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HomeMy WebLinkAbout5450 Windsor Lake Cir 10-714dt 0 0 <R, Application No: �a'r Parcel ID: 12^2 Description of Work: CITY OF SANFORD BUILDINGA. FIRE PREVENTION -,FE,RMIIIT APPLICATION ma j'a JPictstrict: Y1 s!.❑ No V Zoning: �P Plan Review Contact Person:��h C/a�,�. Title: Phone:(�D��o�S7bg4�(� Fax,_WOF-573b E-mail:ddphr)eCldr�%nCfZV6 raem Property Owner Information Name AlQr(lc% lf�im !_GG ,/ Phone: (407 �—• �a8 Street: 7%S 1#Q/l��Sfhdla 13IUU Resident of property? City, State Zip: ©mal C / FG 3276 3 Contractor Information Name Mere /'� m JaJar��n/�,2/�� Phone: (40%1 �� —,1096 Street: 77S iTLI�lL/ cS'frlC.� �IUU Fax: _ ��(Oi) Qd i"- S )3{O City, State Zip: 32 763 State License No.: c,,,&04l 283 l� jJ Archoitlect/Engineer Information r� / Name: �c� ,B,CYI fzo� /✓� /aC� Phone:.32/-- Street: Fax: City, St, Zip: E-mail: Bonding Company: /%/�- Mortgage Lender: _leaN%,L 9� "61 Address: Address: &16 Al aU 4hoz.,oIOC� Tawe.. 331,07 PERMIT INFORMATION Building Permit �piC �� Square Footage: 44 /S Construction Type: No. of Stories: 2 No. of Dwelling Units: l Flood Zone: X Electrical ❑ Plumbing ❑ New Service — No. of AMPS: New Construction - No. of Fixtures: Mechanical ❑ (Duct layout required for new systems) Fire Sprinkler/Alarm ❑ No. of heads: Contact : DAPHNE CLARK (407) 257-6940 daphneclarkinc@cfl.rr.com v 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. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. NOTICE: In addition to the requ}rements of this permit, there may be additional restrictions applicable to this property that may be found in thf public records of this county, and there may be additional permits required from other governmental entities �uch as water management districts, state agencies, or federal agencies. Acceptance of permit is verificati I n that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713. The City of Sanford requires payment of a plan review fee. A copy of the executed contract is required in order to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the plan review fee based on past permit activity levels. Should calculated charges exceed the documented construction value when the executed contract is submitted, credit will be applied to your permit fees when the permit is released. of Print Owner/A eeatA btgbo T Signature of Notary -State of Florida Date 2p1PR; P„e�,c D. A. CLARK MY COMMISSION # DO 667814 ` * EXPIRES: June 27, 2011 ��ArFOFF�o�\o� Bonded Thru Budget Notary$eNIC8S Owner/Agent is " Personally Kno n to Me or Produced ID Type of 1D APPROVALS: ZONING: ENGINEERING: COMMENTS: Rev 11.08 v Signatu f Contractor/Agent f Date Air �Q(A Print Contract / Name •//a ...Signature of -State of Florida Date UTILITIES: SPRY pV 2° • •e�% D. A. CLARK * * MY COMMISSION # DO 887814 N EXPIRES: June 27, 2011 "'OF FI��\� Bonded Thru Budget Notary Services Contractor/Agent is Personally Known to Me or Produced ID Type of ID WASTE WATER: .FIRE: BUILDING: Fit obi �s Application No: 9 Job Address: e Parcel ID: 12-20^30 —$7/S 0000" /57 tir CITY OF SANFORD BUILDING .& FIRE PREVENTION - r l`ICl PERMIT APPLICATION bho strict: Yes,❑ No tl� Z=� Zoning: Description of Work: A6141 Plan Review Contact Person: ,�?Upht�P G%Q%'� Title: Phone: (�071,2 7—OW Faxr7)(?01"J 73b E-mail:"Cf hnecldr,���6C(�G (641 h� , /Property Owner Information Name IyIelIda &lyy G Street: 7a #(.711%Qlf(\fY1CG��lq City, State Zip: ©�aklal C./w, FG 327 3 Phone: /h0 -7J —• W Resident of property? : Contractor Information Name NQ%ca j I*h , k' k �M 11L ':?'(j Phone: &0715%" Street: 2Z � ��� la 61ud Fax: 1 /(Oi) City, State Zip: 2763 State License No.: 66!3 IZS42S3 &41764 J ��,,,, `a re -t�ect/Engineer Information / Name: �/�Llt/47 , ,lV//lorl /✓� lit Phone: 32�^ �S (��% 2. Street: City, St, Zip: Bonding Company: A) �r Address: Building Permit N.zAc 4k_ o Square Footage: No. of Dwelling Units: l Electrical ❑ New Service — No. of AMPS: Fax: E-mail: Mortgage Lender: _Aid 9� "�4? Address: &_16 Al aLdho& baa' TQW,09,tt 33107 PERMIT INFORMATION Construction Type: No. of Stories: 2 Flood Zone: x Mechanical ❑ (Duct layout required for new systems) C ontact: DAPHNE CLARK 7) 257-6940 larkinc@cfl.rr.com_j Plumbing I-] New Construction - No. of Fixtures: Fire Sprinkler/Alarm ❑ No. of heads: i i Application is hereby made to obtain a permit to do the work and installations as indicated. 1 certify that no work or installation has commernced 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 mast 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. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY1 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 thr public records of this county, and there may be additional permits required from other governmental entities luch as water management districts, state agencies, or federal agencies. Acceptance of permit is verificatign that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713, The City of Sanford requires pay ent of a plan review fee. A copy of the executed contract is required in order to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the plan review fee based on past ermit activity levels. Should calculated charges exceed the documented construction value when the exec > ted contract is submitted, credit will be applied to your permit fees when the permit is released. Sig�a(ure of Owner/Agent Date I r Print Owner/Agent' Signature of Notary -State of Florida Date °�PRv aUeic D. A. CLARK '* MY COMMISSION # DD 667814 * EXPIRES: June 27, 2011 Bonded Thr�u Budget Notary Services Srq-Or F`"z',T Owner/Agent is Personally Kno n to Me or Produced ID Type of ID APPROVALS; ZONING: ENGINEERING: COMMENTS: Rev 11.08 Q� -- �lti l��iL� �G C'-2�� b Signatu f Contractor/Agent f Date kw Jawx 44L�kra Print Contract ( Name •//a . Signature of •`State of Florida Date tpRt ruE D. A. CLARK * * MY COMMISSION # DD 667814 EXPIRES: June 27 2011 OF F0OP Bonded Thru Budget Notary Services Contractor/Agent is Personally Known to Me or Produced ID Type of 1D UTILITIES: /j 2.3 /6 WASTE WATER: FIRE: BUILDING: Applicatioi Job Addre • Parcel ID: CITY OF SANFORD BUILDING& FIRE PREVENTION PERMIT APPLICATION $�, o A >�iii �io " is rict-: Y`e No t s.❑ 7,,....,. Description of Work: A19141 v�thdYtJ� �h�� Plan Review Contact Person: t,(?%�Q� C��Qi� Title: Phone:(-{07),2S7"bgW Fax 71g0T"573b E-mail:datphnecldr',��'nC�cfl.r( r Property Owner Information Name 111le Adel l Wr' f I_LG Street: 775 /f fhCt/lJQ City, State Zip: ©04AC/L C./hl, FG 3276 3 Phone: 07� �--•�� Resident of property? : Contractor Information Name N1r6&*j &Mi' J ,/a 10A 111-46-,71J Phone: (4071 ST " �3Q9I/y_ Street: 77� ��L/ - �{?`(� (c7��%� Fax: _ ��O2) 96f — 5 �3f0 City, State Zip: 327b,3 State License No.: C.26�ZZF4283 jjJ� ��,,,, ``A rchitect/Engineer Information / Name: i1�IG,lLI>Glaht�l ,fjj, 417,64 JWL Phone: Street: City, St, Zip: Fax: E-mail: Bonding Company: /iI/%¢ Mortgage Lender: _'61141 0� �TY)//'��4kil Address: Address: 1 /ld Al a4u�ho & 33 -7 PERMIT INFORMATION Building Permit �4C qk- Square Footage: 1,544/8 Construction Type: No. of Stories: _ No. of Dwelling Units: l Flood Zone: X Electrical ❑ New Service - No. of AMPS: Mechanical ❑ (Duct layout required for new systems) Contact : DAPHNE CLARK (407) 257-6940 daphneclarkinc@cfl.rr.com Plumbing ❑ New Construction - No. of Fixtures: Fire Sprinkler/Alarm ❑ No. of heads: i 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. I 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 Tj WICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY! BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in thf 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 verificatign that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713. The City of Sanford requires pay ' ent of a plan review fee. A copy of the executed contract is required in order to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the plan review fee based on past' ermit activity levels. Should calculated charges exceed the documented construction value when the executed contract is submitted, credit will be applied to your permit fees when the permit is released. of Owner/Agent U i Date Print Owner/. Signature of Notary -State of Florida °taRY Pus<, a ' o D. A. CLARK MY COMMISSION # DD 667814 # * EXPIRES: June 27, 2011 ��A�oFe�°e Bonded Thr�uBudget Notary Services e Owner/Agent is Personally Ki Produced ID Type of ID _ APPROVALS: ZONING: ENGINEERING: COMMENTS: Rev 11.08 to Me or Signatu fContractor/Agent f Date kw& A 0d Jac //x �&kra Print Contract / Name ,.Signature of -State of Florida Date UTILITIES: FIRE: 1pR1 �U2 D. A. CLARK * * MY COMMISSION # DD 667814 s� Q EXPIRES: June 27, 2011 '1TFOF -ON Bonded Niru Budget Notary Services Contractor/Agent is Personally Known to Me or Produced ID Type of 1D WASTE WATER: BUILDING: t Application 1 , 11 / * Parcel ID: 12-20-30 00rr Description of Work: in CITY OF SANFORD BUILDING;& FIRE PREVENTION L 3 -,PER MIT APPLICATION i 71 ria.a istrict: Y'es ❑ No V )OC Zoning: Plan Review Contact Person: hkj r ("IorL�^ Title: Phone:(�{D7�o�S%'"6q�C� Fax(�7�g0j,-J 73� E-mail:ddphn�c>'a!r,�ihe ��•��Cd/YJ ��[ / /Property Owner Information Name /�JQ%CQa ,� 1 LG Phone: 1 � 07I f—' U/ & V 1Q Street: 77� ffCl�%TsfhC,�lQ ��UG! Resident of property? City, State Zip: ©� trial Clhl, Contractor Information Name N1,r6&*j llU#&, Alm 1IL4(,Zlj Phone: (1407) sql -,3m6 Street: 27_� lbilev �LVIct lad (c ud Fax: City, State Zip: 32 76 3 State License No.:2��� jj�� �,, 2A rchiitlIect/Ei�ngineer Information Name: _ I Lw1RhVI ,FJM126jq /�? I�C.t Phone: Street: City, St, Zip: Bonding Company: ill/A Address: Fax: E-mail: Mortgage Lender: Address: 4/6 Al G 0_6 "I/ 7 )�?, 331.97 PERMIT INFORMATION Building Permit �Ac 4� ® Square Footage: IS6 /8 9 Construction Type: No. of Dwelling Units: l Flood Zone: Electrical ❑ New Service - No. of AMPS: Mechanical ❑ (Duct layout required for new systems) [:ContactE:DAPHNE CLARK 07) 257-6940 larkinc@cfl.rr.com Plumbing ❑ No. of Stories: 2 New Construction - No. of Fixtures: Fire Sprinkler/Alarm ❑ No. of heads: 14 Application is hereby made to oI6tain 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 iTWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY; BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in thf 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 verificatign that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713, The City of Sanford requires payment of a plan review fee. A copy of the executed contract is required in order to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the plan review fee based on past ermit activity levels. Should calculated charges exceed the documented construction value when the executed contract is submitted, credit will be applied to your permit fees when the permit is released. COMMENTS: Rev 11.08 2/� b j DaT Signat4ekf Contractor/Agent Date Si ure of Owner/Agent I Print Contract / Name Print Owner/Ag t' Date I Signature of Notazy-State of Florida Signature of -State of Florida Date ptPRY.P�B(i D. A. CLARK _ ' o* MY COMMISSION # DD 667814 * EXPIRES: June 27, 2011 2°1pRr rLE o D. A. CLARK * * MY COMMISSION # DD 667814 EXPIRES: s'q °` Bonded Thru Budget Notary Services sf , June 27, 2011 SOF,o ArEOFFLO(F Bonded ThruBudget NotaryServices Owner/Agent is Personally Kno n to Me or Contractor/Agent is Personally Known to Me or Produced ID Type of ID _ Produced ID Type of ID APPROVALS: ZONING: UTILITIES: WASTE WATER: ENGINEERING: i FIRE:I BUILDING: COMMENTS: Rev 11.08 A. CITY OF SANFORD FIRE DEPARTMENT FEES FOR SERVICES # 40 DATE• O BUSINESS NAME / PROJECT: ADDRESS: 54/ . r` PHONE NO.: FAX NO.: PERMIT #: In -7 �A CONST. INSP. [ ] C / O INSP.:[ ) REINSPECTION [ ] PLANS REVIEW F. A. [ ) F. S. [ ] HOOD [ ] PAINT BOOTH [ ] BURN PE IT [ ] TENT PERMIT ] TANK PERMIT [ ] OTHER [ 1, TOTAL FEES: $ t7l< -0�-o (PER UNIT SEE BELOW) Address / Bldp. # / Unit # Square Footage Fees per Bldg. / Unit 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. Fees m o Sanford Building Department, 300 N. Park Ave., Sanford, FI. 32771 - 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 will comply with all applicable codes and ordinances of the City of Sanford, Florida. Sanford Fire Prevention Di ion Applicant's Signature a CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: '� Documented Construction Value: Job Address: 5Sa (4e, Historic District: Yes ❑ No ❑ Parcel ID: Description of Work: Plan Review Contact Person: I— Zoning: Title: Phone: Fax: E-mail: Property Owner Information Name i, CL5 Phone: Street: YI�O ( C< �d6IN114 Resident of property? : /Ja City, State Zip: /� Contractor Information Name &`21(` (. Street: A K P--4 City, State Zip: Name: Street: City, St, Zip: Bonding Company: Address: Phone: �t' Fax: 3 �u — &(e R'— 7-2 State License No.: Architect/Engineer Information Phone: Fax: E-mail: Mortgage Lender: Address: PERMIT INFORMATION Building Permit ❑ Square Footage: S Construction Type: No. of Stories: c2 -- No. of Dwelling Units: Flood Zone: Electrical ❑ New Service — No. of AMPS: Mechanical (Duct layout required for new systems) 4co 9 a Plumbing ❑ New Construction - No. of Fixtures: Fire Sprinkler/Alarm ❑ No. of heads: T 9-�.81-., 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 incompliance 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. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713. The City of Sanford requires payment of a plan review fee. A copy of the executed contract is required in order to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the plan review fee based on past permit activity levels. Should calculated charges exceed the documented construction value when the executed contract is submitted, credit will be applied to your permit fees when the permit is released. Signature of Owner/Agent Print Owner/Agent's Name Date Signature of Notary -State of Florida Date Owner/Agent is Personally Known to Me or Produced ID Type of ID APPROVALS: ZONING: UTILITIES: ENGINEERING: COMMENTS: Rev 11.08 FIRE: Signature of Contracjn toor_/Agent Date &�4 / _f Print Contractor/Agent's Name Signature of Notary -State of Florida Date FJRENDA Q HARNISH My COMMISSION # DD946431 EXPIRES December 14, 2013 Contractor/Agent is Personally Kn n to Me or Produced ID Type o WASTE WATER: BUILDING: Apr. 5, 2010 3:18PM ACE AIR CONDITIONING Orlando Division Mercedes Homes, Inc. 775 Farley Strictland Blvd. ORANGE CITY, FL 32763 Tel: (407)591-3101 lvax�(386)851-7949 No,9588 P. 2/6 ACE AIR CONDITIONING, INC. Ship ro: �"WINDSOR LAKES - SUNCOR' 2985 ENTERPRISE ROAD Lot : ] 92 Debary, FL 32713 T I 2QK 668 8651 Fax (386)668-7758 Attention: BRANDON, RICKY OF1ACAICO DUPLICATE 2,214.76 PO Number: 004-550-000099 Fax No: (386}666-758 Order By: Tel. No; (386)666-8651 Purch. Agent: Disc, Terms: Terms Code: nla Small Tros Rcvd 15th / 30th Ship Via: Taken By: CDS' ORL-000030-09 Print Date- 0212112010 Order Date: 02!2112010 Date Req: Req. No: Llne Description Quantity UofM Unit Cost Total Amount Disc% Draw% Amount Due' P/oj9ct: "WINDSOR LAKES - SUNCOR- Lot 192 Model/Elev.: 1520.01 - BONITAJ Swing: N/A Craft 220.0 -HVAC D010 00009ase- BASE MODEL, Draw 2 1.00 EA 3,691.2600 3,691.26 60,001/0 2.214.76 Alloe: RORL,004-550,192,1220,00 Sub-TolaC: 2,214.76 Taxes: 0.00 --- Total: 2,214.76', Purchase Orders and Variance Purchase Orders must be submitted for payment no later than 60 days after closing of the house or townhouse in order to be paid for the amount stated on purchase orders. Any billings after 60 days will not be pard and returned to sander I REQUEST FOR PRE -POWER Altamonte Springs, Casselberry, Lake Mary, Longwood, Oviedo, Sanford, Seminole County, Winter Springs Date: 6 5 10 Project Name: UV I rd y0r' Laky Project Address: 50 W Pfidsff Z—Q& eJ6 Building Permit #: Electrical Permit # In consideration for authorizing the appropriate utility company to energize the facility, we agree with and understand the following: 1. The facility will not be occupied until a certificate of occupancy has been issued. 2. If the jurisdiction hereafter finds that the facility has been occupied before a certificate of occupancy has been issued, the jurisdiction will have the unilateral right to direct the utility to terminate electrical service without notice. Furthermore, we understand and agree that should the jurisdiction exercise such right, the jurisdiction will not be responsible for any damages or costs which may result from the exercise of such right. Also, in the event any third party claims damages from the exercise of such right, we agree to jointly and individually indemnify and hold harmless the jurisdiction from all such damages and costs, including attorney's fees. 3. The building or structure shall be weather tight and secure. The electrical wiring in the area designated for pre -power shall be complete and in safe order. All electrical services associated with the area will be 100% complete unless specifically approved by the electrical inspector. 4. Interior electrical rooms shall be lockable, if electrical panels are in an area that cannot be locked by doors, the panels shall be equipped with a locking mechanism (approved by the AHJ). The licensed electrical contractor or his licensed representative shall hold the keys(s) for such access to electrical panels to prevent energizing circuits other than those that are safe. 5. If provided, the fire sprinkler system must be operational, per the local AHJ requirements, with water on the system prior to pre -power. 6. This pre -power approval is valid for a maximum of 180 days from date of approval. 7. Check with the local jurisdiction for fees associated with pre -power. Print Name of Own�r�ifenant of Owner/Tenant JURISDICTION EMPLOYEE NAME: JURISDICTION: CALLED INTO (Rev. 3/27/07) .TASON VENEZ>A Bw Print Name of Gen. Contractor Print Name of El. Contractor nt SigZature of Gen. tontractor Signature of El. dontractor CVic ,zs4z6?3 16e1300/1af Gen. Contractor License # El. Contractor License # ❑ Progress Energy ❑ Florida Power and Light on Ar Lor 11.)L CITY OF SANFORD BUILDING & FIRE PREVENTION is lP y U PERMIT APPLICATION Application No: � - ( Documented Construction Value: $ Job Address: 5 15'0 Historic District: Yes ❑ No Parcel ID• Zoning: Description of Work: Plan Review Contact Person: Title: Phone: Name 1b", Street: City, State Zip: Fax: E-mail: Property Owner Information Name g l_W Street: a 9 / 1V Phone: X07—,225 - Resident of property? : Contractor Information City, State Zip: All /0, Architect/Engineer I Name: Street: City, St, Zip: Bonding Company: Address: Building Permit ❑ Square Footage: No. of Dwelling Units: Electrical ar'__ Phone: Fax: 97— 6 77 X09 State License No.: nation Phone: Fax: /E-mail: _ Mortgage Lender: Address: PERMIT INFORMATION Construction Type: A&,,- No. of Stories: New Service - No. of AMPS: %� Flood Zone: Mechanical ❑ (Duct layout required for new systems) Plumbing ❑ New Construction - No. of Fixtures: Fire Sprinkler/Alarm ❑ No. of heads: v 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. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713. The City of Sanford requires payment of a plan review fee. A copy of the executed contract is required in order to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the plan review fee based on past permit activity levels. Should calculated charges exceed the documented construction value when the executed contract is submitted, credit will be applied to your permit fees when the permit is released. i _/v Signature of Owner/Agent Date Signature of Contractor/A n Date Print Owner/Agent's Name Signature of Notary -State of Florida Date Owner/Agent is Personally Known to Me or Produced ID Type of ID APPROVALS: ZONING: ENGINEERING: COMMENTS: Rev 11.08 UTILITIES: FIRE: &l t S h1A& Print Contractor/Agent's Name Signature of Notary -State of Florida Date M., FL':a�9 D'�cnunt N M Co. Contractor/Agent is Personally Known to Me or Produced ID Type of ID WASTE WATER: BUILDING: 1 Ma r, 1. 2010 11; 00AM No, 7529 P. 2/3 r REW SERVICPS, INC. Contract Proposal: 2420 N. Forsyth Rd. Orlando, FL 32807 (407) 6771155 Mercedes _07-23-09� We propose to funiish all material and labor for the electrical work in: Job Name: Bonita at: Seminole or Orange for the sum of $ 47010.00 State sales tax included Rough -in draw- 703/—o$_______2,807-00 Trim -out draw- 30% $ 1,203.00 Which shall be done as per the follo); W schedule: outlets _2_ GFI Kitchen special outlets _14 4� _Ceiling Bracket light outlet —1 Dishwasher outlet 1 Recess outlets 1— Disposal outlet I Recess fixtures Donut trims —I— Island Stub 1 1/4 2� Carbon Monoxide Detector I— Range outlet 40a 2— Paddle Fan outlet (no hanging) —1— Hood outlet 47— Smoke detectors Cook top outlet 40a —24 Single pole switches DEC Oven outlet 40a 3 Way switches DEC 1 Furnace outlet 5KW —4— 4 Way switches DEC �I 1 AC outlet 3 Ton 38 Duplex receptacles Water heater outlet WP GFI receptacles —1_ Dryer outlet _2 GFX Circuits _1 Washer outlet _4 Garage door outlet _� Bath fan (wiring only) _1 Floor boxes Micro outlet (no hanging) 1 Push button outlet Pool prewire 30amp l� Chime outlet Pull chain fixture _2 TV outlet (RG -6) Well pump 1 HP 75' UG 2 Phone outlets (CATS) Water softener outlet 75' UG Sump pump outlet 50'UG 20A i 10V 20A 220V outlet _1_ _150_ AMP Service OIC or UG x NO allowance for fixtures Add $300.00 UG Service. If it should become necessary to place this contract and/or any associated invoices with our attorney for collection, suit or other legal action, Uwe hereby agree to pay costs of such collections, suit, or other legal action, including a reasonable attorney's fee. Invoices due Net 30 days. This proposal is good for 10 days only. A Finance charge will he assessed at a monthly periodic rate of 1.50% (Anoual Percentage Rate of 18%) calculated on the unpaid balance, if not paid in full, by the due date indicated above. Accepted by: Customer R.F.W. Services, Inc. L—ot 1 � Z e RECEIVED MAR Q 2010 DCITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: to --714 Documented Construction Value: $ 4goo Job Address: -!54:5'0_ Lab Gti' • Historic District: Yes ❑ No% Parcel ID: k1-2-0- 30 - 515 00W — %R z 0 Zoning: Description of Work: Plan Review Contact Person: Phone: Fax: Title: E-mail: Property Owner Information Name NYC�' �E' S vv�� S LLL Street: T75. Vk'O Ag 4 O '. City, State Zip: QkfaV\-RG� t- 32.7(- 3 Phone: Resident of property? : No Contractor Information Name L:% mcA P \a-Soliras Phone: Street: !)W Zt- w\J' -, o'. Fax: 40-7- S t j -- 152_5(a City, State Zip: S� . CQ kxA 5L 3 u -1(03 State License No.: CF C- ( t2 6 I t Architect/Engineer Information Name: Iy k Phone: Street: City, St, Zip: Bonding Company: �141 Address: Building Permit ❑ Square Footage: Fax: E-mail: Mortgage Lender: Address: PERMIT INFORMATION Construction Type: No. of Stories: 2 No. of Dwelling Units: Flood Zone: Electrical ❑ New Service - No. of AMPS: Mechanical 0 (Duct layout required for new systems) Plumbing New Construction - No. of Fixtures: Fire Sprinkler/Alarm ❑ No. of heads: 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. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713. The City of Sanford requires payment of a plan review fee. A copy of the executed contract is required in order to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the plan review fee based on past permit activity levels. Should calculated charges exceed the documented construction value when the executed contract is submitted, credit will be applied to your permit fees when the permit is released. Signature of Owner/Agent Date Print Owner/Agent's Name Signature of Notary -State offlorida Date Owner/Agent is Personally Known to Me or Produced ID Type of ID APPROVALS: ZONING: ENGINEERING: COMMENTS: Rev 11.08 UTILITIES: FIRE: 3'4[(0 ignature oftContractor/Agent Date SU11- t-�G.G.S5(" Print Contractor/Agent's Nam Signature-Stateofflorida Date ..�oaaaoaaasamauuanauuuuaaaouuuuoaa NICHOLAS LINSCOTT Comm# DD0681106 - Expires 6/3/2011 Florida Notary Assn., Inc '•��rri���� ��^aaaoron eaeaoonaanoaaeaoa ao saaaooawnee9 Contractor /Agent is Personally Known to Me or Produced ID Type of ID WASTE WATER: BUILDING: Model Pricing- Linscott PIUMIng Inc. Windsor Lake Estates: 'Ameila Plan $4900.00 26E'taPlan $4900.00 Cristina Plan $4800.00 Diego Plan $4900.00 r csa :� t t. I 2 s 775 Harley Striddaud Rk,& • Suite 110.OnuW Cary, FL 32763 - Tch {380 851-7940.1 i38W 851-7941 htt�rlhvww.aaes�Osiw�es.com arc,s102$ BMWrs urn ,.ck II■■Hnu■noil of ne n eel n 411 11 111 11 111 11 111111111111111811 TI-iis INSTRUMENT WAS PREPARED BY: MARYANNE MORSE, CLERK OF CIRCUIT COURT Jan Hall I.SEMINOLE COUNTY BDR Title CorporationAK 0738 Pg 0341; (1pg) 775 Harley Strickland Dr. Ste. 110 U. 0 ' CLERK'S # 201 0O J ()$8G range City, FL 32763 RECORDED 02/01/2010 03f17:47 RM RECORDING FEES 10.00 Building Permit No. RECORDED BY T Saith NOTICE OF COMMENCEMENT FS 713.13 THE UNDERSIGNED notifies all parties that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement: 1. Description of Property, Lot 192, WINDSOR LAKE TOWNHOMES EAST - A REPLAT OF TRACT B, according to the Plat thereof, as recorded in Plat Book 74, Pages 31 through 34, inclusive, Public Records of Seminole County, Florida. 2. General Description of Improvements: Single Family Residence 3. Owner Information: a. Name and Address: Mercedes Homes, LLC. 775 Harley Strickland Dr. Ste. 110, Orange City, FL 32763 Interest in property: Fee Simple C. Name and address of fee simple titleholder (if other than Owner): Same 4. Contractor (name and address): Same as Owner 5. Surety Information: a. Name and Address: b. Amount of bond: cxglol-0 � PNc 0 ivo koR C�ERt+t 6. Lender Information: L� 2010 a. Designated Contact: Tracey Edwards b. Name and Address: Bank of America, N.A. 1410 N. Westshore Blvd., Ste. 1000, Tampa, FL 33607-4519 (813)282-4149 7. Name and address of person within the State of Florida designated by Owner upon whom notices or other documents may be served (as designated in Florida Statutes, Section 713.13(l)(a)(7): 8. Expiration Date of Notice of Commencement (1 year from recording date unless specified): WARNING TO OWNER: ANY PAYMENTS MADE BY OWNER AFTER THE EXPIRATION DATE OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTE, AND CAN RESULT IN YOUR. PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTENT TO OBTAIN FINANCING, CONSULTy1 qH YOUR LENDER OR ATTORNTY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. MERCEDES OMES, By: /// Nam/ ris ina Quintana TitltE ivision President Verification pursuant to Section 92.525, Florida Statutes. Under penalties of perjury, I declare at I have read the foregoing and that the facts stated in it are true to the best of my knowledge and belief. / MERCEDES I QMES,C' By: I Nam // risiima Quintana Ie: /Division President NOTE: per Section 713.13(1)g, Florida Statutes "Owner must sign ... and no one else may be permitted to sign in his or her stead."I STATE OF FLORIDA ) COUNTY OF ORANGE ) The foregoing instrument was acknowledged before me this Monday, January 25, 2010 by Cristina Quintana , as Division President for the Orlando Division of MERCEDES HOMES, LLC, a Florida limited liability company, who executed and acknowledged execution of the foregoing Notice of Commencement on behalf of said corporation. He/she is personally known to me or has produced Driver[Is License as identification and did _ did not X take an oath. 4, VJ Gowl's'l, (Notary Seal) ' 19ft �tA WXLi7 NOTARY PUBLIC N" NOTARY PUOLII Name: STATE OF FLORIDA My Commission Expires: i Comm# DD0929579 Expires 9/30/2013 DATE: Q I HEREBY NAME AND APPOINT: STAV BOTES DIM01 EACH AN AGENT OF: MERCEDES HOMES INC. TO BE MY LAWFUL ATTORNEY IN FACT TO ACT FOR ME AND APPLY TO THE BUILDING DEPARTMENT OF: C,{ FOR A BUILDING PERMIT FOR WORK TO BE PERFORMED AT LOT NUMBER: / ?/ SUBDIVISION: ADDRESS: PARCEL ID : AND TO SIGN MY NAME AND DO ALL THINGS THAT ARE NECESSARY TO THIS APPOINTMENT. JASON MICHAEL VENEZIA (NAME OF CONTRACTOR.) Al (SIGNATURE OF CONTRACTOR.) STATE CERT. # CBC 1254283 (CONTRACTOR'S STATE REGISTRATION NUMBER.) The foregoing instrument was acknowledged before me this : DATE: A/h' f 40 BY: JASON MICHAEL VENEZIA Who is personally known to me and did not take an oath. ?........... ............................ STATE OF FLORIDA NAME: ] �, 4's" <.Z ""'•r _ Comm#DD0453861 " } : aw °''-`= Ex,.ires 9/18/2009 COUNTY OF ORANGE. My Commission # : "�} (� L�{53 k� I ��" e or,ced thru (800)432-42542 My Commission Expires: �] I I� ' •.P,' I Flarida Notary s......:::........Assn., Inc ........................t NOTARY: �^:t NOTARY SEAL. SIGNATURE OF NOTARY: f ' 0 /0 --�i � COUNTY OF SEMINOLE IMPACT FEE STATEMENT STATEMENT NUMBER: 10100000 DATE: February 23, 2010 BUILDING APPLICATION ##: 10-10000075 BUILDING PERMIT NUMBER: 10-10000075 UNIT ADDRESS: WINDSOR LAKE CIRCLE 5450 12-20-30-515-0000-1920 TRAFFIC ZONE:022 JURISDICTION: SEC: TWP: RNG: SUF: PARCEL: SUBDIVISION: TRACT: PLAT BOOK: PLAT BOOK PAGE: BLOCK: LOT: OWNER NAME: ADDRESS: APPLICANT NAME: MERCEDES HOMES ADDRESS: 775 HARLEY STRICKLAND BLV #110 ORANGE CITY FL 32763 LAND USE: TOWN HOME UNIT TYPE USE: WORK DESCRIPTION: CITY-SANFORD SPECIAL NOTES: 5450 WINDSOR LAKE CIR./TOWN HOME UNIT -------------------------------------------------------------------------------- FEE BENEFIT RATE UNIT CALC UNIT TOTAL DUE TYPE -------------------------------------------------------------------------------- DIST SCHED RATE UNITS TYPE ROADS-ARTERIALS CO -WIDE ORD Condominium* 379.00 1.000 dwl unit 379.00 ROADS -COLLECTORS N/A Condominium* .00 1.000 dwl unit .00 FIRE RESCUE N/A .00 LIBRARY CO -WIDE ORD Condominium* 54.00 1.000 dwl unit 54.00 SCHOOLS CO -WIDE ORD Multifamily 2,450.00 1.000 dwl unit 2,450.00 PARKS N/A .00 LAW ENFORCE N/A .00 DRAINAGE N/A .00 AMOUNT DUE 2,883.00 STATEMENT r'� / r3O-}- RECEIVED BY: ( A SIGNATURE: n (PLEASE PRINT NAME) DATE: I Z Ila 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. LO UU 2Y &-) 7 82 Entrance Checklist Exit Checklist Processo itials: Processor Initials: Application fee Sto work Order P n Review Fee Contractor Signature/POA Contractor Registration fee er Signature/POA updated docs needed? Contractor Attached to Permit Sto work Order Contractor Registration fee 2 S eys Co of signed Contract ets of Plans date Plan Review Fee 2 Se[s of Engineering load Impact Statement 3 Sets Energy Calcs NOC Copy of signed contract Fee Calculations Initals Make sure to fill in and check applicable items Application fee: (is owner doing all trades?) Bldg Elec Mech Plbg Plan Review Fee: is update needed after plan review? Fire Impact Fee: S/F Mobile Multi -family of units occupancy type: Commercial sq. footage Police Impact Fee: S/F Mobile Multi -family of units Occupancy type: Commercial sq. footage Parks Impact Fee: S/F Mobile Multi -family of units Occupancy type: Commercial sq. footage Radon CnTy act Statement Library School Fire n��^ A�.,'�w Fee Bui ding Permit Fee (stopwork issued Entrance Checklist Exit Checklist Processo itials: Processor Initials: Application fee Stopwork Order P n Review Fee ontractor Signature/POA Contractor Registration fee er Signature/POA updated docs needed? Contractor Attached to Permit Stopwork Order Contractor Registration fee 2 Su eys Copy of signed Contract ets of Plans 2 Sets of Engineering 3 Sets Energy Calcs pdate Plan Review Fee oad Impact Statement NOC Copy of signed contract Fee Calculations Initals Make sure to fill in and check applicable items Application fee: (is owner doing all trades?) 1 Bldg - Elec Mech Plbg Plan Review Fee: is update needed after plan review? Fire Impact Fee: S/F Mobile Multi -family of units Occupancy type: Commercial sq. footage Police Impact Fee: S/F Mobile Multi -family of units Occupancy type: Commercial sq. footage Parks Impact Fee: S/F Mobile Multi -family of units Occupancy type: Commercial sq. footage Radon e e Cnty act Statement Library School Fire p���,T:w Fee Bui ding Permit Fee (stopwork issued -double fee assessed) -double fee assessed) CERTIFICATE OF ELEVATION Address: 5450vjwr_>S01?, Lie C�IZcLE Legal Description: Lot 192 WINDSOR LAKE TOWNHOMES EAST Plat Book 74, Pages 31, 32, 33 & 34 Seminole County, Florida The Finished Floor Elevation of the structure on Lot WINDSOR LAKE TOWNHOMES EAST meets or exceeds the requirements set forth in the City of Sanford, Building Code Chapter 18 Sec.18-4(a), -Doavone Florida Surveyor,nar y ;'upper Reg. No. 2005 Uw"nsed Bu-s4pess Number 5073 Date Fieldwwork Completed: J$- 7-2010 Work Order No. Zo10- 4 ( Z U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008 Federal Emergency Management Agency Expires March 31,2012 National Flood Insurance ProgramImportant: Read the instructions on pages 1-9. SECTION A - PROPERTY INFORMATION 1068 P11MIurairer3ia,,'.� iiaA l Al. Building Owner's Name A2. Building Street Address (including Apt.,'Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. City )Au A3. Property Description (Lot and State Numbers, Tax Parcel Number, Legal Description, etc.) ZIP Code 4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) A5. Latitude/Longitude: Lat. Z 4(,1 pI&I M Long. &I °O !�U(/ . Horizontal Datum: ❑ NAD 1927 XNAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. AT Building Diagram Numberi-6- A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage: ^ a) Square footage of crawlspace or ericlosure(s) sq It a) Square footage of attached garage ?OO sq ft t b) No. of permanent flood openings in the crawlspace or b) No. of permanent flood openings in the attached garage enclosure(s) within 1.0 foot above a8jacent grade within 1.0 foot above adjacent grade c) Total net area of flood openings in A8.b sq in c) Total net area of flood openings in A9.b sq in d) Engineered flood openings? ❑ Yes gNo d) Engineered flood openings? ❑Yes W No SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community,Name & Community Number B2. Court A ll. 0n. Name I B3. State B4. Map/Panel Number B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood 89. Base Flood Elevation(s) (Zone 12-117 rL 11C��O Date Effective/Revised Date Zone(s) « AO, use base flood depth) 6 F 5wr ze wo7 5ex. te, 060-r B10. Indicate[he source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. ❑ FIS Profile FIRM Community Determined ❑ Other (Describe) B1 I. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 XNAVD 1988 ❑ Other (Describe) B12. Is flee building located instal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes No Designation Date A ❑ CBRS ❑ OPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY. REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings' ❑ Building Under Construction' Finished Construction 'A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations - Zones Al -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, AR/AE, AR/A1-A30, AR/AH, AR/AO. Complete Items C2.a-h below according to the building diagram specified in Item A7. Use the same datum as the BFE. Benchmark Utilized 7emr arrQuirQr SCAMA9K AASd.5'S61Vertical Datum A100 -J l Qµu-2_Ice. Va e(_ C)At 1988 Conversion/Comments Check the measurement used. a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 4:1 feet ❑❑ meters (Puerto Rico only) b) Top of the next higher floor 11 feet meters (Puerto Rico only) c) Bottom of the lowest horizontal structural member (V Zones only) -❑ feet ❑ meters (Puerto Rico only) d) Attached garage (top of slab):Zk. �� {54feet ❑ meters (Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building 4 i ,� feet ❑ meters (Puerto Rico only) (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG)L�.� .QEK feet ❑ meters (Puerto Rico only) g) Highest adjacent (finished) grade next to building (HAG) feet ❑ meters (Puerto Rico only) h) Lowest adjacent grade at lowest elevation of deck or stairs, including N feet ❑ meters (Puerto Rico only) structural support SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. I certify that the information on this Certificate represents my best efforts to interpret the data available. I understand that any false statement maybe punishable by fine or imprisonment under 18 U.S. Code, Section 1001. XCheck here if comments are provided on back of form. Were latitude and longitude in Section A provided by a ///��� licensed land surveyor? JKYes ❑ No s Name C FEMA Form 81-31, Mar 09 License Number FLadfaA LAWr3 SgJ&L o& .4A3 M4 AER No 200.5 E6/ 'W 100 ity State ZIP Code _LD,v&u,c;w rrDgLd)A Date eleprone - MAY7 PLoM%v4 LA►uc SLAfUrrl' A" M AffM A)0.2009 Lri74Y 7f Zol L'_ IMPORTANT: In these spaces, copy the corresponding information from 5ection A. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. City State ZIP Codeii t{tA9tiQ��I A_ i ")a SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. ..r _ _ _ r �. ,� P Signature &;:� CL � l el%%► Air 7 �y ❑ Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A (without BFE), complete Items E1 -E5. if the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, B, and C. For Items E1 -E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters. E1. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom floor (including basement, crawlspace, or enclosure) is []feet EI meters ❑above or ❑below the HAG. b) Top of bottom floor (including basement, crawlspace, or enclosure) is []feet ❑meters ❑above or []below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9 (seees 8-9 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is _ [:]feet Q a meters ❑ above or below the HAG. E3. Attached garage (top of slab) is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is _ ❑ feet ❑ meters ❑ above or ❑ below the HAG. E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? n Yes n No n Unknown. The local official must certify this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property bwner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA -issued or community -issued BFE) or Zone AO must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑ Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL), The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement used in Items G8 and G9. G1. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. ❑ A community official completed Section E for a building located in Zone A (without a FEMA -issued or community -issued BFE) or Zone AO. G3. ❑ The following information (Items G4 -G9) is provided for community floodplain management purposes. . G4. Permit Number G5. Date Permit Issued I G6. Date Certificate Of Compliance/Occupancy Issued G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building G9. BFE or (in Zone AO) depth of flooding at the building site G10. Community's design flood elevation ❑ feet ❑ feet ❑ feet ❑ meters (PR) ❑ meters (PR) ❑ meters (PR) Datum Datum Datum Local Official's Name Title Community Name Telephone Signature Date Comments v ❑ Check here if attachments FEMA Form 81-31, Mar 09 Replaces all previous editions. V• V P x 0 D r TT C) zZzz-c�0TRACT 'A' A �� �00o zwozm S COMMON AREA o m Z z A> 11 m ' S m Z N v��i I 72164 w S 694'42" W 75.00' f. Z O Q{mom I W Zc) iz, rri I �pini�Na�c� smy� N Do�=IZI�o I x j z� � I O ('7ZZ D Om I �D 3 D,. p A 0 m .j I 3 z m 41 m o C �m(nz a A I y z IDiI m �^ I j O m M z - R' yy /••� z� N I I , m Do � C I � ►r ! � r �.V I En .C>>,-;+ d vmaZoovl' yi I r Oq �y c) Aa�cl ymmyam I ..V � I C.pu N W �o=z2mm�a I I o0 co o C m ci ma I mm ^ AAcZm�Zoo II o o �0=2A��AD I Os 01 �' Crl am—ma mw �? •? Y c z o )i p I I trJ cn Cc) ---I c�3 I H �i (,n (n I y� R1a Zl- mZ)�z N L, �dEn EJ Z- I o O z� ,-- In o r A("c) O / G')r- �fT1�aCC V n r a 2 0 i' C ro*m N ��2,,, iL;oS 69*2422" W 75.00TRACT A'> COMMON ARS-_. ;m I 1=CAAm�rn 4 0vaoOW.. n yE,4mnHHE� �NwNnov ®0oyoF00 z'-10-1m1�o�z m �ro� az��,y,JO I" I U O O Arn�000a Z Z Z n�H[Hoz �d ��>xoay��Czo�WO0 m o v HGy2 cnHrn..D <7M09 C �C,,,�C"[�J tsfzb7 �n'�h7 �f �ypi r a(0 rrl z r D v? �•,�HnyK7 P7HOO�yCt��iyyym m ` /� nzd� 9 Cz�it7r'ti '7yncn ///���\/ x'.C'� �[�"zH h7� i0�'�thbHOm�DO O/�� C1td '9 h9n zt'7dzro%A7HCtn p�C z �D.. t.OCi G% nz OOOmov_Wd�'IyTx9 1 N f-NYZ0..jtbpl7 OOd> H CCvi-]i '."m Y h '-' h H �i .. z>N A t7t7>7 POOH Z�y0"L0% Cr0 rnvv vD r m2A o --4 �m- 901 0 i� n TRACT A" v z COMM AEA z� o •,I mO ^ O z zmzZ�> mOAvo tQ,n�•' IOT'V 1I 7 A m> z m Z I S X67 6r14" W cn - cn // - D m �A N I 21. II -S 69 0 f zC a 4 o o Z ' A • `� 5.00' i r Rl t- � 20.00' so.00• � F O { N ; 50.00'' N ao nmoc�v Z �, -I N s N y � f z !^ m; j>e p I I y. w y N FINISHED FLOOR' "' 3.0' w I n l I -1mCGn t 5- a ' 'Y e - w ELEVATION = 41.05 '3 N 0 Aoa, I I Ao O n D tail. m Z (�>- 50.00' lic �_ by Z rn m to Z O I N t I� ....._. 0.1 A� S6 '24!22"W ...75.00' 'c roll, `mJ T 0 ^� rn twit z cai i 'Js I z 0 r~ m m I � ro � Y FINISHED FLOOR Y� S N � �r�r�r-11 f z r5* i I[ € N 3'. 3.00' •�- •-� N N i C) F+ -i I i ELEVATION > $ n 0 I O m + c N o m �. w = 41.05 OM I 5@[ (E(. ,.•___- _ ..42.00' € r �I S69'24 22 W 75.00' z �pOp�Z�Oy� I r' L n ANi „ yop• FINISHED FLOOR s N N C.E �] () A Q n; rm'1 m O n I it i .. c. J ELEVATION y $ n o is x Ertl ��i o n m i' 09 � -0 41.05 w 3.0' �a o C C Val r*j2D_i r�Z��(%1 Kj Lo C)42.00 ` Icy E C3 z + l m S69'24.22'W 75.00' ,1. 'OO(nNo'>Z t7A;�� I c ~_ -01 2 m Z I t m N 3. 3-00' FINIS=HED FLOOR R ELEVATION ztJ 41.05 NQ C0Ap2 i O k 3.0' YOJ42.00' v S69'24'22"W 75.00' m 0) mzl2 I (P N .1 ti -3 m a m z / i .�_."', J'- 3.00' FINISHED FLOOR s N INS O ELEVATION $.' o =4105 w 3.0' [�iy 11.00, �•C%C�yy tz*t��C / /n ( r .^ S69.24.22'w 75.00' 1 C) ` cn o - O z pg FINISHED FLOOR. r' 2 m yi Y 2 -( / i i€ N 3• �,' ELEVATION = 4105 1 50.00' m g a / u 4.67 If Zll 20.00' 21.33'$ $ 24.00' 5.00' �, W S 69-24'22" L; 75.00'W TRACT A" in COAfI(ON AREA m Z �X-000 C coo Zv2 R� rz 20-PAO � �y y a w ti mvoom (1)74oa7xro�o ®w�WciZ ^v �nyxr�� co 1, roy�nor� r��0�2�� O b�vyM s CC�1zpyO OO�z 7yFIF O v �nO m(o00oD G�`T3a��v-Orz1 n}Cyi7��7�tl yh��7Or0y a��o Y0)NC -q Z=C20 O 9 to a tO,Z>DA 'da>m O0-ix1> oy>t E. azz y �rmei, z'°o�c�o Ct „ x k YzO�r� r W d RY,rz ��y-3krz zCtlO7�t1 0 0� GlyoN t�x��h1 �yYro7�� O Ap �y K -o�,o d0 dGl �ti ttn] 'off E- "I`man rs';:s yFtzy-q n -i O p o -. -� tn,A m i. , 0, =l•>. • -, ° N N >c cDi� ya r µ o ozC.J MH N -t wry o tom ro n s 20.00' M?4',2YI 75.W nr 5 0.34' A a O I �4a N Ia 'i z 3'.. 3.00' > n I gm I I o IA 42.00' 5.00' N ►C':1-.-. MT4,zrw 75.00' iJ -• .< �) O 100 I h tom, 5 O �a t V1 a J z W m FORM 1100A-08 FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Florida Department of Community Affairs Residential Performance Method A Project Name: Bonita - 1564 Builder Name: Mercedes Homes Street: 5450 Windsor Lake Cir Permit Office: 5'AK 6A City, State, Zip: Sanford , FI , 32771- Permit Number: Owner: Mercedes Homes Jurisdiction: Design Location: FL, Daytona Beach 1. New construction or existing New (From Plans) 9. Wall Types Insulation Area 2. Single family or multiple family Multi -family a. Frame - Wood, Common R=13.0 672.00 ft2 b. Concrete Block - Int Insul, Exterior R=4.1 416.00 ft2 3. Number of units, if multiple family 1 c. Frame - Wood, Exterior R=13.0 352.00 ft2 4. Number of Bedrooms 3 d. other R= 552.00 ft2 5. Is this a worst case? No 10. Ceiling Types Insulation Area 6. Conditioned floor area (ft2) 1564 a. Under Attic (Vented) R=30.0 924.00 ft2 b. N/A R= ft2 7. Windows Description Area c. N/A R= ft2 a. U -Factor: Sgl, U=0.63 129.00 ft2 SHGC: SHGC=0.35 11. Ducts b. U -Factor: N/A ft2 a. Sup: Attic Ret: Interior AH: Interior Sup. R= 6, 312.8 ft2 SHGC: 12. Cooling systems c. U -Factor: N/A ft2 a. Central Unit Cap: 34.0 kBtu/hr SHGC: SEER: 14 d. U -Factor: N/A ft2 13. Heating systems SHGC: a. Electric Heat Pump Cap: 35.0 kBtu/hr e. U -Factor: N/A ft2 HSPF:8.5 SHGC: 14. Hot water systems 8. Floor Types Insulation Area a. Electric Cap: 40 gallons ons a. Slab -On -Grade Edge Insulation R=0.0 640.00 ft2 EF: 0.92 b. Floor over Garage R=19.0 257.00 ft2 b. Conservation features c. other R= 27.00 ft2 None 15. Credits Pstat Total As -Built Modified Loads: 26.38 Glass/Floor Area: 0.082 PASS Total Baseline Loads: 32.34 1 hereby certify that the plans and specifications covered by Review of the plans and v �TdETgT this calculation are in compliance with the Florida Energy specifications covered by this 1.0, Code.calculation Prepared -By: indicates compliance p `�,, �''� �� •�+ Ace Air Conditioning with the Florida Energy Code. g� PREPARED BY: "--:. Jimmy -Evans Before construction is completed -. DATE: DI, A -0 HVA chanicai_L;cense CAC1813533 this building will be inspected for Section 553.908 compliance with I hereby certify that this building, as de sig is in compliance Florida Statutes. with the Florida Energy Code. �©Wy."Sti OWNER/AGENT: BUILDING OFFICIAL: DATE: DATE: - Compliance requires certification by the air handler unit manufacturer that the air handler enclosure qualifies as certified factory -sealed in accordance with N1110.A.3. 9/9/2009 11:06 AM EnergyGauge® USA - FlaRes2008 Page 1 of 5