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HomeMy WebLinkAbout1617 Magnolia Ave 15-1703; ELECTRICALOCT 13 2019 CITY OF SANFORD G & FIRE PREVENTION PERMIT APPLICATION Application No: / 5-- 1 ( Z)'S Documented Construction Value: $ / Q Job Address: Sog-, H /i?uwLtq R64D Historic District: Yes No Parcel ID• Zoning: Description of Work: N EW CyNg, (1-VCDT,(QQ W HZLE 24005f Plan Review Contact Person: Title: Phone: Fax: E-mail: Property Owner Information Name Phone: Street: Resident of property? : City, State Zip: Contractor Information Name Street: .5. 138K 7 City, State Zip: Name: Street: City, St, Zip: Bonding Company: Address: Building Permit 11 Phone: 4b_ l`"l ! _02toS Fax: State License No.: E Z 13 o f 44 53 Architect/Engineer Information Phone: Fax: E-mail: Mortgage Lender: Address: PERMIT INFORMATION Square Footage: Construction Type: No. of Stories: No. of Dwelling Units: Flood Zone: Electrical New Service — No. of AMPS: Mechanical (Duct layout required for new systems) Plumbing New Construction - No. of Fixtures: Fire Sprinkler/Alarm No. of heads: Shall be inscribed with the date of application and the code in effect as of that date (Code 2010 FBC) 731.135(5)(6) Florida Statutes. REV 07.14 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 Signature f ontractor/Age Date 125Y L. PA064 i Print Owner/Agent's Name Print tractor/Agent's Name Signature of Notary -State of Florida Date Signature of Notary -State of Florida Date Owner/Agent is Personally Known to Me or Produced ID Type of ID APPROVALS: ZONING: COMMENTS: po;• ANNETTE SCOTT r°• .`: Notary Public - State of FloridaCMyComm. Expires Jan 16.2018 F° a',.•' Commission p FF 7 Con acfbr Aigbn „PgK1a io to Me or Pro uce UTILITIES: WASTE WATER: ENGINEERING: FIRE: BUILDING: Shall be inscribed with the date of application and the code in effect as of that date (Code 2010 FBC) 731.135(5)(6) Florida Statutes. REV 07.14 LIMITED POWER OF ATTORNEY DATE I hereby name and appoint Troy Daugherty of Electrical Outfitters, Inc. to be my lawful attorney, in fact to act for me, and apply to for a(n) Electrical permit for work to be performed at a location described as: Section Township Block Subdivision 2aq, Range Lot 61-L4 )Y j26;A-D Address of Job) Owner of Property) and to sign my name and do all things necessary to this appointment. Frank Ramos — ER 13014433 Type, or py(t na)ne ofgefitified contractor; License 11 Signature of Certified Contractor State of Florida ; County of The foregoing instrument was acknowledged this day of L &20 `S by Frank Ramos an officer of Electrical Outfitters. Inc. who is personally known to me. Signature (Notary') l " Notary Pubic Slate of FMrWa Laurie Daugherty 4 a My Commission FF 914094 q v /21 c ExPhes OW=2019 l,`, L t*i ( C a IV Print, Type, or Stamp Commissioned Name ofN ary Public ENGINEERING SERVICES, LLC Dove Builders of Central Florida 108 Lake Minnie Drive Sanford, Florida 32773 Attention: Mr. Tom Cason 15-,- (10 ) Consulting Engineers in the Earth Sciences, Geotechnology, Hydrogeology and Construction Materials Testing October 27, 2015 Subject: Construction Materials Testing and Inspection Services, Proposed Siebert Residence,1617 Magnolia Avenue, City of Sanford, Florida (PN 15-E0933.11) Dear Mr. Cason: As requested, a representative of our firm performed in -place density tests within the stemwall fill soils at the subject residential lot. The attached Table 1 lists the locations and results of the field testing program. The field density tests were compared to the maximum density value of the soils as determined by performing the Modified Proctor Moisture - Density Test (ASTM D-1557) on representative samples of the soil (see Figure 3). In summary, the results of all final in -place density tests meet or exceed the requirements of the applicable project and/or the City of Sanford specifications. CLOSURE It has been a pleasure assisting you with this phase of your lot evaluation. We trust that you find the data contained herein sufficient at this time. Please do not hesitate to contact this office if you have any questions or require additional information. Sincerely, Yovaish Engineering Services, LLC. Certificate of Authorization No. 30214 D 's L. Hartenstein Manager of Field Services Zas J., Yovaish, P.E. Principal -Engineer . Florida Registration No. 52247 DLHIDJY/rs' IIFILESERVERIGeollyesllgeol2015115-E0933.11 FSI, Proposed Stebern Residence, 1617 Magnolia Avenue, Sanford, FloridaMemwall Fill Soils. wpd Attachments: Table 1 Figure 3 953 Sunshine Lane *Altamonte Springs, FL 32714 Phone: 407-774-9383 e Fax: 407-478-8978 ill TABLE 1 RESULTS OF FIELD COMPACTION TESTS 1617 MAGNOLIA AVENUE CITY OF SANFORD, FLORIDA PN 15-E0933.11) Test Date 2015 Test Location OMC Max. Den. pcf) Field Moisture Dry Dens. pcf) Percent of Max Density Depth of Test Pass/ Fail Stemwall Fill Soils 1). 10/26 N. E. Quadrant 13.4 101.0 5.0 98.2 97.2 0-1' Pass 10/26 S. E. Quadrant 13.4 101.0 4.8 98.9 97.9 0-1' Pass 10/26 N. W. Quadrant 13.4 101.0 4.0 97.3 96.3 0-1' Pass 10/26 S. W. Quadrant 13.4 1 101.0 4.2 96.7 95.7 0-1' Pass 1). Depth of test referenced from top of sub -grade; minimum compaction required 95% ASTM D-1557 12s 120 00 115 U- 0 0 Z O 105 a. 95 0 90 85L 5 SAMPLE DESCRIPTION: DESCRIPTION OF PROCTOR TESTS STANDARD MODIFIED TEST METHOD AASHTO T-99 AASHTO T-180 ASTM-0698) ASTM-D1557) VOLUME OF CYLINDER 1/30 1/30 CU. FT.) HAMMER WEIGHT LBS. ) 5.5 10.0 HAMMER DROP 12 18IN.) HAMMER BLOWS 25 25PERLAYER No. OF LAYERS 3 5 COMPACTION ENERGY (FT. LBS. 12,375 56,250 PER CU. FT.) SUMMARY OF TEST RESULTS TEST METHOD AASHTO T-180/ASTM D-1557 MAXIMUM DRY DENSITY (P.C.F.) 101.0 OPTIMUM WATER 13.4 CONTENT (X) UNIFIED SOIL SP) CLASSIFICATION SAMPLE NO. 3 200 1.4 CURVES OF 100% SATURATION FOR SPECIFIC GRAVITY EQUAL TO: 2.65 2.70 lqc < 2.75 10 1s 20 25 30 35 WATER CONTENT - PERCENT OF DRY WEIGHT Very Light Brown Fine Sand (Stemwall Fill) MOISTURE - DENSITY RELATIONSHIP YO VAT Consulting Engineers In the Earth cMeaueMo seav eo ut Sciences, Geotechnology, Hydrogeology and Construction Materials Testing TESTED BY: VB I DATE: 10 23 15 PN: 15-E0933.11 CHECKED BY: OJY I DATE: 10/23/151 FIGURE No.: 3 Boundary Survey Legal Description: All of Block B, Revised Plat of Markham Park Heights, according to the Plat thereof as recorded in Plat Book 1, Page(s) 78, Public Records of Seminole County, Florida. Flood Zone: X Panel: 0317F Community Number: 12071 C Date: 8/28/2008 CERTIFIED TO: Betty D. Siebert tq Fnd. '''W' Rebar y No Identification) 0 U Fnd A," R No I Jentifil 1 Delal N W E S Graphic Scale 10' 20' 40' S Scale: 1 "=20' SSAd Rd/4'drr 0- °aa 0 00,, dc Qi hfF61 20 l2ayj 29.2' 16.4':::: m..:::.......... Stem Wall Location ."' s>3:.'>:>?s::;:i:.':'s:...................:::::> a I 10 23-15«srsis:>::i>>:>`<>_?>:i::;>:<:<>:::;>:t;;m 1617i;ji:. 2 iv<:i:.C.ii;;a:G:1&:ii:;7:i&:?':::STiSa704'::;;di?`}7:ii:5ii:5i;{5ii)?::4::;P.° N . j:?>230'4::iiii; 2• 2, a26 q BLOCK 'B' Fnd. ' " Rebar N89059'24" E 232.53' No Identification) LU wJQ O Lot 1 Lot 2 B lock "B" Block " B" NAVD 88 Datum Site Benchmark Information- 1 Top of Well Box Elevation=37_83 2 Set 60D Nail in 30" Oak Tree Elevation=38 59' Field Date: 10-23-15 Date Completed:10-27-15 Notes- I hereby certify that this Boundary Survey of the above Descdbed Pmpedy ,z Drawn By: JBJ File Number: IS-23837 Survey is Based upon the Legal Description Supplied by Client. Abutbng True and Correct to the Best of my Knowledge and Belief as recently Surveyed under my D recoon the Date Shown, Based Information PropertiesDeedshaveNOTbeenResearchedforGaps, Overlaps and/or Hiatus. on on furnished to Me as Noted and Conforms to the Standards of Practice for Land Surveymg C Legend- Calculated Su bject to any Easements and/Or Re5tlletlen5 O( Record. in the Slate of Florida in accordance with Chapter 5J-17.052 Florida Centerline PC - Point o1 Curvature p - g Page Bearing Basis shown hereon, is Assumed and Based upon the Line BB". Administrative Codes, Pursuant 1 clion 472 27 Florida Statutes CB Concrete Block PI - Point of Intersection Denoted with a CK IR cRPCM Concrete Monument P-O.B.- Point of Beginning Building Ties are NOT to be used to reconstruct Property Lines."r Cones Concrete P.O.L.- Point on Une Fence Ownership is NOT determined. Fon D DEDescription Draina a Easement 9PP - Power Pole PRIM - Permanent Reference Roof Overhangs, Underground utilities and/or Footers have NOT sr°rE TIIF FIRMEsmt. Easement Monument been located UNLESS otherwise noted. Patrick K. Irelan # ',,.;Rl pp J1537 LB 7623 F.E.M.A, Federal Emergency Management Agency PT - Point of Tangency Septic Tanks and/or Drainffeld locations are approximate and MUST This SurvB is intende Y use of Said r dified Parties. yeFFE R - Radius Finished Floor Elevation Ratl. -Radial be verified by appropriate Utility Location Companies. Use of This Survey for Purposes other than Intended. Without This Surve NOT VALID UNL and Embossed with Surveyor's Seal. Fnd. IPFound tronPipeR&C - Rebar &Cap Rec. - Recovered Written Verification, Will be at the Users Sole Risk and Without Liability to the Surveyor. Nothing Hereon shall be Construed to Ireland & Associates S rveyting Inc. c) Rid. - Roofed give ANY Rights or Benefits to Anyone Other than those Certified. M NMeasured Nail & Disk Set - Set 'h" Reoar & Rebar cap ^LB 7623• Flood Zone Determination Shown Heron is Given as a Courtesy, and y, 1301 S. International Parkway Suite 2001 R. N.R. Non -Radial Typty a Subject to Final Approval by This Determination maybe ORB Official Records Book UE UE -Utility Easement r otheA. affectedbyFloodFactorsand/or other information NEITHER known Lake Ma Florida 32746 Mary, P Plat WM - Water Meter by NOR given to this Surveying Company at the time of this Endeavor. www.irelandsurveying.com P.B. Plat Book 11 - Delta (Central Angle) Ireland & Associates Surveying Inc. and the signing surveyor assume o- wood Fence o- -Chain Llok Fence NO Liabilityfor the Accuracy ccuracof this Determination. Office-407.678.3366 Fax-407.320.8165 FIRE INSPECTIONS CITY OF SANFORD 407.562.2786 BUILDING & FIRE PREVENTION BUILDING INSPECTIONS 300 N PARK AVE 855.541.2112 SANFORD FL 32771 DRIVEWAYS -SIDEWALK 407.688.5080 Page 3 Application Number . . . . . 15-00001703 Date 2/23/16 Revision number . . . . . . . 1 Property Address . . . . . . 1617 MAGNOLIA AVE Parcel Number . . . . . . . . 36.19.30.509-OB00-0000 Application description . . . NEW SINGLE FAMILY HOME - DETACHED Subdivision Name . . . . . . Property Zoning . . . . . . . SINGLE FAMILY Permit . . . . . . BUILDING PERMIT - NEW/ALTER Additional desc . . Phone Access Code 911487 Permit pin number 911487 Required Inspections Phone Insp Seq Insp# Code Description Initials Date 10 104 BL16 FOOTER INSPECTION SJF AP 10/20/15 20 102 BL02 STEMWALL 147 AP 10/26/15 20-1000 147 FORM FORMBOARD/FOUNDATION SURVEY JD AP 11/12/15 30 103 BLOS SLAB/MONOSLAB - PREPOUR 1S4 AP 11/12/1S 40 115 BL14 SHEATHING - WALLS SR AP 12/10/1S 40 106 BL12 SHEATHING - ROOF SR AP 12/07/15 50 116 BL15 ROOF DRY -IN SR AP 12/15/15 50-1000 130 BL30 FINAL STUCCO/SIDING 60 109 BL04 FRAME WITH WINDOW/DOOR FASTEN 60-1000 111 BL03 FINAL ROOF JD CA 2/01/16 70 110 BL09 INSULATION ROUGH IN 80 131 DRWL DRYWALL/SHEETROCK 80-1000 113 BL10 INSULATION FINAL 1000 138 BSFR FINAL SINGLE FAMILY RESIDENCE CITY OF SANFORD eee CUSTOMER RECEIPT a*a Oper: SCOTTA Type: OC Drawer: 1 Date: 2/23/16 81 Receipt no: 78797 Year Number Amount 2815 1703 1617 MAGNOLIA AVE SANFORD, FL 32771 BP BUILDING PERMIT RECEIPTS 35.08 AC 023688 Tender detail CC CREDIT CARD $35.00 Total tendered $35.08 Total payment $35.60 Trans date: 2/23/16 Time: 10:22:34 Electrical Outfitters, Inc. 4 P.O. Box 749 9 MEAstor, Florida 32102 FEB 5 Ph: 407-947-0265 February 26, 2016 City of Sanford Re: Permit #15-1703 To whom it may concern, The home owner is using another Electrical Contractor; please remove Electrical Outfitter Inc. from this permit. Electrical'Jutfitte Inc. Troy augherty Executed 12016. ER-13014433 10Builing From: Joseph Reaster <joseph.reaster@loft-energy.com> Sent: Monday, February 22, 20161:15 PM To: Building Cc: Barry W. Siebert Subject: Permit Reference 15-1703 To Whom it may concern: Electrical Outfitters. Please be advised that Lott Energy, LLC a Licensed FL Electrical Contractor (EC13005355) will be responsible for all work associated with Electrical wiring, rough/trim at 1617 S. Magnolia Ave, Sanford FL for owner Betty Siebert. Lott Energy accepts responsibility for the Ufer Ground on 10/2015, the Underground on 11/2015 and the Electrical rough in on 2/1/16. Lott Energy accepts responsibility for any work associated with the Electrical Scope performed on the property. Thanks, Joe Reaster Vice President lottenergy" Please note our new address! Lott Energy, LLC. Formerly IES Commercial -Orlando (Amber Electric) 612 N. Hudson St. I Orlando, FL 32808 Phone 407 656 2335 1 Fax 407 290 2890 1 Mobile 321 356 0278 ioseph.reaster@lott-enerev.com www.lott-energy.com experience the difference Confidentiality Notice: This email message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and/or legally privileged information. This email does not constitute an e-signature and unless specifically stated, no intent to enter into a contract is implied. If you are not the intended recipient, please contact the sender by reply email and destroy all copies of the original message. Any unauthorized review, use, disclosure or distribution is prohibited. FEB 2 2 2016 This is to certify that neither Frank Ramos or Electrical Outfitters are, or have ever been retained by Betty Siebert, owner/builder of her house at 1617 Magnolia Avenue, Sanford Florida 32771. It appears that Dove Builders who did the initial construction (including framing, rough plumbing) may have initiated contact with Electrical Outfitters. There is no evidence to support that they provided any services. Thus, their services are being terminated immediately. 1" 0 Betty Siebert, Owner/Contractor —1617 Magnolia Avenue, Sanford FL 32771 X vED CITY OF SANFORD FEB 10 20iG BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: 14,90 Documented Construction Value: $ 11-7 •53 Job Address: ' / / / 7 U 7Z1f Tz710n=vp/, Parcel ID• . -0&)0- DD00 Type of Work: New Addition Alteration Repair El Description of Work oew Naha' al Gdq l( IIIKistoric District: es No LEI Residential 2 Commercial Change of Use Move U r ! / I V 1 V1 t/1 `C — I 1 ULJ41 / ut 11 Plan Review Contact Person: hive Title: O fd oaA Phone: Y(27 c11,3.5A3 Fax: V07. % & Email:(rlehk4Q4P/Q!',11 ct)c li't7h6i 1,MCn 1 Property Owner Information Name %Ipb d Phone: L/07-QR2- 36.30 Street: W / A(I.In ( Resident of property? : I, JD City, State Zip: Lwawood PL 89"750 Contractor Information Names ffikq A QC2bi h& aArl(8ffC Phone: y07, Ui'3.5a93 Street: 5 <s 2 SUit /'/() Fax: (407' Wq- y7LI& City, State Zip: Olik @rK, EL ,12 799 State License No.: CFI 1ua&bC3q Name: Street: City, St, Zip: Bonding Company: Address: Arch itect/Eng 1 neer Information Phone: Fax: E-mail: Mortgage Lender: Address: 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. 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. 1 understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and air conditioners, etc. FBC 1053 Shall be inscribed with the date of application and the code in effect as of that date: 51" Edition (2014) Florida Building Code Revised: June 30.2015 Permit Application NOTICF: 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 ol'permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, I'S 713. The City of Sanford requires payment of a plan review fee at the time of permit submittal. A copy of the executed contract is required in order to calculate a plan review charge and will be considered the estimated construction value of the job at the time of submittal. he actual construction value will be figured based on the current ICC Valuation '['able in effect at the time the permit is issued, in accordance with local ordinance. Should calculated charges figured off the executed contract exceed the actual construction value, credit will be applied to your permit fees when the permit is issued. 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 construct* n and zoning. d/0/1(0 Signature of Own Agent Date Signature ofContrac 1104nt Date a& S1>* & Print Owner/Agent's N c 4W6L4 MELISSA Cswwxy Notary Public - State of FWW Commissim I FF 242911 My Comm. Eagres Jun 22. 2019 Produced ID Type of or W1111arn C.J' 1he (01T Iya-639) Print Contractor/Agent's Name i Signature of Notary -State of I'lorida Date MELISSA R. SHIVERY Notary Public - State of Ftofts Commission • FF 242911 My Comm. Expires Jun 22. 2011 BELOW IS FOR OFFICE USE ONLY 0 Permits Required: Building Electrical Mechanical Plumbing[] Gas[] Roof Construction Type: Occupancy Use: Total Sq Ft of Bldg: Min. Occupancy Load: Flood Zone: of Stories: New Construction: Electric - # of Amps Plumbing - # of Fixtures Fire Sprinkler Permit: Yes No # of Heads Fire Alarm Permit: Yes No JOC^ APPROVALS: ZONING: Z UTILITIES: WASTE WATER: ENGINEERING: COMMENTS: FIRE: BUILDING: Revised: June 30, 2015 Permit Application LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: hereby name and appoint: an agent of: Name to be my lawful attorney -in -fact to act for me to apply for, receipt for, sign for and do all things necessar to this appointment for (check only one option): The specific hermit and application for,work located ate Expiration Date for This Limited Power of Attorney: License Holder Name: Wdl I ry? Cht' l e State License Signature of I STATE OF F COUNTY OF The foregoing instrument was 200JL_, by 'W Ak kcrw- ' edged before me this day of nalA. who is persoly kn n to me or o who has produced identification and who did (did n take an oath. Signature Notary Seal) AWA, Print or Ope name opt AN NOTARY PUBLIC STATE OF FLORIDA Cam * FF93rA5 Expires 11118=19 Notary Public - State ofpoiuj-ek Commission No.u-q 5:3;tm' My Commission Expires: 1 2-011 as Rev. 08.12) Ot vtd Johr :an. CFA PlatViewer Documents ( Abstract Doc HxDCSU PROPERTY sapUVOLE RAISER parcel Detail Sheet Range Parcel Detail Sheet Trim NoticeCOUNTYFlORIOA Darrel Info 36-19-30-509-0BOO -0000 LegalJNotes/ Status V Land rSales Y Extra Feature Permits ? Simon l/ Search } raxroll Year: = Tax Est ( New Const Ovrd DR501 Farms) ( Edit Prcl Data Owner Info Name: SIEBERT BETTY D Addr1: Addr2: 1321 GRANT ST City: LONGWOOD State/ Zip: FL 32750- Property Address Addr: 1617 MAGNOLIA AVE City/ Zip: SANFORD 32771-3838 Flags Ag DEMO Inc Ind Inc Ltr Den: Codes Values DOR: 00 VACANT RESIDENTIAL Nbad Factor: 1.00 TD: S1 SANFORD Adj Ag: Market Area: 01 RES CPI: .7 IND: Amd 10 Cap: 3 Hx Removal: Tax Bill: 511.14 NBHD Comm: Facility: j Exemptions Ownership: Code Descrip_ tion Granted HxGranted: E& I Number: Pet #: No Exempt. Summary 2015 Re Appraised- Re Appr % Addition Value Total Appraised Total % Land Value 25,116 25,1.16: 25,116 Extra Features 0 Building Value 0. Cost/ Market Just Value 25,116 25,116 00 25,116 00 Income Just Value Correct Assd/Admin Value Classified Value SOH Adjustment 0 0 0 Non- HX Adjustment 0 _ 0; 0 P& G Adjustment 0 0 0 Total Assessed Value 25,116 25,116 00 0, 25,116 00 Taxable Values Millage Code Millage Desc Assessment Value Exempt Values Taxable Values) 0100 COUNTY GENERAL FUND 25,116• 0• 25,116 0400 SCHL SCHOOL 25,116 0• 25,116 1000 CITY SANFORD 25,116. 0 25,116 1200 SJWM 25,116 0 25,116 9800 COUNTY BONDS 25,116. 0 25,116 Parcel I Legal/Notes/Status Extra Feature I Permits Simon Search STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 CLINE, WILLIAM LAURENCE LEGACY PLUMBING SERVICES, INC. 355 ROSSELLI BLVD DAVENPORT FL 33896 Congratulations! With this license you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range from architects to yacht brokers, from boxers to barbeque restaurants, and they keep Florida's economy strong. Every day we work to improve the way we do business in order to serve you better. For information about our services, please log onto www.myfloridaticense.com. There you can find more information about our divisions and the regulations that impact you, subscribe to department newsletters and learn more about the Department's initiatives. Our mission at the Department is: License Efficiently, Regulate Fairly. We constantly strive to serve you better so that you can serve your customers. Thank you for doing business in Florida, and congratulations on your new license! DETACH HERE RICK SCOTT GOVERNOR 850) 487-1395 02'?X'k. .STATE OF FLORIDA DEPARTMEN,T,OF,BUSINESS AND f PROFESSIONAL REGULATION CFC1426639 `~, ISSUED;;;02/19/2015 i CERT.IFIED,PlUMEi NiG:CONTRACTOR CLINE, WILLIAM!M RUENCE LEGACY PL'UN181NGISERUICE "rI. kr• • •.- ':. Win«., • •_l r• IS CERTIFIED',under the,provisions-ot Ch.489 fS. _ Exprelion•du. Lt502t9000t50S KEN LAWSON, SECRETARY STATE OF FLORIDA DEPARTMENT OF. BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION. INDUSTRY LICENSING BOARD CFC1426639 Q a The PLUMBING CONTRACTOR _ •r fi.. ,",C, , Named below IS CERTIFIED Under the provisions of Chapter•489 FS. Expiration date: AUG 31., 2016- : CLINE;, WILLIAM`LAURENC ~ + ' ' : 4 •.: ®`' r fLEGACYPLIIMBING`SER/ICES-INC' `'•-,- ' - - ' 4 ?.'n 1370'GENE-ST„.---•-.. `....,• _ i` ; '.:i t; . ;. • V\ANTER!PL 327.89_ r' ','• •- __^ t ' .k Wit'` °•,!''? ! i • . ', •, < < n . ! • , `. ISSUED: 02/19/2015 DISPLAY AS REQUIRED BY LAW SEa # L1502190001509 s local business tax receipt is in addition to and not in lieu of any other lax required by law or municipal ordinance. Businesses are subject to regulation of zoning, health and, tul authorities. This receipt is valid from October 1 through September 30 or receipt year. Delinquent penalty Is added October 1. 2015 EXPIRES Y 9/30/2016 5000-1144938 5000 BUSINESS OFFICE $30.00 1 EMPLOY PLUMBING $30.00 1 EMPLOYEE : 0 o S* TOTAL TAX $60.00 PREVIOUSLY PAID $60.00 .` . L GACY CONSTRUCTION INC TOTAL DUE $0.00 r ' _ • .,, r j J EGACY PLUMBING SERVICES INC 875 JACKSON AVE #110 G' t/ WINTER PARK FL 32789 U - WINTER PARK, 32789 C'QUN r• PAID: $ 60.00 0098-00669754 7/8/2015 This receipt is official when validated by the Tax Collector. Ljy\ Q ll'N I i 6A 16 11 A tip_ ACORb CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 7/30/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the pollcy(les) must be endorsed. if SUBROGATION IS WAIVED, subject to the terms and conditions of the p011Cy3 certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements . PRODUCER Brown & Brown of Florida, Inc. 2600 Lake Lucien Drive NAME:y Manor NoNic : (607)660-2012gcExt: (407)660-8282 AR EMAILIIODRESS, amanor@bborlando.com INSURER(S) AFFORDING COVERAGE NAIC# Suite 330 INSURER A :Colony InsuranceCoLnpany MaitlandFL32751INSURED INSURER B :Owners Insurance Co. 004354 INSURER Association Ins. CO. LegacyConstruction, Inc. Legacy Plumbing Services,I Legacy Electrical Services, Inc. INSURERE: 1370GeneStreetINSURER F: WinterParkFL32789CnVFRACFS CERTIFICATE NUMBER:CL1572200734 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO V041CH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTRTYPE OF INSURANCE POLICY NUMBER MMIDDPOLICfYYYYJ Po MML1DDy11EYXY'Y1 LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIFIS- MADE: 5-1 OCCUR 103OL000799500 1/7/2015 1/7/2016 EACH OCCURRENCE 1,000,000 DAMAGE TO REWE PREMISES ( Ea Occu ranee) 100, 000 MED EXP (Any one person) 5,000 GEN' L PERSONAL & ADVINJURY 1,000,000 AGGREGATE LIMIT APPLIES PER POLICY [ X 7 0 LOC OTHER, GENERAL AGGREGATE 2,000,000 PRODUCTS - COMPIOPAGG 2,000,000 B AUTOMOBILE LIABILITY ANY AUTO SCHEDULED ALLOWNEDri AUTOSAUTOSX HIREDAUTOSNON- UWNED AUTOS 5039075501 6/17/2015 6/17/2016 EI a accident BODILY INJURY ( Per person) 50,000 BODILY INJURY ( Per accident) 100,000 Per cddenDAMAGE$ 50,000 UMBRELLA LIAB EXCESS LIAB OCCUR 11LAIMS-MADE EACH OCCURRENCE AGGREGATE DED I RETENTION C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPAP-INER+ EXECUTIVE OFHCERIMEMSEA EXCLUDED? Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A pCV016582602 3/5/ 2015 3/5/2016 STATUTE ERFI E. L EACH ACCIDENT 5_00,000 c E L. DISEASE - EA EMPLOYEE 500 000 E.L DISEASE- POLICY LIMIT 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached If more space Is required) CFRTIFICATF FIAI nFR CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Sanford THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 300 M. Park Avenue ACCORDANCE WITH THE POLICY PROVISIONS. Sanford, FL 32772 AUTHORIZED REPRESENTATIVE Phillip Masi/102803 U 19UU-2014 ACOKU GVKPOKATIVN. All rlgnts reserved. ACORD 25 (2014/ 01) INS025 (201401 ) The ACORD name and logo are registered marks of ACORD 5 urvev 4.:--. JUfVE' I M'FNn ram. z3u rvey Aption: B, Revised Plat of Markham Park Heights, according to riereofasrecordedinPlatBook1, Page(s) 78, Public as of Seminole County, Florida. d Zone: X Panel: 0317F ommunityNumber: 12071C Date:8/28/2008 CERTIFIED TO: Betty D. Siebert ail c od U Fnd %" No I entl 1 I Detail N Fnd. 1/," Reber No Identification) IN E S Graphic Scale 10' 20' 40' Scale: 1"=20' SSA02 , 00 CD Of aT a 04- O tv 1' 11.9' 29. 2• . to b 6::• ii'.:.c:.-::i:•:ii i:i? Liii:!:iii.:::::::•ic:::•i:e :. 12 m iiv:::..: c:.................. tam Wall Location..:;:;;?:::»:;:'•»:?: >:i:::,23>°; ..... y a ::.:::::.:.:•:.: 10 23-15ss'>':a?:as::s:G> > `:;'i<:''::?>s::<:':s::<3:::<` 25.9 e:. 9.;i:::::::'`::::c:::5:: ;;:v+::!!%ii:ii}:::;::;::}•isiiii::4ii:!ii!siiii:::diiiiF: iiiiF': o. ''`: r is?`.•': F F=37.13' : s:a:::G:a;`::76;°:; tv :;; ii:;;::'s;:;3i;;;:ii 2v............ s7ne s:;?r:>:c•::•;aa:>s;aa::;:as:o ;>::;>:::•::' C' :'ass•: BLOCK ' B' N 89059'24" E 232.53' I I Fnd. %" Reber No Identification) W JJQO Lot 2 Lot 1 Block " B" Block "B" NAVD 88 Datum Site Benchmark Information- 1 Top of Well Box Elevation=37.83' 2 Set 60D Nail in 30" Oak Tree Elevabon=38.59' Field Date: 10-23-15 1 Date Completed:10-27-15 Drawn By: JBJ TFile Number: IS-23837 Legend- C Calculated Centerline PC - Point of Curvature B CMConcrete Block Concrete Monument Pg. - Pape PI - Point of Intersection Conc. Concrete P.O.B.- Point of Beginning ggD Description P.O.L.- Point on Line PP - Power Pole DE Esmt. Drainage Easement Easement PRM - Permanent Reference F. E.M.A. - Federal Emerge Monument PT - Point of Tangency ManagementAgencRRadiusFFEFinishedFloorElevationRed. - Radial Fnd. IPFound IronPipeR&C - Reber & Cap L Length (Arc) Rec. - Recovered Rfd. - Roofed M N&D Measured Nail & Disk Set - Set 'A"Reber & Reber " LB N.R. Non -Radial Cap 7623" Typ. - Typical ORB Official Records Book UE - Utility Easement P P.B. Plat PlalBook WM - Water Meter 4, - Delta (Central Angle) Wood Fence 0— - Chain I Ink Frig•. Survey is Based upon the Legal Description Supplied by Client. Abutting Properties Deeds have NOT been Researched for Gaps, Overlapsand/or Hiatus. Subject to any Easements and/or Restrictions of Record. Bearing Basis shown hereon, is Assumed and Based upon the Line Denotedwith ."BB". Building Ties are NOT to be used to reconstruct Property Lines. Fence Ownership is NOT determined. - Roof Overhangs, Underground Utilities and/or Footers have NOT been located UNLESS otherwise noted. Septic Tanks and/or Drainfield locations are approximate and MUST beverifiedbyappropriateUtilityLocationCompanies. Use of This Survey for Purposes other than Intended, Without WrittLiability to the Surveyorl. be at Hereon hall be Constrand uedto give ANY RightsorBenefitstoAnyoneOtherthanthoseCertified. Flood Zone Determination Shown Heron is Given as a Courtesy, and is SubjecttoFinalApprovalbyF.E.M.A. This Determination may be affected byFloodFactorsand/or other information NEITHER known by NOR given to this Surveying Company at the time of this Endeavor Ireland & AssociatesSurveyingInc. and the signing surveyor assume NO LiabilityfortheAccuracyofthisDeterminationInereby Certify that this Boundary Survey of the above Described Property is True andConecttotheBestofmyKnowledgeandBeliefasrecentlySurveyedundermy Direction on the Date Shown, Based on Information fumished to Me as Noted and Conforms to the Standards of Practice for Land Surveying In theSlateofFloridainaccordancewithChapter5J-17.052 Florida Administrative Codes, Pursuant t lion 472,Q27 Florida Statutes. FOR Patrick K. Irelan -%, `to,, P S37 LB762, This Survey is intende fof Said Certified Parties This Survey NOT VALID UNL Surveyors Seal Ireland & Associates Surveying, Inc. 1301 S. International Parkway Suite 2001 Lake Mary, Florida 32746 www. irela ndsurveying.com Office-407. 678.3366 Fax-407.320 81 fi5 BILL TO: DESCRIPTION DATE P O. NUMBER I TERMS v THIS INSTRUMENT PREPARED BY: Name: Melissa Shivery tddhe9B-014'1 9CSl7. Suits 110 NOTICE:OF COMMENCEMENT State of Florida County of SeminoI C Permit Number: o MARYANNE MORSEr SEMINOLE COUNTY CLERK. OF CIRCUIT COURT & COMPTROLLER 8K 8631 Pe 1118 (1P9s) . CLERK'S 2016011.0,. it Parcel ID Number: 36-19-30-509-OB00-0000 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. and street address if available) 9n3all L a8 IIrRI@S TfOR1F IaSr011@e to future g g appliances - gas rough in only OWNER INFORMATION:- . Address: _1611 Magnolia Ave, Sanford -FL 32771 Fee Simple Title Holder (if other than owner) CONTRACTOR: Name: Legacy Plumbing Services, Inc Address: 875 Jackson Ave Suite 110, Winter Park FL 32789 Persons within the State of Florida Designated by Owner upon whom notice or other documents may be as provided by Section 713.13(1)(b), Florida Statutes. Name: Address: In addition to himself, Owner Designates of To receive a copy of the Llenor's Notice as Provided in Section 713.13(1)(b), Florida Statutes. Expiration Date of Notice of Commencement (The expiration date is 1 year from date of recording unless a different date Is specified) 2/10/16 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 LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE'OF COMMENCEMENT. Under penalties of perlury, I declare that I have read the foregoing and that the facts stated in It are true to the of m knowled nd belief. Betty Siebert s S1gnahae owners Printed Name Florida to 713.13(t)(g): - The owner must sign the nodce of commencement and no one else may be pe pitted to sign in rds or her stead.' State of 000U a. County of , The forAoolng Instrument was acknowledged before me this 10 day of ebroai by 1noWho Is personally known to me Name of personti making slatemeru/ OR who has produced Identification L--d'/type of Identification produced: J _ MELISSA t1. 801 NRY • Notary Pu011c - ' it of fborl tr Cbnlmission 0 FF 24291.1 My Comm, Expires Jun 22 20/9 N Signature Yi&Iratr• t!typu1nhNatlnnal VOfalyAWL e e I City of Sanford Building & Fire Prevention Division Residential Permit Card PERMI1.T NO. A 406 ISSUE DATE: 04; • ' CONTRACTOR: JOB ADDRESS: TYPE OF WORI picuous location outsidePostthis permab,'postedApprovedpla with permit for inspection Leave all work uncovered until inspected and approved Permit expires 6 months from date of Issue or last approved inspection PROTECT FROM WEATHER BUILDING INSPECTION TYPE. APPROVED RFJECTED INSPECTOR ELECTRICAL INSPECTION TYPE APPROVED RFJFCTt.'D INSPf.CrOR FOOTER INSPECTION ELECTRIC UNDERGROUND STEMWALL FOOTER/SLAB STEEL BOND FORMBOARD SURVEY T.U.G. / PRE POWER SLAB / MONO -SLAB ELECTRIC ROUGH LINTEL / TIE BEAM ELECTRIC FINAL SHEATHING - ROOF MECHANICAL INSPECTION TYPE APPROVED RFJ6'CTFD INSPECTORSHEATHING - WALLS FRAME MECHANICAL ROUGH INSULATION ROUGH IN MECHANICAL FINAL DRYWALUSHEETROCK PLUMBING INSPECTION TYPF. APPROVED RFJF.CTFD INSPECTORLATHINSPECTION FINAL STUCCO/SIDING UNDERGROUND ROUGH FIREWALL SCREW TUB SET FIREWALL FINAL SEWER INSULATION FINAL PLUMBING FIN FINAL SFR GAS INSPECTIONS INSPF.CT70N TYPE. APPROVED WECTFO INSPECTORROOF INSPECTION 77PE. APPROVED RFJEM.D IN F.Cw't GAS UNDERGROUND PIPE ROOF DRY -IN GAS ROUGH -IN FINAL ROOF GAS FINAL MISCELLANEOUS/FIN L'1NSPBGLL0S INSPF.CTTON TYPE. APPROVED Rf7FCrkM INSPECTOR INSPECTION TYPE. APPROVED REJECTED INSPECTOR PRE -DEMO FINAL DOOR FINAL DEMO FINAL WINDOW FINAL SOLAR PANELS IRRIGATION FINAL FINAL POOL SCREEN FINAL SCREEN ROOM FINAL UTILITY BUILDING FINAL BUILDING OTHER MOBILE HOME TIE -DOWN MOBILE HOME FINAL 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 FBCI03.3.2 REVISED: OCTOBER 2014 Inspection Lim: SSS311.2112 TO SCHEDULE AN INSPECTION: Dial855.541.2112 Provide the items requested during the message The type of inspection requested must be scheduled under the appropriate permit type Follow the prompts To Schedule Fire Inspections: Please call 407.562.2786 *** PLEASE NOTE: Inspections scheduled by 3:30 p.m. will be conducted the next business day. If you experience difficulty, please call 407.688.5150 Monday - Thursday 7:30 am - 5:30 pm for assistance. AUTOMATED INSPECTION SYSTEM CODES BUILDING ELECTRICAL FOOTER 104 ELECTRIC UNDERGROUND 211 STEMWALL 102 FOOTER / SLAB STEEL BOND 221 FORMBOARD SURVEY 147 T.U.G. 216 SLAB / MONO -SLAB 103 PRE POWER FINAL 218 LINTEL / TIE BEAM 105 ELECTRIC ROUGH 212 SHEATHING - ROOF 106 ELECTRIC FINAL 213 SHEATHING - WALLS 115 MECHANICAL FRAME 109 MECHANICAL ROUGH 409 INSULATION ROUGH -IN 110 MECHANICAL FINAL 410 DRYWALL / SHEETROCK 131 PLUMBING LATH INSPECTION 132 UNDERGROUND ROUGH 322 FINAL STUCCO / SIDING 130 TUB SET 312 FIREWALL SCREW 120 SEWER 311 F[REWALL FINAL 143 P.LUMBING,FI•NAL 313 INSULATION FINAL 113 GAS FINAL SFR 138 GAS PIPING UNDERGROUND GAS ROUGH -IN 328 314ROOF ROOF DRY -IN 116 \ GAS FINAL 315 FINAL ROOF III MISCELLANEOUS / FINAL INSPECTIONS PRE -DEMO 144 FINAL DOOR 136 FINAL DEMO 126 FINAL WINDOW 137 FINAL SOLAR PANELS 134 IRRIGATION FINAL 321 FINAL POOL SCREEN 139 FINAL SCREEN STRUCTURE 127 FINAL UTILITY BUILDING 124 FINAL BUILDING - OTHER 112 MOBILE HOME TIE -DOWN 145 MOBILE HOME BUILDING FINAL 146 Miscellaneous Notes: RE InspectionLine: 855.541.2112 Revisio ECEIVIE Response to Comments APR 6 2016 BY Permit # `5 -% o Submittal Date Project A Contact: Ph: 9, lo. 3 O Email: Trades encompassed in revision: Building Plumbing Electrical Mechanical Life Safety Waste Water Fax: City of Sanford Building & Fire Prevention Division Ph: 407.688.5150 Fax: 407.688.5152 Email: building@sanfordfl.gov D-, o c*. J ce OAA/0,4414411 General description of revision: 1 1-12;27 ol aV Z222,— Z622:2 ROUTING INFORMATION Department Approvals Utilities Waste Water Planning Engineering Fire Prevention Building 5r RECORD COPY Fff DEMILEC USA) LLC. SEALECTION® SOO, SEALECTION Agribalance®, and/or Heatlok® Soy 200 Spray Polyurethane Foam Insulation has been installed with the manufacturer's recommendations as noted below: Building Information I Demilec Authorized Contractor Owner or Project Name: Betty Siebert Company Name: Synergy Foam, L.L.C. Address: 1617 Magnolia Ave. Address: 1321 W. Church St. City: Sanford ST: FL Zip: 32771 City: Orlando ST: FI Zip: 32805 Phone:407-929-3630 Fax: Phone:407-849-3665 Fax:321-248-0385 Residential ® Commercial Industrial E-mail: hh@lationer.com New Construction Remodel/Retrofit Website: www.synergyfoam.com Location Approximate Square Feet Spray Foam Product Applied Thickness Inches) Installed R-value Roof Deck 2,043 sq.ft. Heatlok Soy 200 (ESR #3210) R-7.4 at 1 inch 3" R-21 Walls 1,600 sq.ft. Heatlok Soy 200 (ESR #3210) R-7.4 at 1 inch 2" R-14 Crawl Space sq.ft. Choose an itom. I R- Location Intumescent Coating Applied (if applicable) Roof Deck Choose an itcm. MIS Walls Choose an item. e%cm XZ_ Crawl Space Choosc an imn. Date Installed Demilec Certified Applicator 4-1-2016 Synergy Foam, LLC. Comments Closed Cell Job NEATLOKEALECTION0500QAgribalance' Spray Foam Insulation Spray Foam Insulation SOY-200 0VILDIN6 SANFOR 1103 ECEIVE;:'. pgRn'``` APR 6 2016 2925 GALLERIA DRIVE • ARLINGTON, TX 76011 • PHONE (817) 640-4900 • FAx: (817) 6 t000 J Web site: www.DemilecUSA.com - E-mail: info@DemilecUSA.com DIVISION: 07 00 00—THERMAL AND MOISTURE PROTECTION SECTION: 07 2100—THERMAL INSULATION REPORT HOLDER: DEMILEC (USA) LLC 3315 EAST DIVISION STREET ARLINGTON, TEXAS 76011 EVALUATION SUBJECT: OM-01/vo SANFORD OFPAR4' 11 1S HEATLOK SOY® 200 PLUS SPRAY -APPLIED POLYURETHANE FOAM INSULATION Q d DON ICC ICC a ICC ck4P . PMG i LXTED Look for the trusted marks of Conformity! 2014 Recipient of Prestigious Western States Seismic Policy Council C:0:1 WSSPC Award in Excellence" INtERNA110K4 A Subsidiary of CODECOUNCIr CC -ES Evaluation Reports are not to be construed as representing aesthetics or any other attributes not 3CAai°"10 specifically addressed, nor are they to be construed as all endorsement of the subject of the report or a i recommendation for its use. There is no warranty by ICC Evaluation Service, LLC, express or implied, as to any finding or otter matter in this report, or as to any product covered by the report. Copyright © 2015 IMES Evaluation Report ESR-3210 Reissued March 2015 This report is subject to renewal March 2016. www.icc-es.ora 1 (800) 423-6587 1 (562) 699-0543 A Subsidiary of the International Code Council® DIVISION: 07 00 00—THERMAL AND MOISTURE PROTECTION Section: 07 21 00—Thermal Insulation REPORT HOLDER: DEMILEC (USA) LLC 2925 GALLERIA DRIVE ARLINGTON, TEXAS 76011 817)640-4900 www.demilecusa.com info0demilecusa.com EVALUATION SUBJECT: HEATLOK SOY® 200 PLUS SPRAY -APPLIED POLYURETHANE FOAM INSULATION 1.0 EVALUATION SCOPE Compliance with the following codes: 2012 and 2009 International Building Codee (IBC) 2012 and 2009 International Residential Code® (IRC) 2012 and 2009 International Energy Conservation Codee (IECC) Other Codes (see Section 8.0) Properties evaluated: Surface -burning characteristics Physical properties Thermal resistance Attic and crawl space installation Air permeability Water vapor transmission Water -resistive barrier Fire -resistance -rated construction accordance with Section 4.4. Under the IRC, the insulation may be used as air -impermeable insulation when installed in accordance with Section 3.4. When installed in accordance with Section 4.5, the insulation may be used as an alternative to the water -resistive barriers required in IBC Section 1404.2 and IRC Section R703.2. The insulation may be used in nonload-bearing, fire -resistance - rated walls when construction is in accordance with Section 4.6. The insulation also may be used in exterior walls of Type I, II, III or IV construction when used as described in Section 4.7. 3.0 DESCRIPTION 3.1 General: HEATLOK SOY® 200 PLUS spray -applied foam insulation is rigid, medium -density, polyurethane foam plastic that is installed as a component of floor/ceiling and wall assemblies. The insulation is a two -component, spray - applied foam plastic with a nominal in -place density of 2.0 pcf. The insulation is produced in the field by combining a polymeric isocyanate (A-PDMI component) with a polymeric resin (HEATLOK SOY® 200 PLUS B-side component). The insulation liquid components are supplied in 55-gallon (208 L) drums and/or 250-gallon (946 L) totes and have a shelf life of one year when stored in factory - sealed containers at temperatures between 59OF (15°C) and 77°F (250C). 3.2 Surface -burning Characteristics: The insulation, at a maximum thickness of 4 inches 102 mm) and a nominal density of 2.0 pcf, has a flame - spread index of 25 or less and a smoke -developed index of 450 or less when tested in accordance with ASTM E84. fj ,0 J Thicknesses of up to 91/4 inches (235 mm) for wall cavities i and a_'/ inches (286 mm) for ceiling cavities are reVgnreeJ; based on testing in accordance with NFPA u288r1vventheinsulationiscoveredwithaminimum4/ Ytnc7lytMck (12.7 mm) gypsum board or an equivalent thermal barrier complying with, and installed in accordance with, the applicable code. Exterior walls in Types I through IV construction 2. 0 USES HEATLOK SOY® 200 PLUS spray -applied polyurethane foam plastic insulation is used as a nonstructural thermal insulating material in Types I, II, III, IV and V construction under the IBC and in dwellings under the IRC. The insulation is for use in wall cavities, floor/ceiling assemblies, or attics and crawl spaces when installed in 3. 3 Thermal Resistance, R-values: The insulation has thermal resistance (R-value) at a mean temperature of 75OF (240C) as shown in Table 1. 3. 4 Vapor Retarder: The insulation has a vapor permeance of less than 1 perm 5. 7x10-" kg/(Pa-s-m2)1, in accordance with ASTM E96, when applied at a minimum thickness of 1.2 inches 30. 5 mm), and qualifies as Class II vapor retarder under the IRC. ICC- ES Evaluation Reports are not to be construed as representing aesthetics or any other attributes not specifically addressed. nor are they to be construed as art endorsement of the subject of the report or a recommendation for its use. There is no warrmty by ICC Evaluation Service. LLC. express or implied. as to any finding or other matter in this report. or as to any product covered by tine report Copyright 0 2015 Page 1 of 4 ESR-3210 I Most Widely Accepted and Trusted Page 2 of 4 3.5 Air Permeability: The insulation, at a minimum thickness of 11/2 inches 38 mm), is considered air -impermeable insulation in accordance with 2012 IRC Section R806.5 and 2009 IRC Section R806.4, based on testing in accordance with ASTM E283 and ASTM E2178. 3.6 Intumescent Primer and Coating: 3.6.1 BlazeLokTM" TB 200 Primer: BlazeLokTM TB 200 primer is a one -component, water -based liquid coating manufactured by TPR2 Corporation. The gray -colored coating has a flame -spread index of 25 or less and a smoke -developed index of 450 or less when tested in accordance with ASTM E84. The coating is supplied in 5-gallon (19 L) pails and/or 55-gallon (208 L) drums and has a shelf life of one year when stored in factory -sealed containers at temperatures between 45°F (7°C) and 90OF 32°C). The coating is applied in one coat with a manufacturer -recommended spray gun to a substrate with a temperature of at least 50OF (100C). The primer requires 1.5 hours of drying time before application of the coating. 3.6.2 BlazeLokTM" TB 200 Intumescent Coating: BlazelokTm TB 200 intumescent coating, manufactured by TPR2 Corporation, is a one -component, water -based liquid coating that is white in color. BlazeloknA TB 200 is supplied in 5-gallon (19 L) pails and/or 55-gallon (208 L) drums and has a shelf life of one year when stored in factory -sealed containers at temperatures between 450F (7°C) and 90OF 320C). The coating is applied in one coat with a manufacturer recommended spray gun to a substrate with a temperature of at least 50°F (10°C). 4.0 INSTALLATION 4.1 General: HEATLOK SOY® 200 PLUS spray -applied polyurethane foam insulation must be installed in accordance with the manufacturer's published installation instructions, the applicable code and this report. A copy of the manufacturer's published installation instructions must be available at all times on the jobsite during installation. 4.2 Application: The insulation is spray -applied on the jobsite using a volumetric positive displacement pump as identified in the Demilec application manual. The insulation must be applied when the ambient temperature is greater than 230F 50C). The insulation must not be used in areas that have a maximum in-service temperature greater than 180°F 820C). The foam plastic must not be used in electrical outlet or junction boxes or in contact with water, rain or soil. The foam plastic must not be sprayed onto a substrate that is wet, or covered with frost or ice, loose scales, rust, oil, or grease. The insulation must be protected from the weather during and after application, except as specified in Section 4.5. Where insulation is used as an air - impermeable insulation, such as in unvented attic assemblies under 2012 IRC Section R806.5 and 2009 IRC IRC Section R806.4, the insulation must be installed at a minimum thickness of 11/2 inches (38 mm). The insulation must be applied in passes not exceeding 2 inches (51 mm) per pass and must be allowed to fully expand and cure for a minimum of 20 minutes prior to the application of the next additional pass. 4.3 Thermal Barrier: 4.3.1 Application with a Prescriptive Thermal Barrier: HEATLOK SOYe 200 PLUS insulation must be separated from the interior of the building by an approved thermal barrier of /2-inch-thick (12.7 mm) gypsum wallboard or an equivalent 15-minute thermal barrier complying with, and installed in accordance with, IBC Section 2603.4 or IRC Section R316.4, as applicable, except where insulation is in an attic or crawl space as described in Section 4.4. Thicknesses of up to 9 /4 inches (235 mm) for wall cavities and 111/4 inches (286 mm) for floor/ceiling cavities are recognized, based on room corner fire testing in accordance with NFPA 286. 4.3.2 Application without a Prescriptive Thermal Barrier: The prescriptive 15-minute thermal barrier or ignition barrier may be omitted when installation is in accordance with this section (Section 4.3.2). The insulation, primer and intumescent coating may be spray - applied to the interior facing of walls, the underside of the roof sheathing or roof rafter, and in crawl spaces, and may be left exposed as an interior finish without a prescribed 15-minute thermal barrier or ignition barrier. The thickness of the foam plastic applied to the underside of roof sheathing must not exceed 111/4 inches (286 mm). The thickness of the spray foam insulation applied to vertical wall surfaces must not exceed 91/4 inches (235 mm). The foam plastic must be covered on all surfaces with BlazeLokTm TB 200 primer applied over the foam plastic at a minimum wet film thickness of 7 mils 4 mils dry or 170 square feet per gallon). BlazeLokTM" TB 200 intumescent coating must be applied over the primer at a minimum wet film thickness of 14 mils 8 mils dry or 120 square feet per gallon). The primer and the coating must be applied over the insulation in accordance with the coating manufacturer's instructions and this report. Surfaces to be coated must be dry, clean, and free of dirt, loose debris and other substances that could interfere with adhesion of the coating. 4.4 Attics and Crawl Spaces: 4.4.1 Application with a Prescriptive Ignition Barrier: When the spray -applied insulation is installed within attics or crawl spaces where entry is made only for service of utilities, an ignition barrier must be installed in accordance with IBC Section 2603.4.1.6 or IRC Section R316.5.3 or R316.5.4, as applicable. The ignition barrier must be consistent with the requirements for the type of construction required by the applicable code, and must be installed in a manner so the foam plastic insulation is not exposed. The insulation as described in this section may be installed in unvented attics in accordance with 2012 IRC Section R806.5 and 2009 IRC IRC Section R806.4. 4.4.2 Application without a Prescriptive Ignition Barrier: General: HEATLOK SOY® 200 PLUS spray -applied polyurethane foam insulation may be installed in attics and crawl spaces as described in this section without the ignition barriers required by IBC Section 2603.4.1.6 and IRC Sections R316.5.3 and R316.5.4, subject to the following conditions: a. Entry to the attic or crawl space is only to service utilities, and no storage is permitted. b. There are no interconnected attic or crawl space areas. c. Air in the attic or crawl space is not circulated to other parts of the building. d. Under -floor (crawl space) ventilation is provided when required by IBC Section 1203.3 or IRC Section R408.1, as applicable. e. Attic ventilation is provided when required by IBC Section 1203.2 or IRC Section R806, except when air -impermeable insulation is permitted in unvented attics in accordance with IBC Section 1203.2 or 2012 IRC Section R806.5 and 2009 IRC Section R806.4. ESR-3210 I Most Widely Accepted and Trusted Page 3 of 4 Combustion air is provided in accordance with IMC Section 701. 4.4.2.1 Attics and Crawl Spaces: In attics and crawl spaces, the insulation may be spray -applied to the underside of the roof sheathing and/or rafters, to the underside of wood floors, and to vertical surfaces as described in this section. The thickness of the foam plastic applied to the underside of the top of the space must not exceed 111/2 inches (292 mm), and the thickness when applied to vertical surfaces must not exceed 71/2 inches 191 mm). 4.4.2.2 Use on Attic Floors: The spray -applied foam insulation may be installed at a maximum thickness of 71/2 inches (191 mm) between and over the joists in attic floors. 4.5 Water -resistive Barrier: HEATLOK SOY® 200 PLUS insulation may be used as the water -resistive barrier prescribed in IBC Section 1404.2 and IRC Section R703.2, when installed on exterior walls as described in this section. The insulation must be spray - applied to the exterior side of sheathing, masonry or other suitable exterior wall substrates to form a continuous layer of 11/2 inches (38 mm) minimum thickness. All construction joints and penetrations must be sealed with HEATLOK SOY® 200 PLUS insulation. 4.6 One -hour Nonload-bearing Fire -resistance -rated Wall Assemblies: HEATLOK SOY® 200 PLUS insulation may be used as a component of a one -hour fire -resistance -rated, nonload- bearing wall assembly as described in this section Section 4.6). 4.6.1 Interior and Exterior Face: Two layers of 5/8-inch- thick (15.9 mm), Type X gypsum board complying with ASTM C36 or ASTM C1396 is installed on both the interior and exterior sides of 35/e-inch (92 mm), No. 20 gage, galvanized steel studs spaced 24 inches (610 mm) on center. The base layer of the wallboard is secured with No. 6 by 11/4-inch-long (32 mm), self -drilling drywall screws 8 inches (203 mm) on center along the perimeter and 12 inches on center (305 mm) in the field of the wallboard. The face layer of the wallboard is secured with No. 6 by 17/8-inch-long (48 mm), self -drilling drywall screws 8 inches 203 mm) on center along the perimeter and in the field of the wallboard. Gypsum board joints must be taped and joints and fasteners heads treated with joint compound in accordance with ASTM C840 or GA-216. 4.6.2 Stud Cavity: Nominally 35/8-inch-thick (92 mm) HEATLOK SOY® 200 PLUS foam insulation is spray - applied in all stud cavities. 4.7 Exterior Walls of Type I, II, III and IV Construction: 4.7.1 General: When used on exterior walls of Type I, II, III, and IV construction, the HEATLOK SOY® 200 PLUS insulation must comply with Section 2603.5 of the IBC and this section (Section 4.7), and the insulation must be installed at a maximum thickness of 3.4 inches (86 mm). The potential heat of Demilec HEATLOK SOY® 200 PLUS insulation is 1930 Btu/ft2 (21.8 Mj/m2) per inch of thickness when tested in accordance with NFPA 259. 4.7.2 Interior Face: One layer of 5/8-inch-thick 15.9 mm), Type X gypsum wallboard complying with ASTM C36 or ASTM C1396 is installed with the long dimension perpendicular to 35/8-inch-deep (92 mm), No. 20 gage steel studs spaced a maximum of 24 inches 610 mm) on center. The wallboard is attached with No. 6, 11/4-inch-long (32 mm), self -tapping screws located 8 inches (203 mm) on center along the perimeter and in the field of the wallboard. Wallboard joints must be taped and treated with joint compound in accordance with ASTM C840 or GA-216. Fastener heads must also be treated with joint compound in accordance with ASTM C840 or GA-216. 4.7.3 Exterior Face: One layer of 5/8-inch-thick 15.9 mm) GP DensGlass® sheathing is attached to steel studs using 11/4-inch-long (32 mm), self -tapping screws spaced 8 inches (203 mm) on center along the perimeter and in the field of the sheathing. HEATLOK SOY® 200 PLUS spray -applied polyurethane foam insulation, at a maximum thickness of 3.4 inches (86 mm, is spray - applied onto the exterior of GP DensGlass sheathing. Brick ties, 3% inches long (89 mm), must be installed at a nominal 24 inches on center to each vertical steel stud, using two No. 14 by 5-inch-long (127 mm) hex head screws. Exterior veneer must be 4-inch-thick (102 mm) standard brick with a nominally 2-inch air gap between brick and the foam plastic insulation. 5.0 CONDITIONS OF USE The HEATLOK SOY® 200 PLUS spray foam insulation described in this report complies with, or is a suitable alternative to what is specified in, those codes listed in Section 1.0 of this report, subject to the following conditions: 5.1 The products must be installed in accordance with the manufacturer's published installations instructions, this evaluation report and the applicable code. If there are any conflicts between the manufacturer's published installation instructions and this report, this report governs. 5.2 The insulation must be separated from the interior of the building by an approved 15-minute thermal barrier, except when installation is as described in Sections 4.3.2 and 4.4.2. A thermal barrier must be installed between the insulation and the interior space above (crawl space) or below (attic). 5.3 The insulation must not exceed the thicknesses noted in Sections 3.2, 4.3. 4.4, 4.6, and 4.7. 5.4 The insulation must be protected from exposure to weather during and after application. 5.5 The insulation must be applied by contractors authorized by Demilec (USA) LLC. 5.6 Use of the insulation in areas where the probability of termite infestation is "very heavy" must be in accordance with 2012 IBC Section 2603.9 or 2009 IBC IBC Section 2603.8 or IRC Section R318.4, as applicable. 5.7 When use is on exterior walls of buildings of Types I, II, III, and IV, construction must be as described in Section 4.7. 5.8 Jobsite certification and labeling of the insulation must comply with IRC Sections N1101.4 and N1101.4.1 and 2012 IECC Section C303.1 or R403.1 or 2009 IECC Sections 303.1 and 401.3, as applicable. 5.9 The insulation components A and B are produced in Arlington, Texas, under a quality control program with inspections by ICC-ES. 6.0 EVIDENCE SUBMITTED 6.1 Data in accordance with the ICC-ES Acceptance Criteria for Spray -applied Foam Plastic Insulation AC377), dated November 2012, including reports of tests in accordance with AC377 Appendix X. ESR-3210 1 Most Widely Accepted and Trusted Page 4 of 4 6.2 Reports of air leakage testing in accordance with ASTM E283. 6.3 Reports of air permeance tests in accordance with ASTM E2178 6.4 Reports of water vapor transmission test in accordance with ASTM E96. 6.5 Reports of room corner tests in accordance with NFPA 286. 6.6 Reports of tests in accordance with ASTM El 19. 6.7 Reports of fire propagation characteristics tests in accordance with NFPA 285. 6.8 Reports of potential heat of foam plastic tests in accordance with NFPA 259. 6.9 Supplementary fire engineering analysis. 6.10 Data in accordance with the ICC-ES Acceptance Criteria for Foam Plastic Sheathing Panels Used as Water -resistive Barriers (AC71), dated February 2003 editorially revised June 2008). 7.0 IDENTIFICATION Components of the insulation are identified with the manufacturer's name (Demilec (USA) LLC), address and telephone number; the product name ( HEATLOK SOY® 200 PLUS B-side or A-PDMI); use instructions; the density; the flame -spread and smoke -developed indices; the date of manufacture; thermal resistance values; and the evaluation report number (ESR-3210). Each Pail of BlazelokTm TB 200 intumescent coating and primer is identified with the manufacturer's name TPRZ Corporation) and address, the product name and use instructions. 8.0 OTHER CODES 8.1 Evaluation Scope: In addition to the codes referenced in Section 1.0, the products described in this report have also been evaluated for compliance with the following codes: 2006 International Building Code® (2006 IBC) 2006 International Residential Code® (2006 IRC) 2006 International Energy Conservation Code® 2006 IECC) 2003 International Building Code® (2003 IBC) 2003 International Residential Code® (2003 IRC) 2003 International Energy Conservation Code® 2003 IECC) 8.2 Uses: The products comply with the above -mentioned codes as described in Sections 2.0 through 7.0 of this report, with the revisions noted below: Application with a Prescriptive Thermal Barrier: See Section 4.3.1, except the approved thermal barrier must be installed in accordance with Section R314.4 of the 2006 IRC or Section R314.1.12 of the 2003 IRC. Application with a Prescriptive Ignition Barrier: See Section 4.4.1, except attics must be vented in accordance with Section 1203.2 of the 2006 and 2003 IBC or Section R806 of the 2003 IRC; and crawl space ventilation must be in accordance with Section 1203.3 of the 2006 and 2003 IBC, or Section R408 of the IRC, as applicable. Additionally, an ignition barrier must be installed in accordance with Section R314.5.3 or R314.5.3 of the 2006 IRC or Section R314.2.3 of the 2003 IRC, as applicable. Application without a Prescriptive Ignition Barrier: See Section 4.4.2, except attics must be vented in accordance with Section 1203.2 of the 2006 and 2003 IBC, or Section R806 of the IRC; and crawl space ventilation must be in accordance with Section 1203.3 of the 2006 and 2003 IBC, or Section R408 of the IRC, as applicable. Protection Against Termites: See Section 5.6, except use of the insulation in areas where the probability of termite infestation is "very heavy" must be in accordance with Section R320.5 of the 2006 IRC or Section R320.4 of the 2003 IRC. Jobsite Certification and Labeling: See Section 5.8, except jobsite certification and labeling must comply with Sections 102.1.1 and 102.1.11, as applicable, of the 2006 IECC. TABLE 1-THERMAL RESISTANCE (R-VALUES) THICKNESS (inches) R-VALUE ('F.ft2.h/Btu) 1 7.4 1.2 8.8 1.5 11 2 14 3.5 24 4 27 5.5 36 7.5 50 9.25 62 9.5 63 10 66 11.25 75 11.5 76 For SI: 1 inch = 25.4 mm; 1'F.ft2.h/Btu = 0.176 110'K.m2/W. R-values are calculated based on tested K-values at 1- and 4-inch thicknesses. RECORD COPY FORM R405-2014 FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Florida Department of Business and Professional. Regutation - Residential Performance Method Project Name: CSF1824 ENCAPSULATED Builder Name: OWNER / BUILDER Street: 1617 it44GNOLM AVENUE Permit OHise SANFORD City, State, Zip: SANFORD. FL. 32771 Permit Number: 15-1703 # 5 1 7 0 3 Owner: BETTY SIEBERT Jurisdiction: 691500 Design Location: FL, Sanford County:: SEMINOLE (Florida Climate Zone 2 ) 1. New construction or existing New (From Plans) 9. Wall Types (2064.2 sqft.) Insulation Area 2. Single family or multiple family Single-family a. Frame - Wood, Exterior R=13.0 1983.30 ft2 b. Frame - Wood, Adjacent R=13.0 80.83 ft2 3. Number of units, if multiple family 1 c. NIA R= ft2 4. Number of Bedrooms 2 d. N/A R= ft2 5. Is this a worst case? No 10. Ceiling Types (1824.0 sgft.) Insulation Area a. Roof Deck (Unvented) R=20.0 1824.00 ft2 6. Conditioned floor area above grade (tt2) 1624 b. WA. R= ft2 Conditioned floor area below grade (ft2) 0 c. R= ft2 11.Ouctcts R ft2 7. Windows(447.7 sgft.) Description Area a. Sup: Attic, Ret: Attic, AH: Garage 6 364.8 a. U-Factor: Sgl, U=0.34 431.67 ft2 SHGC: SHGC=0.31 b. U-Factor: Sgl, U=0.50 16.00 ft2 12. Cooling systems kBtu/hr Efficiency SHGC: SHGC=0.50 a. Central Unit 34.2 SEER:15.00 c. U-Factor: N/A ft2 SHGC: 13. Heating systems kBtu/hr Efficiency d. U-Factor: N/A ft2 a. Electric Heat Pump 34.2 HSPF:8.50 SHGC: Area Weighted Average Overhang Depth: 9.670 ft. Area Weighted Average SHGC: 0.317 14. Hot water systems a. Natural Gas Tankless Cap: 1 gallons 8. Floor Types (1824.0 sgft.) Insulation Area EF: 0.870 a. Slab -On -Grade Edge Insulation R=0.0 1824.00 ft2 b. Conservation features b. N/A t>r I2 15one c. N/A R= ft2 15. Credits CF, Pstat Glass/Floor Area: 0.245 Total Proposed Modified Loads: 50.71 PASSTotalBaselineLoads: 54.63 I hereby certify that the plans and specifications covered by Review of the plans andSTgTC. this calculation are in compliance with the ida Energy specifications covered by this y " ._ $ Code. calculation indicates compliance y i,, ; _ ,-';a < le with the Florida Energy Code.r'• 10PREPAREDBY: Before construction is completed a ?4i v DATE: "2 \ t_. this building will be inspected for t9 l f a I hereby certify that this building, as designed, is in compliance compliance with Section 553.908 Florida Statutes. with the Florida Energy Code. OD WE'i OWNER/AGENT- BUILDING OFFICIAL: -- DATE: DATE: 5! - S IS Compliance requires certification by the air handler unit manufacturer that the air handler enclosure qualifies as certified factory -sealed in accordance with R403.2.2.1. Compliance requires an Air Barrier and Insulation Inspection Checklist in accordance with R402.4.1.1 and an envelope leakage test report in accordance with R402.4.1.2. MASI% SANFORD SPARTn'% 5/2/2016 2:26 PM EnergyGauge® USA - FtaRes2014 Section R405.4.1 Compliant Software Page 1 of 5 Revision Response to Comments City of Sanford REr -= r T- , Building.& Fire Prevention Division Ph: 407.688.5150 Fax. 407.688.5j52AUG172015Email: building@sanfordfl.gov BY: Permit # SUbmiffal Date Project Address: Contact- Ph: 21? Ph: 197- — 3 6 0 Fax. - Email: .r/'4-j2-r? *2- @ 1.p0., r f h C7 e Trades encompassed in revision: . Building Plumbing Electrical Mechanical Life Safety Waste water General description of revision: f oh JS7 por MA fio '? ROUTING R ORMkTION Department Approvals Utilities Waste Water Planning Engineering Fire Prevention 13 Building µsal f um CITY OF SANFORD BUILDING AND FIRE PREVENTION DIVISION 300 N. PARK AVENUE SANFORD,, FLORIDA 32772 PHONE: 407.688.5150 FAx: 407.688.5152 PLAN REVIEW COMMENTS Application Number: 15-1703 Date: June 15, 2015 Contact Person: Betty Siebert Contact Phone Number: 407-929-3630 Contact Fax Number: Contact E-mail Address: Siebert942(a,earthlink.net Project Description: New SFR Job Address: 1617 Magnolia Ave The following is a list of the areas of the submitted plans that contained violations of the codes adopted by the City of Sanford and enforced by the Building Division. The violations noted must be addressed before the plans can be approved. Changes to plans shall be submitted on the same size format as the original submittal. Changes to construction documents that require an Architect or Engineer's seal must be submitted with the appropriate seal. Provide two copies of affected plan sheets and/or supplemental information as requested. Any plan pages required to be revised must be inserted into the submitted set of plans by the permit applicant when submitting the answer to comments. COMMENTS: I. The jurisdiction number is incorrect on the Energy Calculations form. The correct jurisdiction is 691500 FBC 107, Florida Energy Conservation Code 103.2.1.1.2 2. The permitting office listed on the Energy Calculations Form is incorrect. The correct permitting office is Sanford, not Seminole County. FBC 107, Florida Energy Conservation Code 103.2.1.1.2 3. The R-value for the Attic (Roof Deck) area is listed as 0 on the Energy Calculations Form. Please list the correct R-Value that will be used and revise the calculations accordingly. FBC 107, Florida Energy Conservation Code 103.2.1.1.2 4. The Hot Water System is listed as Electric on the Energy Calculations. A Natural Gas water heater is being installed on the home. Please revise the calculations accordingly. FBC 107, Florida Energy Conservation Code 103.2.1.1.2 5. The Energy Calculations are required to be signed and dated by the owner/agent. FBC 107, Florida Energy Conservation Code 103.2.1.1.2 6. The EPL Card is required to be filled out by the owner/agent. FBC 107, Florida Energy Conservation Code 103.2.1.1.2 t ? e ck .2a 7. Please provide two (2) copies of an [CC Evaluation Report for the Spray Foam insulation that will be installed in the attic area. FBC 107, FBC Residential section R316 8. Please provide two (2) copies of the manufacturer's installation information for the gas appliances (grill, fireplace, water heater) to verify code compliance and venting requirements. FBC 107, FBC Residential G2431.1 9. The shut off valves for each gas appliance is required to be located in the same room as the appliance and within 6 feet of the appliance. Please revise the gas page of the plans. FBC 107, FBC Residential G2420.5.1 10. Please label all receptacles that require GFCI protection as such on the Electrical page of the plans kitchen, garage). FBC 107, NEC 210.8(A) 11. At least 1 receptacle, GFCI protected, is required at the kitchen island. Please show on Electrical Plan. FBC 107, NEC 210.52(C)(2) 12. A smoke detector and carbon monoxide detector, or combo unit, is required within 10 feet outside of each bedroom. Please show on the Electrical Plan. FBC 107, FBC Residential R314.3 & R315.1 QiPlease provide two (2) copies of an electrical load calculation for the home in accordance with NEC cle 220. See NEC section 220.16(A) FBC 107 14. Please provide a note on the Electrical Plan stating all receptacles must be tamper -resistant. FBC 107, NEC 406.11 15. Please provide the scale used on each set of applicable plan pages FBC 107 16. Please provide an engineered method of attaching the new condensing unit to the concrete pad that will meet wind loads as required by FBCR M 1307.2.1. This can either be on the plans or on a separate sheet of paper, signed and sealed. FBC 107 17. Please provide two (2) copies of a truss layout from the truss engineer. FBC 107, FBC 2303.4.2 18. Please revise the truss layout and truss id's on the plans to match the truss layout from the truss engineer. FBC 107 19. Please provide a conventional roof framing detail for the front entry roof framing. FBC 107, FBC 2308.10 20. Please provide a square footage calculation for the home on the floor plan page of the plans. FBC 107 2- 21. The header design for the exterior openings and interior bearing walls does not comply with FBC 2308.9.5.1. Headers shall be of two pieces nominal 2-inch lumber, set on edge, and nailed together in accordance with FBC Table 2304.9.1. Boxed headers do not meet this requirement. FBC 107 22. The header straps must be installed vertically, not on an angle. Half of the required nails for each strap are required to be attached to the header and the other half of the nails attached to the jack stud to achieve the loads set by Simpson Strong Tie. Please revise any header strapping details. FBC 107, Simpson Strong Tie Incomplete Plan Review. A structural plan review cannot be completed based on the missing information. Any error or omission in this plan review shall not be construed to grant approval of any violation of any of the adopted codes or municipal ordinances of this jurisdiction. Please direct any questions you may have to Steve Fiorey at 407-688-5065 or by E-mail at steve.fiorey(asanfordfl.gov . Respectfully, Steve Fiorey Residential Plans Examiner 3- ANDREW KUTZ ARCHITECT AR0006491 20191OUTH PARK AVEAUE JAMORD, FLORIDA 32771 407) 415-6554 Andrew.kutz@gmail.com July 9, 2015 City of Sanford Building Department Attn: Steve Fiorey (407 688-5065) (steve.fiorevnasanfordfl.gov Application 15-1703 Project Description: Single Family Residence Project Address: 1617 Magnolia Ave. PLAN REVIEW COMMENTS WITH RESPONSES 1. The jurisdiction number is incorrect on the Energy Calculations form. The correct jurisdiction is 691500FBC 107, (Florida Energy Conservation Code 103.2.1.1.2) Response: A corrected Form has been attached 2. The permitting office listed on the Energy Calculations Form is incorrect. The correct permitting office is Sanford, not Seminole County. (FBC 107, Florida Energy Conservation Code 103.2.1.1.2) Response: A corrected form has been attached 3. The R-value for the Attic (Roof Deck) area is listed as 0 on the Energy Calculations Form. Please list the correct R-Value that will be used and revise the calculations accordingly. (FBC 107, Florida Energy Conservation Code 103.2.1.1.2) Response: The minimum acceptable R value has been shown on the attached corrected Energy Calculations. 4. The Hot Water System is listed as Electric on the Energy Calculations. A Natural Gas water heater is being installed on the home. Please revise the calculations accordingly. (FBC 107, Florida Energy Conservation Code 103.2.1.1.2) Response: The energy calculations have been revised and updated. w 5. The Energy Calculations are required to be signed and dated by the owner/agent. FBC 107, Florida Energy Conservation Code 103.2.1.1.2) Response: Energy calculations signed and dated by the owner are attached 6. The EPL Card is required to be filled out by the owner/agent. (FBC 107, Florida Energy Conservation Code 103.2.1.1.2) Response: The filled out card signed by the owner is attached 7. Please provide two (2) copies of an ICC Evaluation Report for the Spray Foam insulation that will be installed in the attic area. (FBC 107, FBC Residential section R316) Response: The Insulation subcontractor will provide the applicable spec sheets 8. Please provide two (2) copies of the manufacturer's installation information for the gas appliances (grill, fireplace, water heater) to verify code compliance and venting requirements. (FBC 107, FBC Residential G2431.1) Response: the applicable cut sheets have been provided by the owner 9. The shut off valves for each gas appliance is required to be located in the same room as the appliance and within 6 feet of the appliance. Please revise the gas page of the plans. (FBC 107, FBC Residential G2420.5.1) Response: Shut off valves have been relocated on the gas plumbing drawing. 10. Please label all receptacles that require GFCI protection as such on the Electrical page of the plans (kitchen, garage). (FBC 107, NEC 210.8(A) ) Response: GF outlets have been identified on the electrical plan 11. At least 1 receptacle, GFCI protected, is required at the kitchen island. Please show on Electrical Plan. (FBC 107, NEC 210.52(C)(2)) Response: GF outlets have been added to the island 12. A smoke detector and carbon monoxide detector, or combo unit, is required within 10 feet outside of each bedroom. Please show on the Electrical Plan. (FBC 107, FBC Residential R314.3 & R315.1) Response: Combination smoke / carbon monoxide detectors have been added to the electrical plan, 13. Please provide two (2) copies of an electrical load calculation for the home in accordance with NEC article 220. (See NEC section 220.16(A) FBC 107) Response: Subcontractor load calculation is attached 14. Please provide a note on the Electrical Plan stating all receptacles must be tamper - resistant. (FBC 107, NEC 406.11) Response: A note has been added to the electrical plan 15. Please provide the scale used on each set of applicable plan pages FBC 107 Response: Drawings have had the scale noted where not previously included. 16. Please provide an engineered method of attaching the new condensing unit to the concrete pad that will meet wind loads as required by FBCR M1307.2.1. This can either be on the plans or on a separate sheet of paper, signed and sealed. (FBC 107) Response: a note has been added to drawing 12 specifying the attachment 17. Please provide two (2) copies of a truss layout from the truss engineer. (FBC 107, FBC 2303.4.2) Response: Two copies of the truss layout from the truss engineer are attached 18. Please revise the truss layout and truss id's on the plans to match the truss layout from the truss engineer. (FBC 107) Response: The Architects truss drawing has been modified. 19. Please provide a conventional roof framing detail for the front entry roof framing. FBC 107, FBC 2308.10) Response: Conventional framing details have been added to drawing 8 20. Please provide a square footage calculation for the home on the floor plan page of the plans. FBC 107 Response: Square footages of the residence have been added to drawing 1 21. The header design for the exterior openings and interior bearing walls does not comply with FBC 2308.9.5.1. Headers shall be of two pieces nominal 2-inch lumber, set on edge, and nailed together in accordance with FBC Table 2304.9.1. Boxed headers do not meet this requirement. FBC 107 Response: The drawings have been modified to eliminate "box header" configuration 22. The header straps must be installed vertically, not on an angle. Half of the required nails for each strap are required to be attached to the header and the other half of the nails attached to the jack stud to achieve the loads set by Simpson Strong Tie. Please revise any header strapping details. FBC 107, Simpson Strong Tie Response: The header strap details have been modified. 23 Provide a grading Plan Response: A grading plan has been prepared and is attached A list of further changes to the drawing requested by the owner is attached for your aid in reviewing the drawings r uc i i CHANGES MADE TO THE DRAWINGS AT THE REQUEST THE OWNER 1 The front porch railing has been eliminated 2 The front porch floor finish has been changed from wood to stone veneer on the top surface and faces 3 The foundation at the sides of the porch has been set in 1 %2" each side to accommodate the stone veneer 4 All steps are to have stone veneer so the supporting concrete has been reduced to accommodate the stone veneer 3 The driveway has been reconfigured to provide a larger parking area and accommodate a future shed 4 A grading plan has been prepared consistent with these changes 5 The driveway has been changed to pavers on a "fines substrate" 6 Additional landscape lighting has been added to the electrical plan, and a stub -out for the future shed has been added 7 The concrete walkway along the south side of the home has been eliminated 8 Window sizes have all been modified slightly. Design pressures have been updated. 9 A circular window has been added just east of the kitchen door to the outside. Header / framing detail has been added to drawing 7. 10 Window 6 has been changed from a double sh window to a triple fixed glass slightly wider than the double window. The header requirement has been updated. 11 The skylights have been eliminated 12 The front door has been moved slightly and the style has been changed 13 The toilet in the guest bathroom has been relocated to another wall 14 Switched electrical outlets have been added to the front porch (GF) 15 The screen porch ceiling fan has been eliminated. 16 Elevated electric outlets have been added to the interior corners of the screen porch (GF) I ,=-VIDIU11 U Response to Comments 17 City of Sanford R.ECEYVED Building.& Fire prevention Division AUG 2 5 2015 Ph:407.6gg.5i50 pax.407.6gg.5152Email: buildin0sanfordfl.110v Permit#_l9::7` Submittal Date 2S Project Address.. Contact: .Q I:%• Pb: _ Fax. - Email: Crades encompassed in revision: . 40ding PIumbing Electrical Mechanical Life Safety Waste Water General description of revision: ROtTTiNG I woft"j IOx Department Approvals Utilities Waste Water Planning 3 Engineering Fire Prevention - Brailding 16/7 /YIgc NoLiA 01 1110pv; i -& /S-/7W 1. Sheet 1 of the plans show the vacuum sewer and alley in the wrong place. See markup sheet that shows the correct location of the 14' utility easement, 10' alley on adjacent lot and the vacuum sewer location. The sewer is located 93' west of the far eastern corner (set Iron & Cap #3382) of the lot. 2. Included in these comments is the survey with correction noted on the survey, grant of easement legal, and a copy of the subdivision plat PB1, PG78. 3. Sheet 15 shows a future shed being located on the utility easement and will need to be removed. 4. Please correct the plans and resubmit so utilities can sign off on permit. Sincerely Richard Blake 1 V v J GRANT OF EASEMENT THIS INDENTURE, made this day of dla A.D. 19 between H.W. S Irma Shannon Jr. of the County of SEMINOLE. and State of FLORIDA, parties of the first part, and CITY OF SANFORD, FLORIDA. a municipal N corporation, situated in Seminole County, Florida, party of the W second part; rn WITNESSETH, That parties of the first part, for and in o consideration of the sum of one dollar and other valuable m consideration to have in hand paid by party of the second paztb, receipt whereof is hereby acknowledged, have granted and o conveyed, and by these presents do grant and convey to piety, of the second part, it is successors, assigns, and licensees: a _ perpetual easement under, upon, and across the property situated in Sanford, Seminole County, Florida, more particularly described as: The East 14of the West 141.5' of Block B, Markham Park':Heights, PR 1, PC 78; further described as a 14' wide strip centered on the existing ROW adjacent on the South side of the property. for utility purposes, including specifically sanitary sewer, and for the installation, inspection, servicing, repair, maintenance, and replacement of all utilities now existing or hereafter to exist on said property, such easement including the right of free ingress and egress over and across said property for any of the purposes aforesaid, IN WITNESS WHEREOF, parties of the first part have hereunto set their hands and seals the day and year first above written. SIGNED, SEALED AND DELIVERED IN THE PRESENCE OF: J ! r STA OF FLORIDA COUNTY OF SEMINOLE, I HEREBY CERTIFY that on this day in the next above named N State and County before me, an officer duly authorized to administer oaths and take acknowledgements, personally appeared, H. i4. 1 'L-'%A to me well-known and known to me to be the individual I' descri in and who executed the foregoing easement, who acknowledged before me that / 1c./ executed the same as /r ,; free act and deed. IT — IN WITNE S WHEREOF. seal at )u--(Or County this 1 S,4 day of MY COMMISSION EXPIRES: oneumenury Tax rd. S • C) t I: da^:nb 6 Tart AL t: yKk 5c h,nola county By:`\_ O.G I havr hereunto set my hand d official Of r•-....lr State of t!'f ic(.; NOTARY PU LcF q. •v'• Y' r"'t Pudic sTA',E Cr rl PPIDA AT FARCE t O 9 0 kttI• :`s:o."• 0PIREs !!:. `n. t49! J KUlt. r•YERCMACE ,,.•'4.• .• n 00 0 rn rno M rn 0 OfZA 11 A, I ti so PxofErc of U'q zf mx 3j c A IN, lYd -e 17 fo Inc --CEN-T-P-At- 14. 4 2 r IL a F ft 7 '2 u s f C' 4bo or fO 4outCt ti 14 po.- 7. O-SITE BENCHMARK TOP OF WELL BOX ELEv=37.83 (HAV088) S 0 r\ca % A - ACC J cr, t C PLAT OF `BOUNDARY and TOPOGRAPHIC" SURVEY for BETTY 0. SIEBERT Legal Description Block B, MARKHAM PARK HEIGHTS, according to the plat thereof as recorded in Plat Book 1, Page 78, of the Public Records of Seminole County, Florida. SURVEY NOTES: 1) The street address of the above -described property is Magnolia Avenue 2) Only those utififies marked bq others or visible were located by this survey. 3) The above described property ties in Flood Zone X 4) Bearings shown hereon are based on the East RIW Line of Magnolia Avenue being Due North. 5) Elevations shown hereon are based on NAVD88 datum 6) This survey was completed on the ground on 7 March 2012. SURVEYOR'S CERTIFICATE This is to certify that this 'Boundary and Topographic Survey of the above -described property and the plat hereon delineated is an accurate representation of the same. I further certify that this survey meets the Minimum Technical standards set forth by the Florida Board of Surveyors and Mappers pursuant to Chapter 61 G17-06 of the Florida Administrative Code pursuant to Section 472.027 of the Florida Statutes. 7<Vkvi-- 69, KITNER SURVEYING R. BLAIR KITNER — P.S.M. No. 3382 P. 0. Box 823 — Sanford, Florida 32772- (407) 322-2000 Not valid without raised seal of Surveyor PROJ. NO. 12-63 Revi;nw 7Y. JResponsetoCommeG32015 Permit * / Sr Project Address: A0 Contact - Ph: Email: Trades encompassed in revision: . Building Plumbing Electrical Mechanical Life Safety Waste Water Submittal Date ec Q L Fax: City of Sanford Building_& Fire Prevention Division Ph: 407.688.5150 Fax: 407.688.5152 Email: building@sanfordfl.gov General description of revision: ROUTING INFORMATION Department Approvals Utilities Waste Water Planning Engineering Fire Prevention Building CITY OF SANFORD BUILDING AND FIRE PREVENTION DIVISION 300 N. PARK AVENUE SANFORD FLORIDA 32772 PHONE: 407.688.5150 FAx: 407.688.5152 PLAN REVIEW COMMENTS Application Number: 15-1703 Date: August 20, 2015 Contact Person: Betty Siebert Contact Phone Number: 407-929-3630 Contact Fax Number: Contact E-mail Address: Siebert942Qearthlink.net Project Description: New SFR Job Address: 1617 Magnolia Ave The following is a list of the areas of the submitted plans that contained violations of the codes adopted by the City of Sanford and enforced by the Building Division. The violations noted must be addressed before the plans can be approved. Changes to plans shall be submitted on the same size format as the original submittal. Changes to construction documents that require an Architect or Engineer's seal must be submitted with the appropriate seal. Provide two copies of affected plan sheets and/or supplemental information as requested. Any plan pages required to be revised must be inserted into the submitted set of plans by the permit applicant when submitting the answer to comments. COMMENTS: The product submitted for Spray Foam insulation at a thickness of 3.5 inches only provides an R-13 rating. A minimum R-20 is required. Either the product submitted can be applied thicker than 3.5 inches (which will completely encase the roof trusses) to a thickness of 6 inches or another product needs to be provided that will meet the minimum R-20 rating. Any error or omission in this plan review shall not be construed to grant approval of any violation of any of the adopted codes or municipal ordinances of this jurisdiction. Please direct any questions you may have to Steve Fiorey at 407-688-5065 or by E-mail at steve.fiorey@sanfordfl.gov . Respectfully, Steve Fiorey Residential Plans Examiner WEST FOR T1 POWER A( Fee 16 2016 Altamonte Springs, Casselberry, Longwood, Oviedo, Sanford, Seminole County, Winter Springs Date: February 16, 2016 Project Name: Siebert Residence Building Permit #: 15 - 1703 Project Address: 1617 S Magnolia Electrical Permit # In consideration for authorizing the appropriate utility company to energize the facility, we agree with and understand the following: I. This Tug/Pre-power application is valid only for one -and two-family dwellings. 2. The facility will not be occupied until a certificate of occupancy has been issued. 3. If the jurisdiction hereafter finds that the facility has been occupied before a certificate of occupancy has been issued, the jurisdiction will have the unilateral right to direct the utility to terminate electrical service without notice. Furthermore, we understand and agree that should the jurisdiction exercise such right, the jurisdiction will not be responsible for any damages or costs which may result from the exercise of such right. Also, in the event any third party claims damages from the exercise of such right, we agree to jointly and individually indemnify and hold harmless the jurisdiction from all such damages and costs, including attorney's fees. 4. Prior to pre -power, the building or structure shall be weather tight and secure. The electrical wiring in the area designated for pre -power shall be complete and in safe order. All electrical services associated with the area will be 100% complete unless specifically approved by the electrical inspector. 5. Interior electrical rooms shall be lockable, if electrical panels are in an area that cannot be locked by doors, the panels shall be equipped with a locking mechanism (approved by the AHJ). The licensed electrical contractor or his licensed representative shall hold the keys(s) for such access to electrical panels to prevent energizing circuits other than those that are safe. 6. This TUG/Pre-power approval is valid for a maximum of 180 days from date of approval. 7. If provided, the fire sprinkler system must be operational with water on the system prior to pre -power. 8. TUG approval is for service and outside GFCI outlets only. 9. Check with the local jurisdiction for fees associated with tugs. Betty J Siebert Print -Name of Ow ef/Tenant Signatur of Owner/Tenant JURISDICTION EMPLOYEE NAME: JURISDICTION: CALLED INTO: Rev. 3/27/07) T Thomas Wolfe of re of Gen. Contractor Gen. Contractor License # El. Contractor License # o Progress Energy o Florida Power and Light on _/ REQUEST FOR TUG & PREPOWER AGREEMENT ALL RESIDENTIAL PROPERTIES Altamonte Springs, Casselberry, Longwood, Oviedo, Sanford, Seminole County, Winter Springs Date: III 9 1(5 Project Name: S,,e_1),ef -f- Project Address: iyl!ac pli/2 Q.,l c . SnnTyrcP fit_ 3a Building Permit #: l 5— 1-1 d 3 Electrical Permit # In consideration for authorizing the appropriate utility company to energize the facility, we agree with and understand the following: 1. This Tug/Pre-power application is valid only for one -and two-family dwellings. 2. The facility will not be occupied until a certificate of occupancy has been issued. 3. If the jurisdiction hereafter finds that the facility has been occupied before a certificate of occupancy has been issued, the jurisdiction will have the unilateral right to direct the utility to terminate electrical service without notice. Furthermore, we understand and agree that should the jurisdiction exercise such right, the jurisdiction will not be responsible for any damages or costs which may result from the exercise of such right. Also, in the event any third party claims damages from the exercise of such right, we agree to jointly and individually indemnify and hold harmless the jurisdiction from all such damages and costs, including attorney's fees. 4. Prior to pre -power, the building or structure shall be weather tight and secure. The electrical wiring in the area designated for pre -power shall be complete and in safe order. All electrical services associated with the area will be 100% complete unless specifically approved by the electrical inspector. 5. Interior electrical rooms shall be lockable, if electrical panels are in an area that cannot be locked by doors, the panels shall be equipped with a locking mechanism (approved by the AHJ). The licensed electrical contractor or his licensed representative shall hold the keys(s) for such access to electrical panels to prevent energizing circuits other than those that are safe. 6. This TUG/Pre-power approval is valid for a maximum of 180 days from date of approval. 7. If provided, the fire sprinkler system must be operational with water on the system prior to pre -power. 8. TUG approval is for service and outside GFCI outlets only. 9. Check with the local jurisdiction for fees associated with tugs. Print Name of Owner/Tenant Signature f wner enant JURISDICTION EMPLOYEE NAME: JURISDICTION: CALLED INTO: Rev. 02/10/15) n tv— P IL Naine of Gen. Contractor Signature19f Gefr Contractor Gen. Contractor License # r, V,nnOS Print Name of El. Contractor Signatu of El. Contractor El. Contractor License # o Progress Energy o Florida Power and Light on / / CITY OF SANFORD DEC 21 HIS BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No. S - V% Documented Construction Value: S AM 01> Job Address: %G% i7%A,, 6 Historic District: Yes No Parcel ID: Residential Commercial Type of Work: New Addition Alteration Repair Demo Change of Use Move Description of Work: .-;7-1v S}.o Plan Review Contact Person: Title: Phone: Fax: Email: Property Owner Information Name Phone: Street: 41 :..:)1 AMA Resident of property? City, State Zip: t!q.i .mmo X1.1 iaR c3rhfiftir"niati on" Name 5 ka, ,AP*9.t/JS Phone: Street: //0/ r • Fax: City, State Zip: rLi/ State License No.: ACoY i Z Architect/Engineer Information Name: Phone: Street: Fax: City, St, Zip: E-mail: Bonding Company: Mortgage Lender: Address: Address: 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. 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. FBC 1053 Shall be inscribed with the date of application and the code in effect as of that date: 5"1 Edition (2014) Florida Building Code Revised: June 30. 2015 Permit Application fol 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 at the time of permit submittal. A copy of the executed contract is required in order to calculate a plan review charge and will be considered the estimated construction value of the job at the time of submittal. The actual construction value will be figured based on the current ICC Valuation Table in effect at the time the permit is issued, in accordance with local ordinance. Should calculated charges figured off the executed contract exceed the actual construction value, credit will be applied to your permit fees when the permit is issued. 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. Signature of Owner/Agent Date Signature of Contractor/Agent Date 5,I-e Ifle/lii Q/ac Print Owner/Agent's Name Print Contractor/Agent's N cam- l a -?-I - 15 Signature of Notary -State of Florida Date Date try Comm. 3018 f *: : d COMM • 0 ' 60 tlotddlfAatta r Ann. '..sn. Owner/Agent is Personally Known to Me orContractor/Agent is Personally Known to a or Produced ID Type of ID Produced ID Type of ID BELOW IS FOR OFFICE USE ONLY Permits Required: Building Electrical Mechanical Plumbing Gas Roof Construction Type: Occupancy Use: Flood Zone: Total Sq Ft of Bldg: Min. Occupancy Load: # of Stories: New Construction: Electric - # of Amps Plumbing - # of Fixtures Fire Sprinkler Permit: Yes No # of Heads Fire Alarm Permit: Yes No APPROVALS: ZONING: UTILITIES: ENGINEERING: COMMENTS: FIRE: WASTE WATER: BUILDING: Revised: June 30.2015 Permit Application Steve Richards' Air Conditioning & Heating, Inc. Residential & Commercial 1101 South Oak Avenue Sanford, FL 32771 STATE CERTIFIED FL LIC. #CAC043962 PH 407-463-6764 EMAIL srichardsair@yahoo.com PROPOSAL SUBMIT% D TO PHONE DATE f -70-- STREET 0/7 JOB NAME CITY, STATE and ZIP CODE JOB LOCATION 100, A ` 6 ,v ARCHITECT DATE OF PLANS JOB PHONE We hereby submit specifications and estimates for: We Propose hereb to furnish material and I or- complete and accordance with above specifications for the sum of: J v Dollars ($ Payment to be made as foil y w. All material is guaranteed to be a specified. All work to be completed in a workmanlike manner according to standard practices. Any alteration or deviation from above specifications involving extra costs will be executed only upon written orders, and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tomado and other necessary insurance. Our workers are fully covered by Workman's Compensation Insurance. Acceptance of Proposal — The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined above. Date of Acceptance: Authorized Signature. 1 Note, This proposal may be withdrawn by us if not accepted within days. SignaturAf Signature FM SCPA Parcel View: 36-19-30-509-OB00-0000 Page I of 2 C M%40 Johnson. CF,A Property Record Card PROPERTY Parcel: 36-19-30-509-0800-0000 APPRAISER Owner: SIEBERT BETTY O S&A,NOLBCOuNTy.r-Lo ickA Property Address: 1617 MAGNOLIA AVE SANFORD, FL 32771-3838 Parcel:36-19-30-509-OB00-0000 Property Address: 1617 MAGNOLIA AVE Owner: SIEBERT BETTY D Mailing: 1321 GRANT ST LONGWOOD, FL 32750 Subdivision Name: MARKHAM PARK HEIGHTS Tax District: SI-SANFORD Exemptions: DOR Use Code: 00-VACANT RESIDENTIAL ALL BLK B MARKHAM PARK HEIGHTS PB 1 PG 78 Taxes Value Summary 2016 Working Values 2015 Certil Values Valuation Method Cost/Market Cost/Mark( Number of Buildings 0 0 Depreciated Bldg Value Depreciated EXFT Value Land Value (Market) 25,116 25,116 Land Value Ag Just/Market Value 25,116 25,116 Portability Adj Save Our Homes Adj 0 0 Amendment 1 Adj 0 0 Assessed Value 25,116 25,116 Tax Amount without SOH: $ 2015 Tax Bill Amount $ Tax Estimator Save Our Homes Savings: Does NOT INCLUDE Non Ad Valorem Assessments Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund 25,116 0 Schools 25,116 0 City Sanford 25,116 0 SJWM(Saint Johns Water Management) 25,116 0 County Bonds 25,116 0 Sales Description Date Book Page Amount Qualified Vac/Imp WARRANTY DEED 2/1/2010 07336 1545 38,000 Yes Vacant QUITCLAIM DEED QUIT CLAIM DEED 12/1/2006 4/1/2006 06513 06196 0910 1452 100 100 No No Vacant Vacant QUIT CLAIM DEED 10/1/1986 01783 1783 100 No Vacant http://www.scpafl.org/ParceiDetaillnfo.aspx?PID=3619305090B000000 12/21/2015 CITY OF SANFORDlot5 BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: 3 Documented Construction Value: $ Job Address: 17 r 1 `' A'j e . Historic District: Yes No Parcel ID: • Zoning: Description of Work:. Title: Plan Review Contact Person: 7 S Jf Fax: ` • 3 2-3. 8S,-y E-mail: Phone: " • - Property Owner Information / Name o Act/ Phone: Street: Resident of property? City, State Zip: Contractor Information Phone: Name NG, INC 80u 1117 \% • 3 13 'g Street: L Ahd '-- P ,-- s Fax: r1 77L 1127 City, State Zip: ( 4U7) 323.7513 State License No.: Architect/Engineer Information Name: Street: City, St, Zip: Bonding Company: Address: Phone: Fax: E-mail: Mortgage Lender: Address: PERMIT INFORMATION Building Permit . Construction Type: No. of Stories: Square Footage: No. of Dwelling Units: Flood Zone: Electrical Plumbing' New Service — No. of AMPS: New Construction - No. of Fixtures: Mechanical (Duci layout required for new systems) Fire Sprinkler/Alarm No. of heads: i 44 Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that nt work or installation has commenced prior to the issuance of a permit and that all work will be performed tc meet standards of all laws regulating construction in this jurisdiction. I understand that a separate permi• must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, an( air conditioners, etc. OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work wit be done in compliance with all applicable laws regulating construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAlc 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. Signamm of owner/Agent Date Signature o ntractor/Agent Date Print owner/Agent's Name Print Contractor/Agent's Name Signature of Notary -State of Florida Date. Signature of Notary -State of Florida Date o•::iy MARTHA Y. HALL Commission # EE 139759 Expires February 1, 2016 ava aRnTm,Fdnftv== Q0,X$."19 Owner/Agent is Personally Known to Me or Contractor/Agent is K Personally Known to Me orProducedIDTypeofIDProducedIDTypeofID APPROVALS: ZONING: UTILITIES: WASTE WATER: COMMENTS: ENGINEERING: FIRE: BUILDING: Rev 11.08 Electrical Outfitters, Inc. Dove Builders 108 Lake Minnie Drive Sanford, Florida 32773 P.O. Box 749 Astor, Florida 32102 Ph: 407-947-0265 May 20, 2015 PROPOSAL RE: Siebert House City of Sanford We propose to furnish material & labor for the electrical wiring in accordance with the following scope of work: See Attached Wiring Schedule) Inclusions: Includes installation of light fixtures, connection of all equipment, temporary underground power and permit fees where required. All switches are of the decora type, white in color. All receptacles are of the standard type, white in color. Please note that receptacle locations & quantity may be inconsistent with the drawings. All work shall be completed in a workmanlike manner, according to standard practice, & in compliance with local & national electrical codes. All work is guaranteed for a period of 1 year, from final electrical inspection, according to our standard warranty terms. Exclusions: Does not include light fixtures or lamps. Nor does it include main electrical service exterior or interior, appliances, bath fans, venting, HVAC control wiring, paddle fans, secondary services from Power Company's transformer to residence service, or Power Company charges/fees. Price: We offer to perform the above -described work for the sum of $10,110.00, state sales tax included in price. Option: 200 AMP 120/240V single phase service tug and interior service cable $1,000.00 Option: Secondary service per site print $800.00 Terms: 10% due at underground, 70% due at completion of rough in, balance due upon final completion. Electrical Outfitters, Inc. This proposal is valid for 30 days. Troy L. Daugherty Executed , 2015 ER-13014433 Electrical Outfitters, Inc. P.O. Box 749 Astor, Florida 32102 Ph: 407-947-0265 May 20, 2015 Siebert House 18 Ceiling light outlet, interior 7 Ceiling light outlet, exterior 9 Wall light outlet, interior 4 Wall light outlet, exterior 0 Flood light outlet (fixture not included) 18 Recessed light outlet 6 Under cabinet light outlet fixture not included) 3 Paddle fan/light outlet (paddle fan not included) 3 Paddle fan/light installation 2 Bath fan outlet only (Bath fan & venting not included) 4 Smoke detector 120V AC w/battery back up 34 S.P. switch, decora 12 3 way switch, decora 14 Dimmers, decora 58 Duplex receptacle 10 Weatherproof duplex receptacle 1 Garage door opener receptacle with low voltage wiring 1 Disposal circuit 20A 120V 1 Dishwasher circuit 20A 120V 1 Refrigerator circuit 20A120V 1 Microwave circuit 20A 120V 1 Microwave installation 1 Washer circuit 20A 120V 1 GAS Dryer outlet 120V 1 Range/oven circuit 40A 120/240V 1 GAS water heater outlet 120V 1 7.5 KW AHU circuit 45 amp 240 volt 1 4 ton CU circuit 40 amps 240V 0 200 amp single phase underground service 4 Telephone prewire with jack 4 TV outlet without jack The following fixtures are included, complete with lamp: 18 65-watt incandescent recessed white baffle down light 4 60-watt key less lamp holder (attic) Continue on page #3 ER-13014433 Electrical Outfitters, Inc. P.O. Box 749 Astor, Florida 32102 Ph: 407-947-0265 Page #3 Special Notes: Exclusions Not included Decorative fixtures and paddlefans Sump pump wiring Secondary Services from Power Company's transformer Secondary service by others) As Built Landscape lighting Lighting controls Surge protection OPTIONS: Fixture packaee allowance: $6,300.00 Paddle fan Packaze allowance: $3,000.00 Security System packaze: $3, 000.00 200 AMP 1201240V 1 phase service, interior panel and cable $1,000.00 Empty secondary service from transformer to meter base $800.00 NOTE. Service cable is Aluminum and home will be wired to residential code, no conduit ER-13014433 0 7MAY EIV lam" 4 2 0 2015 CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: Documented Construction Value: $_ NN $2. Job Address: lloVZ Historic District: Yes No 9" Parcel ID:, - - O- O &D Zoning: _' R - 1A Description of Work: Plan Review Contact Person: Phone: q01 - C a - 3 Fax: Title: - - - - - o E-mail: Property Owner Information e-be'.- 'I- 4 4(1, V eAr`h ill k . 7 pNamerfPhone: as'- & 6 Street: f Resident of property?: 4) 62 4 City, State Zip:'Id/1C) cl .3C275 jo of rAC-re I r Information Name Street; City, 5 Arcnitecvtnglneer Information Name: 4 dr_fj W ku fZ Street: City, St, Zip: Sl n P®ncl X-1 _ 22771 77/ Bonding Company: Address: Building Permit Square Footage. 3y 2y Phone: ! ' 4' Z Y 5. - V1,5,5Y- Fax: E- mail: A ku'Tz AFL. - RR -cm Mortgage Lender: A1,Q12PAddress: PERMIT INFORMATION instruction Type: Yg f;3 No. of Stories: No. of Dwelling Units: I Flood Zone: rs . . Electrical 1 Plumbing New Service - No. of AMPS: Z 0 0 New Construction - No. of Fixtures: Mechanical ( Duct layout required for new systems) Fire Sprinkler/Alarm No. of heads: _ eft s i •' Shall be inscribed with the date of application and the code in effect as of that date (Code 2010 FBC) 731.135(5)(6) Florida Statutes. REV 07.14 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 er/Agent Date Print tOOwner/ gent's Name l . 1`111 5 1 av C I S Signature f Notary -State of Florida Date APRILM.IOIIGF{r R' MY COMMISSION 1 EE 1Decem55239 Band NatPu06o U1ndenrtUena Owner/Agent is Personally Known to Me or Produced ID Type of ID APPROVALS: ZONING: Z '.S'y`' UTILITIES: ENGINEERING: ATC g•Z'l FIRE: COMMENTS: Signature o Co ctor/Agent Date cs PrintContract(Agent's Name l 2:0 4 1 L___ 51-J15 Signatur of Notary -State of Florida Date APRILM.KNIGW MY COMMISSION 1 EE 155239 EXPIRES: December 21, 2015 Banded Ttau Notary Public undenrAler Contractor/Agent is VPersonally Known to Me or Produced ID Type of ID WASTE WATER: BUILDING: - 6 For ++,e SR 1A 2on 6 six-t . 5cr'E C 2RDtQG j L.v tx) 2EQ(JIQ4e;>. 0& co t55UI8JG 43vtt.1 I06 ft"J-r Shall be inscribed with the date of application and the code in effect as of that date (Code 2010 FBC) 731.135(5)(6) Florida Statutes. REV 07.14 OWNER BUILDER STATEMENT/AFFIDAVIT Altamonte Springs, Casselberry, Lake Mary, Longwood, Oviedo, Sanford, Seminole County, Winter Springs Florida Statutes are quoted here• in part for your information to indicate the authority for exemptions for homeowners from qualifying as contractors and to express any applicable restrictions and responsibilities. OWNERS MUST PERSONALLY APPEAR AT THE BUILDING DIVISION TO SIGN THIS DOCUMENT BY SIGNING THIS STATEMENT, I ATTEST THAT: (Initial to the left of each statement) I understand that state law requires construction to be done by a licensed contractor and have applied for an owner -builder permit under an exemption from the law. The exemption specifies that I, as the owner of18.k the property listed, may act as my own contractor with certain restrictions even though I do not have a license. p I understand that building permits are not required to be signed by a property owner unless he or she is responsible for the construction and is not hiring a licensed contractor to assume responsibility. I understand that, as an owner -builder, I am the responsible party of record on a permit. I understand that I may protect myself from potential financial risk by hiring a licensed contractor and having the permit filed in his or her name instead of my own name. I also understand that a contractor is required by law to be licensed in Florida and to list his or her license numbers on all permit and contracts. I understand that I may build or improve a one -family or two-family residence or a farm outbuilding. I may also build or improve a commercial building if the costs do not exceed $75,000. The building or residence must be for my own use or occupancy. It may not be built or substantially improved for sale or lease. If a building or residence that I have built or substantially improved myself is sold or leased within in 1 year after the construction is complete, the law will presume that I built or substantially improved it for sale or lease, which violates this exemption. 1I i7 I understand that, as the owner -builder, I must provide direct, onsite supervision of the construction. I understand that I may not hire an unlicensed individual person to act as my contractor or to supervise persons working on my building or residence. It is my responsibility to ensure that the persons whom I employ have the licenses required by law and by city ordinance. I understand that it is a frequent practice of unlicensed persons to have the property owner obtain an owner -builder permit that erroneously implies that the property owner is providing his or her own labor and materials. I, as an owner -builder, may be held liable and subjected to serious financial, risk for any injuries sustained by an unlicensed person or his or her employees while working on my property. My homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an owner - builder and am aware of the limits of my insurance coverage for injuries to workers on my property. Q n I understand that I may not delegate the responsibility for supervising work to a licensed contractor who is 7a i not licensed to perform the work being done. Any person working on my building who Is not licensed must work under my direct supervision and must be employed by me, which means that I must comply with laws requiring the withholding of federal income tax and social security contributions under the Federal Insurance Contributions Act (FICA) and must provide workers' compensation for the employee. I understand that my failure to follow these laws may subject me to serious financial risk. Rev. 9.14.2009 g I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all applicable laws and requirements that govern owner -builders as well as employers. I also understand that the construction must comply with all applicable laws, ordinances, building codes, and zoning regulations. J I am of aware of construction practices and I have access to the Florida Building Codes. I understand that I may obtain more information regarding my obligations as an employer from the Internal Revenue Service, the United States Small Business Administration, the Florida Department of Financial Services, and the Florida Department of Revenue. I also understand that I may contact the Florida Construction Industry Licensing Board at 1-850487-1395 or at www.myflorida.com/dbpr/pro/cilb/ for more information about licensed contractors. I am aware of, and consent to, an owner -builder building permit applied for in my name and understand that I am the party legally and financially responsible for the proposed construction activity at the address listed below. g• I agree to notify the building department immediately of any additions, deletions, or changes to any of the information that I have provided on this disclosure or in the permit application package. Licensed contractors are regulated by laws designed to protect the public. If you contract with a person who does not have a license, the Construction Industry Licensing Board, the Department of Business and Professional Regulation and the building department may be unable to assist you with any financial loss that you sustain as a result of a complaint. Your only remedy against an unlicensed contractor may be in civil court. It is also important for you to understand that, if an unlicensed contractor or employee of an individual or firm is injured while working on your property, you may be held liable for damages. If you obtain an owner -builder permit and wish to hire a licensed contractor, you will be responsible for verifying whether the contractor is property licensed and the status of the contractor's workers' compensation coverage. Property Address: 161 I, do hereby state that I am qualified and capable of erforming the requested construction involved with the permit application filed and agree to the conditions specified above. Signature of Form of Identification Must be Photo ID) Date A violation of this exemption is a misdemeanor of the first degree punishable by a term of imprisonment not exceeding 1 year and a $1,000.00 fine in addition to any civil penalties. In addition, the local permitting jurisdiction shall withhold final approval, revoke the permit, or pursue any action or remedy for unlicensed activity against the owner and any person performing work that requires licensure under the permit issued. Rev. 9.14.2009 61 FT MAY 2 0 2015 CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: Documented Construction Value: $7e2n Job Address: !/ Historic District: Yes No ( Parcel ID• -/ - - - O- O w Zoning: Description of Work: Plan Review Contact Person: Phone: L 01 - ' 1 aR- 3103 -0 Fag: Title: E- mail: Property Owner Information >%e-be,,.- *r 4 4 & ° eAr-Th i- k Name "' -+ r Phone: Street: t Resident of property? : -V462 41 City, State Zip: c 7510 r J GboJ- TAG, r InformationnD Rq _, M-, Name Street: JQ City, State Architect/ Engineer Information ot <<'doJ bu c.a Name: Czr rj «j k" fZ Street: At: K me City, St, Zip: n -Ab al %/ _ _ ?2 77% Bonding Company: Address: Phone: y& Z '' Z-5 - 0/ 55'Y Fag: E- mail: TZ AFL , RRr CAm MortgageLender: AXO r1 P Address: PERMIT INFORMATION Building Permit 0 Square Footage: Construction Type:/. ,P"(2 No. of Stories: f No. of Dwelling Units: I Flood Zone: X Electrical New Service - No. of AMPS: 200 Plumbing New Construction - No. of Fixtures: Mechanical (Duct layout required for new systems) Fire Sprinkler/Alarm No. of heads: W AI,_ Shall be inscribed with the date of application and the code in effect as of that date (Code 2010 FBQ 731.135(5)(6) Florida Statutes. REV 07. 14 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 IlVIPROVEMENTS 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 1planreviewfeebasedonpastpermitactivitylevels. Should calculated charges exceed the documented J construction value when the executed contract is submitted, credit will be applied to your permit fees when the permit is released. Signature off J er/AAg' ient Date L /TC., QJ2 h / Print tOOwner/ gent's Name l 9-n t" . 1`—\ 5 1 1 Signaturebf Notary -State of Florida Date APRILKOWIT MY COMMISSION 0 EE 155239 EXPIRES: December 21, 20% d Bwed Tlw Nate r pda Urdawr8as Owner/Agent is Personally Known to Me or Produced ID Type of ID APPROVALS: ZONING: Z-I.SUTILITIES ENGINEERING: A<<- 5'7-1"15 FIRE: 02/ signature o Co ctor/Agent Date c Print Contract /Agent's Name L S I,-U((5 Signatur of Notary -State of Florida Date t jjrr APNL M. a lGK MY COMMISSION 0 EE 155239 EXPIRES: December21.2015 Jp 4'' - Bonded Ttru Nolary Pubk Undeiw . AV Contractor/ Agent is VPersonally Known to Me or Produced ID Type of ID 00-- 7b-16' WASTEWATER: BUILDING: COMMENTS: is . MeekCrec, C)I; r n . c -:, + sR son; asirxA . 5 2°t t V G L'1 2E v I E L C'o 155 I N t Q2 ,p tv u G q 3v11.1 1uG "R 11 Shall be inscribed with the date of application and the code in effect as of that date (Code 2010 FBC) 731.135(5)(6) Florida Statutes. T REV 07.14 City of Sanford Building and Fire Prevention Division 300 N. Park Ave Sanford, FL 32772 2015 Residential Permit Fee Calculation Form Effective August 2015 - February 2016 BP# 15-1703 1617 Magnolia Ave Type of Construction: V V-B SQUARE FOOTAGE OF RESIDENCE LESS GARAGE: •' 2876 s uare feet SQUARE FOOTAGE OF GARAGE ONLY: 548 s uare feet SQUARE FOOTAGE OF GARAGE AND RESIDENCE: 3424 s uare feet Dollar Valuation of Work: 348,444.52 State Fee: 106.65 Permit Fee 2,483.00 Application Fee: F 25.00 Plan Review Fee: 1,047.00 Total Building Permit Fees: 3 661.65 Square footage of Residence includes all floor space - porches, attached accessory structures Permit #: 1 S- 1703 Address: 1617 Magnolia Ave Structure Information Construction Type: VB Occupancy Type: R3 Roof Type: Asphalt Shingle Flood Zone: None Number of Stories: 1 Number of Bathrooms: 2 Square Footage: 3424 Plumbing Fixtures: 16 Fire Sprinkler System: No Fire Alarm: No Occupant Load: 18 Plumbing Fixture Calculation 15-1703 1617 Magnolia Ave Bath Tubs 1 Sinks 1 Drinking Fountain Solar Piping Disposal 1 Soda Fountain Dishwasher 1 Urinals Floor Drain Vacuum Breakers 1 Sewer Connection 1 Washing Machines 1 Ice Maker 1 Water Closets 2 Laundry Tubs 1 Water Heaters 1 Lavatories 2 Water Piping 1 Pool Piping Water Softener Showers 1 Total Plumbing Fixtures - 16 d'I 1s City of Sanford Planning and Development Services Engineering — Floodplain Management Flood Zone Determination Request Form Name: 1Ip M CPkSe0 Firm: P&1JF-'EU(L.0tMS aCaJ-0eAL FL Address: 166 Li<. 04--t N a o l 6_ D2 . City: 'skN 6 State: Zip Code: 3277 3 Phone: - 41(i - ZS 3 Fax: Email: '%OwtC (R J0U65y1LAc-tS . eew Property Address: Property Owner: E l T`i S (E 8 al T Parcel identification Number: '3& - (01- 30 -5 09 b 300 - 00co Phone Number: 40-1-92q - SG50 Email: S IESEI1 i q4Z (4* EjMi14UQK.AUF-T The reason for the flood plain determination is: j 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: tJ 1pr Datum: N! FIRM Panel Number: 120'ZR4 60l0 IF Map Date: q - 2$- ZOO-1 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 0 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: V-Ak V-E CPC5 4 Date: S -Z%- ZO I S SCPA Parcel View: 36-19-30-509-OB00-0000 Page 1 of 2 CSgmvkr JCA'WiW0f%, Crrn Property Record Card PROPERTY Parcel: 36-19-30-SO9-0600-0000 APPRAISER Owner: SIEBERT BETTY D WWO14OOUNrV. m"VDA Property Address: 1617 MAGNOLIA AVE SANFORD, FL 32771-3838 I Parcel:36-19-30-S09-OB00-0000 I Property Address: 1617 MAGNOLIA AVE Owner: SIEBERT BETTY 0 Mailing: 1321 GRANT ST LONGWOOD, FL 32750 Subdivision Name: MARKHAM PARK HEIGHTS Tax District: Sl-SANFORD Exemptions: DOR Use Code: 00-VACANT RESIDENTIAL Value Summary 2015 Working 2014 Certified Values Values Valuation Method I Cost/Market Cost/Market Number of Buildings 0 r0 Depreciated Bldg Value Depreciated EXFT Value Land Value (Market) I ;25,116 ;25,116 Land Value Ag Just/ Market Value ' 25, 116 ;25,116 Portability Ad] Save Our Homes Adj 0 ~ ;0 Amendment 1 Adj 0 ;0 Assessed Value 25,116 $25,116 Tax Amount without SOH: ;SOO.1S 2014 Tax Bill Amount $500.15 Tax Estimator Save Our Homes Savings: $0.00 Does NOT INCLUDE Non Ad Valorem Assessments Legal Description ALL BLK B MARKHAM PARK HEIGHTS PB 1 PG 78 Taxes Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund Schools City Sanford + - - — - — SJWM( Saint Johns Water Management) County Bonds 25, 116 i 25, 116 i 2S, 116 25, 116 25, 116 ' 0 i 0 0 0 ' 25, 116 25, 116 25, 116 25, 116 25, 116 Sales Description Date Book Page Amount Qualified Vac/Imp WARRANTY DEED 2/t/2010 QUIT CLAIM DEED _ - 12/1/2006 QUIT CLAIM DEED 4/1/2006 QUIT CLAIM DEED 10/1/1986 07336 06513 06196 01783 1545 0910 1452 1783 i 1 38, 000 100 100 100 Yes No No No Vacant Vacant - l Vacant Vacant Find Comparable Sales within this Subdivision Land Method Frontage Depth Units Units Price Land Value FRONT FOOT & DEPTH 120 120 0 230.00 25,116 Building Information Permits http:// scpafl.org/ParceiDetailInfo.aspx?PID=3619305090B000000 5/18/2015 s _ i-)a3 COUNTY OF SEMINOLE IMPACT FEE STATEMENT J 2 STATEMENT NUMBER: 15100001 DATE: May 06, 2015 BUILDING APPLICATION #: 15-10000176 BUILDING PERMIT NUMBER: 15-10000176 UNIT ADDRESS: MAGNOLIA AVE., 1617 36-19-30-509-OB00-0000 TRAFFIC ZONE:022 JURISDICTION: SEC: TWP: RNG: SUF: PARCEL: SUBDIVISION: TRACT: PLAT BOOK: PLAT BOOK PAGE: BLOCK: LOT: OWNER NAME: ADDRESS: APPLICANT NAME: SIEBERT, BETTY D., ADDRESS: 1321 S. GRANT ST. LONGWOOD FL 32750 LAND USE: SINGLE FAMILY DETACHED TYPE USE: WORK DESCRIPTION: CITY-SANFORD SPECIAL NOTES: 1617 MAGNOLIA AVE. LOT B-O/SFR DETACHED MARKHAM PARK HEIGHTS FEE BENEFIT RATE UNIT CALC UNIT TOTAL DUE TYPE DIST SCHED RATE UNITS TYPE ROADS-ARTERIALS CO -WIDE ORD Single Family Hou ing ROADS COLLECTORS N7A 705.00 1.000 dwl unit 705.00 Single Family FIRE RESCUE Hou/Ang 00 1.000 dwl unit 00 LIBRARY CO -WIDE ORD 00 Single Family Housing 54.00 1.000 dwl unit 54.00 SCHQOLS CO -WIDE ORD Single Family Hou&iAng 5,000.00 1.000 dwl unit 5,000.00 PA LAW ENFORCE N/A 00 DRAINAGE N/A 00 00 AMOUNT DUE 5,759.00 STATEMENT RECEIVED BY: e T / 1 SIGNATURE: PLEA(PLEAS4 PRINT NAME) .{' ' V— l / DATE: `J — 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** n C1 PERSONS ARE ADVISED THAT THIS IS A STATEMENT OF FEES DUE UNDER THE SEMINOLE COUNTY ROAD FIRE/RESCUE, LIBRARY AND/OR EDUCATIONAL \ VISSUANCEOFABUILDINGPERMIT. " 1PERSONSAREALSOADVISEDTHATANYRIGHTSOFTHEAPPLICANT, OR OWNER, OTOAPPEALTHECALCULATIONOFANYOFTHEABOVEMENTIONEDIMPACTFEES MUST BE EXERCISED BY FILING A WRITTEN REQUEST WITHIN 45 CALENDAR DAYS OF THE RECEIVING SIGNATURE DATE ABOVE BUT NOT LATER THAN CERTIFICATE OF OCCUPANCY OR OCCUPANCY. THE REQUEST FOR REVIEW MUST MEET THE REQUIREMENTS OF THE COUNTY LAND DEVELOPMENT CODE. COPIES OF RULES GOVERNING APPEALS MAY BE PICKED UP OR REQUESTED, FROM THE PLAN IMPLEMENTATION OFFICE: 1101 EAST FIRST STREET, SANFORD FL, 32771; 407-665-7356. PAYMENT SHOULD BE MADE TO: SEMINOLE COUNTY OR CITY OF SANFORD BUILDING DEPARTMENT 1101 EAST FIRST STREET SANFORD, FL 32771 PAYMENT SHOULD BE BY CHECK OR MONEY ORDER AND SHOULD REFERENCE THE COUNTY BUILDING PERMIT NUMBER AT THE tOP LEFT OF THIS STATEMENT. ISSUEDSWITHINM60,CALENDAR DAYS OVALTHEIRECEIVINGISIGNATUREDATEOABOVE DETAIL OF CALCULATION AVAILABLE UPON REQUEST. CALL 407-665-7356. R-- THIS INSTRy(IIIENTpREPq,F ED B Name: S10 P Address:/.Z /J4 73 Z 1M M4111 91T1I:4ZiA State of Florida County of Seminole Permit Number: Parcel ID Number: NARYINW bliffiv, SWN111; CI111NTY CUAK OF INRUJ1T COUNT a t*TRIILLER 8K 08464 Rq 02711 (Ipq) CLERK'S # 2015048629 RE111110H) 05/OS/2015 12 t 37 t 11 RN REIY1140TN8 F1+8 10.00 11@ 111401:1) NY 1' Nil i t h 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. DESCRIPTION OF PROPERTY: (Legal description of the property and street address if available) 3A / 9 - 30,109- (0 fbo - 000n GENERAL DESCRIPTION OF IMPROVEMENT: Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served as provided by Section 713.13(1)(b), Florida Statutes. To receive a copy of the Lienor's Notice as Provided in Section 713.13(1)(b), Florida Statutes. Expiration Date of Notice of Commencement (The expiration date is 1 year from 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 LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in it are true to the of my knovvleOge and belief. 1 1 l wnees Signature Owner's Printed Name Florida Stat 713.13(1)(g): ' The owner must sign the notice of commencement and no one else may be peaNned to sign In his or her stead' State of countyof -- The foregoing Instrument was acknowledged before me this day of 20 bWho Is personally Qown to me lame of person making s ate n OR who has produced Identification type of Identification produced: O'f1YP•• i LESLIE J ANDES Notary Public - State of Florida My Comm. Expires Sep 2, 2017 1'.If; osr o '- Commission p fF 050507 Notary Si INSPECTION SEQUENCE BP# 15-1703 nnnnac, 617 Magnolia AveaiaaivV. a BUILDING PERMIT Min Max Inspection Description 10 Footer / Setback 20 Stemwall 20 30 Foundation Survey 30 Slab / Mono Slab 40 Sheathing — Walls 40 Sheathing — Roof 50 Roof D In 50 1000 Final Stucco / Siding 60 Frame 60 1000 Final Roof 70 Insulation Rough 80 Drywall / Sheetrock 80 1000 Final Insulation 1000 Final Single Family Residence ELECTRICAL PERMIT Min Max Inspection Description 10 Footer / Slab Steel Bond 20 Electric Rough 30 Pre -Power Final 1000 Electric Final ENMRIN inM Max Inspection Description Plumbing Underground 10 1000 Plumbing Sewer 20 Plumbing Tubset 1000 Plumbing Final MECHANICAL PERMIT Min Max Inspection Description 10 Mechanical Rough 1000 Mechanical Final GAS PERMIT Min Max Inspection Description 10 Gas Piping Underground 20 Gas Rough -In 1000 Gas Final REVISED: June 2014 FORM405-10 FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTIONFloridaDepartmentofBusinessandProfessionalRegulation -Residential Performance Method Project Name: New Residence- 0311301 Revised 6-26Street: Builder Name: owner1617MagnoliaAvenue City, State,Zp: Sanford FL, Permit Office; o{ genf rd Owner. Siebert Permit Number. 7 5 .7037 Design Location: FL, Sanford Jurisdiction: 691500 1. New constructionor existing New (From Plans) 9. Wall Types(1775.0 sgft.) Insulation2• Single famiyor multiple family Single-family a. Frame- Wood, Exterior Area R=19.0 1687.60 ft' 3. Number of units, if multiple family 1 b. Frame- Wood, Adjacent R=19 0 87.50 ft' 4. Numberof Bedrooms 2 c. N/A d. N/A R= fg 5• Is this a worst case? No 10. Ceiling Types 1824.0 ftsq ) R= fF Insulation Area 6. Conditionedfloor area abovegrade(ftl 1824 a. Roof Deck (Unventled) R=20.0 1824.00 ft' Conditioned floorares belowgrade(ft') 0 b. N/A C. N/A R= fP R= 7. Wlndow(i416.0 -sgft) Description Area 11. Ducts a. Sup: Attic, Rat Attic. AH: Main fe R fF a. U-Factor. Dbl, U=0A5 397.99 ft= 6 564.8 SHGC: SHGC=0.35 b. U-Factor Dbl, U=0.89 18.00 ft' SHGC: SHGC=0.66 12• Cooling systems k 3.6 Efficiency C. U-Factor. N/A a. Central Unit 33.6 SEER:15.00 fF SHGC: d. U-Factor. N/A fP 13. Heating systems k BtuBr Efficiency SHGC: a. Electric Heat Pump 34.8 HSPF:9.00 Area Weighted Average Overhang Depth: 8.870 It. Area Weighted Average SHGC: 0.363 14. Hot water systems 8. Floor Types (1824.0 sgft.) Insulation Area a. Natural Gas Tanidess Cap: 1 gallonse. Slab-On-GredeEdge Insulation R=0.0 1824.00 ft' b. N/A b• Conservation features EF: 0.590 R= ff C. N/A R= f F None 15. Credits Pstat Glass/Floor Area: 0.228 Total ProposedModified Loads: 29.01 TotalStandard Reference Loads: 41.39 PASS I herebycertify that the plans andspecifications covered bythiscalculationareincompliancewiththeFloridaEnergy Reviewof the plans and l3B'SpArkCode. specifications covered by this yO 0'6calculationindicatescompliance PREPAREDBY: Southern Energy Evaluation Services with the Florida Energy Code. DATE: 6-26-15 Beforeconstruction iscompleted this building will be inspected for I herebycertify that this building, as designed, is in compliance compliance with Section 553.908 Florida Statutes. a with the Florida Energy Code.G, OD.yyg'['4LER/AGENT: DATE: DATE: BUILDING OFFICIAL: DATE: Q -17 Compliance requires certification by the airhandler unit manufacturer that the alrhandler enclosure qualifies ascertifiedfactory -sealed in accordance with 403.2.2.1.1. Compliance requires completion of aFlorlda AirSarrier andlnsulation Inspection Checklist 6/26/20151:34 PM EnergyGauge® USA- FlaRes2010 Section 405.4.1 Compliant Software Page 1 of 5 10 RECORD COPY 15-1703 RECORD COPY OvYl-DING, SANFORD oFP R e I Is Is Is E9 E9 17 W W CJ W i E7 j / jEAC E7 EHC E7 EAC CS EaC C3 ct JAMESJONA4 hew e Eel1f0O Truss Technician II A~ 4b PROmBUILD NOB "wn Road, Punt City. Flonda, J3667 In nby b mien btw ipbx Mud9• A.) 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HTWS Sb" pd°" dQ . r o pLUS24ostrdpTb8 . U 0 i USP O. ybmaBTlbn ENL to 00 m lMYAMI VAII&I NO.WMPeIII. d— OdwombunbNOW, nasm am tl to EDEdbd eve saw w OGWL Only PbEb lead ADM 1,1010M. DOVE BULDERS Project: SIEBERT RESIDENCE Z Address• SANFORD. FL Tnds Type: Root County : XIL Date 1.19. 15 I Sale Rovisoo Dowtt By Jernes Jones I2104Y 100NICaV1W1 LLUAL unok- it I IVIV: ALL OF BLOCK B, REVISED PLAT OF MARKHAM PARK HEIGHTS ACCORDING TO THE PLAT THEREOF, AS RECORDED IN PLAT BOOK 1, PAGE 78 OF THE PUBLIC RECORDS OF SEMINOLE COUNTY, FLORIDA. FLOOD INFORMATION: BY PERFORMING A SEARCH WITH THE LOCAL GOVERNING MUNICIPALITY OR WWW.FEMA.GOV, THE PROPERTY APPEARS TO BE LOCATED IN ZONE X. TI flS PROPERTY WAS FOUND IN CITY OF SANFORD, COMMUNITY NUMBER 120294, DATED 09/28/2007 CERTIFIED TO: BETTY D SIBERT Fnd. %" Rebar Cap "LS # 3382" \ r U V E to n QTcu o a) s W N o170Q U o rss CD 00 (DDITT Lfl. k<& CO N d V tx o I off- O z41,TI 2' 29 2J2' 7- 0 #2 5 se SSSSfo Af 9. 77 pc9 -\a Qo 5 42, F 28 aT' e ti concrete y. o° 20 i Kos . °, ,,(C Fnd. %" Rebar N 89e59'24" E 232.531 (C&M) Cap "LS # 3382" Lot 2 Block "Err 0 NAVD 88 Datum Site Benchmark Information- 1 Top of Well Box Elevation=37 83' 117 NA A(; IMr)l IA AVF NI IF SON Ft IRII FI C-)PI MA'TJ771 A Graphic Scale 07- 0' 20' 40' 0' Scale: 1 "=40' wITTJJ Q O Fnd. %" Rebar 1'S' No Identification) Lot 1 Block "E'r 40#2 Set 60D Nail in 30" Oak Tree Elevation=38 59 Revised : 01-12-17 Filial Survey i G C "vAG&XL A'-V E-J 0 E 6 4-15-1ia5 Field Date: 1012312015 Date Completed: 1/13i2017 -NOTES- I hereby Caney that this Boundary Survey o' the abave Desrlroed Progeny IS Survey rs Based upon the Legal Description Supplied by Client True and Correct to the Best of my Knowledge and Belief as recently Surveyed Drawn By: N.F. File Number:IS 23837 FI >Abuttihg Properties Deeds have NOT been Researched for Gaps. Overlaps and/or Hiatus under my Direction on the Dale Shown, Basrtl on Information lurmshed to Me Subject to any Easemenmac t, and/or Restrictions of Record as Noted and Confors to the Stardar-Is of Prtice for Land Surveying Legend- Rearing basis shown hereon, is Assumed and Basedupon the Line Denoted with a'BB' in the Slate of nodda in accoroanre cveh chapter 5J-17.052 Florida C - Calculated PC - Point of Curvature >Building lies are NOT To be used to reconstruct Property Lines Administrative Codes. Pursuant t ctlnn 472j Q27 Florida Statutes. Cantefilne Pg. - Page :Fence Ownership is NOT determined C" fir a"p / 8 - ConcretuBtoekPI - Point of IntersectionUnderground Pool Overhans, Utikties and/or Footers Have NOT been located UNLESS CM - ConcretoMonumentP.O.B. -Point of Beginning otherwise noted q e 20 Conc. - Concrete P.O.L. - Point on Line -Y FOR D Description > Septc Tanks andtor Dramfield locations are approximate and MUST be verified by I THE P PP -Power Pole Utility Location Com i 0 -- UL - Urainagu Lasertwnt PRM - permanent Reference appropriate y panes. ,WFIRM LsmL Easement Monument> Useof this Sunveyfrit Purposes other than Intended, Without Written Verification. Will be Patrick K. Irelan t mooP '6637 LB7623 F_E.WA.- Federal Emergency PT - Point of Tangency at the User's Sole Risk and Without Liability to the Surveyor Nothing Hereon shall be This Survey is intend of RU.,Y fpr, s iyc of Said Certified Parties. Manai,Tement AgencyR -Radius Construed to give ANY Rights or Benefits to Anyone Other than those Certified `7h,.,.y S>'-i" FPL - Finished Floor Elevation Rad. - Radial This Surve ,IOT VALID UNLCUgQflwl and Embossed with Surveyor's Seal. Fnd. -Found R& C -Rehar }cap POINTS OF INTEREST. L Len Pipe Red - Recovered NONE V 518I F Ireland k Associates Siarvey ng, Inc. L -Length (Air.) Rfd -Roofed M -Measured Set - Sat '4'Rebar B N&D - Nail S Disk Rebar cap -LB 7623- 1301 S. International Farkway Suite 2001 N.R. - Non -Radial TYP - TYP" Lake Ma Florida ORB - Official ITerxsrdsBonkUL - Utility Easement Mary, lorida 32746 P Plat WM • Water Meter www.irelandsijrveying.com P.B.-PlatldF,o -A Delta (Central Angle) Office-407.678. 3366 FaXA07.320.8165 Wood Fame -0- -Chair. Link fence rAPR CEIVE CITY OF SANFORDISBUILDING & FIRE PREVENTION 18 2017 PERMIT APPLICATION Application No: I3DocumentedConstructionValue: Svyc y Job Address: l% Historic District: Yes No Parcel ID: Residential E Commercial Type of Work: New Addition Alteration Repair Demo Change of Use Move Description of Work: Phone:Fax: Title: 0( j , Property Owner Information Name Street: City, State Zip: Name Street: City, State Zip: Name: Street: City, St, Zip: Bonding Company: Address: Phone: Resident of property? : 3a 23"0 J* C ntractor Information Phone: !i7 7-,% 2 32i Fax: J d State License No.: Architect/Engineer Information Phone: Fax: E-mail: Mortgage Lender: Address: 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. 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. 1 understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and air conditioners, etc. FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 5i1 Edition (2014) Florida Building Code Revised: June 30, 2015 Permit Application 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 at the time of permit submittal. A copy of the executed contract is required in -order to calculate a plan review charge and will be considered the estimated construction value of the job at the time of submittal. The actual construction value will be figured based on the current ICC Valuation Table in effect at the time the permit is issued, in accordance with local ordinance. Should calculated charges figured off the executed contract exceed the actual construction value, credit will be applied to your permit fees when the permit is issued. 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. 00, Signature oft er/ Agent Date Print Owner/ ent's Name O Signature of Notary -State of Florida Date s' ''• DEBBIEBLA14TO14 MY COMMISSION Y Fr" 178648 cam? z? EXPIRES: February 25, 2019 Oanded Thru NotaryPubUndercrti;ers Owner/ Agent is Personally Known to Me or Produced ID Type of ID 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 BELOW IS FOR OFFICE USE ONLY Permits Required: Building [g Electrical Mechanical Plumbing Gas[] Roof Construction Type: Total Sq Ft of Bldg: Occupancy Use: Min. Occupancy Load: Flood Zone: of Stories: New Construction: Electric - # of Amps Plumbing - # of Fixtures, Fire Sprinkler Permit: Yes[] No # of Heads J APPROVALS: ZONING: — U ILITIES: ENGINEERING: COMMENTS: FIRE: Fire Alarm Permit: Yes No WASTE WATER: BUILDING: • a• I Ok to install 18' x 20' (360 square foot) Pergola Carport as shown on plan. Meets area and dimension regulation for the SR-1A zoning district. Revised: June 30, 2015 Permit Application y THIS INSTR MENT PREPARED BY: yr l Name' . e6 Address: ' NOTICE OF COMMENCEMENT siil'ii l IIIII 1 191 IIIII IIIi) i i iili GRANT 11ALOYP SEMINOLE COUNTY CLERK OF CIRCUIT COURT & COMPTROLLER8K8897F'9 785 QPgs) CLERK'S 0 2017038837 RECORDED 04/20/2017 10:23:54 AN RECORDING FEES $10.00 State of Florida RECORDED BY tsm i tl1 County of Seminole / p Permit Number: ' / 0 S Parcel ID Number: J— " J Q oed 0 0060 The undersigned hereby gives notice that improvement will be made to certal real pro arty, antl in accordance with 3 L r7 7Chapter713. Florida Statutes, the following information is provided in this Notice of Commencement. DE CR TION F P P R : (Le I des 'ption of the p pert d s reet add ess ' ailable) 4-<- — n.+A ; t,a t., -) — ,do/, -A 71 .or oo F 6% < J,6E CD r e OF OWNER INFORMATION: w2mn• Address: 1 c 1 --. l9 r 6Ln T Fee Simple Title Holder (if other than owner) CONTRACTOR: Address: S ie-h42--rf t 0 Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served as provided by Section 713.13(1)(b), Florida Statutes. Name: Address: In addition to himself, Owner Designates of To receive a copy of the Lienoes Notice as Provided in Section 713.13(1)(b), Florida Statutes. Expiration Date of Notice of Commencement (The expiration date Is 1 year from 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 LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in it are true to the t of my knowl ge an belief. ees Signature Owners Printed Name Florida elute 713.13(1)(g): I The owner must sign the notice of commencement and no one else may be permitted to sign In his or her stead' State of r 1 a k County of The foregoing Instrument was acknowledged before me this day of 20 by J` Who Is personally known to me Name of person making statement OR who has produced Identification a4pe of identi t o produced:T-DL . - U SHANJERICA JOHNSON Notary Public - State of Florida Commiailon O 00 020868 My Comm. Expires Sep 13. 2020 U1, V REQUIRED INSPECTION SEQUENCE RP# 11 - I n -t 19 ' Address: t (,k-1 tA-k-4 ot-t A BUILDING PERMIT Min Max Inspection Description Tooter / Setback Stemwall Foundation / Form Board Survey Slab / Mono Slab Pre our . Lintel / Tie Beam / Fill / Down Cell Sheathing — Walls Sheathing — Roof Roof Dry In p Frame Insulation Rough In Firewall Screw Pattern Drywall / Sheetrock Lath Inspection Final Solar Final Firewall Final Roof Final Stucco / Siding Insulation Final Final Utility Building Final Door Final Window Final Screen Room Final Pool Screen Enclosure Final Single Family Residence Final Building Other ELECTRICAL PERMIT Min Max Inspection Description Electric Underground Footer / Slab Steel Bond Electric Rough T.U.G. Pre -Power Final Electric Final Inspection Description Plumbing Undergound Plumbing Sewer MECHANICAL PERMIT Min Max Inspection Descri lion Mechanical Rough Mechanical Final Max Inspection DescriptionMin Gas Underground Gas Rough Gas Final REVISED: June 2014 K2 5 F X IF, OWNER BUILDER STATEMENT/AFFIDAVIT Altamonte Springs, Casselberry, Lake Mary, Longwood, Oviedo, Sanford, Seminole County, Winter Springs Florida Statutes are quoted here in part for your information to indicate the authority for exemptions for homeowners from qualifying as contractors and to express any applicable restrictions and responsibilities. OWNERS MUST PERSONALLY APPEAR AT THE BUILDING DIVISION TO SIGN THIS DOCUMENT BY SIGNING THIS STATEMENT, I ATTEST THAT: (Initial to the left of each statement) 1 understand that state law requires construction to be done by a licensed contractor and have applied for an owner -builder permit under an exemption from the law. The exemption specifies that I, as the owner of the property listed, may act as my own contractor with certain restrictions even though I do not have a license. I understand that building permits are not required to be signed by a property owner unless he or she is responsible for the construction and is not hiring a licensed contractor to assume responsibility. A 1 understand that, as an owner -builder, I am the responsible party of record on a permit. I understand that I may protect myself from potential financial risk by hiring a licensed contractor and having the permit filed in his or her name instead of my own name. I also understand that a contractor is required by law to be licensed in Florida and to list his or her license numbers on all permit and contracts. 1 understand that I may build or improve a one -family or two-family residence or a farm outbuilding. I may also build or improve a commercial building if the costs do not exceed $75,000. The building or residence must be for my own use or occupancy. It may not be built or substantially improved for sale or lease. If a building or residence that I have built or substantially improved myself is sold or leased within in I year after the construction is complete, the law will presume that I built or substantially improved it for sale or lease, which violates this exemption. 1 understand that, as the owner -builder, I must provide direct, onsite supervision of the construction. I understand that I may not hire an unlicensed individual person to act as my contractor or to supervise working on my building or residence. It is my responsibility to ensure that the persons whom Ix!ypersons employ have the licenses required by law and by city ordinance. I understand that it is a frequent practice of unlicensed persons to have the property owner obtain an owner -builder permit that erroneously implies that the property owner is providing his or her own labor and materials. 1, as an owner -builder, may be held liable and subjected to serious financial risk for any injuries sustained by an unlicensed person or his or her employees while working on my property. My homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an owner - builder and am aware of the limits of my insurance coverage for injuries to workers on my property. 1 understand that I may not delegate the responsibility for supervising work to a licensed contractor who is not licensed to perform the work being done. Any person working on my building who Is not licensed must work under my direct supervision and must be employed by me, which means that I must comply with laws requiring the withholding of federal income tax and social security contributions under the Federal Insurance Contributions Act (FICA) and must provide workers' compensation for the employee. I understand that my failure to follow these laws may subject me to serious financial risk. Rev. 9.14.2009 C? r` G: M I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all applicable laws and requirements that govern owner -builders as well as employers. I also understand that the construction must comply with all applicable laws, ordinances, building codes, and zoning regulations. Q J 1 am of aware of construction practices and 1 have access to the Florida Building Codes. I understand that I may obtain more information regarding my obligations as an employer from the Internal Revenue Service, the United States Small Business Administration, the Florida Department of Financial Services, and the Florida Department of Revenue. I also understand that I may contact the Florida Construction Industry Licensing Board at 1-850487-1395 or at www.myflorida.com/dbpr/pro/cilb/ for more information about licensed contractors. am aware of, and consent to, an owner -builder building permit applied for in my name and understand that I am the party legally and financially responsible for the proposed construction activity at the address listed below. Q I agree to notify the building department immediately of any additions, deletions, or changes to any of the j information that I have provided on this disclosure or in the permit application package. Licensed contractors are regulated by laws designed to protect the public. If you contract with a person who does not have a license, the Construction Industry Licensing Board, the Department of Business and Professional Regulation and the building department may be unable to assist you with any financial loss that you sustain as a result of a complaint. Your only remedy against an unlicensed contractor may be in civil court. It is also important for you to understand that, if an unlicensed contractor or employee of an individual or firm is injured while working on your property, you may be held liable for damages. If you obtain an owner -builder permit and wish to hire a licensed contractor, you will be responsible for verifying whether the contractor is property licensed and the status of the contractor's workers' compensation coverage. 0 Property Add I, , do hereby state that I am qualified and capable of p orming the requested construction involved with the permit application filed and agree to the conditions spec Pied above. Signature of Form of Identification Must be Photo ID) Date A violation of this exemption is a misdemeanor of the first degree punishable by a term of imprisonment not exceeding 1 year and a $1,000.00 fine in addition to any civil penalties. In addition, the local permitting jurisdiction shall withhold final approval, revoke the permit, or pursue any action or remedy for unlicensed activity against the owner and any person performing work that requires licensure under the permit issued. ' Rev. 9. l 4.2009 ADVANTAGE PLUMBING, INC PO Box 1117 Sanford, FL 32772-1117 407-323-7515 Fax: 407-323-8954 PROPOSKF LOCT 2'0 2015 By- - Dove Homes—15-1703 1617 S. Magnolia Avenue Sanford Siebert Residence PROPOSAL SUBMITTED TO: PHONE: DATE 5-22-15 NAME: Dove Builders JOB NAME: Siebert Res. 108 Lake Minnie Drive 1617 S. Magnolia Ave. Sanford, FL 32773 Sanford We hereby submit specifications and estimates for. 2 Water Closets, Briggs, elongated. 2 Lavatories, round, china. 1 Kitchen Sink, Dayton, stainless steel, double bowl. 1 Tub, enamel, steel. 1 Hot Water Heater, electric, 40 gallon. 1 Shower. 1 Laundry box. 1 Laundry tray, owner provided. 1 Ice maker line. 3 Hose Bibbs. 1 Disposal, Badger V. Hookup owner provided dishwasher. Sewer and water service. Moen Chateau 2-handle chrome valves. Moen 7430 kitchen sink valve. CPVC water piping. We hereby propose to furnish labor and materials — complete In accordance with the above specifications, for the sum of: Four thousand six hundred sixty dollars $4,660.00 with payment to be made as follows: All material is guaranteed to be as specified. All work to be completed in a workmanlike proposal subject to acceptance within 30 days and is void thereafter at the option of the Authorized The above prices, specifications and conditions are hereby accepted. You made as outlined above. ACCEPTED: Signature Date Signature to standard pratGN6es. This to do the work as specified. Payment will be Scott, Annette From: Sent: To: Cc: Subject: To Whom it may concern: Electrical Outfitters. Joseph Reaster <joseph.reaster@loft-energy.com> Monday, February 22, 20161:15 PM Building Barry W. Siebert Permit Reference 15-1703 Please be advised that Lott Energy, LLC a Licensed FL Electrical Contractor (EC13005355) will be responsible for all work associated with Electrical wiring, rough/trim at 1617 S. Magnolia Ave, Sanford FL for owner Betty Siebert. Lott Energy accepts responsibility for the Ufer Ground on 10/2015, the Underground on 11/2015 and the Electrical rough in on 2/1/16. Lott Energy accepts responsibility for any work associated with the Electrical Scope performed on the property. Thanks, Joe Reaster Vice President lot neergy" Please note our new address! Lott Energy, LLC. Formerly IES Commercial -Orlando (Amber Electric) 612 N. Hudson St. I Orlando, FL 32808 Phone 407 656 2335 1 Fax 407 290 2890 1 Mobile 321 356 0278 ioseph.reasteKa@lott-enerey.com www.lott-enerey.com experience the difference Confidentiality Notice: This email message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and/or legally privileged information. This email does not constitute an e-signature and unless specifically stated, no intent to enter into a contract is implied. If you are not the intended recipient, please contact the sender by reply email and destroy all copies of the original message. Any unauthorized review, use, disclosure or distribution is prohibited.