HomeMy WebLinkAbout898 Gary Hillery Dr - BLDC PERMITCITY OF WINTER SPRINGS
Building Division "
1126 East SR 434
Winter Springs, F 08
Office: 407-327-5963 Inspe tion Line: 407-327-7596
Permit #: DEMO 200500346 DEMOLIT 0:
Issue Date: 20-JAN-2005
Parcel #:0121305BH00000830 Lot #: 083
Site Address: s '
�� G- � t� v� 1�, � 1 a� ��
Owner: (OWN) Tep Enterprises In
1341 Falconcrest Blvd �� I � �
Apopka, FL 32712
Contractor: (PC) PETROLEUM AMD CONSTRUCTION SERVICES
2173 PLATINUM ROAD, APOPKA, FL 32703
Licenae #: PCC045042
Work: DEMOLITION ALL OTHER BUILDINGS
Description: REMOVE (2) 10,000 GAS TANKS & ASSOC PIPING, BACKFI
Value of Work: $29,500.00
Square Footage: Floor Footage
Total:
Construction Type and Occupancy: Code Descri tion
Sprinklers:
�� e, - �► e ,� o
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a\�1mS �►�
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P, t - n..�,w,.�
4',�,�.Vt-�Pi1 C�t 4� 5
�: 407-880-0850 / R;
ACT & POUR
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Fees: Code Description Paid Due
DEMO DEMOLITION $60.00 $0.00 $60.00
Total: $60.00 $0.00 $60.00
Notice
This permit becomes null and void if work or construction is not begun within
six (6) months after its issuance, or if the work authorized by this permit
is suspended or abandoned for a period of six (6) months after the time the
work is commenced.
Certification
I hereby certify that I have read and examined this document and know the same to be true and correct. All
provisions of laws and ordinances governing this type of work will be complied with whether specified
herein or not. Granting of a permit does not presume to give authority to violate or cancel the provisions of
any state or local law regulating construction or the performance of construction.
�,
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Signiture f Contractor or Authorized Agent Date
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G1T F N� EV SPTM Gs
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COPYRIGHT KIVA 1997 - 2005
REC�IVED
Permit # � �� U
CITY OF WINTER SPRINGS
PERMIT APPLICATION
Date �IZo `as
J�� � 0 20�� :
Time 3 4es�'"�'
Type of Permit: (Check all that apply) Building Electrical Plumbing Mechanical
Fence Pool Shed Roofing
C'nntrac.t ValnP� ',� s'G�p� Orphan R.O.W. P.O.D Slgl
Arbor Permit # . Septic Permit #
(Fee Simple) Owner's Name �-! 1, I IVL Phone # 4a7- 532 - Zo3�
Mailing Address I 3� (�E �. — �2(.,�sy��06 .�- 3Z$p
Construction Address �S �� �4�vLL�2s � ��l-T l�� Lot #
Living sq.ft. l floor 1 Living sq. ft. 2" floor Living Other sq. ft.
Sq. ft. Of: Garage Entry Rear Porch Other non-conditioned
Subdivision Zoning Section Township Range_
Contractor 1't �l�onstYU oh Address Z�'l3 Pc��.tu�l P.c� -�poPlca _�'t,3ZZo3
S�v�V► ,
Phone #4b?-SSp-�5�icense #'PGGb4r'.�42 Expires a bCP Workman's Comp Expires
Bonding Company �J l Q Address '
ArchitectlEngineer IU �� Address
IV�ortga�e Lender 1�1 �,� Address
_....._.
n <�.
Work Description �e�� CZ� �o,000 �. �Aw1C'� ��,sac.�1 �pnac, �AeJcF�l.t.�Co+flee��.Qau¢. 6 3000pst�'a
Electrical Contractor Address
L�icense # Expires Phone #
Work Description
Amperag� Voltage Phase T=Pole: Yes
iVlechanica) Contractor Address
License # Expires Phone # �
Amperage,
I�C•!
Contract Amount $
Work Description
System Type EER SEER `� �
PlumbinE: Contractor Address
License # Expires Phone #�' Contract amount $ �
Work Description .
# of: Fixtures to be added . �
Sewer Water Heaters Vacuum Breakers UG Water • Drains
Commercial Fixtures: As defined by 1'994 Standard Plumbing Code Fixture Unit-Table 713.1
OTHER: Type_
License#
Work Description
Contractor Address
Expires Phone Contract Amount:
JWL/1[//LL/L�' rVV[ -
i
Lot Grading Type: -� � -' � r ' � �A,
Will Existing Drainage Be Altered? _
B, C, Other
Yes, No.
�
Distance from edge of pool to: Rear Yard, Side Yard 1, Side Yazd 2.
Engineering Division may require a survey for final inspection.
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C:\docslwords�Permit Applicarion 7_22_02DJA (407) 327-5963 1126 EAST SR 434 WINTER SP�RINGS, FL 32708
. Building Division
�` `�.�\;� ��� -
F'ence�.�. . � . . , -
i ' �{�i '�;; "� '� "�l/\ ;
Type of;Matenal for Fence
Line 1 �Feet'of Fence, to
�1:�.. . . . .
Sigo: Name of Business
Owner/Manager_
Installer/Sign Co.
Fence Height
; ,Contract Amount $
Phone # _
Phone #_
Phone #
Existing Sign (X/N) •, � ,� Description ; .- n , � -�
�
Proposed Sign Description � � , • .± i :. ,
Size of Sign X - Contract Amount� $.: '
, �. _ . . ,-.,.. ,
Type of Sign Outdoor Advertisement (on-site) Construction
Outdoor Advertisement (off-site) Identification
OFFICE USE ONLY
CALCULATED VALUE
PERMIT FEES ° ' ; ,, t � -, .. . � . � � � � � . �, . �
Building Permit �
Plan Review
Electrical Pernut
Mechanical Permit
Plumbing Permit
Right-of-Way Permit
Arb P
. � ;.
: , , IMPACT FEE�' ' � � � � "; � _ ; � • : � � c � .�; �-�, .
, , - Transpor•tation�,,Iir�pact � - � � f:, � '
� Police Impact� ��
Fire Impact �
Other •
• � �
� �� y . �
.. , . or ernut „ .. ., � , , .;4 q . . . ., .. . . : r_1
� Otlier � ' , • . .
PERMIT TOTAL:
Community Dev: Reviewed By Date: Approved:
Engineering: Reviewed By Date: Approved:
Fire Marshall: Reviewed By Date: Approved:
Building: Reviewed By Date: Approved:
IMPACT FEE TOTAL
>,
„
Real Estate
Other
YES NO
YES NO
YES NO
YES NO
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
YOU PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN l
CONSULT YOUR LENDER OR ATTORNEY BEFORE RECORDING A NOTICE OF COMMENCEMENT.
T IN
0
APPLICANT: I CERTIFY THAT ALL THE FOREGOING INFORMATION IS ACCURATE AND THAT ALL WORK
WILL BE DONE IN COMPLIANCE WTTH ALL APPLICABLE LAWS REGULATING CONSTRUCTION AND
ZONIlVG. I FURTHER UNDERSTAND THAT WORK MUST COMMENCE WITHIN 60 DAYS AND BE COMPLETED
WITHIN ONE YEAR FROM DATE OF ISSUANCE OR TI� PERMIT WII.L EXPIRE.
COMPL.IANCE CERTIFICATION I CERTIFY THAT THE POOL CONSTRUCTION WILL COMPLY WTTH ALL
APPLICABLE N.S.P.I. DESIGN REQUIlZEMENTS AND THE POOL COMPLIES WITH SECTION 1803.1.3 OF THE
1997 STANDARD BUII,DING CODE. -
OWNER MUST SIGN ALL PERMIT APPLICATIONS. EXCEPTION: CONTRACTOR PROVIDE AN "OWNER SIGNED"
CONTRACT OR P. NQTARIZED POWER OF ATTORNEY, FROI�4 TFIE O«�'�IER, GRANTING AUTHORITY TO THE
CONTRACTOR. / I
SIGNATURE
' (Owner/Agent)
The foregoing instrument was aclaiowledged
Before me this day of
20 By �
who is personally lrnown to me and/or has produced
as identification and who did (did not) take an oath. as iden
Notary Notary
(seal) (seal)
C:\docs\words�Permit Application 7_22_02DJA (407) 327-5963
Building Division
SIGNA
�(Contractor)
The foregoing instru t was acknowledged
Before me this � C� day of �� •
20 OSByA �
who is personally
me and/or has pro
-
dldid notl e an
1126�� 81RhAe�4otid�(i3� SPRINGS, FL �32708
G � � My Commission DD767488
�� A e� Expires November 24, 2006
�
� . .
PETR � LEUM
&CONSTRUCTION SERVICES INC.
Building & Zoning Department
TO WHOM IT MAY CONCERN:
I hereby give my Power of Attorney to — �ol.� �l C��L to sign for and obtain
permits in the city of 1�h�rts�z. �b5 , county of for the project listed below.
PROJECT: '?-t 1�' l 9 332
�ft � �a•Q*P N � Lt.4E� ►�.. �Cot.T ►�R.�
W t N?E2 ��r.� g P-L.
Sincerely,
�-
Richard A. Quinn
Vice President, Sales and Marketing
CBCO35082
PCC045042
EC 13001928
CFC046990
CMCO53199
CUCO56663
State of Florida
R�CI�EIV�D
��+� Z � 200�
Gn( OF VVIPITER SPWK�
Pe�mitll�0 - Wli@�
County of Orange
The foregoing instrument was acknowledged before me this
Richard A. Quinn, who is personally known to me or who has produced
ID) as identification and who did/did not take an oath.
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Notary Public
State of Florida at Large
20 by
(type of
My Commission Ex�ires:
, �` r Eteenor Bemice an
-` � � Ic�y1 C�PUrpSSic�n DD139313
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2173 Platinum Road
Apopka, Florida 32703
T.407.880.0850 •
F. 407.889.0930
License #CBCO35082
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DfPARTMfNF Of PUBLIC SAFFTY
�MERGENCY MANAGEMENT DfVISION
CERTIFIED MA1L#�OD4 OD00�768 7i8Z UREAU
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.SfM/NL �LL` GOIJMY
FLORIOVI' � NATURAL CHOICE
January 7 , Zoos � Rf. CEIVED
Mr. Donald L. Lewis, P.E.
Shaw Environmentai, Inc. .�IQ� f Q z�
725 U.S. Highway 3Q1 South
Tampa, Florida 33619�349 --- -- .•.
� 1 ' . !•': i�.. ;t • Y' �
SubJect: 1 ��������� ' ! �' ~ .
7-Eleven #19322 '
Winte�Spn�s�S�e ,�� � 0 200�
FDEP Facilily I� �.588520662
Warfc Or+der. 2005-59-WOB376 c� P�� R��
i
Desr Mr. Lewis:
The Seminole County, DepartmeM of Public Sefety, Emergency Management, 'etroleum
Cleanup Program (SCPCP) has completed the revlew of the Limlted Scope Remedial Ac�on Plan
(LSRAP) dated Jenuary 4, 2005 (due January 17, 2005) and rec�ived January 5, 2�05. The
Report was submitted as a deliverabte end summarized the resuKs of the work peifonned in
accord�ance witl� the above referenced Work Order. We found this Report to be generally
adequate in meeting the requirements of the Work Order.
The SCPCP has the folbwing comments:
SeCdon 2.4 - Soil Excavafton nob� thet one soil boring will �e cor�ple�ed to
collect six soil samples. The current WoAc Order includes six soil I�orings to
collect the sa pre-burn soil samples. Therefore, please cacnptete six borings �o
obt�in the pre-bum �amples.
2. The LSRAP notes that groundwater samples will be ooflec�ed from MW �. MW-9,
MW-15. MW-18, AAW 22, NNV-29, MW and MVIf-31. Plea�e not�; I�at the
cument Wortc Or+d� also includes collecdng a groundwater samp� froin MW-21.
Please ensure thet a groundwater sample 1s also colle�ted irom M1N' •21 du�ng
the groundwater eampling eventi
. �
Please proceed wwlthh tl�e so� excava�on as detatled fn the LSRAP with it�e changes no1 �d �bave.
It you should have any queetions, please contact me at (407) 665-2338. .,
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GL.- .
aron Smeenk, CHMM ames B: Russell, P.E.
Engineer Pria�cfpal Engineer
P@troleum Cleanup Program Fb�7da Rbgistratlon #.49329
SSIjNpp Daae: -- - a r .
cc Orace RNera, FDEP-BP8S
Jadc VV�ight, 7-El�wn, Ine., 1300 l,ee Road, piando. Flotlda 32810
Alec SMng, Bryce Fos�r CorP.. P.O. Box 547847, Orlando, FL 32854
590 W. LAKE MARY BLVD SANFURD FL 32773-6179 TELEPHONE (407) 665-2330 f•AX (4b7) 665-2341
1`1�u
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DEPARTMENT OF PUBLlC SAFfTY
EMERGfNCY MANAGEMfNT DIVISIdN
PfTROLEUM STORAGF TANKS BUREAU
December 20, 2004
Mr. John K Hansen, P.G.
Shaw Ern(ronmeMal, Inc.
725 U.S. Highway 301 South
Tampa, Florida 33619-4349
J _�
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.SEM1N( )L� GOLAV7Y
iIORIDA", NATURAL CHOiCE
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JAN 3 � `';- :�:';;=; �.,;
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Subject: Work � er . . . . , ' � �,
7-Eleven #19322 � ���� � o �; �
898 Colt Orlve (G�y Hillary Drfve)
Wlnter Springs, Seminole County, FL
FD�P FBGBty ID �98520682
Work Order �ZQ0�59-W0B37B
Dear AAr. Hansen:
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EnGosed is ths Work Order and proposed fbr the Soua:e Removal and Supplemental �ite Asfessment et the
above refdrenced fsdlity. Remember, you may rtat initiate this woAc uMil the signed wrark order, wifh
associated templates, end 3 copies have been retumed to the DepaRmeM oi Envlronmental PnRectlon. These
should be sent to:
Departmerrt of En�lronmental Protectlon
Attn: Grace Rivere
2600 9Mdr Stone Rd, MS 4546
TsllehaBSee, FL 3239&2400
Additloneity, please retum one copy to the undersigned at the letterhead address. Pleaae do n�n retum e copy
of this crnrer letter or proposaL
Peraons responable ior c�nducting flpld activities essocia�d wlth the worfc order are rec�,ired � o notlfy the site
manager at laast 8 eMvs�rlor to anv fleld avsM in accordanes with 62-770.830. Fanury►,�• noWv � mav
result irt f»r(ettu�e of comcfonsatlo� for fleld activlHea and retainaae.
If you should have arry questions, please �d me st (407) �5-2338 or at the tetberhead addi ess.
�
Sheron Smeenk
Engineer
rlpp
Enctoaure(e)
Ce: Couirty File w/o enGosuros
Petroleum 8 Constniction S�vicea, Inc., 2173 Platinum Rcad, Apopke, FL 32703
SRQ Inc.,
Prer.�I�n Sampdne, Inc..1000 Ocoee Apopka Ropd �4450, qpcplcs, Flodda 32703
Aa� laboretorfes, SE, 44pS Wneland Roed, S1e �15. Orla�o. FL 32811
Alec S'binp. Bryce FoeEer Cap., P.O. Box 547841, Orla�o. FL 32854
510 W. LAKE MARY BLVD SAPVFOflD FL 32773-6179 TEIEPHONE (407) 665-2330 fAX (4�i7) 665=2341
� _ _.. __�_ _,�..� �
Petroleum Preapproval Program Work Order
rropc onder Nwn�: 2oos.se-wns3�s cost cencer�: a�a5oaoasss categouy: os�ua �r oa.�s
PD�P Ra�Blty Id �: • ��2 9coro: �! CoMrac t#:blA
8lb� Fi�n�e:
E1ipIbilN y: P_�Mv Soo�
A� (8fneet, �F�11: CouM�r: $�fno�e
COII�C�O� NaR19C BHAW ENt1/�ONMENTAL ING ID �: 01 Q77
CO�b�Of Addf�B: 7�8 Us Nlaha�rwr 801 Son+!!_ Tem�, a e. e �� ����� �
�� �S�ative: Jahn Wenesn — F�ID *: 77-0888932
Phons �f : 8131828-2336
FDEP Sl�e �ny�r: Sharon 8meenk ,J�,� � O ZOO� Phone �; �Q7L�6-2338
Ckanup Phaee: gow�ca Rernonral .
�nUP �% �dA�D �OIL REIAOVAL cITY v�mtmno RI� �
WoNc O� O��Ipt�on: (Per attacheC proposal and na�ed changes)
1n pa�e��t a000r�r�oe,nri� the shaw Ernlronmentaf. Ina proposel datied ueoember 8, 2oos (ceoewed oeoember • o, 2ooa)� e�
inlbnnetlon rec�Ved �n�u�gh December 40. �04, end 1he �ched 8eminol� CouMy template, comp�be eource r emarel e�ldes as folldws:
FlR8T 6'1/Ea1T: Collect ebc prabum soll eamplee �rtd ae�y� Fn exordance wfth the 8emp11ng Param�er Teble. SnmbR� 3 Wmqed
�pe ftem4d�! Action �Plen ( LSRAp') for Baur�s Removat Acdivltiea. ,5,,�,�„ �
SECOND EVENY: Upon Saminole Crnuity +�ivlew and epprov�l of the LSRAP� oomplete sourcs nmoval ac�v /lbe AAW�B� hmtafl
�pa�t and 8ouroe Remnval�Repat e. Corufi,Ct safl removal In 8wotdAnca wRh �e eppt�ared LBRAP. 8ubmit� PDES biact�a MonNor
THlfm ENEf�fT: � Upon SerWnols CouMy revleMt and approval of tl�e Sounce Renwval Report, t�a11 tlmee ehatlow ! Irota�dwe6er monitor w�e�s to
� 1 a Ibis, eaeened �181�1e {AAU11�29� MW 30 and NMI`37). CoAeot grouhdwater earnpte� 1Pronn the th ee na� insm�ed weqs
��� ����� s� ����n+p�r� Pe�m� T�e. CWlect g�oundMra�r elevatlone frorn 15 iema! nMig w�elis (�AVIF�1. MW�4,
R���1$ MW 13, MVI�14, MW-18� MIM-17. ARHM-19, MVII�20, MVV-23, MV1ti24�. MIAF-2S� nm! M4K�61. Sl�bmit 8up�etrl�tel Site
oan►e�u,to �:
os�ren.aN Z:
D�ii+r�r+a�ble s:
CAtiv�lebfs 4:
�etAree�bk 6:
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RECE�IVED
.��
; JAN � Z(�06
D�Nwrobts 6: � ; �t::�:����� ::; ::; ;: , : ,• Y .;�
e :,:s.r.
F�� ��Wf��: BUPP�MENi'AL SfiE e4�R�!ss�.* �s••
PaMad oi BsNico: � Contractor Repns�stive 8ignature Date To
M�w�t (6�a1. rob�tna6sl� �219 88T 72
��atr�,�
nu. oa� �:
D� bate 2:
Du� paib 3:
Dee [lste 4:
D�DQbB:
Dum Data 6:
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Final I)ue Dab: �lun. 1 2AOa
, Q4�,.,b�� 1 2{ �06
Retain�ge (10�i�i): �21.886 77
This IMORK ORpQt�fe not in e�c� uMq ei�ned by all partles. The FDEP wiil not
� atginal eignsdc�py has been r�umed to the �DEP. The FDEP wul not �' any emount ot th s WORK ORDSR un�l
rrot been pe►1�ormed �a of the date of Involce. PaY �or anY Pvrtlon of the a cope of work that haa
�� ��� Mi1R8gA�; `
FQEP Manager:
Cost Cent�er AdminNs��:
ConMector Repr�c����;
Coqhac�or Repre�enfallva:
(�eCOntl eonlractor elpnahne t� optbnaq
Fo�los P�e+—
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Flscal Revtevw. wqals:
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� �RE-INSPECTION
NOTICE
� CITY OF WIIVTER SPRINGS
� ' �UILDING DIVISION
Customer Service Office: (407) 327-5963, 5964, 5969
Schelule Inspection Line (407) 327-7569
Contractor: �" e: �' � o ��e u r. ,� ����• Se r �� ce �
Permit Number: 0.�� C7 � 3 7� � Lot Number:
Address: � � G � Z'1 f'� � ` � �� � � -
Inspection Performed: ��� 1 L e-''"� � Date: �J // Z?�
Remarks / Comments: P-` �� 0�2 r� o � ��'10 +� W � r�.. � G� �j-a c n d�o � e
pr �or � 1� s��c�o�s '�o Ver� ��H-,a'� �\ ec�+-, �'�
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RE-INSPEC�ION FEE: $ � •
NOTE: RE-INSPECTION FEES MUST BE PAID PRIOR TO RE-INSPECTION.
THIS NOTICE AiVD ALL APPROVED PLANS MUST BE ON SITE FOR ALL INSPECTIOIVS AIVD
RE-IIVSPECTIONS: PLEASE NOTE ADDITIONAL PA .�Y ❑ N
Inspector Contact Available 7:
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***LIVE***kEFRESHED 1/27/05��# �ISC
�ISCELLANE�US CASH RECEIPTS
Date / Time : 9�/92/95 13:55
NG SPECTOR Re ce pt � : 782 �
Check/Credit Card #: 13134
m. - 8:30 a.m. •(407) 32 5974 8988: dascano
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�' CITY OF WINTER SPRING8
�... PermiClno - qAike
Wednesday, February 02, 2005
City of Winter Springs
1126 E SR 434
Winter Springs, FI 32708
RE: 7'Eleven 898 Gary Hillary Drive [AKA Colt Drive] Winter Springs, FL
ATTN: To whom it may Concern,
On Tuesday, February 1, 2005, we sent an electrician to safe out the panels
at the above site. The technician did the following, removed all wires from gas
panel, made sure it was safe to remove without disturbing other panels, there
was NO conduit to gas panel, all other panels ok, NO visible damage.
If you have any questions or comments regarding work that was performed
please feel free to give us a call @ 407-323-6300.
Sincerely,
Chris Ferrara
�ce President
`� a, �,
J/ A_l rf�
S
71MMY A. LOWTHER
COMM�SSION i OD289978
EXPIRES FEB 11 2008
eOraDED netOlX'�+
Ru e�w►r� co�w�rrc
.
Tammy A. Lowther
tammy @ kkelectric. com
_.�