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5420 Windsor Lake Cir 10-717 (new t-home)
Vol FED f 20i0 -CITY OF SANFORD LDING & FIRE PREVENTION PERMIT APPLICATION Application No. V'x= Do mekenstruction Value: $ c m o Job Address: ,54,w Historic District: Yes ❑ No ® Parcel ID: 12 -2o -3o Description of Work: Plan Review Contact Person:(��%l�, (Ilur--, Phone:(�D��o�S7"6q�d Fax 7)gQH73b Zoning: Title: E-mail:ddphn�cldr,�r`hC�G�•C�dY1 Property Owner Information Name A/9"ader 6W4 ac, , Street: -7a #a ( Indlupw /81416/ City, State Zip: ©yal�l/� Phone: Resident of property? : Contractor Information Name 1�Q/C EJ �/ �QJ�%'> >I %l :Z/j Phone:_ (4O%) 36F�o Street: W1=add bjd i3ftld Fax: City, State Zip: E 3 State License No.: c--,t�2�4?C�•3 / � Arch�iitect`/E��ngineer Information Name: /{'rt,{L6l9iR%l�l�Y%i1 I✓� I4�UL. Phone:2 2. Street: City, St, Zip: Bonding Company: 44 If Address: Building Permit L/e Square Footage: No. of Dwelling Units: l Electrical ❑ New Service — No. of AMPS: Fax: E-mail: Mortgage Lender: 16091 �T �rr Address:14/6 Al C4�hoc" Tawl/JA:- 33.48 7 PERMIT INFORMATION Construction Type: No. of Stories: 2— Flood Zone: X Mechanical ❑ (Duct layout required for new systems) ContactE: DAPHNE CLARK (407) 257-6940 daphneclarkinc@cfl.rr.com Plumbing ❑ New Construction - No. of Fixtures: Firc Sprinkler/Alarm ❑ No. of heads: ri 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 cerify that all of the foregoing information is accurate and that all work will be done in compliance with all pplicable laws regulating construction and zoning. WARNING TO OWNER: YOgR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING 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 requ ements of this permit, there may be additional restrictions applicable to this property that may be found in thi 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 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. APPROVALS: ZONING: COMMENTS: Rev 11.08 ENGINEERING 940-6 Date Sigoure of Contractor/Agent Date A1O, S Jades �LIa Print Cortractor/A e o Date Signature o tate of FlorKia 4aMI I t D.A. CLARKcu�� + �* MY COMMISSION # DD 667814 9 o EXPIRES: June 27, 2011 sp�OFF�OP< Bonded Thr, Budget Notary Services iivn to Me or Contractor/Age ` Personally Knowni to Me or Produced ID 'at Type of ID UTILITIES: WASTE WATER: s. FIRE: RIiii.r)iNc- 7 ?01pR'Fuel�[ b. a CLARK. * MY COMMISSION # DD 66: EXPIRES: June 27, 20 FOF FV6S 8onded Th , dget NotarySer Owner/Agent is Personally, K Produced ID Type of ID _ APPROVALS: ZONING: COMMENTS: Rev 11.08 ENGINEERING 940-6 Date Sigoure of Contractor/Agent Date A1O, S Jades �LIa Print Cortractor/A e o Date Signature o tate of FlorKia 4aMI I t D.A. CLARKcu�� + �* MY COMMISSION # DD 667814 9 o EXPIRES: June 27, 2011 sp�OFF�OP< Bonded Thr, Budget Notary Services iivn to Me or Contractor/Age ` Personally Knowni to Me or Produced ID 'at Type of ID UTILITIES: WASTE WATER: s. FIRE: RIiii.r)iNc- 7 CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION PP hh' A lication No: V � �k���"�"�,,/ " �=/--- � ��---Hocleu*d`�-Gonstruction Value: Job Address: J`�`t'�J/1Rf�tG�'& C/ Historic District: Yes ❑ No Q" Parcel ID: 12-20-30-5-1S- 000!0- _�7.5_ D�� Zoning: Description of Work: 111WDi�J� (iTf7/L Plan Review Contact Person: %klQ� ��(,�%��'_ Title: Phone: (f O?'�S %"6 q�a Fax ?)W -573b E-mail:64 AnQCLC�dLil CO GCfl - 61(6m � / /Property Owner Information Name �/��i�QC / ��� !�/�G/ ,/ Street: -In �II�fY1� Q 13!16 City, State Zip: ©pmal Phone: �07I Z--• 30,? Resident of property? : Contractor Information Name Re'r6oki I*v Phone: (40-7J "W(o Street: 773 liai'lld Ydci W dlucl Fax: l4() 96 f _' S ? j(j City, State Zip: _� L 1 f �,� r, 3 27� State License No.: 4f&., a142S,3 Architect/Engineer Information Name: /l Ll�l�hi'1 ,x'1412 -6t, �QUC Phone: Street: Fax: City, St, Zip: E-mail: Bonding Company: Address: Building Permit Square Footage: No. of Dwelling Units: l Electrical ❑ New Service - No. of AMPS: Mortgage Lender: jead Address: &0 Al 1 �hme,. "tl TaAl�.C- 33 87 PERMIT INFORMATION Construction Type: No. of Stories: Flood Zone: X 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: Application is hereby made to o'tain 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 pplicable laws regulating construction and zoning. WARNING TO OWNER: YOgR 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 Y U INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY IBEFORE 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 th 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 verificati6n that 1 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 exec ted contract is submitted, credit will be applied to your permit fees when the permit is released. Print Owner/Agent's Signature of Notary -Stats of Florida a tpRY P� /c p. A. CLARK ' * MY COMMISSION # DD 667614 EXPIRES: June 27, 2011 Nf9rFOF FL��\OP Bonded TNdget Notary Services Owner/Agent is Personally Knc Produced ID Type of ID APPROVALS: ZONING: ENGINEERING COMMENTS: Rev 11.08 Date Sig ure of Contractor/Agent V Date i Jal L&kra Print Contractor/A e o Dat- e / ' Signature o tate of Florida Dat t "<< L). A. CLARK * MY COMMISSION # DD 687814 EXPIRES: June 27, 2011 ,r9TFOF FIOe Bonded Thru Budget Notary Services wn to Me or Contractor/AgentIPersonally Known to Me or Produced ID Type of ID UTILITIES: Z '3 •/8 WASTEWATER: FIRE: BUILDING: CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: enled'Construction Value: $ c m Job Address: s4M hl/i'lowl latl C/9&-- Historic District: Yes ❑ No Parcel ID: 12--20^3D-5/sj -0000 Q Zoning: Description of Work: AW a6hfxx UiilL. Plan Review Contact Person: ,�'{?%%(%f Title: Phone: 07)Z 7--6gW Fax 7�� "�j 7J� E-mailddphns?cldr, L6CX8.r�C6M Property Owner Information Name IkIlg Qaa &► y 44G Street: 77t t(%/1QL/( 4s7Ckla City, State Zip: 04C.�nw C / /, FG azz 3 Phone: 60-7/5-W- 30, Resident of property? : Contractor Information Name J0J6A 1*,:zu Phone: (4071 5/ ^ 36f( Street: f7S 1y11& � tnu W ditla Fax: �y07) Qd S— S 73(� City, State Zip: - 3276 3 State License No.: C CZZ428.3 jJ Architect/Engineer Information Name:(&�1-MF 1264 Phone: 921- 4 sl_ ?) 2 - Street: City, St, Zip: Bonding Company: AI/If - Address: Building Permit © Square Footage: %$-6 18 No. of Dwelling Units: l Electrical ❑ New Service — No. of AMPS: Fax: E-mail: Mortgage Lender: _AId 10� &"Q Address:/40 /V a%W`%(i%c"I/ r AW& 8 3387 PERMIT INFORMATION Construction Type: No. of Stories: -2— Flood Zone: X Mechanical ❑ (Duct layout required for new systems) Contact: DAPHNE CLARK]' 1 1 (407) 257-6940 daphneclarkinc@cfl.rr.com Plumbing ❑ New Construction - No. of Fixtures: Fire Sprinkler/Alarm ❑ No. of heads: Application is hereby made to o'tain 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 regul ting 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 certW that all of the foregoing information is accurate and that all work will be done in compliance with all pplicable laws regulating construction and zoning. WARNING TO OWNER: YOI R FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUS 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 th 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 verification that 1 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 permit 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. 'o�PP opus`/c Produced ID Type of ID APPROVALS: ZONING: ENGINEE COMMENTS: Rev 11.08 2 & ` �'h ?'Itoo TDate SigoureofContractor/Agent Date go&_AMv74oc1/X Print Contractor/A J e Date Signature o to of Florida Dat D. A CLARK p * MY COMMISSION # ISD 887814 014 nr EXPIRES: June 27, 2011 1 9rFoFFLOOO Bonded 7hruBudget NotaryServices ices no wn to Me or Contractor/Age Personally Known, to Me or Produced ID Type of ID Z 3' UTILITIES: WASTE WATER: G: Viva 3 IO FIRE: BUILDING: D. A. CLARK * MY COMMISSION # DD 88; �T9TFOFfLO�\�P EXPIRES: June 27, 20 Bonded Thr, udget Notary Sen Owner/Agent is Personally K Produced ID Type of ID APPROVALS: ZONING: ENGINEE COMMENTS: Rev 11.08 2 & ` �'h ?'Itoo TDate SigoureofContractor/Agent Date go&_AMv74oc1/X Print Contractor/A J e Date Signature o to of Florida Dat D. A CLARK p * MY COMMISSION # ISD 887814 014 nr EXPIRES: June 27, 2011 1 9rFoFFLOOO Bonded 7hruBudget NotaryServices ices no wn to Me or Contractor/Age Personally Known, to Me or Produced ID Type of ID Z 3' UTILITIES: WASTE WATER: G: Viva 3 IO FIRE: BUILDING: TV it) F7 Q Tni�D ? CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION �0_ Application No: en4yConstruction Value: $.6s Job Address:.54,W klln(fw al (1Historic District: Yes ❑ No Parcel ID: 12-20-30 - 5,15 0000 - 19,!z 0 zoning: Description of Work: AW TOWNW6 41f)16 Plan Review Contact Person: hoC 0,/(?( Title: Phone:( 407)ZZ-OW F4x(407)qOF-573b Property Owner Information Name dej &W24 ac. Phone: (�07/ j4 -z-11_ 30G2 Street: 7a #a(li(Ald&ng 84161 Resident of property? City, State Zip: Contractor Information Name 1111,669k,,j /6v Phone: (407) 5q1 -3M6 Street: _77� •Isfud Fax: 96f_S)3(0 City, State Zip: 64anw r1h) r-(- 2763 State License No.:6BCZ�S7428,-S J A rehitect/Engineer Information Name: - � 1 U4 A )14 A _146L Phone: Street: City, St, Zip: Bonding Company: A) Address: Building Permit V z4j Square Footage: /5-644//94e No. of Dwelling Units: Electrical 0 New Service — No. of AMPS: Fax: E-mail: Mortgage Lender: 1611d 0 Address: &_16 Al PERMIT INFORMATION Construction Type: No. of Stories: Flood Zone: X Mechanical 0 (Duct lay—out required for new systems) ContactE: DAPHNE C LARK (407) 257-6940 daPhneclarkinc@cfi.rr.com Plumbing 0 New Construction - No. of Fixtures: Fire Sprinkler/Alarm El 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 cer4fy that all of the foregoing information is accurate and that all work will be done in compliance with all pplicable laws regulating construction and zoning. WARNING TO OWNER: YOgR 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 Y U INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY IBEFORE 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 th 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 verification that 1 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. Signage of Owner/Agent 0 Date Sig ure of Contractor/Agent Date &&&h*Mwe AO&14A Jaw L&va Print Owner/Agent's a e Print ContractoriA e signature of Notary - of Florida Date Signature o tate of Florida Dat State 0. A CLARK O. A. CLARK +. * MY COMMISSION # DO 667814 + MY COMMISSION # DD 667014EXPIRES: June 27, 2011 EXPIRES: June27204i �9rcOFFIo��P Bonded7hruBudgetNotaryServices ��9rFOF FL��\oP Bonded TTNNr� dget Notary Service: / Owner/Agent is . Personally Kto Me or Contractor/Agenf lPPersonally Known to Me or Produced ID Type of ID Produced ID Type of ID APPROVALS: ZONING: UTILITIES: WASTE WATER: ENGINEERING: FIRE: BUILDING: COMMENTS: Rev 11.08 CITY OF SANFORD FIRE DEPARTMENT FEES FOR SERVICES PHONE_ _ __- FAX #. - 7 DATE: PERMIT #: BUSINESS NAME / PROJECT: Ln� ADDRESS: � L �- o � fw Q.S�I.i \ �-Sz� PHONE NO.: FAX NO.: CONST. INSP. [ ] C / O INSP.:[ ] REINSPECTION [ ] PLANS REVIEW F. A. [ ] F. S. [ ] HOOD [ j PAINT BOOT BURI[E MM [�] TENT PERMIT TANK PERMIT [ J OTHER [ TOTAL FEES: $ (PER UNIT SEE BELOW) Address / Bldg. # / 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 must be paid to Sanford Building Department, 300 N. Park Ave., Sanford, FI. 32771 mossummaw aym ,ntmu ade 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. Sanford Fire Prevention Division Applicant's Signature i,o7- I1-5 D CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION j 03 Application No:. l d 7/-/ Documented Construction Value: $ VI/ ® I 0 Job Address: JYOD wu"'� lex /j.e_" Historic District: Yes ❑ No IY Parcel ID• Zoning: Description of Work: Plan Review Contact Person: Title: Phone: Fax: E-mail: Property Owner Information Name &( ,4,14gn Phone: :Y07-,,71 9 Street: Resident of property? City, State Zip: Contractor Information Name k, E, I/ Phone: W G 7% /r -s Street: "19/V F Fax: `%07- 6 72-,60'S City, State Zip: State License No.: CeI20,919d 9 Architect/Engineer Information Name: Street: City, St, Zip: Bonding Company: Address: Fax: E-mail: Mortgage Lender: Address: PERMIT INFORMATION Building Permit ❑ Square Footage: ! r S.0 Construction Type:c,-- No. of Stories: No. of Dwelling U i s: Flood Zone: Electrical Plumbing ❑ New Service - No. of AMPS: / _S_�j New Construction - No. of Fixtures: Mechanical ❑ (Duct layout required for new systems) Fire Sprinkler/Alarm ❑ No. of heads: y 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 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: ENGINEERING: COMMENTS: Rev 11.08 UTILITIES: FIRE: -v Signature of Contractor/Agent Date Print Contractor/Agent's Name C9 3 a //J Signature of Notary -State of Florida Date ti eav e Contractor/Age nt'is" `' 'Pe sr orally Known to Me or Produced ID Type of ID WASTE WATER: BUILDING: L-0 i-- 11,5 RECEIVEn MAR 0 5 20 CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: 10 — -71-7 Documented Construction Value: $__4 UU Job Address: ri 420 \ .� Lab Gti', Historic District: Yes ❑ No% Parcel ID: t 2 -- 2_0 — 3 C)— 15715, y oaja` -- lq 5 U Zoning: Description of Work: JM,.0 n �\Owvi Plan Review Contact Person: Title: Phone: Fax: E-mail: Property Owner Information Name kvyw �e S � "Q S LLC_ Phone: Street: 715 V-ogv\q 4 Syn 64Aa,^a Qv-. Resident of property?: City, State Zip:yYUy\,Gkj 27(' 3 Contractor Information No Name U% VtsL& ?\\ao_es Phone: 461 (100 Street: 3W �wva ' a� �Y• Fax: 40-7— S`t 1 City, State Zip: 3 u "1 tos State License No.: C -F( 2 6 Arch itect/EngIneer Information Name: N Phone: Street: Fax: City, St, Zip: E-mail: Bonding Company: Mortgage Lender: Address: Address: PERMIT INFORMATION Building Permit ❑ Square Footage: Construction Type: No. of Stories: Z No. of Dwelling Units: Flood Zone: Electrical ❑ Plumbing New Service — No. of AMPS: New Construction - No. of Fixtures: Mechanical 13 (Duct layout required for new systems) Fire Sprinkler/Alarm 0 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 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: ENGINEERING: COMMENTS: Rev 11.08 UTILITIES: FIRE: 114110 ignature of Contractor/Agent Date S,co �- V`'`G'a-s' S Cx-�, Print Contractor/Agent's Name Si nature " """""'•••■oe g D �1SCOTT or de 11)A y Comm# DD0681106 0�fl . 1; Expires 6/3/2011 Florida Notary Assn., Inc !nrrnuao •Mvvvvuuvanneecavvvvouvasvvvvvvanannvvv9 Contractor/Agent is Personally Known to Me or Produced ID Type of ID WASTE WATER: BUILDING: Model Pricing- Linscott Pluming Inc. Windsor bake Estates: Ameila Plan $4900.00 onitaPlan $4900.00 Cristina Plan $48O0.00 Diego Plan $4900.00 J 775 Harley Strickland Blvd. • Suite 110.Onmr Git7, FL 32763 - Tok (3O 851 790 - Ilius: (386) 851-7941 httpdIWRW.MftUKI hOa'aCUWIi CW1$10143 1 CITY OF SANFORD BUILDING & FIRE PREVENTION ` PERMIT APPLICATION Application No:�Documented Construction Value: $ �� Job Address:- qa-D W/,h er �� ��C drGi� % f 9� Historic District: Yes ❑ 010 Parcel ID: Description of Work: ols+&A Plan Review Contact Person: Phone: Fax: Zoning: E-mail: Title: (Kp Property Owner Information Name fC4'eS 40_rytz Phone: 399 _19j (%7(� Street: ��g� t'�,t � n Resident of property? City, State Zip: ICi�C_ // Name / Phone: Street: ! Cl -e Fax: City, State Zip: (�(z 1 3 �-� l State License No.: (-AC- 1 -9- 1S Architect/Engineer Information Name Street: City, St, Zip: Bonding Company: Address: Phone: Fax: E-mail: Mortgage Lender: Address: PERMIT INFORMATION Building Permit ❑ Square Footage: a Construction Type: No. of Dwelling Units: Electrical ❑ Flood Zone: New Service - No. of AMPS: Mechanical 4 (Duct layout required for new systems) q(P01 a � S1.0 No. of Stories: �L 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 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: ENGINEERING: COMMENTS: Rev 11.08 Signature of Con or/AgeP0nt1M0-4-C'-P-(- Date E" - y Print Contractor/Agent's Name Signature of Notary -State of Florida Date ; •�"� BRENDA G HARNISH MY COMMISSION # DD946431 EXPIRES December 14; 2013 (407) 398 0153 FbridallowyService.com Contractor/Agent is (� 6erso�nallyo Me or Produced ID Type oT 113 UTILITIES: FIRE: WASTE WATER: BUILDING: Apr, 5. 2010 3:18PM ACE AIR CONDITIONING Orlando Oi'vision Mercedes Homes, Ino_ 775 Harley Strictland Blvd. ORANGE CITY, FL 32763 Tel: (407)591-3101 Fax: (386)851-7949 N0,9588 P. 5/6 ACE AIR CONDITIONING, INC.. Shap To: "WINDSOR LAKES - SUNCOR"" 2985 ENTERERI§2 ROAD Lot; 195 Debary, FL 32713 Tel: (386)668-,8651 Fax: (386)668-7758 Attention: BRANDON, RICKY I (ORLACAICO) DUPLICATE PO Number: 004-550-000252 CDS: ORL-000033-09 Fax No: (386)668-7759 Order By Print Date: 02/2212010 Tel. No: (386)665.8651 Purch. Agent: Order Date: 02/2212010 Disc. Terms: nfa Ship Vim nate Req; i Terms Code: $mail Trds Rcvd 15th 130th Taken By: ,•'"� Req- Not � Llne Des cription Quantity uofM — ' unit cost Total Amount DISC% Drew% Amount Due , Full.— "WINDSOR LAKES - SUNCOR" Lot: 195 ModeYElev.: 1520.01- SONITAI Swing: NIA Cr.g: 220.0 -HVAC 0010 OOOODaBe - BASE MODEL, Draw 2 1.00 EA 3,691.2600 3,691.26 60.00% 2,214•'76 AIIoc: H.ORL,904-550,195,1220,00 _..._...... Sub -Total: 2,214.76 Taxes: 0,001 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 pard for the amount stated on purchase orders, Any billings after 60 days will not be paid and returned to sender REQUEST FOR PRE -POWER Altamonte Springs, Casselberry, Lake Mary, Longwood, Oviedo, Sanford, Seminole County, Winter Springs Date: 31351 tb Project Name:W SUS jIL Project Address: 5LOt LJ l ndyor U6 U6 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 ame of Owner/Wenant Signature of Owner/Tenant JURISDICTION EMPLOYEE NAME: CALLED INTO (Rev. 3/27/07) am VtrytlQ� Print Name of Gen. Contractor ___Qw" vvyt�� Sigzture of Gen. Contractor Gen. Contractor License # PAY) e1y,? Print Name of El. Contractor 644/1 Signature of El. Contr t ctor El. Contractor License # ❑ Progress Energy ❑ Florida Power and Light on / c • COUNTY OF SEMINOLE A 7/7 D � IMPACT FEE STATEMENT fF z 5 S l5 O �d STATEMENT NUMBER: 10100000 DATE: February 23, 2010 BUILDING APPLICATION #: 10-10000078 BUILDING PERMIT NUMBER: 10-10000078 UNIT ADDRESS: WINDSOR LAKE CIRCLE 5420 12-20-30-515-0000-1950 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: 5420 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 STATEMENT11_ GGI j, �b RECEIVED BY: J i'G ✓ fJ-P�e SIGNATURE: (PLEASE PRINT NAME) DATE: NOTE TO RECEIVING SIGNATORY/APPLICANT: FAILURE TO NOTIFY OWNER AND ENSURE TIMELY PAYMENT MAY RESULT IN YOUR LIABILITY FOR THE FEE. *** DISTRIBUTION: 1 -BLDG DEPT 3 -APPLICANT 2 -FINANCE 4 -LAND MANAGEMENT **NOTE** 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. 0 -,�/ -7 vV ��j 30zS — Entrance Checklist Exit Checklist Processor Initials: Processor Initials: Application fee Stopwork Order Plan Review Fee Contractor Signature/POA Contractor Registration fee Owner Signature/POA updated docs needed? Contractor Attached to Permit S[opwork Order - Contractor Registration fee 2 Surveys Copy of signed Contract 4 Sets of Plans U ee 2 Sets of Engineering Road Impact Statement 3 Sets Energy Calcs 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 Ian 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: Commercials .foots e Parks Impact Fee: S/F Mobile Multi -family of units Occu anc t e: Commercials .footage Radon Cnty Im act Statement Library School Roads ee Building Entrance Checklist Exit Checklist Processor Initials: Stopwork Order Contractor Signature/POA Owner Signature/POA Contractor Attached to Permit Contractor Registration fee Copy of signed Contract U ee Road Impact Statement Processor Initials: Application fee Plan Review Fee Contractor Registration fee updated docs needed? Stopwork Order 2 Surveys 4 Sets of Plans 2 Sets of Engineering 3 Sets Energy Calcs 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 Im act Statement Library School Roads ee Permit Fee (stopwork issued -double fee assessed) ' Building Permit Fee (stopwork issued -double fee assessed) Wa$eF/ 13�3•— G�/a�� l 3�1�3 - — 0*"'F .FIS _ 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: 5420 Windsor Lake Cir Permit Office: W�1/ 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 a. Frame - Wood, Common R=13.0 672.00 ft2 2. Single family or multiple family Multi -family 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 a. Under Attic (Vented) R=30.0 924.00 ft2 6. Conditioned floor area (ft2) 1564 b. N/A R= ft2 7. Windows Description Area c. N/A R= ft2 a. U -Factor: Sgl, U=0.63 129.00 ft2 11. Ducts SHGC: SHGC=0.35 a. Sup: Attic Ret: Interior AH: Interior Sup. R= 6, 312.8 ft2 b. U -Factor: N/A ft2 SHGC: 12. Cooling systems c. U -Factor: N/A ft2 a. Central Unit Cap: 34.0 kBtu/hr SEER: 14 SHGC: 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 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 PASS Glass/Floor Area: 0.082 Total Baseline Loads: 32.34 1 hereby certify that the plans and specifications covered by Review of the plans and IiAE STAr� this calculation are in compliance with the Florida Energy specifications covered by this v Code. Pre aced B p ywith calculation indicates compliance ��„ rV z Ace,.Ait CoRd+tioning low the Florida Energy Code. PREPARED BY:-'�na,y EvanG Before construction is completed'" 1.. DATE: - HVACIMecanical License: this building will be inspected forWIT compliance with Section 553.908 WI !. x CAC1813533 I hereby certify that this building, as designed, is in compliance Florida Statutes. C�� WE with the Florida Energy Code. OWNER/AGE 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 11:40 AM EnergyGauge® USA - FlaRes2008 Page 1 of 5 Jy FORM 1100A-08�'ERMIT FLORIDA ENERGY EF IENCY CODE FO BUILDING CONSTRUCTION Florida Department of Community Affairs Residential Performance Method A Project Name: Bonita - 1564; Builder Name: Mercedes Homes Street: 5420 Wtndsortii<e E r- / Permit Office: �141W City, State, Zip: Sanford , FI , 32771 r Permit Number: 7,� Owner:' Mercedes Homes - Jurisdiction: (, q 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 Blocker 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? r 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. LI -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 a. Slab -On -Grade E _ ,ulation 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 Glass/Floor Area: 0.082 Total As -Built Modified Loads: 26.38 PASS Total Baseline Loads: 32.34 I hereby certify that the plans and specifications covered by. Review of the plans and "specifications 0,111' f 11'E ST4 this calculation are in compliance with the Florida Energy covered by this ; crOfi Code. ' Prepared 11 y: Ace Air Con; it{on ng calculation indicates compliance with the Florida Energy Code. •+r,,r l'-\ """ Jimmy E� 3m ?w„O PREPARED BY: . Before construction is completed c -• VACiMechapical License: DATE: �' CAC181353�- this building will be inspected for ,•^ . 1� 0 ) •. compliance with Section 553.908' hereby certify that this building, as designe , i in compliance Florida Statutes.. CSD with thb Florida Energy Code. WEI OWNER/AE T: 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 11:40 AM EnergyGauge® USA - FlaRes2008 Page 1 of 5 I HEREBY NAME AND APPOINT: GUSTAV BOTES , DAPHNE CLARK EACH AN AGENT OF: MERCEDES HOMES INC. TO BE MY LAWFUL ATTORNEY IN FACT TO ACT FOR ME AND APPLY TO a 17 r _t7 THE BUILDING DEPARTMENT OF: FOR A BUILDING PERMIT FOR WORK TO BE PERFORMED AT LOT NUMBER : SUBDIVISION: I'lA df4 , ADDRESS: 2{2!1 6 PARCEL ID : -2,0 -',3a AND TO SIGN MY NAME AND DO ALL THINGS THAT ARE NECESSARY TO THIS APPOINTMENT. JASON MICHAEL VENEZ (NAME OF CONTRACTOR.) (SIGNATURE OF CONTRACTOR.) STATE CERT. # CBC 1254283 (CONTRACTOR'S STATE REGISTRATION NUMBER.) The foregoing instrument was acknowledged before me this DATE: BY: JASON MICHAEL VENEZIA Who is personally known to me and did not take an oath. STATE OF FLORIDA NAME: 7J j L 41 S,Z,L K.I Z COUNTY OF ORANGE. M Commission # : G? My •� (� x{53 �� I �rµ '$ ". Comma D00453861 ' Exp""s 9/18,2009 9' .. - a My Commission Expires: n",,- �nru (eoo)a32�2sa: i••• ...............: NOTARY: NOTARY SEAL. SIGNATURE OF NOTARY: L Igoal toyou gIvIII nall ifIV( 11fit 11111of11111111111111Jill THIS INSTRUMENT WAS PREPARED BY: MARYANNE MORSE} CLERK OF CIRCUIT COURT Jan Hall4d`WLE COUNTY BDR Title Corporation ���� AK 07328 Fig 0344; (lpg) n775 Harley Strickland Dr. Ste. 110 CLERK'S #t:pi Orange City, FL 32763 RECORDED 02/01/2010 113117:41 PN ?V0XI RECORDING FEES 10.00 Building Permit No. RECORDED BY T Smith NOTICE OF COMMENCEMENT FS 713.13 THE UNDERSIGNED notifies all parties that improvements will be made to certain real property, and in rdance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement: I. Description of Property, Lot 195, 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 h. Interest in property: Fee Simple C. Name and address of fee simple titleholder (if other than Owner): Same 4. Contractor (name and address): ISame as Owner 5. Surety Information: a. Name and Address: b. Amount of bond: 6. Lender Information: 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 CERT1f9EQ con ������� �UiT COURT CLERK OFLYy �pR10� SE,040 FEB ®1 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(1)(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, CONSULT WITH YOUR LENDER OR ATTORNTY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. MERCEDES H IrFS, LL By: Name ristina Quintana Title: Division President Verification pursuant to Section 92.525, Florida Statutes. Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in it are true to the best of my knowledge and belief. // By: C Cristina Quintana 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❑s License as identification and did _ did not X take an oath. VEXPIrOs APRIL MARSHALL NOTA Y PUBLIC (Notary Seal)NOTARY PUBLIC Name: STATE OF FLORIDA My Commission Expires: Comfit# DD0929579 9/30/2013 1- ;i n p 1-1 0 m I m ]1 1 I I n z z z z> c m m m r7*-a-i��rnprz Rj zo�omz czi S m Z D C>LA m �m>`Z 2 0 �� z m < m m N zz n p c m m v o v m f %A ? I I -H m m D n c�o� 1 zl yc� c D m pm z O 0 9� m j m m m z O Dm D m > r n A n m -I m m R � m -zi c A y � m a O D 2 D D yZ Amy FtilAm�a1T1 oZCC�ivyi°�z �ozmz�'Ixvm Abs-Zi2`_'A� �tna��m2 r�oAoo��ao �AU12-[��2p S O n z a D amZma�mt"1i10 c,10 NP %:z OpOy ;Cm�n1 zmam�"11�* �z �OOn n A=.y��OAO CC�A22C01 xoulmgminiDo� mT",u D c mAN Zm� J O � rvo 6ak LA Z. �oc3 [nib•, b CU w�Z N `1 O r 0 Z g F4IPR Z>i Ma�!mu, A oZa z���dNN-I'paµUp� u µ D D N 0 C o m H � N TRACT A' COMMON AREA (T Lnj S 69444 75.00' 1 y w S 69*24'22" W 75.00'W TRACT A' in COMMON ARE 5.00' O i � o i rn s r-5.00' .� aw ti rz �3pczxr��0 0It �wro�N��cz 0 oo�zzyoz� -3 C)C ^� zn��o�> �H z�dxczm�n vYir o:�2gyvw <�CY. n~z zyr� ryryyy'=y�o� p��.�n�yz���y� °z�2 � YO.zc ClZY7�Cy�xx�-3� y �xz�rz7Y�raYi 7?z3i`�d xt7�zy CnpHykf �On 3nt�Onr Y.. ��1��1nyo�Cdyr� =zza xbzn KSyn Q YdC-��r �� y �Nc �o�o ox���10, rz-0M5CC) q q°� ot.iQz 00 dCT K1t� �� N r( d C1 Z d C) z sr, i o 3.0' 20.00' O d ~ •--� Uq So tet: 42.00' ds u 42.00'5.00' .., m N 20.00' 11.00 AW4'2r'/ 75.00' y 50.00' '. s w r' FINISHED FLOOR ELEVATION = 41.05 '�w 3.0' >I n� Ai. h 50.00' �. c 0.34' 56924'22'W 75.00' n `1 NFINISHED ' FLOOR Is c 3.00' ELEVATION $ u = 41.05 . 4200'. 3.0' 58924'22'W 75.00' 7c m Y P FINISHED FLOOR ^' h 3. 3.00' S _ ELEVATION �2 41.05' $ i 3.0' _ .. �1 42.00' ... �. In S6924 '22'W 75.00' 7 C $ y � FINISHED FLOOR s 3'� ELEVATION 41.05 g .'-. 42.00' ' S692422 W 75.00' Y N FINISHED FLOOR ELEVATION 41.05 i' 3. o 61 4200' 3.0' 11.00, -- 56924'22'W 75.00' i o FINISHED FLOOR � ^' ELEVATION = 41.05 s tv ri 3' '`m a 50.00' 20.00' 4.67 21.33' $ $ 24.00' y w S 69*24'22" W 75.00'W TRACT A' in COMMON ARE 5.00' O i � o i rn s r-5.00' .� aw ti rz �3pczxr��0 0It �wro�N��cz 0 oo�zzyoz� -3 C)C ^� zn��o�> �H z�dxczm�n vYir o:�2gyvw <�CY. n~z zyr� ryryyy'=y�o� p��.�n�yz���y� °z�2 � YO.zc ClZY7�Cy�xx�-3� y �xz�rz7Y�raYi 7?z3i`�d xt7�zy CnpHykf �On 3nt�Onr Y.. ��1��1nyo�Cdyr� =zza xbzn KSyn Q YdC-��r �� y �Nc �o�o ox���10, rz-0M5CC) q q°� ot.iQz 00 dCT K1t� �� N r( d C1 Z d C) z 59824'PP'I 76 00' i o 3.0' �8 [.1 "3 ea O d ~ •--� Uq 42.00' ds u 42.00'5.00' .., m 20.00' 11.00 AW4'2r'/ 75.00' CERTIFICATE OF ELEVATION Address: 5420%1 ,fIaDSOR, LAY -E- CIQGL -- Legal Description: Lot WINDSOR LAKE TOWNHOMES EAST Plat Book 74, Pages 31, 32, 33 & 34 Seminole County, Florida The Finished Floor Elevation of -the structure on Lot 195 WINDSOR LAKE TOWNHOMES FAST meets or exceeds the requirements set forth in the City of Sanford, Building Code Chapter 18 Sec.184(a). r j t�Erhi ti,:k t`. Cw:ratIe Ftori�i JS�r veyor : n _MA'p per Reg. No. 2005 Licensed Busines=s tSu.rrt5er 5073 Date Fieldwwork Completed. 5- 7-2010 Work Order No. Zoio- 415 r.' U.S. DEPARTMENT OF HOMELAND SECURITY, ELEVATION CERTIFICATE OMB NO. 1660-0008 Federal Emergency Management Agency Expires March 31, 2012 National Flood Insurance Program Important: Read the instructions on pages 1-9. SECTION A - PROPERTY INFORMATION711 Al A2. Building Street Address (including Apt.,. Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 5420 Wiu>Sote LAS ClQa-ig' City State A3. Description (Lot and Block Numbers, Tax Parcel Number, Legal:Description, etc.) --- JCI!lF-Loit(DA A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) A5. Latitude/Longitude: Lat. -ZS" 44! 1 t tA Long. & O !G 3 '�= 'V1 .Horizontal Datum: ❑NAD 1927 NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number -a A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage: a) Square footage of crawlspace or enclosure(s) sq ft a) Square footage of attached garage sq ft t b) No. of permanent flood openings in the crawlspace or ` ^ b) No. of permanent flood openings in the attache garage enclosure(s) within 1.0 foot above adjacent grade within 1.0 foot above adjacent grade c) Total net area of flood openings in A8.6 sq in c) Total net area of flood openings in A9.b sq in d) Engineered flood openings? ❑ Yes Wo d) Engineered flood openings? ❑ Yes No SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Communil Name & Community Number B2. Count Name 63. State A 1- 6 �. 154. map/Panel Number B5. Suffix B6. FIRM Index B7. FIRM Panel 68. Flood B9. Base Flood Elevation(s) (Zone d! 2 ((7C�7� Date Effective/Revised Date ��Zone(s) « AO, use base flood depth) SEPT 28 2LX�7 5E 2 �', Zprj7 B10. Indicate The source of the Base Flood Elevation (BFE) data or base flood depth entered in Item 69. ❑ FIS Profile FIRM Community Determined ❑ Other (Describe) B11. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 XNAVD 1988 ❑ Other (Describe) - B12. Is tKe building located in.`T� aCgastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes / No Designation Date y 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, V1430, 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 dirragram specified in Item AT Use the same datum as the BFE. Benchmark Utilized !j�lrtf 12(r 0499 BEILL I A1.IUQfc t ¢Sd-�4+I Vertical DatumA Awu!ICAA1 V6-116 -AL W fig$$ Conversion/Comments a) Top of bottom floor (including basement, crawlspace, or enclosure floor) Check the measurement used. feet ❑ meters (Puerto Rico only) b) Top of the next higher floorfeet 1:1meters (Puerto Rico only) C) d) e) Bottom of the lowest horizontal structural member (V Zones only) Attached garage (top of slab) Lowest elevation of machinery or equipment servicing the -❑ feet 4 `feet ❑meters (Puerto Rico only) ❑ meters (Puerto Rico only) building (Describe type of equipment and location in Comments) 4 i "�feet ❑meters (Puerto Rico only) f) Lowest adjacent (finished) grade next to building (LAG) _ ¢( -Qfeet ❑ 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 structural support AJ44 _Nfeet ❑ meters (Puerto Rico only) SECTION D -SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, br architect authorized bylaw 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 may be punishable by fine or imprisonment under 18 U. S. Code, Section 1001. Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a Name Signaturge/I_ , . licensed land surveyor? ]KYes ❑ No j License Number State FEMA Form 81-31. Mar 09 c_,..,_, ____ _:a_ r__ __._.__ _, _ ZIP Code M 'A. AJa. 2005 "i7aM��t�:� • "T%A� /Y14Y ?f fol v IMPORTANT: In these spaces, copy the c Building Street Address (including Apt., Unit, Suite mtormatton from Section H. .) or P.O. Route and Box No. City - State ZIP Code Cr�Y� taper `� ��4sts Cl�D r�7tl 32'li3 ''` c C, A - t 1 iri�.l) /'-� 4 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. CommentsJp%)&nou /� I P��1 o--r-,,O e -k �aNCrc�t Rti2. C'ouDlttoN2 SAD Signature- ✓ Uate /h/I/i . _ , /b , h._ n AAA --e -'1 -Ve% l n ❑ 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 ❑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 (seea es 8-9 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is _ ❑ feet ❑ meters E] above or EJ below the HAG. E3. Attached garage (top of slab) is ❑ feet Q meters n above or ❑ below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is . _ ❑ feet [] meters ❑ above or E] 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? ❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) dERTIFICATION The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA -issued or community -issued BFE) �r 7nnP An mi est Sinn 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 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. 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