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HomeMy WebLinkAbout1000 Stonebrook Dr (4)CITY OF SANFORD ELECTRICAI APPLICATION PERMIT NO. DATES Z' .. X5 OZ THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO INSTALL THE FOLLOWING ELECTRICAL WORK: OWNER'S NAME: Sfa,eAewolr A"'L0-ei eny/j ADDRESS OF JOB:-/Deo S,e 6inv w' d2 . ELECTRICAL CONTRACTOR: .J—Lr Subject to rules and regulations of thelcify electrical code: By signing this application I am stating I am in co*pliancgwith thegty 4)ecyfical Code Signature E 010196 9 y9 States License# Al b ADTSecunryServicea Inc 803 South Orlando Avenue Suite J Fire & Winter Park FL 32789 Security Te%: 407 628 5000 Fax 407 6284985 Apr State License # WW949 LIMITED POWER OF ATTORNEY I hereby name and appoint William McMahon or Nancy Gibson f A T Security Services to be my lawful attorney in fact and apply to 6i6 for a fire alarm permit for work to be performed at the following location: bD S1he44,00 ( i2A- address of job Sho veh -ao m name of projec and to sign my name an do all things necessary to this appointment. Stephen Calabro, certified 1contractor, License # EF0000949 Personally known to me and acknowledged: Sworn to and subscribed before me this -.W6 day of f*u A.D. 2002. Notary Public, StateVoylorida. My commission expires: Z olok, Beverly JDavis My Commission CCSTM d Expires OCMU 5, 2=1 S,:c rx.stxx saaa<. .Toy-•„ca'^g <r-a„... 1. . *mxecwar%a sa .:,ca aMsw 'crx cass;°R.am xM .: .....q ar: m .,. CERTIFICATE NUMBERr Pg ,. .. <:..... NYC-001235539-00 THIS CERTIFICATE 13 133UED AS A MATTER OF INFORMATION ONLY AND CONFERSPRODUCER MARSH INC. NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED N THE ATTN- JONATHAN TEDESCO POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE 1166 AVENUE OF THE AMERICAS AFFORDED BY THE POLICES DESCRIBED HEREIN. NEW YORK, NY 10036 212345-42831212-3455626 FAX COMPANIES AFFORDING COVERAGE COMPANY 80 -01102-ADTSO-ADTSD A AMERICAN HOME ASSURANCE CO. INSURED COWD ANY ADT SECURITY SERVICES, INC. B WORKERS COMPENSATION, SEE ATTACHED ONE TOWN CENTER ROAD BOCA RATON, FL 33486 COMPANY C NIA COMPANY D NIA THIS IS TO CERTIGV THAT PCLICIES OF INSURANCE DFSCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED NOrVVTSTANDING ANY RFOLIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT VdTH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY DERTAN THE INSURANCE AFFORDED BY THE POLICES DESCRIBED HEREN IS SLBUECT TO ALL THE TERMS CCNDITIQNS AND EXCLUSIONS OF SUCH POLICIES LIMITS SOWN MAY HAVE BEEN REDUCED BY PAID CLAMS CID LTR TYPE OF INSURANCE POLICY NUMBER POLICYEFFECTIVE DATE (MM!DWYY) POLICY EXPIRATION DATE (MM!DD!YY) LIMITS A GENERAL LIABILITY RMGL 6124879 10101/01 10/01102 GENERA1. AGGREGATE 10,000,000 X COMMERCA_GENERA-LIABILIT-Y RODL'CTS•COHPIOPAGG 10,000,000 a.AJMSMADE F)FI OCCUR ERSONAL 3ADWNUURY 5,000,000 EACH OCCJRRENCE 5:000,000U1MER'SdCOvTRAc TOR'S°ROT DARE DAM.AGF; Any mee•e.; 1,000,000 V=] EXP (Any me cw) 10,000 AUTOMOBILE LIABILITY Ci7AIB;NEJ 9NGL'c .MIT 5,000,000 A X ANY ALTO RMCA 53a8787(TX) 10101101 10101102 A ALL CVY%ED AUTOS RMCA 5348788(AS) 10!01l01 10/01/02 SCHIFOULFD AJTOS A°a PReon! X aO0!LY,N,A;RY Per acadenq H: RED ALTOS NON AUTOS XROPERTI DAMAGE GARAGE LIABILITY h,? OONLV •EA ACCDtNT OTHER TH AN AUTO O%L V ANYAUTOI EAC ACCDENT AC, GRFG .ATF EXCESS LIABILITY EAC`~ OCCuRR=NCE LIMBER= i_AFORM AGGREG.4T-, OiH,- R TMAN,,VRP-.FI I FORM WORKERS CO PENSATION AND EMPLOYERS' LUABILITY I WC L.NoTCR` A V NITS =R ELEAC'. nACCDrNT 1,000.000 ASEEPAGETWOtOr01/01 10101!02 B a PARTY FRSF;e CUT VE THE : ROPRIETORi I—HEXCL SEE PAGE TWO 10/01101 10l01/02— F;_ DISFASF.-a ICV ,.,MIT 1,000,000 1, 000.000 OFFICERS.ARF DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESISPECIAL ITEMS (LIMITS MAY BE SUBJECT TO DEDUCTIBLES OR RETENTIONS) CERTIFICATE HOLDER IS INCLUDED AS ADDITIONAL INSURED WITH RESPECT TO AUTOIGENERAL LIABILITY POLICIES IN ACCORDANCE WITH PAGE TWO ER' II E AL6 fib w.,... 1CW tAT1 N G •. SrOUA] ANY OF THE POUCES ]ESCR RF7 HFRF N BE CANCELL=G BEFORE TIE F&PIRATON ]ATE THF9FOF THE INSLAIER —FORGING COV9:RAC£ AC I ENCIFAVOR TO MAIL An GAYS WRITTEN NOTILF TO THE CITY OF SANFORD BLDG DEPT 300 N. PARK AVENUE rr9TFlare HaoeR N.I.E] HFRFN rvr F•,_IM=roMA SUL:rANOTCc svL WOSF NOcAL.aATta<R SANFORD, FL 32771 ABILITY OF ANY;I NG UPON THE NSLAER AFFGRG NG COV=RAGE TSAGENTSORR=_PRESENTAT'VES AR SH USA INC. Y Katherine S O'Leary AfAm. VALI0* 9 OF:-1110610<-> . PRODUCER MARSH INC. ATTN: JONATHAN TEDESCO C(WPAwv 1166 AVENUE OF THE AMERICAS E NEW YORK. NY 10036 212-345-42831212.345-5626 FAX C(WPAVY F 58880 -01/02-ADTSD-ADTSD INSURED ADT SECURITY SERVICES, INC ONE TOWN CENTER ROAD COMPINr G BOCA RATON, FL 33486 CCMPA%Y H WORKERS COMPENSATION COVERAGE A) AMERICAN HOME ASSURANCE CO. RMWC 5277471 CA B) NATIONAL UNION FIRE INSURANCE CO. NV, OR RMWC 6277472 B) INS. CO STATE OF PA AR, FL, MA, TN, VA RMWC 5277473 B) ILLINOIS NATIONAL INS. CO IL. LA RMWC 5277474 B) ILLINOIS NATIONAL INS. CO. NY, WI RMWC 5277475 B) Al SOUTH INSURANCE CO GA RMWC 5277476 A) AMERICAN HOME ASSURANCE CO ALL OTHER STATES RMWC 5277477 ADDITIONAL INSURED CERTIFICATE HOLDER IS HEREBY MADE AN ADDITIONAL INSURED UNDER THE POLICIES SET FORTH ON PAGE ONE OF THIS CERTIFICATE OF INSURANCE PROVIDED HOWEVER,THAT COVERAGE FOR CERTIFICATE HOLDER, AND ANY OBLIGATION TO DEFEND AND INDEMNIFY IT UNDER SUCH POLICIES.IS STRICTLY LIMITED TO DAMAGE. LIABILITY AND EXPENSE RESULTING SOLELY FROM THE NEGLIGENCE OR WILLFUL MISCONDUCT OF THE INSURED'S AGENTS AND EMPLOYEES COMMITTED DURING AND WITHIN THE SCOPE OF EMPLOYMENT OF SUCH PERSONS WHILE THEY ARE PHYSICALLY PRESENT, ON CERTIFICATE HOLDER'S PREMISES. NOTHWITHSTANDING ANYTHING TO THE CONTRARY CONTAINED HEREIN,THIS ADDITIONAL INSURED STATUS SHALL NOT APPLY TO ANY LIABILITY, DAMAGE, LOSS.COST AND EXPENSE DUE DIRECTLY OR INDIRECTLY TO OCCURRENCES ADD/OR THE CONSEQUENCES THEREFROM THAT THE EQUIPMENT AND/OR SERVICES PROVIDED BY ADT SECURITY SERVICES,INC OR ITS AFFILIATES, ARE DESIGNED OR INTENDED TO AVERT,DETECT OR PREVENT ,IRRESPECTIVE OF CAUSE OR ORIGIN.,ANDIOR DUE DIRECTLY OR INDIRECTLY TO THE INSURED'S NEGLIGENCE OR GROSS NEGLIGENCE(ACTIVE,PASSIVE OR OTHERWISE) STRICT LIABILITY, VIOLATION OF ANY APPLICABLE LAW OR ANY OTHER ALLEGED FAULT ON THE PART OF THE INSURED,ITS AGENTS AND/OR EMPLOYEES CITY OF SANFORD BLDG. DEPT. 300 N PARK AVENUE SANFORD, FL 32771 DATE (MMIDDIYY) 11/06/01 COMPANIES AFFORDING COVERAGE INCLUDES COPYRIGHTED MATERIAL OF ACORD CORPORATION WITH ITS PERMISSION. a` T8k CITY OF WINTER PARK4 A 401 S. PARK AVENUEa WINTER PARK, FLORIDA 32789 LOCATION: 803 S ORLANDO AVE CLASSIFICATION: 312 8 01B ISSUED TO: ADT SECURITY SVC, INC 803 S ORLANDO AV SUITE J WINTER PARK FL 32789 NOTE: I -jSE NIR 161261z-goir 99034335 i F--0000949 ine ItLA = SY5 t `- M LrJN IKAL i LIA I Named below I C1:--T 1 -1 E D Under the provisions of Chapter 48 9 FS. Expiration date: A G 31, 2002 CALABR09 STi-Pr,E"i »R GURY ADT SC-CURITY SURVICESs INC. 803 S• OPLAND13 AVFNUE SUITE J WWI JTER PARK FL 32789 NO. 02-07682 This license must be posted conspicuously in your place of business Bus., Prof. or Occupation PERSONAL/BUSINESS SERVICE License Fee 105.00 Delinquent Penalty 10.50 TOTAL 115.50 This license expires: SEPT. 30, 2002 J'. 8 +.9 S #- vov" R,.qPR DISPLAY AS REQUIRED BY LAW CYNTHIA A. HEND€RSON - SECRETARY CITY OF SANFORD FIRE DEPARTMENT FEES FOR SERVICES PHONE # 407-302-1091 * FAX #: 407-330-5677 DATE: PERM #: V BUSINESS NAME / PROJECT: ADDRESS: PHONE NO.: nn Q©t=)i FAX NO.: Qeb•- CONST. INSP. [ ] C / O INSP.:[ 1 REINSPECTION [ ] PLANS REVIEW F. A. [ ] F.S. [ ] HOOD [ ] PAINT BOOTH BUR , R IT [ ] TENT PERMIT J TANK PERMIT [ ] OTHER ] YL /(( /C Y' TOTAL FEES: S OO ( PER UNIT SEE BELOW) COMM Address / Bldg. # / Unit # 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14, 15. 16. 17. 18. 19. 20. Square Footage Fees per Bldg. / Unit Fees must be paid to Sanford Building Department, 300 N. Park Ave., Sanford, FI. 32771 Phone # -407- 330-5656. Proof of Payment must be made to Fire Prevention division before any further services can take place. I certify that the above is true and correct and that I will comply with all applicable codes and ordinances of the/ Ity of Sayo rida. t 1 Sa ford ire P ention Division Applicant's Sig ature