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Home My WebLink About1401 West Seminole BlvdRE C E V' M yAY 4 20il CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: W3 Documented Construction Value:$ 2o,goo.00 Job'Address:-1401 West Seminole Blvd. Historic District: Yes No ParcelID: 254-19-30-5AG-0117-0000 Zoning. Description of Work: Remove existing pavers & membrane & install Modified System Commercial department Plan Review Contact Person: Priscilla Bulleman Title: Phone:,407-330-9303 Fax: 407-330-5959 E-mail: pbulleman@tectaamerica. com Property Owner Information Name Central Florida Regional Hospital, Inc. Phone: 407-883-7552 Street: PO Box 1504 Resident of property? : NO City, State Zip: Nashville, TN 37202 Contractor Information Name 'Tecta America Central Florida, LLC Phone: 407-330-9303 Street: 588 Monroe Road Fax: 40.7-830-5959 City, State Zip: Sanford, FL 32771 State License No.: CCC057634 Arch itect/E ng i neer Information Name: Phone: Street: Fax: City, St, Zip:, E-mail: Bonding Company: Address: Mortgage Lender: Address: PERMIT INFORMATION Building Permit [3 Square Footage: 3400 Construction Type: Reroof No. of Dwellin2 Units: Flood Zone: Electrical 13 New Service - No. of AMPS: Mechanical 1:1 (Duct layout required for new systems) No. of Stories: 3 Plumbing 0 New Construction - No. of Fixtures: Fire Sprinkler/Alarm 0 No. of heads: 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. OWNERIS. 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.' 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, CONSULTWITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING'YOUR NOTICE OF COMMENCEMENT. 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. perrmts 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. A copy of the executed contract is required in order to. calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the plan review, fee -based on past permit activity levels. Should calculated charges exceed the documented construction value when the executed contract is submitted, credit will be applied to your permit fees when the - permit is released. Signature of ner/Agent Bobby McCullough, Chief Operating Officer Fnint Owner/Agent's Name 1 1-3 1 . I W vik Notary Public.State of Florida Esta L Qrseno DD944626MyCommission Expires 01123/2014 Owner/Agent is Personally Known to Me or Produced ID Type of ID APPROVAL& ZONING: ENGINEERING: COMMENTS: UTILITIES: FIRE: Signature ofContiractoi,/Agent Date Wla da- RV Q tl . I Print Contractor/AgenA Name i a -State of Fd6&RlVERA_ Dat1PA 0 dISNotaryPublic - State of Florida of87MyComm. Expires Jan 18, 2014 Commission DD 9469196 0 at otery a. off BoWed Through Nationnal Notary Ann.. Contractor/Agent is Personally Known to Me or Produced It) - Type of ID WASTE WATER: BUILDING: Rev 11.08 r--- ' LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: ma;, 9. 9[)j] I hereby name and appoint: Candice Dease an agent of. Tecta America Central Florida, LLC Name of Company) to be my lawful attorne, ir- 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): X All permits and applications submitted by this contractor. The specific permit and application for work located at: Street Address) Expiration Date for This Limited Power of Attorney: May 2, 2012 License Holder Name: Melinda E. Ryan State License Number: CCC057634 Signature of License Holder: V&'&Xa a STATE OF FLORIDA COUNTY OF ;nOc The foregoing instrument was acknowledged before me this Z day of -(Y)n j 20A)A_, by OW jori Q /a r) who is ? rsonally known to me or ? who has produced I identification and who did (did not) take an oath. Notary Seal) I"Ry P(" 1, GENISE RIVERAAP(OZ ","ft Notwy Nblic SW of FWW L VMyCOM. ExPIMS J&j] an 18, 2014 COMI=Ion 0 DD 946996 Bonded Thmugh NMWW Notwy Ann. Rev. 3/27/07) Signature caedl<-'e' ofve PQ Print or type name Notary Public - State of IP\ 6Q,,A(% CommissionNo. hN c-A Iq9 My Commission Expires: oj)isl ,A i 071302 7AO 02:48:53 p,m. 04-122-2011 1 14 7 1 EcTAAmERICA Central florida LLC FULLY Roofing Redefined EXECuyEUu L, /2-2-/2(1111/k/a General Works LLC 1 588 Monroe Road, Sanford FL 32771 407) 330-9303 1 FAX 7(407) 330-5959 1 CCCO57634 April 21,, 2011 Tecta America Central Florida LLC (herein after referred to as "'recta America") proposes to perform and furnish the labor, materials, insurance, supervision, equipment and warranty (herein together referred to as "Work") described herein for: Owner/Customer: Central Florida Regional Hospital ATTN: Richard Eltdns Address; 1401 West Seminole Blvd. Sanford, FL 32771 Project: Nursery Roof Telephone: (407) 883-7552 (407) 302-7300 Fax ROOF SOLIVTION SCOPE OF WORK:.Approximately 3,400 -square feet I . Remove existing concrete pavers, sli-p sheet and EPDM membrane to the lightweight concrete dock. 2. Inspect lightweight and repair defects per uait pricing as needed. 3. Fasten Soprema Soprafix F base sheet with TriFix fasteners. 4, Torch apply Soprema So.pralene Flam 180 GR FR cap sheet. 5, New curb, pipe and drain flashings per manufacturer's specifications. 6. New 24 gage Kynarfinish edge metal. 7. Remove all roof related debris and dispose of properly. 8. Provide a Tecta America Central Florida 2 year workmanship warr-anty. 9. Provide a S oprema 20 year NDL warranty, Roof Investment: $20,500.00, Qualificadons: 1. Direct access to building is required 2. Staging and set up area is required, 3. Unit Pricing: Cost per square foot for,lightweight deck replacement: fl 1.00 Payment Terms: 20% at signing, 30% upon material delivery, 40% uponsubstantial completion, 10% upon final inspection andapproval. Investment: General Works shall perform the work for: Sccabove This proposal is subject to revision or withdrawal by General Works until communication of acceptance. This proposal expires thirty (30) days afler (he date stated above if not earlier accepted, revised or withdrawn. By:. .-.. OavidWorn on Date: ARril 21, 2011 David Morrison The undersigned hereby accepts this proposal and, intending to be Itgally bound hemby, agrees that this w6ting shall be a binding contract and shall constitute the entire contract, subject only to the approval of credit by General Works which approval shall not be unreasonably withheld. C:\Doctirnents a nd Seitin9s\xdy5070U=al Settingffernporary Intmet Filcs%Con tent, Oui loo k\Y6LS CM 7 1 Wentra I Florida Regional Hospilal Surgery Roor l.doc 7 300 02:49:07 p,M. 04-22-2011 2/4 TF-RMS AND CONDITIONS THE TEPMS AND CONDITIONS SET FORTH ON THE NEXT PAGE ARE A PART OF THIS INVESTMAENT Owner/Customer: Title: -- By-, te: Da CADocuments and Scitings x&50709.,ocal SetlingsqeMp,orary lnlmtl F"Cs Content-OullOOk y6LSCM71\CtntraI Flc3rida Pt9innal HMit;ll Surgay Roor l.dac 1101 gnu ON 11 Milo IND man am IN His 121 IN Permit No. TaxFolioNo. 25-19-30-5AC-0117-0000 NOTICE OF COMMENCEMENT State of Florida County of Seminole NIRYOW MORSE9 CLERK, OF CIRCUIT COURT SENIMXE CMWY BK 07,144 Pg 15391 (1 pg) CLERKIS # 2iD1104G330 RECOM 05/03/2011 12s47s4fi PH REMMING FEES 10.00 RECORMD BY T ftfth 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 i ' f available) 1401 Seminole Blvd. Nursery Roof, Sanford, FL 32771 All Blks 1N & 2N TR 17 IN & 2N TR -18 & All.Vacd. STS BET & ALL VACD Alley ADJ ON N & N'16 FT 2. General description of improvement: Reroof 3. Owner information: Name: Central Florida Re ional Hospital Inc. Address:,PO Box 1504, Nashville, TN 37202 b. interest in property: Owner c. Name and address of fee simple titleholder (if other than Owner): Name: Address: 4. ContractorNarne: Tecta America Central FL. , LLC Phone number. 407-330-9303 c.Address: 588 Monroe Road, Sanford, FL 32771 5. Surety Name Address: b. Amount of bond: $ Iry 031ktol 6. Lender: Name: ov Address: b. Lender's phone number: Ta. Persons within the State of Florida designated by Owner upon whom notices or other provided by Section 713.13(l)(a)7., Florida Statutes: Name: Address: 114t i'. , mi, 8.a. In addition to himself or herself, Owner designates of to receive a copy of the Lienor's Notice as provided in Section 713.13(l)(b), Florida Statutes. b. Phone number of person or entity designated by owner: 9. Expiration date of notice of commencement (the expiration date is I year from the date of recording unless a different date is specified) WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXI'MikTION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, qION,713.13, FLORIDA STATUTE . S, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO OUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB MD ,,SIT BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR 0 I 9U- 91-EIDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF 6 ja, 4, C 16 C 05 C U 0.0Cra4V 'A E E 0Q 0 >, ZW2 Chief Operating Officer of Owner or Owner's guthorized Officer/Director/Partner/Manager Signatory's Titl&Ae oing instrument was acknowledged before me this ," day of J Zoff) , by -VrrmYn, OT pm as ktyp@ of e e.g. officer, trustee attorney in fact) for (ffqw&-p_ U;11L WUN mccatedl . SEAL) ation Type of Identification Produced Verification pursuant to Section 92.525, Florida Statutes: Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in it aW th e best of my knowledge and bfft NAMESignatureofNaturafPersonSigningAbove Rev. date 3/2008 ADDR.