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HomeMy WebLinkAbout6120 Windsor Lake Cir 12-2499 (new t-home)r e CITY OF SANFORD � SEP 2 4 J12 BUILDING & FIRE PREVENTION PERMIT APPLICATION :__________- a3, 90 Application No: I q9 Documented Construction Value: $� JobAddress: W'p-0 h Ind --so r Lie �Tl/ �— Historic District: Yes ❑ No Parcel ID: I8gO Zoning: Description of Work: /e �a%r�;/' Ce ct 4g Plan Review Contact Person: 1 (a Ie ir) g� f�-kcr -41— Phone: yz)i - Fax: E-mail: V iS)�t-rre_r n } tKtb! ' e't"ti Property Owner Information Name Street: Cite, State Zip: Phone: 4�D'`I - a50--SaGZ3 Resident of property? : Contractor Information Name SjeyLn ' meq Phone: LfG 7 - l'S b Street: J_ SSU l LC �11'r L�Fax: City, State Zip: O'ria- e , F& 3'q"?D 9 State License No.: Op %,2,S 2-_1 l a- Architect/Engineer Information Name: e_ -n a/)n Street:�yD '8 rk /a / SSb City, St, Zip: 01,'f'mc a 4 , r- _ 34-71-1— Phone: 4 -7r -1 -- Bondincy g Company: Address: o20s'-er& /0s. M Phone: 3,5,-3 - aq_�z -ell Fax: E-mail: Mortgage Lender: &/ ,Address: PERMIT INFORMATION Building Permit 3,t Square Footage: ` Construction Type: No. of Dwelling Units: ( Flood Zone: Electrical ❑ New Service — No. of AMPS: Mechanical ❑ (Duct layout required for new systems) / 3y %0'O� oat aLf II � Plumbing ❑ No. of Stories: 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 cornrnenced 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 CONIMENCENIENT IVIUST 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 permitad.7_77:� Signature of Ownei"Agent Date Signature o ontra or/Agernt Date ,C arr V. 5._ Ptint OwnerAge t s Name Signature of Notaiy-State of Honda Date VALERIE L. FURRER ` A, °. Commission # LE 079058 Expires May 25, 2015 Bonded ii ru 1r6!d r,,; i id,6rant9 800.386-7019 Owner/Agent is Personally Known to Me o>. Produced ID Type of ID APPROVALS: ZONING: ENGINEERING: UTILITIES: 5icye r) --R�Cturi c; Print Contractor/Agent's Name Signature or Not, - at 4 n on s 4LERIE L.FUR Commission # EE 079058 Expires May 25, 2015 Bonded ihrd Troy Fain Insurance 800-385-7019 j Contractor/Agent isPersonally Known to Me or Produced ID Type of ID WASTE WATER: FIRE: BUILDING: a CITY OF SANFORD SEP 9 ' `i BUILDING & FIRE PREVENTION rBt PERMIT APPLICATION Application No: Documented Construction Value: $ i5 • `� Job Address: Cp !,;?-O IA) l ndS© r^ Historic District: Yes No Parcel ID: Zoniug: Description of Work: &'oI16 a�r>> Q� �f' 1 ULDr)hr�r}a�S Ctn+f Plan Review Contact Person:y ear + u �"(�.� Title-t?YM.i� OttT����Z>� Phone: qbj Fax: E-mail: V-Wt-rre;r• (3 cf r r 4&').. E;pa') Property Owner Information Name Phone:O'i Street: Resident of property?' City, State Zip: Qa'�L 3�� Contractor Information Name 54e;ye.n V/- kj')q Phone: L[6 7 - YS—b - S_, -4o Street: ,j e5CU f ( 1._.E' E 1 Yr s �Cl Fax: Citv, State Zip: Vrl0-/)d State License No.: Architect/Engineer Information Phone: 3.5,3- - �qa -elz) o Name: ki.4 d ey-)-J Gc /7 •'> Street:• City, St, Zip: -7 i Bonding Company: /tr/fI Address: Building Permit U Square Footage: No. of Dwelling Units: Electrical ❑ New Service— No. of AMPS: Fax: E-mail: Mortgage Lender: rll�r Address: PERMIT INFORMATION Construction Type: Flood Zone: Mechanical 0 (Duct layout required for new systems) No. of Stories: Plumbing 11 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 connnenced 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 AFFIDANTIT: 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 1N YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCENIENT 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 fi-onother governmental entities such as water management districts, state agencies, or federal agencies. Acceptance of permit is verification that I will notify the o-vner 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 permitad.7777� SienaYure of Owne;'Agent Date signature a - ontra or/Agent Date Print Owner:;Au tt"s Name Sigmttue of Not r. State of I londa Date T�. V,nl ER E L FURRER IU.e t + Expires Nlay d 201115 4, nora d -Iin Troy nsvaru 9 r 1$u-7019 Owner%Agent is Personally Flown to Me ox._ Produced ID Type of ID J APPROVALS: ZONING.- ENGINEERING: ONING: ENGINEERING: COMMENTS: Rev 11.08 Prni�OfOt nt Contractor/Agent s Name Sif "rl01i `a� 11 � i��l ERIE L. rUi� 4 *' _ Con nission # EE 079058 {' .,.4 Expires �;ay 25 f -U 10 f' Boded hruiin7�,14ih..�r��c 4�0�&57J15 Contractor/Agent is ;/Personally Known to Me or - "- Produced ID Type of ID UTILITIES: WASTEWATER: FIRE: BUILDING: i I TV�',�� • CITY OF SANFORD " = SES' 2 4 1012 BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: 9 Documented Construction Value: $ -54-- . Job Address: �v 1,,)-o % t �d� LG, v e PI -i `e-- Historic District: Yes El No U, Parcel ID: !oZ o2b �� ly- GZ�dC� /�S(� Zoning: Description of Work: '' inI je Faj7"�,lY &-Mae � 1 DW/)hr�t Plan Review Contact Person: � Iex l e� F" t-rre r Title�ufM.r� Phone: 41z))- Fax: F �-(, ._ �5� �JY E-mail: '&�tc_rre_r Property Owner Information Name, " T .�Zi -�0� a i�C' Phone: 4O'i -SC SCZ� Street:r� ! �y �e� i�ldTet�DO Resident of property? City, State Zip: 6j-lai') d-�4> / F_L Contractor Information 544y�Lr) Phone: G 7 YS b- S 9 z� Name I Street: `� SSG ( LF' ill Y'd -�4 Fax: c L Gn - v? 5- �`� ci Citi, State Zip: State License No.: Arch itectlEngineer Information Name:/r?t�� I�) �c /� �^� Phone-.5�3 Street:, City, St, Zip: Neill)got; 4 -7 r Bonding Company: _ AX A Address: ` .,Fax: E-mail: Mortgage Lender: ✓l/d Address: PERMIT INFORMATION Building Permit Square Footage: ,�` Construction Type No. of Dwelling Units: Flood Zone: Electrical ❑ New Service - No: of AMPS: Mechanical ❑ (Dunt 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 conunenced 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 CONIMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF CONINIENCEIt1ENT 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 fi-om 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 r as d. Slanan.ne of Owneri.ALent Date l._arr v. 5._ i h m p�>c n Pnntt O/wnnC'r.Agdit s Name — 1 ]_ j'u� '? /, / Simatme of Notate State ofHonda Londa Date �e.'wramsa.ea.a �v�,rawuei.raa:�,w:aY�. SI<_'n3tUre orNot � tttic 0, ffor' 31 EMIE L. EFU, V/,J ER!E L. FURR R C £ 0058 ��.o"x.°� Expires i'tla}r Z'; 2015 9ora d d � fr7Ji�i � i C,8 03�u•7019 signature l`"ontnerodAeenl / / 1/ Date 51-cve-n "k. u ntcr) Print Contractor/A2enCs Name r 1 SI<_'n3tUre orNot � tttic 0, ffor' 31 EMIE L. EFU, Coni nfS�i011 # r� 079058 Expires May 25, Bond..-hm Troy Fain PS.R_nco 80-'N-701 Owner/Agent is vPe sonally I�iown to Me Contractor/Agent is'-XPersorally Known to Me -- Produced ID Type of ID Produced ID Type of ID APPROVALS: ZONING: ENGINEERING: COMMENTS: Rev 11.08 UTILITIES: WASTE WATER: FIRE: BUILDING 2.. CITY OF SANFORD %'0 1 BUILDING & FIRE PREVENTION r PERMIT APPLICATION Application No: Documented Construction Value: $ Int 5v� •�� Job Address: Lv I �l� la j �C�o f��r�i✓ Historic District: Yes ❑ No ParcelID: ✓vZ -,ZW - 0-- 5/0- c000 - l eqa Zoning: Description of Work: 'Silyle_ Cztf�c cf' 1 bCu�?hn� 37eS 1' r_n Plan Review Contact Person: vr),I(�j1 1P� 1 urf _. Title !bo rcc,oa4L>� Phone: Fax: Y �,6 Nrl E-mail: V i-�c(-rr e_r (j J. r hbi-f ,6 , e P,11 Property Owner Information Name T. �t� . qj-c r-�c)r) l i\C . Phone: 4Dc c} Street: J 1 % kee_ -SIVI-' , , -7v-Lp66 Resident of property?,: City, State Zip: 60a'/Ccn de) Contractor Information Name��b'L.r'1�I�/tr`l� Phone:G7- Street: 5850 `( Fax: Y�16 - City, State Zip: Orl o- d o , FL, 3,—W 9 State License No.: Ojq Architect/Engineer Information Name.- kj'17 e_/ -n t t) ,-) Street: P,U .'8T' /")/ 5 -Sb City, St, Zip: 01,er1Y►vf; -fe FC__ 3 4-7) �— Bonding Company: ,rtt14 Address: Building Permit Square Footage: No. of Dwelling Units: Electrical ❑ New Service - No. of AMPS: Phone: J - aqa G Fax: E-mail: Mortgage Lender: ,>1 hl Address: PERMIT INFORMATION Construction Type: Flood Zone: No. of.Stories_ _ - r;)-- Plumbing ❑ New Construction - No. of Fixtures: Mechanical 11 (Duct layout required for new systems) Fire Sprinkler/Alarm 0 No. of heads: r' Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has corrunenced 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 CONIMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF CONINIENCEMENT 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 gover mental entities such as water management districts, state agencies, or federal agencies. Acceptance of permit is verification that I Nvill notify the owner of the property of the requirements of Florida Lien Lay. 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 r as d. Sianature or Owner/Agent Date Signature o ontm or/Agent Date Print OwnerlAge tt s Name -V e-1l'-2'-f/ / ;�-- Signature of Nota» -State or Florida Date .' Vf%! ER;E L URRER' Corr!" 9058 ;� °� 6crG i Im fr�Jl i u 6..9009'' 7019 .r-rrw.�z--�:;-s•-raw^ y� .wmxr.--„�s,.:-ec.� Owner/Agent 9s V Personally Known to7Vle ox. Produced ID Type of ID APPROVALS: ZONING: QMVK.(�a7r0- UTILITIES: ENGINEERING: COMMENTS: Rev 11.08 FIRE: '5A-CVe-o "R 1"_ r) ci Print Contractor/Agent's Name Signature of Not f1c Qi 1 loci o n 'JL RIE L. FUR .Eh dt �_ Com nissioil # EE 079058 s Expires Nlay 25, 2015 9grw; Trim T:o/ F.v i in ur; c ROD -385-7019 =. Contractor/Agent isPersonally-Knoyvn-to---- Produced ID Type of ID WASTE WATER: BUILDING: PLOT PLAN . DESCRIPTION: (AS FURNISHED) LOTS 187-190, WINDSOR LAKE TOWNHOMES EAST AS RECORDED IN PLAT BOOK 74, PAGE(S) 31-34, OF THE PUBLIC RECORDS OF SEMINOLE COUNTY, FLORIDA. PT ol 1 ; o I goto�nm Po njZ01 IQ1111 -to IIn a K J V U 31 a o tor 186 ii "1 0 NOoPhI vO O �I ;o�ozo 1" = 30' GRAPHI SCALE RADIAL _S81_as_ss~E 0 15 30 24.28' 10Q MTRgCT .Q S .W CO q 2 0� �' MON ^$ o zo.p. SJ 4' S c+t gREq 8„ G MOh^ n in / o h 2 0 21.3' ICAL M. C.5 Vin„ n r'� o'•, PRC �Juv/ (p ^ 4.T 24.0' ti Q`'•',tj 4i COLFRFp g. p. u 5p•00, Xti0 ro o i/i p 4,� J ;10#,;) n ^O . ,.. •, _, mco, i tr � ^aet� v Q sr /T/.w/U R' �I 1 2g o•' 'O''.. ,'�..w O }per a- 147 ff- N In pgRK �� Q­- -co LANE 1PI , N 3.D�� W �� g ^ �� o �o ^`Otis o�no� `<�'o it p.''1,ro jiFmo o (pCn O 0IN -o ' ~o N85'4629W - 2p, p. C }¢ m 0 K, 0 o b. n uo I 20.70' 4.7' E- COO N N h I ��' 24.0. N a N II � 1 M � '58 SooS,p• I CO TRgCT q "' S2s27.17"E PREPARED FOR: I MMON gREq DR HORTM, 1 NYS if tcR�s NO for 191 PREPARED FOR: DR HORTON 1 ' CITY OF SWAF-Ol�I 6�J31.1310 PN'LANI REVIEW BUILDING SETBACKS PLAM'i,.,lIPJG I� lff') 0EVP-lQPMEi'NiT SERVICES THIS TOWNHOME UNIT HAS APPROVED BEEN POSITIONED TO FIT WITHIN \ DATA THE REQUIRED PLOTTED LOT AREAS AS ESTABLISHED ON THE FINAL RECORDED LOT NOTES: LEGEND: — BUILDING SETBACK LINE PI POINT OF. INTERSECTION 1. ELEVATIONS SHOWN ARE INTERPOLATED PER LOT PC POINT OF CURVATURE GRADING PLANS PROVIDED BY.THE CLIENT. PRC -- CENTERLINE PT POINT OF TANGENCY RP RADIUS POINT 2. ELEVATIONS SHOWN ARE BASED ON SEMINOLE — RIGHT OF WAY LINE PRC POINT OF REVERSE CURVATURE COUNTY BENCHMARK 304-22-01, ELEV. 45.941 120294 0070 F, DATED 09-28-07 AND FOUND THAT THE PROPOSED ELEVATION PCC POINT OF COMPOUND CURVATURE VERTICAL DATUM (NGVD 1929).,, MAY AFFECT THE TITLE Ofd;USE OF THE LAND. FLOOD PLAIN. THE SURVEYOR MAKES NO GUARANTEES AS TO THE TYP TYPICAL ABOVE INFORMATION. PLEASE CONTACT THE LOCAL F.E.M.A. AGENT FOR - PROPOSED DRAINAGE FLOW CS CONCRETE SLAB THIS PLOT PLAN IS INTENDED FOR PERMITTING PURPOSES `THIS CONCRETE (P) (C) PER PLAT CALCULATED ONLY. ,S !:0? INTENDED FOR THE ^C.STRI vTiON' OF "k .gyp.>'"' �mE ` THE -ORIGINAL RAISED OF A FLORIDA PB PLAT BOOK THE PROPOSED HOUSE. REFER TO HOUSE PLAN AND a CENTRAL ANGLE PGS PAGES OPTION LIST FOR CONSTRUCTION. ALL BUILDING SET BACK A/C AIR CONDITIONER SO. FT. SQUARE FEET LINES SHOWN HEREON IS PER DATA FURNISHED BY CLIENT R RADIUS F.E.M.A. FEDERAL EMERGENCY MANAGEMENT AGENCY .AND IS FOR INFORMATIONAL PURPOSES ONLY. L ARC LENGTH F.I.R.M. FLOOD INSURANCE RATE MAP n"L-w- Z4", .— FOR THE C CHORD LENGTH ORLANDO, FLORIDA 32803 - THIS IS NOT A SURVEY CB CHORD BEARING J DRAWN BY: WWW.AMERICANSURVEYINGANDMAPPING.COM UP UTILITY PAD THIS IS A PLOT PLAN ONLY S/W SIDEWALK 1. THE SURVEYOR HAS, NOT ABSTRACTED THE I HAVE EXAMINED THE F.I.R.M. COMMUNITY PANEL NUMBER . LAND SHOWN .,HERE?ON°'FOP. EASEMENTS, RIGHT 120294 0070 F, DATED 09-28-07 AND FOUND THAT THE OF WAY, RESTRICTIONS OF 'RECORD WHICH SUBJECT PROPERTY LIES IN ZONE "X" AREA OUTSIDE THE 100 YEAR MAY AFFECT THE TITLE Ofd;USE OF THE LAND. FLOOD PLAIN. THE SURVEYOR MAKES NO GUARANTEES AS TO THE ABOVE INFORMATION. PLEASE CONTACT THE LOCAL F.E.M.A. AGENT FOR - 2. NO UN.DER61R,0 ND IMpROvFMENTS HAVE BEEN VERIFICATION. LOCATED EXCEPT AS SHOWN. , 3 s ' 3. NOT'VALID'WiTHOUT11-10 SIGNATURE- AND 'SEAL BEARINGS SHOWN HEREON ARE BASED ON THE NORTHEASTERLY LINE "k .gyp.>'"' �mE ` THE -ORIGINAL RAISED OF A FLORIDA OF LOT 187 BEING N73'41'58"W. PER PLAT. M E RI N LICENSED SURVEY0111 AND MAPPER, - - (FIELD DATE:) REVISED: �E YA^ J U R V I N G SCALE: 1" = 30 FEET 8cM A P P I N G INC. APPROVED BY: JB CERTIFICATION OF AUTHORIZATION NUMBER LB/J6393 3191 MAGUIRE BOULEVARD, SUITE 200 n"L-w- Z4", .— FOR THE JOB N0. 0100403 LOTS 187-190 ORLANDO, FLORIDA 32803 OO /O4^ FIRM (407) 426-7979 J DRAWN BY: WWW.AMERICANSURVEYINGANDMAPPING.COM PLOT PLAN 09-04-12 JML JAMES W. BOLEMAN PSM# 6485 DATE 3 City of Sanford Planning and Development Services s� Engineering — Floodplain Management Flood Zone Determination Request Form Name:S�LV--eM (?wl, Firm: �. H6�-�-�,�� Address: -6"85" TCS (.�, Ey O O City: yr 1.111 o State: Zip Code: 22 8 Z 2- Phone:1107 - dSc' - 5"2c?,' Fax: Email: Property Address: / ZC) oLr-v� Property Owner: Parcel identification Number: %It-- 2,(o 9 O - 5)S _ ob r)g - 191'a Phone Number: Email The reason for the flood plain determination is: 2 ----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) e 'x3 s 4a s x cz ,2 s r a�w OFFICIAL USEONLY_ :za z Flood Zone: Base Flood Elevation: Datum: FIRM Panel Number: /Z117 G C) a 76 F Map Date: e7 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 O�The structure is not in the: GD-fle rdplain ❑ floodway If the subject property is determined to be flood zone `A', the best available information used to determine the base flood elevation is: Reviewed by: vG / IS' Date: 7 Z TAEngr-Files\Elevation Certificate\Flood Zone Determination Request Form.doc LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: I hereby name and appoint: Valerie rurrer, Meghan Nelson, Ryan MacDonald an agent of: �U. . (H(� )y tc)n . ' nc (Name of Company ) to be my lawful attorney-in-fact to act for me to apply for. receipt for. sign for and do all thihors necessary to this appointment for (check only one option): EJ All permits and applications submitted by this contractor.. 6� The specifics permit and application /for.work located at: fie— (Street Address) Expiration Date for This Limited Power of Attorney: -Q%4//-3 License -Holder Name: :Dtcuto State License Number: Signature of License H STATE OF FLORIDA COUNTY OF j nc The foregoing instrument was acknowledged before me this 20 ' , by j CUt Y'1 Q . � who is mi personal lv kn n tome—or ❑ who has produced as identification and who did (did not) take an oath. Signature (Notary Seal) DANIELLE HAll� Print or type name Notary Public - State of Commission No. My Commission Expires: (ReN. 3/27/07) a ° " #0962209 �r Ti c felrecx OV Tu l�Qle��r� rurr�r MARYi I t�ERK OF CIRCUIT CMIRT'. f�_ , )lar 5b 50,_1. C� , Le,( --B1 va . �tx SEMI NOL.E CMMTY p ku� c , 3 3 BK 67861 Pg 12791 t pq) Pennrt Folio CLERK'S 0 2@12113760 Tax Folio No. /a -a�D - _ /S` DvvLl - %t j % RECORDED 89/24/2812 8314315 PH NOTICE OF COMMENCEMENT RECORDING:FEE910.00 RECORDED BY J Eckenroth(all) 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: j 1. Description off r�opert'y/: (lesal clescription of the property; and street address if available) d4 %Utc ft%�c�i7�S YTS 7 7 A,'n CYJ��i�o1P )G'r74t! 2. General description of improvement: �S.nr /� �'c���,1 3. Owner information: Name: D, i:. T4 Address: 57��S-b-7- G. IOrLEI) eto 'ei� 33�a3 b. Interest in property; F r c. Name and address of fee simple title Colder (if other than Owner): Name: Address: 4. Contractor Name: Phone number; c. Address: 6_Y5_0 '/. 6 Lc e C-Divd .. 5. Surety Name Address: b. Amount of bond: $ 6. Lender: Naive: IV114 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 by Section 713.130)(a)7., Florida Statutes: Name: Address: 8.a.. In addition to himself or Herself, Owner designatesof to rec11 eive a copy of the Lienor's 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 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 I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY, A TICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE F T IN PECTION. IF YOU.INTEND TO OBTAIN FINANCING, CONSULT \'.�1TH YOUR LENDER OR AN A ORNE FORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMEN Sienature of O Amer or O�+n s Authorved off" r�Director/PartneriMana�er Signatory's Ti e/Office s ''L The foregoing instrument was ackno\vledged before me thidf)C�tlay of (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) . W I ERIE L Ft RR R (SEAL) Gor t ss ,ion t 1r S2cc; 5-lay25 211 5 Slenature of Notary Public Bcjnd,%d Thmrrr Voinm...r., 800 38,3-7019 Personally Known R.Produced Identification "• Type of ltletatrficatt©rt Rrodueed-=° Vet ication pursu(are o Secti 2.525, Florida Statutes- Under penalties of perjury. I declare that I have read the i air hat MARYANNt MORSE. the facts stated in i tru c best of my knowledge and belief. CLERK OF CIRCUIT COURT SEMINOLE COUNTY,FLORIDA Signature ofNatura rson Signing Above : Rev. date 3/2008 g�VUTV CIER:( SEP, 2 4 2012 PERMIT # FORM 405-10 OFFICE FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Florida Department of Business and Professional Regulation - Residential Performance Method Project Name: Windsor Lakes - Lot 189 �y Builder Name: DR Horton Street: �✓/ r /Z.A-,fie �/ f`Q--� Permit Office: �� /1C�Ser� �� � Permit Number: t-2 City, State, Zip: Sa4...Z�19 Owner: DR Horton Jurisdiction: _ Design Location: FL, Orlando 1. New construction or existing New (From Plans) 9. Wall Types (2016.0 sqft.) Insulation Area a. Frame - Wood, Common R=11.0 1264.00 ft2 2. Single family or multiple family Multi-family b. Frame - Wood, Exterior R=11.0 352.00 ft2 3. Number of units, if multiple family 1 c. Concrete Block - Int Insul, Exterior R=4.1 256.00 ft2 4. Number of Bedrooms 3 d. other (see details) R= 144.00 ft2 10. Ceiling Types (946.0 sqft.) Insulation Area 5. Is this a worst case? No a. Under Attic (Vented) R=30.0 946.00 ft2 6. Conditioned floor area above grade (ft2) 1588 b. N/A R= ft2 c. N/A R= ft2 Conditioned floor area below grade (ft2) 0 11. Ducts R ft2 7. Windows(134.1 sqft.) Description Area a. Sup: Attic, Ret: Attic, AH: RoomslnBlock1 6 234 a. U-Factor: Dbl, U=0.54 134.08 ft2 SHGC: SHGC=0.29 ft2 12. Cooling systems kBtu/hr Efficiency b. U-Factor: N/A a. Central Unit 30.0 SEER:14.00 SHGC: c. U-Factor: N/A ft2 SHGC: 13. Heating systems kBtu/hr Efficiency d. U-Factor: N/A ft2 a. Electric Heat Pump 30.0 HSPF:7.80 SHGC: Area Weighted Average Overhang Depth: 1.000 ft. 14. Hot water systems Area Weighted Average SHGC: 0.290 p- Ca 40 gallons a. Electric B. Floor Types (946.0 sqft.) Insulation Area EF: 0.920 a. Slab-On-Grade Edge Insulation R=0.0 694.00 ft2 b. Conservation features b. Crawlspace R=19.0 252.00 ft2 None c. N/A R= ft2 15. Credits Pstat Total Proposed Modified Loads: 28.99 PASS Glass/Floor Area: 0.084 Total Standard Reference Loads: 36.34 I hereby certify that the plans and specifications covered by Review of the plans and fltIE Sx this calculation are in compliance with the Florida Energy specifications covered by this ,r Q Code. Di9aallyslgoedby�aleDyke calculation indicates compliance DN cn=Dale Dykes, ­US, -Mills Air, email=tldykes@mllsar.com with the Florida Energy Code. PREPARED BY: : Date: 2012.09.201821:38 -04'00' .Before construction is completed - DATE: this building will be inspected for Y w* compliance with Section 553.908 hereby certify that this building, as designed, is in compliance Florida Statutes. 1, with the Florida Energy Code. � OWNER/AGENT: BUILDING OFFICIAL: DATE: Q DATE: - Compliance requires completion of a Florida Air Barrier and Insulation Inspection Checklist 9/20/2012 5:25 PM EnergyGauge® USA - FlaRes2010 Section 405.4.1 Compliant Software Page 1 of 5 No. 5847 P. 1 CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: `�- �q Documented Construction Value: $, 211_ �7 Job Address: � Historic District: Yes d No Q Parcel ID:, 0 -51S S —'COCO ` / Zoning: Description of Work: I? 1 A u 5eY L LLd Plan Review Contact Person: V94JYYN Phone:Fax: Property Owner Information S 1�,fq 7eD Title; Name , Street ' (` �- d��1 Ste- CnC City, State zip: bre. l �8 Phone: Resident of property? Contractor Information Name � Phone: s Street: Fax: City., State Zip: State License No.! c ' co Architect/Engineer Information Name: Phone; Street: Fax: City, St, Zip: E-mail; Bonding Company: Address: Mortgage Lender: Address: PERMIT INFORMATION BuildingPermit ❑ Square Footage: _ Construction Type: No, of Stories: No, of Dwelling Units Flood Zone: Electrical 4 New Service -No. of AMPS; Mechanical V(nuct layout required for new systems) Plumbing 0 New Construction - No. of Fixtures: Fire Sprinkler/Alarm U No. of heads: Q!oallov. 30. 2012412 111PM 3 'Mi 119 AirIU:`*V'L�f`*a�v P11LL0 tlLn IW,10 PURCHASE ORDER Page 1--) Purchase Order Date 10/09/12 Bid Contract Number 100010 FPO Requisition Number Purchase Order Number 204979 ON Sub # / Lot # 39166 / 0189 Swing/Plan/Elevation L / 1564 / A Remit To D.R. HORTON 5850 T.G. Lee Blvd. Suite 600 ORLANDO, FL 32822 Phone; Pax: WorkDc5criplion 42190.02 IdVAC Flnol Description HVAC Final VENDOR: 685252 No. 58491 `P. 1/1*`,v 1 OPEN" AMOUNT; 2.154.00 MILLS AIR INC 6502 FOREST CITY ROAD ORLANDO FL 32810 Phone: (407) 277-1159 Fax: (407) 292-4390 DELIVER TO: Windsor Lakes 6120 Windsor Lake Cir SANFORD, FL 32773 Lot/Block `Plat LotBlock/Phase Deliver, Date Qty Unit Price Extension 1.00 2,154.000 2,154.00 --------------- 2,154.00 SPECIAL INSTRUCTIONS: 5. No liability will be assumed For materials placed on the job site that are not installed or that arc in the excess of the amount specified on Otis P.O. 1. We reserve the right to cancel if not filled as specified. 6. Ibis P.O. is applicable only to the jobs indicated: 2. PlaceP_O. number on all invoices, 7. Receipt of this P.O. is binding on supplier for material at prices specified. 3. A copy of delivery ticket signed by D.R. Horton personnel and this signed P.O. 8. All terms and conditions of the signed contract and scope of work.apply must accompany each invoice submitted for paymontwith signed lien release, to this document. 4. Partial Shipments wilt not be accepted. 2,154.00 Superintendent: YOUNG, STEVE Phone: (407) 466-4362 D.R. Horton Appr: DATE: J Nov, 30, 2012 12:13PM Mills Air No, 5845 P. 1/1 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 laves 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=Sratc of Florida bate Owner/Agent is Personally Known to Me or Produced ID Type of ID SlfnaNre of Contrac(or/Agent - Date ien�n - �J �� Print Contrectorhkgen ' Name rr J Signature of Notary -State of Flom-'S lo ate 0 MAMA RQMIGUV NOTARY PUSWC Berg OF PLORIQA. Comm# 20"140 Contractor�Agent is 'Personally Known to Me or Produced iD Type of ID APPROVALS: ZONING: UTILITIES: WASTE WATER: ENGINEERING: FIRE: BUILDING: COMMENTS; Rev 11.08 BOUNDARY DESCRIPTION LOT 189, WINDSOR AS RECORDED IN PLAT BOOK 74, PAGE(S) 31-34, 1" = 30' GRAPHIC SCALE I 0 15 1 30 'MIWUA4 AS -BUILT SURVEY (AS FURNISHED) LAKE TOWNHOMES EAST OF THE PUBLIC Iola OF SEMINOLE /)COUNTY, FLORIDA.L PT 6 l ofjV � i�� H� vc-(mss (tar co• r� •ao,o n� IpONZ0 QI1� � Il t aK JUU 3L o Cor /86 �p o NOoP/� v � is o vll ��pZo A��mu 81p46 56"E �a TRACT ,W p ReFER COMM A 4J l 3.4 e A r S> fNCE ON \ � �6'EfARiNQ REA 0 p # 12N / N �� PRC Q`/UU ^/ W $ ��e X01 78% / �,/ 6 Wy2 O N ti� g06A , t CG3co tor 2 ? /'?Nh� p N 7`34J'Jr 188 i0 v y N 8" m N �� ,�� o - �oN� w / L ti n/ (b :DR��RfTf',`... r ,,- -PA 7S of I ^ ..WAY.-, `•o 0 oku - RrY wA(' 00, IV/Q � COrciw ;�u�rw/&C, ^ 18g 3.0'oo�COpCR STORY U Z — - NE 6 ".; i. U & KbpDI" BLDG 4' 1� ,,.� FRfSIQE RAMEK qN/ PI o.o e^ilr- fLf Sty ATON>° R N`1 U ?N y ^ /w N�3 - _-?0. Q' 42.77, () I �Juu /N 47C8/��.PARTyWA 1D, 4.g� N Q7 �J /^^ / --- J _W rl-160 tor 7S,00.70' o y �� j9 / va pal Mao 1 coon y / TN�NmI W3ep N734158,w \\ .01 / �1nJlU G K U V I ADDRESS: I CoMTRAcr A —52527077"E #6120 WINDSOR LAKE CIRCLE I MONARfa SANFORD, FLORIDA 32773 FOR THE BENEFIT AND I \ \ EXCLUSIVE USE OF: DR HORTON ®•R-H[HdT><)N - f{ fserica's ! er os;T COT /9/ SINC. tPoo 1 � m NOTES: \ 1. ALL DIRECTIONS AND DISTANCES HAVE BEEN FIELD VERIFIED, INCONSISTENCIES HAVE BEEN NOTED ON THE SURVEY, IF ANY. \ LEGEND: 2. PROPERTY CORNERS SHOWN HEREON WERE — - — CENTERLINE SET/FOUND ON 01-22-13, UNLESS OTHERWISE — - - — - — RIGHT OF WAY LINE SHOWN. \ EXISTING ELEVATION A/C AIR CONDITIONER O FOUND 1/2" IRON ROD do CAP 3. THE SURVEYOR HAS NOT ABSTRACTED THE LB M6393 LAND SHOWN HEREON FOR EASEMENTS, RIGHT OF \ PRC CONCRETE Q FOUND LS 9N4AIL AND DISC WAY, RESTRICTIONS OF RECORD WHICH MAY J�j C CHORD LENGTH FOUND 1-1/4" IRON PIPE AND CAP 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. 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. ,RINGS SHOWN HEREON ARE BASED ON THE NORTHEASTERLY LINE LOT 187 BEING 573'41'58"E, PER PLAT. FIELD DATE:) 10/05/12 REVISED: SCALE: 1" = 30 FEET APPROVED BY: JB JOB NO. 0100403 LOTS 187-190- FINAL 01-22-13 RE FORMBOARD DRAWN BY: 10-i6-12 TCD ... ,.� ...... .... ,.. . _ .... CB 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 ID IDENTIFICATION L ARC LENGTH LB LICENSED BUSINESS LS LICENSED SURVEYOR (P) PER PLAT PC POINT OF CURVATURE PCC POINT OF COMPOUND CURVE PCP PERMANENT CONTROL POINT AM 11=`'F2IC,—A N S�J�VF= H (IVIG 8c MAPPING INC. CERTIFICATION OF AUTHORIZATION NUMBER LB#5393 3191 MAGUIRE BOULEVARD, SUITE 200 ORLANDO, FLORIDA 32803 (407) 426-7979 WWW.AMERICANSURVEYINGANDMAPPING.COM O LS #2005 A DELTA ANGLE PIPOINT OF INTERSECTION PK PARKER KALON POC POINT ON CURVE POL POINT ON LINE PRC POINT OF REVERSE CURVATURE PRM PERMANENT REFERENCE MONUMENT PSM PROFESSIONAL SURVEYOR AND MAPPER PT POINT OF TANGENCY R RADIUS SO. FT. SQUARE FEET S/W SIDEWALK TYP TYPICAL UP UTILITY PAD I HEREBY CERTIFY, THAT TiHI i S'JRVEY, SUBJECT TO THE SURVEYOR'S, NOTES CONTAINED HEREON MEETS THE APPLICABLE "MINIMUM T€CFkCAL STANDARDS" SET'FORTH,GY_TRE 1"LORIDA BOARD OF PROFESSIONAL: SURVEYORS AND 'MAPPEP.S IN CHAPTER 5J -1J, FLORIDA ADMINISTRATIVE CODE PURSUANT TO CHAPTER 47.2.027, FLORIDA STATUTES. - FOR FIRM JAMES W. BOLEMAN PSM# 6485 DnTE THIS IS AN AS -BUILT SURVEY DELINEATING CONSTRUCTED IMPROVEMENTS ONLY. NOT VALID WITHOUT THE SIGNATURE AND THE ORIGINAL RAISED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPED. COUNTY OF SEMINOLE IMPACT FEE STATEMENT STATEMENT NUMBER: 12100006 BUILDING APPLICATION 4: 12-10.000622 BUILDING PERMIT NUMBER: 1.2-10000622 DATE: October 01, 2012 UNIT ADDRESS: WINDSOR LAKE CIR. 6120 12-20-30-.514-0000-1890 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::- 58.20 T G LEE BLVD, STE 600 ORLANDO FL 32822 LAND USE: TOWN HOME TYPE USE: WORK DESCRIPTION: CITY-SANFORD SPECIAL NOTES: 6120 WINDSOR LAKE CIR/ LOT 189/ TWNHM �aa3�904 x119 W --------------------------------------------------------------------- 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 Single Family Housing -WIDE ORD 54.00 1.000.dwl unit 54,.00 SCHOOLS Multifamily CO 2,450.00 1.000 dwl unit 2,450.00. PARKS N/A .00 LAW ENFORCE N/A 00 DRAINAGE N/A .00 AMOUNT DUE 2,883'.00 RECEIVEDTBY: YO IP -A e- ti Ltre8GNATURE: (PLEASE PRINT NAME)` DATE: NOTE TO RECEIVING SIGNATORY/APPLICANT: FAILURE TO NOTIFY OWNER AND ENSURE TIMELY PAYMENT MAY RESULT IN YOUR LIABILITY FOR THE FEE. *** DISTRIBUTION;. 1 -BLDG DEPT 3 -APPLICANT 2 -FINANCE 4 -LAND MANAGEMENT q **NOTE*:* 1 ^� ' 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. Olt, 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 UF, OR REQUESTED, FROM THE PLAN' IMPLEMENTATION OFFICE: 1101 EAST FIRST STREET, SANFORD FL,32771; 4.07-665.-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. 3 �8y CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION g Q Application No: i2 - Zg-"'1� Documented Construction Value: $ � , �COOJob Address: 12-0 V\► t o n AV -e i AE lit az k G: Historic District: Yes ❑ No ❑ Parcel ID: Zoning: Description of Work: Klew 6',04n c A -D 777 Plan Review Contact Person: C. kIr'cS 5l°y,&ems Title: Phone: fir% ` � ' �(�L Fax: t -i0,? -��s. ,I ODZ E-mail: 3 Property Owner Information .Name k -:D r+yY'\ Phone: Street: 5kGP -TG c(�_k bOD Resident of property? City State Zip: Dr i Cth( � Z�SZZ Contractor Information Name _t>z'.j NLf Phone: ' 5g5' IDIS Street: 06f-� Curt Fax: City, State Zip: sGtk4prot State License No.: 4 Architect/Engineer Information Name: Phone: Street: Fax: City, St, Zip: E-mail: Bonding Company: Mortgage Lender: Address: Address: PERMIT INFORMATION Building Permit ❑ i Square Footage: Construction Type: No. of Stories: No. of Dwelling Units: Flood Zone: Electrical Kr Plumbing New Service — No. of AMPS: New C'onstr_ idion—Nn.. of i taxies Mechanical ❑ (Duct layout required for new, systems)` Fire Spr nkler/Alarm ❑ No. of heads: w i A I Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to, I 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 Signature of Contra Agent Date Print Owner/Agent's Name Print Contractor/Agent's Name Signature of Notary -State of Florida Date Signature of Notary -State qCFLo�i Date PATRICIA GUZMAN Commission # DD 923247 Expires September 8, 2013 N)nded Thr❑ Troy Fain Insurance 800-385-7019 - Owner/Agent is Personally Known to Me or Contractor/Agent is Personally Known to Me or Produced ID Type of ID Produced ID Type of ID APPROVALS: ZONING: UTILITIES: WASTE WATER: D CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION a^a► Application No: 12 a Documented Construction Value: $__ 03 Lid Job Address: (o �.C) VJ ��dS� �.p� $ Historic Distinct: Yes Q No [9 Parcel ID:. k "�- - .24 – 10 -- 51 S ~• G WO -- ► %0 Zoning: Description of Worm: ,4 \v,..,�4�.�., S Plan Review Contact Person: Phone: Fax: E-mail: Title: Property Owner Information Name (�.,d,,r�r•p� Phone: Street: G. !=tz M%48. %Gn Resident of property?: City, State Zip:'(ACX.%% .y Contractor Information Name \_%V%sw 1� ww. �o�� �J•tt c,} Phone: 467-811– I-Td4 Street: 15k2, �a� Cca...� w►-�'y c� Ct Fax: —q0-7 %i t " `T2 S' (6 City, State Zip: SEL 314'7'6q State License No.: C F C NZ.(, j 4 �e Architect/Engineer Information Name: _-- M At Phone: Street: City, St, Zip: Bonding Company: Address: Building Permit ❑ Square Footage: Fax: E-mail: Mortgage Lender: Address: PERMIT INFORMATION Construction Type: No. of Dwelling Units: Flood Zone: Electrical 13 New Service —No. of AMPS: Mechanical ❑ (Duct layout required for new systems) L -d 9926- 669-L0t No. of Stories: Plumbing F New Construction - No. of Fixtures: E Fire Sprinkler/Alarm ❑ No. of heads: noes bulgwnld lloosull e9E:0� Z6 9l 100 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, 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 TUE 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 tate 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 ofNotary-State of Florida Date Owner/Agent is Personally Known to Me or Produced ID Type of ID APPROVALS: ZONING. ENGINEERING: COMMENTS: Rev 1.1.05 2-d 99 Z6- L 69-L 0t, UTILITIES: FIRE: lot3(,117. 7Pamre of Contractor/Agent Date S CA- to � Print ContracwrLAeent's Name Date NOTARY PUBLIC STATE OF FLORIDA Comsrt# EF -09M Exp M 6131x015 Contractor/Agent is-�C Personally Known to Me or Produced ID Type of ID WASTE WATER: BUILDING: naeS buigwnld 1100sui� eL9:OL ZL 96100 6-d 99 Z6- � 68-LOt naafi 6uigwnld 1}00sull bLE:OI Z6 9L ld0 . n Ot o►r r I A Cpl pp- oe 111 (n O � , N o fe I r1 W ei N 1 O�� .Z •_ tR i P v 1�"��, . 1 X Mo. rm..�,;•_ .. . • f+ � 1 p rt U • m Z n' � i fat C C rr E. O: r m 4 U YJl O O P N 311 I� � �✓ N In 4 4 P 1 e p U W i 7 O O I 1 000 • � O O O t ' P O 0 0 oeo I n c+ 0 CO mww m O O. O L1 N I r 1 A' 4 0 0 0 0 1 1 1 , t O m m o M V N eaa 1'e p p 1 - I I naafi 6uigwnld 1}00sull bLE:OI Z6 9L ld0