HomeMy WebLinkAbout37175 Orlando DrCITY OF SANFORD7APR122011BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No- 06 Documented Construction Value- $
Job Address: -5-n 7 S. RL
Historic District: Yem No&
Parcel fl):Zoning:
Description of Work:'zv loc.% Alka
Plan Review Contact Person: llD' Title:
phone: -Fax:-qlt
Property Owner Information
Nance G PJ- ii --AC Q 1521S Phone:
Street- Z-1 Resident of propert- y?
City, State Zip:
Contractor Information
N a n i e 4-) Phone: '-1'2'7
Street. C-8(01110 )q ": i#- r ? Fax:
City, State Zip: 7t:5 2— State License No.:
Information
J -Z -j 157 3Name: Phone.
Street: lax: /8>
City-, St, F
Bonding Company:
Address:
Building Permit 0
Square Footage, _
No. of Dwelling Units:
Ekctrical 0
Nfortgage Lender:
Address:
PERMIT INFORMATION
Construction Type: No. of Stories.
Flood Zone,
Plumbing 0
New SerN ice - No. of AMPS:, -
Mechanical > ( Duct, layout required for new systems)
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 cominenced prior to the issuance of,a permit ands -that 41.1 work will be performed to
meetstandards of all laws regulating construction in this jurisdiction. I understand that a separate permit
roust be secured far electrical work, plumbing, signs, wells, pools, furnaces, boilers,heaters, 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 MAV
RESULT IN YOUR PAYING TNk]CE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE
OF COMIVIENCEMENT,MUST BE RECORDED AND POSTER ON THE JOB SITE BEFORE THE
FIRST INSPECTION. IF 'YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR.
LENDER 011 AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
NOTICE.- In addition to the requirements of this permit, there may be additional restrictions applicably, to this
property that may be found in the public 'records of this county, and there may be :additional permits required
froth other ovemrnental entities such as water man agenient districts, Mate agencies, or tederal. agencies.
Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida
Lien Law, FS 113
The City of Sanford requires payment of a plan review fere, 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 rightht to calculate the
plan review fee based on 'past permit activity leti,els. 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 df+ iwncn`.4 cn4Date gn turc of t niti6 g cijtt aIc
Prue a ncr+Agee a•s IN Print Cft44U1ft'AW,cn1'$ Narrnr
7
SSignatureNotary to of H#ari i _ +tun. of Notary-Smue of Ftolri<[4 o";!'Bi,DaINMARA R. WETHERINGTON
RAQUEL GUTIERREZ* * MY COMMISSION # DD 963937
MY COMMISSION # OD 790687 EXPIRES: June 7, 2014
EXPIRES., September 21, 2012 rq}FOF F`O\
Q
Bonded Thru Budget Notary Services
cr WdwThruNotary Puuot)nderwrlters
OwnerrAgent is Personally Knom i 1e or Contractor./Agent is ersniyally Krsaµm to 7100- or Producod
1D Produced Ila APPROVALS:
ZONING: UTILITIES: WASTE NATER: ENGINEERING:
FIRE.: BUILDING: COMMENTS
Rev
11.08
Perm t Number:
Fol'io,lParcel Identification Number; 11-20-30-300-036A-0000
Prepared by: TOM REEDS
PENINSULAR IYIECHANi" CONTRACTORS INC,
Return to: 13690 ROOSEVELT OLVO
CLEARWATrft FL_ 1,3762
mARYMW NMI CLERK OF CIRCUIT COURT
SOINO.,E COUNTY
PK 07548 Pg 0045; Q pg )
CLERK'S # 2011033105
RECO ED 03/30/2011 11%42t43 AN
RECORDII1111 FEES 10 00
NOTICE OF COMMENCEMENT REI RDED BY T
Sni6
th
State of Flonda. County of Orange
The undersigned hereby gives notice that improvements) will be made to certaln 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)
1FDr
3717 Orlando Driven S Sanford FI 32771-
yGeneral of improvement(s)
MORSE
2, description
Air Conditioner Change -out with ductwork
NSEYA, - '01, Coal
f-09 3. Owner information CLERUNIy,
Name Elber Enrique & Rosa Trs Telephone Number
Address -2900 W Lake Vista Cir Davie FI _ __Interest in Property
4 Foe Simple Title Holder (!(other than owner shown above)
Name Number eTelephone
5. Contractor
Name Peninsular klechanical Contractors Inc. Telephone Number 727-573-4822
Address 13690 Roosevelt Blvd, CleaRvater FI. 33762
Surety (if any)
Name—NA. -- y
Telephone Number
Address.;__._—_._._. - ------ - —Amount of bond S
Lender (if any)
Name NA ------- Telephone Telephone Number
Address .
8. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as
provided by §713,13(1)(a)7, Florida Statutes.
Telephone Number _.
Address
9. In addition to himself or herself, Owner designates the following to recehie'a copy of the Lienor's Notice as
provided in §713.13(1)(b), Florida. Statutes,.
Telephone Number
Address
10. Expiration date of notice of commencement (the expiration date is one year from the dale of recording unless a different
date is Specified)__
1%ARNINC: 1-41 OWNER; ANN PAN NlrN'1'S pIADE BY WIL OWNER AFTER Till? EXPIRATION OF i11C NOTICE OFCOM1INIENCEMENTARE
C 0 NS IDE RF 11 111PRO PFR PA YNIENTS IINDFR (:11AN 1 k;it 71:i, PART 1, S C-r10N 713.13, FL OItIDA STAT1.fnN, AND CAN k V S V [X IN V 0 U k PA);INC:
11YIC'E FOR IMPRl1VENIFNTS TO VOil R PROPERTI'. A :NOI IC'EOf C'OLN!h1fNCEN1EN:T AiL1ST BE RECORDED AND POS111) ONI'll L JOB "ITE
R F014f, I'llU FIRJI'1'C IN-I`CND-TOOBT'AIN FINAYCING,coNsiitT%l '1'1`li i()trR L,L.NL)iskOR A.NA7"TOR\E]' BFFOItF
t;ONI I ',NCIN1; 11'llRi 09/Rh,(,
r )
I: < WR
11. %r:rte ( 7zalJ tj
sign 'owne QMMISS DD79tlbt3lgn ry's Printed NairelTitterOffice
r Owner's ,,athorize ,t ireermirc ,Dalt river+.. -.r 0i RES: ptember 2l, 2012
S C` The fore go4ng Instrument was acknowled tl ,yP 'Y(!"`'drard tsy
J i/ / 6 Y
r) (rwarne of pers m)
as for. -
fl Typ ,t authority e. .: offic r.;ftr5t a altorrroey in fact) (Name of party on L*halt of whom it,ishunw-n# ivas ezectaterl)
11
Sly lure of otary Public — State f Florida (Print, ty ; or stamp commissioned nanw of Notary Public)
Personally Know OR Produced. ID
o aced
Verification purs7ff9ill tto ,y oli 92,525, Florida Statutes: Under penalties of perjury, i declare that I have read the foregoing and that tho facts statod
in it are true to tha,]Ia ! ot',mv kt owledne and belief.
Signattue af Na ural Person ,ignang on Line 11=A
roma Revised: 11.1201107 f4 RAQUEL GUTIERREZ
MY COMMISSION If DD 790687
n P EXPIRES: September 21, 2012
Bonded Thni Notary Public Underwdtere
APR -12-2011 07:05A FROM:PENINSULAR 7275720978 T0:14076885152 P.1/1
WEN DY'S WORK AGREEMENT
EG 103906
This Agreement is made this ]0 day of Marc 011, between Wendy's International, Inc.
Wendy's") and Peninsular Mechanical Contractors, Inc. ("Contractor"), whose
address is 13690 Roosevelt Blvd. City of Clearwater State of FL Zip 33762
180-4473
The project location is a Wendy's restaurant facility located at 3717 S. Orlando Avenue
City of Sanford State of FL Zip
The scope of work is as follows:
FURNISH AND INSTALL AAON RN 13 KITCHEN HVAC UNIT PER QUOTE
The Contractor shall supervise and/or perform all of the work required by this Agreement,
including, but not limited to, any and all material and labor required for completion.
Contractor shall commence the work on and shall complete the same on
or before ASAP Any delay or change to the completion
date, shall be approved in writing by an authorized Wendy's representative.
By signing below, the Contractor represents that he is licensed to do work in the jurisdiction in
which the work is being performed. Additionally, the Contractor represents that he has, and will
have for the term of this Agreement, adequate insurance coverage and will furnish Wendy's with
a Certificate(s) of Insurance showing Wendy's as an additional insured. Such coverage shall
include, but not be limited to, Comprehensive General Liability Coverage in the amount of One
Million Dollars ($1,000,000) Combined Single Limit, Workers Compensation Insurance in
accordance with applicable state requirements, any insurance required by pertinent governmental
authorities, builders risk insurance covering the premises at Wendy's option, and/or such
additional insurance as may be required by Wendy's from time to time. Contractor assumes all
hazards and conditions in connection with the performance of the work.
The total amount Wendy's shall pay Ctar upon full completion of the work detailed above
shall be the sumof
ontr $
25 185.00 This sum shall be
changed od y by a written Chapge-Order signed by an authorized Wendy's representative or by
entering to a separate -Wendy's Work Agreement.
Payment shall be made in full, within 30 days of submittal of all documents by Contractor after
full and final completion of the work outlined above, provided Contractor has satisfied all other
terms of the Agreement. All payment requests over $5,000 must be accompanied by a Release of
Lien in the full amount of the sum paid. Payment of any funds shall be subject to the full
inspection and acceptance of the work by a Wendy's representative.
Contractor
By: By:
Date: Date:
Wendy's