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4587 St Johns Pkwy 05-1272 com int remodelPERMIT ADDRESS LAS ��� Sk- � SUBDIVISION CONTRACTOR PERMIT # Os 1 �n DATE ADDRESS PERMIT DESCRIPTION ��C5C J PERMIT VALUATION �A C9 Lk �LO c� PHONE NUMBER SQUARE FOOTAGE PROPERTY OWNER ADDRESS 1 PHONE NUMBER L ASS • �� O" d�� C7 ELECTRICAL CONTRACTOR MECHANICAL CONTRACTOR PLUMBING CONTRACTOR d y t=7 MISCELLANEOUS CONTRACTOR PERMIT NUMBER FEE MISCELLANEOUS CONTRACTOR O PERMIT NUMBER FEE CITY OF SANFORD PERMIT APPLICATION Permit #: .TOHNS ?j' 3 6 4 Date: / Job Address. -nutTe- ?x3i ..'>at0PPr D L ! /�F-Y�Niklp.Z IAZA) . Description of Work: t N LS Co N r.-l2S M I+J0 P_ Historic District: Zoning: Value of Work: $ Permit Type: Building _X_ Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool Electrical: New Service — # of AMPS Addition/Alteration �K Change of Service Temporary Pole 0140. rMechanical: Residential Non -Residential Replacement New (Duct Layout & Energy Calc. 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 Commerciale Industrial Total Square Footage: -Lan—' Construction Type: �lfi of Stories: I # of Dwelling Units: Flood Zone: I (FEMA form required for other than X) Parcel #: Owners Name & Address: Contractor Name & Address: (Attach Proof of Ownership & Legal Description) Phone & Fax: Contact Person: Phone: _. - ^ Bonding Company: ULU Address: V Mortgage Lender: A_ r Address: �'! � ', •;=-'-'._ /� C Arch itecUEnngineer: tr _ Phones Address: 2 2-55 -�y%I 6,6>&J G F�GJ�'�✓ t P '®- ��3� Co � Fax: A 1:5 ^ T /q 4 1!J 9- 6 �'�YIGotJ� �I `�� Application5s hereby made to obtain a erth�t to do the wo- rk do 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. 2 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 requirements of Florida Lien Law, FS 713. Signature of Owner/Agent Date Signature of Contractor/Agent Date Print Owner/Agent's Name Print Contractor/Agent's Name Signature of Notary -State of Florida Date Signature of Notary -State of Florida Date Owner/Agent is Personally Known to Me or Contractor/Agent is Personally Known to Me or Produced ID _ Produced ID t APPLICATION APPROVED BY: Bldg: U� �/� Zoning: `i/ �' �'bS Utilities: 2 FD (Initial &Date) (Initial &Date) (Initi I & ate) (Inrtial.& Oat i Special Conditions: Stampfl Hartke Associates LETTER OF TRANSMITTAL 2525 Holicong Road P.O. Box 667 STAM ATESRLLE Holicong, PA 18928-0667 (215) 794-1925 Phone, arcnliecture, anglneeitng (215) 794-1926 Fax II mteno d -ign , land pl—ing TO: City of Sanford Building Department 300 North Park Avenue Sanford, FL 32771 WE ARE SENDING YOU Shop Drawings Copy of Letter DATE: December 13, 2004 SH NO.: 2004290.57 ATTENTION: Joanne Johnson RE: EB Games, tenant at Rhinehart Plaza 1641 Rhinehart Road Sanford, FL 32771 954-450-9311 Attached Under separate cover via Fed Ex the following items: Prints Plans Samples Specifications Change Order SH Qualification Package COPIES DATE NO. DESCRIPTION 2 11/27/04 sets Signed & sealed Plans for EB Games tenant finish permit A plication(preliminary, to be signed & notarized) WE WILL FORWARD THE NOTARIZED FORM AS SOON AS THE CONTRACTOR IS SELECTED. IF POSSIBLE, PLEASE SUBMIT FOR PLAN REVIEW PROCESS. THANK YOU, SHARON CLINTON 215-794-1925 EXT 266 THESE ARE TRANSMITTED as checked below: For approval Approved as submitted Resubmit copies for approval For your use Approved as noted Submit copies for distribution As requested Returned for corrections Return corrected prints For review and comment FOR BIDS DUE PRINTS RETURNED AFTER LOAN TO US Remarks: Please call me at 215-794-1925 ext 266 if you have any questions. cc: Signed: —Sharon Cli If enclosures are not as noted, kindly notify us. • ,I, E RI{ HEET $ DE '� OPMJ CITY OF SANFORD UTILITY — ADMIN .. . P.O. BOX 1788 d s SANFORA FL 32772-1788 T su -C- Date 1� IS o w�l.- P Project Name: o Phone: Owner/Contact Person: Address: L45 s caw " Type of Development: R&SMENTIAL d Type of Units (single family or multi -family): I Total Number of Units: 3 Type of Utility Connection (individual connections or central water meter & common sewer tap): Water Meter Size (3/4", . lrr211, etc.): REMARI{S: 2) rrn�r AFSIDENTIAL Type of Units (commercial, e. OA Industrial, etc.): w Total Number"of Buildings: Number of Fixture Units ` -rvy�-- = lu5 (each building): Type of Utility Connection d (individual connections or central water meter & 1►1y� common sewer tap): Water Meter Size (3/4", Y 1", 29, etc.) ' REMARKS:ZS s�art— CONNECTIONFEE CALCULA770N.- �- Pei- IMfirT�z Name - Signature - Date Jy/oLf acwcrn roma 1) Water System Imnact Fees Equivalent Residential Connection (ERC) -300 Gallons Per Day (GPD) I Residential - FIXTURES TYPE DRAINAGE FIXTURES UNIT MINIMUM SIZE OF S650JUnit - Single family structure, or multi -family unit Automatic clothes washers, commercial (a)_ VALVE AS LOAD FACTORS 3 I TRAP(IN 2 containing three (3) bedrooms or more. Automatic clothes washers, residential 2 2 S487.50JUnit - Multi -family unit or Mobile Home unit containing Bathroom group consisting of water closets, lavatory, 6 less than three (3) bedrooms. (this category is bidet and bathtub or showers based on judgment/assumption, estimation that ' such family units on average require 751/6225 GPD Bathtub (b) (with or without overhead shower or 2 1 '/z of the water and sewer service of an average single whirl 1 attachments) family unit} Bidet 2 1 '/4 Commercial Combination sink and 2 1'h $65WERU - . Fixh res unit schedule from Southern Plumbing Code Dental lavato 1 1 '/4 will be used OneEItU will be charged for connection Dental unit or cuspidor 1 and up to twenty (20) fixtures units Dishwashing machine, (c )domestic 2 1,/�. For projects having more that twenty (20) fixture unit D ' fountain 1,A base for the first ERU. (Example:twenty-five (25) %: 1 '/4 Aktures units will be rated as 125 enX twenty-six (26) Floor di drains 2 fixture units will be rated as 1.5 ERU.) Kitchen sink domestic 2 2) Sewer Systems Impact Fees Kitchen sink, domestic with food waste grinder and/or Dishwasher . 2 1 %: 1 '/i Equivalent Residential Connections-270 Gallons Per Day (GPD) -Laundrytray (1 or 2 con ts) 1'/� Residential - Lvatory 1 2 j 1 1'/4 $-1,700 Unit - Single Family structure, or multifamily unit Containing three (3) bedrooms or more. S1,2T/Uait - Multi-famuly unit or Mobile Home unit containing . less than three (3) bedrooms. (lads category is based on Jen��, estimation that such family Units on average require 75% of water and sewer service of an average single family unit} Commercial- Industrial- Institutional $1,7t10/ERU Fixtures unit schedule from Southern Phum " Code S Lower con eats, domestic 2 2 Sink 2 1 �/� Urinal 4 Footnote d Urinal, I on flush or less 2e Footnote d Wash Sink (circular or multiple) each ser of faucets Water closets, flushometer tank, public or private 4Footnote d Water closets, Private installation 4- Footnote d Water closets, public installation 6 Footnote d 1-18 For SI: l b►ch-2&4 mm, l SuIlon-3.7851. (� Will be used. One ERU will be charged for connection and up to a Fort" larger than 3 inches, use Table 7092 V twenty (20) fixtures units For projects having more than twenty b A"showethead over a bathtub or whirlpoolbathtub` attachments does not h=easethe drainage fixtL= unit valve (20) units the Impact fee will be increments of 25% based on C See sections 709.2 thought 709.4 for methods of cmi u rag unit valve of fixtures notiisted in Table 709.1 oc for rating of devices with intermittent flows. multiples of five (5) fixture units above the twenty (20} fixture d Trap size shall be consistent with the fixtures outlet side, unit base for the first ERU. (Example twenty five (25) fixture units will a For the purpose of computingloads on building drains and sewers, water closets or urinals shall not -be rated at a lower•drainage first fixt re nit : berated as 1.25 ERU: twenty six (26) fixture units will be rated as 1.5 ERU} unless the lower values are confirmed by testing. TABLE 709.2 DRAINAGE FIICI'iTRES UNITS FOR FD►'TURES DRAINS OR TRAPS - FLxh= Drain or Trap Drainage Fixtures Si -(,.rhea) Unit Value Standard Plumbing coder 01997 1 '/4 1 1% 2 2 3 2% 4 3 5 4 6 Seminole County Property Appraiser Get Information by Parcel Number Page 1 of 1 �,RCEL DETAIL 0"m JOHNsom, CFA, ASA PROPERTY APPRAISER 5EMINOLE COUNTY FL W I "� Z 1101 E. RRST ST SANFORD FL32771-14 58 4C7-665-756 2005 WORKING VALUE SUMMARY Value Method: Market GENERAL Number of Buildings: 0 Parcel Id: 28-19-30-513-0000-0030 Tax District: S1-SANFORD Depreciated Bldg Value: $0 Owner: LCG SANFORDI LLC Exemptions: Depreciated EXFT Value: $0 Address: 1850 SIDEWINDER DR 2ND FL Land Value (Market): $554,088 City,State,ZipCode: PARK CITY UT 84060 Land Value Ag: $0 Property Address: 1641 RINEHART RD SANFORD 32771 JustlMarket Value: $554,088 Facility Name: RINEHART PLAZA Assessed Value (SOH): $554,088 Dor: 10-VAC GENERAL-COMMERCI Exempt Value: $0 Taxable Value: $554,088 Tax Estimator 2004 VALUE SUMMARY SALES 2004 Tax Bill Amount: $11,356 Deed Date Book Page Amount Vac/Imp 2004 Taxable Value: $554,088 Find Comparable Sales within this DOR Code DOES NOT INCLUDE NON -AD VALOREM ASSESSMENTS LEGAL DESCRIPTION PLAT LAND Land Assess Method Frontage Depth Land Units Unit Price Land Value LOT 3 WAL-MART SUPERCENTER ON RINEHART ROAD SQUARE FEET 0 0 46,174 12.00 $554,088 PB 65 PGS 31 & 32 NOTE: Assessed values shown are NOT certified values and therefore are subject to change before being finalized for ad valorem tax purposes. If you recent!y purchased a homesteaded property your next ear's property tax will be based on Just/Market value. http://www.scpafl.org/pls/web/re_web. seminole_county_title?parcel=2819305130000003 0&... 2/ 1 /2005 P$ ra�,hgS— fW cTrlr snnfounr 1,zir,.pF r�►nor� �r 7 Jor Dale;F"'ZA E 1 7n1i1/�P mil i eroj, n•• ^n /A In D�ttriptWnofa'at•k. o � Zoning: Vmla,, ofwork. S hlaoh>ur�al �qu.blag iris S�arlAlxm Foul prrmilT7Pc Bw7�og� er�ioel Trlrrtvt�ry ?Die �itierJAheraom„-- CofServicY„�� F1,�;�al: tvrw s� —# orI►tNYs �- � E�p'Gt1a Regaire� . pialawurxd:Readaotiri Non-Rmd=tis] R�ta�••, d,r N� C�u�t a rlaarhlnsl Iky Coismn! aial: �! of Fx+� N o£Rrrda Sc 5awvr L.tu of G•i L'ncs Yt�mbirrL Rapalr -Ra ifthal or Cv M?"dal I )P1ambloglNerrR.esidwtim&# of W= C7o>ets r, cwtoo S E gmd,me� Caarm�al _ I,dusnw '�ttl SgsereFvotna;a, 1 r aa7 ij pe: lri Mead a iREMrI form nga6a rea- ether up* � �.q�-„t;et, fie; I _ IIn # of 5loties � !1 oiD�'�n4 mommmm mmmm — ��•� rlltlidrPrNt'dOaraat+h�p�I�Ra,peseslpfraa] . ON®et9 `ioaes ds Addrtas � �� �� �� C.atrac�r Nam Ac Addttll G� ate Z 9t�tc Ll•a+a Nwmear. ,r �y G � � G 4�—� tPertare �� �yprf � fs' " Ad�nx Tj E:T l�ss�ta lut�r. � AdKrvr. a P6apa " -1 Addr�r ,G,� AQ� - - nr� a m de'�e•fn& a W,-11,6cu, oc iroimpf.& 1 aooty tat no work of Ieelladao k —014 Prior to me APp4aM' it ca Imda:mdIbitAXpmae ' ircamea ofa Fatmlt eAd that al aerie *� k trrt'lavrd to meet staed�dt oC all la btkq evuenulse Ia 3rb jdttsdled pweaitl wtbasewrrlfor ELS wcw.WcarJc.PLXbWCs-=4,WM"p'Oo� wed BortFas,tiF�l7sas.r�►NYe m� AM CONZI 7aM-Sr � OwNr tt's wFFIn�vII' ! =T* Lw ak ur he iorwrsy i�iorwticm is xt� s�;. as jA wrk vat be dam is ate= mid, d1 sPP6mbk h— nz-,-,Car i p�aw;o,,.odaen;e� WARNINaTvowN7L'VOUILFAII.UKL•7DREC(11IrANOTtCEOFGOMMIQi F1:iMAYRFStII_TINTWA kV�YtNO iVPIL'E Fm IidP MS TO YOUR FROPI RTY. ff YOU ilt M TO OETAIN FINANCMCOv5U LT W1 rK YOull lSNyBA oA 4P! AT ORMY B97ME AfiCORD W G TOi11:340=2 OF MMNEKCEmQfT� mat SW ee *=d in lk pnbw reoards ef In adAiuoa thr. n�aacaa�a Of *m p=mi� r�ra7 ba addiDs� peariO "5 m this Pd sffi a %dwol asandaa. $$ acrrwq, mid dwm m y be vidWaml Pardo rragaked $am t&C 10" a=mul nci6cs mdr a vmr mwactaecva t a Acwpr.aboT a4a6ycoo. r16c ntWp•apmgoaeLbS.r'Le 713. - _ i y I 6, SIg�Se:te of OrvaastA�set Ddw acamra erCo Agmt J t T ®�� �. a �. root w�,l'r z3 172 - 4 Z -0 5- siFgDlaae erNne rysaau errorida W v 1*niw Dow s:p.L ° a Vp� OF PEUNSYLVaNIA C 0 ur r$ NOEarial Seal pE{dNSYLVAAil1 Notary Public em amdAge it Oaroodw6ansis n On-(a�0 p., Chcster County _hndu�d>n pt io _Pro4�+adID area (kt. 31, 20 7 Tina Member, Pemnelavama AssxlAdwogon or Notaflee Udlon: AtPL1G+710N Ar?%OVED BY: 51dr ZmaC; ,-- (lmm-1 A D�tci potyq 8 pua) Nam sr. a ww As Spec:nl t�dtdeas: Signature oT Landlord/Agent Date Co r w(lfl a BETH UERMEULEN Print Landlord' . ,eat ' s Name , t10tAiiY PUBLIC - STATE OF UTAH 5711 NARROW LE11FJirT h,v � B Signature of Notary- tate of Utah Date Landlord,`Agent is Personally Known to Me i Produced ID L »-7... u'R��S-n6"'8T`ns"�F3'^rS3^" .,-?'.""'T'.'.+.`%„"""'�y r �-. , .sT'�".-'�.aTsi ..'�"-2-c'�.��777y."'rS.1'' �kor ti ' xY, ` fix rt °4, .-, e _ a Qt �y �� �� ,i Y 4, � " �� f .'�""`,-`1-11� �_, ,"I", t �.' , r�r EXHIBIT A s , , ;ADDENDUM (Rhmehart Plaza, Store , '1 + (, ,7 This AddendumHis made this fifth day of January,g2005 ,b.y nd ,between =Electronics w B"outique ofAmenca Inc ("Owner") and A F Alber GeneralsContractor("Contractor") and . ` s t F, ti t� is 4 r f,., �,� >r r .1 ' n t t a �S s + .,q., r f ""A incorporates the; following described project (the "Project") to the scope of`the work of the AIA D,ii'c i'm'* A107: 199'7+ Edition between Owner and Contractor dated -'May 19 2003 t and the rn 'K ' , ,t RH er 4'attached thereto (collectively,' the "Master: Construction Agreement") c r, t ° 2 t� "'+ s 4Y `` .i Upon your receipt of:atfully-executed copy of thus Addendum, this Addendum shall II 11 r "auth orize you to proceed vv�tll the Project based on the schedule in Section 3� below x Y t s a ar a:. '_ s t i : -t ! t t a:�r r} }k, S ti{ ay, a r r � Section'1 Protect Description Contractor will provides all lahor; materials, .r a r n ' 1!r , 7 ,.r" . dt G ' y' ,,, ;, `` u went, andservices, and perform all.the work, which is necessary or appropriate for the 1P z Y r, ,, zf t t_ > ' (co�nstruct�on of an "EB Games" retail store to be located at Rhnnehart Plaza, SEC of Ithmehart 4Roa'd & St. Johns Parkway, Sanford, FL 34771 y � a il! i 3 Jv 1 ; '�F l S �:t F :Yi JP t h t.Cfit . ` .. } M }# ° N U Section 2 Contract Documents The documents which make up the complete ix t r„ `': agreement between Owner and Contractor (the "Contract Documents!9 areas follows I r , v r_roy+1� �9. i "! . ^kt £'A irL rkY - x n I 'j " :,, ,x 1 Master Construction Agreement '' 2' Y This `A[a ", ndum 3' Drawugs and Specifications -(Sheet Numbers and'Dates)� CS, Al and A2 all dated 10/20L04. k {+ H _`_ . a t: > � £" ` Seehon'3 Schedule {'' n t .} ,, : F , fA ., nr f } . 3 � Date of Construction Commencement TBD T [J Y JJ i F, t<h 7 ti ,.� R tl NlAk' 4 ) ±..-4 5i F }FIT #. 3". Y A ! V i MT' d! j 1 } ( `S s �! - ` `; Date 4of`Cotistruction Turnover TBD �, f 'TBD . 4� sPubhc Upenuig 4Date 1 n w t 4 a t 1 F a _ b t I+ $. } ,t�, F y .t n } s.+ x h3 ' All,work' must„be eori plete.and"ready for preparation'of the'purich list�walk�through by the ''' ` Owners construction manager (the Construction Manager:.) three`days prior too, Opening _ ' �° + '" , Date indicated above {; 5 , :t t�Rx ! '-k �' k ° } 11 �1 + � C n, a 7 �;t . a btu ..} 5. - , _' a , a r SechoI 4. , Firm,Fixed Construction Price The Contractor's firm lump sumj puce (the a, 2 Y 'j l .7i i j,-, , ' �' - . ' '6,k , ¢� v 5 D es d ' 3, . ,y 5 d a' "'r. ,. Jry SAY A.. nv +v"°N'i • aY + f ''u, y" ' t?`£ i } +p y "Contract Sum") is `Twelve 7Chousand, Nine Hunaread and Fifty Sig DaUars ($12,956:00) . lk Sechon�.5. Contract Payments !'v. A. Mall Projects Contractor shall submit AIA"Application for Payment t , i t;t ct req t for h l ;r the Coristru ion 1Vlanager, rts ues '50%,draw,less 0%retention II : after completion of 50% of the Project; whuchiishal % paid$l?yog __ er 30 "�� � ' ' ,¢ days afteusubmissiodand verif catiow, y the Construction Manager of z' q, such 50-% completion Contractor shall submitAt9V,'e est°for a second k v �.y" '' tj .} d ,,�4 rV F rB.S; i'� 4.v h 'r, a i., ', . {t - > ,,, s ( .: r � t 50%draw less 10% retention upon conclusion of 100% of the Project'; x L' ' wlucl shall beXpaid by O:wner5- ' days after sulirTussion1and verification r n �r iC ?w`+ R,:t-,s's t' K �,�e,,. s ....x., 4� p by the Construction Manager of such1100%: completion a Request for the 5' ` remaining balance is due;upon completiqon rof the Pro�ect�and subrrussion '� � ( ' i L r a s °�,1' t7 nv t yam, Y r rA.'7a z� Y 1 "} r 1'i11L� 515 /.SO Z .: i t ..4 a r F R 3 i .� s r i s ...k... �.s r..............._�,a M.-.tl..s.m.-e........�...,, ....�...,...�._.�.� �..,..........�e..., ..v..�� ....e.�,..�_,i. _ '' � _....�.... ........,. .�..,� _. __�.�...._ ..._ �.,. e.�........... � J KJ ` F 4'f d zl� + r' 1 i£`Y I J. s r i z ,y2tr'�4 Y r -9, - w a ; ( I! - :, of a complete ,Closeout package ;The closeout package shall include, but ' `G,Tf �;rh ";f ;�V _ x r not be` limited'"', a signed off punch list, -a copyiof the certificate of a r } ? V 11 � � ` ;,, ;z,� occupancy for:the Project, list of subcontractors, warranties; asbuilt - ,r ,, A l , a •x z Y K, 3 F.L ¢ 3 ,, 1� 2 4 ` 1 Hsi; i ,a t 2 "r� s = H{w r µ r s, , 4 } k y drawuigs, approved`sprinkler drawings; tenapt air balance report, all , � Mt arx�y`, `x" " ` ullconditional'lien waivers,`and an affidavrt'Yof4completion within'. days r < ���', f et o x �g r t y i o the compl i n of he Project ,�d. u k P N> ti a.;ylSF ys� R^`i Y r' j Ti a {i t 'z r Y iR' }{ < 4 J �' 7 r ',` r sf"`'��*W, ' $ , - .r,4j - , °- k' # Strip Center Protects: Contractor.- shall submit to�the Construction aOa rr¢ 1 ' - 11, 5Y , x .. `� ril s ,t r 1Vlanager, its request�for 100% draw less r10l r`. ention(after completion'of j-,, '` �` 14 , r �? - ' ' r l'00% of the P oject'which shall be paid30 days afterrsulimission and ``t�r�P �` } "° �' _ n f �e . I;cation'by the Construction Manager of s icli 100% completion. .rr'Et, y'y ny"sl r . i 1t r.r _ --- a - ` " ,�:1 �' R� ,s> Request for the remaining b�lan,Ce is due upon completion of the:Project ? yA.>tiTi, "?N' " }' is � �R r p " ,.' € n . :, r ! c r T ,,,N a y , ' � �3 , 't�f , s f and submission of a complete closeout package ,'The closeot,,-,; Okage' Y..0 $ . r; �} rqS x Y � "i�ry%" '"r !,` r r r'-, a +.' i; �", F€ �' t' ; $ ¢?''` ¢ .: 9 "� �.r4r . i t., ,v ¢. g:ti;� c s '� .; z r r shall inelude, but not be limited to, a signed,offpunch list, a�copy ofthe,. R `fir }i„� i s� �'u �L'�,5,f,i,�.,f� r f -:fy t 'i E"^'t. .4+.° I z z�lr�. it: , x ':t:' ,b,... r ;i Cori+ .Yrv..��:-.r�. .Y'`t't4 it' ar ',: •� r l ,fir ' ..'a R , Y certificate of occupancy for the Project, list of subcontractors, warranties; tIi ,"l�t .fw.,--;� g,r v a e -mot �+ s:`c' r,SY ,i - �7p £ r a§ built`drawings, all unconditional lien,waivers, and awiffidavit of L. wr1 err t7 ;`°r�K ` ` completion within 60 daysjof the.completion of the Project war» Kg t i rr v" y x } 1 fie, 1 ,{ e t s k"` x ¢ ax 3 i", s dk r4g t '"� : r , ,y , f rY° 4 A $ ;tf v �" t sx µ4 �jy . iV a£ .tl , "� a., �, t i.,x: ¢ „» �t e , . E`{ "t f M r.r++.c-1 r w. ;ex b€ , , "'t1{"�,kr �f-� s ' Sechon`6 Insurance Durmg'construction of the Project, Contractor shall obtain and ' cc' i m r��1 Vs. h +. �: - a , ts7'-f i,� a r r .,� j $ , rrequire each subcontractor to obtain commercial general liability insurance with a�combuied 4 j. p "f' t .c 4 ., ^t�.'y�F k. i Y...,-: •.,.a C.w.y t� .Yt raT 1 :. k _ k e ..; }P '.Yta. ter, . �R , Sy Isiiigle limit of not less than,TONE MILLION DOLLAR$, ($1,000,000) in any�onefoccurr, and - i ., Kxi y;,.g ff •, :' 1 ^$t d.N + X�-.<Ma t7 . 1 6 c - . ,7 „�3 .`aiYry, gute,lu>altoflnot�l�ss than¢$2000,OQO,zinsuruigtagainstny�andall liabilrty`of Contractor 1. . q-,- '.� - ,"I, .I" , ,�, , ;.',,. ,,II -. � ,; , .�-,� � :,;:�". ,*I, -,",.I -`�-�'�-� -",,i ,- ,'-I1,"',,.,.--, -V:- ��I -',O-I--;���� �;,",�� ,.,,�1 ,.�i,- �,-',,I-,-?--,' �;,- �-,-;. ,I�-I "1,,._: I�:It�,-!�3-,���, ,i"� t-.;,,;,,., ,,, -��,�- ,.'.',1,';:,;','.-"��`�,� f s t ,!-� -��, 4.�"-i---.�'-,�tLt�:.,I.­,,'-,!".1, eI'�.�,.-�;',, ,,,eI�:�-,,��, �--,1��,,,,-� '���11 .;-'�',�­',,�.� t-,�',',1,�,1.'.-��; - -.-,,,.1, ,:­''.,,�_.,�,,-;, I '� ,i4--':�;.�.. %��,., '., ;-1�,-,.I --. i�i,,: "., i,-1%��'-.,,, ;,555:�, '',.,;��..:., �'.i;I',j","", ,,--i,-,-,!�II�.I�'. 4�!--'�.,.,�-T,, .,-!��"��,'I:."I'- -,*-,,-,%, t "'----,�'1,�--I,,,,,,.�,� `�;-;--,,. 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I, I�. . �P� ;-.',-�,,: ,. ,�.;:��1 .,- -.;- -,�- ,,:�I r ,.}rF} `i x i ka , P,, t i h j S +wf,Rt t ,? t„ s .?�J,pv6a'x ¢ k ,3 {' 0 t sk , �wtttt+espezt to the Project Such;policy sYiall (i) name Owner, �Ouvncr s landlord, and t�wrier s r 4 Y F ! - 't 1 ' , ,y, �� ,*1 ipi �F fir}+ i'r- '2 a 5 a r` + - _ �� a„ ' Y, . iland�l4or5d's lender, as additionally insured, if'required, (u7 ;provide that; rt shall not becanceled ,:.�! .,�.. " .-.- ,.�.�,-I �'I. ,�.� -;� -� �., i1 Ir� ,,'�I ,.. .'I.I,�:,,;I-.� ,.. ',. �1 . ,�.�I ,' I . , ,I �-�� -I -, .', , .''-,��"I I - I -,�.�: 1 ��I .. ,--I �I ,. - I..'�I I c- �-I. I �,-�1I 1-, ,;,II1,1. I."­, �-,"-1,,-I�, .- 5�.,,.11- �.. I I"11" �- ,.- �I�I ,. 1- �I-.'.`.,� � "II I� .�, �� � . �:,� -- II � � II1�..I- I :. I� ;�I.w,, �� . ,I.,,,�� 1, I�- -, ,11, ",'.- -II�,"I-I 11 �1C-1 ,,. .-I':.,I�I l.,1 . .o, -:",1�1��;� ..I . 1 ,�.1 I , `1�, . ";1; , . ���,1-.,;, .I -'�', , 4 . I- `. I.,,-,.� - .� �,1-��.,,-� , ,, , -,. .;. I ' .I Lam% x _.1 6 i 4 �t 5� wrthouxt atleast thirty (30)'�days' pnor wntten notice to Owner, and (ni) Iprovidexthat the }� , ' "� co"v ''a'ge nia n 'tamed by such insurance shall be '�''�'``�'� and not m excess of anY'`insurance ,� of b Or: ,tu K ti z ,'' � t",r+T :�ii i:fi. t �,K� •go- } a, a � ." �; 'Cr , a '` ,;r:y'I s ,:[: ti ;,, + �:, .I-1 r11, -y F �mR1lltaiTle(l by Orwner ,Priorxtopppcommencement of construction, Contractor shall provide Owner :' , I. . I , 1�I I��., I --, . .- '�.,,I'�.,, - ,- II . d. I,1,. ,x a 3 /f xP 4 7 ;4 r q "' w tl °fa copyfofthe�policy�ofyuisuranee required�tl ereby or a certificate thereofr Contractor st all s t. £ 0 r ixw d r V>m ., ! 2- - rJ„ " "tin s s 1,r c. t A r:- ;C k,«,� .. r -. . , - '',, e, - be�responsi,l for, ent of all deductibles attnbutal le to such urance r aired to be �, k ,,'r maintained b Contractor °Contractor and their subcontractors must also show evidence of ,� F Y° s . r x _ Workmen's tCompensetton Insurance satisfying,the statutory lirmts of the state m which the :work 1 into bepperfortned ;; ,,,1,I��1:--�.. J 'k ; r , 1 S r ;rF - r a> fff{ a [-ie-!��',".i�­,i��i��.�z"l,I�-J�,,��,-�-�i,-�!1,�V-,-���,-,:��--�11�,..,-.4-,-,1Y.I,,�l,t,"",,"-�i'I.I,',I4F,-";��,-l''.,.,-2,'1. .���:�"?-- 1�,,�'.-,��q�,",,�"" ;��,�!,-,� ,,�;--'.'�t-� e-Y,,'-�'-,,--4',, �,,-�-�-��-11-",,:-;,��,o,,�- --1.Po"-­.*-�1.1,-'�- ,-�;;�.�-­-:�"�t',N�,";7,!`.,,�,` ,�?',��,--i7",',II­1"-q,'���,�-:�;-� ,.;,��?I�,.',�-i�.^'�,..i'--,,"��4�,',V..��,Xt-Z;�-,-.�4�I:��-�;��',--;,I-','.*"X,'-'.,,i-Z�,,�r-,,,1,,,.-�--�1��-j,"�,-1.�--,-,�:-,v,"--..��%1�1,,",,,:�"��);", -,.,-,;�"---�,'�"-.;",;,�4�,'"t';�N�--V"I,4�I-"�?,.:,--.,1-4,,�,,',,f'�',,- i,V,�511. ...p,',-,�q,,�,-1-"".-��I."1'�,"-,���i..�;,,,wi4�'..,"'�"�'';�',,-A-�i-�`'�-.�-t-'.,-, .4�,,r �- ',-.j.r1-,�-��- :-: ,.�.--i1.I, i�U--`;,%,t,1.,I1""-,.."�:.--,.,i,1�k�"`,--�v-,�Sj---,'',"-.,,,�1, ..1�,,11',���1�"I,1�'i..�3k-,;'�. ,.,",, .- ,.,'--"' ,�,..',�.e-�,;�,],�,-1kk.i1111"�- i-;;'1,,---"�-,,.i,,.,"� :!,�',;;�11�,', :...................��l,�-�:�,--"��. ' Section 7. Permits Fee and Notice Building permit is cost plus fifteen percent 4,� - w F s ^ P zi .� r:. ,4 j 1 x , q k � �J '" rr '. : . �+. i 't t tit V,r> g+xf`�* + w <c a i It v ,i t`rtit r x is r 4 N :i y$.,. s` �5 y$,: k 'INI;WIGTNESS WHEREOF, the parties have executed Phis Addendumon�the,date first �� t,': above written. K r �< , f G / . s h O'WNER ` `' ;'' ` CONTRACTOR a eI 4„ ++ aElectronics Boutique of Ame` Inc A F kAlber G Herat Contractor . m By i 1 By, s j� ,.,,�iW��I!�,1!;s',��,,I­'�,, �i��i,!,,.-;, -.�-- �1�'�­.�;, :-1-�-,".�,',..,',. ���-,1 . - x P f �. 1 @y 7 i x' ,: 7 6 ;+. S sr x ," p ,1 �e t °'t v i 5 �'x '3 a i �r'.v s t , - , Y l +,. t ., 0. n r �; a yl e�r r Title Division Vice President °of Construction ; f Title �` _ ' r 4. !-a ✓ Z �.,, c t a E £ 4 l r n e t x .,":r ,� r `i `4 ` , t r �.: Date, }r Date t, y�Si a� u Y J r _ 7{-, r a w x Txl /� 0.5 h }, K 1 .� rat [ i-�i € a f 2 .r ?v J i 3 '' 1 C v, Y St 1 a.✓f ✓ r' „ ,; r i c ....vi, I` J h a ir'." t t " '-' s s r.t N ., '.i i M5 Y } PHIL"i Si3988 2 h , f i£ L - .. , ', .+ - .' _-.. - ��,.,.. rs..e a. e:a.........�.,,...a...�............. .—,.:..s..w. .....n ,.�,,... ..y...:......n..a..�-..,, -. .,.,....,...1.... —.m....— ,...E lti V a aa..,� va v�, .-x•,..-. ---- Tsx Folio No. _ Pt�nitTo- L_ SutB of Floridan (;oaaty of 5eain0le bo tnadr m Curtain rc:d jfcPcrty, and- in =ZO:dMce with s The >mdagnedbeceby gi ve% notice drat imVovemeIIt will frnr 713, Florida Stfflu=, the &Uoving ration ie ll rovided in this ;r. of Cy u des OD of the Md stci eddrasa if a,Aable) P�' Description ofpeoperv: (1e{ 1 a F n M S D �.ip Ay r; , t�Q 1) t t, l';--' C3c0 des don of imp vnncul A Q 3. Ownerkfnlmmioa, o T► Q J �► f. ®?p..+o m•!< r, s. Name and address r+r 1~ Ai. C. r Lt e') i Q i I S.. JR k f C.+k w �1 r•; b. Ir►terest is property c. Name and>rb#es s of fe. simper titichalder (if other than Owner 94�.� Name and ml&eav /A . F . ( LMr 9 _ , Pe IM ri t t A a C,:, _ J o fix number c" b_ Phone munba �t t r' - '1.44 ' 4� _ C z SWvty ' a_` Natrtc and eddreas - r1=RTIGIrn rnev 1�i � _ _ Fra rwnbc E b. I hum tmmber J c. Arswtmt oiboad T .. =j 6. Lrndcr SEMI OLE COUl TY f LORI A s_ Name and addrhs b. Fax =Mbar Phone number 7. Psnoatt widim tLt State Of FI Ctypltf �n wham notices err other dxiattitttra rnty a r; provided by Seim 713.13GXa)% Flntida Stababes: FEB 2 5 2005 ; a. Name amd aeie mom - b. Phcm mtmb�t' Fax number of LJ CT, & In addict= to himacl f or hit, Owner designatea tir re=vt a copy of the LiaveB Notice as pmvided in Sediatl I 713.1 �(lxb), Flot lda tatuzrrs c 9_ a. Phone WMber Fapinrinn date of nw6m of c®fficeme= (the w*;Vioa date ie 1 yewfcva► the date of g tatkss a di'borent C date is gpqrsfiad) (0 !E Pico Swam to (or ate) and v*l=ibed befvw ms this S' day of Via, Pros>dcnt ,?P 0-1, '' Jby r-• 0 • i4.' h. pmonally grown ✓ OR Prod Identif=2doa t.rl '3 Type of Id=% ification Pt6dUced r' cr, CO`iV10NVVEA[.TH OF P6NNSYLVANLA of �y �r 0 Natarial Seal � s pnrbyfvanis Karen P. Griffith. Noury Public London Gmvc T.cp.. Che,ter )~Countyry My Commission ,mires Oct. 31, 2Da7 - Member, Pennsylvania Assocbrion of Nvrerlee rn f-j 0 <cgrn ature _ o -, ord r_ Sworn to (or affirmed) and subscribed before me this ��� day of F-bruary, 2005, by 0,,D l,� ; t l �r S M PersoI Known p-4,_ OR Produced�Identification 'cation BETH VERMEU o �i Identi Produced 1raRY PUBLIC - STATE of uT�! M . Signature o Notary Public, State of Utah TyWR gym, p ; Commission }moires l r2 : (G i COUNTY OF SEMINOLE f _ IMPACT FEE STATEMENT STATEMENT NUMBER: 05100002 •BUILDING APPLICATION #: 05-10000276 ,BUILDING PERMIT NUMBER: 05-10000276 i a DATE: February 25, 2005. UNIT ADDRESS: ST. JOHNS PARKWAY 4587 28-19-30-513-0000-0020 TRAFFIC ZONE:022 JURISDICTION: SEC: TWP: RNG: SUF: PARCEL: SUBDIVISION: TRACT: PLAT BOOK: PLAT BOOK PAGE: BLOCK: LOT: .OWNER NAME: ADDRESS: APPLICANT NAME: AF ALBER ADDRESS: PO BOX 125 ?? ,.,LAND USE: ST. JOHNS PLAZA !TYPE USE: 'WORK DESCRIPTION: CITY-SANFORD 'SPECIAL NOTES: RHINEHART'PLAZA ------------------------------------------------------------------ ---- 'FEE BENEFIT RATE UNIT CALL UNIT TOTAL DUE TYPE DIST SCHED RATE UNITS TYPE ------------------------------------------------------------------------------- ROADS-ARTERIALS N/A ROADS -COLLECTORS N/A .00 FIRE RESCUE N/A .00 !LIBRARY N/A .00 SCHOOLS N/A .00 ;PARKS N/A .00 E `LAW ENFORCE N/A .00 1DRAINAGE N/A .00 AMOUNT DUE .00, STATEMENT n�Y��S RECEIVED BY: (� I �e�� SIGNATURE: (PLEASE PRINT NAME) DATE: NOTE TO RECEIVING'SIGNATORY/APPLICANT: FAILURE TO NOTIFY OWNER AND 'ENSURE TIMELY PAYMENT MAY RESULT IN YOUR LIABILITY FOR THE FEE. *** DISTRIBUTION: 1-BLDG DEPT 3-APPLICANT 2-FINANCE 4-LAND MANAGEMENT ;* * NOTE * iPERSONS ARE ADVISED THAT THIS IS A STATEMENT OF FEES DUE UNDER THE SEMINOLE COUNTY ROAD, FIRE/RESCUE, LIBRARY AND/OR EDUCATIONAL ISSUANCE OF A BUILDING PERMIT. PERSONS ARE ALSO ADVISED THAT ANY RIGHTS OF THE APPLICANT, OR OWNER,, :TO APPEAL THE CALCULATION OF ANY OF THE ABOVE MENTIONED IMPACT FEES ;MUST BE EXERCISED BY FILING A WRITTEN REQUEST WITHIN 45 CALENDAR DAYS OF THE RECEIVING SIGNATURE DATE ABOVE; BUT NOT LATER THAN CERTIFICATE OF OCCUPANCY OR OCCUPANCY. THE REQUEST FOR REVIEW ,MUST MEET THE REQUIREMENTS OF THE COUNTY LAND DEVELOPMENT CODE. 1COPIES OF RULES GOVERNING APPEALS MAY BE PICKED UP, OR REQUESTED, FROM THE PLAN IMPLEMENTATION OFFICE: 1101 EAST FIRST STREET, •SANFORD FL, 32771 407-665-7356. PAYMENT SHOULD BE MADE TO: SEMINOLE COUNTY OR CITY OF SANFORD BUILDING DEPARTMENT 1101 EAST FIRST STREET SANFORD, FL 32771` PAYMENT SHOULD BE BY CHECK OR MONEY ORDER, AND SHOULD REFERENCE .THE COUNTY BUILDING PERMIT NUMBER AT THE TOP LEFT OF.THIS STATEMENT. ***THIS STATEMENT IS NO LONGER VALID IF A BUILDING PERMIT IS NOT*** k ISSUED -WITHIN 60 CALENDAR DAYS OF THE RECEIVING SIGNATURE DATE ABOVE * DETAIL OF CALCULATION AVAILABLE UPON REQUEST. CALL 407.665-7356. I a F CITY OF SANFORD FIRE DEPARTMENT FEES FOR SERVICES PHONE # 407-302-1091 * FAX #: 407-330-5677 ` DATE: 02 PERMIT #: -" 1 a� BUSINESS NAME /PROJECT: ADDRESS: L PHONE FAX NO.: r] JAB CONST. INSP. [) C / O INSP.:[ ] REINSPECTION [ ] PLANS REVIEW I - F. A. [ J F.S. [ ] HOOD [ ] PAINT BOOTH [) BURN PERMIT [ TENT PERMIT,[ ] TANK PERMIT [ ] OTHER [ TOTAL FEES: $ (DER UNIT SEE BELOW) A COMMENTS: Address / Bldg. # / Unit 9 1. 2. 3. 4. 5. 6 7. 8. 9. 10. 11. 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. 1 certify that the above is true and correct and that I will comply with all applicable codes and ordinances of the City of Sanford, Florida. Sanf revention Divisiona-M Applicant's Signature SANFORD FIRE DEPARTMENT FIRE PREVENTION DIVISION 300 N. Park Ave., Sanford, FI. 32771 / P. O. Box 1788, Sanford, Fl. 32772 (407 302-2520 / FAX (407) 330-5677 Pager (407) 918-0395 Plans Review Sheet Date: December 29, 2004 Business Address: 4587 ST. Johns Park Way Occ. Ch. 36 New Mercantile Business Name: E.B. GAMES @ 4587 ST. Johns Park Way Contractor: Land Capital Group Ph. (214) 239-8100 FAX. (214) 239-8200 Architect: Peter Stampel Architect Comment: Plans reviewed as Mercantile Occupancy Class "C". FD reserves right to require applicable code requirements if occupancy use changes. 1 SANFOR➢ FIRE DEPAR EVENT FIRE PREVENTION DIVISION 300 N. Park Ave., Sanford, Fl. 32771 / P. O. Box 1788, Sanford, Fl. 32772 (407 302-2520 / FAX (407) 330-5677 Pager (407) 918-0395 2.8 Illumination of Means of Egress — O.K.; will field verify 2.9 Emergency Lighting — O.K.; will field verify 2.10 Marking of Means of Egress — O.K.; will field verify 2.11 Special Features -Reserved 3.1 Protection of Vertical Openings — Provide a basic degree of compartments 3.2 Protection from Hazards — N/N 3.3 Interior Finish — Class "B" "A" or "C" allowed per 10.2.8.1 4 Special Provisions - 5 Building Services 5.1 Utilities — as per sec 9-1 5.2 HVAC — as per sec 9-2 5.3 Elevators, Escalators, Conveyors (4A-47) — N/A 5.4 Rubbish Chutes, Incinerators, and Laundry Chutes — N/A Sanford City Code — Chapter 9 Monitoring: Other: NFPA 1 size 3-5.1 Fire Lanes — Not required 3-6.1 Key Box - not required 3-7.1 Bldg. Address Number Posted and Legible: Post address on building 6" in 2