAJz
Street: Resident of property?
City, State Zip:2_J
Contractor Information
Name it C Phone: 8�
Street: Ald' Fax: nn
City, State Zip: OO 0Z /U State License No.: 9C
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. 1 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: 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 pen -nit 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 const t n an co ing.
--I I i I 4L
Signature of Owner/Agent Date Signature of Con Tactor/Agent D to
Print Owner/Agent's Name Print Contractor/Agent's Name
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
Signature of Notary -State of Florida
wdR � PuBeB te�dFlorids
trA B My CMrnlxWw FF 904834
a Expires 0e10Y2020
Contractor/Agent is V Personally Known to Me or
Produced I D Type of 1 D
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing[] Gas[] Roof ❑
Construction Type: Occupancy Use:
Total Sq Ft of Bldg: Min. Occupancy Load:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes ❑ No ❑
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
Flood Zone:
# of Stories:
Plumbing - # of Fixtures,
# of Heads . Fire Alarm Permit: Yes ❑ No ❑
UTILITIES:
FIRE:
WASTE WATER:
BUILDING:
Revised: June 30, 2015 Permit Application
SEM/NOLE COUNTY MOLT/ JUR/5D/CT/ONAL
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: 7/11/16
hereby name and appoint:
John Howeller
an agent of: Hank Lowry Electric, Inc.
(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):
❑ All permits and applications submitted by this contractor.
Or
✓❑ The specific permit and application for work located at:
610 East 5th Street; Sanford, FL 32771
(Street Address)
Expiration Date for This Limited Power of Attorney:
License Holder Na
State License Number:
Signature of License H
Trent Lowry
7/15/16
STATE OF FLORIDA
COUNTY OF 0 fl -4 N(o E
The foregoing instrument was acknowledged before me this I I A day of V U1-1
2016, by Y/1,6A1y "w(4 who is U/Personally known to me or
O who has produced as identification
and who did (did not) take an oath.
0v
Signature of Notary
Agar vfb. Notary puMla stele of Ronda
•+� reWIWV ft-
MMyy pFF�994834
CM E01"
Print or type Notary name
Notary Public - State of FWy-r-04-
Commission No. EF 3940q
My Commission Expires: 0610j -OZO
1
`. HANK :I- RY
I,W
Proposal
Revised # 3
❖ Indicates Revision
To: Keith �� Date: 5/9/16
Black Street Enterprises, LLC
Central Florida Division
155 South Court Ave
Orlando, Florida 32801
Phone: (407) 388-5820 Fax:
Email: kowens@blackstreetenterprises.com
Project: 610 East 5�h Street Sanford, Florida, 32771 (Electrical New Home Ground -up)
Scope of work as follows:
• Wire for supply and install (2) tamperproof weather resistant GFCI receptacles with
weatherproof in -use type cover plates.
• Wire for supply and install (6) tamperproof GFCI receptacles with cover plates
• Wire for supply and install (16) tamperproof duplex receptacles with cover plates.
• Wire for supply and install (16)1 -pole decor type switches with cover plates.
• Wire for supply and install (2) 3 -way decor switches.
• Wire for (3) Yz hot duplex receptacles.
• Wire for supply and install (4) builders grade ceiling mounted / wall mounted light fixtures.
- (2) Exterior wall mounted light fixtures. (Front Entrance/ door and side entrance/ exit
door)
- (2) Interior wall mounted light fixtures. (Vanity Lights)
• Wire for supply and install (5) 6" recessed can lights with white baffle trims and 65 -watt equal
fluorescent lamps.
• Wire for (2) bathroom exhaust fan. (Note: Exhaust fans supplied and installed by others)
• Wire for supply and install (3) standard smoke detectors and (1) carbon monoxide smoke
detectors.
•:• Wire for (3) builder grade white ceiling fans with light kits . (Note: HLE made provisions
for (1)1 -pole toggle switch for ceiling fan and light kit only. Fan and light will not be
switched separately)
Hank Lowry Electric, Inc. o 592 Thorpe Road o Orlando, Florida 32824-8017
407.855.0035 o Fax: 407.855.0940 o 1.800.664.0035 o License #EC0000250
• Wire for supply and install (1)1 x4 2 -lamp fluorescent wrap around type light fixtures
(1)1 x4 2 -lamp fluorescent wrap around type light fixture in laundry room
• Wire for supply and install (3) cable TV outlets. (Note: Terminations at local providers demark by
others.)
• Wire for supply and install (1) Telephone/ Data outlets. (Note: Terminations at local providers
demark by others).
• Wire for (1) AC Condensing Units. (Ac Condensing Units supplied and installed by others)
• Wire for (1) Air Handler Units. (Air Handler Units supplied'and installed by others)
• Wire for (1) range.
• Wire for (1) kitchen exhaust hood.
• Wire for (1) dryer.
• Wire for (1) Water Heater.
• Wire for (1) Clothes washer
• Wire for (1) garbage disposal.
• Wire for supply and install (1) chime kit.
• HLE made provisions to wire for supply and install (1) 150 -amp 120/240 -volt 1 -phase main
service.
- Wire for supply and install (1)150 -amp 120/240 -volt 1 -phase meter socket.
- Wire for supply and install (1) 150 -amp 120/240 -volt 1 -phase surface mount 8/16 -
circuit Nema-3R Main breaker load center.
- Wire for supply and install (1) 150 -amp 120/240 -volt 1-phase'flush mount 30/40 -circuit
main lug only load center. (Note: Interior load center to be mounted in area so
that it is back to back with the utility companies meter base and service main
disconnect located on the exterior wall of the house.)
- Supply and install necessary 15 -amp and 20 -amp 1 -pole standard circuit breakers, -
15 -amp and 20 -amp 1 -pole Arc -Fault circuit breakers, 2 -pole pole circuit breakers 20
amp, 30 -amp, 50 -amp and 60 -amp,
• Supply and install (1) 100 -amp temp service with (2) dedicated 20 -amp circuits and (2) quad
receptacle boxes with (1) 20 -amp 120 -volt GFCI receptacle and (1) 20 -amp duplex receptacle.
In each quad box. (Note: Temp pole per NEC)
• Grounding Per NEC
• Permitting and Inspections.
Exclude:
• Utility Company Fees.
• Painting or patching of drywall and or concrete.
• Any other work except what is listed above.
Total Proposed Cost...............................................................................$4,175.00
All work to be performed during normal work hours of 7:00am - 3:30pm
Thank you,
Hank Lowry Electric, Inc.
Accepted: Date:
John "LJ " Howeller
Service Manager
Company: Title:
0 Page 2
JUL i Zpjg CITY OF SANFORD
BUILDING & FIRE PREVENTION
` PERMIT APPLICATION
Application No:
Documented Construction Value: $
Job Address: C��C/ , �f� Historic District: Yes ❑ No ❑
Parcel ID: Residential ❑ Commercial ❑
Type of Work: New Rr Addittipion ❑ Alteration ❑ Repair ❑ Demo ❑ Change of Use ❑ Move ❑
Description of Work:
Plan Review Contact Person:
vi
Phone: ,> Cl -65 3 -17�.s Fax:
Name
Street:
Title:
Email:
Property Owner Information
Phone:
Resident of property? :
City, State Zip:
Contractor Information
Name OgK2 �a Street: 094' 9 "e z Y
City, State Zip: rt /�Z 3y7%l
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Phone: , 3 Zr- 66 S TP -5
Fax:
State License No.:1'ft� &I 7 W
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: 51° 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.
-7-
Signature
Signature of Owner/Agent Date Signatunrc of Contractor/Agent Date
00,
Print Owner/Agcnt's Name Print ntractor/Agent's Na e
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
Notary -State of Florida ANNETTE SCP4e
Notary Public - State o1 Florida
i My Comm. Expires Jan 16, 2018
?•. .•_
'e' Commission # FF 071760
goaded Throto National Notary Assn.
Contractor/Agent is Personally Known to Me or
Produced ID Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing[] Gas❑ Roof ❑
Construction Type: Occupancy Use:
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:
Flood Zone:
# of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes ❑ No ❑
WASTE WATER:
BUILDING:
Revised: June 30, 2015 Permit Application
BLACKSTREET
ENTERPRISES, LLC
14338 Hampshire Bay Circle
Winter Garden, Florida 34787
Tel (407) 388-5820
Fax (866) 674-1239
EXHIBIT V
PRICE AND TIME SCHEDULE
Date: July 18, 2016
Revision:
Contractor: BSE Construction Group Retention: 0%
Subcontractor: Rite Angle Plumbing Trade: Plumbing
Job: 610 E. 5th Street Sanford. Florida — New Home Construction WO#6
BASE CONTRACT PRICING:
Stage Amounts
Time Schedule
Stage #
Cost Code
Stage Description
%
$
Start Date
# Work Days Start to
Flnsh
1
Rough Plumbing
40%
$ 2,240.00
2
Tubset Plumbing
20%
$ 1,120.00
3
Final Plumbing
40%
$ 2,240.00
4
0%
$ -
5
0%
$ -
6
0%
$ -
Retention
0%
$ -
Total
100%
$ 5,600.001
1
USE THE ABOVE STAGE PAYMENT PERCENTAGES AND AMOUNTS FOR STAGE INVOICING.
OPTIONAL CONTRACT PRICING:
Amounts
Time Schedule
#
Cost Code
Description
$
Start Date
# Work Days Start to
Finsh
ALL PRICES INCLUDE APPLICABLE SALES TAX AND APPLICABLE PERMIT FEES
Company's Full Legal Name
Rite Angle Plumbing
BY:
DATE:
BSE Construction Group
BY:
DATE:
Keith Owens
G:\Construction\Projects\Central Florida\M - S\Seminole County= -9072-13 AMM Work Order 6 -Reconstruction 610 E 5th
Street\Vendor Bids and Contracts\Contracts\Rite Angle Plumbing\Ex. B Price Schedule 610 E. 5th Street Plumbing.xlsile