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Home My WebLink About750 Towne Center BlvdAPR 2 6 2011 2 CITY OF SANFORD, BUILDING & FIRE PREVENTION BY: PERiViIT APPLICATION Application No: l Documented Construction Value: $ 4 L 1 Job Address;. w Historic District: Yes No; Parcel ID: " C - 30 S7 Kp_` .., 0'0 - 000 0 Zoning: Description of Work: TWQ UG Ri'r_ L't- 4z'-, Pos 4b / '" -Ro'r Plan Review Contact Person: CcJ c,rvLnS 'Title: ` 2S e,V- Phone: t o7r c3 `t3 I b G 3 Fax: 49'7- 3D8 ^ 4-AA E-mail: RrrJ 0 4el ro-leckaA . Property Owner Information Go All Name CTb 1)of PCAk (l_.C_ Phone: Street: D SUe be.S. Resident of property? City, State Zip: Or- . a 1 6 Contractor Information Name F te j'1'41 r»APr;%i6_n i7v«- Phone: `10?- 3a..g ` I 3 Street: &Qjt Fax: 42 7- 3DU - q7(- 1 City, State Zip: r 7 71 State License No.: 1?(e) 6 000 Q d03 Architect/Engineer Information Name: b) j Phone: Street: City, St, Zip: Bonding Company: Address: Fax: E-mail: Mortgage Lender: 1 V 4 Address: PERMIT INFORMATION Building Permit Square Footage: Construction Type: S'i-I-e- 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 No. of heads: a . d 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. 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. 4"Oe5z,__- .-L6 1 r Signature of Owner/Agent Date Signature f Contractor/A nt Date Fmc Lux 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 APPROVALS: ZONING: ENGINEERING: COMMENTS: Signature Date r `KAREN A. JONES c MY COMMISSION # DD983481 EXPIRES July 27, 2014 ractor/Agent is " Personally Known to Me or Produced ID Type of ID UTILITIES: —,--WASTE WATER: Rev 11.08 G -ity (Ir S, anford F escee Tel: 40T688.5050 Fax,: 407.688,5051 Gate:.e 1 t 11I15 -2— P 1 ( Business or P roj o c a m e- I's Address, 7 - -7 Contact Name: f: L PAO nstruction 11 CIO LI Fire Alarm 0 Fira, Sprinkler [j 1-100(,.l [--.1 Tank D Paint Booth Total Fees F OATE.(MWDDIYYYY). CERTIFICATE OF LIABILITY INSURANCE oPID Tx 08./13 10 THIS CERTIFICATE IS ISSUED AS A MATTER OF'INFORMATION ONLY AND'CONFERS NO RIGHTS UPON' THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED. BY THE POLICIES" BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED ARFRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. d PORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION'IS-.WAIVED'subject to e terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights'to the certificate holder in, lieu of such endorsement(s). PRODUCER NAME: BMIA, Inc House PHONE FAX Bruce Morse Insurance Agency JAIC, No; Ext : (A/C, No): 1000 Wekiva Springs Road ADDRESS: Longwood FL 32779 CUSTOMCERERID#: FREED-3 Phone:407-869-4200 Fax:407-862-7656 INSURER(S) AFFORDING COVERAGE NAIL# INSURED` INSURERA: Owners Insurance Co 32700 Freedom Fire Protection of INSURERS: Graanwicn Insurance company 22322 Central;Florida Inc 601 Central Park Drive 1NSURERC: Navigators Insurance Company Sanford FL 32771 INSURERD: Brid efield Employers Ins 10703 INSURER`E': iNSURER7 : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE -POLICIES OF INSURANCE LISTED BELOW -HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD - - - INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BEISSUED >OR MAY PERTAIN, THE'INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. r TYPE OF INSURANCE. iNSR WVD POLICY NUMBER' MM/DOtYYYY) MM/DD/YYYY) LIMITS B GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS - MADE Fx] OCCUR RMG640006003' 08/15/10 08/15/11 EACH OCCURRENCE 1 , 600 , 000_ PREMISES ( Ea occurrence) 100 ,`000 MED EXP (Any one person) 5 , 000 PERSONAL & ADV INJURY 1,000,000 GENERAL AGGREGATE 2 , 000 , 000 GENT AGGREGATE LIMIT APPLIES PER: POLICY ..( .. ECOT .. LOC PRODUCTS - COMP/OPAGG s2,000,000 AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON - OWNED AUTOS 4843422` 100 06/07/10 06/07/11 COMBINED SINGLE LIMIT Ea accident) 1 000,000 rrX BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE Per accident) X UMBRELLALIAB EXCESSIIAB X OCCUR CLAIMS - MADE NY08EXC415281NC 08/15/10 08/15/11, EACH OCCURRENCE 2,000,000 AGGREGATE DEDUCTIBLE RETENTION $ 10 , 000 . XD WORKERSCOMPENSATION AND< EMPLOY&87 LIABILITY ANY. PROPRIETOR/PARTNER/EXECUTIVES OFFICER/ MEMBER EXCLUDED? U MandatoryinNH) If yes; describe under DESCRIPTION OF OPERATIONS below IA 083038265 08/15/10 08/15/11 I X - TORY LIMITS ER E. L. EACH ACCIDENT 1000000 E. L. DISEASE - EA EMPLOYEE 1000000 E. L. DISEASE - POLICY LIMIT 1000000 T__ DESCRIPTION OF OPERATIONS LOCATIONS/ VEHICLES (Attach ACORD`101, Additional Remarks Schedule, If more space is required) f` COTICIreTI: Wnt nFR CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE , SANFOCI THE'EXPIRATION DATE THEREOF, NOTICE WILL BEDELIVER EDIN ACCORDANCE WITH THE POLICY PROVISIONS. City of Sanford Building Department AUTHORIZED REPRESENTATIVE anN Park Ave S anford' FL 32771 V'1Vt3t5- ZUUU ALVKU t;VKF't.lKAI IVIV. Ali rignTS reservea. ACORD125 (2009/ 09)z The ACORD name and logo are registered marks of ACORD SEMINOLE COUN'T'Y BUSINESS TAX RECEIPT; RAY VALDE S, SIJMINOLE COUNTY TAX COLLECTOR G'n PO Box 630 Sanford, FL 32772-0630 Telephone: 407-665-1000y www.semitioletax.org VALID THROUGH 09/30/11 FREEDOM FIRE PROTECTION OF CENTRAL FLORIDA INC 601 CENTRAL PARK DR SANFORD, FL 32771 FRED LUPO (OFFICER) 4: 10432010092020899 1 Amount Paid: $ 45.00 BUSINESS OWNER, PLEASE NOTE THE FOLLOWING: Account #:126842 REGULATED State Lic.# - 2229660012003 Qualifier- FRED LUPO CITY LICENSE REQUIRED ** Date Paid: 09/20/2010 o DISPLAY THE ABOVE RECEIPT PROMINENTLY: This Business Tax Receipt shall be displayed conspicuously at the place of business in such a manner that it can be open to the view of the public and subject to inspection by all duly authorized officers of the County. Upon failure to do so, the business shall be subject to the payment of another business tax for the same business or profession. o RENEW THIS TAX BEFORE IT EXPIRES: Pursuant to Florida Statutes, all Business Tax Receipts shall be issued by the Tax.Collector beginning August 1st of each year, and it shall expire on September 30th of the succeeding year. Those Business Tax Receipts issued as renewal accounts beginning October V shall be delinquent and subject to a delinquency penalty of 10% for the month of October, plus an additional 5% penalty for each month of delinquency thereafter until paid; provided that the total penalty shall not exceed 25% of the business tax for the delinquent establishment (Florida Statute FS] 205.053[l]). A 25% penalty shall be imposed on any individual engaged in any new business or profession without first obtaining a Seminole County Business Tax receipt. (FS 205.053 [2]) This Business Tax Receipt is only a receipt for business taxes paid. It does not permit the taxpayer to violate any existing regulatory or zoning laws of the state, county, or municipality, nor does it exempt the taxpayer from any other required licenses, registrations, certifications, or permits. Business Tax requirements are subject to legislative change. o REPORT ALL CHANGES: The holder of this Business Tax Receipt is required to report a change in the following: Ownership, Buainess Location. Mailing Address, or any other information that would alterthe status of the current year's taxes. This includes, but is not limited to, the loss of or a change in a State License which was used to qualify for the business activity and/or occupationidentified on the current County Business Tax Receipt. If you have any changes to report, contact the Business Tax Department at 407-665-7636. FREEDOM FIRE PROTECTION OF CENTRAL FLORIDA INC 601 CENTRAL PARK DR SANFORD, FL . 32771 County Services Building Wilshire Plaza Oak Groves Shoppes ShelMar Prof Building Commons at Priniera 1101 E First Street 384 Wilshire Blvd 995 N SR 434 Suite 505 1490 Swanson Dr #100 845 I'rimera Blvd Sanford, FL 32771 Casselberrv. FL 32707. Alt:amc—f qr-i—, PT. a971 n n.,: a 171 .to ar 1 -1,- TvT.. — LT oonc STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF STATE FIRE MARSHAL TALLAHASSEE, FLORIDA CERTIFICATE OF COMPETENCY THIS CERTIFIES THAT: FREDRIC J LUPO 601 CENTRAL PARK DRIVE SANFORD, FL 32771- BUSINESS ORGANIZATION: FREEDOM FIRE PROTECTION OF CENTRAL FLA INC CONTRACTOR II IS LIMITED TO THE EXECUTION OF CONTRACTS REQUIRING THE ABILITY TO LAYOUT, FABRICATE, INSTALL, INSPECT, ALTER, OR SERVICE WATER SPRINKLER SYSTEMS, WATER SPRAY SYSTEMS, FOAM -WATER SPRINKLER SYSTEMS, FOAM -WATER . SPRAY SYSTEMS, STANDPIPES, COMBINATION STANDPIPES AND SPRINKLER RISERS, ALL PIPING THAT IS AN INTEGRAL PART OF THE SYSTEM BEGINNING AT THE POINT OF SERVICE, SPRINKLER TANK HEATERS, AIR LINES, THERMAL SYSTEMS USED IN CONNECTION WITH SPRINKLERS, AND TANKS AND PUMPS CONNECTED THERETO, EXCLUDING PRE-ENGINEERED SYSTEMS. 07 10112010 1 07 1 16 1 Seminole Issue Date ITypelClassl County 22296600012003 License/Permit Number Chief Financial Officer a,&-,x 4_ -/ 1927110001 150.00 1061361 2012 Application # Taxes & Fees I Expire Date C //O YO of CENTRAL FLORMA 601 Central Park Drive, Sanford, FL 32771 PHONE: (407) 328-1663 L FAX: (407) 328-4768 February 3, 2011 Mr. Louis Roy Premier Site Development, Inc. PO Box 740423 Orange City, FL 32774 Phone: (407) 383-8149 Fax: (407) 327-7616 RE: FIELDS CHRYSLER DODGE JEEP -FIRE LINE TOWNE CENTER BLVD. SANFORD, FIL' REFERENCE DOCUMENTS: Site Utility Drawing C301 dated 11/23/10 prepared by SK Consortium, Inc. Civil Engineers. SCOPE OF WORK: Provide underground fire line piping including the fire line backflow preventer, fire hydrants, PIV valve, fire department connection and the fire sprinkler riser. Our work shall begin at the 8" diameter water main immediately before the fire line backflow preventer. Our work includes the following materials and installation. 10 'feet of 4" diameter C900 DR-14 PVC underground fire line piping 40 feet of 6" diameter C900 DR-14 PVC underground fire line piping 635 feet of 8" diameter C900 bR-18 PVC underground fire line piping 1-8" diameter double check detector assembly with tamper switches 24ire hydrant assemblies with gate valves 1-6" diameter PIV valve with tamper switch 14' diameter single check valve (below ground) 14x 2Y2" x 2'/Z'ftre department connection with check valve 1- V diameter fire siprinkler riser to 1:' above grade Required fittings, accessories,and thrust restraints GIENERAL: Outwork includes excavation, backfill, and compaction to 956/6 density. Our work does not include domestic and irrigation water service piping; concrete housekeeping pads; limerock, flowable fill, or other special bedding material. Our does not include municipal water service connection. fees. Our work includes., the fire department installation permit only. Our work does not include permitting through any other agency. SUBMITTALS:. Our proposal includes permit and submittal documents-. Design Installation Service Inspections + r-"_. RE: FIELDS CH`RYSLER DO0 ,,'JEEP -FIRE LINE TOWNE CENTER BLVD. SANFORD, FL WARRANTY: Provide a one (1) year warranty on materials and workmanship installed by freedom Fire Protection, Inc. INSURANCE: $1,000,000.00 General Liability each occurrence ($2,000,000.00 aggregate); $4,000,000.00Umbrella Liability; $1,000,000.00 Workers Compensation; and $1,000,000.00 Automobile Liability. ADDITIONAL ITEMS NOT INCLUDED IN THIS PROPOSAL: Civil engineering Site surveying As -built surveying (We will as -built our shop drawing for plan location only) Toilet facilities PRICE: Seller, proposes to furnish materials, installation, equipment, and permit in accordance with the above specifications for the lump sum of: TOTAL AMOUNT: 28,996.00 PAYMENT: Monthly Progress Payments - Invoices submitted by the 20th due net by the loth. 100% due upon completion. By: meadyelyl-41fDated: February 3, 2011 Brad Jenkins Contract Representative FOR: FREEDOM FIRE PROTECTION OF CENTRAL FLORIDA, INC. This proposal shall remain valid 30 days. PROPOSAL ACCEPTANCE: Proposal accepted by: authorized signature) Printed name:Date:e-11.Z-111-1 _ Buyer' s signature acknowledges agreement with the price, specification, and terms of Freedom Fire Protection's proposal. Please fax a signed copy to our office to initiate this work. Page 2 Design o Installation o Service a Inspections