1185 Rinehart Rd - E06-000564 (INTERIOR) DOCUMENTSPERMIT ADDRESS \\ P) S R u�� �-T
CONTRACTOR
ADDRESS
PHONE NUMBER A C�_� - bN�� - �Q ?S
PROPERTY OWNER'�,.1�\�e�
ADDRESS
a
PHONE NUMBER
ELECTRICAL CONTRACTOR
MECHANICAL CONTRACTO
PLUMBING CONTRACTOR
MISCELLANEOUS CONTRACTOR
PERMIT NUMBER FEE
MISCELLANEOUS CONTRACTOR
PERMIT NUMBER FEE
9
.W.
d
SUBDIVISION
PERMIT #ate- S�o'A, DATE
PERMIT DESCRIPTION
PERMIT VALUATION +CT -ND
i*
SQUARE FOOTAGE \ \-\ C) C) ,
Permit # :' p4
Job Address: f �7 1 ( Vt (' 1'. (—
CITY OF SANFORD PERMIT APPLICATION
h,0
Date: 0 /-#05 _
Description of Work: /% 1 e c r r r,a ��, ,. e n 4 / u - v t
Historic District: N 0 Zoning: Value of Work: $ $ T9 Q o
Permit Type: Building Electrical \ Mechanical Plumbing Fire Sprinkler/Alarm Pool
Electrical: New Service – # of AMPS-966ne-4-�".1 Addition/Alteration CX 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 X,_ Industrial Total Square Footage: '% O O s, V.
Construction Type: q# of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X)
Parcel #: 3a I I 30 r 50) _6000 — �0 U (Attach Proof of Ownership & Legal Description)
Owners Name & Address: Dem O D a L 2 hy
U N L a h d Phone: _
ntractor Name & Address: L LC C `A1C M
' o " 6 r UO ( I %V1V� ' L 2 730 c State Lic/ m, Number: e / / //
Phone &r Faz: �/U7 (� —_ 3 �o Contact Person: C w e �!av Ay Phone: yD7 S3 L ` Z U3d
Bonding Company:
Address:
Mortgage Lender:
Address:
Architect/Engineer: 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 applicab!e 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 requirementlt7aw, F 713.
blo ! N
Signature of Owner/Agent Date Signature of Contractor/Agent Aate
u_
I1, CE Inti o
Print Owner/Agent's Name Print C n actor/Agent's Na e 4
Zz
�a Es
Signature of Notary -State of Florida Date Sign ufe of Notary -State of Florida Date a o
fl c0 CX
Z O 2 w
Owner/Agent is _ Personally Known to Me or Contractor/Agent is X Personally Known to Me or v
_ Produced ID _ Produced IDA'
APPLICATION APPROVED BY: Bldg: Zoning: Utilities: FD:
(Initial & Date) (Initial & Date) (Initial & Date) (Initial & Date)
Special Conditions:
FROM James Daly Tobin Architects FAX NO. : 518 439 0477 Oct. 14 2005 09:56AM P2
RECEIVED
CITY OF SANFOIW FljRMt'j'AP)'IACA'I'lON nrT
LUUJ
et'j'Ail ii C) Date;
Job uldr�S. lt
i)t--A: rijlkwk. .)i V kd%"' -lit 'jr- &T V n (TrustCo Bank)
District. Valueol'Work; '30"
P4ti'llLit fyi1e: Mechunic-al Plumbing ')e Virt.Sprijikler/Alana Puol
Fiecoical, Nev, `,,;rc ice - 4AMPS Cr it 6 i'll 04 Addifiozi/Altv;r3fioti._Y Change of.Service Ternpozury Pole
Non-Rcsiduntial Replaccment—New __ (Duct Layout& Enengy Cale. Required)
4 of Water & Sewer Lines ItI-15'r tl of Gas Lines t.,� Ird
0u1iabiAtWNeW Av:sidentiail: it Of WaWrCloiot9 Plumbing lzrpaix- - 114sidemial of C0111010rcial
0ccvp;;.l3vyTyjie. kusidemial Commercial inda-vial Total Square Footage:
of Storie-i: 0 of DwttlUng Uj&v klood lone:(FrtMA forth rc-quirod for other than X)
Faccd -2- V 50-2- CVx1%0 0 (Altach Proof of Ownership & Legal 13mcription)
OWIW[SName epi Add rm; T -;0'F_ -.j'0 fl 1 C7�j
IN A.Y %-1 0
Phoue� 4 Q'I , k
A 1\�. 1,93A_ AA I -r I
4 01' S"I
11.,11 dill lvall
Addrv-s;
A.'dP'VN.q:
2; Var
q_ L_LU2_
N)plic;idon :N h;:r;:hN mx4! W obLain ;A pivrhil to do the work and installations as indicated, I ccray Ilia( nu work or insitAllAlitm Im conuacnecd prior to the
issUa'leu of a .0eflah and that Al work will km purrannud to meet standards of all laws regulating construction in this jur774dicLian. I uxvdcx*LLnd Oval A acparatc
pcnn,� must b,:mucujv,i for ELECIIUCAI. WORK, PI,t1M8TNG, SIGNS, WEI.1.5, POOLS, FURNACES, BOILERS, REAM k -'Rs' T/I,Ngs' And
AFFIDAVIT: I c,,enify that all of th,; forvguing inflmnoLtion is accurate and that all work will be done in compliance with 41 applicable lam tc8ulAtiX18
W/LkNINGTO OWNER: YOUR FArLLTRF TO RECORD A NOTICE OF COMA41ENMENT MAY ki7tsjji,T IN Ybulz PAYING
TWWF FOR INUlkJVEMENTS'I'(.) YOUR PIWPERTY, IF YOU INTEND TO OBTAIN FINANCING, CONSULT WI'I'li YvURLENDER OR AN
,Yl-1'0lZN-l'Y IMFold,RECORDING YOUR NOTICE OF
M.; to 41,; rujuirunionts of thin perguit, fluxe may be additional rcalrictims applicAblu to this property that may be founit in the public records of
-;m cuwity, .uid llwiv may be :additional P'xnvils rcquilA fil)ln evoker govla=ontal caitic8 such as water mina anent di,uitu, %Wf; Agcmc-;';A' Of fi;&=l asoletch.
Of 11 ifi�ad iifyLhcowncrofthzpropr;ytyoft�iurdqu'rA its o1 id i= Law, IN
ZZ; 8 10/17/05
C6
Dikeowatc 5jg[)OALaru n .on CAorfiWut Date
502 N. Highway 17-9� Qn
I n, I AB LT11" ALIT . U . 4� _�IL __&��ood, FL Print Conlr,1c*)r1A8ml*1 Natnu
Cn 32750
'
i-0 A/ 10/17/05
Y_ �
Date Signijurij of N4)Lary-St;jw of Florida Date lgfwtw INot, �1
LU =
ko,
6.1'10LL
i'..-.Xrs.. PeAially Known to Me or Contraotor/A8=t m_ Pt�monxll) Kru-11 to Mo or
RD Produced ID
'OVE1 D�t
13Y! B ' 7"
r
nidal ??(Initial & 0Ac) orlitial. Daw-1
�(Illitijl& Irate)'
nwpAcT FxFs
muxlyLu 0 _:t.299 25-
$ s-0 467200
Project Name:
P��►�I� ��21%�-i Date to—Ll—off
Phone:
Owner/Contact Person:
Address: "
Residential ❑ Non -Residential
1} TYPE OF DEVELOPMENT: .
T s s Single Family ❑ Multi-FamF19.
ily ❑ Commercial; Indus
2) TYPE OF UNItrial
g
3 TOTAL NUMBER OF UNITS or.BUILDINGS: ❑1----�
4) TYPE OF UTILITY CONNECTION:
a Meter: Individual ❑ Master ❑ c:> Tap Required ❑ Tap Existing
�x`ST &)" �'J Tap Required Tap Ex
❑ isting ❑
b) Sewer Tap: Individual ❑ Comoron ❑
1 -inch ❑ 1 '/,-inch ❑ 2 -inch ❑ Supplied b ❑
5) WATER METER SIZE: 3/4 -inch ❑ Contractor
6) AWS METER: None ❑ Individual ❑ Master ❑ Supplied r F-1Contractor
(Alternative water supply)
Meter Meter
1 -inch 11/2. -inch ❑ 2 -inch ❑ Supplied or
a Meter Size: 3/4 -inch ❑
❑ ❑ Contra
SUMMARY OF IMPACT FEES METER SET and TAP CHARGES
i
Water impact fees........ $ 2� COMMENTS:
c>o
Sewer impact fees........ $ ?2
Water Meter set .......... $
Water Meter set and tap $
Meter deposit and S/C.. $
Sewer tap ................
AWS Meter Set ... .$
AWS Meter Tap & Set..$
TOTAL DUE .......... $
Signature - Utility Director or Engineer
Date:
Updated: July, 2005 Page 1 of 2
City of Sanford Utility Deparhneni
P.O. Box 1788, Sanford, Fl. 32772
Phone (407) 330-5641
City Of Santora utility 1iepartuICILL
DEVELOPMENT FEE WORKSHEET (cont.)
Water System Impact Fees Equivalent Residential Connection (ERCj 300 Gallons Per Day (GPD)
Residential 3 bedrooms or more.
$1193/Unit - Single family structure, or multi -family unit containing three ( )
$894.50/Unit - Multi -family unit or Mobile Home unit containing less than three (3) bedrooms. (This category is based on
judgment/assumption, estimation that such family units on average require 75% - 225 GPD single family unit.)
Commercial — Industrial:— Institutional
$1193 /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.25% based on multiples of five (5) fixture units above 'the'awenty' (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 1.5ERU.)
Sewer System Impact Fees Equivalent Residential Connections = 300 Gallons Per Day (GPD)
Residential
$2688/Unit - Single family structure or multi -family unit containing three (3) bedrooms or more.
$2016/Unit - Multi -family unit or Mobile Home unit containing less than three (3) bedrooms. (This category is based on
units on require 75% of water and sewer service of an
judgment/assumptionYestimation that. such family
average single family unit.)
Commercial — Industrial — Institutional
$2688/ERU -Fixture unit schedule from Southern Plumbing Code will be used., One ERU''wiil 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 25% based on multiples of five (5) fixture units'..above the.trwenty(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.)
T TTTTyrrc LVID L VrrrTDFC Alun r,Rnims
TABLE 7UY.1 11KAtPlA"Z riA.i vX%JPI VAIX l DRAINAGE FIXTURE UNIT
NIINIMUM SIZE
FIXTURE TYPE
VALUE AS LOAD FACTORS
OF TRAP inches
Automatic clothes washers, commercial'
3
2
Automatic clothes washers, residential
2
2
Bathroom group consisting of water closet, lavatory, bidet and
6
-
bathtub or shower
Bathtub (with or without overhead shower or whirlpool
2
1 '/z
attachments
2
1 /.
Bidet
2
1 h
Combination sink and tray—
1 %.
Dental Lavatory1
I
1 '/'
Dental unit of cuspidor
1 /4
Dishwashing machine`, domestic
2
Drinkingfountain
%z
1 '/,
Emergency floor drain
0
2
2
2, Footnote'
Standard Floor drains
Kitchen sink, domestic 1 2
2
1 %:
Kitchen sink, domestic with food waste indec.and/or:dishwasher :.
2
Laundry tray 1 or 2 compartments)
2
1
Lavatory
1
1 '/+ .
Shower compartment, domestic
2
2
Sink
2
1 '/2
Urinal
4
Footnote
Urinal, 1 Rallon per flush or less
2e
Footnote
Wash sink circular or multi le each set of faucets
2
1 '/s
Water closet, flush -o -meter tank, public or private
4c
Footnote
Water closet, private installation
4
Footnote
Water closet public installation
6 Footnote
' For SI: 1 inch = 25.4 mm, 1 gallon = 3.785 L.
For traps larger than 2 inches, trench type drains and floor sinks use Table 709.2.
b A showerhead over a bathtub or whirlpool bathtub attachments does not increase the drainage fixture unit value.
` See section 709.2 through 709.4 for methods of computing unit value of fixtures not listed in Table 709.1 or for rating of devices intermittent
flows.
Trap size will 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.
` 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.
TART.F 7n9.2 nRA1NAGE FIXTURE UNITS FOR FIXTURE DRAINS OR TRAPS
FIXTURE DRAIN OR'
TRAP SIZE (inches)
DRAINAGE FIXTURE
UNIT VALUE
I '/.
1
I %s
2
2
3
2 y2
4
3
5
4
6
COMMERCIAL — INDUSTRIAL — INSTITUTIONAL FEE CALCULATION: Total Fixture Units (F.U.): Z F.U.
Total ERU(s) : Total F.U. divide by 20 = ZS ERU(s) (F.U. / 20 = ERU)
Water Impact Fee: $1193 x ERU(s) = $ 29 8
/ C9C>
Sewer Impact Fee: $2688 x .2 5 ERU(s) = $ b 77 --
Updated: July, 2005 Page 2 or 2 Standard Plumbing Code 1997
►i
DATE:
PERMIT #:
ADDRESS:
kk
4
CERTIFCATE OF OCCUPANCY
REQUEST FOR FINAL INSPECTION
CONTRACTOR:
****INTERIOR REMODEL ****
01/26/06
06-564
1185 Rinehart Rd .
Sierra Construction
PHONE #: Ed 407-810-6253
\°
LR
v
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.
.. ► gineering
[]Public Works
❑ Utilities
❑Fire
Zoning
❑ Licensing
CONDITIONS: (TO BE COMPLETED ONLY IF APPROVAL IS CONDITIONAL)
DATE:
PERMIT #:
ADDRESS:
kk
4
CERTIFCATE OF OCCUPANCY
REQUEST FOR FINAL INSPECTION
CONTRACTOR:
****INTERIOR REMODEL ****
01/26/06
06-564
1185 Rinehart Rd .
Sierra Construction
PHONE #: Ed 407-810-6253
\°
LR
v
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.
.. ► gineering
[]Public Works
❑ Utilities
❑Fire
Zoning
❑ Licensing
CONDITIONS: (TO BE COMPLETED ONLY IF APPROVAL IS CONDITIONAL)
CERTIFCATE OF OCCUPANCY
REQUEST FOR FINAL INSPECTION
DATE:
PERMIT #:
ADDRESS:
CONTRACTOR:
PHONE #:
****INTERIOR REMODEL, ****
01/26/06
06-564
1185 Rinehart Rd .
Sierra Construction
Ed 407-810-6253
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 ❑ Fire
Z nin
O.Public Works N O ❑ o g
0
❑ Utilities 4e. ❑ licensing
CONDITIONS: (TO BE COMPLETED ONLY IF APPROVAL IS CONDITIONAL)
CERTIFCATE OF OCCUPANCY
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 ❑Fire
❑Public Works
Quitili4s
D i �G
❑Zoning
❑ ►Licensing
CONDITIONS: (TO BE COMPLETED ONLY IF APPROVAL IS CONDITIONAL)
REQUEST FOR FINAL INSPECTION
****
****INTERIOR REMODELzi
M
3
1
DATE.
01/26/06
PERMIT #:
06-564
►�
'
ADDRESS:
1185 Rinehart Rd
CONTRACTOR.
Sierra Construction
+
CCic
8
PHONE #:
Ed 407-810-6253
"
wn
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 ❑Fire
❑Public Works
Quitili4s
D i �G
❑Zoning
❑ ►Licensing
CONDITIONS: (TO BE COMPLETED ONLY IF APPROVAL IS CONDITIONAL)
LMBC1001 CITY OF SANFORD
Address Misc. Information Inquiry
Location ID . . . . . . .
Parcel Number . . . . . .
Alternate location ID . .
Location address . . . . .
Primary related party . .
Type options, press Enter.
5=View detail
Opt Description
CUSTOMER SERVICE NOTES
CUSTOMER SERVICE NOTES
CUSTOMER SERVICE NOTES
CUSTOMER SERVICE NOTES
_ CUSTOMER SERVICE NOTES
_ CUSTOMER SERVICE NOTES
_ CUSTOMER SERVICE NOTES
_ CUSTOMER SERVICE NOTES
CUSTOMER SERVICE NOTES
277955
32.19.30.502-0000-0020
1185 RINEHART RD
1/27/06
08:36:29
Free -form information
TO BE LOCKED. THESE METERS MUST HAVE
BACKFLOW DEVICES ATTACHED & BACKFLOW
TEST DONE. WHEN CUSTOMER HAS TEST DONE
THEY MUST NOTIFY/FAX TO INSPECTOR -
CHARLES EDWARDS TO GIVE OKAY TO UNLOCK
METER.... SB 10/10/05***
***GARBAGE PAID FOR BY PROPERTY OWNER***
SW DEV FEE $672.00 WA DEV FEE $298.25
SEE BP06-564 PD 11-30-05
F2=Address F3=Exit F5=Special Notes F9=Parcel Notes
F12=Cancel
LMBC10@1 CITY OF SANFORD
• 11 Address Misc. Information Inquiry
Location ID . . . . . . . 277955,'
Parcel Number . . 32.19.30.502-0000-0020
Alternate location ID . .
Location address . . . . .
Primary related party . .
Type options, press Enter.
5 View detail
Opt Description
CUSTOMER SERVICE NOTES
CUSTOMER SERVICE NOTES
1185 RINEHART RD
1/27/06
08:36:29
Free -form information
3/4"WA METER SET FEE $355.00 PD 1-12-06
REC#8319
F2 Address F3=Exit F5=Special Notes F9=Parcel Notes
F12=Cancel
****INTERIOR REMODEL ****
DATE: 01/26/06
PERMIT #: 06-564
ADDRESS: 1185 Rinehart Rd .
CONTRACTOR: Sierra Construction
PRONE #: Ed 407-810-6253
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
i Fire Aid
❑Zoning _
❑ Licensing
CONDITIONS: (TO BE COMPLETED ONLY IF APPROVAL IS CONDITIONAL)
COUNTY OF SEMINOLE
IMPACT FEE STATEMENT
STATEMENT NUMBER: 05100015 DATE: November 29, 2005
BUILDING APPLICATION #: 05-10001508
BUILDING PERMIT NUMBER: 05-10001508
UNIT ADDRESS: RINEHART RD 1185
32-19-30-502-0000-0020
1.400 1000gsft 8,058.40
TRAFFIC ZONE:022 JURISDICTION:
NORTH ORD
Drive In 1,165.00
1.400 1000gsft 1,631.00
SEC: TWP: RNG: SUF:
PARCEL:
SUBDIVISION:
Retail < 50K Square Feet*
TRACT:
PLAT BOOK: PLAT BOOK PAGE:
BLOCK:
LOT:
OWNER NAME:
AMOUNT
.00
ADDRESS:
N/A
APPLICANT NAME: SIERRA CONSTRUCTION
ADDRESS: 1742 WIND WILLOW RD ORLANDO
N/A
FL 32809
LAND USE: BANK DRIVE-IN
.00',
TYPE USE:
N/A
WORK DESCRIPTION: CITY-SANFORD
.00'
SPECIAL NOTES: TRUSTCO BANK SAM'S WHOLESALE
RETAIL
STRIP
-----------------------------------------------
.00'
FEE BENEFIT RATE UNIT
I-------------------------------
CALC
UNIT TOTAL DUE
TYPE DIST SCHED RATE
-------------------------------------------------------------------------------
UNITS
TYPE
ROADS-ARTERIALS CO -WIDE ORD
Bank/Savings -
ROADS -COLLECTORS
Drive In 5,756.00
1.400 1000gsft 8,058.40
Bank Savings -
NORTH ORD
Drive In 1,165.00
1.400 1000gsft 1,631.00
FIRE RESCUE
N/A
Retail < 50K Square Feet*
00
LIBRARY
N/A
840.00 -
AMOUNT
.00
SCHOOLS
N/A
PARKS
N/A
.00',
LAW ENFORCE
N/A
.00'
DRAINAGE
N/A
.00'
CREDIT FEES:
SCI ROAD ARTERIALS
OWNER AND
Retail < 50K Square Feet*
2,962.00
1.400
1000gsft
4,146.80 -
SCI ROAD COLLECTORS NORTH
Retail < 50K Square Feet*
600.00
1.400
840.00 -
AMOUNT
DUE
4,702.60
STATEMENT Q
RECEIVED BY: '- f6p_ `
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**
PERSONS 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.
COPIES 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***
ISSUED WITHIN 60 CALENDAR DAYS OF THE RECEIVING SIGNATURE DATE ABOVE
* DETAIL OF CALCULATION AVAILABLE UPON REQUEST. CALL 407-665-7356.
CITY OF SANFORD FIRE DEPARTMENT
FEES FOR SERVICES
HO-N�E# 407-302-1091 * FAX #: 407-330-5677
\A
DATE: of
l �1.� P RMIT #:
BUSINESS NAME / PROJECT:
ADDRESS:
PHONE
AX NO.
Address / Bldg. # / Unit #
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20,
Square Footage Fees per Bldg. / Unit
Fees must be paid to Sanford Building Department, 300 N. Park Ave., Sanford, FI. 32771 Phone # -407-
330-5656. Proof of Payment must be made to Fire Prevention division before any further services can take
place. I certify that the above is true and correct and that I
will comply with all applicable codes and ordinances
of the City of Sanford, Florida.
SanSan o�Prevention Division i Applicant's Signature
PP b
CONST. INSP. [
] C / 0 INSP.:[ ]
REINSPECTION [ ] PLANS REVIEW
F. A. [ ]
F. S. [ t - HOOD [
] PAINT BOOTH [) BURN PE
I
TENT PERMIT (]
ANK PERMIT [
1 OTHER
TOTAL FEES: S�
(PER UNIT SEE BELOW)
COMMENTS:
Address / Bldg. # / Unit #
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20,
Square Footage Fees per Bldg. / Unit
Fees must be paid to Sanford Building Department, 300 N. Park Ave., Sanford, FI. 32771 Phone # -407-
330-5656. Proof of Payment must be made to Fire Prevention division before any further services can take
place. I certify that the above is true and correct and that I
will comply with all applicable codes and ordinances
of the City of Sanford, Florida.
SanSan o�Prevention Division i Applicant's Signature
PP b
FROM James Daly Tobin Architects FAX NO. : 518 439 0477 Oct. 14 2005 09:58AM P`15*
` NOTICE OF COMMENCEMENT
Permit No - Tax Folio No. 32-19-30-502-0000-0020
Sty of Florida
County of Seminole
The undersigned hereby gives notice that improvement will be made to certain Moat properly, and in accordance with
Chapter 713, Florida Statutes, the folIowing information is provided in this Notice of Commencement.
1. Description of property: (legal description of the propaly and street address if available)
1185 Rinehart Rd (TrustCo Bank) Legal desrripti n attacbed ac.
2.
3
5.
General description of improvement, interior tenant fit tx�((Tru ,)_ ,
Owner information : Please note that the landlord's inter
a. Name and address Deno P. Dikeou in the real estate is immune and not subj ec
6 e name in ori a Statute
502 N. Highway 17-92 Lo namedn-Florida
b, lntcrest in property tee simple
c. Namc and address of fee simple titleholder (if other than iC v 1 for b
to d in 0.
Contractor Book 5498, Pages 1154-1156, Seminole County
a. Name and address Sierra Construction Company Florida, attached hereto as Exhibit A
1742 Wind Willow Be e .Isle, FL 2809 incorporated by reference hereto.
b. Phone number 407-810-6253 Fax number 407-816.4330
Surety
a. Name and address none
b. Rhone number Fax number
c, Amount of bond
6. Lender
a: Name and address none
b. Phone number Fax number
7, Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as
provided by Section 713.13(1)(a)7., Florida Statutes:
a_ Namc and address _
b. Phone number Fax number
8. In addition to himself or herself, Owner designates of
_ to rive a copy of the Lienor's Notice as provided in Section
713.1.3(1)(b), Florida Statutes.
a. Phone number Fax number _
9. Expiration date of notice of commencement (the expiration date is 1 yearm the date 0� recordizrg unless a different
date is specified) or�.Xl�
Deno P. DIkeou$ign,z1=. of Owner
Sworn to (or affirmed) and subscribed before me this 17th day of October -7- 20 05 by
Deno P. Dikeou _ CERTI COPY
MARY NNE MORSE`
Personally Known % OR Produced Identification CLERK F C I C U I T COURT
Type o entifacation Produced o� g% NANCY.,3. EDBdFlaD
-- �� -- r - pfY }rt(SSION 0 DD 322421 SEMI C Y F E?
* EXPIRES: September 23, 2008
CLFRK
�'"rf OP i�� Bad�d irtru Budget Nogry Seim?$
V
Sin re of ota Public., State f Florida �` �P" T
Signore rS'
Co iss:on Expires: Y . HOWSEt ULEW W iaTKA141` C"T
THIS INSTRUMENT PREPARED, BY:
FILE NUM 2005196709
NAME
ADDR.
11+t 1=E1�S ilI
C by t holden
IR1111IIIB1911111111111 milli onsimpulimil
MRRYANNE MORSE, LURK OF CIRCUIT COURT
SFhINUIE CU1 M
BK 05498 PGS 1154-1156
CLERK'S i# 2004167530
RECORDED 10/29/2004 081133:52 AM
RECORDING FEES 27.00
RECORDED BY L McKinley
Prepared by and Return To:
Deno P. -Dikeou .
502 N. Highway 17-92, Suite 200
Longwood, FL 32750
NOTICE OF LIEN PROHIBITION IN LEASES
(Section 713.10, Florida Statutes)
Please take notice that Deno P. Dikeou, of 502 N. Highway 17-92,
Suite 200, Longwood, Florida 32750, is the owner (hereinafter referred
to as "landlord") of the building being constructed at 1151 Rinehart
Road, Sanford, Florida, situated and being in Seminole County, Florida,
and more particularly described as follows: See legal description_
attached hereto and incorporated herein by reference as Exhibit "A".
All of the leases entered into by the lessor subsequent hereto for the
rental of premises on the aforementioned parcel shall prohibit
liability for construction liens and contain the following specific
language:
LEASE ADDENDUM PARAGRAPH 9: CONSTRUCTION LIENS, OR CLAIMS: Nothing
contained in this lease shall be deemed or construed inanyway as constituting the
consent or request of Landlord, express or implied, by inference or otherwise, to any
architect, engineer, surveyor, contractor, subcontractor,- laborer, material— or
mechanic for the performance of any labor or thefurnishing of any materials or
services requested. by Tenant for or in connection with the Demised Premises of the
Building of which the Demised premises are a part. Notice is hereby given that
Landlord shall not be liable for any labor or materials or services furnished or to
be furnished to Tenant upon credit, and that no construction or other lien for such
labor, materials or services shall attach to or affect the fee or reversionary or
other estate or interest of Landlord in the Demised Premises or the Building of which
the Demised Premises are a part or in this Lease. All persons dealing with the
Demised Premises or the Building of which the Demised Premises are a Dart and with
the Tenant are hereby put on notice that the Tenant does not have the power to deal
with the Demised Premises or the Building of which the Demised Premises are a part in
such a manner as to authorize the creation of construction liens, by implication or
otherwise, and all persons making improvements to the Demised Premises or the
Building of which the Demised Premises are a part, either by doing work or labor or
services, or by supplying materials thereto, at the request of Tenant or persons
dealing by, .through or under Tenant,are hereby put upon notice that they must look
solely to the Tenant and not to the Demised Premises, or the building of which the
Demised Premises are a part, or any part thereof or to the Improvements or to this
Lease for the payment of all services, labor and materials performed upon or
delivered to the Demised Premises or the Building of which the Demised Premises are a
part.
Deno P. Dikeou
State of Florida,
County of Seminole.
Sworn to and subscribed before me, by Deno P. Dikeou, who is
Personally known to me and who did take an oath, this //z:;'1 day
o f mcg,. , 2004.
MYC40MMMI0N#D0322121
�.'v // -� • OM rid-C��
EXPIRES:S*xr6e23.20D8
NanC S.. �denfield
1.4Wn.L,*W yS—
Notary Public, State of Florida
My Commission Expires:
EXHIBIT "A"
Legal Description
A portion of the Southwest 1/4, of Section 32, Township 19 South, Range 30 East
Seminole County, Florida, being described as follows:
Commence at the Northeast corner of the Southwest 1/4 of said Section 32,
Township 19 South, Range 30 East, Seminole County, Florida; thence North 89"
4627" West along the North line of the Southwest 1/4 of said Section 32 for a
distance of 330.00 feet; thence South 00°03'12" West for a distance of 296.17 feet
to the POINT OF BEGINNING; thence continue South 00"03'12" West for a distance
Of 337.97 feet; thence North 89"56'483" West for a distance of 385.10 feet; thence
North 20"48'23" West for a distance of 178.69 feet to the aforementioned South
Right of Right of Way Line of Rinehart Road; thence North 69°11'37" East for a
distance of 480.20 feet to the POINT OF BEGINNING.
Containing 2.479 acres more or less.
Commonly known as 1151 Rinehart Road, Sanford, Florida
Parcel ID# 32-19-30-502-0000-0020
ofle 4W
U75 HONDO WAY - "DOS FLORIDA 3010 - (407) 299.3588
Ed Sierra January 28, 2006
Fax 407-816-4430
TEST & BALANCE REPORT DUNE 1-27-06 FOR:
Trusco Bank It 85 Rinehart Road SsnfoTd Florida.
Technician William Banning, Libby Twins Heating and Air Conditioning.
Total Design ck's 1600.
There ate 5 supply grills. Reading
fiud from back:-
Cfm's
Supply # 1 Design
310 Actual Final Test
320
Supply # 2 Design
290 Actual Final Test
280
Supply # 3 Design
350 Actual Final Test
340
Supply # 4 Design
390 Actual Final Test
390
supply # 5 Design
250 Actual Final Test
250
Totals
Q
T t `falls in the perimeter of doign plus or minus 5%.
Jbssie T Libby
0
H
CITY OF SANFORD PERMIT APPLICATION
Per; lit # : 196 — S47t�( Date: / 1 I (o)
Job Address: _ _((Q� R 44(NF_"4,bfi Ra
Description of Work: )RS' ALL cmue k �bt/r cz S &a-
Historic District: No Zoning: Value of Work: $ 20()05
Permit Type: Building Electrical __ /Al
Mechanical Plumbing Fire Sprinkl arm ✓ 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 # of Gas Lines
Plumbing/New Residential: # of Water Closets Plumbing Repair - Residential or Commercial
Occupancy Type: Residential Commercial Industrial Total Square Footage:
Construction Type: gE W # of Stories: ( # of Dwelling Units: Flood Zone: (FEMA form required for other than X)
Parcel #: (Attach Proof of Ownership & Legal Description)
Owners Name & Address:
Phone:
Contractor Name & Address: EL $csPlrS b_N G t NC t Q- I tJ G 5ER V I ce-� f N C . 20oo Aijps-N (2A
o3 State License Number: S l `Z D 13- 9 8)-7q
Phone & Fax: �t37• M? •-1 3 7$ q07` t 7 7 • 73 7 �f Contact Person: SCOT ( ( Zp') S Phone: 3Zi '(OS?-
Bonding Company:
Address:
Mortgage Lender:
Address-
Architect/Engineer: Phone:
Address: Fax:
Application is hereby made to obtain a pennit to do the work and installations as indicated. 1 certify that no work or installation has commenced prior to the
issuance of a permit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction. 1 understand that a separate
pennit 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 requi is ori Lien w, FS 713.
i2
Signature of Owner'Agent Date Signature of Contractor/Agent Date
Print Owner/Agent's Name
Signature ol'Notary-State of Florida Date
OwneriAgent is Personally Known to Me or
Produced ID
4��APPLICATION APPROVED BY: Bldg: Zoning:
(Initis to
Special Conditions:
5c0« G r tiAq+ Jcl S
Print Cont c -Age Name
Signature of Notary -State of Flq t Date
A. NiY COMMI�SIDN # DD 164280
November12,2006
Cont` g ntgi�`,§��, Thr Ied�tiNhFl�`iS'fiWn to Me or
n Produced ID -113'
(Initial & Date)
Utilities:
FD:
(initial & Date) (Initial & Date)
Single One time low voltage
Building Permit
Power of Attorney
To: City of Sanford 1/20/06
Attn: Building Department
Ref: Low Voltage Permit
06-564
To Whom It May Concern,
Nelson's Engineering Services is under contract with Diebold to install their security
wiring and equipment at their customer site — Trustco Bank — 1185 Rhinehardt Rd, Sanford,
FL — building permit # 06-564. I, Cliff Austin, am the Low Voltage License holder for
Nelson's Engineering Services — license number ES 12000159.
I hereby authorize Scott Harris and/or Alex Gonzalez to register, apply for, sign for and
pick up any and all necessary Low Voltage Permits required to comply the City of
Sanford for this project. If you have any questions or need to contact me — please call
813-713-0193.
Thank you, STATE OF FLORIDA
Cliff Austin COUNTY OF HILLSBOROUGH
:foregoing instrument was acknowledged before
^ me on ft.69day
Uf 0� by Cl . ff �6Tkl
Who is persona ly known io ale or who has produced
Area Manager kl el t _� s identification.
Nelson's Engineering Services X �GL a -A/
Notary Public Signature
Ch°1_ofte W. Saunders
2° Commission #DD303290
Expires: Apr 25, 2008
BondedTh-
Atlantic Bonding Co., Tnc.
Permit #: S (QK nn� jj
Job Address: (� l � ✓s✓Jn.,O/
CITY OF SANFORD PERMIT APPLICATION
Date:
Description of Work: RA 3 c oAA s O D k r , e i—Jj, V: �1 o i5r �_j, 4t
Historic District: Zoning: Value of Work: $ 70 p -D
Permit Type: Building Electrical Mechanical ✓ Plumbing Fire Sprinkler/Alarm Pool
Electrical: New Service — # of AMPS /Addition/Alteration Change of Service Temporary Pole
Mechanical: Residential Non -Residential I/ 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 #:
Owners Name & Address:
(Attach Proof of Ownership & Legal Description)
Phone:
Contractor Name &Address: (/Jc" Oil!-
a i
State License Number: _
Phone & Fax: T� , sg(n — !g:6 "*UContact Person:
Bonding Company:
Address:
Mortgage Lender:
Address:
Architect/Engineer:
Address:
Phone:
Fa x:
Application is hereby made to obtain a permit to do the work and installations as indicated. 1 certify that no work or installation has commenced prior to the
issuance of a permit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction. 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: 1 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 requ emen s o ida Lien,w, F 713.
l .2 d0(,
Signature of Owner/Agent Date Signature of Contra for/Agent Date
Print Owner/Agent's Name Print Contractor/Agent's Name
Signature of Notary -State of Florida Date S nature of Notary -State of Florida Date
Owner,/Agent is _ Personally Known to Me or Contractor/Agent is Personal y Known to Me or /' f4
Produced ID _� 1 L Produced ID _ �% .44 - 3a(�
I -
APPLICATION APPROVED BY: Bldg:
(Initial & Date)
Special Conditions:
Zoning:
Utilities:
FD:
(initial & Date) (Initial & Date) (Initial & Date)