HomeMy WebLinkAbout6350 Windsor Lake Cir 11-111 (new t-home)RECEIVED
CITY "OF` $ANFORD ; ;
OCT 1 F1 2010 BUILDING "& FIRE PREVENTION
PERMIT APPLICATION
Application -No: % J /
Documented Construction Value: $
Job "Address: 63 �CiSe r
LSC ILc� �% i'!C� l Historic District:
]'es II
No Lk"
Parcel ID: /02 -o2G-30-- 5�_/41 _ CDOC) - 1 7y0 Zoning:
Descripti on of Work: `�r'��� �wr>>/y c�tfae�c� -
7 -Plan. Reyie« Contact Person- klexIe- Title. TPXMit 60Fd-Ioct,-
Phone: x{07- gS�-SaSa Fax: ��6 }r3r'�5- e9(Y9 E-mail: V1-�rrer,q'drhb� on"•� yM
Property Owner Information
Name .` ' , "ryn 1 nC . Phone: 46/11 - 50 =-:51-zD0
Street:5 +� 1 ( - '� 31yc� . Resident of property?':
City, State Zip: Q,'�crl�
Contractor Information
Name '54eyey) Phone: `tb 7 - (YSb - 5 ao
Street: 5$so `. -S) Yd . Fax: 1 6ee - 07915_4 ��9
City, State Zip: '0rI ZLnCLo State License No.: l 5 awl
Architect/Engineer Information
Name: n Phone:
Street. Pi,l) Fax:
City, St, Zip: p,rt'lOt r L 34-q t E-mail:
Bonding Company: Mortgage Lender:
Address:- Address:
/'
PERMIT INFORMATION
Building. Permit (J'
Square Footage: M i Construction Type6rie- , -11 No. of Stories: �`
No of Dwelling Units: Flood Zone: k (see- 0.i{&40_
Electrical ❑ Plumbing ❑
New Service - No. of AMPS: New Construction - No. of Fixtures:
Mechanical 11 (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. 1 'certify that no
work or installation has connmenced 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 NO_ TICE,OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROV EMENTS 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 age►icies.
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 bight 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.
let
ignature of ner'Aeent Date Signa e of onhactor.4�gent Date
�.�� I I icim � 1�._�Ccs'Si%t �-)o� ��"�Ve.YI .moi' un�►'�
Mini 0wnerAgent's Name Print ContraclorAgenl's Name
Sionafure of Nota1�-5 ate of Florida Date -
py ;be a.'. :F01' I iit .Jant x,, as r�Aay
Owner./Agent is V Personally Known t_ oMe or
Produced ID Type of ID
APPROVALS: ZONING: 10-ttt•rd UTILITIES: _
to - Its
ENGINE FIRE:
COMMENTS:
Rev 11.08
Signature of Now% -State of Florida Date
1
E'�
VALERIE t FURRIER
Comrrr seen nD 668238
k, Expires May 2 2311
Ca�� bb Tr tfTr��; -air. ne 9 -385 701
Contractor/Agent is Personally Known to Me or
Produced ID Type of ID
WASTE WATER:
BUILDING:_
City of Sanford
Planning and Development Services
87 Engineering — Floodplain Management
Flood Zone Determination Reauest Form
Name:0. l £ r t. Firm:17. lZ• �JIU r�
Address: Scg SC) -T. C, . Le.jz- i� �., t . S,,,4 -Q- 000
City: (0`- to"'L State: Zip Code: 32812-'Z
Phone: Lfo 7 •.8so • &-La?- Fax: 84G • 29S•6989Email:y 1�, ,,A, @ Ar h6 AP IN'. W a.
Property Address: ('tSy
Property Owner:l7 (Z 1At) f--�G V1\1
Parcel identification Number: I'L • '10 -3v • S t, • LXW ►•78 y
Phone Number: KO -7 • 6S•0 Stop Email
The reason for the fiood plain determination is:
Newstructure ❑ Existing Structure (pre -2007 FIRM adoption)
❑ Expansion/Addition ❑ Existing Structure (post 2007 FIRM adoption)
Pre 2007 FIRM adoption = finished floor elevation 12" above BFE
Post 2007 FIRM adoption = finished floor elevation 24" above BFE (Ordinance 4076)
_ .. a- g
IS V MQ
Flood Zone: Base Flood Elevation N Datum:
FIRM Panel Number: 120 29 4 oo7D Map Date: 9 • • O -T .
The referenced Flood Insurance Rate Map indicates the following:
The parcel is in the: ❑ floodplain ❑ floodway
A portion of the parcel is in the: ❑ floodplain ❑ floodway
The parcel is not in the:floodplain ❑ floodway
❑ The structure is in the: ❑ floodplain ❑ floodway
[g' The structure is not in the: floodplain ❑ floodway
If the subject property is determined to be flood zone `A', the best available information used to
determine the base flood elevation is:
T -SQ t 71 1
Revie 4 Date: 10 ZG 1 J
T:\Engr-Files\Elevation Certificate\Flood Zone Determination Kequest rorm.aoc
Contractor Information
Name A LIMP -r - Jec i e Cj) Phone: 4()� (Di-{ (D -
Street` 81t -TaC DY -)A Ue, Fax: I -i 17 7 9C] 9 - 0142 )
Ci " State Zip: i n f -P - PQ✓ k f—] 3J 7&1 State License No.
Architect/Engineer Information
Name: Phone:
Street: Fax:
City, St, Zip:
Bonding Company:
Address:
Building Permit ❑
Square Footage:
No. of Dwelling Units:
E-mail:
Mortgage Lender:
Address:
PERMIT INFORMATION
Construction Type:
Electrical
New Service - No. of AMPS: 1,550
Flood Zone:
Mechanical ❑ (Duct layout required for new systems)
No. of Stories:
Plumbing ❑
New Construction - No. of Fixtures:
Fire Sprinkler/Alarm ❑; No. of heads:
C�/9 v �11J
CITY OF SANFORD
MAR 2 2011
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
BY
Application No/ ��` ���
f
Construction "Value: $
Job Address: IP,5D V V U'i
,,Doc,,umented
A. LQ4
Historic District: Yes LJ No
Parcel ID:
Zoning:
Description of Work: ) 5D Q ,
— � -PA-1) SCI U ? CS
y
Plan. Review Contact Person:
Title:.
Phone:
Fax:
E-mail:
Property Owner Information
Name
Phone: 4O% -
Street: -585D TG
Resident ofroe
p P j'�'' '
City, State Zip: n t ) O d e)
Contractor Information
Name A LIMP -r - Jec i e Cj) Phone: 4()� (Di-{ (D -
Street` 81t -TaC DY -)A Ue, Fax: I -i 17 7 9C] 9 - 0142 )
Ci " State Zip: i n f -P - PQ✓ k f—] 3J 7&1 State License No.
Architect/Engineer Information
Name: Phone:
Street: Fax:
City, St, Zip:
Bonding Company:
Address:
Building Permit ❑
Square Footage:
No. of Dwelling Units:
E-mail:
Mortgage Lender:
Address:
PERMIT INFORMATION
Construction Type:
Electrical
New Service - No. of AMPS: 1,550
Flood Zone:
Mechanical ❑ (Duct layout required for new systems)
No. of Stories:
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 COININIENCEi1IENT TMAY
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: to 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 l�e applied to your permit fees when the
permit is released. 1�`
Signature of Owncr,/Agent Date
Print Owner/Agent's Name
Signature of Nanny -Stale of flo irla Dale
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
Rev 11.08
UTI-L1IIES:
3
Date
7finContractor/Agent's Name
�"O, (�� -&Af-1L0 - 3Lh
Signature of N< ury-S ., e ,rf Jori ate
:o•"RY PQ*, Notary Public State of Florida
Pamela S Temus
�p aAa My Commission 00904727
Expires 08/07/2013
Contractor/Agent is X Personally Known to Me or
Produced ID Type of ID
WASTE W` ATER:
BUILDING:
` PAL IMA E R Z7ECTRIC
Since 1951
DR HORTON WINDSOR LAKES - 22'
PRODUCT - 6 UNIT.TOWNHOME
- 9624 SF WI
PROPOSAL 1564 BONITA
A LGA �� 4
We propose to furnish all material and labor for electrical wiring in accordance with the following wiring schedule and bid set
prints dated March 10, 2010.
All work shall be performed in the following manner: All work must be scheduled through the Construction. Coordinator.
Change Orders or Field Addendums and Purchase Orders must be issued, approved and signed in order to be performed.
Rougth-in work `and rough -in Change. Orders may be. billed at. rough -in inspection.. Return trips to fix, punch or replace
damaged items are subject to a return trip charge ($85) and applicable labor and material charges.
Inclusions: Installation of new standard light fixtures. Fixtures in excess of 50lbs and/or contains more than 15 pieces subject
to additional charges. Connection of plumbing appliances includes receptacle for dish washer & disposals. Allappliancesare
to be pre -whipped and supplied by others. PE is not responsible for return trip when appliances or whips are missing.
Arc -Fault Circuit Interrupter Breakers per NEC 08 code and a TUG or temporary power pole per unit/bldg. This proposal,
assumes that all walls behind Electrical Meter Center Location are to be 6 inch walls to accommodate the bending radius of
the SER cable. All branch circuits will be wired using NM cable and are based on individual metering per unit. Service
entrance is based on garage side and back to back where applicable. Alternate or elected changes subject to additional
charges.
All switch devices are Toggle type, White in color.
Please notethat locations and quantities may be inconsistent with drawings. All work shall be completed in a workmanlike
manner, according_to industry standards, and compliant with local and national electrical codes (NEC):
Exclusions: Light fixtures, paddle fans or lamps, secondary wiring or piping, installation of paddle fans, venting, or power
cornpany,charges and fees.
All work is warranted for a period of ONE year from final electrical inspection according to our standard warranty terms.
Motion sensors are not warranted.
Price: We offer to perform the above-described work, including state sales tax, for the amount of: $4,070.00.
Rough -In
Trim -Out
Total
$ 2,849.00
$ 1,221.00
$ 4,070.00
This price is valid for 30 days.
Terms: 70% due at completion of rough -in; balance due upon final inspection including extras. All terms and conditions on
the attached "Exhibit A" are hereby incorporated in and made part hereof.
PALMER ELECTRIC COMPANY
Residential Wiring Group
March 22, 2011
This agreement is hereby accepted and entered into by:
Executed, in the presence of:
on
To accelerate to start plase4fill in all'of the fotlowmg
Start Date i s
Job Address �.
Btdg.PermR Number
A:pphcation No:
RECEIVED
OCT 1 8 2010
�
N �+*le r
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Documented Construction Value-.
Job Address: &35_0 CJi r) dSa �- LA -,Le (J rd oe
$
Historic District: Yes ❑ No L
Parcel ID: 4q -old -30--/x%- 0.000 — /79d Zoning:
Description of Work: le raj -t); T QC T06yhho/YIE.S
Plan Review Contact Person: Vo.lexIe, Title -4W( .cif
Phone: I -M7- gSO-SaBa Fax:
Property Owner Information
Name T.'t�. (-� o� 1 i1C . Phone: kl p 0
Street:J SSD J /� '� _91V4. , 1040 Resident of property?
City, State Zip: '01-kn eLo { FL 3a as
Contractor Information
Name _54e-i/2r1 � } i -5b - S a o O
Street: 585D f , (a . I .e �1 Y61.1 Fax:
e - o?95--49y�1
City, State Zip: Orl owd o., FL 3 2 State License No.:
Architect/Engineer Information
Name: %_/ldexr)ar)!)
Street:
City, St, Zip: t
Phone:
Fax: �d�•�
E-mail:
Bonding Company: _��p Mortgage Lender: i((14
Address: tiL 3r,/, /0 57y' �Ci Address:
1 PERMIT INFORMATION
Building Permit LTJ
Square Footage: 41 Construction Type6F,0-! No. of Stories:
No. of Dwelling Units: Flood Zone:
Electrical ❑
New Service — No. of AMPS:
Mechanical ❑ (Duct layout required for new systems)
0
31
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 conunenced prior to the issuance of a pen -nit 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
onditioners-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
pennit is released.
ignatwe of ner Aeent Date
Print Owner/;agents Name
Signature�Nmwy tate of Florida Date
VALERIE L. FURRIER
:R= C«mrrlission DD 668238
t "« Expies May 25, 2011
'3anrzo'hru ln,y Fwn Insurance 800.3B5-7018
Owner/Agent is ✓ Personally Known to Me or
Produced ID Type of ID
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
Rev 11.08
UTILITIES:
FIRE:
A911
signa c or onhactodAgent Date
'5iCVen "k. q
Print Contractor -/Agent's Name
WASTE WATER:
BUILDING:
Signaimv of Notary -State
or Florida Date
rRY:'e'a4, VALERIE L, FURRIER
r * -
1ee'=
Commission. DD 668238
Expires May 25, 2011
riff 7+'
6 hRW Thtd Vey Fain Insurance 880-385-701S
Contractor/Agent
is Personally Known to hj .
Produced ID
Type of lD
WASTE WATER:
BUILDING:
1
d 0
RECEIVED CITY OF SANFORD
OCT 20In, BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: / Documented Construction Value: $ AP P, Y-65-, DCS
Job Address: 36-0 10' n dye r Lkke 6're-le Historic District: Yes ❑ No L�
Parcel 1D /07 60,06 - 1'7Y6 Zoning:
Description of work: r' J� Faarr�ly Qc, Toeynho/YIES
Plan .Review Contact Person kl ex) e- Title f
Phone: �{D7.' SSD- SaSa Fax: Y 6 '--rj?9.5- M9 E-mail: V L�rre:l�,q dr1
Property Owner Information
Name Phone:
Street:J ��D /` •(� /� 3J��( (oDCI Resident of property':
City, State Zip: 6r -&n eto
Contractor Information
Name �54e_v�n �} —�Cq Phone:5 ao.o
Street: .585v ! , L� �1 Yrs —4 Fax: P - 6?9157- "
City, State Zip: 0,40-nd o 1' ir::-L 3 a State License No.:
Architect/Engineer Information
Name: %...god& -mem n Phone: .35-;�-a`t�
Street: Fax:
City, St, Zip: be'f(Y urt- r 34q ! - E-mail:
Bonding Company: Mortgage Lender: ,►>��/�
Address: Address:
1 PERMIT INFORMATION
Building Permit. 0
Square Footage: �t`j ConstructionType6re (-N- No. of Stories:
No. of Dwelling Units: Flood Zone:
Electrical D Plumbing ❑
New Service - No. of AMPS:
Mechanical 11 (Duct layout required for new systems)
New Construction - No. of Fixtures:
i�'
Fire Sprinkler/Alarm 0
heads:
1 GJ
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: 1 certify that all of the foregoing information is accurate and that all work will
be done in compliance with all applicable laws regulating construction and zoning.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. 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 ofd 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 l 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
pen -nit is released.
"gA..er;':\Lent Date
Print Owner/ALent s Name
Signature of Notary -5 ate of Florida Date
h: k=
.art `'7D 668238
Mu2 x, 2011
�'�+r�fu�?�+` � ,'luua v u, 'nsnrancP 690-36n 7U19
Owner/Agent is /Personally Known to Me hr..
Produced ID Type of ID
J/ G�
Signa , c of onnactodAgent Date
Print Contractor Agent's Name
APPROVALS: ZONING: UTILITIES:
ENGINEERING: FIRE:
COMMENTS: ihl
Rev 11.08
WASTE WATER:
BUILDING:
SiLnature of Notar -State
of floida Date
,aa:'ar ,,
VALERIE L. FURRER
a as
LL
C0'llITlSsion ! � 668238
Expires May 2J, 2011
ThrH T . � F m art i n ;� HPO 399 '01
Contractor/Agent
is Personally Known to Me or
Produced ID
Type of ID
APPROVALS: ZONING: UTILITIES:
ENGINEERING: FIRE:
COMMENTS: ihl
Rev 11.08
WASTE WATER:
BUILDING:
29
CITY OF SAN FORD
OCT 1 ij ���(� BUILDING & FIRE, PREVENTION"t
PERMIT-APPLICATION '
Application No: / 1 Documented Construction Value:
Job Address`: 3 5-(-) . LA_ILe Historic District: Yes ❑ No le
Parcel lb: /a2 -020-30-- =��/_ C�jdy _ /rIA) Zoning:
.Description of Work:
Phan Review Contact Person- Title-_4Wtn�it
Phone: 4d7 Fax: ._d95- M9 E-mail: &&ri
Property Owner Information
Name T. _J� , r4-on a-t1C Phone: 40"1 X50-Saar
Street: ,�j �5D 1 (�' e '� %fit(; &106 Resident of property?
City, State Zip:
Contractor Information
Name �f�i1 �} i�ca(,t11q Phone: `fb 7 - (YSb - S ao 0'
Street 8 l -� LP
S D �) Yd Fax: � P - a9s.-�9�9
City, State Zip: '.000-MO/ 9 State License No.:
Architect/Engineer Information
Name: /1 Phone:16
Street P� ,0 . ),a) SS Cd Fax:
city, St Zip: (�A erfn o� � '54q ! E-mail:
+ Bonding Company: Mortgage Lender:
Address: Address:
PERMIT INFORMATION
Building Permit
Square Footage: 1 Construction Type'662- i 44 No. of Stories.-
No.
tories:No. of Dwelling Units: ) Flood Zone:
Electrical ❑ Plumbing ❑
Ne'Nv Service - No. of AMPS: NeNv Construction - No. of Fixtures:"
Mechanical 0 (Duct layout required for new systems) 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 commencedprior to the issuance of a pen -nit 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.
41.nalwe or Vneri.\eent Date
W 11 c:'Lrr1r�Ccs t 10(
Pnnl Ownerr'Aeent s Name
Sienature of Notary -S ate of Florida Date
VAI r,,- L. FURRER
DD 668238
a Exp os,ka, 2a, 2011
;:i Im, i/i . mm:arm 600.365-7619
Owner./Agent is Vf Personally Known to Me o;
Produced ID Type of ID
APPROVALS: ZONING:
Signa actor/Agent . Date
I'mit ContraclorAgents Name
Si2nalurcof Notary-StateoI- Florida Date
P-1
NE L. FURRER
ission DD 668238
s May 2 2011
?�,' ram ln_,.r;e 9K-;3.95-7619
Contractorges Personally Known to Me or
Produced ID Type of 1D
UTILITIES: WASTEWATER:
ENGINEERING: FIRE:
COMMENTS:
s Rev 11.08
€I
BUILDING.-
CITY OF SANFORD
BUILDING '& FIRE PREVENTION
PERMIT APPLICATION
Application No: ' \ �� Documented Construction Value: $
Job Address: &�>50 Historic District: Yes ❑ No ❑
Parcel ID:
Description of Work.
Plan Review Contact Person:
Phone:
Zoning:
Fax: E-mail:
Property Owner Information
Name (L Phone:
Street: Resident of property?
City, State Zip: C r
Title:
Contractor Information
Nam'! l 0 66'L Phone: `tV1 $ �'4
Street: Fax: 01 F3 3 3 3
City, State Zip: Lir\ L�,_- ozin FL_ State License No.: Cid C 5,to-1 OS
Architect/Engineer Information
Name: Phone:
Street: Fax:
City, St, Zip: E-mail:
Bonding Company:
Address:
Mortgage Lender:
Address:
» Zvi kaR,IMOINill- Ilei zI
Building Permit ❑
Square Footage: _ Construction Type:
No. of Dwelling Units: Flood Zone:
Electrical ❑
New Service - No. of AMPS:
Mechanical ❑ (Duct layout required for new systems)
NL_k-i,6
No. of Stories:
Plumbing
New Construction - No. of Fixtures: 1
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 Contractor/Agent Date
Print Contractor/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
3
Date
KIMBERLY L S KLEY
# DD 949039
EXPIRES: February 21, 2014
Bonded Thru Notary Public Underwriters
Contractor/Agent is k Personally Known to Me or
Produced ID Type of ID
UTILITIES: WASTE WATER:
FIRE:
BUILDING:
Seminole County Property Appraiser Get Information by Parcel Number Pagel of 1
GENERAL
Parcel Id: 12-20-30-515-0000-1780
Owner: D R HORTON INC
Own/Addy:
Mailing Address: 5850 T G LEE BLVD STE 600
City,State,ZipCode: ORLANDO FL 32822
PropertyAddress: 6350 WINDSOR LAKE CIR SANFORD 32773
Subdivision Name: WINDSOR LAKE TOWNHOMES EAST
Tax District: S1-SANFORD
Exemptions:
Dor: 0003 -VACANT TOWNHOME
VALUE SUMMARY
Assessment Value
VALUES
2011
Working
2010
Certified
Value Method
Cost/Market
Cost/Market
Number of Buildings ,
0
0
Depreciated Bldg Value
$0
$0
Depreciated EXFT Value
$0
$0
Land Value (Market)
$11,000
$11,000
Land Value Ag
$0
$0
Just/Market Value
$11,000
$11,000
Portablity Adj
$0
$0
Save Our Homes Adj
$0
$0
Amendment 1 Adj
$0
$0
Assessed Value (SOH)
$11,000
$11,000
Tar Fsfimafnr - .
2011 TAXABLE VALUE WORKING ESTIMATE
Taxing Authority
Assessment Value
Exempt Values
Taxable Value,
County General Fund
$11,000
$0
$11,000
(Amendment 1 adjustment is not applicable to school assessment) Schools
$11,000
$0
$11,000
City Sanford
$11,000
$0
$11,000
SJWM(Saint Johns Water Management)
$11,000
$0
$11,000
County Bonds
$11,000
$0
$11,000
The taxable values and taxes are calculated using the current years work
SALES
Deed Date Book Page Amount Vac/Imp Qualified
SPECIAL WARRANTY DEED 10/2010 07458 0016 ` $432,000 Vacant Yes
Multi -parcel sale_
values and the
rates.
2010 VALUE SUMMARY
2010 Tax Bill Amount: $221
2010 Certified Taxable Value and Taxes
DOES NOT INCLUDE NON -AD VALOREM ASSESSMENTS
LAND , LEGAL DESCRIPTION
Land Assess Method Frontage Depth Land Units Unit Price Land Value PLATS: Pick...
LOT 0 0 1.000 11,000.00 $11,000 LOT 178 WINDSOR LAKE TOWNHOMES EAST PB 74 PGS
Permits 31 -34
NOTE: Assessed values shown are NOT certified values and therefore are subject to change before being finalized for ad valorem tax purposes.
1'* If you recently purchased a homesteadedproperty your next ear's property tax will be based on Just/Market value.
http://www.scpafl.org/web/re—web.seminole—county title?parcel=12203051... 3/24/2011
.. CITY OF SANFORD,
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: �,. % Documented Construction Value: $ ��
Job Address•L� IJVI r��`1 �✓ Historic District: Y.
No �`
Parcel ID: 2' 2.)' 80 - 1,W) -Zonin
Description of Work: Lb a• 5 1L,/.5t`ey;- I )-r)l
Phone:
Fax:
' 'E-mail. (�lxt�!•(:�Y1.
1 L I _ ^ Property Owner Information j� p
Name I J `TTY4C�+ l Phone:4' (-7
Street: zjQ • 'C'1 • '��� UU Resident of property?
City, State Zip: i' �andlb- 3c; S
Contractor Information
Name I Phone�-�i -1- 1 (' �5
Street'. ��
Fax
q
City, State Zip: t✓1� ( State Lieense:No.:
Architect/Engineer Information
Name: Phone:
Street: 'Fax:
City,. St, Zip: E-mail:
Bonding Company: Mortgage Lender:
Address Address:
Electrical ❑
New Service - No. of AMPS:
Mechanical 1�(Duct layout required for new systems)
No. of Stories:
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 ffiat 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 of464going mfbrmatiangs,accurate" nd�-that: all work will
be done in compliance with all applicable laws regulating eongtrtictioa,and:zontdgY
WARNING TO OWNERBYO�FAILURE, : T6—RECORD—A:-NOTICE OF4COMiMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE
OTTI-D-10_=7lLTl-'1171Ta�7a--_�-wrr:
;t 2fr'1 II ISP ET1&-' ,-IFS , "OU INTEND -,`TO` O0 iAIikFINANCING; CONSULT; WIT
W4,YOUR
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
NOTICE.' Iii addition to die requifernents of this permit, there may be additionaf' resttictioris applicable to this
property that may be found in the public records of this county, "and there may •be additi6i al .perry its equired
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 tSariford reduires`.paymght ofpa plan review fee. A copy.,of the executed contract is Tequ> red rn order
'•, F i 4,. Ilk ! I:
ta' calculate a plan review charge. If theF executed contract is not submitted - we reserve'the right .;to calculate the
planreview °fee..,.bas'ed _.on past permit activity levels. Shout `calculated ,,chaia es exc,ee' .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 Contractor/Agent < Date
J
Pri t Con gent's Name
4
Signature of Notary -State of Florida Date
FRANCINEH. NTLI.
MY COMMISSION H DD 896778
EXPIRES: October 12, 2013
Er 4P� Bonded 7hru Notary Public Underwriters
Contractor/Agent is Personally Known to Me or
Produced ID Type of ID
UTILITIES: WASTE WATER:
FIRE: BUILDING:
h
PURCHASE ORDER
1
® ®H
.4�yte�ic�'s
171PINT- "ID. KQcI)cl nvFnr A lut"ITNT• I I to nn
Fage
1
Purchase Order Date
63/18/11
Bid Conti -act Number
106010
FPO Requisition Number
Purchase Order Number
201385 ON
Sub # / Lot #
38166 / 0178
Swing/Plart/Elevation
R !
1 564 / A
eo Remit To
D.R. HORTON
5850 T.G. Lee Blvd. Suite 600
ORLANDO, FL 32822
Phone: Fax:
Work, Description
42190.02 HVAC Final
MILLS AIR INC
6502 FOREST CITY ROAD
ORLANDO FL 32810
Phone: (407 ) 277-1159 Fax: (40 i ) 2192-4390
DELIVER TO:
Windsor Lakes Delivery Date
6350 Windsor Lake Cir
SANFORD, FL 32773
Lot/Block
Terms Tam Percentage Sales Tax Total PO
Superintendent: HCtPKE, BRIAN C Phone:
D.R. Horton Appr: DATE:
COUNTY OF SEMINOLE
IMPACT FEE STATEMENT
STATEMENT NUMBER: 10100004 DATE: October 19, 2010
BUILDING APPLICATION #: 10-10000430
BUILDING PERMIT NUMBER: 10-10000430
UNIT ADDRESS: WINDSOR LAKE CIRCLE 6350 12-20-30-514-0000-1780
TRAFFIC ZONE:022 JURISDICTION:
SEC: TWP: RNG: SUF: PARCEL:
SUBDIVISION: TRACT:
PLAT BOOK: PLAT BOOK PAGE: BLOCK: LOT:
OWNER NAME:
ADDRESS:
APPLICANT NAME: D.R. HORTON, INC.
ADDRESS: 5850 T.G. LEE BLVD., # 600 ORLANDO FL 32822
LAND USE: TOWNHOME UNIT
TYPE -USE:
WORK DESCRIPTION: CITY-SANFORD
SPECIAL NOTES: 6350 WINDSOR LAKE CIR / LOT 178 / TWNHM
1(ae, 8'4pS
i g (IS 4
---------------------------------------------------------------------------------
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
FIRE RESCUE
N/A
.00
LIBRARY
CO -WIDE
ORD
.00
Condominium*
54.00
1.000
dwl unit
54.00
SCHOOLS
CO -WIDE
ORD
2,450.00
1.000
dwl unit
2,450.00
PARKS
N/A
N/A
LAW ENFORCE
N/A
00
DRAINAGE
N/A
00
.00
AMOUNT DUE
2,883.00
STATEMENT p
RECEIVED BY: L�„( �,/� /"�--L�"r�SIGNATURE:
(PLEASE PRINT NAME) DATE: /0 l��
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
p
,�d� 10
**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.
PAYMEN
T 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.
L_
IA� 5M
AMERICAN SURVEYING & MAPPING, INC.
Date: June 30, 2011
City of Sanford Building Division
P.O. Box 1788
Sanford, FL 32772-1788
RE: Lots 177-182
6310, 6320, 6330, 6340, 6350 and 6360 Windsor Lake Circle
The finish floor elevation of the structure located at the above location Legal description
Windsor Lake Townhomes East, Plat Book 74, Pages 31-34 meets or exceeds the Requirements
set forth in the city of Sanford Code Chapter 18, section 18-4-(a).
Sincerely,
James W. Boleman
Professional Surveyor and Mapper
# 6485 - Florida
i
Dwl/word/sanfordnote
Corporate Headquarters 1030 N. Orlando Avenue, Suite B - Winter Park, FL 32789 - Office 407.426.7979 - Fax 407.426.9741
www.americansurveyingandmapping.com
Federal a
U.S. DEPARTMENT OF HOMELAND. SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008
Emergency Management Agency Expires March'31, 20.12
National Flood Insurance Program Important: Read the instructions on pages 179 -
SECTION A - PROPERTY INFORMATION _
07Mp Ism
Al. Building Owner's Name D HORTON HOMES PTrC'
A2. Building Street Address (including Apt., Unit,. Suite, and/or Bldg. No.) or P.O. Route and Box No.� IC u r
6350 WINDSOR LAKE CIRCLE ,
City: SANFORD State FL ZIP Code 32773
A3. - PropertyDescription (Lot and:Block Numbers, Tax Parcel Number, Legal Description, etc.)
LOT 178, WINDSOR LAKE TOWNHOMES EAST
A4. Building Use (e.g.,. Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL
A5. Latitude/Longitude: Lat. 28°46'04" Long. -81°1632" 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 1A
A8. Fora building witha. crawlspace or enclosure(s): A9. For a building with an attached garage:
a) Square footage of crawlspace.or enclosures) 0 sq ft a) Square footage of attached garage . 260 sq ft.
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 adjacent grade 0 within 1.0 foot above.adjacent grade 0
c) Total net area of flood openings in A8.b 0 sq in c) : Total net area of flood openings in A9.b 0• sq in
d) Engineered flood openings? ❑ Yes 0 No d) Engineered flood openings? ❑ Yes (D No `
SECTION B'- FLOOD INSURANCE RATE'MAP (FIRM) INFORMATION
B1. NFIP CommunityName,& Community Number B2. Coun .Name 63. State
tY . - ri
CITY OF SANFORD 120294 SEMINOLE FLORIDA.
B4.'Map/Panel -Number
B'5. Suffix'
B6. FIRM Index
B7. FIRM Panel
B8. Flood
B9. Base Flood Elevation(s) (Zone
12117CO070
F
Date .
Effective/Revised Date
Zone(s)
AO, usebase flood depth)
9-28-2007,
9728-2007
: ' X
N/A
B10. Indicate the source of the Base Flood Elevation .BFE ,data or base flood'de pth entered in Item B9.
( )
FIS Profile ❑ FIRM ❑ Community Determined ® Other (Describe)
B11. Indicate elevation datum used for BFE in Item 139: ❑ NGVD 1929. ❑ . NAVD 1988 0 Other (Describe) N/A f
B 11 12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes El No
Designation Date N/A ❑ CBRS; . ❑ OPA
SECTION C'- BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
Y Cl. 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, ARAE, 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 304-22-01 ELEV=45.941' Vertical Daturri NGVD1929
Conversion/Comments Converted to NAVD'88 Datum (-4.03')
Check the measurement used.
a) Top of bottom floor (including: basement, crawlspace,'orenclosure 'floor) 42.4 0 feet ❑ meters (Puerto 'Rico ionly),
b) Top of the next higher floor 53.2 } Z feet [i meters (Puerto Rico only)
c) Bottom of the lowest horizontal `structural member (V"Zones only) N/A. t ❑ feet [].-meters (Puerto Rico only)
d) Attached garage (top of slab) 41.9 0 feet ❑meters (Puerto Rico only) ;
e) Lowest elevation of machinery or equipment ;servicing the building 42.3 0 feet ❑ meters, (Puerto Rico only) .
(Describe type of equipment and location`in Comments)
f) Lowest adjacent (finished) grade next to building (LAG) 41.9 ® feet ❑ meters (Puerto Rico only)
g) Highest adjacent (finished) grade next to building (HAG) 42.3 ® feet ❑ meters (Puerto Rico only)
h) Lowest adjacent grade at lowest elevation of deck or stairs, including N/A. - ❑ feet ❑ meters (Puerto Rico only)
structural support I
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. l certNythat the information on this Certificate represents my best efforts to interpret the data available.
understand that anyfalse statement may be punishable by fine orimprisonment 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
licensed land surveyor? ®Yes ❑ No
Certifier's.NameDAMES W. BOLEMAN License Number 6485
Title PROFESSIONAL SURVEYOR &`MAPPER Company Name American Surveying & Map
Address 1030 N. ORLANDO AVE, STE B; City WINTER PARK State FL ZIP Code 32789
Signalure Pate Telephone (407) 426-7979
FEMA Form 81-31, Mar 09 See reverse side for continuation. Replaces all previous editions
i
' IMPORTANT: In these spaces, copy the corresponding information from Section A.
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.
6350 WINDSOR LAKE CIRCLE '
City SANFORD State FL ZIP Code 32773
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.
Comments Surveyor is only responsible for Sections A - D. This certificate is for a single unit in a 6 unit townhouse building. Item 131: Community name &
number is based on property appraiser's website and the FIRM. Item C2.e: The Elevation shown is for the A/C unit. This document is not valid if
photographs are removed or omitted.
Date
U 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 (see pages 8-9 of Instructions), the next higher floor
(elevation C2.b in the diagrams) of the building is ❑ feet ❑ 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? ❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Section G.
SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION
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)
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
Signature
Comments
City
Date
State ZIP Code
Telephone
❑ 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 I 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: ❑ feet ❑ meters (PR) Datum
G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters (PR) Datum
G10. Community's design flood elevation ❑ feet ❑ meters (PR) Datum
Local Official's: Name Title
Community Name Telephone
Signature Date
Comments
❑ Check here if attachments
FEMA Form 81-31, Mar 09 Replaces all previous editions
Building Photographs
See Instructions for Item A6.
For Insurance Company
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.
6350 WINDSOR LAKE CIRCLE
City SANFORD State FL ZIP Code 32773
If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two building photographs below according to
the instructions for Item A6. Identify all photographs with: date taken; "Front View" and "Rear View"; and, if required, "Right
Side View" and "Left Side View." If submitting more photographs than will fit on this page, use the Continuation Page on the
reverse.
FRONT VIEW (6/29/11)
Building Photographs
Continuation Page
For Insurance Company Use:
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number
6350 WINDSOR LAKE CIRCLE
City SANFORD State FL ZIP Code 32773
Company NAIC Number
If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all
photographs with: date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View."
REAR VIEW (6/29/11)
DESCRIPTION: (AS FURNISHED)
LOTS 177-182, WINDSOR LAKE TOWNHOMES EAST
AS RECORDED IN PLAT BOOK 74, PAGES 31-34, OF THE PUBLIC RECORDS OF SEMINOLE COUNTY, FLORIDA
I
1
I
I
I
I
I
I
N22'31'07"E
24.84'
DRAINAGE
iEASEMENT ,
LOT 175 LOT 176 rya,
I �
j
CORNER FAILS ', e
ON LOT LINE I ``9i
J OF LOT 176 I <
------
-------------
TRACT
----------
TRACT 'A'
COMMON AREA
--`T-do
25
PC /� - Re j 394 '4,2`.
INGRESS•/EGREOF
SS - +e 7g S3" `4
h w
EASEMENT i
-"C"9aNs oo,
6z5 S3�e
24.0' INGRESS/
EGRESS EASEMENT
ADDRESS:
#6350 WINDSOR LAKE CIRCLE
SANFORD FLORIDA 32773
FOR THE BENEFIT AND
EXCLUSIVE USE OF:
DR HORTON
2
TRACT 'A' 1
COMMON AREA
e,''
,
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a
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GRAPHIC30-
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0 15 30
�0',
L \
l
g. ,
ol
0.
`\ \ :0.
. PT Ah'ig ,
�\ 41 73'���\ �-
yy� 0
\\00. TRACT 'A'
COMMON AREA
�`. PC 5'j6bj 5(W-� II
NOTES:
'` --' z5'
\`` �\
'�,nl 1 LOT 183
1. ALL DIRECTIONS AND DISTANCES HAVE
aW
NAIL & DISC
BEEN FIELD VERIFIED, INCONSISTENCIES HAVE
NOTED
c ct °\\l •� \
�`°moo°o$
o � 1
`� o'L,-yam
BEEN ON THE SURVEY, IF ANY.
?;\
m$. s,
`
q`
A
I -bo
(P)
2.. PROPERTY CORNERS SHOWN HEREON WERE
` °f ♦'o,
�\ 9�'9
SET/FOUND ON 06-20-11, UNLESS OTHERWISE
POINT OF COMPOUND CURVE
PCP
SHOWN..
PI
POINT OF INTERSECTION -
PK
PI
3. THE SURVEYOR HAS NOT ABSTRACTED THE
POINT ON CURVE
POL
LAND SHOWN HEREON FOR EASEMENTS, RIGHT OF
WAY, RESTRICTIONS OF RECORD WHICH MAY
AFFECT THE TITLE OR USE OF THE LAND.
4. NO UNDERGROUND IMPROVEMENTS HAVE BEEN
LOCATED.
5. BUILDING TIES SHOWN HEREON ARE
NOT TO BE USED TO RECONSTRUCT THE
BOUNDARY LINES. .
6. ELEVATIONS SHOWN HEREON ARE BASED ON
SEMINOLE,COUNTY BENCHMARK #4573601,
AS BEING 46.22' PER, NGVD 1929.
7. THE FINISHED FLOOR ELEVATION OF .THE
STRUCTURE LOCATED AT THE ABOVE LOCAT!ON,
LEGAL DESCRIPTION REGENCY OAKS, PLAT BOOK
68, PAGES 88-92 MEETS OR EXCEEDS THE
REQUIREMENTS SET FORTH IN THE CITY OF
SANFORD• CODE CHAPTER 18, SEC. 18-4-(A).
LEGEND
CENTERLINE
RIGHT OF WAY LINE
,31.24 EXISTING ELEVATION
A/C AIR CONDITIONER
CONCRETE
CCHORD LENGTH
C.B. CHORD BEARING
CBW CONCRETE BLOCK WALL
CNA CORNER NOT ACCESSIBLE
CP CONCRETE PAD
CS CONCRETE SLAB
C/W. CONCRETE WALK
F.E.M. A. FEDERAL EMERGENCY MANAGEMENT AGENCY
F.I.R.M. FLOOD INSURANCE RATE MAP
10 IDENTIFICATION
L ARC LENGTH
LB LICENSED BUSINESS
LS LICENSED SURVEYOR
(M) MEASURED
OHU OVERHEAD UTILITY LINE
OSET
1/2" IRON ROD AND
CAP 16393
QFOUND
NAIL & DISC
SUBJECT PROPERTY LIES IN ZONE "X" AREA OUTSIDE THE
LS 12494
®FOUND
Y IRON .PIPE AND CAP
LS 15073
A
DELTA ANGLE -
(P)
PER PLAT
PC
POINT OF CURVATURE
PCC
POINT OF COMPOUND CURVE
PCP
PERMANENT CONTROL POINT
PI
POINT OF INTERSECTION -
PK
PARKER KALON
POC
POINT ON CURVE
POL
POINT ON LINE
PRC
POINT OF REVERSE CURVATURE
PRM
PERMANENT REFERENCE MONUMENT
PSM
PROFESSIONALSURVEYORAND MAPPER
PT
POINT OF TANGENCY
R
RADIUS
RP
RADIUS POINT
S/W
SIDEWALK
TYP
TYPICAL
UP
UTILITY PAD
I HAVE EXAMINED THE F.I.R'.M. COMMUNITY PANEL NUMBER
120294 0070 F. DATED 09-28-07 AND FOUND THAT THE
THIS BOUNDARY SURVEY IS NOT VALID
SUBJECT PROPERTY LIES IN ZONE "X" AREA OUTSIDE THE
WITHOUT THE SIGNATURE AND THE ORIGINAL
100 YEAR FLOOD PLAIN. THE SURVEYOR MAKES NO
RAISED SEAL OF A FLORIDA LICENSED
GUARANTEES AS TO THE ABOVE INFORMATION. PLEASE
"'=_'
SURVEYOR AND MAPPER.
CONTACT THE LOCAL F.E.M.A. AGENT FOR VERIFICATION,
t
{
BEARINGS SHOWN HEREON ARE BASED
ON THE NORTHWESTERLY LINE OF LOT 177
AS BEING N51.08'38"E, PER PLAT
^
A M E R I C A r
/J
/<
(FIELD DATE:) 03-02-11
REVISED:
S U R V E Y I N G
SCALE: 1" = 30 FEET
8cM A P P I N G INC.
CJ&+- 1 � � l /
APPROVED BY: JB
-
- CERTIFICATION OF AUTHORIZATION NUMBER LB#6393
FOR.
JOB N0. 0100403 LOTS 177-182
FINAL 06-20-11 RE
1030 N. ORLANDO AVE, SUITE B
WINTER PARK, FLORIDA 32789
eM
1
FORMBOARD 03-25-11 CG
(407) 426-7979
DRAWN BY:
PLOT PLAN 10-13-10
WWW. AMERICANSURVEYINGANDM APPING. COM
JAMES W. BOLEMAN PSM#6485 DATE
PLOT PLAN k\%*
RE R M I T / aESCRIPTION: (AS FURNISHED)
LOTS 177-182, WINDSOR LAKE TOWNHOMES EAST
AS RECORDED IN PLAT BOOK 74, PAGES 31-34, OF THE PUBLIC RECORDS OF ORANGE COUNTY, FLORIDA
a
a
a
a
0
z
A
TRACT 'A' o
COMMON AREA �J
1" = 30'
/ s, GRAPHIC SCALE
\�Gl 15 30
I CPQ- V \`�
cp
N22'31'07"E
e C•
24.84'G
S•
DRAINAGE 1 S�y� 'O•
EASEMENT a� I ,, y°O°� '9p
O �
"o, ` 2F
LOT 175 i LOT 176 ti` No.
�Co spa
o
CORNER FALLS � 'S'•�T°ii, C9B ?p y,P� �/
ON LOT LINE 9. >. t.° 5,Sg'Ti �O .S,
--------'---OF LOT 176 JI ... .pO T,PAcr,PSO °�F
<'O 'o0
>,
TRACT 'A'
°o.
O
COMMON AREA O O
O J S 9
2 O FZ'�.Afn a9 •� 6 Qom` °('� '�
�C,gel�
0 � 0
baa .0�..,. S' 1 Fyr�,Pfo % �P O°,
CENTERLINE OF -:
IP 22O
NGRESS/EGRESS
EASEMENT .
\T/ ✓� O' '`," B S 9 ' \``
J
N", FF 7 A � s•
70
24.0' INGRESS/ `\ \`.\ 4z, `
EGRESS EASEMENT S
? '�,
>.
°°• /'OP
O \ 00.
F \.
• �'j/\pVl
,CPQ 1���,� � s
TRACT 'A'
COMMON AREA
J� 1�
,
LOT 183
PREPARED FOR:
DR HORTON ° -
�° O -A
BUILDING SETBACKS: \ �P7 y_
THIS TOWNHOME UNIT HAS
T T
BEEN POSITIONED TO FI Al HIN
THE REQUIRED PLOTTED LOT AREAS
AS ESTABLISHED ON THE FINAL RECORDED LOT
LEGEND
1. ELEVATIONS SHOWN ARE INTERPOLATED PER LOT
XXX.XX
PROPOSED ELEVATION
GRADING PLANS PROVIDED BY THE CLIENT.
— -
— - — CENTERLINE
2. ELEVATIONS SHOWN ARE BASED ON SEMINOLE
— -
- - — BUILDING SETBACK LINE
PROPOSED DRAINAGE FLOW
COUNTY BENCHMARK 304-22-01, ELEV. 45.941
--
RIGHT OF WAY LINE
CONCRETE
VERTICAL DATUM (NGVD 1929).
TYP
TYPICAL
CS
CONCRETE SLAB
0
R
CENTRAL ANGLE
RADIUS
THIS PLOT PLAN IS INTENDED FOR PERMITTING PURPOSES
(P)
PER PLAT
L
ARC LENGTH
ONLY. THIS IS NOT INTENDED FOR THE CONSTRUCTION OF
(C)
CALCULATED
C
CHORD
THE PROPOSED HOUSE. REFER TO HOUSE PLAN AND OPTION
PB
PLAT BOOK
CB
CHORD BEARING
LIST FOR CONSTRUCTION:
ALL BUILDING SET BACK LINES SHOWN HEREON IS PER DATA
PGS
SO FT.
PAGES
SQUARE FEET
UP
A/C
UTILITY PAD
AIR CONDITIONER
FURNISHED BY CLIENT AND IS FOR INFORMATIONAL PURPOSES
R/W
RIGHT-OF-WAY
ONLY.
THIS IS NOT A SURVEY
D.U.E.
DRAINAGE &UTILITY EASEMENT
THIS IS A PLOT PLAN ONLY
P.A.E.
PRIVATE ALLEY EASEMENT
I HAVE EXAMINED THE F.I.R.M. COMMUNITY PANEL NUMBER
120294 0070 F. DATED 09-28-07 AND FOUND THAT THE
SUBJECT PROPERTY LIES IN ZONE "X•' AREA OUTSIDE THE
100 YEAR FLOOD PLAIN. THE SURVEYOR MAKES NO
GUARANTEES AS TO THE ABOVE INFORMATION. PLEASE
CONTACT THE LOCAL F.E.M. A. AGENT FOR VERIFICATION.
I BEARINGS SHOWN HEREON ARE BASED
ON THE NORTHWESTERLY LINE OF LOT 177
AS BEING N51.08'38"E, PER PLAT
(FIELD DATE:) I REVISED
SCALE: 1 = 30 FEET
APPROVED BY: JB
JOB NO. 0100403 LOTS 177-182
DRAWN BY:
PLOT PLAN 10-13-10 BW
- r
zr
I
AMERICAN
UR\/EYING
BCM APPING INC.
CERTIFICATION OF AUTHORIZATION NUMBER LBg6393
1030 N. ORLANDO AVE, SUITE B
WINTER PARK, FLORIDA 32789
(407) 426-7979
WWW.AMERICANSURVEYINGANDM APPING. COM
1. THE SURVEYOR HAS NOT ABSTRACTED THE
LAND SHOWN HEREON FOR EASEMENTS, RIGHT
OF WAY, RESTRICTIONS ,OF RECORD WHICH
MAY AFFECT THE TITLE OR USE OF THE LAND
2. NO UNDERGROUND IMPROVEMENTS HAVE BEEN
LOCATED EXCEPT AS SHOWN.
3, NOT VALID WITHOUT THE SIGNATURE AND THE ORIGINAL
RAISED SEAL OFA-FLORIDA;LICENSED SURVEYOR
AND MAPPER.. ------.. _
OGS. 14- `B FOR
THE
FIRM
onrE
-
JAMES W,-BOLEMAN PSM#5483=
01 ftj ORE R M T
FORM 1100A-08 OFFICE
FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION
Florida Department of Community Affairs Residential Performance Method A
Pfoject Name: DR Horton - Bonita
Builder Name:
Street. . 6 3 j c) L&1Le `4 2,! e
Permit Office: Jr4
_
City, State, Zip. , FL,
Permit Number: //— ///
Owner: Bonita Townhome
Design Location:. FL. Orlando
Jurisdiction:
s'/ Sid 0
C�
1. New construction or existing Existing (Projecte
9. Wall Types(2024.0 sqft.)
Insulation Area
2- Single family or multiple family Multi -family
a. Concrete Block - Int Insul, Common
R=4.1 1160.00 ft,
3- Number of units, if multiple family 1
b- Frame - Wood, Exterior
R=11.0 352.00 ftZ
c. Corsrete Block - Int Insul, Exterior
R=4-1 264.00 ftZ
4- Number of Bedrooms 3
d- other
R= 248.00 ftZ
5. Is this a worst case? Yes
10- Ceiling Types (924.0 sqft-)
Insulation Area
& Conditioned floor area (141) 1564
a. Under Attic (Vented)
R=30-0 924-00 ftZ
7- Windows(131-0 sqft-) Description Area
b. NIA
R= ft,
a. U -Factor: Dbl, U=0.55 131.00 fl'
c. N/A
R= ftZ
SHGC: SHGC=0.29
11. Ducts
b. U -Factor: N/A ftZ
a- Sup: Attic Ret: Attic AH: Interior Sup.
R= 6, 300 111
SHGC:
12. Cooling systems
c_ U -Factor: N/A ftZ
a. Central Unit
Cap: 30.0 kBtuihr
SHGC:
SEER: 14
d. U -Factor: N/A ftZ
SHGC:
13- Heating systems
e. U -Factor: N/A ftZ
a- Electric Heat Pump
Cap: 30.0 kBtuihr
SHGC:
HSPF: 8.2
8- Floor Types (924.0 sgff.) Insulation Area
14- Hot water systems
a. Slab -On -Grade Edge Insulation R=0.0 640.00 ft1
a- Electric
_
Cap: 40 gallons
b. Floor over Garaoe R=11.0 220.00 f12EF:
092
c. other R= 64.00 1`11
h. Conservation features
None
15. Credits
Pstat
Glass/Floor Area: 0.084 Total As -Built Modified Loads: 26.65
PASS
Total Baseline Loads: 32.27
/�
I hereby certify that the plans and specifications covered by
Review of the plans and
THE ST�t
this calculation are in compliance with the Florida Energy
Code.
specifications covered by this
calculation indicates compliance
~� p
PREPARED BY:
with the Florida Energy Code.
Before construction is completed
DATE: 1d-1- -l�
this building will be inspected for
e�
compliance with Section 553.908
,
I hereby certify that this building, as designed, is in compliance
Florida Statutes.
with the Florida Energy Code.
C WAS
OWNER/AGENT:
BUILDING OFFICIAL:
__. l4-i�� __ __
IL DATE: _. �o
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.
10/12/2010 4:10 PM EnergyGaugeO USA - FlaRes2008 Page 1 of 5
F
t t'e .rt'c( f�c 70
), fZ, 1 -orl- a , i/tC. —5255e) -T.6 Ler-_ Blvd. ;46co
D rlLv> �o
1'ermttNo
Tax Folio No. / -A0- 9 15_/ 1_41066 - 1_7116
NOTICE OF COMMENCEMENT
State of Florida
County of Seminole
The undersigned hereby gives notice that improvement
be made to,certain real property, and in accordance
with Chapter 713, Florida Statutes, thefollowing
information is.provided in this Notice of Commencement.
I . Description of�,�r^oherly: (le(,al description of the property, and street address if
I1191�NiIIN01�NIN99191I�II119Nl�lNd�l11i91i1119II�91
MARYANNE MORSE, CLERK OF CIRCUIT COURT
SEMINO.E CITY
BK 07463 R9 00501 '(1R9)
CLEWS 0 2010120064
RECORDED 10/15/2410 O8a46:O AM
RECORDING FEES 16.00
REMRDED BY T smith
2. General description of improvement: �5%nc /e 'c.rr,,l� a ���.Uje�Q `T-bL, ro -&-ne-
3. Owner information: Naine:
Address:.8b . C, ..i eLv-). . #G �n , �rl���Gty /r72' -
1
b. Interest in"property: �� i e.
c. Name and address of fee simple title older 0 -other than Owner): Name
Address:
4. Contractor Name: �.
c. Address: 5
5. Surety Nam
Address:
b. Amount of bond; $
6. Lender: Name: A/
=L
Phone number:.
Address:
b. Lender's phone number:
7.a. Persons within the State of Florida designated by Owner upon whom notices or other documen
provided by Section 713.13(1)(a)7.; Florida Statutes: Name:
Address:
m
8-a. Inadditionto himself or herself, Owner designates of to recei� copy of the
Lienorks Notice as provided in Section 713.13(1)(b), Florida Statutes.
b. Phone number of person or entity designated by owner:
9. Expiration date of notice of commencement (the expiration date is 1 yearfrom the date of recording unless a different
dace is specified)
WARNING TO OWNER: ANY PAYMENTS MADE BYTHE OWNER AFTER THE EXPIRATION OF THE
NOTICE Of COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1,
SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPER` -Y. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB
SITE BEFORE,THE FIRST IN, CTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOURLENDER OR T" BEFORE"COMMENCING WORK OR RECORDING YOUR NOTICE OF
�:. NIMEN 'F
St 1atureof0wner0rnze O—d ,fiver/Director/Partner/N4,tnager Signatory's-ritlei0ffice
The foregoing instrument was acknowledged before the this /*'day of fo (year) . by (name of person) as (type of
authority... e.g. officer, trustee, attorney in fact) for (name of party on behalf of whom instrument was executed) .
LA A
�..� .. - 10en
uf;,ra va},'b ?U11Signature of Notar , Publicb y Bonded Thiu Troy Iain Insurance 80(-385-7010
Personally Known k OR Produc d Identification Typ, i
Verification pursuant to Sectio, lorida Statutes: Under penalties of perjury, I declare that I have read the for
and that
the facts stated in it ar o t st of my knowledge and belief.
Signs ,re of Natural Pei -so i , ove --
Rev. (late 3/2008
�7G//IILUIG l.,VUUt rlrMtGl
to be my lawful attorney-in-fact to act for me to apply for.'receipt for. sign for and do all things
necessary to this appointment for (check only one.option):
❑ "� All permits and applications submitted by this contractor
The 'specific permit and application for work located at: v -
Street Address);`
Expiration Date for This Limited Power of Attorney:
License Holder Name:
State License Number:
Signature of License H
STATE OF FLORIDA V
COUNTY OF C
The foregoing instrument was acknowledged before me" this ��ay of
20Q j� , by SeU�Y1 1L , L�l�Y1�� who is dpersonally knawn
o-ny_or o who has produced : as
identification and who did (did not) take an oath.
ignature
(Nota S DANIELLE B HAM
D_, .Illlllfll
\\,,A
,EL. E Bllv���ii�i
�,G�Joe 16, ?Q,o�
o ; #DD 962209 ; Q
�'i9/p••: pub pcUndgr';•`����\
Print or type name
Notary Public - State of I \'d1,
Commission No.
My Commission Exp1res:C_0