HomeMy WebLinkAbout2605 Iroquois Ave 10-982 (a)Name Zra /i re/so.
Street: V sy 6eass ce, r IAIA X
City, State Zip: I-00V61"000 _ FL jZ7X0
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
1 L"OWApplicationNo: /'LDocumented Construction Value: S Z-n
Job Address: r?Go.s =/tomaieus 14ye.vuE Historic District: Yes No 9--
Parcel ID: &/ ate .7e son! pNoo -oz&a Zoning: r;4/
Description of Work:
Plan Review Contact Person: rTitle:
Phone: Fax: i 67 ZGk Q (iij— E-mail: 1N4--ZSV 0 / CQC& /l%li co Property
Owner Information "OF7) Zf8 - G390 es// Phone:
7%lGo-lGGo Resident
of property? : Contractor
Information Name
Ii ,e., re.paea A200 feN t%4ssoe;A,rgs, Phone: Xe.d"a •.rs-77 Street:
o?G s'tAloorm Oeew y A;._ Fax: t/SG 1 GAG - rz G tr City,
State Zip: .Si^ieGEa S/.o0vo_ J;gL jy$,(Vfjf State License No.: "e_gVV978/ Arch
itect/E ng 1 neerInformation Q8 001413oo Name:
le/i/soov sXstes.,itr rs Phone: Street:
JO Am 9ir.:ao Fax: 07) GE1.t- J$ City,
St, Zip: .z Onlb wove . 04 .P t 77/- 9A4o E-mail: Bonding
Company: All* Address:
Building
Permit 9" Mortgage
Lender: -IvIiA Address:
PERMIT
INFORMATION Square
Footage: P7140 Construction Type: A6.3No. of Stories: / No.
of Dwelling Units: / Flood Zone: "A Electrical
51"" Plumbing O New
Service - No. of AMPS: aO O New Construction - No. of Fixtures: Mechanical
O (Duct layout required for new systems) Fire Sprinkler/Alarm 0 No. of heads:
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no
work or installation has commenced prior to the issuance of a permit and that all work will be performed to
meet standards of all laws regulating construction in this jurisdiction. I understand that a separate permit
must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and
air conditioners, etc.
OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will
be done in compliance with all applicable laws regulating construction and zoning.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE
OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE
FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this
property that may be found in the public records of this county, and there may be additional permits required
from other governmental entities such as water management districts, state agencies, or federal agencies.
Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida
Lien Law, FS 713.
The City of Sanford requires payment of a plan review fee. A copy of the executed contract is required in order
to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the
plan review fee based on past permit activity levels. Should calculated charges exceed the documented
construction value when the executed contract is submitted, credit will be applied to your permit fees when the
permit is released.
Signature of Owner/Agent Date
Print Owner/Agent's Name
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced I D Type of I D
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
Signature ofCont for/Agent Date
C1 i t issPvFit /re?eN
Print Contractor/Agent's Name
le-1 3/18/ av 10
Signature of Notary -State of Florida Date
KRISTINA MARSHALL
MY COMMISSION # DD755915
EXPIRES February 06, 2012
CIgent AortUW99&gUngHXwn to Me or
Produced ID Type of ID
WASTE WATER:
BUILDING: L ld
Rev 11.08
All RECEIVED
BAR l 0 2010
CITY OF SANFORD
i3tft-0fNG-&-ffRE--PREVENTf0N
PERMIT APPLICATION
Application No: 1 0' R9 L Documented Construction Value: $ 3s. OO U
job *ddress T -ry 2 U nvs A%J e- S AFL 41istorit iistTict: -Yvs -o Neu, Parcel
ID: 0 1 - Z0`30 -SO - 1 17SOD- Zoning: ewDescription
ofWork: t Plan
Review Contact Person: Phone:
Fax: E-mail: Title:
1
Property
Owner Information Name
L- f' `Sam Phone: —c,'n_7s9D Street:
9S 1C mss C 2 A Resident of property? City, State
Zip: 210 3 Z-7dd Contractor Information
Name --j
h' ' `''1 2 Phone: Street: City,
State
Zip: Fax: State
License
No.: ArchitectlEngineer Information
Name: -t.
J L Phone: Z 370'- `5 5 -27 Street: City,
St,
Zip: Bonding Company:
A/ A Address: Building
Permit
O // Square Footage:
13 (P O No. of
Dwelling Units: Electrical O
New Service -
No. of AMPS: Fax:5 :
S0 7 E-mail:
cqbS+e }-E 'Rri-, k 'Ne Mortgage Lender:
N Address: PERMIT
INFORMATION
Construction Type:
NQ"` ' No. of Stories: Flood Zone:
t1l A Mechanical 17 (
Duct layout required for new systems) Plumbing O
New Construction -
No. of Fixtures: Fire Sprinkler/
Alarm 0 No. of heads:
f
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. Ifthe 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 ofOwner/Agent Date
P_ r) C_ eJ (Z Print
Owner/Agent's Name 2LA
3 o' %y Signature
of Notary -State of Florida Date D,-
BBE BLtIS10D_96d S
MYC0SND"
WIR.SS; February 25. 21111 D=00t Owner/
Agent.is Personally Known to Me or Produced
ID Type of ID APPROVALS:
ZONING: UTILITIES: ENGINEERING:
FIRE: COMMENTS:
Signature
of Contractor/Agent Date Print
Contractor/Agent's Name Signature
of Notary -State of Florida Date Contractor/
Agent is Personally Known to Me or Produced
ID Type of ID WASTE
WATER: BUILDING:
r% ___
1 t /fin
Sl. Codes
CN (7 O• T
sf oj
1714.5.4 Anchorage methods. The methods cited in this section apply only to
anchorage of <<window>> and door assemblies to the main wind force resisting
system.
10.1714.5.4.1 Anchoring requirements. <<Window>> and door assemblies
shall be anchored in accordance with the published manufacturer's
recommendations to achieve the design pressure specified. Substitute anchoring
systems used for substrates not specified by the fenestration manufacturer shall
provide equal or greater anchoring performance as demonstrated by accepted
engineering practice.
t,1714.5.4.2 Masonry, concrete or other structural substrate. Where the
wood shim or <<buck>> thickness is less than 11/2 inches (38 mm), <<window>>
and door assemblies shall be anchored through the main frame or by jamb clip or
subframe system, in accordance with the manufacturer's published installation
instructions. Anchors shall be securely fastened directly into the masonry,
concrete or other structural substrate material. Unless otherwise tested,
bucks>> shall extend beyond the interior face of the <<window>> or door frame
such that full support of the frame is provided. Shims shall be made from
materials capable of sustaining applicable loads, located and applied in a
thickness capable of sustaining applicable loads. Anchors shall be provided to
transfer load from the <<window>> or door frame to the rough opening substrate.
Where the wood <<buck>> thickness is 1 1/4 inches (38 mm) or greater, the
buck>> shall be securely fastened to transfer load to the masonry, concrete or
other structural subtrate and the <<buck>> shall extend beyond the interior face of
the <<window>> or door frame. <<Window>> and door assemblies shall be
anchored through the main frame or by jamb clip or subframe system or through
the flange to the secured wood <<buck>> in accordance with the manufacturer's
published installation instructions. Unless otherwise tested, <<bucks>> shall
extend beyond the interior face of the <<window>> or door frame such that full
support of the frame is provided. Shims shall be made from materials capable of
sustaining applicable loads, located and applied in a thickness capable of
sustaining applicable loads. Anchors shall be provided to transfer load from the
window>> or door frame assembly to the secured wood <<buck>>.
lb-,1714.5.4.3 Wood or other approved framing materials. Where the framing
material is wood or other approved framing material, <<window>> and glass door
assemblies shall be anchored through the main frame or by jamb clip or subframe
system or through the flange in accordance with the manufacturer's published
installation instructions. Shims shall be made from materials capable of
sustaining applicable loads, located and applied in a thickness capable of
sustaining applicable loads. Anchors shall be provided to transfer load from the
window>> or door frame to the rough opening substrate.
M- 18"104
City of Sanford
Planning and Development Services
Engineering — Floodplain Management
Flood Zone Determination Request Form
Name: kea 441-oan Firm:
Address: UOS 7Dt0QV.IS AVe
City: SaWor& State: Zip Code: 33 Z.77
Phone: ax: Email:
Property Address:
Property Owner: W's007
Parcel identification Number: .70-Jo ' 604.O/ ' 02#o
Phone N ber: Email:
Ty6son for the flood plain determination is:
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
Flood Zone: Base Flood Elevation: N Ilk Datum: N A
FIRM Panel Number: 12 k IZ C00%0 F Map Date: • Z8 • (%
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
The structure is not in the: floodplain floodway
If the subject property is determined to be flood zone W, the best available information used to
determine the base flood elevation is,
Reviewed by: Ael pAMjA"9J Date: NS —/t —/Q
TAEngr-Files\Elevation C96ificate\Flood Zone Determination Request Form.doc
COMPLIANCE AND TAX PRORATION AGREEMENT
DATE: 12/10/09 RE: FILE 4: 09-OL-0063-FA
SELLERS: Charles E Mills
BUYERS: Leo C. Nelson Jr
LEGAL DESCRIPTION: Lot 26 and 27, Block 18, DREAMWOLD, Book 3, Page 90-91, Seminole County,
Florida
CLOSING AGENT: Integrity Title & Guaranty Agency, LLC
We, the undersigned Sellers) and Buyers(s) of the above captioned property, hereby acknowledge that
the following are conditions regarding the transfer of the above captioned property:
I . That all contingencies set forth in the Contract of Sale have been complied with:
2. That the proration of taxes as shown by the closing statement on this date has been made on the basis of:
x_ Taxes for the year 2009 based on $663.71, and assuming the same exemptions to be allowable
for the current year; or
An estimate of current year's tax, based on the latest information with regard to current millage,
assessed valuation and exemption allowed, $663.71, estimate for the year 2009.
No tax proration has been made.
3. That it is understood by the Buyer(s) and Seller(s) with respect to tax proration, that the following shall
apply:
x_Both parties have accepted such proration as a final determination of liability for taxes between
the parties; or;
When current year's tax bills are available, the parties will make such further adjustments as
might be necessary. This adjustment will be made directly between the parties and not through
Integrity Title & Guaranty Agency, LLC
4. That all utility bills (unrecorded assessments and association dues, if applicable), including but not
limited to water, sewer, gas, garbage and electric are the responsibility of the parties involved in this
transaction and not that of the closing agent. All matters in regards to utility bills (unrecorded
assessments and association dues will be handled outside of closing even if such matters appear on the
closing statement.
5. That each party will fully cooperate to adjust for clerical errors on any or all closing documentation, if
necessary.
6. Seller(s) acknowledges that the payoff statements received by Integrity Title & Guaranty Agency, LLC
from current mortgagees may be subject to said mortgagee's final audit after receipt of the payoff funds
resulting in a demand by said mortgagees for additional funds. Seller(s), upon request, agree to forward
said funds forthwith.
7. This shall confirm the undersigned's consent, as per Rule 4-21.010(3) of the Florida Administrative
Code, to the placement of the settlement funds for the above referenced transaction into an interest
bearing escrow account in the name of Integrity Title & Guaranty Agency, LLC and to further confirm
that the interest earned on such account will be the property of Integrity Title & Guaranty Agency, LLC.
Charles E Mills Seller Leo C. Nelson Jr Buyer
Compliance and Real Estate Tax Proration Agreement
Closers' Choice
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: ( CD - q Documented Construction Value:
Job Address: ,5_,rr,r c i I/ Historic District: Yes No
Parcel ID:
Description of Work: , Qh
Plan Review Contact Person:
Phone: Fax:
Zoning:
Title:
E-mail:
Property Owner Information
Name L,ef-ii Phone:
Street:
City, State Zip:
Resident of property? :
Contractor Information
Name '? .
Street:. ?'0' 31:Z0 Fax•'v$
City, State Zip: (_ho& , "_ State License No.: CP-t_ Lya5C13
Name:
Street:
City, St, Zip: '
Bonding Company:
Address:
Building Permit O
Square Footage:
No. of Dwelling Units:
Electrical 0
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 O
New Construction - No. of Fixtures:
Mechanical 0 (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, 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 permit fees when the
permit is released.
Signature ofOwner/Agent
Print Owner/Agent's Name
Date
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
Z 07,- #/,:5 /(,.
Signature ofContractor/Agent Dat
llzaV !r
Print Contractor/Agent's
1
Signature ofNotary-Sta i aV5S
s/OITAZ
jj 1100\``\\```\
UTILITIES:
FIRE:
Contractor/Agent is Personally Known to Me or
Produced ID Type of ID FL
WASTE WATER:
BUILDING:
Rev 11.08
f1ilS 'RLU t11: llllllllllllllltlllllllllllllllllllllllllllllllll11111111111
o 15a •-
GAME -- Permit No. _ ( G L ' C.tJcc.,
t Mn ,CLoSSt4ARYNRE-ITERK OF CIRCUIT COURT
Tax Folio No. AiiDR.
G SEMI CD Y
NOTICE OF COMl ENCEM BK 07357 P, 15851 (1pq)
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.
1. Description of property:: (legal description of the
7-4 0 S 61 lip t 5 % V e SP.nf-r-1
CLERK'S 0 2010036572
RECORDED 04/01/2010 08t55t15 PA
RECORDING FEES 10.00
RECORDED BY T Soith
and street address if available)
Z
qt 1;12. General description of improvement: v-s eon t
3. Owner information: Name: L
Address: a4V I C . v
b. Interest in property: 0 Q e R
c. Natne and address of fee simple titleholder (if other than Owner): Name: ,zc 4 e,&,
Address:
4. Contractor Name: L I< phone number: 56 1-6 C-5T 7 %
c. Address: _ Z (vS5 u r pc e-A n pk 5vA ` 2
5. Surety Name ni fn
1 11
j
Address: ry 1/4
b. Amount of bond: $ UNTy, FLORIDA
6. Lender: Name: / l4 SEMINOLE
Address: AZI k gorm
b. Lender's phone number:
Ta. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as
provided by Section 713.13(1)(a)7., Florida Statutes: Name: AM 0
Address:
8.a. In addition to hitnself or herself, Owner designates of to receive 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 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
LENDEJt OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF
S gn'ature of Owner or Owner's Authorized Officer/Director artner/Manager Si nato s Title/Office
C t coLea Actsn as (type ofTheforegoinginstrumentwasacknowledgedbeforemethis30dayofO, , by ) (yp
authority.... e.g. officer, trustee, attorney in fact) for (name ofparty on behalf of whom instrument was executed) .
SEAL) 9SOinaENotary Public r
Personally Known 6R oduced Identification X F ype of Identification Produced VL
Verification pursuant to Section 92.525, Florida Statutes: Under penalties ofperjury, I declare that 1 have read the foregoing and that
the facts st to in it re t e to a best of m owledge and belief. N,,,,,,
4 sat
v •
KATHERINE LALANNE
Siignature of Natural Person Signing Above ,: Notary Public . State of Florida
y o My Commission Expires Mar 18, 2Oil
Rev. date 3/2008 or FV `Commission A DD 652233
Lo- CL82
COUNTY OF SEMINOLE
IMPACT FEE STATEMENT
STATEMENT NUMBER: 10100001
BUILDING APPLICATION #: 10-10000139
BUILDING PERMIT NUMBER: 10-10000139
UNIT ADDRESS: IROQUOIS AVE. 2605
TRAFFIC ZONE:022 JURISDICTION:
SEC: TWP: RNG: SUF:
SUBDIVISION:
PLAT BOOK: PLAT BOOK PAGE:
OWNER NAME:
ADDRESS:
APPLICANT NAME: LEO NELSON JR.
ADDRESS: 951 CROSS CUT WAY LONGWOOD
DATE: March 17, 2010
01-20-30-504-1800-0260
PARCEL:
TRACT:
BLOCK: LOT:
LAND USE: SINGLE FAMIY DETACHED
TYPE USE:
WORK DESCRIPTION: CITY-SANFORD
SPECIAL NOTES: 2605 IRQUOIS AVE. / SFR DETACHED
FL 32750
FEE BENEFIT RATE UNIT CALC UNIT TOTAL DUE
TYPE DIST SCHED RATE UNITS TYPE
ROADS-ARTERIALS CO -WIDE
Single Family Housing
ROADS -COLLECTORS N/A
Single Family Housing
FIRE RESCUE N/A
LIBRARY CO -WIDE
Single Family Housing
SCHOOLS CO -WIDE
PASingle
Family HousiA'ngLAW
ENFORCE N/A DRAINAGE
N/A STATEMENT
RECEIVED
BY: ORD
705.
00 00
ORD
54.
00 ORD
5,
000.00 PLEASE
PRINT NAME) 1.
000 dwl unit 1.
000 dwl unit 1.
000 dwl unit 1.
000 dwl unit 705.
00 00
00
54.
00 5,
000.00 00
00
00
AMOUNT
DUE 5,759100 SIGNATURE:
DATE:
NOTE
TO RECEIVING SIGNATORY/APPLICANT: FAILURE TO NOTIFY OWNER AND ENSURE
TIMELY PAYMENT MAY RESULT IN YOUR LIABILITY FOR THE FEE. --- DISTRIBUTION:
1-BLDG DEPT 3-APPLICANT 2-
FINANCE 4-LAND MANAGEMENT NOTE**
PERSONS
ARE ADVISED THAT TIIN S IS A STATEMENT OF FEES DUE UNDER THE SEMINOLE
COUNTY ROAD, FIRE/RESCUE, LIBRARY AND/OR EDUCATIONAL ISSUANCE
OF A BUILDING PE IT. 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. TH 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.
r •
E E1VED
MAR U 2010
CITY OF SANFORD
It &. * PR TION
PERMIT APPLICATION
Application No: (7' "I Documented Construction Value: $ s. 40 U
Wpor
Job Address: T r-0 cz10e 5 A'J i ',- c L historic iistrict: -yes.0 No Parcel
ID: 6_0 Zoning: Description
of Work: " t'w o/--\ . Plan
Review Contact Person: Phone:
Fax: E-mail: Title:
Property
Owner Information Name
L = 15or Phone: -6 39 D Street:
9S 1 C, rQ,S.5Cv4 Ldzi Resident of property? City, State
Zip: 2c'Q i1 32-1JO Contractor Information
Name i
Street:
City,
State
Zip:' 7 Phone:• Fax:
State
License
No.: Architect/Engineer
Information Name: L
Phone: l`7 Z .. j S -U7 Street: City,
St,
Zip: Bonding Company:
A f / AAddress: Fax:
5
5_0 7 E-mail:
d bs e-? r K lc 'Je Mortgage Lender:
IV / A Address: PERMIT
INFORMATION
Building Permit
O . / / Square Footage:
2 3 Construction Type: N IJ '' No. of Stories: ` No. of
Dwelling Units: Electrical O
New Service -
No. of AMPS: Flood Zone:
IV/ A - Mechanical E3 (
Duct layout required for new systems) Plumbing O
New Construction -
No. of Fixtures: Fire Sprinkler/
Alarm 0 No. of heads:- Al J/ i
00' RECEIVED
b . MAR 1 0 2010
CITY OF SANFORD
ALA .& PREITfON
PERMIT APPLICATION
Application No: l7' "1 g L Documented Construction Value: $STOO U
Job A4dresr. 5 r- N EL =His" 1)tsftiCt. -yes D Nee,
Parcel ID: Q I -- z 0 -,)O -50 - I ADD- 2 -% 0 Zoning:
Description of Work: ` ew ^^
Plan Review Contact Person:
Phone: Fax: E-mail:
II
Property Owner Information
Name 1_e__ 1 \50 e--N
Street: C r. e-) 5 Cv
City, State Zip: _ „-, + 1 32-7JO
Title:
Phone: !AD'? i 1 ,?\ —(n39 D
Resident of property? :
Contractor Information
Name j 41 e-a Phone:
Street: '
City, State Zip: S
Fax:
State License No.: -
Architect/Engineer Information
Name: L Phone: rp,5 - Z ZO" S S -27
Street:
City, St, Zip:
Bonding Company: A/A
Address:
Fax: Z KC:> 5 :S0 7
E-mail: 8AbS e- ir-µ I 'r Je
Mortgage Lender: N / A
Address:
PERMIT INFORMATION
Building Permit O / /
Square Footage: 2 o O Construction Type: A 1j '' No. of Stories:
No. of Dwelling Units:
Electrical O
New Service - No. of AMPS:
Flood Zone: /y/ 4
Mechanical 13 (Duct layout required for new systems)
Plumbing O
New Construction - No. of Fixtures:
Fire Sprinkler/Alarm O No. of heads: _ 4
2010.03-2919:12
FORM 1100A-08
3962202916 »
OFFICE
P 216
FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION
Florida Department of Community Affairs Residential Performance Method A
Prolm Name: - LEO Builder Name: LEO NELSON
aet: a /oo IRK" # - t Permit OF=: SANFORD
oft No
KCity, State, Zip: SANFOr 3277 it Number:
Owner: LEO NE ion:
Design Location: FL. Sanford
it
1. New construction or existing New (From Plans) 9. Well Types Insulation Area
2. $Ing* facially w multiple family Single-family a. Concrete Bled • Ird lauk E lener R=5.0 1500.00 W
b. Frame - Wood, Eatefbr R=13.0 160-00 42
3. Number of units, if multiple family 1 c. WA Ra 11'
4. Number of bedrooms 3 d. WA R= fe
5 Is this a worst case? No 10. Ceiling Types kwAstion Area
6. Conditioned flow area (A' 1786 a. Under Attic (Vented) R=30.0 1786.00 fe
b. WA Re IV
7. Windows Desatpdon Area c. WA Rw fP
a. U-Factor, Dbl, U=0.55 99.75 fl•
SHGC: SHGCwQ 60 11. Duda
b. U-Fades: Sgl, U-0.55 6.33 fe a. Sup: Attic Rot: Attic AH: Interim Sup. R= 6. 367.2 W
SHGC: SHGCz0.60 12. Cooling "am
c. U-Fodor: WA 111 a. Central Unit Cap 36.0 kbtulhr
M=: SEERO 1S
d LLF@ctw: WA Rr 13. Heatierg systems
6"GC a.tlactrtc HeatPump Cap`35.0 klNuAw
s. U-Factor. NIA f' 145PF:7.7
SHGC:
14. Hot water systems
g. Flow Types Inalation Area a. Electric Cap: 50 gallons
a. 31ab-0n-Grade Edge Insulation R&O.0 1786.00 IF EF: 0.92
b. WA R& fe b Conservation features
c. WA Ra fig None
15. Credits None
Total As -Built Modified Loads: 36.15Glass/Floor Area: 0.108 PASSTotalBaselineLoads: 42.60
1 hereby certify that the plans and specifications covered by Review of the plans and THE STSr4',FthiscalculationareincompliancewiththeFloridaEnergyspecificationsooveredbythispTCIVII,
Code. /
l !
calculation indicates compliiance
with the Florida Energy Code.
y`5,1 •. ° ' ,r! k F- ; •.. , a o
PREPARED BY: before isconstruction completed
DATE: . 3 -.. tom• this building will be inspected for
compliance with Section 553.908
I hereby certify that this building, as designed, is in compliance Florida Statutes.
with the Florida Energy Code. COp `yEln
OWNER/AGENT: _y,. r- BUILDING OFFICIAL:
DATE: QQQ"'""""" DATE:
v%wnln 7.19 AM Fnwmvfirnrtrnre IMA - PpRn.7rxut Penn 1 M c
PLANS REVIEWED OFFIC
CITY OF SANFORD bi
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ENERGY PERFORMANCE LEV EPL E
DISPLAY CARD
ESTIMATED ENERGY PERFORMANCE INDEX* = 85
The lower the EnergyPerformance Index, the more efficient the home.
IROQUOISE ST, SANFORD, FL, 32771-
1. New construction or existing New (From Plans) 9. Wall Types Insulation Area
2. Single family or multiple family Single-family a. Concrete Block - Int Insul, Exterior R=5.0 1600.00 W
b. N/A R= ft=
3. Number of units, if multiple family 1 c. N/A R= ft'
4. Number of Bedrooms 3 d. N/A R= ft'
5. Is this a worst case? No 10. Ceiling Types Insulation Area
6. Conditioned floor area (W) 1786 a. Under Attic (Vented) R=30.0 1786.00 ft=
b. N/A R= ft=
7. Windows" Description Area c. N/A R= ft'
a. U-Factor. Dbl, U=0.55 99.75 ft'
SHGC: SHGC=0.60 11. Ducts
b. U-Factor Sgl, U=0.55 89.33 ft' a. Sup: Attic Ret: Attic AH: Interior Sup. R= 6, 357.2 ft'
SHGC: SHGC=0.60 12. Cooling systems
c. U-Factor: N/A ft' a. Central Unit Cap: 36.0 kBtu/hr
SHGC: SEER: 15
d. U-Factor: N/A ft' 13. Heating systems
SHGC: a. Electric Heat Pump Cap: 36.0 kBtu/hr
e. U-Factor: N/A ft° HSPF:7.7
SHGC:
14. Hot water systems
8. Floor Types Insulation Area a. Electric Cap: 50 g Ionsgallonsa. Slab -On -Grade Edge Insulation R=0.0 1786.00 ft= E0.92 b.
N/A R= ft= b. Conservation features c.
N/A R= ft° None 15.
Credits None I
certify that this home has complied with the Florida Energy Efficiency Code for Building Construction
through the above energy saving features which will be installed (or exceeded) in
this home before final inspection. Otherwise, a new EPL Display Card will be completed based
on installed Code compliant features. Builder
Signature: Address
of New Home: Date:
City/
FL Zip: hel
tNE
S747, Note:
The home's estimated Energy Performance Index is only available through the EnergyGauge USA - FlaRes2008
computer program. This is not a Building Energy Rating. If your Index is below 100, your home may
qualify for incentives if you obtain a Florida Energy Gauge Rating. Contact the Energy Gauge Hotline at 321)
638-1492 or see the Energy Gauge web site at energygauge.com for information and a list of certified Raters.
For information about Florida's Energy Efficiency Code for Building Construction, contact the Department
of Community Affairs at (850) 487-1824. Label
required by Section 13-104.4.5 of the Florida Building Code, Building, or Section B2.1.1 of Appendix G of
the Florida Building Code, Residential, if not DEFAULT. EnergyGauge®
USA - FlaRes2008
8- 14- -
Ifffl ED TRUSS R CHOR BY BUILDER
PLUMB CUT OUER4K
BEARING HEIGHT SCHEDULE NE- =
IN
sroHEELBOTTOM = MIN
ai WLS 901R a INS LOW IR 10 S LOD ED" TOP MI 12TOP = 2 4 MIN 6
2
8.-0"
I'-B
TRUSS END DETAIL
NOTES
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REFER 10 EWANEERED OIWDGS FOR
PERRHENT WICIw REOIIRED
21 FLL 0 i141SSES
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MST BE O)PLETELT MOTED
OR REFER TO DETTm u195 ,
CEm1 R EGARE N 1FJM0E
Oki 31 A.L M-LErs 10 ME CEI EMIOiILYFRFKDWMALMO
4) INTERIOR LOAD SE ROG RR.LS
51 SLIGMT FFOR 2m SSTsRSPLUBD4
r)) FLOOR I6DSEC. KEST DO
71 2 TTRRIS7SEESS M T BE INSTILLEDWITHBIILLROOFTRIESW1,W S TO BE SIN -SON
HJS26 W-ESS IDTED OF MOSE
91 OOR NOTEDDOOISHWSETO BE STVST>NnIMtLKESS
BuildersLlmm
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Sanford Florida 32773
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1
SCOTT'S SURVEYING SERVICES, INC.
8 S. HWY. 17-92, SUITE 8-A
DEBARY, FL 32713
386-668-7332
SEPTEMBER 1, 2010
CITY OF SANFORD ELEVATION LETTER
ADDRESS OF JOB: 2605 IRIQUOIS AVENUE, SANFORD, FLORIDA 32771
LEGAL DESCRIPTION: LOT 26, BLOCK 18, DREAMWOLD, PLAT BOOK 3, PAGE 90,
SEMINOLE COUNTY, FLORIDA.
THE FINISHED FLOOR ELEVATION OF 47.11 NGVD 1929 DATUM ON THE BUILDING ON THIS
SITE MEETS OR EXCEEDS THE REQUIREMENTS SET FORTH IN THE CITY OF SANFORD
BUILDING C DE, SEC. 6-7 B&C).
r
OTT BECHIR
P.S.M. #5807
STATE OF FLORIDA
SCOTT'S SURVEYING SERVICES, INC.
LB # 7442
U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008
Federal Emergency Management Agency Expires March 31, 2012
National Flood Insurance Program Important: Read the instructions on pages 1-9.
SECTION A - PROPERTY INFORMATION For Insurance Company Us
Al. Building Owners Name LEO NELSON Policy Number
A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. C an NAIL Number
2605 IROQUOIS AVENUE
City SANFORD State FL ZIP Code 32771
A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
LOT 26, BLOCK 18, DREAMWOLD, P.B. 3, PG. 90
A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL
A5. Latitude/Longitude: Lat. 28-46-53.67N Long. 81-16-28.99W Horizontal Datum: ' NAb 1927 0 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 1
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) NA sq It a) Square footage of attached garage 500 . sq It
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 NA within 1.0 foot above adjacent grade NA
c) Total net area of flood openings in A8.b NA sq in c) Total net area of flood openings in A9.b NA 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 63. Slate
CITY OF SANFORD 120294 1 SEMINOLE I FL
B4. Map/Panel Number B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) (Zone -
12117C0070 F Date Effective/Revised Date Zone(s) AO, use base flood depth)
9-28-2007 9-28-07 X NA
B10. 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 139: NGVD 1929 ® NAVD 1988 Other (Describe)
B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? Yes ® No
Designation Date CBRS OPA
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
Cl. Building elevations are based on: Construction Drawings' Building Under Construction' [ Finished Construction
A new Elevation Certificate will be required when construction of the building is complete.
C2. Elevations -Zones Al-A30, AE, AH, A (with BFE), VE, VI-V30, V (with BFE), AR, AR/A, AR/AE, AR/Al-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 SEM. CO. 2606501Vertical Datum NAVD88
Conversion/Comments
a) Top of bottom floor (including basement, crawlspace, or enclosure floor)•47.16
b) Top of the next higher floor NA.
c) Bottom of the lowest horizontal structural member (V Zones only) NA.
d) Attached garage (top of slab) 46.53
e) Lowest elevation of machinery or equipment servicing the building 46.38
Describe type of equipment and location in Cornmenls)
0 Lowest adjacent (finished) grade next to building (LAG) 4573
9) Highest adjacent (finished) grade nest to building (HAG) 46.56
h) Lowest adjacent grade at lowest elevation of deck or stairs, including NA.
structural support
Check the measurement used.
feet meters (Puerto Rico only)
hJ feet meters (Puerto Rico only)
feet meters (Puerto Rico only)
9) feet meters (Puerto Rico only)
GJ feet meters (Puerto Rico only)
M- feet meter;, (Puerto Rico only)
EJC feet meters (Puerto Rico prri'y
feet meters (Puerto Ric6'unly)-•
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATI
This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevaliori %o
information. 1 certify that the information on this Certificate represents my best efforts to interpret the data available.)
understand that any false statement maybe punishable by line or inrpnsonnrent under 18 U.S. Code, Section f001.®l>+ Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by'a
licensed land surveyor? E]c Yes No
Certifier's Name SCOTT BECHIR License Number 5807
Title PROFESSIONAL PROFESSIONAL SURVEYOR R MAPPER Company Name SCOI'f'S 6URVL==PING
SERVICES. INC. , 1 5SA
Address 8 S. CHAR RICHARD REAL BLVD City DEBARY Slate FL
I elephonc ,1 6-662-7332 - --- -
r.' ,
11
FF-MA Fern 81-31, Mar 09 '------ Sec r,-ivcrse side for conlrntio6l)n --- --- it q lace, e!i .r,.i :n; r-drliails
IMPORTANT: In these spaces, copy the corresponding information from Section A. 1YFo Insurance Comp""' nUe:
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Polley Number
2605 IRIQUOIS AVENUE
City SANFORDState FL ZIP Code 32771 Company NAIC Number
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.
rnmmPnk I OWFRT MArHINFRY SFRVICIlI THE HOI ]SF IR THE AC I ]NIT
signature i vale
Check here if attachments
SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE)'
Fof Zones AO and A (without BFE), complete Items E1-E5. If the Certificate is intended to support a LOMA or LOMR-F,regv,0f,'complete Sections A, B,
and..%,For Items E1-E4, use natural grade;;"•jf)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 49
grade (HAG) and the lowest adjacent grade (LAG).
a) Top of bottom floor (including basement, crawlspace, or enclosure) is feet meters above or below the HAG.
b) Top of bottom floor (including basement, crawlspace, or enclosure) is feet meters above or below the LAG.
E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9 (see pages 8-9 of Instructions), the next higher floor
elevation C2.b in the diagrams) of the building is feet meters above or below the HAG.
E3. Attached garage (lop of slab) is feet meters above or below the HAG.
E4. Top of platform of machinery and/or equipment servicing the building is feet meters above or below the HAG.
E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain managemit'?
ordinance? Yes No Unknown. The local official must certify this information in Section G. r,
SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION
The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA-issued or community -issued BFE)
or Zone AO must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge.
Property Owner's or Owner's Authorized Representative's Name
Address City State ZIP Code
Signature Dale 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.
G 1. The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or atchilect who
is authorized by law to certify elevation information. (Indicate the source and date of the elevation clata in the Comments area below )
G2. A community official completed Section E for a budding located in Zone A (wdhouha FEMA-issued or community -issued BFE) or Zone AO.
G3. The following information (Items G4-G9) is provided for community floodplain management purposes.
G4. Permit Number G5. Date Permit Issued GG. Dale Certificate Of Compliance/Occupancy Issued --
G7. This permit has been issued for: New Construction Substantial Improvement
J
G8 Elevation of as -built lowest floor (including basement) of the building: feet (_J 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 O meters (PR) Datum
Local Official's Name Title
Community Name Telephone
Signature Dale
Comments
FEMA moil, 81-:31. Ma:.09
II hire if.. ii'kvichi nei its
RE liigia: nII lit4n -_
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
2605 IRIQUOIS AVE
City SANFORD State FL ZIP Code 32771 Coin any 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 they Continuation rage,
following.
Z,4j6'5 LJ RC. 'e—
f
SCOTT'S SURVEYING SERVICES, INC.
8 S. HWY. 17-92, SUITE 8-A
DEBARY, FL 32713
386-668-7332
SEPTEMBER 1, 2010
CITY OF SANFORD ELEVATION LETTER
ADDRESS OF JOB: 2605 IRIQUOIS AVENUE, SANFORD, FLORIDA 32771
LEGAL DESCRIPTION: LOT 26, BLOCK 18, DREAMWOLD, PLAT BOOK 3, PAGE 90,
SEMINOLE COUNTY, FLORIDA.
THE FINISHED FLOOR ELEVATION OF 47.11 NGVD 1929 DATUM ON THE BUILDING ON THIS
SITE MEETS OR EXCEEDS THE REQUIREMENTS SET FORTH IN THE CITY OF SANFORD
BUILDING DE, SEC. 6-7 (B&C).
SCOTT BECHIR
P.S.M.#5807
STATE OF FLORIDA
SCOTT'S SURVEYING SERVICES, INC.
LB # 7442
rU.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008 -
1
Federal Emergency Management Agency Expires March 31, 2012
National Flood Insurance Program Important: Read the instructions on pages 1-9.
SECTION A - PROPERTY INFORMATION Fof'fiisUr2nc E>Coinoariv
Al. Building Owner's Name LEO NELSON olr y V# tt r r a ,
A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Cgmparly Nit Number
2605 IROQUOIS AVENUE
City SANFORD State FL ZIP Code 32771
A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
LOT 26, BLOCK 18, DREAMWOLD, P.B. 3, PG. 90
A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) RESIDEN rlAL
A5. Latitude/Longitude: Lat. 28-46-53.67N Long. 81-16-28.99W 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.
AT Building Diagram Number 1
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) NA sq ft a) Square footage of attached garage 500 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 NA within 1.0 foot above adjacent grade NA
c) Total net area of flood openings in A8.b NA sq in c) Total net area of flood openings in A9.b NA 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 I FIL
B4. Map/Panel Number B5. Suffix B6. FIRM Index B7. FIRM Panel 68. Flood B9. Base Flood Elevation(s) (Zone
12117CO070 F Date Effective/Revised Date Zone(s) AO, use base flood depth)
9-28-2007 9-28-07 X NA
1310. 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)
B11. Indicate elevation datum used for BFE in Item 139: NGVD 1929 ® NAVD 1988 Other (Describe)
B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? Yes ® No
Designation Date CBRS OPA
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
Cl. Building elevations are based on: Construction Drawings` Building Under Construction' Finished Construction
A new Elevation Certificate will be required when construction of the building is complete.
C2. Elevations -Zones Al-A30, AE, AH, A (with BFE), VE, VI-V30, V (with BFE), AR, ARM, AR/AE, AR/Al-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 SEM. CO. 2606501 Vertical Datum NAVD88
Conversion/Comments
Check the measurement used.
a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 47.16 feet meters (Puerto Rico only)
b) Top of the next higher floor NA..__ feet meters (Puerto Rico only)
c) Bottom of the lowest horizontal structural member (V Zones only) NA._ feet meters (Puerto Rico only)
d) Attached garage (top of slab) 46.53 N feet meters (Puerto Rico only)
e) Lowest elevation of machinery or equipment servicing the building 46.38 Pj feet meters (Puerto Rico only)
Describe type of equipment and location in Comments)
f) Lowest adjacent (finished) grade next to building (LAG) 45.13 a feet mete:rs (Puerto Rico (nly)
g) Highest adjacent (finished) grade next to building (tIAG) 46.56 feet I_1 inal.a:: (Puerto Rico oniy)
h) Lowest adjacent grade at lowest elevation of deck or stairs, including NA._ 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./
understand that any false statement may be punishable by tine or imprisonment under 18 U.S. Code, Section 1001. N
Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a
licensed land surveyor? ® Yes No
Certifier's Name SCOTT BECHIR
Til:ie PROFESSIONAL SURVEYOR & MAPPER
SERVICES, INC.
Address 8 S. CHAR ' RICHARD BEA BLVD.
License Number 5807
Company Name SCOTT'S SURVEYING
City DEBARY Slate 1 I_
Ci' r;lC de fol i. lnlirl,l':,lUl'1. F (.Cr I
n
IMPORTANT: In these spaces, copy the corresponding information from Section A. Insul'dne tyorhpany Usew_., ` `
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. ciltcclomE,er2605IRIQUOISAVENUE
City SANFORDState FL ZIP Code 32771 60',000 Number
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 LOWEST MACHINERY SERVICIN THE HOUSE IS THE AC UNIT.
r -- ------ ------ — -- -----
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 El-E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters.
El. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent
grade (HAG) and the lowest adjacent grade (LAG).
a) Top of bottom floor (including basement, crawlspace, or enclosure) is feet meters above or below the HAG.
b) Top of bottom floor (including basement, crawlspace, or enclosure) is feet meters above or below the LAG.
E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9 (see pages 8-9 of Instructions), the next higher floor
elevation C2.b in the diagrams) of the building is feet meters above or below the HAG.
E3. Attached garage (top of slab) is feet meters above or below the HAG.
E4. Top of platform of machinery and/or equipment servicing the building is feet meters above or below the HAG.
E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain managemm
ordinance? Yes No Unknown. The local official must certify this information in Section G.
SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION
a
The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA-issued or community -issued BFE)
or Zone AO must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge.
Property Owner's or Owner's Authorized Representative's Name
Address
Signature
Comments
City State ZIP Code
Date Telephone
Check here if attachment
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.
I G4. Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued
G7. This permit has been issued for: New Construction L_j Substantial Irnprovenrent
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
j
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
2605 IRIQUOIS AVE
City SANFORD State FL ZIP Code 32771 CompanyNAICNumberi
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"; arid, if required, "Right
Side View' and "Left Side View." If submitting more photographs than will fit on this page, use the Continuation rage,
following.
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