HomeMy WebLinkAbout1351 Windsor Lake Cir 11-1793 (new t-home)Application No:
1\ -O't3
TRECEIVEI
SEP 19 2011 '
BY: CITY
--
OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Documented Construction Value: $ 4C -X_-0
Job Address: �3S \ V: �rc�Sor L� k L' �� Historic District: Yes ❑ No ❑
Parcel ID: n Zoning:
Description of Work.
Plan Review Contact Person:
Phone:
Fax:
E-mail:
Property Owner Information
Name N(L kA-L-,eVoy -- Phone:
Title:
Street: 'SISSZ% TCS l_e e- �\v Resident of property?
City, State Zip: Q4 \a y, A o�-
Contractor Information
Name �en }0bo:.0ddCurL.� Phone: 07 �<I �(�'I
Street:) Kr -4 k Fax: -1 �.3�
City, State Zip: Lzcw uk.�ou,-, State License No.: Q_-Ci7 _13La7 ta5
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Building Permit ❑
Square Footage:
No. of Dwelling Units:
Electrical ❑
New Service - No. of AMPS:
Architect/Engineer Information
Phone:
Fax:
E-mail:
Mortgage Lender:
Address:
PERMIT INFORMATION
Construction Type:
Flood Zone:
Mechanical 0 (Duct layout required for new systems)
No. of Stories:
Plumbing 'R
New Construction - No. of Fixtures: 1 S
Fire Sprinkler/Alarm ❑ No. of heads:
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no
work or installation has commenced prior to the issuance of a permit and that all work will be performed to
meet standards of all laws regulating construction in this jurisdiction. I understand that a separate permit
must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and
air conditioners, etc.
OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will
be done in compliance with all applicable laws regulating construction and zoning.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE
OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE
FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this
property that may be found in the public records of this county, and there may be additional permits required
from other governmental entities such as water management districts, state agencies, or federal agencies.
Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida
Lien Law, FS 713.
The City of Sanford requires payment of a plan review fee. A copy of the executed contract is required in order
to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the
plan review fee based on past permit activity levels. Should calculated charges exceed the documented
construction value when the executed contract is submitted, credit will be applied to your permit fees when the
permit is released.
Signature of Owner/Agent Date
Print Owner/Agent's Name
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
APPROVALS: ZONING: UTILITIES:
ENGINEERING:
COMMENTS:
Rev 11.08
FIRE:
Signature of Contractor/Agent Date
/✓ a-eA—(Mc e,4: ` iii//T 1.
Print Contractor/Agent's Nam
01119 t I
'RUBERLY L SHOCKLEY
MY COMMISSION # DD 949039
EXPIRES: February 21, 2014
Bonded Thru Notary Public Underwriters
Contractor/Agent is __X Personally Known to Me or
Produced ID Type of ID
WASTE WATER:
BUILDING:
Application No:
Job Address: 1351 It,
JIU,N
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
J
/ I 1_0 Documented Construction Value: $ /10435'/. eo
AdSor tzLkC_ &rdtl Historic District: Yes. [I No
Parcel ID: kq - 6 ~ 0 —5-11-1 - 621)eJ -- D 714D Zoning:
Description of Work: 'S in le raj -y) /y a -Mad'6 e d 1 �iur)ho/YIE S
Plan Review Contact Person: Wfl(j- ) q_� f'i-C f—re Title �.Y M i C UUt"d �l k� z�r
Phone: Fax: F( & ' SIS~ 39r, E-mail: 'Vh�i(.rr-e r0
Property Owner Information
Name P. 10t) r-t;r) 1%C . Phone: 46`'l
Street: JT 5-D l ke e /tel ild . # &CSC) Resident of property?
City, State Zip: 10e' leu) 39-7-1)_9
Contractor Information
Name 5-feve n Phone: 41-6 -2- YS -6- 5 acs O
Street: X8.50 `f L' 1 Irc� Fax
City, State Zip: 01-la1)610 , f=L State License No.: 0-P
Architect/Engineer Information
Name: %-/!)d-e_"n6-c /-) n
Street: %O. L) . 6 U�_ / a /
City, St, Zip: 01-ee-mva 4 , )��_ .3 4-71 3—
Bonding Company: _ -y/q
Address:
Phone: 3,5-3L - :�q,;z -6/D <--
Fax:
E-mail:
Mortgage Lender: A111-1
Address:
PERMIT INFORMATION
Building Permit
Square Footage: Mo I Construction Type:
No. of Dwelling Units.- Flood Zone:
Electrical ❑ Plumbing ❑
New Service — No. of AMPS:
Mechanical 0 (Duct layout required for new systems)
No. of Stories:
New Construction - No. of Fixtures:
Fire Sprinkler/Alarm ❑ No. of heads:
-VL 0,1;-q �-v
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no
work or installation has coimlmenced 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: III 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 goverrumental 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 rel ed.
(�/a 4%r,
signature o er/Agent Date CS,�natur o Contractor/Age t Date
Pnnt Owner/Ag t s Name
Signatureot'Notai State '= Date
,,r VALERIE L. FURRER
;,� Commission # EE 079058
s* rr Expires May 25, 2015
tryt0 7tpy Fin lnsurancs 800385 7019
+ u
Owner/Agent is V" Personally Kngwn t_oMe or.
Produced ID Type of ID
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
Rev 11.08
,5 -1-e, V e, n 11� . V/[) a. r) 5
Print Contractor/Agent's Name
Si rat e 14
01, gY V RI L < URRER
*. *i Commission # EE 079058
;� Expires May 25L awdw 1Ntu Ty PA16In.38&1019
Contractor/Agent is XPersonally Known to Me or
Produced ID Type of ID
UTILITIES: WASTE WATER:
FIRE: BUILDING:
J�1� _ , CITY OF SANFORD
BUILDING & FIRE PREVENTION
P PERMIT APPLICATION
�,f Documented Construction Value: $ 11.6,36-1-00
Application No:,-,/
Job Address: %�5/ �ij/1GSDr' L.CI-el- drde_ Historic District: Yes.❑ Now
Parcel ID: O F7D Zoning:
Description of Work: rS r'n� �CcTY)al y &-tl'Ct�i}� cf' �bG�t?��ri'YIS
Plan Review Contact Person: kle-l" i e Title --Fort of ay(c_ ',o&4b,-
Phone:Fax:'
Property Owner Information
Name T. -F-\ r-�c r) 1 i -'C .
Street: J 5" l ke e_ 112 . , --ff &1-)6
City, State Zip: ,- o-;) etf)
Phone: ktb'-I -SGC)
Resident of property? :
Contractor Information
Name '5 -4e4 -len i�l V.t�l i Phone: '-1-6 -2- 5-b - 5 ,3e
Street: 85 0 `1 �d Fax:
City, State Zip: OH(I-Mo , F=1 State License No.: Z,5 -.-2,)L /,I—
Architect/Engineer Information
Name: e_rr)Genn
Street:�yD 6 0.k
City, St, Zip: (_.lerlYiea 4 3 4-7 �
Bonding Company: ,rtl�4
Address:
1
Building Permit El
Square Footage: 11b I
No. of Dwelling Units:
Electrical ❑
New Service - No. of AMPS:
Phone:5 -�
Fax:
E-mail:
Mortgage Lender: ,'if,/#
Address:
PERMIT INFORMATION
Construction Type: No
Flood Zone: X cs'ke. 0A�3!;k�)
Plumbing'.0-
'a,
of Stories: .1
New 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 commenced prior to the issuance of a pernit 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, beaters, 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 pennit fees when the
permit is rel ed.
Signatureo er/Agent Date�bnatur o Conti�ctor/Ag2,� Date
Pint Owner/Ag is Name
Signature orNotar -State o , = Date
py VALERIE L. FURRER
*: Commission # EE 079058
rr;R Expires May 25, 2015
r 004WftTtayFinlns ranca00030&7019
Owner/Agent is V Personally brown to Me oz.
Produced ID Type of ID
APPROVALS: ZONING -W A UTILITIES:
ENGINEERIN ' *" �� FIRE:
COMMENTS:
Rev 11.08
5 -j cy e. n "R . V n tc. r)
Pint Contractor/Agent's Name
Signat - � e
;tiat.py,, V RI L. URRER
*. �= Commission # EE 079058
Expires May 25, 2015
t3tat W Th Troy F916lnsOtixtc� NO -U6 -rots
Contractor/Agent is " personally Known to Me o
Produced ID Type of ID
WASTE WATER:
BUILDING:
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City of Sanford
Planning and Development Services
Engineering — Floodplain Management
Flood Zone Determination Request Form
Name: Valerie Furrer Firm: D. R. Horton
Address: 5850 T.G. Lee Boulevard #600
City: Orlando State: FL Zip Code: 32822
Phone: 407-850-5282 Fax: 866-295-8989 Email:vlfurrer drhorton.com
Property Address: 1351 Windsor Lake Circle
Property Owner: D. R. Horton
Parcel identification Number: 12-20-30-514-0000-0870
Phone Number: 407-850-5200 Email: vlfurrer@drhorton.com
The reason for the flood plain determination is:
LTJ New structure ❑ 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)
OFFICIAL USE ONLY 'Cle
Flood Zone: y, Base Flood Elevation: Datum: N
FIRM Panel Number: I -LO 'LR4 oQ7o F- Map Date: 9. Z$.07
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
FO�The parcel is not in the: 21,10,odplain ❑ floodway
1-1 The structure is in the: ❑ floodplain F-1floodway
P The structure is not in the: [�,f�oodplain ❑ floodway
If the subject property is determined to be flood zone 'A', the best available information used to
determine the base flood elevation is:
*7 9 3
Review e Date: (o • 30 .
Application No:
Job Address
/ "
__
JUN
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
// � Ste. 'f a
J.J'7__0 Documented Construction Value: $ ,
%351 Gl�i`/tdSar LCZ c- re -le— Historic District: Yes ❑ N.101
Parcel ID: Zoning:
Description of Work: 1'n �l ,��,r>;ly. �U f fQ�i}� �f' _7_oiynht_,meS __
Plan Review Contact Person: JL(� ��1" 1 e. f xr [f � Title_74WtnJ aDrd',0gJ-L),'
Phone: 41Z)-)-- Fax: �' rjj`)5� X59,$9 E-mail: ti ��c-rrp r ,ct cE. r hi�Y� �+� . E er►�
Property Owner Information
Name n 1 r -,o .
Street: -e 'e- Kd
City, State Zip: 61 -/an et' / P:L 39,
Phone: 46--7-
Resident
U'"i-
Resident of property? :
Contractor Information
Name-54e;yen V"meq Phone: Lfd
Street: ,7 35U 1, G -8l Yej . CU Fax: y6ee vQ95`-
City, State Zip: or'14-nde) , F& 3"qD g State License No.: OP� JoZS as 1
Architect/Engineer Information
Name: A//7del-y�Ccnn
Street: P U . ,8 D'k / v? /'5-'S-6
City, St, Zip: 0.1,erMon 4 ., 3 4-7) �--
Phone: - aqa -Ofo c
Fax:
E-mail:
Bonding Company: /V�� Mortgage Lender: ✓l(�/�
Address: //0 �� ;�� d G ��a 9� , G o Address:
PERMIT INFORMATION
Building Permit
Square Footage: Mo ( Construction Type:
No. of Dwelling Units: / Flood Zone:
Electrical ❑
New Service - No. of AMPS:
Mechanical ❑ (Duct layout required for new systems)
CR,
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 conunenced prior to the issuance of a permit and that all work will be performed to
meet standards of alI 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 govermnental 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 rel ed.
Sienature o er/Aaent Date -natu o ontractor/Ag t Date
Lairyt 5
Print Owne/Ae t s Name
Signature ofNota, -State = Dale
VALERIE L. FURRER
*` Commission # EE 079058
=r1 Expires May 25, 2015 ,o,s
dorvkd T11ni 7roY Fin Insurance 8003�-
Owner/Agent is Personally Known to Mir
Produced ID Type of ID
APPROVALS: ZONING.-
ENGINEERING:
ONING:
ENGINEERING:
COMMENTS:
Rev 11.08
UTILITIES:
FIRE:
'5512 Ve in .R . UCait, r) �
Print Contractor/Agents Name
S, na CommissionL7 T # EEO 9058 e
W Expires May 25, 2015
n�,a�ethmrtmt�ni�,ta�eooaesaofe
Contractor/Agent is /Personally Known to Me or
Produced ID Type of ID
WASTE WATER:
BUILDING: �O o1 ll
Application No- f f
BY
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
J'1_0 Documented Construction Value: $ 11.6,35-1-10
Job Address: %35-1 Zdi`ndsor
61. ,L &rde- Historic District: Yes.❑ No LTJ
Parcel ID: 0710 Zoning:
Description of Work: ti tfa�i �f' 7�ot�r�`�or')le5
Plan Review Contact Person: Vale-'" 1 e_� TitIe_(L'a i1 C6()rd
Phone: 4Z)'9-- Fax: F �6 .-(1q.5- E-mail: V I-?_,1(_rre r a 61 r 6r) .
Property Owner Information
Namey f � -�f� �-� [>r) a r\C . Phone: 46'11 -
Street: yt� Resident of property?
City, State Zip: Qr'lte;) "Cy L :39,
Contractor Information
Name 54e;Ven Vryi j)r Phone: '�-6-2- Y56- ao 0
�m 1P �L�
Street: � S 0 `l (a Lie � -8l •rj Fax: Y616 '?` s Y`iry)
City, State Zip: 0/ kndo , r -z-- State License No.: � % S l
Name: kj,17-e-l)-) cz /) n
Architect/Engineer Information
Phone: - ;;�qa _ele c -
Street: P D . 6 I?, / a / 5-,s-6 Fax:
City, St, Zip: 01,ermea 4 , FL .3 4-7 � D- E-mail:
Bonding Company: /tt/10- Mortgage Lender:
Address:
Building Permit IBJ
Square Footage:
No. of Dwelling Units:
Electrical ❑
Address:
PERMIT INFORMATION
1 Construction Type:
% Flood Zone:
New Service - No. of AMPS:
Mechanical 0 (Duct layout required for new systems)
No. of Stories: P1
Plumbing El
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: 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 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 reled.
S Lmature o er/ALent Date "-natur o continctodAge t Date
1-11
/arms. 5i hc�np��cn '5icye.in 'R Un�L-)_
Print owner/As is Name Print Contractor/Agent's Name
signature of Notal -State = Date
y'r VALERIE L. FURRER
Commission # EE 079058
Expires May 25, 2015
BOrvrod TIY fta/ Fein k surance 000 3Br704
Owner/Agent is /Personally Known tc Me or
Produced ID Type of ID
APPROVALS: ZONING: UTILITIES.-
ENGINEERING:
TILITIES:
ENGINEERING:
COMMENTS:
Rev 11.08
FIRE:
Sgnat��.e'i,, V RIE L. 7ERCommission # EEExpires May 25,
Contractor/Agent is Personally Known tQ Lyle or
Produced ID Type of ID
WASTE WATER:
BUILDING:
777.„
I
OCT 2 7 2011
CITY OFISANFORD
tBUItDING& FIRE PREVENTION
PERMIT APPLICATION
Application No: Documented Construction Value: S (9 1 j t
Job Address: �� �}� (�✓ LQLe�_A f_rj� Historic District: Yes ❑ No ❑
Parcel ID: (oa' Du --36 Zoning:
Description of Work: tnz n' f
Plan Review Contact Person:
Phone:+-- , )' i tc::�q Fax: 4U)' ' q-3q6E-mail:
Title:
Property Owner Information'
Name IU Phone: /
Street: S� l �� lJ Resident of property?
City, State Zipra( Ienc�__� j, �:: - L
Contractor Information
Name IJ Phone: l�
Street: � Fax: V
City, State Zip:uy State License No.:
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Building Permit ❑
Square Footage:
No. of Dwelling Units:
Electrical ❑
New Service — No. of AMPS:
Architect/Engineer Information
Phone:
Fax:
E-mail:
Mortgage Lender: _
Address:
PERMIT INFORMATION
Construction Type: No. of Stories:
Flood Zone:
Plumbing ❑
New Construction - No. of Fixtures:
Mechanical TQ (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 Ow ner/Agent
Print Owner/Agent's Name
Date
Signature or 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:
ifl/�f?o/�,7//
Signature of Contractor/Agent Date
Print Contracts Name
e4
Signature of Notary -State of Florida Date
DIANA RODRIGUEZ
NOTARY PUBLIC
STATE OF FLORIDA
COmm# EE077 49
tolls,
� Expires 3/2 2015
Contractor/Agent is Personally Known to Me or
Produced ID Type of ID
WASTE WATER:
BUILDING:
PURCHASE ORDER
B-B-HORTON
to VENDOR: 685252 OPEN AMOUNT: 2,013.00
Page
1
Purchase Order Date
�USi29/11
Bid Contract Number
100010
FPO Requisition Number
Purchase Order Number
202237 ON
Sub 9 / Lot 4
38166 / 0087
Swing/Plan/Elevation
1051 / A
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
602 FOREST CITY ROAD
ORLANDO FL 32810
Phone: (407) 277-1159 Fax: (407) 292-4390
DELIVER TO:
' Windsor Lakes Delivery Date
1351 Windsor Lake Cir
SANFORD, FL 32773
Lot/Block
Tenns Tax Percentage Sales Tax Total PO
2,013.00
Superintendent: HOPKE, BRIAN C Phone:
D.R. Horton Appr: DATE:
J�
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: ) ) ),-j U Documented Construction Value: $ 361,6.00
Job Address: Ln lit 00A� -_ Historic District: Yes ❑ No ❑
Parcel ID:
Description of Work:
Plan Review Contact Person:
Phone:
Fax:
Zoning:
E-mail:
Title:
1 Property Owner Information p h
Name I Qrl Phone: L11 br 1-i 2"CJ tJ 5q DO
Street: I SF WResident of property? •�
City, State Zip: Oda ndn r4 _3a&a�
Contractor Information
Name - I Phone: 4 M ID 4 1D - '33
3 01
Street: �_ Q 6� Fax: C� 1- C9 q 1 ` c� ��j I
City, State Zip: (., �' Dirk F-1 =_�� State License No.: Fl�) )3()
Name:
Street:
City, St, Zip:
Bonding Company: _
Address:
Building Permit ❑
Square Footage:
No. of Dwelling Units:
Electric.
New Service - No. of AMPS:
Architect/Engineer Information
Phone:
Fax:
E-mail:
Mortgage Lender:
Address:
PERMIT INFORMATION
Construction Type:
Flood Zone:
No. of Stories:
Plumbing ❑
New Construction - No. of Fixtures:
Mechanical 13 (Duct layout required for newsystems) 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 COINDvIENCEMENT 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.
NOUCE: 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 willAe applied to your permit fees when the
permit is released.
Signature of Owncr/Agent Datc
Print Owner/Agent's Name
Signature of Nt"rotute of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
APPROVALS: ZONING -
ENGINEERING:
COMMENTS:
Rev 11.08
of
qj8 1
Datc
A'ontractor/Al gent's NameJ e of
°jkk6 Notary Public State of Florida
Pamela S Temus
�P< My Commission DD904727
pf tirf Expires 08/07/2013
Contractor/Agent is X Personally Known to Me or
Produced ID Type of ID
U—Fffi1TIES:
WASTE WATER -
BUILDING:
PALMER ELECtRiC
Since 1951
DR HORTON WINDSOR LAKES - 6 UNIT
TOWNHOME - 15' PRODUCT -
7220 SF - WI
PROPOSAL CEDAR-_1051_SF
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.
Rough -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. All appliances are
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 wails 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. Alternateor elected changes subject to additional
charges.
All switch devices are Toggle type, White in color.
Please note that 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
company 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: $3,615.00.
Rough -In
Trim -Out
Total
$ 2,530.50
$ 1,084.50
$ 3,615.00
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
September 09, 2011
This agreement is hereby accepted and entered into by:
Executed in the presence of:
on
To accelerate job start, place fill in all of the following:
Start Date:
Job Address: .
Model -Type:
Bldg Permit'Number
i
FOI' ,� �' i
875 Jackson Avenue
Winter Park, Fl. 32789
POWER OF ATTORNEY
I hereby name and appoint Steve Peel
of 875 Jackson Avenue, Winter Park, Florida to be my lawful attorneys in fact to act for
me and apply to the
City of Sanford
for an Electrical permit _@ f � ' -(pm L -ab l .t�� and
to sign my name and all things necessary to this appointment.
P
Ronald G
ANY
Signature of Certified Contractor, E1/13004172
Avenue. Winter P
State of Florida, County of ORANGE
Sworn to and subscribed to before me this )SL day of _Sept '2011
ignature of Notary Public
Nbiic State of Florida
S Tornus
. � o�rn,n4usion DD904727
0"7/2013
Personally known: _XX
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: (f /02 7 //
hereby name and appoint: Valerie Furrer, Meghan Nelson, Ryan MacDonald & Tom Tyrrell
an agent of: ( AoL ' un, I nc-
(Name of Compam )
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):
El All permits and applications submitted by this contractor.
6?The specific permit and application for work located at:
)Street Address)
Expiration Date for This Limited Power of Attorney:
License Holder Name:
State License Number:
Signature of License H
�)IAILUr I-LUKIDA
COUNTY OF C n
Thq foregoing instrument was acknowledged before me this o2-Aay o
20
11 by S �V� Y1 I . L`�1�1 who is dp sonally kri n
r o who has produced
identification and who did (did not) take an oath.
Ignature
\\\1NII1i111///
(Notary Seal\��°�°°�E BINGy>>�,i�
Z 2 •. #DD 962209 5 : Q
�A 40"1 eooded%'0,0 .• OQ,
�i'
oSTAB E���
(Rev. 3/27, 07) VVC
> lllllllllll\\\dO
Print or type name
Notary Public - State of
Commission No.
My Commission Expires:
as
Project Name:
DEVELOPMENT FEE WORKSHEET
CITY OF SANFORD
P.O. Box 1788 Sandford, FL. 32772-1788
t✓ / ^rd V,'t t�pMS
Owner/Contact Person:
Address:
Permit#: ! -74-3
Date:
Phone:
Type of Development: RESIDENTIAL NON-RESIDENTIAL LOCATION
Total Bldg /units Single Family Commercial City Resident 4*46 X-17
Multi-Famiiy 01ndustdal ®County
Type of Utilities:
WATER 0Ind.3/4" 400 1" 600 1.5" 800 2" $975
METER: Master BTap 100 BTap 100 RTap 150 Tap 636
Meter Supplied by Contractor
SEWER 84ft depth 84,5 - 6ft depth 86.5 - 1 Oft depth B>1 Oft depth By Contractor
TAPS: $1,000 $1,600 $3,500 at cost R,'-�Existing Tap
RECLAIMInd.
400
" $600
800
2" 975
METER:
Projects with greater than twenty (20) Fixture Units shall be assessed in
Master []3/4"
Tap 100
Rap100
[]1.5"
Tap 150
Tap 636
SEWER SYSTEM IMPACT FEES (Equivalent Residential Connection - 270 gallons per day (GPD)
RESIDENTIAL
Meter Supplied by Contractor
$3,025.00 /unit
Single or Multi -Family Structure with Three (3) or more bathrooms (300GPD)
$2,268.75 /unit
COMMENTS:
WATER SYSTEM IMPACT FEES (Equivalent Residential Connection (ERC) - 300 gallons per day (GPD)
RESIDENTIAL
$1,343.00/unit Single or Multi -Family Structure with Three (3) or more bathrooms (300GPD)
$1,007.25 /unit Mobile Home or Multi Family Structure with LESS THAN Three (3) bathrooms
Estimated usage for such family units on average requires only 225GPD of water
and sewer services.
COMMERCIAL
$1,343.00 /ERU
Fixture Unit Schedule from Southern Plumbing Code will be used. One ERU will
be assessed for connection & up to twenty (20) Fixture units.
Projects with greater than twenty (20) Fixture Units shall be assessed in
quarter fractions (0.25) based on the first ERU. Example: Twenty-five (25) fixture
units will be rated as 1.25 ERU: twenty-six (26) fixture units will be rated 1.5 ERU.
SEWER SYSTEM IMPACT FEES (Equivalent Residential Connection - 270 gallons per day (GPD)
RESIDENTIAL
$3,025.00 /unit
Single or Multi -Family Structure with Three (3) or more bathrooms (300GPD)
$2,268.75 /unit
Mobile Home or Multi Family Structure with LESS THAN Three (3) bathrooms
This is based on judgment/assumption, that such family units on average require
75% of water and sewer service of an average single family unit.
COMMERCIAL- Industrial
- Institutional
$3,025.00 /ERU
Fixture Unit Schedule from Southern Plumbing Code will be used. One ERU will
be assessed for connection & up to twenty (20) Fixture units.
Projects with greater than twenty (20) Fixture Units shall be assessed in
quarter fractions (0.25) based on the first ERU. Example: Twenty-five (25) fixture
units will be rated as 1.25 ERU: twenty-six (26) fixture units will be rated 1.5 ERU.
FEE SUMMARY
Water Impact Fees $ Water Meter $ LIDO Sewer Tap $ 0471'`16 Reclm Meter
Sewer Impact Fees $ 2,- b$. 7* Meter Tap . $ Street Cut $ Meter Tap
Other $ Road Bore $ Road Bore
Signature - Utility Director or Engineer
Impact Fees Effective: Oct. 1, 2008
Meter Fees Effective: April 1, 2008
Date
Page 1 of 2
/V10.
COUNTY OF SEMINOLE
IMPACT FEE STATEMENT
STATEMENT NUMBER: 10100004
BUILDING APPLICATION #: 10-10000421
BUILDING PERMIT NUMBER: 10-10000421
DATE: October 19, 2010
UNIT ADDRESS: WINDSOR LAKE CIR. 1351 12-20-30-514-0000-0870
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: PAID IMPACT FEES TRANSFERED FROM LOT 99,
2220 TRILLIUM PARK IN. TO LOT 87 1351
--------------------------------------------------------------------------------
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
.00
STATEMENT
RECEIVED BY: SIGNATURE: FM Rk on wx
(PLEASE PRINT NAME).
DATE: I! a I
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.
Permit No.
Tax Folio No.
NOTICE OF COMMENCEMENT
State of Florida
County of Seminole
The undersigned hereby gives notice that improvement
will be made to certain real property, and in accordance
with Chapter 713, Florida Statutes, the following
information is provided in this Notice of Commencement.
I description of the property, and street address if available) _� I
��ttttlriN�tNonIntel III
NARYANNE NORM, CLERK OF CIRCUIT COURT
SEMINOLE COUNTY
HK 07591 RR 0447; (1pg)
GL E RWI S # 2 ti! 1 1()67;t 41
RECORDED 06127/2011 08:43:25 AN
RECORDING FEES 10.00
RECORDED BY T Saiith
1. Description ofrol:
2. General description of improvement: 1-"1) 1 1
3. Owner information: Name: /. 4&r-ILI
Address: t4 -l.. Cj c- B) j/'_/. : &tot n, elV161)dco 'Cz- 3
b. Interest in property: 5; ^�
c. Name and address of fee simple title older (if other than Owner): Name
Address:
4. Contractor Name:
c. Address: 6-Y- 6 -i_ C'
Surety Name_
Address:
b. Amount of bond
6. Lender: Name:
Phone number.-
b.
umber:
Address:
b. Lender's phone number:
7.a. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as
provided try Section 713.13(1)(a)7., Florida Statutes: Name:
Address:
8.a. In addition to himself or herself, Owner designates of to receive a copy of the
Lienor's Notice as provided in Section 713.13(l )(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 year from the date of recording unless a different
date is specified)
WARNING TO OWNER: ANY PAYMENTS MADE BY THE 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 PROP Y. NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE TOB
SITE BEfEM
HE FIR T INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR
LENDER A'I R EY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF
COMMEL` ,(�Z�-�- �•, � Z�m 0.���
Signature of Owner or Owner's Authorized Officer/Director/Partner/N44aa�naager Signatory's Ti le/Office
The foregoing instrument was acknowledged before me this6 7""qday of Oil, (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) .
VALERIE L. FUDRRER
AJ -L. �� etii Commission #
— ---- - - Expires May 25o.Signature of Notary Public g�'BmWThmTyFwnlnPersonally Known OR Produced Identific pe on Produced GdQ
Verification pt suant to ection 92.525, Florida Statutes: Under penalties of perjury, I declare that I have read t,,,�
the facts stat in it it, t the best of my knowledge and belief.
Signaiure oKNXUral Person Signing Above
R \�
Rev. date 3/2003 -- r1V�
�� �®®
U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE
Federal Emergency Management Agency _ -
NationalFlooaInsurance I?rQgram Important: Read the:instructions-ori pages.1-9:
SECTION A - PROPERTY INFORMATION
Al. Buildinq Owner's Name D R HORTON HOMES
A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.
1351 WINDSOR LAKE CIRCLE
City SANFORD State FL ZIP Code 32773
OMB No..1660-0008.
Expires March 31; 2012
A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
LOT 87, 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°16'40" 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. 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) 0 sq ft a) Square footage of attached garage N/A 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 ® No d) Engineered flood openings? ❑ Yes ® No
SECTION. B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP Community Name & Community Number B2. County Name B3. State
CITY OF SANFORD 120294 SEMINOLE FLORIDA
B4. Map/Panel Number
B5. Suffix
B6. FIRM Index
B7. FIRM Panel
B8. Flood
89. Base Flood Elevation(s) (Zone
12117CO070
F
Date
Effective/Revised Date
Zone(s)
AO, use base flood depth)
0 Lowest adjacent (finished) grade next to building (LAG) 43.0 ® feet ❑ meters (Puerto Rico only)
9-28-2007
9-28-2007
X
WA
810. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9.
❑ FIS Profile ❑ FIRM ❑ Community Determined ❑ Other (Describe)
Bl 1. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe) N/A
B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ® No
Designation Date N/A ❑ CBRS ❑ OPA
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
Cl. Building elevations are based on: ❑ Construction Drawings' ❑ Building Under Construction" 0 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, ARIA, AR/AE, AR/A1-A30, AR/AH, AR/AO. Complete Items C2.a-h
below according to the building diagram specified in Item A7. Use the same datum as the BFE.
Benchmark Utilized 4573601. ELEV=46.22' Vertical Datum NGVD1929
Conversion/Comments Conversion to.NAVD'88 Datum (-1.03')
Check the measurement used.
a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 44.4 ❑ feet ❑ meters (Puerto Rico only)
b) Top of the next higher floor 55.1 0 feet 0 meters (Puerto Rico only)
c) Bottom of the lowest horizontal structural member (V Zones only) N/A. ❑ feet ❑ meters (Puerto Rico only)
d) Attached garage (top of slab) N/A. ❑ feet ❑ meters (Puerto Rico only)
e) Lowest elevation of machinery or equipment servicing the building 44.0 0 feet ❑ meters (Puerto Rico only)
(Describe type of equipment and location in Comments)
0 Lowest adjacent (finished) grade next to building (LAG) 43.0 ® feet ❑ meters (Puerto Rico only)
g) Highest adjacent (finished) grade next to building (HAG) 44.1 ® 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
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation
information. I certify that the information on this Certificate represents my best efforts to interpret the data available.
I understand that any false statement may be punishable by tine 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
FACE .
licensed land surveyor? ❑ Yes ❑ No
Certifiers Name JAMES 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
FEMA Form 81-31, Mar 09
Telephone
See reverse side for continuation.
Replaces all previous editions
ANT: In these space
Building Street Address (including Apt., Unit, Suite,
1351 WINDSOR LAKE CIRCLE
City. SANFORD: State. FL. ZIP Code 32773
riding Information_ from. Section A.
Idg. No.) or P.O. Route and Box No.
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. Item B1: 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. Sod is not installed yet. This document is not valid if photographs are removed or omitted.
/ 2 IDJ �/,
Signature Date
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, crawispace, 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 O 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 Owners 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 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 Use:
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number
1351 WINDSOR LAKE CIRCLE
City SANFORD State FL ZIP Code 32773 1 Company NAIC Number
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.
1"MON'r VIEW (12/2/11)
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.
1351 WINDSOR LAKE CIRCLE
City SANFORD State FL ZIP Code 32773 I 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."
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PERMIT # sir- X793 (0 �
'FORM 1100A-08
FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION
Florida Department of Community Affairs Residential Performance Method A
Project Name: DR Horton- Cedar
� d rF' F7
Builder Name:
Street: / 01'od5orLake. �r�'✓�'
Permit Office: XAovFo'xoA_
City, State, Zip: A;0rS'
Permit Number: �7 f
Owner: CedarTownhome
Jurisdiction:
Design Location: FL, Orlando
//
l0 'c;I J -/o
1_ New construction or existing
New (From Plans)
9. Wall Types(1785.3 sqft.)
Insulation Area
2. Single family or multiple family
Multi -family
a. Concrete Block - Int Insul, Common
R=4.1 1265.30 ft2
b. Frame - Wood, Exterior
R=11.0 260.00 ft2
3. Number of units, if multiple family
1
c. Concrete Block - Ext Insul, Exterior
R=4.1 130.00 ft2
4. Number of Bedrooms
2
d. other
R= 130.00 ft2
5. Is this a worst case?
Yes
10_ Ceiling Types j546.0 sgft.)
Insulation Area
6. Conditioned floor area (ft2)
1051
a. Under Attic (Vented)
R=30.0 546.00 ft2
b. N/A
R= ft2
7. Windows(140.0 sgft.) Description
Area
c N/A
R= ft2
a. U -Factor: Dbl, U=0.55
140.00 ft2
SHGC: SHGC=0.29
11. Ducts
a. Sup: Attic Ret: Attic AH: Interior Sup.
R= 6, 220 ft2
b. U -Factor: NIA
ft2
SHGC:
12. Cooling systems
c. U -Factor: N/A
ft2
a. Central Unit
Cap: 24.0 kBtu/hr
SHGC:
SEER: 14
d. U -Factor: N1A
ft2
13. Heating systems
SHGC:
a. Electric Heat Pump
Cap: 24.0 kBtulhr
e. U -Factor: N/A
ft2
HSPF:8.2
SHGC:
14. Hot water systems
8. Floor Types (546.0 sgft.)
Insulation Area
a. Electric
Cap: 40 gallons
a. Slab -On -Grade Edge Insulation
R=0.0 546.00 ft2
EF: 0.92
b. N/A
R= ft2
b. Conservation features
c. N/A
R= ft2
None
15. Credits
Pstat
Total As -Built Modified Loads: 19.66
p C C
Glass/Floor Area: 0.133
r 1��7a7
PASS
Total Baseline Loads: 23.34
I hereby certify that the plans and specifications covered by Review of the plans and
this calculation are in compliance with he Florida Energy specifications covered by this
Code. calculation indicates compliance
with the Florida Energy Code.
PREPARED BY: _ Before construction is completed...
DATE: this building will be inspected for
compliance with Section 553.908
1 hereby certify that this building, as designed, is in compliance Florida Statutes.
with the Florida Energy
Code.
OWNER/AGENT: U `BUILDING OFFICIAL:
DATE: v2 . (J. ....._-.. --._ __.._.._.._... 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 3:19 PM EnergyGauge® USA - FlaRes2008 . Page 1 of 5