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2519 Poinsetta Ave; 18-4135; DEMO SHEDPERMIT APPLICATION Application No: 1 q L 5 Documented Construction Value: $ 800 job Address: 2519 Poinsetta Ave, Sanford, FL 32773 Historic District: Yes NQN Parcel ID: 06-20-31-502-0500-0060 Residenti4_ Commercial Type of Work: New Addition Alteration Repair De Change of Use Move Description of Work: Demo single story 10X12 shed build post 1977 no insulation Plan Review Contact Person: Erin Watson, Permits.com Phone: _ 800-449-3939 Fax: Name US Bank Trust Street: 715 Metropolitan Ave, P.O. Box 24610 Tittle: Email: team@permits.com Property Owner Information City, State Zip: Oklahoma City, OK 73108-2088 Name _ Luis Diaz/Ameritrust Residential Services Street: 3630 Peachtree Rd NE City, State Zip: Atlanta, GA 30328 Name: Street: City, St, Zip: Bonding Company: Address: Phone: Resident of property? : _ No Contractor Information Phone: 407-902-4492 Fax: State License No.: CRC1332135 Architect/Engineer Information Phone: Fax E-mail: _ Mortgage Lender: Address: 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 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. FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 61 Edition (2017) Florida Building Code 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 at the time of permit submittal. A copy of the executed contract is required in order to calculate a plan review charge and will be considered the estimated construction value of the job at the time of submittal. The actual construction value will be figured based on the current ICC Valuation Table in effect at the time the permit is issued, in accordance with local ordinance. Should calculated charges figured off the executed contract exceed the actual construction value, credit will be applied to your permit fees when the permit is issued. OWNER'S AFFIDAVIT. I certify that all of the foregoing information is accurate and that all work will be done in compliance with Signature of b Print Owner n s laws regulating construction and zoning. Date 1-0/s/ Lt Signature o ntr o I gent r Date l Priontrac gent's Name A' , i Signature of Notary -State ofj xida. 0 R,•'nature of Notary -State of $bwe ri s_ OF AV rn Owner/ Agent is Personally Kni$ Me C®tractor/Agent is Personalll KnQSAst to 1Vle olfric- p ; m % Produced ID Type of ID o VBL\G educed ID Type of ID = 0 0 .. a CO C 0 ry•• o • B l.,G . i Obi'' ^ : 07 Z. oQ`` 9Q9 BEL% J V OFFICE USE ONLY ' c Q pNrY' Gip Permits Required: Building D 11 i q g Electrical Mechanical Plumbing Gas Roof Construction Type: Occupancy Use: Total Sq Ft of Bldg: Min. Occupancy Load: Flood Zone: of Stories: New Construction: Electric - # of Amps Plumbing - # of Fixtures Fire Sprinkler Permit: Yes No # of Heads APPROVALS: ZONING: ENGINEERING: COMMENTS: UTILITIES: FIRE: Fire Alarm Permit: Yes [-]No WASTE WATER: BUILDING: Scc,yz-/c 6 vl,-/ AMERITRUS R E 5 J D N T IAt StAViCE5 SUBCONTRACTOR WORK AUTHORIZATION FORM Project Maine and Address: 2519 Poinsetta Ave Sanford FL 32773 Project Manager: Alexis Sanchez Project Owner: LSF9 Master Participation Trust Contractor Name and Address: Luis Diaz Ameritrust Residential Services, LLC 3525 Piedmont Rd, Building 7 Ste 700 Atlanta, GA 30305 Subcontractor Name and Address: Ameritrust Residential Services This Work Au horization Farm supplements and arrrend-s the Master subcontract Agreement Agreement') between Ameritrust Residential Services, LLC ("Contractor") and Ameritrust Residential Services("Subcontractor"), dated September 24. 2018 with respect to the Project identified above. This Work Authorization Form between Contractor and Subcontractor modified and supplements the pfouasao.ns ,co,ntained.1n,#he Aweem. ent and all ,other :Co.ntract Documents incorporated therein by reference with respect to the Project identified above. Terms that are not defined in this Work Authorization Form shall have the same meaning as in the Agreement. In the event of any conflict, inconsistency, or ambiguity between the terms and provisions of this Work Authorization Form and any other Contract Documents, this Work Authorization Form shall control. A.. ARTICLE I PAYMENT SCHEDULE 1.1. Contract Payment. In consideration for the performance of the Work (defined below), Contractor shall pay Subcontractor, in current funds, the following Contract Payment, subject to additions or deletions by Change Order, as provided in the Agreement. Total Price for the Work described i:n-this Work Authorization -.Form Js $800.00 -,which shail,be:pa,id.,in accordance with the provisions of the Agreement. 1.2. Final Payment. A final payment of $800.00shall be made by Contractor upon Subcontractor's one hundred percent (100%) completion of all Work and other requirements under the Agreement and the Contractor's acceptance of that work. Once the above conditions are satisfied, Final Payment shall be made to the Subcontractor within thirty (30) days after the Contractor's receipt of an invoice and a full release of all Subcontractor claims from the Subcontractor. 1.3. Invoices. The Subcontractor shall submit an invoice to Contractor referencing the Project and obtain the Contractors approval on invoice for Final Payment to: Ameritrust Resider tiai Services, ZLC, 35(?t P461 nont-2d, 'ate 725, Atlanta, GA 303b5 ARTICLE II CONSTRUCTION SCHEDULE 2.1. 966d,ute. All cornstru' iori activities wril-bbe coriipleted-w hrn' J_ days startir g on, 10/8/2018 ARTICLE III SCOPE OF WORK 8.1. Sc-of i &k. `Sbconirac r shag pei forrri the followin% work C`WWork") •a`n connectioh with the Project: See Exhibit A attached. 3. 2. Requirements. Subcontractor shall furnish all labor, equipment, material, and services incidental to, related to, or necessary to complete the above Work, for the above Work to be functional, or where typically provided under industry custom and practice, even if the Work described in the above scope is discussed i,mother provisions of the Contract Documents. or is. not specifically called out in any Plans or Specifications referred to herein. All Work shall strictly comply with the Contract Documents for the Project, and with all applicable, codes, regulations, laws and ordinances. c ARTICLE (V CONTRACT DOCUMENTS Ameritrust Master Subcontract Agreement Exhibit A — Scope of Work Exhibit B — Waiver and Release Upon Final Payment Exhi;b:i,t nC — Contractor's .Final ,Payment :Affidavit IN WITNESS WHEREOF, this Agreement has been signed and delivered as of the date first written above. GENERAL CONTRACTOR: Ameritrust Residential Services, LLC Signed, sealed and delivered in the presence of: Witness CONTRACTOR Signed, sealed and delivered in the presence of: Witness F*4 if es :signer2:signature}} Alexis Sanchez, Project Manager Ameritrust Residential Services es_:signer2:signature}} Alexis Sanchez, Project Manager I 4P",. o VON- a" March 2013 NOTICE, OF DEMOLITION RENOVATION Florida Department of Environmental Protection Division of Air Resource Management DEP faun 62.257 840f11 E1IoOve 1002-M eRe , or 2 OR ASBESTOS TYPE OF NOTICE (CHECK ONE ONLY): 91 ORIGINAL O REVISED CANCELLATION COURTESY TYPE OF PROJECT (CHECK ONE ONLY), ® DEMOLITION RENOVATION IF DEMOLITION, IS IT AN ORDERED DEMOLITION? OYES ® NO IF RENOVATION: IS IT AN EMERGENCY RENOVATION OPERATION? OYES ONO IS IT A PLANNED RENOVATION OPERATION? 1YES ONO 1. Factllty Name US Bank Trust Address 2519 Poinsetta Ave City FL Building Size (Square Feet) Prior Use: © SebooltCollege/University Present Use: C1 SchoollCollege/University, It. Facility Owner US Bank Trust FL 7jp 32773 County Seminole 2773 Consultant Inspecting Site of Floors 1 Building Age in Years Residence Smalf Business 0 Other Shed Residence © Small Business Other Address 715 Metropolitan Ave, PO Box City Oklahoma City slate0k ahoma Zip 73108-2088 Ill. Contractors Name Lois Diaz I Amerltrust Residential Srvs Phone (( 407 902-4492 (M') Li[ # CRO 332135 Address 3913 Countrysi a few ourt City St. Cloud state FL Zip 34779 Is the contractor exempi from licensure trrder section 469.002(4). F.S.? YES ® NO IV. Scheduled Dates: (Nonce must be postmarked 10 working days before the proiecl start date) Asbestos Removal (mm/ddlyy) Start: Finish; Demo/Renovation (mmrddlyy) Start: Finish; V. Description of planned demolition or renovation work to be perfarmed and methods to be employed, Including demolition or renovation techniques to be used and description of affected facility comp0nenl5. i n Procedures to be Used (Check AIi That Apply): Strip and Removal C1 a3teve Bag El I Bulldozer 0 1 Wrecking Ball Wet Melhod Ll I Dry Method El I Explode Lj I Bum Do%%m OTHER: Vt. Procedures for unexpected RAcm: NIA due to built post 1977 VIL Asbestos Waste Transporter: Name N/A Phone Address City State zip VIN. Waste Disposal Site: Name NIA Gass Address City Stale Zip IX. RACM or ACM: Procedure, Including analytiral methods, employed to detect the presence of RACM and Category I and II nonfriable ACM. Amount of RACM or ACM` X. Fee Invoice Will So Sent to Address In Block Below: (Print or Type) square feet surfacing material finear feet pipe cubic feet of RACM off facility components square feel cemerditiovs material square feet resitiera flooring square feet asphalt roofing Name; Address; City: stale/Zlp: tderdify and describe surfacing material and other materials as applicable: j i certify that me above Intaimation is correct and that an individual. trained In the provisions of this regulation (40 CFR Part 61. Subpart M) Wit be vn-site jduuing the demolition or renovation and evidence that the required training has been accomplished by this person wilt be available for inspection during normal business hours Luis 9/24/ 18Diaz Print Name ofGwner/t]perafar) (pate) l l (Signs ure of GwnedtOperator) (Date) EaEP USE ONLY Postmaridl}ate Received ID# CP Farm 62-2$7 OW(l) 01MUvu 16.1246 Rne2of2 Instructions The state asbestos removal program requirements of s. 376.60, F.S., and the renovation or demolition notice requirements of the National Emission Standards for Hazardous Air Pollutants (NESHAP), 40 CFR Part 61, Subpart M. as embodied in Rule 62-2.57, F.A.C., are included on this form. Check to indicate whether this notice is an original; a revision, a cancellation, or a courtesy notice (i.e., not required by taw). If the notice is a revision, please indicate which entries have been changed or added. Check to indicate whether the project is a demolition or a renovation. If you checked demolition, was it ordered by the State or a local government agency? If so, in addition to the information required on the form, the ownertoperator must provide the name of the agency ordering the demolition, the title of the person acting on behalf of the agency, the authority for the agency to order the demolition, the date of the order, and the date ordered to begin. A copy of the order must also be attached to the notification. If you checked renovation, is it an emergency renovation operation? If so, in addition to the information required on the form, the owner/operator must provide the date and hour the emergency occurred, the description of the sudden, unexpected event, and an explanation of how the event caused unsafe conditions or would cause equipment damage or an unreasonable financial burden. if you checked renovation and it is a planned renovation operation, please note that the notice is effective for a period not to exceed a calendar year of January 1 through December 31. 1. Complete the facility information. This section describes, the facility where the renovation or demolition is scheduled. This address will be used by the Department inspector to locate the project site. Provide the name of the consultant or firm that conducted the asbestos site survey/inspection. For "prior use" check the appropriate box to indicate whether the prior use of the facility is that of a school, college, or university; residence, as 'residential dwelling' is defined in Rule 62-257.200, F.A.C.; small business, as defined in s. 288,703(1), F.S.; or other. If 'other" is checked, identify the use. Please follow the same instructions for 'present use," II- Complete the facility owner information. ill. Complete the contractor information. IV. List separately the scheduled start and finish dates (month/daylyear) for both the asbestos removal portion of the project and the renovation or demolition portion of the project- V. Describe and check the methods and procedures to be used for a planned demolition or renovation. Include a description of the affected facility components. (Note, The NESHAP for asbestos, which is adopted and incorporated by reference in Rule 62-2.04,800, F.A,C., requires obtaining Department approval prior to using a dry removal method in accordance with 40 CFR section 61.145(3)(c)(i).) VI, Describe the procedures to be used in the event unexpected RACM is found or previously nonfriable asbestos material becomes crumbled, pulverized, or reduced to powder after start of the project, VII- Complete the asbestos waste transporter information. Vill, Complete the waste disposal site information, IX. List the amount of RACM or ACM of each type of asbestos to be removed. (Note: A volume measurement of RACM off facility components is only permissible if the length or area could not be measured previously.) Identify and describe the listed surfacing material and other listed materials as applicable. X. Provide the address where the Department is to send the invoice for any fee due. Do not send a fee with the notification. The fee will be calculated by the Department pursuant to Rule 62-257.400, F.A.C. Sign the form and mail the original to the district or local air program having jurisdiction in the county where the project is scheduled (DO NOT FAX), The correct address can be obtained by contacting the State Asbestos Coordinator at: Department of Environmental Protection, Division of Air Resources Management, 2600 Blair Stone Road, Tallahassee, FL 32399-2400. CITY OF O RDBudding & Fire Prevention Division FIRE DEPARTMENT DEMOLITION PERMIT GUIDELINES All permit application packages must be complete prior to acceptance. You must check each box to the left or indicate n/a on this submittal A complete applications package shall include the following: 1F Building Permit Application completed, signed and notarized. Application must include correct address and complete parcel I.D. number. L-4 Copy of a contract, signed by the.contractor and the property owner, indicating the documented construction value Copy of applicable contractor's license issued by the State of Florida 0 A site specific notarized power of attorney shalt be required from the .licensed contractor if he/she appoints an employee of his/her company to sign the permit application as the contractor. El . Certificate of insurance indicating worker's compensation insurance coverage and naming the City of Sanfordas certificate holder,. or a copy of a worker's compensation exemption issued by the State of Florida ( must be submitted with each application if contractor is the applicant). 0 A copy of an onsite sewage disposal system abandonment permit that has been issued by the Seminole County Health Department. ( if applicable) Please Note: A licensed General, Building or Residential Contractor is required for issuance of a Demolition Permit, as required by and litnited tinder 489.105 Florida Statutes Partial Demolitions (Commercial & Residential) The partial interior or exterior demolition of existing commercial or residential spaces will not be issued as a. Demolition Permit. This type of work will require an Alteration permit including at least an existing and proposed floor plan indicating the extent and location of the demolition — in addition to required submittal documents for any alterations or renovations. 0 Existing Floor Plan, indicating area of demolition (must specify structural or non-structural) El Proposed Floor Plan These guidelines %vere compiled to assist the applicant in preparing a demolition permit application and may not be complete. The applicant is required to meet at1 City of anford, state, andfederal code requirements. Effective: August 1,2017 Mtamunte Springs, Casselbetrv, Lake Mat-y, Longwood, Sanford, Seminole Conn , Winter Springs mte; 0-11M2010 beretry one Wit: s an 39CM of to be my WvAd attomey-ia-tact to sect for G to VFV for, receipt fort sign for and tta all ftsp saes to fts appoim=t ft (rberk 0* one option); The 't a appfis on for wotk located at zss arr boon Date for' plustiatiitedPower ofAttorney" VZAIMI TtUamse Holder Name: Cfttj I iron - Ati tntw- cM0 332i 35 The turd was aowbefore me this ZjLla-y of4> y RESIDENTIAL S ER V ICE $ SUBCONTRACTOR WORK AUTHORIZATION FORM Project Name and Address: 2519 Poinsette Ave, Sanford FL 32773 Project Manager: Alexis Sanchez Project Owner: LSF9 Master Participation Trust Contractor Name and Address: Ameritrust Residential Services, LLC 3525 Piedmont Rd, Building 7 Ste 700 Atlanta, GA 30305 Subcontractor Name and Address: Barn Construction, LLC This Work Authorization Form supplements and amends the Master Subcontract Agreement ("Agreement") between Ameritrust Residential Services, LLC ("Contractor') and Bam Construction, LLC ("Subcontractor"), dated July 5, 2018 with respect to the Project identified above. This Work Authorization Form between Contractor and Subcontractor modified and supplements the provisions contained in the Agreement and all other Contract Documents incorporated therein by reference with respect to the Project identified above. Terms that are not defined in this Work Authorization Form shall have the same meaning as in the Agreement. In the event of any conflict, inconsistency, or ambiguity between the terms and provisions of this Work Authorization Form and any other Contract Documents, this Work Authorization Form shall control. Q T6 ARTICLE I PAYMENT SCHEDULE I.I. Contract Payment. In consideration for the performance of the Work (defined below), Contractor shall pay Subcontractor, in current funds, the following Contract Payment, subject to additions or deletions by Change Order, as provided in the Agreement. Total Price for the Work described in this Work Authorization Form is $6,555.00 which shall be paid in accordance with the provisions of the Agreement. 1.2. Final Payment. A final payment of $6,555.00 shall be made by Contractor upon Subcontractor's one hundred percent (100%) completion of all Work and other requirements under the Agreement and the Contractor's acceptance of that work. Once the above conditions are satisfied, Final Payment shall be made to the Subcontractor within thirty (30) days after the Contractor's receipt of an invoice and a full release of all Subcontractor claims from the Subcontractor. 1.3. Invoices. The Subcontractor shall submit an invoice to Contractor referencing the Project and obtain the Contractors approval on invoice for Final Payment to: Ameritrust Residential Services, LLC, 3500 Piedmont Rd, Ste 725, Atlanta, GA 30305 ARTICLE II CONSTRUCTION SCHEDULE 2.1. Schedule. All construction activities will be completed within 5 days starting on 7/13/2018 ARTICLE III SCOPE OF WORK 3.1. Scope of Work. Subcontractor shall perform the following work ("Work") in connection with the Project: See Exhibit A attached. 3.2. Requirements. Subcontractor shall furnish all labor, equipment, material, and services incidental to, related to, or necessary to complete the above Work, for the above Work to be functional, or where typically provided under industry custom and practice, even if the Work described in the above scope is discussed in other provisions of the Contract Documents or is not specifically called out in any Plans or Specifications referred to herein. All Work shall strictly comply with the Contract Documents for the Project, and with all applicable, codes, regulations, laws and ordinances. ARTICLE IV CONTRACT DOCUMENTS Ameritrust Master Subcontract Agreement Exhibit A — Scope of Work Exhibit B — Waiver and Release Upon Final Payment Exhibit C — Contractor's Final Payment Affidavit f T6 gat Exhibit A —Scope of Work AMERITRUST RESIDENTIAL SERVICES Property Address: Subcontractor: Job Total: Contract Start Date: Days in Contract: Ameritrust PM County Owner 2519 Poinsette Ave, Sanford FL 32773 Barn Construction, LLC 6,555.00 7/13/2018 5 Alexis Sanchez Seminole Hudson LSF9 Q T6 IN WITNESS WHEREOF, this Agreement has been signed and delivered as of the date first written above. GENERAL CONTRACTOR: Ameritrust Signed, sealed and delivered in the Residential Services, LLC presence of: 2&LLig' &hez Witness Altkk§7'Saikh&8y Project Manager Signed, sealed and delivered in the presence of Witness CONTRACTOR: Bam Construction, LLC Tyro. utter ,;i(,.;1n,2""' , Authorized Signer W EXHIBIT "C" CONTRACTOR'S FINAL PAYMENT AFFIDAVIT STATE OF FLORIDA COUNTY OF Seminole Before me, the undersigned authority duly authorized in the State and County aforesaid to take acknowledgments, personally appeared Barn Construction, LLC (the "Affiant"), who, after first being duly sworn, deposed and stated the following: 1. He or she is the Owner/President, of Bam Construction, LLC State of Florida, hereinafter referred to as the "Contractor." which does business in the 2. Contractor, pursuant to a contract with ( LSF9 Master Participation Trust ) , hereinafter referred to as the "Owner," has furnished or caused to be furnished labor, materials, and services for the construction of certain improvements to real property as more particularly set forth in said contract. 3. This affidavit is executed by the Contractor in accordance with section 713.06 of the Florida Statutes for the purposes of obtaining final payment from the Owner in the amount of $ 4. All work to be performed under the contract has been fully completed, and all lienors under the direct contract have been paid in full, except the following listed lienors: NAME OF LIENOR AMOUNT DUE 2519 Poinsette Ave, Sanford FL 32773 Signed, sealed and delivered this day of 20 SWORN TO and subscribed before me this day of , 20 by who [ ] is personally known to me, or [ ] produced a Florida driver's license as identification. Notary Public EXHIBIT `B" WAIVER AND RELEASE OF LIEN UPON FINAL PAYMENT The undersigned lienor, in consideration of the sum of the final payment in the amount of hereby waives and releases its lien and right to claim a lien for labor, services, or materials furnished to Ameritrust Residential Services, LLC » on the job of LSF9 Master Participation Trust to the following described property: INSERT LEGAL DESCRIPTION OF PROPERTY 2519 Poinsette Ave, Sanford FL 32773 DATED on Bam Construction, LLC la