HomeMy WebLinkAbout2335 S Seminole Blvd (2)nns ne:
CITY OF SANFORD
NG & FIRE PREVENTION
PERMIT APPL- ICATION
q0 13 y:
Application No: Documented $
Job Address: t) +n a 6 11A Historic District: Yes No
Parcel ID: Zoning:
Description of Work: 1 7 I i 7I(i
o rQY+ nw Ql ; Q Ca L h MQln dfa2 -
Plan Review Contact Person: Title:
Phone: 1 U-(p'1 Fax:E-mail:
O
Property Owner Information +nmol r b
Name n Phone:
I_
Street: '74,155
1t°
ff (— +
c'X Resident of property?
City, State Zip:
Contractor Information D
Namef , Va-5P. /$O)_S Dl- CEi 771WL Az Z: Vc' Phone: y0_7 11 W _ V;7yV
Street: &1/'6 Fax: y07
City, State Zip: W I nJ TC?Z Pt0K YL State License No.: CPC 0616
Architect/Engineer Information
Name. d Phone:
Street: Fax:
City, St, Zip: Z— E-mail:
Bonding Company:
Address:
Building Permit
Square Footage:
No. of Dwelling Units:
Electrical
New Service — No. of AMPS:
Mortgage Lender:
Address:
PERMIT INFORMATION
Construction Type:
Flood Zone:
Mechanical (Duct layout required for new systems)
f
o `
i'
No. of Stories:
Plumbing
New Construction - No. of Fixtures:
Fire Sprinkler/Alarm No. of heads:
f vos--aR
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, beaters, tanks, and
air conditioners, etc.
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.
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.
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. 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.
63r"'A W y (-5
i 3 ad lI
Si e e-r/Agent Date
N.
Print Owner/Agent's Name
Signature otary-State of Florida Date
otP Y.puk, CHERYL DAVIS FLANNERY
MY COMMISSION # DD 691222
EXPIRES: October 31,201
srgrf of `
oFo
Bonded Thor Budget Notary Services
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
APPROVALS: ZONING: "'((UTILITIES:
ENGINEE S =' ` ` FIRE:
COMMENTS:
Rev 11.08
Signature of ..tractor/Agent Date
Print Contractor/Agent's Name
Ane ne, -2%///
Signature f otary-State ofFloridaDate
Pav Puv CHERYL!DAVISNERY
MY COMMISSION # DD 691222
EXPIRES: October 31, 2011
Bonded Thor Budget Notary Services
Contractor/Agent is Personally Known to Me or
Produced ID Type of ID
WASTE WATER:
E/ M
r
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: -5'3-))
I hereby name and ap 'nt: TJ MI P Q r--
anan agent o£ 1 r I S
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 pen -nits and applications submitted by this contractor.
The specific pennnd ap'ication for work 1 ted t:
Street Address) T
Expiration Date for This Limited Power of Attorney:
License Holder Name: D/q/y/L
State License Number:
Signature of License Holder:
STATE OFF RIDA
COUNTY O fyU
The foregoing instrme t ackno . d before me this day ofwas ,
20(L_, by e who is ersonall 1 own
to me or who has produced as
identification and who did (did not an oath.
Signature
Notary Seal) ChceyL D'gV15
Print or type name
RY PU CHERYL DAVIS FIANNERv Notary Public - State of r1-,:W1jb)q
MY COMMISSION # DD 691222 Commission No. EXPIRES: October 31, 2011
rq,FOFBmW rnruadg" SeNd. My Commission Expires:
Rev. 3/27/07)
E CITY OF SANFORDD •
e Cf ! BUILDING & FIRE PREVENTION
MAY 0 3 PERMIT APPLICATION
9
3 c1blay;-_
Application No:` Doc ented Construction Value: $
11_fJobAddress:3JJ- n Historic District: Yes No
Parcel ID: I ) 61J -)) ' — d 000 Zoning:
Description of Work: t (t na (J71 L° 1•
Plan Review/
llContact
Person: M, ( 111 Title:
I'''
Phone: "`D 0 -''1 ) Fax: D -)_0 Q16 • e651 -mail:
Property Owner Information
NamePhone:
Street: ' tent f property?
City, State Zip: S d 12
Contractor Information
Name
Street: n.i --
II
City, State Zip: d F
Name:
Street:
City, St, Zip:
e:
Fax: or
State License No.: 00 Z
Architect/Engineer Information
Phone:
Fax:
E-mail:
Bonding Company:,, _ Mortgage Lender:
Address: Address:
PERMIT; INFORMATION
Building Permit
Square Footage: Construction Type: No. of Stories:
No. of Dwelling Units: Flood Zone:'
Electrical
New Service — No. of AMPS:
Mechanical (Duct layout required for new systems)
Plumbing
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 iadi,cated , 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. i
i
OWNER'S AFFIDAVIT: I certify that all of the foregoingin formation 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, CONSULT WITH 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 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. 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, e it will be applied to your permit fees when the
permit is released.
Signature of Owner/Agent Date Signature of Contractor gent D e
s xi Of
w ? V'
m o9jaA ,\
a
Print Owner/Agent's Name Print Contractor/ gent's arae
n
p y
Signature of Notary -State of Florida Date Si G Dat G
O!:1:1: 13ERGER a v
I
OF
407) 3° n, uy service.com
Owner/Agent is Personally Known to Me or Contractor/Agent is Personally Kn or
Produced ID Type of ID Produced ID - Type of ID
APPROVALS: ZONING: - 's -to I I UTILITIES: WASTE WATER:
ENGINEERING:
COMMENTS:
Rev 11.08
INA BUILDING:
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: ,) —j3 `'
I hereby nai
an agent 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.
C The specific permit and ap &ication for wor lc
if
Street Address)
zt.
v-
Expiration Date for This Limited Power of Attorney: a5 '-2 — 12—
License
2—
License Holder Name: (2 LAe961W iyI C F EL C'T,QI LLe
State Licens
Signature of
STATE OF
COUNTY C
The foregoing ins ent as ac oledgle efore me this—) day of
200 k , by G %_ y A_ who is rsonally wn
to me or o who has produced as
identification and who did (did t take an o
o
Sign re
Notary Sea])
CHERYL DAVIS FUNINERY
2 ,• MY COmmISSION 46D 691222
EXPIRES: October 31, 2011
P Bonded Thru Budge NotarytNota Svvices
Rev. 3/27/07)
1"-
1#65eeYz' pfivi.6 6&V/ x
Print or type name
Notary Public - State of CGORiD61
Commission No.
My Commission Expires:
rr
g
e Ai
t
RAA
S. J
April 27, 2011
Rick Scott
Governor
H. Frank Farmer, Jr., M.D., Ph.D.
State Surgeon General
Seminole County
Regatta Shores Spa
2335 W. Seminole Blvd., Sanford
Mr. Gordon H. Shepardson, PE
1717 Golfside Drive
Winter Park, FL 32792
Dear Mr. Shepardson,
Effective April 27, 2011, the plans for modification of the above referenced pool are approved under
Serial Number SP -11994-A.
The review of the engineering features of this application has been conducted by me.or under my
responsible supervision, and I certify that those engineering features, together with any provisos
listed, satisfy the applicable requirements of Chapter 514, Florida Statutes, and Chapter 64E-9,
Florida Administrative Code.
Upon completion of the work, a written certification shall be provided to the Department, signed by the
pool contractor, electrical contractor or inspector and signed and sealed by you, stating, " I certify to
the best of my knowledge and belief, the modification construction and equipment installation has
been completed in conformance with the approved plans and documents." An on-site inspection will
then be scheduled by this agency.
Approval is given to the functional aspects of this project on the basis of information furnished to this
department. There may be county, municipal, or other local regulations or restrictions to be complied
with by you, and we recommend that appropriate local agencies be consulted.
Upon receipt of the approved materials referred to herein, one set shall be forwarded to your client,
the applicant, and one set shall be forwarded to the contractor for keeping on the construction site.
Thank you for your cooperation.
Sincerely,
Robert F. Foster, P.E.
Regional Engineer II
RFF/MP/dv
cc: Seminole County Env. Health
Environmental Engineering, Bureau of Water Programs
400 W. Robinson St., Suite S-532, Orlando, FL 32801-1752
Phone: (407) 317-7172 • Fax: (407) 317-7328 • http://www.myfloridaEH.com
e
PERM IT # Contractor Cop
TM
P
Dc
ocumentAl 05 ®2007?
Standard Form of Agreement Between Owner and Contractor for a Residential or Small
Commercial Project
AGREEMENT made as of the Fifteenth day of February in the year Two Thousand Eleven
ADDITIONS AND DELETIONS:
BETWEEN the Owner: The author of this document has
Name, legal status, address and other information) added information needed for its
completion. The author may also
UDR, Inc. have revised the text of the original
1745 Shea Center Dr., Suite 200 AIA standard form. An Additions and
Highlands Ranch, CO 80129 Deletions Report that notes added
Telephone Number: 720-283-6120 information as well as revisions to the
Fax Number: 720-283-2451 standard form text is available from
the author and should be reviewed. A
and the Contractor: vertical line in the left margin of this
Name, legal status, address and other information) document indicates where the author
has added necessary information
Premier Pools and where the author has added to or
4572 Pametto Ave.
deleted from the original AIA text.
Winter Park, FL 32792 This document has important legal
Telephone Number: 407-696-4744 consequences. Consultation with an
Fax Number: 407-696-5557 attorney is encouraged with respect
to its completion or modification,
for the following Project:
Name, location and detailed description)
State or local law may impose
requirements on contracts for home
improvements. If this document will
11-20025 be used for Work on the Owner's
Pool, Hot Tub and Deck Improvements (CapX) residence, the Owner should consult
Regatta Shores Apartments local authorities or an attorney to
2335 S. Seminole Blvd. verify requirements applicable to this
Sanford, FL 32771 Agreement.
The Architect:
Name, legal status, address and othe/r information)
John Mauk
152 MacAlpine Way
Dunedin, FL 34698
Telephone Number: 727-734-1819
Fax Number: 727-734-1701
Cell Number: 813-476-2676
The Owner and Contractor agree as follows. Wherever the term "Architect" appears, it
shall be deemed to read "Owner Project Manager".
AIA Document All 051" — 2007 (formerly A105— — 1993 and A205— — 1993). Copyright O 1993 and 2007 by The American Institute of Architects. All rightsInit. bprotectedreserved. iNA" ARNING: This RIDocument is p y U.S. Copyright Lave and International Treaties. Unauthorised reproduction or distribution of .
his AIA'- Document, or any portion of it, may result in severe civil and criminal penalties, and will be prosecuted to the maximum ertent possible under
t the law. This document was produced by AIA software at 16:22:46 on 02/18/2011 under Order No.6960761468_1 which expires on 11/07/2011, and is not for
resale.
User Notes: (793595481)
EXHIBIT 'B'
REGATTA SHORES APARTMENTS
POOL, HOT TUB AND DECK IMPROVEMENTS
SCHEDULE OF VALUES
FEBRUARY 7, 2011
Furnish all materials, labor, and equipment below and as further detailed in Exhibit'A'.
All work shall be performed as directed by Owner.
COST CODE: 130180 $
41,500.00
Improvements to Pool Deck, Interior of pool and Hot Tub as per scope of work. $41,500.00
TOTAL CONTRACT SUM (tax included): $41,500.00
Unit Prices Clarifications and Exclusions if any are as follows:
Page 1 of 1
For;Depaftment Use`Only
Amount Fee Received 'Date'
Check No 'From
SP# =r -
MF#
STATE OF FLORIDA'
DEPARTMENT OF HEALTH
APPLICATION FOR APPROVAL OF SWIMMING POOL PLANS
This form is to be completed and submitted with plans and specifications in six copies along with the appropriate fee.
New Construction Revision ' Modification X Original Serial No. If any. SP-
1. Name of Project REGATTA SHORES
Address of Pool 2335 W SEMINOLE BLVD City SANFORD County SEMI OLE
2. Name of Owner UDR, INC. Phone Number (720 ) 283-6120
Mailing Address 1745 SHEA CENTER DRIVE, SUITE 200 City HIGHLAND RANCH State CO Zip 80129
3. Pool Type: Conventional Spa X Wading Special Purpose Water Recreation'Attraction
Indoor Outdoor X Transient Non -transient X
4. No. of Units Served: No. of Stories 2 Distance of Farthest Unit from Pool: > 200' Elevator: Yes -No -
5.
esNo
5 Number of Sanitary Facilities: Water Closets Urinals Lavatories Dressing Rooms
1 1 Distance FromMale1
Fnm.lc 9 T I I Pool: < 200'
6. Method of Waste Water Disposal: MUNICIPAL SEWER
7. Pool Volume in Gallons: 783 Bathing Load: 5 Water Source: MUNICIPAL WATER
8. Dimensions: Width: 8 Length: 8 Area: 50.24 Perimeter: 262" Depth: Max. 36 Min. 35.5 Shape ROUND
9. Type Construction Material: Shell GUNITE Finish MARCITE Color WHITE
10. Equipment Make and Model:
A) Recirculation Pump: HAYWARD SP2815X20 Flow 53 GPM At 60" TDH 2 HP
B)=Filter. HAYWARD CARTRIDGE C2030 Area 225 Sq. Ft. Flow Capacity
C) Disinfection Equipment: STENNER 45M5 Capacity 50 (GPD)
D) pH Adjustment Feeder: STENNER 45M2 Capacity 10 (GPD)
E) Test Kit:
DH 914, 7/08 (Obsoletes 9/99 edition) 64E-9.003, F.A.C.
r- --- - . .. --
SHFpq i/
i
The de3ig rijil eE f 2 t he plans and specifications
prov' H rlreet the re firer of Chapter 514 Florida
Statgte and CbdRt3PE- f he Florida Administrative
COdB.
STAT
to APR 2 2, 2011
Signa ,n istered under Florida Statutes
ll IIII
Typed Name and Florida registration number
GORDON H. SHEPARDSON 19333
Phone Number: 407-657-4133
E-mail Address: GHSHEP(a-)_AOL.COM
Address: 1717 GOLFSIDE DRIVE
Street
WINTER PARK FL 32792
City State Zip
These plans, specifications and. related documents are
approved and accepted by the owner/owner's representative.
aa!Date
Signature: Owner/Owner's Representative
Typed Name and Title of Above -
GABRIEL H. WILLIS SUPERINTENDENT
Phone Number: (407) 637-7354
E-mail: IFUENTES(a)EUD.COM
Address: 300 SHEOAH BOULEVARD
Street
WINTER SPRINGS FL 32708
City State Zip
These plans for the proposed construction cited in the foregoing application are hereby approved under authority of Chapters 381
and 514, Florida Statutes, with the following proviso(s):
Construction on this project shall be commenced within one year from the date of approval of this application.
This approval is for the functional aspects of this project and is based on the information and data supplied by the applicant or his
agent. There may be other local permits, requirements or regulations that must be met prior to the construction of this facility.
Only those applications, plans and specifications that have been stamped with the Department's approval number are included in this
approval. Any changes to these applications, plans or specifications may render this approval null and void.
FM
Approval Stamp and Date =
Dept. of Health
APPF"'ZOVED
5P !,.9` 9 q -A
Environmental Engineering
STRUCTURAL DESIGN NOT COVERED
DEPARTMENT OF HEALTH
By: Y Sy_
DOH Reviewer
Mark Pabst
Environmental Specialist III
Print Name
14iIlopaMRi f)tiA llm011 001111lam
NOTICE OF COMENCEMENT
VARYWE KORSE, CLERK OF CIRCUIT WJRT
Permit No. MIM LE COY
Tax Folio No. BK 07567 Pq 0494; t1pg)
CLERK'S 0 ;2011047852,
THE UNDERSIGNED hereby gives notice that improvements will be made to certaiM0gagQq>'6 pKh Section
713.13 of the Florida Statutes, the following information is provided in the NOTICE ?Mq NT.
RECWM BY T Smith
Description of property (legal description): See Attached
a) Street (job) Address: 2335 S. Seminole Blvd., Sanford FL 32771 (Regatta Shores).
General description of improvements: Pool Hot Tub and Deck Improvements (CapX) 11-20025.
9
Owner Information
a) Name and address: UDR Inc. 1745 Shea Center Dr., Suite 200, Highlands Ranch, CO 80129.
b) Name and address of fee simple titleholder (if other than owner) CERTIFIED COPY
c) Interest in property Fee Simple MARYANNE
RSE
Contractor Information CLERK OF CIRCUIT COURT
a) Name and address: Premier Pools 4572 N. Palmetto Ave., Winter Park, FL 32792. 6EMINOLE UNTY. FLORID
b,) Telephone No.: 407-696-4744 Fax No. (Opt.) 407-696-5557
Surety Information LER
a) Name and address:
D J
b) Amount of Bond:
c) Telephone No.: _ (i Fax No. (Opt.) sV
Lender
a) Name and address:
Phone No.
7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served:
a) Name and address: John Mauk, 152 MacAlpine Way, Dunedin, FL 34698.
b) Telephone No.: 813-476-2676 Fax No. (Opt.)
8. In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice_ as provided in Section
713-13(1)(b), Florida Statutes:
a) Name and address: Q, 61
b) Telephone No.: _ Fax No. (Opt.)
9. Expiration date of Notice of Commencement (the expiration date is one year from the 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 ARECONSIDERED 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 INTENT TO OBTAIN FINANCING, CONSULT YOLENDER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMLi; ENT.
STATE OF FLORIDA
COUNTY OF
10
Signature of
0c
Print Name
0 icer/Director/Partner/Manager
The foregoing instrument was acknowledged before me this day of >v?'G C1 20_, by
e, asw 1d Aj (type of authority, e.g. officer, trustee,
attorney in fact) for d 'V -VA C- (name of party on behalf of whom instrument was executed).
Personally Known V OR Produced Identification Notary Signature
Type of Identification Produced Name (print)
r_ x`
AND
V .4 NE F.UENTESi
Verification pursuant to Section 92.525, Florida Statutes. Under penalties ofdeclare t >r` i' 9 40PA 'logalkho"s
the facts stated in it are true to the best of my knowledge and belief i1;X r my ornrnisg ori Ex2014pires
FORMS/NOC-d2007
Signature in line # 10) Above