Loading...
HomeMy WebLinkAbout1311, 1321 and 1331 Pine Oak Trl (2)BUILDING PERMIT07-647 r CITY OF SANFDRD PERMIT APPLICATION +E "8iVE-i t Permit #: V n — _ Date: 11212007 t� >Cld p 1 vfIJI/Q� .Job Address:—.MAGNOLIA PARK CONDOS, 1311,1321,1331 PINE OAK TRAIL LOTS(1,2&3) Description of Work: INSTALL FIRE SPRINKLER MONITORING SYSTEM WITH REMOTE STATION MONITORING Historic District Zoning: Value of Work: S 996.00 Permit Type: Building Electrical Mechanical Plumbing Fire�M()OXX�XAIarm Pool Electrical: New Service — it of AMPS Addition/Alteration Change of Smporary Pole Mechanical: Residential Non -Residential Replacement New (Duct Layout & Encr,v Caic. Required) Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines Plumbing/New Residential: # of Water Closets Plumbing Repair — Residential or Commercial Occupancy Type: Residential Commercial Industrial Total Square Footage: Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X) Parcel W (Attach Proof of Ownership & Legal Description) Owners Name & Address: vert HORTON, ING S850 TG LEE BLVD,_STE 600, ORLANDO, FL 22822 Phonc:(407) 850-5100 Contractor Name & Address: WAYNE AUTOMATIC FIRE SPRINKLER, INC. _ 222 CAPITOL CT OCOEE, FL 34761 State License Number: EF20000358 Phonc& Fax: (407) 887_5588; 407-656-802kontact Person: JAMES BALIUS/ BECKY Phone: 407-877-5588 Bonding Company: N/A Address. Mortgage Lender: N/A 11 Address: 7�� Architect/Engineer: Phone: Address: Fax: Application is hereby made to obtain a permit to do the work and installations as indicated. 1 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. 1 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. 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 requireme f Florida Lien Law, FS 713. / 7 Signature of Owner/Agent Date Signature of f ntractor/Agent Datc b�hmj Print Owner/Agent's Name Print ntract /Agent's Name Signature of Notary -State of Florida Date igria'ture of Notary -State of Florida Date Owner/Agent is __ Pcrsonalk Kno%�n to'vlc or _ Produced ID e 6AAPPLICATION APPROVI=D I3Y: 13Idg: Zonine: Hwn :al , Date) Special Conditions: Contractor/Agent is _(_ Personally Known to ate or PrOd UCCLI ID Lti'.itws: FD: (Initial & Date) (Inirai k Date) (Irrti Date: To: Re: \8�WAYNIE Automatic Fire Sprinklers, Inc. LETTER OF AUTHORIZATION January 24, 2007 City of Sanford Magnolia Park Condos This letter is to authorize Tyler Dyal to hand deliver, pick-up and/or sign for our permit for the above referenced project on my behalf. Thank You! IleI Danny R. arrod State Certificate.#EF20000358 Before me personally appeared Danny R. Harrod, to me well known and known to me to,be the person described in and who executed the foregoing instrument. Witness my "hand and official seal this 24th day of,Jan, 2007. MY COMMISSION EXPIRES: tippy p RUTH A.M000LLOCH * MY COMMISSION # DD 485833 EXPIRES: February 26, 2010 P„ Bonded7hru.NoW ry Pubild Llnrlurwritars Signature of Notary Ruth A. McCulloch Name of Notary typed or printed Corporate Office: 222 Capitol Court • Ocoee, Florida 34761-3033 • (407) 656-3030 • FAX (407) 656-8026 Regional Offices: Jacksonville • Fort Myers • Pompano Beach • Port St. Lucie • Tampa • Concord, NC LETTER OF TRANSMITTAL To: CITY OF SANFORD Date: January 8, 2007 300 N PARK AVENUE SETS OF PLANS SANFORD, FL 32771 Job#: WC0511431 Attn: PLANS REVIEW Re: Magnolia Park Condos Phn: 407-330-5600 Lots 1, 2, & 3 1 1311,1321,1331 Pine Oak Tr GC Permit #: 07-647 "FIRE ALARM SUBMITTALS" ENCLOSED YOU WILL FIND: COPIES DATE DESCRIPTION 3 SETS OF PLANS 3 SUBMITTAL DATA 1 PERMIT APPLICATION 1 CERTIFICATE OF INSURANCE 1 STATE CERTIFICATE X For approval For your use As requested For review and comment Wayne Automatic Fire Sprinklers is contracted with DR Horton. REMARKS: Please return two (2) sets with your seal of approval and/or comments. Please call 407-877-5588 when permit is ready and _-ggive amount. Signed: Becky R&me,,w Corporate Office: 222 Capitol Court • Ocoee, Florida 34761-3033 • (407) 656-3030 • Fax (407) 656-8026 Regional Offices: Jacksonville Fort Myers • Pompano Beach • Tampa Concord, NC -------- ---------------------------------------- AC# ')639279 STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD SEQ#L06063000952 LICENSE NEIR 106/30/20061058098602 EF20000358 The ALARM SYSTEM CONTRACTOR I Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2008 HARROD, DANNY RAY WAYNE AUTOMATIC FIRE SPRINKLERS INC 222 CAPITOL CT OCOEE FL 34761 JEB BUSH SIMONE MARSTILLER GOVERNOR SECRETARY DISPLAY AS REQUIRED BY LAW ACORDTm DATE (MM/DD/YY) Producer THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE BROWN & BROWN INC HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 220 SOUTH RIDGEWOOD AVENUE ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE P O BOX 2412 DAYTONA BEACH, FL 32115 COMPANY A WESTCHESTER SURPLUS LINES INSURANCE CO 10172 INSURED C MPANY WAYNE AUTOMATIC FIRE SPRINKLERS, INC. B HARTFORD CASUALTY INSURANCE CO 29424 HAZARD FIRE PROTECTION ENGINEERING WAYNE FIRE INSPECTIONS 222 CAPITOL COURT OCOEE FL 34761 COMPANY C NAVIGATORS INSURANCE CO 42307 COMPANY D FFVA MUTUAL INSURANCE CO (FL ONLY) COMPANY E ACE PROPERTY AND CASUALTY ( OTHER THAN FL) 20699 COMPANY F HARTFORD INSURANCE CO OF THE SE 38261 'COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE 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 BE ISSUED 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. Co _F_ LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECT DATE (MMIDD/YY) POLICY EXPIRATION LIMITS DATE (M/DD/YY A GENERAL LIABILITY � Idl OMMERCIAL GENERAL LIABILITY ❑❑ CLAIMS MADE ® OCCUR ❑ OWNER'S 8 CONTRACTOR'S PROT ® APPLIES PER PROJECT GLW789500001 09/01/06 09/01/07 GENERAL AGGREGATE $ 2,000,000 PR UUUI; I S-LUMP%UY AGlj $2,000,000 PERSONAL I AADV INJURY $ 1,000,000 EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE (Any one fire) $ 50,000 MED EXP (Any one person) $ 5,000 B AUTOMOBILELIABILITY ANYAU® ANY AUTO 21UENLJ7216 09/01/06 09/01/07 $ COMBINED SINGLE LIMIT ❑ ALL OWNED AUTOS HIRED AUTOS NON -OWNED AUTOS I I BODILY INJURY $ Per Person ❑ BODILY INJURY $ (Per Accidenl0 ❑ PROPERTY DAMAGE $ GARAGE LIABILITY ❑ ANY AUTO ❑ AUTO ONLYEAACCIDENT $ OTHER THAN AUTO ONLY. $: EACH ACCIDENT $ ❑ AGGREGATE $ C EXCESS/UMBRELLA LIABILITY ® OCCURRENCE NY06EXC169817NC 09/01/06 09/01/07 EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 SIR $ 10,000 D WORKERS COMPENSATION AND EMPLOYERS LIABILITY. WC84000168652006A 04/01/06 04/01/07 ®STATUTORY LIMITS EACH ACCIDENT $ 500,000 _ t THE PROPRIETOR/ U INCL PART NE RSIEXE CUTIVE OFFICERS ARE. EXCL 043760646 04/01/06 04/01/0/ $ 500,000 DISEASE -POLICY LIMIT DISEASE -EACH EMPLOYEE $ 500'000 F OTHER LEASED/RENTED EQUIPMENT 21MSLJ8023 09/01/06 09/01/07 $100,000 PER ITEM $2,500 DEDUCTIBLE $200,000 AGG DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS CANCELLATION: EXCEPT 10 DAYS NOTICE FOR NON-PAYMENT OF PREMIUM CERTIFICATE HOLDER - - - - -:CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. CITY OF SANFORD 300 NORTH PARK AVENUE SANFORD,FL 32772 ACORD25-S (3/93) © ACORD CORPORATION 1993 NOTEPAD: INSURED'S NAME - WAYNE AUTOMATIC FIRE SPRINKLERS, INC. PAGE 2 EFFECTIVE DATE: 9/1/06-9/1/07 ADDITIONAL INSURED -OWNERS, LESSEES, CONTRACTORS CG 20 10 11 85 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US CG 24 04 10 93 ENDORSEMENTS CG 20 10 11 85 AND CG 24 04 10 93 APPLY AS REQUIRED BY CONTRACT, PROVIDED CONTRACT IS EXECUTED PRIOR TO LOSS. HOWEVER, INSURED STATUS WILL NOT BE PROVIDED TO ANY MANUFACTURER, DISTRIBUTOR OR SUPPLIER OF FIRE SPRINKLER HEADS, PIPES, FITTINGS OR OTHER MATERIALS, PARTS, OR EQUIPMENT THAT ARE USED IN CONNECTION WITH "YOUR WORK". CITY OF SANFORD FIRE DEPARTMENT FEES FOR SERVICES PHONE # 407-302-2516 • FAX # 407-302-2526 DATE: 1 PERMIT #; BUSINESS NAME / PROJECT: ADDRESS: L OA PHONE NO.: `" O `QQ 1 -. FAX NO.: CONST. INSP. [ / O INSP.:[ ] REINSPECTION (] PLANS REVIEW -[-)I-' F. A. [ ] F.S. HOOD [ ] PAINT BOOTH [ ] BURN PEaf IT F ] TENT PERMIT k ANK PERMIT [ ] OTHER P /S e4 _y , TOTAL FEES: Sy0 ���� / (PER UNIT SEE BELOW) s�COMMENTS: A_ e7% '% , J/ Address / Bldg. # / Unit # Square Footage 1 2. 3. 4. 5. 6. 7. 8. 9. 10. ]l. 12. 13. 14. 15. 16. 17. 18. 19. 20. 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 will comply with all applicable codes and ordinances of the City of Sanford, Florida. Sanford Fire Pr ntion Division Applicant's Signature