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2884 Orlando Dr - BC03-002120 (THE HOBBY STORE) INTERIOR REMODEL (DOCUMENTS)PERNQT ADDRESS PHONE NUMBER 440"1 • 3 -4-0 " /%& t7 ELECTRICAL CONTRACTOR MECHANICAL CONTRACTOR c PLUMBING CONTRACTOR MISCELLANEOUS CONTRACTOR PERMIT NUMBER FEE MISCELLANEOUS CONTRACTOR PERMIT NUMBER FEE SUBDIVISION PERMIT # DATE PERMIT DESCRIPTION PERMIT VALUATION SQUARE FOOTAGE i CERTIFCATE OF OCCUPANCY REQUEST FOR FINAL INSPECTION ADDITION TO A COMMERCIAL BUILDING**** DATE: • PERMIT #: ADDRESS: CONTRACTOR: PHONE #: The building division has prepared a Certificate of Occupancy for the above location and is requesting final inspection by your department. After your inspection, please sign off and date the C. O..or submit addendum if it has been denied or approved with conditions. Your prompt attention will be appreciated. p, s.# OUT ngineering 2&IbxsDFire Public Works 0Zoning Utilities ElLicensing CONDITIONS: (TO BE COMPLETED ONLY IF APPROVAL IS CONDITIONAL) t CERTIFCATE OF OCCUPANCY REQUEST FOR FINAL INSPECTION ADDITION TO A COMMERCIAL BUILDING**** DATE:, •d o' PERMIT #:o. ADDRESS: CONTRACTOR: t - PHONE #: -14 The building division has prepared a Certificate of Occupancy for the above location and is requesting final inspection by your department. After your inspection, please sign off and date the C. O. or submit addendum if it has been denied or approved with conditions. Your prompt attention will be appreciated. Engineering ublic Works Utilities Fire D:]Zoning 0 Licensing CONDITIONS: (TO BE COMPLETED ONLY IF APPROVAL IS CONDITIONAL) i i i iCERTIFCATEOFOCCUPANCYw o REQUEST FOR FINAL INSPECTION N ; E ADDITION TO A COMMERCIAL BUILDING*t* DATE:. •- o .Q• `` 75 PERMIT #: kW V a+ QADDRESS: CONTRACTOR: C - , °k- W La. u.02 PHONE #: The building division has prepared a Certificate of Occupancy for the above location and is requesting final inspection by your department. After, your inspection, please sign off and date the C. O. or submit addendum if i't has been denied or approved with conditions. Your prompt attention will be appreciated. OEngineering DPublic Works tilities OFire OZoning OLicensing CONDITIONS: (TO BE COMPLETED ONLY IF APPROVAL 1S CONDITIONAL) CERTIFCATE OF OCCUPANCY REQUEST FOR FINAL INSPECTION ADDITION TO A COMMERCIAL BUILDING**** DATE: PERMIT #: ADDRESS: Or?`i1y d CONTRACTOR: PHONE #: `-V-1 The building division has prepared a Certificate of Occupancy for the above location and is requesting final inspection by your department. After your inspection, please sign off and date the C. O. or submit addendum if it has been denied or approved with conditions. Your prompt attention will be appreciated. Engineering ire Z 0 Public Works DZoning Utilities DLicensing CONDITIONS: (TO BE COMPLETED ONLY IF APPROVAL IS CONDITIONAL) z CERTIFCATE OF OCCUPANCY REQUEST FOR FINAL INSPECTION ADDITION TO A COMMERCIAL BUILDING**** DATE:. PERMIT #: ADDRESS: CONTRACTOR: V -C PHONE #: The building division has prepared a Certificate of Occupancy for the above location and is requesting final inspection by your department. After your inspection, please sign off and date the C. O. or submit addendum if it has been denied or approved with conditions. Your prompt attention will be appreciated. Engineering Public Works Utilities COr 19/1la-__ D Fire i oning Licensing 10 /7 /°3 AL IS CONDITIONAL) s ya-s-s ate. r d X1'T N E R S U R V E Y I N G 6 October 2003 of Sanford Building Department North Park Avenue Ford, Florida 32771 Re: 2884 Orlando Drive o Whom It May Concern: its is to certify that the finished floor elevation of the new) building instructed at the above site meets or exceeds the requirements of Section 6- of the City of Sanford Building Code. you have any questions or need additional information, please do not to call. rl R. Blair Kitner P.S.M. No. 3382 P.O. BOX 823 • SANFORD, FLORIDA 32772-0823 0 (407) 322-2000 FEDERAL EMERGENCY MANA GEMENTAGENCY O.M.B. No. 3067-0077 NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 200: ELEVATION CERTIFICATE Impirtaft Read the instructions on paW 1.7. SECTION A - PROPERTY OWNER INFORMATION Far in varoe Cana Use: CAROL SMITH BUILDING ADDRESS Wdudng Apt, Uri, Suite, ardor Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIC Number 2884 Orlando CITY STATE ZIP CODE Sanford FL 32772 PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Desorption, etc.) Lots 51 AND 52 7, DRUID PARK Plait Book 7, Page 5 BUILDING USE e.g., Residential, Non-residential, Addition, Accessory, eta. Use a Comments area, if necessary.) Commerael or NAD 1927 NAD 1983 SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION CITY OF SANFOREI 120294 1 SEMINOLE FLORIDA B4. MOP AND P WEL B7. FIRM PANEL B9. BASE ROOD 9.EVATIOMS) NUMBER B5. SUFFD( B5. FIRM INDEX DATE EFFECiNEFEVISED DATE B8. ROOD ZONES) ZMVAO, use dq* dtico*W 12117C OKI E E APRIL 1995 APRIL 1995 AE 8X 38 810. Indicate the so irce of the Base Flood Elevation (BFE) data or base Ilood depth entered in 89. FIS Pdk 21FIRM Community Determined Other(Desaire): Ell 1. Indicate the ek vation datum used for the BFE in B9: NGVD 1929 NAVD 1988 Other (Describe) B12 Is the building I xabd in a Coastal Barrier Resources System (CBRS area or Otherwise Protected Area (OPA)? Yes No Designation Date SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED C1. Building ED;agare based on: Construction Drawirxls' El Building Under Construction' ® Finished Construction A new Certifies will be required when construction of the building Is complete. C2. Building Number I (Select the building diagram most similar b the building forwhidr this certificate is being completed - see pages 6 and 7. If m diagram accurately the building, provide a delch or pholograph.) C3. Elevations— MAX, AE AH, A (with BFE), VE, VI-V30, V (with BFE), AR ARIA, ARIAE, AR/A1-A , AR/AH, AR/AO Complete Ibe C3.-a4 below according b the building diagram specified in Item C2. State the datum used. If the datum is different from the datum used for the BFE in Section B, the datum b that used forte BFE. Showfield measurements" datum conversion calculation. Use the space provided or the Comments area of Section D or ' G, as appropriate, b document the datum conversion. Datum ConversionlComments Elevation refs mark used Does to elevation reference mark used appear on the FIRM? Yes ®No o a) Top of floor (including basement or enclosure) 42. 3 fL(m) o b) Top of higherftoor NA . NA t(m) o c) BoBom of troriaontal structural member N acmes ony) RA. _ft(m) - o d) AttaMac arage (bp d slab) NA. _fl (m) a o e) Lowest allon of machinery ardor equipment w the building (Desa be in a Comments area) 42.11(m) .-- o f) Lowest ad went (finished) grade (LAG) 41. 711(m) o g) Highest a I*W (fib grade (HAG) 41. 9 fL(m) o h) No. of per anent openings (flood vents) within 1 iL above adaoent grade RA r = o ) Total area I cup permanent openings (flood vents) in C3.h sq. in. (sq. an) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This oertftdoi is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. 1 cer ify that the hformation in Sections A, B, and C on this certificate represents my best efforts to interpret the data available. 1 understand th t any false statement may be punishable by fine orim risonment under 18 U.S. Code, Section 1001. CERTIFIERS W ME R BLAIR KITNER LICENSE NUMBER P.S.M. 3382 TITLE PRESIDEW COMPANY NAME KITNER SURVEYING, INC. ADDRESS CITY STATE ZIP CODE 2597 S. SANFOI RD AVENUE SANFORD FL 32773 SIGNATU ff DATE TELEPHONE 8 OCT 2003 407-M-2000 WD SANFORD FIRE DEPARTMENT 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 Plans Review Sheet Date: May 29, 2003 Business Address: 2884 Orlando Drive Occ. Ch. 34 New Mercantile Business Name: The Hobby Store Ph. (407) 321-4729 FAX (407)644-1063 Architect: Hamback Design Contractor: Gray Development P H (407)644-5556 FAX (407)6441063 Ph. (407 )321-4729 Reviewed with comment;.please reply to comments [ X ] Reviewed by: Timothy Robles, Fire Protection Inspector/Plans Examiner Comment: Plans reviewed as Mercantile Occupancy. Fl) reserves right to require applicable code requirements if occupancy use changes. Sprinkler plans to be submitted for review, permitting, and inspections. 1.1 Application — New Mercantile (4,900 s.q. ft.) 1.2 Mixed — N/A 1.3 Special Definitions — Class "C"Mercantile Store 1.4Classification of Occupancy — Mercantile Store Class "C " 1.5 Classification of Hazard of Contents- Ordinary; 1.6Minimum Construction = • No special requirements 2.2 Means of Egress Components — one person per 30 sq, ft. 2.3 Capacity of Egress — O.K., clear width 3-0' door opening in rear. 2.4 Number of Exits — O.K two 2.5 Arrangement of Egress O.K. — 2.6 Travel Distance — Not less than 150' ft OK 2.7 Discharge from Exits — O.K., will field verb; within the 100' ft threshold per 7.5 1 TSANFORD FIRE DEPARTMENT 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 — Required 2.9 Emergency Lighting — (I)foot candle (10 Ix & a minimum at any point of 0.1 foot-candle (ILX) measured along the path of egress atfloor level. 2.10 Marking of Means of Egress — Required; will field verify 2.11 Special Features —Reserved 3.1 Protection of Vertical Openings — one hour tenant separation required 3.2 Protection from Hazards — Shall comply with sec 8.4 (ffp.c) class A &B 3.3 Interior Finish —Class "A" and (or) `B" 3.4 Detection, Alarm and Communications System: N/A 3.5 Extinguishing Requirements —one (!) 3A 10 b.c fire extinguisher required 3.6 Corridors — NIA 4 Special Provisions 5 Building Services 5.1 Utilities — as per LSC 9-1 5.2 HVAC — as per LSC 9-2 5.3 Elevators, Escalators, Conveyors (4A-47) — N/A Address: Post in 6" numbers contrasting in color N i lT\ ACC . f'i'AD r1 S1Ci•L/1T . oos sr s rAN Permit # :/,3,Z 4W Date: _ N s,ri. isP sv7e »rrt. /NS7r{u,- -f L" am-4/ smW- sy 7'6, W/ -It- Fit imrwn ll_ g 0i17Y iAo'll Historic District: Zoning: Value of worla SJ • °". " teruiit aypc.. DLLIWIItb+ ivlet:iiiaik;di --y' CiU1/ilii,lb ral Jpi uinicliyialui i:wi FJecu"ical: New Semioc —#of AMPS Addition/Aireration Chimp of Service TemporaryPole t. rt.-t ilmbivui: alWi6cilliai -,)( Rei7laUe111NGltl i4%.w (Duvi LayOUi d GK++by \,.a1t.. gcYYnvY) Plumbing/ New Commercial: tt of Fixtures a of Water & Sew" Lines # of Gas Lines PlumbfavNew K" adeatkal: # or water t:)oscLS Ylumoing lttepwr— xesiGcnirai or Convi-jcu iiti Occupancy Type: Residential Commercial _-4— industrial Total Square Footage: C*n1t191crton ' type: OF of AtOI'ICS: # of "acing Units: f mod Zone: lrLmA term require@ for orriL7 mien L) Parcel #: (AUSch Proof of Ownership & Legal Descriprlon) Owners Name * Address: Phone- Centraclvr - iame & Avon w: 3!YV,-. t&W S% .41( LU COAL * 3la,kl-i State LiecoscNumber: 7i.wtearsa: fjA7-101 fr— dtI ` cvwtta.tFmw 5. 7T n 54Q/us uvuc. O Bonding Cvmpanl: 1 lortgagt Lender: Address: n04reis: YVW. Pax: A), pli. ation is hcrrby Inade to obtain a pemii[ to do the wort; and installations as indicated. 1 certify that no work or installation has eormocc:cd prior co the issuance of a permit and that all work will be portormod to meet standards of all laws regulating construction in this jurisdiction. I understand that a separate lii must oc sccuictii few ci_cCTAiCrti. *iv v -' _ L U .- i -- ' - _ pens Kr\. rl VI•IDiI`tV. JIVIv), Tr=LI.J, rVVLJ. rURlvMt.CJ. tiVLLCRJ. rILHILI J. Irilvr J, anu AIR CONDITIONERS. etc. i Gerliry chat Oii Ot tilt foregoing irtionndlk n is UL:CUrale AW what aii wort: wiii oi,; vonC in cornpu,-inco witin im appm.,st,w c. w.y w..}.m silty, constrt:crion and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY KCSUL.'I IN Y VUK 11/c `i 1Nls TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCIN(j. CONSULT WITH YOUR L ENDER.Ok ^N Ai cuts tv C'f ei:rvnl: iii:viiDiiiu 'i iv'v ii i•iiiC.c V"r i:vi•iiriiv arlcivi. NV) ice: In aeidirion ro me ncyuiremtnts'oi this permit. mare may oe aaioiiwnai restrigion3 appiictiwe to rocs pmperq that mtty be iouriu in tit.: , ibiic tticr.rop' of this vunty, at.1 share may be additional penniti rtyuirtd front other Rovtrrnmental entities >uch as water management dieuicrs. state alt tncies, or federal .iI tncie+3. A:a: Cp18r1Ce v7 pt:rfplr i5 vCr111:.tUUn (pal 1 wilt 11UUly cite Uwttt77 6f cite prope[ty Jl fM reyYllLgitnly of fturillb L.itn i,Aw, Cj i IJ. LLB 0s k- 28 A xw. 0 3 1i rlatvR of C>wner/A tn[ Date Signature of ComractoriAgsnt Da[e W L L.L. sA. Y% G.O L c 00 Felix U Aragon Print Owner/Agen['s Namc Prior Contracrod i s Nanic My Commission DD138566 o Expires August 01 2008 Signature of Notary -Stoic of Floridu Date Signumrc of .rurv-Swart of Florida Date Urrritr/Agent is _ Personally Known to vie or i'rwucc l LD Cotilr4cror/necnr i; Personally Known co Me or I'ruduccJ ID . .Y/S/ !G r/tr -.11 01 . f" I. .: / • •./- AFFLICAYiOW APPROVED 5Y. Bidg. zoning: Utiinica: Initial dt Wit) Umtial & Datc) Spwial C: onditluns: FD: Initial k Datc) tInitial & Datc) ttT F 7•,h:'C`! 1,f S IT art., y`I'• 7.. K a i Permit #: () 3 1 Job Address: as 8 Description of Work: l Ae-r-77eO e Historic District: /7 V Zoning: CITY OF SANFORD PERMIT APPLICATION Date: 7- 9-v3 Value of Work: S /., C700 Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool Electrical: New Service — # of AMPS OO Addition/Alteration Change of Service Temporary Pole Mechanical: 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 Commercial Industrial Total Square Footage: Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X) Parcel #: (Attach Proof of Ownership & Legal Description) Owners Name & Address: La trD M i Phone: Contractor Name & Address: Phone & Fax: Bonding Company: Address: Mortgage Lender: Address: 1 CL 3.>74 TState License Number: gC6 0C.? O .17 5 5 Contact Person: Phone: ArchitectlEngineer: Phone: Address: Fax: 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. 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 requireJyani of Flor' Lien Law, FS 713 Signature of Owner/Agent Date Signature d ontractor/Agent Date Print Owner/Agent's Name Signature of Notary -State of Florida Date Owner/Agent is _ Personally Known to Me or Produced ID APPLICATION APPROVED BY: Bldg: Initial & Date) Special Conditions: Zoning: A. ontractor/A¢ nt's Name tg re of Notary -, State of Flgpdatl' i. JMINSOWate Y. MY COMMISSION # CC 92.1808 XPIPES: March 23 •aLVJ. Contractor/Agent is Personally Known tQLvlb_ot_ Produced ID Utilities: FD: Initial & Date) (Initial & Date) (Initial & Date) CITY OF SANFORD FIRE DEPARTMENT FEES FOR SERVICES P NE # 407-302-1091 * FAX #: 407-330-5677 DATE: f 1 (111110, P RMIT 2-- BUSINESS NAME / PROJECT: ADDRESS: C O f 1 O • V PHONE NO. L — CONST. INSP. [ ] C / 0 INSP. j ] REINSPECT N [ ] PLANS REVIEW F. A. [ ] F.S. [ ] HOOD [ ] PAINT BOOIJ-I [ ] BRN PE KMIT [ ] TENT PERMIT ] TANK PERMIT [ ] OTHER )Q TOTAL FEES: S ©O ( PER UNIT SEE BELOW) v' ! COMMENTS: VIAA S ( 4_2' 01 Address / Bldg. # / Unit # Sauare Footage 2. 3. 4. 5. 6. 7. 8. 9. 10. 12. 13, 14. 15. 16. 17, 18. 19. 20. Fees per Bldg. / Unit ti 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 City of Sanford, Florida. tl- ,--. Applicant' s Signatur ACORD CERTIFICATE OF LIABILITY INSURANCE CSR JJ RAYD82 DATE(MMIDDTYY) 05/14/03 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE SIHLB INSURANCE GROUP, INC- P . O. BOX 160398 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGEALTA14ONTESPRINGSFL32716 Phoae:407-869-0962 INSURED INSURER A: Cincinnati Companies INSURER B: INSURER C: GRAY DEVELOPMENT INSURER D: PO BOX 951768 LAKE MARY FL 32795 INSURER E: CIIVFRAGFS 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 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. EFFCTIVELiCY IPA 1TR TYPE OF INSURANCE POLICY NUMBER DATE MM/D DATE MMIDD/YY LIMITS A GENERAL LLMLITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE FX] OCCUR TO FOLLOW 1000 PD DEDUCTIBLE 05/14/03 05/14/04 EACH OCCURRENCE 1, 000, 000 FIRE DAMAGE (Any one fire) 500,000 MED EXP (Any one person) 10 , 0 00 PERSONAL & ADV INJURY 51,000,000 GENERAL AGGREGATE 2, 000, 000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY jECT LOC PRODUCTS - COMP/OP AGG S2,000,000 AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT Ea accident) BODILY INJURY Per person) BODILY INJURY Per accident) S PROPERTY DAMAGE Per accident) GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT i OTHER THAN EA ACC AUTO ONLY. AGG S EXCESS LIABILITY OCCUR, CLAIMS MADE DEDUCTIBLE RETENTION S EACH OCCURRENCE AGGREGATE S S s S WORKERS COMPENSATION AND EMPLOYERS' LIABILITY F TORY LIMITS ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE E.L. DISEASE - POLICY LIMIT S OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER N I ADDITIONAL INSURED; INSURER LETTER: GANGELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL _lD__ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SMALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR REPRESENTATIVES, AUT ED KZ-' LuA kj ACORD 25-5 (7197) ®ACO D CORPORAT N 1988 JUN.24.2003.10:49AM SIHLE INSURANCE N0.8207 P. 3/3 J• -- Sihle • ' ' Insurance Group .. U1 D"ft Aw • P.O. Ow 16M • Abrnmle 6plinpk,, FL 3MO 4t1T-68O-M • Fan 4"9-M June 24, 2003 City of Sanford Building Dopaitment Atfn: Dan Florian RE: Gray Development Dear Dan: We ,are in Ike process of placing Workers Compensation coverage for the above imu m& pue to thq recent changes in the Workers Compensation market place; involving the thsnges in exemptions, the ciers are inundated with submissions and the -proem to issue b s bFen takiuSi longer than nonual. It is out hope to have 'this resolved and Workers Compensation co4erage in place for M. , Orgy in the neei future. The policy will be issued with the normal statutory limits for employers liability of 1001$50015100. Plosse do not halt" "to call me with any questions you may have, my direct line is 407- 389-3536, ' Vice President ; Ce: Bill Gray 7ennifq Jcimings ' Since 1974 file D iffemur is stmIce' APPLICATION APPROVED BY Special Conditions: 1 Permit #: Job Address: Zidr t Description of Work: 1 ov Historic District: CITY OF SANFORD PERMIT APPLICATION Date: V-Z AIL. 1,.91 54M- 0 e 4-W. Zoning: Value of Work: $ ZP ovo. o0 Permit Type: Building lyh_ Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool Electrical: New Service - # of AMPS +00 Addition/Alteration Change of Service Temporary Pole Mechanical: Residential Non -Residential Replacement New __&_ (Duct Layout & Energy Calc. Required) Plumbing/ New Commercial: # of Fixtures -4 # of Water & Sewer Lines_L # of Gas Lines O Plumbing/ New Residential: # of Water Closets Plumbing Repair - Residential or Commercial Occupancy Type: Residential Commercial )< Industrial Total Square Footage: AR 00— Construction Type: of Stories: # oflDwelUng Units: Flood Zone: t_ _ (FEMA form required for other than X) Parcel #: & I I Zo ' 30 - Owners Name & Address: Contractor Name & Address: 1„ a fs tll,c 'J&P& Phone & Fax: a —3Z Bonding Company: Address: N Mortgage Lender: Address: 3 F'Psr W OoOo - O-Y (-2. (Attach Proof of Ownership & Legal Description) SV Phone: 4-1- 33o - i State License Number: 4 4 C. (;,A t 34 S Person: W LA, Architect/ Engineer: ,-4,4r-Bd.1 Gt/• DES i zn! p9.1S o ra4tsJr I Phone: -(-, 2 — C,+4-35. %. Address: ZI$S N . PAJLW-- 04%W"Ue17 LJ t fy4J.04 '-ZS°i Fax: Oat- to44- I 0+63 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 besecured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and AIR CONDITIONERS, etc. OWNER'S AFFIDAVIT: I certify that all ofthe 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 I at kwill notify the owner of the property of the requirements of Florida Lien Law, FS 713. 0Q.c. eI.Q Signature of Owner/Agent Date Signature of Contractor/Age t Date tt~44 k— p. =1 5-19-03 Print Owner/ Agent's Name Print ctor/Agent's Na e sti G14* ate Signatu aofNotary -State of Flonda Signature of Notary -State of FI da DatY Owner/Agent is Personally Know o Aleor Produced ID Bldg: Zoning: Initial & Date) Mellafa Leigh Haft my Conmdtsaion W139 0 M Expires SepWntba 20. Z= Contractor/Agent is. Produced I D _ Utilities: Initial & Date) orally. Knayn to.Me or FD: Initial & Date) ( Initial & Date) Itt OINM Lelplt HN* ti My Cwtintili ion DD139M Expire. SepNmber 29. 2= IIU IIIIININAIUAIUNAIAgIt11UMIMNUI11NU1U111U PREpAREL%SY & RETURN TO: GEORGE B. WALLACE, ESQUIRE 700 West First Street Sam fdra, Florida 32771 Phone (407) 323-3660 MARYANNE HORSE, CLERK OF CIRCUIT COURT SEMINOLE COUNTY BK 04657 PG 0576 CLERK'S # 2003097678 RECORDED 06/09/2M PoMiH PM RECORDING FEES 15.00 RECORDED BY L McKinl#y NOTICE OF COMMENCEMENT TO WHOM IT MAY CONCERN: f The undersigned hereby informs all concerned that improvements will be made to i certain real property, and in accordance with Section 713.13 of the Florida Statutes, the C) following information is stated in this NOTICE OF COMMENCEMENT. Legal Description of Property: SEE EXHIBIT "A" ATTACHED HERETO General Description of Improvements: REMODELING OF COMMERCIAL BUILDING Owner: CAROL A.S. SMITH 125 Monroe Road Sanford, Florida 32773 Owners' interest in site of the improvement: Fee Simple Owner Contractor: GRAY DEVELOPMENT CO., INC. P.O. Box 471264 Lake Monroe, Florida 32747-1264 Loan for the Construction of the Improvements by: FIRST COMMERCIAL BANK OF FLORIDA 3505 W. Lake Mary Boulevard Lake Mary, Florida 32746 Cfk1IFIED COP MARYANNE HORSE CLERK OF CIRCUIT COURT ZNOILE CCULORI 4DF 1I 1 ,RK JUN 0 9 20 FILE NUM 2003097678 OR BOOK 04857 PAGE 0577 Person within the State of Florida designated by owner upon whom notices or other documents may be served: Joseph M. Deitz FIRST COMMERCIAL BANK OF FLORIDA 3505 W. Lake Mary Boulevard Lake Mary, Florida 32746 4.. -- CAROL A.S. SMITH STATE OF FLORIDA COUNTY OF SEMINOLE The foregoing instrument was acknowledged before me this 91' day of June, 2003, by CAROL A.S. SMITH, who is personally known to me or has produced a valid Driver's License as identification and who did not take an oath. Notary Public - % ,pf Florida My Commissim it Ole& , , Nd5SI0NF zerr 4DD082444 FILE NUM 2003097678 OR BOOK 04857 PAGE 0578 EXHIBIT "A" Lots 51 and 52, AMENDED PLAT DRUID PARK, according to the map or plat thereof as recorded in Plat Book 7, Page(s) 5 and 6; together with that portion of vacated Prospect Drive lying adjacent thereto, Public Records of Seminole County, Florida. Page 1 of 2 Parcel Information 13May 2003 j. Parcel: 01-20-30-512-0000-0510 Property: SANFORD, FL 32771 Owner: SMITH CAROL A S Mailing: 11104 PLANTATION LAKES CIR SANFORD, FL 32771 Legal: LEG LOTS 51 & 52 AMENDED PLAT DRUID PARK PB7PG5 TRY: 2003 TD: S4 DOR: 10 SANFORD 17-92 REDVDS VAC GENERAL-COMMERCI Exemption Homestead Year Granted: Amendment- 10 Amendment- 10 Prior Year Total Re Appraised Addtion Total Land Value 229,000 229,000 229,000 i xtra Features Building Value Income Value otal Just Value 229,000 229,000 0 229,000 0 Correct Assd/Admin Value lassified Value mend 10 Adjustment 0 otal Assessed Value 229,000 229,000 0 229,00q 0 SALES ale Description Sale Date ORB Book ORB Page Sale Amt l QC Q D WARRANTY DEED 10/01/2002 04588 1330 400,00 V 03 U ID-eed. QUIT CLAIM DEED 01/01/2000 03792 0966 10 V 11 U D WARRANTY DEED 04/01/1981 01331 1705 100 V 00 LAND CODE Land Rate jAg Ratel Land Area I Frontage jD/Tj Depth Class Value Adj jOvd Reason Just Value AS 4.Oq O.Oq 57,250.00q 0.0 0 229,000 229,000 Total: 229,000 229,000 DEVELOPMENT FEE WORKSHEET CITY OF SANFORD UTILITY - ADMIN. P. 0. BOX 1788 SANFORD, FL 32772-1788 6 /f 7ProjectName: Date: S -/,J Owner/Contact Person: Phone; Address: 2 Type of Development: 1) RESIDENTIAL Type of Units (single family or multi -family): Total Number of Units: Type of Utility Connection individual connections or central water meter & yr common sewer tap): Water Meter Size (3/4", 1", 2". etc.): REMARKS: 2) NON-RESIDENTIAL Type of Units (commercial, etc.): Total Number of Buildings.: Number of Fixture Units each building): /0 Type , of Utility Connection individual connections or central water meter & common sewer tap): Water Meter Size (3/411 2", etc.)' REMARKS: CONNECTION FEE CALCULATION: REVISED ia/97 Name - Signature eu,e, b__CJ"_e Date. 2:_. Q "> r00 i 1) 2) Water System Impact Fees .• ,.,.=: Equivalent Residential Connection (ERC) - 300 Gallons Per Day (GPD) :• Residential 650/Unit - Single-family structure, or -multi -family unit` containing three (3) bedrooms or more. 487.50/Unit - Multi -family unit or Mobile Home unit containing less than three (3) bedrooms. (This category. -is based.6n judgement/assumption, estimation that euch:family units on average require 751 - 225 GPD of the water and sewer service of an average single family unit.) Commercial - 650/ERU - Fixture unit schedule from Southern Plumbing Code will be used. One ERU will be charged for connection and up to twenty (2) fixture units. For projects having more than twenty (20) fixture units the Impact Fee will be determined by increments of 25t based on multiples of five(5) fixture units above the twenty (20) fixture unit base for the first ERU. (Example: twenty-five 25) fixture units will be rated as 1.25 eru; twenty-six (26) fixture units will be rated as 1.5 ERU.) Sewer System Impact.Fees Equivalent Residential Connections - 270 Gallons Per Day (GPD) Residential - 1700 Unit - Single family structure, or multi -family unit containing three (3) bedrooms or more. 1275/Unit - Multi -family unit or Mobile Home unit containing less than three (3) bedrooms. '(This category is based on judgement/assumption/estimation that such family units on average require 751 of water and sewer service of an average single family unit.) Commercial - Industrial - Institutional 1700/ERU - Fixture unit schedule from Southern Plumbing Code will be used. One EAU will be charged for connection and up to twenty (20) fixture units. For projects having more than twenty (20) fixture units the Impact Fee will be increments of 251 based on multiples of five (5) fixture units above the twenty (20) fixture unit base for the first ERU. (Example: twenty-five (25) fixture units will -be rated as 1.25 ERU; twenty-six (26) fixture units will be rated as 1.5 ERU.) ti1,_•.. TABLE 709.14:. _ W DRAINAGE FIXTURE UNITS FOR FIXTURES'AND GROUPS , DRAINAGE FIXTURE UNIT VALUE FIXTURE TYPE = AS LOAD FACTORS MINIMUM SIZE OF TRAP (Inches) Automatic clothes washers, coinmercii s 41.2 Automatic clothes washers, residentiali' °a• / r f'i ,c_ .:.::2 2ti Bathroom group consisting of watd,loset, lavatory, bidet andbathtub r:4_41,y 6 or shower v), Bathtub (with or without overhead shower or whirlpool 2 1 /2 attachments) Bidet 2 1 /4 Combination sink and tray 2 1 /2 Dental lavatory 4 Dental unit or cuspidor 1 1 /4 Dishwashing machine,c domestic 2 1 /2 Drinking fountain 2 >< ( _ >_ 1 /4 Emergency floor drain p 2 Floor drains 2 2 Kitchen sink, domestic 2 1 /2 Kitchen sink, domestic with food waste grinder and/or dishwasher 2 1 /2 Laundry tray (1 or 2 compartments) 2 1 /2 Lavatory k -k Z I /4 Shower compartment, domestic 2 2 Sink 2 1 /2 Urinal 4 Footnote d Urinal, 1 gallon per flush or less 2e Footnote d Wash sink (circular or multiple) each set of faucets 2 11/2 Water closet, flushometer tank, public or private 4e Footnote d Water closet, private installation 4)c •1 = b' Footnote d Water closet, public installation 6 Footnote d r . 0.. i men = ci.v mm, 1 gallon = 3. /a3 L. - a For traps larger than 3 inches, use Table 709.2. //2 A showerhead over a bathtub or whirlpool bathtub attachments does not increase the drainage fixture unit value. c Set Sections 709.2 through 709.4 for methods of computing unit value of fixtums not listed in Table 709.1 or for rating of devices with intermittent flows. d Trap size shall be consistent with the fixture outlet size. , For the purpose of computing loads on building drains and sewers, water closets or urinals shall not be rated at a lower drainage fixture unit unless the lower values are confirmed by testing. TABLE 709.i DRAINAGE FIXTURE UNITS FOR FIXTURE DRAINS OR TRAPS FIXTURE DRAIN OR TRAP SIZE inches) DRAINAGE FIXTURE UNIT VALUE 11/4 , I 1112 2 3 21/, q 3 5 4 6 1•or Sr: 1 inch = 25.4 nun. I J Standard Plumbing Code®1997 1 1]0NTY 8[ 1;1::MI|.!' IMPACT FEE STATh STATEMENT NUMBER: 03100004 BUILDING APPLICATION No 03-10000400 BUILDING PERMIT NUMBER: 03-10000400 UNIT ADDRESS: S ORLANDO DR 2884 TRAFFIC ZONE:022 JURISDICTION: GEC: TWPm RN81 SUF: OUBDIVISION: PLAT BOOK: PLAT 10OK PAGE: OWNER NAM[: ADDRESS: DATE: May 14, 2003 01-20-30-512-0O00-0512 PARCEL: TRACT: BLOCK: LOT-. APPLICANT NAME: SMITH, CAROL A _ ADDRESS: 11104 PLANTATION LAKE§_[IRCLE SANFORD FL 32771 LAND USE: RETAIL - HOBBY SHOP TYPE USE: WORK DESCRIPTION: CITY-SANFO[)) SPECIAL NOTES: Impact credit given for existing bldg. office/retail .3500-office,J500-retail. FEE BENEFIT RATE UNIT CALC UNIT TOTAL DU[ TYPE DIST SCHE0 RATE UNITS TYPE DOADS-ARTERIALS N/A Retail <50K Square Feet ROADS -COLLECTORS N/A Retail < 50K Square Feet FIRE RESCUE N/6 LIBRARY 3CHOOLA3 PARKS LAW ENFORCE DMAINAG[ CREDIT FEESx All ROM) ARTERIAL`; NIA N/A N/A N/A N/A Special Use SCI ROAD COLLECTORS NORTH Special Use 3,421.00 4.900 1000gsft 16,762.90 692.00 4.900 1000gsft 3,390.80 00 X` 0O 00 0 6,762.90 1.000 unit 16,762.90' 3,39Q.8O 1'000 3,390.80- AMOUNT Dt .0O STATEMENT ' RECEIVED BY:~>])\._._' /SIGNATU<E: u._________________ DATE: :?__________ NOTE TO RECEIVING SIGNATORY/APPLICANT: FAILURE TO NOTIFY OWNER AND ENSURE TIMELY PAYMENT MAY RESULT IN YOUR LIABILITY FOR THE FEE. DISTRIBUTION: -1-BI DO DEPT 3-APPLICANT 2-FINANCE 4-LAND MANAGEMENT NO PERSONS ARE ADVISED THAT THIS IS A STATEMENT OF FEES DUE UNDER THiE SEMINQLE COUNTY ROAD FIRE/RESCUE, LIBRARY AND/OR EDUCATIONAL ISSUANCE OF A BUILDInG PERMIT. PERSONS ARE ALSO ADVISED THAT ANY RIGHTS OF THE AFPLICANT, OR OWNER, TO APPEAL THE CA!-CULATIOX OF ANY OF THE ABOVE MENTIONEDIMPACT FEW MUST E 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 REOUE8T FOR REVIEW MUST MEET THE REQUIREMENTS OF THE COUNTY LAND DEVELOPMENT ODE. COPIES OF RULES GOVERNING APPEALS MAY BE PICKED UP OR REWUESTED QQM THE PLAN IMPLEMENTATION OFFICE: 1101 EAST FIR T STREET, SAhFCRD FL, 32771; 407-665-7356. PAYMENT SHOULD BE MADE TO: SEMINOLE COUNTY OR CITY OF SANFORD BUILDING DEPARTMENT_ 1101 [AST FIRST STREET SANFORD, FL 32771 PAYMENT SHOULD BE BY CHECK OR MONEY ORDER AND SHOULD REFERENCETHECOUNTYBUILDINGPERMITNUMBERATTHE 4 OP LEFT OF THIS STATEMEHT. TH%S STATEMENT IS NO LONGER VALID IF A BUILDING MI IS NOT*** IS90D WITHIN 60 CALENDAR DAYS OF TPE RECEIVING SIGNATURE DATE ABOVE DETAIL OF CALCULATION AVAILABLE UPON REOUEST. CALL 407-665-7356. CITY OF SANFORD PERMIT APPLICATION Permit#: 03-2120 Date: June 25, 2003 Job Address: 2884 Orlando Drive, Sanford Description of Work: Historic District: commercial Dlumbin Zoning: Value of Work: $_ 3 #_000. C 6 Permit Type: Building Electrical Mechanical Plumbing XX Fire Sprinkler/Alarm Pool Electrical: New Service — # of AMPS Addition/Alteration Change of Service Temporary Pole Mechanical: Residential Non -Residential Replacement New (Duct Layout & Energy Calc. Required) Plumbing/ New Commercial: # of Fixtures % # of Water & Sewer Lines Q # of Gas Lines Plumbing/New Residential: # of Water Closets Plumbing Repair — Residential or Commercial Occupancy Type: Residential Commercial x x Industrial Total Square Footage: Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X) Parcel # Attach Proof of Ownership & Legal Description) Owners Name & Address: Gn.ay Development Company P. 0. Box 951768, Lake Mary FL 32795-1768 9Phone: 407-321-4729 Contractor Name & Address: W a 1 t t s Plumbing, Inc. 125 N. Cypress Way, Casselberry FL 327Qt7teLicenseNumber: CFC 057280 Phone & Fax: I Contact Person: Phone: Bonding Company: Address: Mortgage Lender: Address: Architect/Engineer: Address: Phone: Fax: 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. 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 1 will notify the owner of the property of the requirements o Florida Lien Law S 713. Signature of Owner/Agent Date Signature of Contractor/Agent Date Print Owner/Agent's Name Signature of Notary -State of Florida Date Owner/Agent is _ Personally Known to Me or Produced ID Walt Stevenson t Contractor/Agent's Name Signature of Notary -State of Flo da Date Contractor/Agent is X X Personally Known to Me or Produced ID APPLICATION APPROVED BY: Bldg: "Zoning: Utilities: Initial & Date) (Initial & Date) Special Conditions: FD: Initial & Date) (Initial & Date) O W - CL W o e 03-- ;t\JPJ FLIGHTLINE HOBBIES OF SANFORD FL. INC. 125 Monroe Rd (CR 15) Sanford, F132771-9507 Phone: 407-330-7655-Fax 407-330-7581 4tal 301 Aao3