HomeMy WebLinkAbout121 Pinefield Dr 03-2569 SFRPERMIT ADDRESS
CONTRACTOR
ADDRESS
PHONE NUMBER
PROPERTY OWNE]
ADDRESS
PHONE NUMBER
Maronda Homes
1101 N Keller Rd., Ste F
Orlando, FL 32810
407-475,-911,2
CRC 058496
ELECTRICAL CONTRAC
MECHANICAL CONTRA
PLUMBING CONTRACTi
MISCELLANEOUS CONTRACTOR
PERMIT NUMBER
MISCELLANEOUS CONTRACTOR
PERMIT NUMBER
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CUiX{[Y OF 1,O11NOL[
IMPACT FEE STATEME}|l'
ISCUE0 BY CITY OF SAN=URD
STA7EVENT K[MFER 103-75592
DATE: 4001,11,
DUILDING PERMIT NU CJTY) COUNTY NUMBER: __________
[NIT ADDRESS:
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OEC: TW R�G: PARCEL::�-��~��/ /��l��
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1�U0Y)IVISIO�� g!TRACT: ______.�____________
PAT BOOK: �-�1 P��r�7��j� �#GE:�J�'y7� PLOCNx LOT:
' -~- ' �-�~�on -----
()NNED NnME: _____ _ ___________
ADD|�ESS: ^ °����- ^ �� �1��� �~� ^�
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APPLICANT ----------JL -----------------_--`~_'-_--'-----------------------
AdY>RE5S: --------------1[---------------------------------------------------
LAND USE CATEGORY: 001 - Single Family Detached House
TYPE L�bL: kevideotial
WD0K DESCRIPTION: Single Family Houses Detached - Construction
--'----------------------------------------------------------'-----------------'
[[E BEN�FIT RATE FEE U��IT RATE PER 0 & TfPE TOTA'- DU[
TYPE D%ST SCHEDULE DESC. UNIT OF UNITS
��'��- RU�0�1)
.ARTERIALS CO -WIDE O dwl unit $ 705.0{) 1 $ 705.00
ROADS
.COLL[CTmS NORTH O dwl unit $ 142.00 1 $ 142.00
LIBRARY CO -WIDE O dwl unit $ 54.00 1 $ 34.00
!MH00011 CO -WIDE O dwl unit 11,384.00 1 $ 1,384.00
AMOUNT DUE 1 2,205.00
SThl'[MEHT
k[C[IVE0 BY:-IRINT NAME)
DATE::
NOTE TO RECEIVING SIGNATORY/APPLICANT: FAILURE TO NOTIFY OWVFR AHD
ENSURE TIMELY PAYMENT MAY RESULT IN YOUR LIABILITY FOR THE FEE. *&=
DISTRIBUTION: 1-COUNTY 3-CITY
2-APPLICANT 4-COUNTY
AA1OlI'>�
AZE ADVISED THAT THIS IS A STATEMENT OF FEES WHICH
ARE DUE AND PAYABLE PRIOR TO ISSUANCE OF A BUILDING PERMIT.
|`[kIO]C ARE ALSO ADVISED THhT ANY RIGHTS OF THE APPLICANT, OR OWNER,
TO APPF#L THE CALCULATIONS OF THE ROAD, LIBRARY SYSTEM 0ND/0R
EDUCATIONAL (SCHOOL) IMPACT FEES MUST BE EXERCISED BY FILING
A WRITTEN RECUEST WITHIN 45 CALENDAR DAYS OF THE RECEIVING
SAG]ATU3[ DATE ABOVE, BUT NOT LATER THIN CERTIFICATE OF OCCUPANCY O:'z
[[CUPA;CY. THE REGUEST FOR REVIEW MUST MEET THE REQUIREMENTS OF TH[
CO1:%4Tf LA`10 D[VTLO?NLNT CODE. COPIES OF THE RULES GOVERNIN3 APPEM!-S
VhY PE PICKED UP, OR RECbES7ED, FROM THE PLAN IrPLEMENTATION OFFICE:
)iO1 [ATT FIRST STREET, SA9F[)3D, FLORIDA 32771; (407) 665-7474.
PhYF[NT 2[[LLD D[ NAEE TO:
CITY OF SANFOKD
DUliDIUQ D[PhWTM&]{[
J00 NORTH PARK 0V1:1HU1.-:
�:.[[[LD BE BY CkECK OR NCNEY [RD[R, N10 SE[ULD
'i||, Cl, A, [ AM0 CITY BJILDING PERMIT N-|]BER AT THE TO.'
001041 SThT[NENT IS VA' -ID ONLY IN [O43UNITlON WITH ISSUANCE OF A*|�
FAMILY BUILDING PERMIT1;>115<AT<'>TT`>1TATTAIC
2 Q CITY OF SANFORD PERMIT APPLICATION
Permit #: �J� l Date: July 16, 2003
Job Address: 121 PINEFIELD DRIVE LOT 114
Description of Work: Single Family Residence
Historic District: Zoning: Value of Work: $83,188.00
Permit Type: Building X Electrical X Mechanical X Plumbing X Fire Sprinkler/Alarm Pool
Electrical: New Service— # of AMPS 150 Add ition/Alteration Change of Service Temporary Pole
Mechanical: Residential X Non -Residential Replacement _ New X (Duct Layout & Energy Calc. Required)
Plumbing/ New- Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines
Plumbing/New Residential: # of Water Closets 2 Plumbing Repair — Residential or Commercial
Occupancy Type: Residential X Commercial Industrial Total Square Footage: 2,288
Construction Type: VI # of Stories: 1 # of Dwelling Units: 1 Flood Zone: X (FEMA form required for other than X)
Parcel #: 32-19-31-515-0000-1140 (Attach Proof of Ownership & Legal Description)
Owners Name & Address: Maronda Homes, Inc. of Florida 1101 N. Keller Road, Suite F Orlando, FL 32810 Phone: 407475-9112
Contractor Name & Address: Russell Keith Summers 1 101 N. Keller Road,Suite F Orlando, FL 32810 State License Number: CRC058496
Phone & Fax: (407) 475-9112 Contact Person: Laurie Pellegrino Phone: (407) 659-3719
Bonding Company:
Address:
Mortgage Lender:
Address:
Architect/Engineer: Tomas Ponce Phone: (407) 321-0064
Address: 4005 Maronda Way Sanford, FL 32771 Fax: (407) 321-3913
Application is hereby made to obtain a permit to do the work and installations as indicated. 1 certify that no work or installation has commenced prior to the issuance
of a permit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be
secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and AIR CONDITIONERS, etc.
OWNER'S AFFIDAVIT: 1 certify that all of the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
N TI E: 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 enities such as water management districts, state agencies, or federal agencies.
Acceptance of permit is verification that 1 will notify the owner of the property of the requirements of Florida Lien Law, FS 713
7/ 16/03_
Signature o ent Date
Russell Keith Summers
Print Owner/Agent's Name
Q&
• 7/ 16/03
Signature of Notary -State of Florida Date
96@1P
DEBBIE TIME
MY Comm �P• 2/5/OS
No. CC 999378
enm^ pro»•+ I I Oth. I D,
Owner/Agent is _X_ Personally Known to Me or
Produced ID
7/16/03,
Signature of ont r/Agent Date
Russell Keith Summers
Print Contractor/Agent's Name
7/16/03_
Signature of Notary -State of Florida Date
,�pF Fr pq DEBBIE TIME
NOTARY o My Comm Exp. 2/5/05
Pusuc No. CC 999378
M Pe�wr+,dN rVawn (I Ottw I.D.
Contractor/Agent is _X_ Personally Known to Me or
Produced ID
APPLICATION APPROVED BY: Bldg�1d -d-Zoning: Utilities: FD:
(Initial & Date) (Initial & Date) (Initial & Date) (Initial & Date)
Special Conditions: 4
CITY OF SANFORD ELECTRICAL PERMIT APPLICATION
Permit Number: Date:
The undersigned hereby applies for a permit to install the following electrical:
Owner's Name: Maronda Homes Inc., of Florida
Address of Job: 21— PIN EE.l_EI D-QQIVE Lot 114 _ Panel: 2
Electrical Contractor: DANIEL G. PUGLISI
Residential: __C _ Non -Residential:
By Signing this application I am stating that I am in compliance with City of Sanford Electrical Code.
plicant's Signature
EC0001663
State License Number
CITY OF SANFORD MECHANICAL PERMIT APPLICATION
Permit Number:
Date:
The undersigned hereby applies for a permit to install the following equipment:
Owner's Name: Maronda Homes Inc., of Florida
Address of Job: 121 PINEFIELD DRIVE Lot:114
Mechanical Contractor: GARY CARMACK
Residential Non -Residential
CAC043900
State License Number
Panel: 2
CITY OF SANFORD PLUMBING PERMIT APPLICATION
Permit Number:
Date:
The undersigned hereby applies for a permit to install the following plumbing:
Owners Name: Maronda Homes Inc., of Florida
Address of Job:
Plumbing Contractor:
121 PINEFIELD DRIVE
WILLIAM T. SELF
Residential: _� _ Non -Residential:
Lot: 114
Panel: 2
Number
Amount
Addition, Alteration, Repair Residential & Non -Residential
$52.00
New Residential:
One Water Closet
Additional Water Closet
Commercial: Minimum Permit Fee $25.00
Fixtures, Floor Drain, Trap
Sewer Piping
Water Piping
Gas Piping
Manufactured Building
Description of Work:
Application Fee:
$10.00
TOTAL DUE:
By Signing this application I am stating that I am in compliance with City of Sanford Plumbing Code.
Applicant's Sign re
CFC057039
State License Number
ALaronda Homes
AN EASILY OBSERVABLE BETTER VALUEI
1101 NORT1i KEaER ROAD, SUITE F • ORLANDO, FLORIDA 32810 407-475-9112 • FAX: 407-475-911 S
LETTER OF AUTHORIZATION
❑ CITY OF DELTONA ❑ VOLUSIA COUNTY
❑x CITY OF SANFORD ❑ SEMINOLE COUNTY
I hereby name and appoint Lee Emerson, Joyce Stark and Silver Streak to
sign his/her name on my behalf in order to apply for and/or pickup building
permits for Maronda Homes, Inc. of Florida work to be completed at Lot 114,
121 PINEFIELD DRIVE at Celery Lakes.
kl't
RUSSELL KEI � UMMERS, CRC058496
MARONDA HOMES, INC. OF FLORIDA
STATE OF FLORIDA
COUNTY OF ORANGE
Sworn and subscribed before me this 13TH day of JUNE, 2003 by RUSSELL
KEITH SUMMERS who is personally known to me.
• I(OID(Pen-Sly
DEB81E TIME
NOTARY PUBLIC MY Comm Exp. ?!5/05
No. CC 999378
16wwn I I Otha I.D.
C:\Documents and Settings\pellegrinl\Desktop\PERMITTING\City of Sanford\LOA Keith Summers for City of Sanford.doc
CERTIFIED COO
MARYANNE HORSE
OLERK OF CIRCUIT COURT
6EMINOLE COUNTY. FLORIDA
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'JUN 16 2003
HIMANIE (HORSE, CLERK OF CIRCUIT COURT
SENIN LE COUNTY
BK 04865 PG 1351
CLERK'S # 2003101475
RECORDED 06/16/2883 t2> ISW PH
RECORDINS FEES 6.90
RECOFAW BY N Noldtn
NOTICE OF CO1V AUNCEVIENT
TAX FOLIO NO. 25-133-6949
PERMIT NO.
STATE OF FLORIDA
COUNTY OF SEMINOLE
The UNDERSIGNED hereby gives notice that improvement will be made to certain and
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 and Street Address) Lot 114
121 PINEFIELD DRIVE : Subdivision: CELERY LAKES
General Description of Improvement CONSTRUCT A SINGLE FAMILY RESIDENCE
OWNER INFORMATION
Name and Address Maronda Homes 1101 North Keller Road, Suite F. Orlando, FL 32810
Interest in Property (Fee Simple, Partnership, etc.) Owner
NAME AND ADDRESS OF FEE SIMPLE TITLEHOLDERS (If other than owner)
CONTRACTOR Maronda Homes, 1101 North Keller Road Suite F, Orlando, FL 32810
(Name and address)
SURETY (Bonding Company)
Name and Address N/A
Amount of Bond
LENDER
Name and address Bank of America. NA 750 S. Orlando Ave. #102 Winter Park, FL* 32789
ATTN: DAN FINNEGAN Phone (407) 646.6304 Fax (407) 644-2388
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), (a),* 7., Florida Statutes.
Kamaf Title, 200 W. 1s1 St Sanford FL 32771 Fax: 407 330 5062 Phone: (407) 322 9484
In addition to himself, Owner designates (Name and address)
provided in Section 713.13(2), (b), Florida Statutes.
or
to receive a copy of Lienors Notice as
Expiration Date of Notice of Commencement
(The expiration date Is 1 year from the date of recording unless a different date is specified.)
RUSSELL KilLMS&MERS
Maronda Homes, Inc. of Florida
Vice President - Construction
Sworn to and subscribed before me this 29TH day of APRIL, 2003.
Notary Public
,40� cop DEBBIE TIME
oiARr o My Comm Exp. M5
N vueuc No. CC 999378
Pe -WY 16wwn 1100w I.D.
CITY OF SANFORD BUILDING DIVISION
SUBMITTAL REQUIREMENTS FOR RESIDENTIAL BUILDING PERMIT
Lot: 114 Subdivision: CELERY LAKES Property Address: 121 PINEFIELD DRIVE
® 1. Two (2) recent boundary and building location surveys showing setbacks from all structures to
property lines for permit for structures (not fences).
❑x 2. Two (2) complete sets of construction design drawings drawn to scale.
Complete sets to include:
❑O a. Foundation plan indicating footer sizes for all bearing walls. Provide side view details of these
footers with reinforcement bar replacement.
❑x b. Floor plan indicating interior wall partitions and room identification, room dimensions, door,
window, and/or opening sizes, smoke detector, distances from walls are to be shown.
Note the State of Florida requirements for bath door for compliance of Handicapped Code (F. S.
553, Part 5).
❑x c. Elevations of all exterior walls, east, west, north and south. Finish floor elevation height as per
City Engineering Department or subdivision plat.
❑O d. Cross sections of all wall sections to be used in the structure. Bearing non -bearing interior and
exterior. Show all components of wall section.
❑ e. Framing plan for floor joists where conventionally framed. Plan to indicate span, size and
species of materials to be used.
0 f. Engineered truss plan with details of bracing. Engineered beams for spacing openings to carry
and support trusses.
❑ g. Stair details with tread and riser dimensions, stringer size, methods of attachment, placement of
handrails and guardrails.
❑x h. Square footage table showing footages:
Garages/Carports 377 S.F.
Porch(s)/Entry(s) 36 S.F.
Patio(s) S.F.
Conditioned structure 1,875 S.F.
Total (Gross Area) 2f288S.F.
❑O 3. Three (3) sets of completed Florida Energy Code Forms (Form 600-A-97).
❑x 4. Soil analysis and/or soil compaction report. If soils appear to be unstable or if structure to be built
TO FOLLOW on fill, a report may be requested by the Building Official or his representative.
N/A 5. Other submittal Documents:
N/A a. Utility letter or approval when public water supply and/or sewer system connection to be made.
N/A b. Septic tank permit to be obtained from Seminole County Health Department at: 400 West
Airport Boulevard, Sanford, FL (407) 665-3600.
N/A c. Arbor permit when trees to be removed from property. Contact the City Engineer for details
regarding the arbor ordinance and permit.
❑x 6. Application to be completed thoroughly and signatures provided by a licensed and insured
contractor. OWNER/BUILDER MUST APPEAR IN PERSONS TO SIGN APPLICATION AS PER
FLORIDA STATE STATUTE 489. Subcontractor license numbers must be included on the
application. If electrical, mechanical or plumbing permits have not been issued, inspections will not
be scheduled or made and subcontractors will be subject to penalty under the City Ordinances
REQUIRED INSPECTIONS DURING AND UPON COMPLETION OF CONSTRUCTION
1. Footer
2. Underground, electrical, mechanical and plumbing
3. Foundation elevation survey
4. Slab
5. Lintel — tie beams — columns — cells
6. Rough electrical
7. Rough mechanical
8. Rough plumbing
9. Tub Set
10. Framing
11. Tenant Separation/firewall
12. Insulation, walls and/or ceilings
13. Electrical final, mechanical final and plumbing final
14. Building Final
15. Other
DATE: Friday, June 13, 2003 SIGNATURE:
I<
caner or Authorized Agent)
PLAT OF BOUNDARY SURVEY
for
MARONDA HOMES
Legal Description
LOT 114, CELERY LAKES PHASE 1, according to the Plat thereof as recorded in Plat Book 62,
Pages 75 and 76, of the Public Records of Seminole County, Florida.
D= 90'00'00"
R= 25.00'
L= 39.27' _� N 89'38'17" E 95.00'
10' UILT. ESM'T
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5' DRAINAGE ESM'T
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115
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SCALE: 1 "=30'
SURVEY NOTES:
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1) The street address of the above -described property is PINEFIELD DRIVE.
2) The above -described property lies in a Flood Zone X per FIRM 12117C 0065E dated APRIL 1995.
SURVEYOR'S CERTIFICATE
This is to certify that I have made a Survey'of the above described property and that 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 Land Surveyors pursuant to Section 427.027 of the Florida Statutes.
���✓ ///_ CERTIFIED CORRECT T0:
KITNER SURVEYING, INC.
R. BLAIR KITNER - P.L.S. NO. 3382
Post Office Box 823, Sanford, F1. 32772-0823
(407) 322-20M
PROJECT N0: 4!)3,- 5 SURVEY DATE:
CITY OF SANFORD
REVISION
(CHANGES TO BUILDING PLANS TO PERMITS ALREADY ISSUED)
PERMIT NUMBER: 03-00002569
ADDRESS: 121 PINEFIELD DRIVE LOT 114
CONTRACTOR: Maronda Homes Inc., of Florida
CONTRACTOR FAX: 4 0 7- 6 6 7- 0 8 5 3
DATE SUBMITTED: Wednesday, August 13, 2003
INFORMATION SUBMITTED (SHORT DESCRIPTION)
ATTACHED PLEASE FIND REVISED SITE PLAN FOR YOUR REVIEW AND
APPROVAL.
T. GIBSON
PLAT OF BOUNDARY SURVEY
for
MARONDA HOMES
Legal Description
LOT 114, CELERY LAKES PHASE 1, according to the Plat thereof as recorded in Plat Book 62,
Pages 75 and 76, of the Public Records of Seminole County, Florida.
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10' UILT. ESM'T
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115
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SCALE: 1 "=30'
PLANS REVIEWED
CITY OF SANFORD
SURVEY NOTES:
1) The street address of the above -described property is PINEFIELD DRIVE.
2) The above -described property lies in a Flood Zone X per FIRM 12117C 006SE dated APRIL 1995.
SURVEYOR'S CERTIFICATE
This is to certify that I have made a Survey of the above described property and that 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 Land Surveyors pursuant to Section 427.027 of the Florida Statutes.
REVISIONS:
I PROJECT NO: Q 3—.S
-.11L11 .JUI\VL 1111Up 1111..
R. BLAIR KITNER - P.L.S. NO. 3382
Post Office Box 823, Sanford, F1. 32772-0823
(407) 322-2000
SURVEY DATE:
CERTIFIED CORRECT TO:
CERTIFICATE OF OCCUPANCY / COMPLETION
This is to certify that the'building located at
121 PINEFIELD DR for
which permit 03-00002569 has heretofore been issued on 8/12/03
has been completed according to plans and specifications filed in the
office of the Bui ing 10 ic1 1 or to the issuance of said building
permit, to wit as complies with all the
building, plumbing, e ectrica zoning and subdivision regulations
ordinances of the City of San ord and with the provisions of these
regulations.
STAFF APPROVAL Subdivision Regulations Apply: Yes
DATE APPROV DATE
BUILDING: FIRE:
Finaled Inspected
ZONING:
Inspected
UTILITIES:
Water \\Sewer
Lines In �, 3 O M ctt,�c,. c�� t Lines In
Meter Sewer
Set Tap
Reclaimed
Water
ENGINEERING:
Street
Drainage . 03 Paved
Maintenance
Bond
PUBLIC WORKS:
Street
Name Street
Signs q'a3 P. Lights
Storm
Sewer Driveway
Street
Work
DESCRIPTION
WATER -SEWER IMPACT FEES
01-APPLCTN FEE -ELECTRIC
01-APPLCTN FEE -BUILDING
01-APPLCTN FEE -MECHANIC
01-APPLCTN FEE -PLUMBING
02-ENGNG DEVLPMT FEES
01-FIRE IMPACT - RESIDENT
01-LIBRARY IMPACT FEE
01-OPEN SPACE
FEES PAID
DATE AMOUNT
8/12/03
8/12/03
8/12/03
8/12/03
8/12/03
8/12/03
8/12/03
8/12/03
10.00
10.00
10.00
10.00
10.00
59.27
54 . TO
279.61
No
APPROVAL
PAGE: 6
CERTIFICATE OF OCCUPANCY / COMPLETION
This is to certify that the building located at
121 PINEFIELD DR for
which permit 03-00002569 has heretofore been issued on 8/12/03
has been completed according to plans and specifications filed in the
office of the Building Official prior to the issuance of said building
permit, to wit as complies with all the
building, plumbing, electrical, zoning and subdivision regulations
ordinances of the City of Sanford and with the provisions of these
regulations.
STAFF APPROVAL
Subdivision Regulations Apply: Yes No
O1-PLAN ALTERATIONS
O1-POLICE IMPACT - RESID
O1-RADON GAS TAX FEE
O1-ROAD IMPACT FEES
O1-RECOVERY FD/CERT. PGM
O1-SCHOOL IMPACT FEE
WD IMPACT:SINGLE FAMILY
SD IMPACT:SINGLE FAMILY
8/28/03
35.00
8/12/03
91.93
8/12/03
11.44
8/12/03
847.00
8/12/03
11.44
8/12/03
1384.00
8/12/03
650.00
8/12/03
1700.00
OWNER BUILDTNC OFFICIAL / DATE
CITY OF SANFORD. FL
UTILITIES DEPARTMENT
REQUEST FOR FINAL REINSPECTION
1
DATE 12- 2,Z- 0,3
ADDRESS-- ZAZ
CONTRACTOR
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THE BUILDING. DEPARTMENT HAS PREPARED A C.OF 0.-
FOR' THE ABOVE LOCATION AND -THE INITIAL
INSPECTION WAS 'DENIED DUE 70-- UTILITY RELA
ITEMS. THE CONTRACTOR IS REQUESTING A.
REINSPECTIO N OF*RELATED ITEMS AND IS NOW AS
FOLLOWS.
INSPECTOR
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CERTIFCATE OF OCCUPANCY W
REQUEST FOR FINAL INSPECTIOR
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**** SINGLE FAMILY RESIDENCE****
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DATE:
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PERMIT #:
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ADDRESS: a ��.«��� o�c\ �Q
CONTRACTOR:
PHONE #: yd1- Ly-) J -Q\\a
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The building division has prepared a Certificate of Occupancy for the above
location and is requesting final inspection by your department. After your
inspection, please sign off and date the C. O. or submit addendum if it has
been denied or approved with conditions. Your prompt attention will be
appreciated.
=JEngineering
_'�Publi orks
rtilities
v'e�r I ZJ 1
CONDITIONS: (T BE COMPL4 Q
❑Fire
❑Zog-ing n\n
icensing n 1,^\
IF APPROVAL IS CONDITIONAL)
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CERTIFCATE OF OCCUPANCY
REQUEST FOR FINAL INSPECTION
**** SINGLE FAMILY RESIDENCE****
DATE: \ a -1ke -03
PERMIT #: 6—s-a-f\J�
ADDRESS: \ d\
CONTRACTOR:
PHONE #: yd1- y`1 J -Q\ \ a
The building division has prepared a Certificate of Occupancy for the above
location and is requesting final inspection by your department. After your
inspection, please sign off and date the C. O. or submit addendum if it has
been denied or approved with conditions. Your prompt attention will be
appreciated.
ngineering
OPublic Works
❑Utilities
p. � wvdT
ijor -P~`f ❑Fire
11 /l7/0'> v. s-JA
O Zoning n \ N
0Licensing n I i!�,
CONDITIONS: (TO BE COMPLETED ONLY IF APPROVAL IS CONDITIONAL)
MUD sot) z� uo Moos(% f1uHQu7tS
CERTIFCATE OF OCCUPANCY
REQUEST FOR FINAL INSPECTION
**** SINGLE FAMILY RESIDENCE****
DATE:
PERMIT #:�-a���
ADDRESS: \ �) \
CONTRACTOR:
0
PHONE #: yd1- W-) J -Q\\a
The building division has prepared a Certificate of Occupancy for the above
location and is requesting final inspection by your department. After your
inspection, please sign off and date the C. O. or submit addendum if it has
been denied or approved with conditions. Your prompt attention will be
appreciated.
—,Engineering
iSPublic Works
OUtilities
OFire
OZoning n\N-
OLicensing n I,�
CONDITIONS: (TO BE COMPLETED ONLY IF APPROVAL IS CONDITIONAL)
AIL
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I T N E R
S U R V E Y I N G
10 December 2003
City of Sanford Building Department
300 North Park Avenue
Sanford, Florida 32771
Re:121 Pinefield Drive
To Whom It May Concern:
This is to certify that the finished floor elevation of the new building
constructed at the above site meets or exceeds the requirements of Section 6-
7 of the City of Sanford Building Code.
Should you have any questions or need additional information, please do not
hesitate to call.
Sincerely,
'_P� zt�
R. Blair Kitner
P.S.M. No. 3382
P.O. BOX 823 - SANFORD, FLORIDA 32772-0823 0 (407) 322-2000
FEDERAL EMERGENCY MANAGEMENT AGENCY
HATIONALFLOODbNSURAaICE PRf)GRAM
ELEVATION CERTIFICATE
O.M.B. No. 3067-0077
Expires December 31, 200!
Real tote insbudwis on pages 1- 7
'SECTION A - PROPERTY OWNER INFORMATION j For Irranoe cam" use: j
MARONDA HOMES
BUILDING STREET ADDRESS_(h g Apt, Unit, Suite, andfor•8ldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIC Number
121 PINEFIELD DRIVE
CITY STATE ZIP CODE
SANFORD FL 32771
PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Desatbon, etc.)
LOT 114, CELERY-LAIES PHASE 1 PLAT BOOK62, PAGES 75 8 76
BUILDING USE (e g., Resklerdial, Nonresidential, Addtion, Accessory, etc. Use a Comments area, if rmessary.)
RESIDENTIAL
LAT[iUDEILONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: GPS (Type):
( #1P -Wr - ##AV or ❑ NAD 1927 ❑ NAD 1983 p USGS Quad Map ❑ Other:
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
81. NFP OOMWl1NrTY NAME &COTR UNITY NUMBER 8Z COUNTY NAME 83. STATE
CITY OF SANFORD 1202.94 SEMNME FLORIDA
B4. MAP AND PANEL
97. FIRM PANEL
89. BASE FLOOD ELEVATKKS)
NUMBER
85. SUFFIX
86. FIRM INDEX DATE
EFFECTNSWASM DATE
88. ROOD ZONES)
(Zone A0, use dqM db ft
1211700065
E
APR 1995
APR 1995
X
NA
B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9.
❑ AS Profile ® FIRM ❑ Community Determined ❑ Other(Desaribe�
B11. Indicate the elevation datum used forte BFE in 89. ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Desatbe�
612 is the building located in a Coastal Barrier Resources System (CBRS) area orOftrwim Protected Area (OPA)? ❑ Yes M No Designation Date
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) -
C1. Buii ft elevations are based on: ❑ Construction Drawrnga' ❑ Building under Construction• ® Finished Construrdion
•A•new Elevation Certificate will berequired when aonstructon of the building is complete.
C2. Building Diagram Number5 (Select the building diagram mostsimiarb the building forwhich this oert fib is being completed - see pages 6 and 7. ff no diagram
aocura* represents the bull i% provide a sketch or phobgmph.)
C3. Elevations —Zones Ai-A30, AE, AR A (wIh.BFE), VE, VI-V30, V (with BFE j AR, ARIA, ARIAE, ARIAt-PM, ARIAH, ARiAO
Complete Items C3.-a4 below according b the building diagram specdied in Item CZ State the datum used. If the datum is dlferent from the datum used for the BFE in
Section B, convert the datum tD that used for the BFE Show field measurements and datum conversion calculation. Use the space provided or the Commends area of
Section D or Section G, as appropriate, b document the datum oornrersion.
Datum NGVD29 ConversiortlCommerds
Elevation n femnoe mark used Does the elevation reference mark used appear on the FIRM? •D Yes ® No
❑ a) Top of bottom floor (nduding basement or endosure) 20, 86 ft(m)
1].b)Top of neAhigher. floor. NA,. _ft(m).
0 c) Bottom of lowest ho=ntel struchtral member (V zones orM NA . $ (m)
CIA) A&-<iW garage (bp of slab) 20. 36 ft(m)
0 e) Lowestetevaation of madunery ardlor equipment
. servicing the building (Desarbe ma Comments area) -K. 2ft(m)
Q -Q LvAest adjacent (finished) grade (LAG) 20.0 ft(m)
❑ g) Highest adjamnt (finstwo grade (HAG) 20. 2 ft(m)
❑ h) No. of permanent openings (flood vents) within f ft above adjaoentgrade NA
O ) Total area of all permanent openings (Iood vends) in C 3.h NA sq. in. (sq. an)
i�
W'W
E
Z'L
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SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This certification -is to be signed and sealed by a land surveyor, - engineer, •or -architect authorized by law to certify elevation -information.
I certify that the information in Sections A, B, and C'on this certificate represents my best'e8orts to interpret the data available.
1 understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001.
CERTTFIER'S NAME R. BLAIR WNER LICENSE NUMBER RS.M 3382
TITLE PRESIDENT COMPANY NAME KITNER SURVEYING, INC.
ADDRESS 'CITY STATE ZIP CODE
2597 SANFORD AVENUE SANFORD FL 32772
SIGNATURE. r
DATE. TELEPHONE.
IODEC 20M 407322 2000
IMPORTANT: In these spaces, cpg the mespondnq infomtation from Section A For InsutswC«rpery Use:
BUMING STREET ADDRESS Rdudrg Apt. Unit Site. w br Mt No.) OR P.O. ROUT J AND BOXNO. ....: • Potty Mirber
121 PINEFIELD DRIVE
CITY STATE ,, ZIP CODE Corp" NAIC Number
SANFORD FL 32771
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED)
Copy both sides of this Elevation Certfcate for oommunityy official, (2) insurance agerftmparry, and (3) bulding owner.
COMMENTS.
p Check here d abchn'tenis
SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED)•FOR ZONE AO AND ZONE A'MnOUT BFE)
For Zone AO and Zone A (without BFEJ complete items Et through E4. If the Elevation Certificate is intended for use as supporting irdormabon for a LOMA or LOMR-F,
Section C must be completed.
Et. Butd'mg Diagram Number _(Select the building diagram most suniarto the building for wht h this oeffcate is being completed — see pages 6 and 7. If no diagram accurately
representsfhe building, provide a sketch orphotograph.)
EZ The top of the bottom floor ('including basement or endosure) of the building is
natural grade, f available).
_ ft(m) _in.(crn) ❑above or ❑ glow (check one) the hghed adjacent grade. (tlse
E3. For Building Diagrams 6.8 with openings (seepage 71 the red higher floor or elevated floor (elevation b) of the bulding is _ ft(m) _i n.(an) above the highest adjacent
grade. Complete Items C3.h and C3.1 on front of form.
E4. The top of the platform of machinery andlor equipment servicing the bulding Is _ ft(m) _in.(an) ❑ above or ❑ below (check one) the highest adjacent grade. (Use
natural grade, I available}
E5. For Zone AO only. If no flood depth number is available, is the top of the bottom tborelevatBd in accordance with the oommunitys tloodplain management ordinance?
❑ Yes ❑ No ❑ Unknown. The local official must certify this inormation in Section G.
SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION
The property ovneror owners authorised represemtatiwe who oonqletes Sections A, B, C (Items C3.11 and C3.ionlyj and E for Zone A Ndhout a FEMA-issued oroommuW
Issued BFE) or Zone AO must sign here. The statements in Sections A R C, and E are coned to the best ofmy Icrowladge.
:.01:d::.Sa1W"�I�
ADDRESS CITY STATE ZIP CODE
SIGNATURE DATE TELEPHONE
COMMENTS
❑ check here ftabchments
SECTION G - COMMUNITY INFORMATION (OPTIONAL)
The local oftial who is authorised by law or ordinanoe to administer the oommun!Vs floodplai n management ord nanoe can oomplete Sections A, B, C (or E), and G of this Elevation
Certificate. Complete the appliable Lem(s) and sign below.
Gi . ❑ The i nfomhahon in Section C was taken from otherdocumenta5m that has been signed and embossed by a licensed surveyor, engineer, or archted who is authorized by state
or local law to oertIty elevation information. (Indicate the source and date of the elevation data In the Comments area below.)
G2. ❑ A community official completed Section E for a building boated in Zone A (wlhout a FEMA-ssued or eommunky4ssued BFE) or Zone AO.
G3. ❑ The UbWng information (Items G4-G9) is provided forcommunity floodplain management purposes.
G4. PERA?T NUMKR Gb. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF CONPUANCFJOCCUPANCY ISSUED
G7. This permit has been issued for. ❑ New Construction p Substantial Improvement
GB. Elevation of as-buit lowest floor ('including basement) of the bulding is: _. _ft(m) Datum:
G9. BFE or (In Zone AO) depth of flooding at the building sfle is: _. _ ft.(m) Datum:
LOCAL OFFICIAL'S NAME TITLE
COMMUNITY NAME TELEPHONE
SIGNATURE DATE
COMMENTS