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2124 Rookery Ln 13-227 (new t-home)
U G r 3 1. 2912 CITY OF SANFORD Y BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: Documented Construction Value: $moo • Job Address: �21 Z MW Historic District: Yes ❑ No Parcel ID: /Q OV "3O"4 94 O -_ AWLO Zoning: Description of Work:. 76w?1 n,�ftKF_ U14M Plan Review Contact Person: badAy11Z Cla(! _ Title: Phone: V61-2-SI-4140 Fag:I.401-Q0S'S13(p E-mail:danhnQcldirkincOL-ii•ty.coso Property Owner Information Name WI I ( Phone: Street: Resident of property?: NSA City, State Zip: k)%Y)A1f' P0►(1C EL 37-199 Contractor Information Name 1r Phone: 40— 2S t '040 Street: 400 Pa&Aum 1AC Fag: W11-1goS_ S'13f City, State Zip: omty- Oak FL 327u State License No.: Cqc- 151 ZSOO Architect/Engineer Information Name: W IL1,I AK M Q.h EV-4 Phone: 40-1- 6i,' A 0 Bonding Company: Mortgage Lender: Address: /S /O p.� _ l�9 dla' �, oOP Address: �023 O a D �3/• dPERMIT I ORMATION Building Permit • Square Footage: —2/ Construction Type: No. of Dwelling Units: Flood Zone: Electrical ❑ New Service— No. of AMPS: Mechanical ❑ (Duct layout required for new systems) �3 �3 .19 S C) a.s /�9 No. of Stories: 2• Plumbing ❑ New Construction - No. of Fixtures: Fire Sprinkler/Alarm ❑ No. of heads: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a pemut 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 cofinpliance 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. /Z Signatu of Owner/Agent Date g4j&u J r ��tN Mit Owner/Agent's Na e Signature of Notary -Kate of Florida Date 2o�aaY a'4r,� D. A. CLARK * * MY COMMISSION # EE 092141 EXPIRES: June 27, 201.5 Bonded Thor Budget Notary Swim Owner/Agent is V Personally Known to Me or Produced ID IU/4r Type of ID RA APPROVALS: ZONING: ENGINEERING: COMMENTS: Rev 11.08 I6&-k / Sign re of Contras t/Agent Date aiga) ea�/t PrinfContractor/Agent's e Signature of Notary -State of Florida Date D. A. CLARK * MY COMMISSION # EE 092141 EXPIRES: June 27, 2015 1l"t" "'v Bonded Thor Budget Notary Services Contractor/Agent is Personally Known to Me or Produced ID Al*+ Type of ID A;4 . UTILITTES: WASTE WATER: FIRE: BUILDING: / •? Application No: CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Documented Construction Job Address: 212 400kexj A W Parcel ID: % -ZO — �d — 5-14 ^ 0 — IWO Description of Work: boo f Value: $ &/ / Historic District: Yes ❑ No K Zoning: Plan Review Contact Person: baoy)m, Cl a(Y. Title: Phone: UbI 2-S-1--fgtFax: 401— 40S -S?3(y E-mail:daphyiecidlric tone&Cl •yf.eoo4 Property Owner Information Name 1 Phone: Sheet: `, Resident of property? City, State Zip: W I Y1'k .>r pa (4 Ftn189 Contractor information Name :� Phone: uo'l- 2S1 _Mo Street: Lzo Fax: 1A01---ga- S13b City, State Zip: �A�IV� .� �d�. R. n1im State License No.: CqG 15;1 ZS00 Architect/Engineer Information Name: WI(LlN R IWMA Phone: 0-1-68i" A V7 '► ` Wi.1)14ue i �RLM24 Bonding Company: MIRE Address: Fax: E-mail: Mortgage Lender: M�.h Address: PERMIT INFORMATION Building Permit V Square Footage: /�� Construction Type: No. of Stories: No. of Dwelling Units: 1 Flood Zone: Electrical ❑ Plumbing ❑ New Service — No. of AMPS: ISO_—_ New Construction - No. of Fixtures: Mechanical ❑ (Duct layout required for new systems) Fire Sprinkler/Alarm ❑ No. of heads: — W 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 Iaws 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. 6&=P. 1AA/1_-1 lZ Signatu of 0�kmer/Agent Date xPJ)e Pnnt Oxkmer/Agent's Na e Signature of Notary- tate of Florida Date D. A. CLARK * * MY COMMISSION 1 EE 092141 EXPIRES: June 27, 2015 'T OF FVOR\OY Bonded Thru Budget Notary SeNiCE6 Owner/Agent is V/Personally Known to Me or Produced ID /Wk Type of ID PA APPROVALS: ZONING: ENGINEERING: COMMENTS: Rev 11.08 � L.-P � Sign re of Contractor/Agent Date Printractor/Agent's _ e �& Signature of Notary -State of Florida Date o�Pa'' P Bin D. A. CLARK * MY COMMISSION t EE 092141 EXPIRES: June 27, 2015 �T9jFOFFto�� BondedThruBudget Notary Services Contractor/Agent is Personally Known to Me or Produced ID NA4 Type of ID AJ4 . UTILITIES: ��' 'r� WASTE WATER. - FIRE: I:i�lis 71►�� Application No: CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION n' , L n L n Documented Construction Value: $ / b l Job Address: 2 2 4Q(k�N""� A W . Historic District: Yes ❑ No Parcel ID: /0 r,U-3d — 94 0 — IWO Zoning: Description of Work: 76WN WOKE LUT Plan Review Contact Person: ba hu, Clack. Title: Phone: L1oi" 2S�t"bgt.�t� Fax: 401— gOS''&i36 E-mail:diyl2Cjd rk In omfl - kY.Co04 Property Owner Information Name ( Phone. - Street: Resident of property? City, State Zip: r Path f. n-leg Contractor Information `` Name 'i Phone: y��� 2S1'6a40 Street: LZ0 Part AUNAC �th Fax: U0j—Q0S- Sj 36 City, State Zip: WkV\1V_r Wa k. F. 32-uct State License No.: Cqc, 1512500 Architect/Engineer Information Name:WILLIN R M Street'. ell S WEWWTE ID14UFI &TwV ► :i Bonding Company Address: Building Permit V Phone: 0-1 fi - A t7 Fax: E-mail: Mortgage Lender: k) k Address: PERMIT INFORMATION Square Footage: /S7�-3 Construction Type: No. of Dwelling Units: � Flood Zone: Electrical ❑ New Service — No. of AMPS: Mechanical ❑ (Duct layout required for new systems) No. of Stories: Z Plumbing ❑ New Construction - No. of Fixtures: Fire Sprinkler/Alarm ❑ No. of heads: _ Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has 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. a. Signatu I of Owner./Aeent Date a6(-_-WN b4 AAA/ Print 0%mer/Agent's Ne a Signature of Notary- late of Florida Date r �&__P� 4,__ 14Z Sign re of Contrac or'Agent Date / j2A) kj4&JA i Printraotor,Agent's _ e Signature of Notary -State of Florida Date SPRY P" D. A. CU►RK tPaY P�B� D. A. CLARK 2p • MY COMMISSION # EE 092141 MY COMMISSION # EE 092141 * EXPIRES: June 27, 2015 EXPIRES: June 27, 2015 AI F�pe* Bonded Thru Budget Notary Services srq�oFF`p��aY Bonded Thru Budget Notary Services Owner/Agent is VhrPersonally Known to Me or Contractor/Agent is ✓ Personally Known to Me or Produced ID NA• Type of ID PA Produced ID AIA- Type of ID AID} . APPROVALS' ZONING: UTILITIES: A WASTE WATER: ENGINEERING: COMMENTS: Rev 11.08 FIRE: BUILDING: r K i CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No:: Documented Construction Value: $ Job Address: �! Z �roUHistoric District: Yes ❑ No Parcel ID: f0 �� �3� "" l� 4 IWO Zoning: Description of Work: 76w)� ftKF_ UNIT Plan Review Contact Person: b4DV1V a_ CIAO.. Title: Phone: U61-2SI -644D Fax:401-g0S-'&jj6 E-mail:&phVXCldtrk'tn(f-:com Property Owner Information Name vn W ( Phone. - Street'. Resident of property? City, State Zip: WMAIV- Pat1. F 32-189 Contractor Information Name Phone: V61— 2SI _Mtro Street: Loo aAunue, rG Fax: LA01 qC S-S13b City, State Zip: �/l kyyta- �F (L .. 327 ( State License No.: cqc' 151 ZS00 Bonding Company: WE Address: Building Permit Architect/Engineer Information Phone: W1 691- A V% Fax: E-mail: Mortgage Lender: Address: PERMIT INFORMATION Square Footage: lJ Construction Type No. of Dwelling Units: �_ Flood Zone: Electrical ❑ New Service— No. of AMPS: 150 Mechanical 0 (Duct layout required for new systems) No. of Stories: Z Plumbing ❑ New Construction - No. of Fixtures. - Fire Sprinkler/Alarm ❑ No. of heads: _ '0 0 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 cobipliance 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. 6&"�o - LIAII,-,lZItz Signatu I of ()%Nner./Agent Date ql&WN tX Pruit 0a%mer/Agent's Na e Signature of Notary- late of Florida Date ` ,FRY P6 D. A. CLARK MY COMMISSION # EE 092141 EXPIRES: June 27, 2015 Bonded Thes ru Budget Notary Servic Owhr ner/Agent is V Personally Kno«-n to Me or Produced ID NAV Type of ID PA APPROVALS COMMENTS: Rev 11.08 ZONING: 0 - H " UTILITIES: ENGINEERING FIRE: � L__p � / Sign re of Contractor/Agent Date PnneContractor'Agent`s . e zo Signature of Notary -State of Florida Date otPav POBi, D. A. CLARK 2 ' MY COMMISSION # EE 092141 r * EXPIRES: June 21, 2015 Sr9jFoFw�o�°q BondedThruBudget Notary Services Contractor/Agent is V Personally Known to Me or Produced ID NA, Type of ID M4 . WASTE WATER. - BUILDING: F ;9 Land Surveyors 769 Douglas Avenue, Altamonte Springs, Florida. 32714 (407)788-8808 Member of the Florida Surveying and Mapping Society and American Congress on Surveying and Mapping Map of Survey CURVE TABLE CURVE I LENGTH I RADIUS I Delta C11 20.591 150.00 7"5157" S 34 041 '56" VV188. 61 LINE TABLE LINE LENGTH I BEARING L11 2.19 S74 °43'51 "E Loch Low Lake Tract B Recreation Area N 34 °4 1'56" E 10 ! CIL EL: 51.75 CIL Rookery Lane (R/W Varies) Tract A Multipurpose Easement City of Sanford LEGAL DESCRIPTION Lots 106, 107, 108, 109, "Reserve at Loch Lake" according to the plat thereof as recorded in plat book 76 at page(s) 27-33 of the public records of Seminole County, Florida. FLOOD HAZARD DATA: The parcel shown hereon lies within flood zone X" according to the Federal Emergency Management Agency Letter of Map Revision Based on Fill, Case No.: 11-04-5767A, Dated September27,2011. Community Map panel number 120294 0070F. There has been no field surveying performed by this firm to determine this flood zone. Herx & Associates, Inc. assumes no responsibility for actual flooding conditions. The lender (if any) makes the final determination as to the requirement of Flood Insurance or not. General Notes: PR D�®S D 1. This is a BOUNDARY Survey performed in the field on 2. No aerial, surface or subsurface utility installations, underground improvements or subsurface/aeria! encroachments, if any, were located. 3. Building ties shown are to the exterior unfinished foundation surface or formboard. 4. Elevations shown hereon, if any, are assumed and were obtained from approved Construction plans provided by the Client unless otherwise noted, and are shown only to depict the proposed or actual difference in elevation relative to the assumed temporary Benchmark shown hereon. 5. The parcel shown hereon is subject to all easements, reservations, restrictions, and Rights -of -way of record whether depicted or not on this document. No search of the Public Records has been made by this office. 6. The legal description shown hereon is as furnished by client. 7. Platted and measured distances and directions are the same unless otherwise noted. 8. Copies of this Survey may be made for the original transaction only. • Denotes %" iron rod with plastic cap marked LB4937, or A" iron rod with red plastic cap marked "Witness Comer", unless otherwise noted. O Denotes P.C.P. (Permanent control point) ■ Denotes Permanent Reference Monument © 2012 Herx & Associates Inc. All rights reserved Certification: Not valid without the signature and the original r ed seal of a Florida licensed Surveyor an a eels the requirements off a Minimum Tech ica Standards as ntained ip-eha <e : Z Flon dministrative C d A. Herx, P.L.S. Florida Registered La Sury or No. 3162 L. Przemieniecki, P.S.M Registered Sury, or d Mapper No, 6030 Associates Inc., State of Florida LB 4g37 Tract A Multipurpose Easement Lot 105 i Building 21 Note: This drawing is intended for the purpose of obtaining a building permit only. Lot specific architectural plans must be referred to for the details/options in construction of the structure shown hereon. BEARING BASE: Bearings shown hereon are referenced to the Southerly plat boundary of Reserve at Loch Lake as being S 89°1827"E. Vertical datum is based on engineering plans provided by client, prepared by Evans Engineering, Inc. Job #22501. Legend 0+ Temporary Benchmark CrS 0.R.B. offset Official Records Book ("assumed datum) PB Plat Book BOW Back of sidewalk PC point of Curvature CIL Centerline PCC. Point of Compound Curvature d Central or (Delta) Angle P. C. P. Permanent Control Point CALC Calculated PG. Page CB Chord Bearing P.R.M. Permanent Reference Monument CD Chord PIL Property Line C.M. Concrete Monument P.O.B. Point of Beginning EL. or ELEV Elevation (Proposed) p.0. C. Point of Commencement FINAL EL. Elevation (Measured) p / Point of Intersection FD Found PRC. Point of Reverse Curvature Fin.Fl. Elev. Finished Floor Elevation PT Point of Tangency I.P. Iron Pipe R Radius I.R. Iron Rod RAD Radial Line L Arc Length RES. Residence LB Licensed Business R1yy Right -of -Way LS. Land Surveyor Tam Temporary Benchmark Mea Measured TYp, Typical N/D(N&D) Nail and Disk �� _�� _ Fence symbol (see drawing) N.R. Not Radial -X—X- Fence symbol (see drawing) Sketch of Legal Description This is Not a Survey Drawn by: CM Checked by: DP Prepared for. Mattamy Homes Job Number: 11-005-02 Scale: i"= 30' Plot Plan Performed: 09-18-12 Formboard Survey: Final survey: Revisions: City of Sanford Planning and Development Services Engineering — Floodplain Management Flood Zone Determination Request Form Name: � l y7r kt—lear", Firm: +01 Address: 4(D6) /�cz,-� hvP.� City: iv;,, �,6/- Pa r' A- State: F L Zip Code: -72 7,6 9. Phone: V% 7- ZS%--`�'eJ'rx: Email: Property Address: , lZ4 f�.yo key L-q &--"— Property Owner: AAaV4 #Om-a—r Parcel identification Number: 5`14/ - o G o o Phone Number: qd 7- 057- 6gYo Email: The reason for the flood plain determination is: New structure ❑ Existing Structure (pre-2007 FIRM adoption) ❑ Expansion/Addition ❑ Existing Structure (post 2007 FIRM adoption) Pre 2007 FIRM adoption = finished floor elevation 12" above BFE Post 2007 FIRM adoption = finished floor elevation 24" above BFE (Ordinance 4076) QFFICIAL`USEd,NLY�_ Flood Zone: Base Flood Elevation: Datum: FIRM Panel Number: /Z // 76 Oo7o F Map Date: 9 Zo�2o0 7' 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 Eq—The parcel is not in the: 4D kodplain ❑ floodway ❑ The structure is in the: ❑ floodplain ❑ floodway F�]' The structure is not in the: oodplain ❑ floodway If the subject property is determined to be flood zone `A', the best available information used to determine the base flood elevation is: Reviewed by: Date: T:\Engr-Files\Elevation Certificate\Flood Zone Determination Request Form.doc LIMITED POWER OF ATTORNEY DATE: ZOOi _ I HEREBY NAME AND APPOINT: Daphne Clark, Gustav Botes OF PERMITS PERMITS PERMITS INC EACH AN AGENT OF: MATTAMY HOMES TO BE MY LAWFUL ATTORNEY IN FACT TO ACT FOR ME AND APPLY TO BUILDING DEPARTMENT: cny OP S"F=X6 FOR A PERMIT FOR WORK TO BE PERFORMED AT LOT NUMBER : 1d811__ SUBDIVISION: ELE kr Xal tA'i PARCEL ID NUMBER /Q -'ZQ, 30 - OOD O- Atto ADDRESS: o'aA0W AM a--- AND TO SIGN MY NAME AND DO ALL THINGS THAT ARE NECESSARY TO THIS APPOINTMENT. GLENN PATRICK KIRWAN NAME OF LICENSED CONTR TOR. . (1, �,, 'PLAAII�- SIG ATURE OF LICENSED CONTRACTOR. COC 1512500 CONTRACTOR'S FL STATE LICENSE NUMBER. State of Florida, County ofOrange, The foregoing instrument was acknowledged before me this by Glenn Patrick Kirwan Who is personally known to me, and did not take an oath. Verification pursuant to SECTION 92.525, FLORIDA STATUTES. ANNETTE HEMPHILL PRINTED NAME OF NOTARY. IGNATURE OF NOTARY: Commission #: DD868645 NOTA ANNETTE HEMPHILL Ww" Commission # DD 868645 My Commission Expires P•� OFFICE PERMIT # FORM 405-10 FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Florida Department of Business and Professional Regulation - Residential Performance Method Project Name: Lot108LochLakeTPTH03 Street: KQ� b b Builder Name: MATTAMY HOMES Permit Office: �u i 6;?Pq City, State, Zip: L , y Permit Number: 0 ,!, Owner: Jurisdiction: 6 V -f -V U Design Location: FL, Orlando 1. New construction or existing New (From Plans) 9. Wall Types(2215.0 sqft.) Insulation Area 2. Single family or multiple family Multi -family a. Frame - Wood, Common R=13.0 704.00 ft2 b. Concrete Block - Int Insul, Common R=4.1 544.00 ft2 3. Number of units, if multiple family 1 c. Frame - Wood, Exterior R=13.0 521.33 ft2 4. Number of Bedrooms 3 d. other (see details) R= 445.67 ft2 10. Ceiling Types (985.0 sqft.) Insulation Area 5. Is this a worst case? No a. Under Attic (Vented) R=30.0 985.00 ft2 6. Conditioned floor area above grade (ft2) 1583 b. N/A R= ft2 Conditioned floor area below grade (ft') 0 c. 11. Duuctct s R= ft2 R ft2 7. Windows(179.1 sqft.) Description Area a. Sup: RoomslnBlock1, Ret: RoomSInBlock1, AH: 6 169 a. U-Factor: Dbl, U=0.29 179.06 ft2 b. Sup: Attic, Ret: Attic, AH: RoomslnBlock1 6 226.75 SHGC: SHGC=0.27 b. U-Factor: N/A ft2 12. Cooling systems kBtu/hr Efficiency SHGC: a. Central Unit 23.2 SEER:14.00 c. U-Factor: N/A ft2 SHGC: 13. Heating systems kBtu/hr Efficiency d. U-Factor: N/A ft2 a. Electric Heat Pump 23.2 HSPF:8.00 SHGC: Area Weighted Average Overhang Depth: 1.000 ft. Area Weighted Average SHGC: 0.270 14. Hot water systems a. Electric Cap: 50 gallons 8. Floor Types (1583.0 sqft.) Insulation Area EF: 0.900 a. Slab -On -Grade Edge Insulation R=0.0 676.00 ft2 b. Conservation features b. Floor Over Other Space R=0.0 598.00 ft2 None c. other (see details) R= 309.00 ft2 15. Credits Pstat Total Proposed Modified Loads: 28.85 Glass/Floor Area: 0.113 Total Standard Reference Loads: 37.79 PASS I hereby certify that the plans and specifications covered by Review of the plans and tTHE S'r this calculation are i h the Florida Energy Code. specifications covered by this indicates compliance Tx� calculation Florida Energy Code. �' '. "� with the rn,,,:,:, -.. •.r PREPARED BY: DATE: 9/1 112ulthis Before construction is completed` building will be inspected for compliance with Section 553.908 �7 a �* ¢� I hereby certify that this buildin , as designed ' in mpliance the Florida Energy C Florida Statutes. COD with e. WEB OWNER/A T BUILDING OFFICIAL: DATE: DATE: - Compliance requires certification by the air handler unit manufacturer that the air handler enclosure qualifies as certified factory -sealed in accordance with 403.2.2.1.1. - Compliance requires completion of a Florida Air Barrier and Insulation Inspection Checklist 9/11/2012 9:11 AM EnergyGauge® USA - FlaRes2010 Section 405.4.1 Compliant Software Page 1 of 6 Application No: -2.� Job Address: ki Parcel ID• Description of Work: Plan Review Contact Person: Phone: 40-\ Z (o(o� Name Street City, State Zip: Name t�e'� nakk Street: Ste, City, State Zip: CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Documented Construction Value: Historic District: Yes ❑ No ❑ Zoning: Title: Fax: 4("::1 S O D Z E-mail: Property Owner Information Phone: Resident of property? Contractor Information 10 CGS . Phone: _ 01 2� (0 Fax: �6 (Od L State License No.: e6 j 3a03__) (S" Architect/Engineer Information Name: Phone: Street: Fax: _ City, St, Zip: E-mail: Bonding Company: Address Mortgage Lender: Address: PERWT INFO-R-MATION Building Permit 'EH Square Footage:: Coustrncti-on Type -- No. of Dwelling Units: Flood Zone: Electrical New Service— No. of AMPS: c�C ties h_air�l (Duct to out rccuca r , .;ic1:of 'qew s,,scetTu No_ of Stories: Plumbing u New Construction - No.. of Fixtures: Nhen,,. Application is hereby made to o tain a permit to do the work and installations as indicated. I certify that no work or installation has commei ced prior to the issuance of a permit and that all work will be performed to meet standards of all laws regal ting construction in this jurisdiction. I understand that a separate permit must be secured for electrical ork, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and air conditioners, etc. OWNER'S AFFIDAVIT: I cedify that all of the foregoing information is accurate and that all work will be done in compliance with all 4pplicable laws regulating construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYINGTWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT musr 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 requ ements 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 verificatifn 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 Print Owner/Agent's Name Date Ynnt Contractor/Agent's Name Signature of Notary -State of Florida Date Sign o Nota -State of Florida Date ;:ro.• PATRICIAT " GUZMAN Commission # DD 923247 Expires September 8, 2013 .;� Bonded Thru Troy Fain Insura W 385-7019 Owner/Agent is Personally Kn wn to Me or Contractor/Agent is Personally Known to Me or Produced ID Type of ID Produced ID Type of ID APPROVALS: ZONING: UTILITIES: WASTE WATER: ENGINEERING- FAZE: BUILDING: COMMENTS: DEC-13-2012 07:09 Reliable Rate Inc. 407 834 3438 P.005 CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: / - aa-� Documented Construction Value: $ Job Address: C Historic District: Yes ❑ No Parcel ID• Zoning: Description of Work: ran shevd7tln Plan Review Contact Person: Phone: Fax: E-mail: Property Owner Information Title: Name V tAAnk/ Phone: Street: ,K Do Resident of property?: City, State Zip: Contractor Information Name 1 L Phone: �t� % ,�262 % �- Street: ( r . Fax: 3 .3 :__;:� City, State Zip: L-f, State License No.: CPez-211 Architect/Engineer Information Name: Phone: Street: Fax: City, St, Zip: E-mail: Bonding Company: Mortgage Lender: Address: Address: PERMIT INFORMATION Building Permit ❑ Square Footage: Construction Type: keld No. of Stories: No. of Dwelling Units: Flood Zone: Electrical ❑ Plumbing New Service — No. of AMPS: New Construction - No. of Fixtures: 1 S Mechanical 0 (Duct layout required for new systems) Fire Sprinkler/Alarm 11 No. of heads: DEC-13-2012 07:10 Reliable Rate Inc. 407 834 3438 P.006 t Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and air conditioners, etc. OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713. The City of Sanford requires payment of a plan review fee. A copy of the executed contract is required in order to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the plan review fee based on past permit activity levels. Should calculated charges exceed the documented construction value when the executed contract is submitted, credit will be applied to your permit fees when the permit is released. Signature of Owner/Agent Date Print Owner/Agent's Name Signature of Notary -State of Florida Date Owner/Agent is Personally Known to Me or Produced ID Type of ID APPROVALS: ZONING: UTILITIES: ENGINEERING: COMMENTS: FIRE: Signature �offContractor/Agent Da Aorr/Agent te VVLL l ■ , J h i� Prm Cc actor/Agent's Nam Signature of Notary -State of Florida Date ,7 td i3WF-LL MY CO tSSION #—6046936 .-vot S December 19.2014 Contractt]WAtelf —Is Personally Known to Me or Produced 1D Type of ID WASTE WATER: BUILDING: Rev 11.08 l 3 - as 7 COUNTY OF SEMINOLE IMPACT FEE STATEMENT T I � l fj L] % STATEMENT NUMBER: 12100006 DATE: October 19, 2012 7 jP BUILDING APPLICATION #: 12-10000679 `t BUILDING PERMIT NUMBER: 12-10000679 UNIT ADDRESS: ROOKERY LN, 2124 10-20-30-514-0000-1080 TRAFFIC ZONE:022 JURISDICTION: SEC: TWP: RNG: SUF: PARCEL: SUBDIVISION: TRACT: PLAT BOOK: PLAT BOOK PAGE: BLOCK: LOT: OWNER NAME: ADDRESS: APPLICANT NAME: MATTAMY HOMES ORLANDO ADDRESS: 400 PARK AVE SOUTH SUITE 220 WINTER PARK FL 32789 LAND USE: BLDG 21 TYPE USE: WORK DESCRIPTION: CITY-SANFORD SPECIAL NOTES: 2124 ROOKERY IN BLDG 21/ TOWNHOME -------------------------------------------------------------------------------- FEE BENEFIT RATE UNIT CALC UNIT TOTAL DUE TYPE DIST SCHED RATE -------------------------------------------------------------------------------- UNITS TYPE ROADS-ARTERIALS CO -WIDE ORD Condominium* 379.00 1.000 dwl unit 379.00 ROADS -COLLECTORS N/A Condominium* .00 1.000 dwl unit .00 FIRE RESCUE N/A .00 LIBRARY CO -WIDE ORD Condominium* 54.00 1.000 dwl unit 54.00 SCHOOLS CO -WIDE ORD Multifamily 2,450.00 1.000 dwl unit 2,450.00 PARKS N/A .00 LAW ENFORCE N/A .00 DRAINAGE N/A 00 AMOUNT DUE 2,883.00 STATEMENT RECEIVEBY /CA/ ayis© '� : (PLEASE PRINT NAME) DATE: NOTE TO RECEIVING SIGNATORY/APPLICANT: FAILURE TO NOTIFY OWNER AND ENSURE TIMELY PAYMENT MAY RESULT IN YOUR LIABILITY FOR THE FEE. *** DISTRIBUTION: 1-BLDG DEPT 3-APPLICANT 2-FINANCE 4-LAND MANAGEMENT \a **NOTE** PERSONS ARE ADVISED THAT THIS IS A STATEMENT OF FEES DUE UNDER THE SEMINOLE COUNTY ROAD, FIRE/RESCUE, LIBRARY AND/OR EDUCATIONAL ISSUANCE OF A BUILDING PERMIT. PERSONS ARE ALSO ADVISED THAT ANY RIGHTS OF THE APPLICANT, OR OWNER, TO APPEAL THE CALCULATION OF ANY OF THE ABOVE MENTIONED IMPACT FEES �J MUST BE EXERCISED BY FILING A WRITTEN REQUEST WITHIN 45 CALENDAR DAYS OF THE RECEIVING SIGNATURE DATE ABOVE, BUT NOT LATER THAN CERTIFICATE OF OCCUPANCY OR OCCUPANCY. THE REQUEST FOR REVIEW MUST MEET THE REQUIREMENTS OF THE COUNTY LAND DEVELOPMENT CODE. COPIES OF RULES GOVERNING APPEALS MAY BE PICKED UP, OR REQUESTED, FROM THE PLAN IMPLEMENTATION OFFICE: 1101 EAST FIRST STREET, SANFORD FL, 32771; 407-665-7356. PAYMENT SHOULD BE MADE TO: SEMINOLE COUNTY OR CITY OF SANFORD BUILDING DEPARTMENT 1101 EAST FIRST STREET SANFORD, FL 32771 PAYMENT SHOULD BE BY CHECK OR MONEY ORDER, AND SHOULD REFERENCE THE COUNTY BUILDING PERMIT NUMBER AT THE TOP LEFT OF THIS STATEMENT. ***THIS STATEMENT IS NO LONGER VALID IF A BUILDING PERMIT IS NOT*** ISSUED WITHIN 60 CALENDAR DAYS OF THE RECEIVING SIGNATURE DATE ABOVE * DETAIL OF CALCULATION AVAILABLE UPON REQUEST. CALL 407-665-7356. Parcel ID Number: 10-20-30-514-0000-1080 Prepared By Daphne Clark and Mattamy Homes Return To : 400 Park Avenue South, # 220 Winter Park, FL 32789 NOTICE OF COMMENCEMENT. State of Florida. County of Seminole. MARYANNE MORSE, CLERK OF CIRCUIT COURT SEMINIlt_E COUNTY BK 07841 Pq 046bi tlpq) CLERK'S ## 2012132406 RECORDED 11/02/&[1? 01:09122 PM RECCtNDINO FETES M.0t1 RECORDED BY T Saith The undersigned hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Description of Property: LOT 108 Legal Description: RESERVE AT LOCH LAKE, according to the plat thereof, as recorded in Plat Book 76, Page 27-33, of the public records of Seminole County, Florida. Address 2124 Rookery Lane, Sanford, FL 32771 2. General description of improvements Townhouse Unit 3. Owner information : Name Mattamy ( Jacksonville) Partnership Address 400 Park Avenue South, # 220, Winter Park, FL 32789 4. Fee Simple Title Holder: N.A. 5. Contractor name and address: Name Mattamy Homes. Address 400 Park Avenue South, # 220, Winter Park, FL 32789. Surety: N.A. 7. Lender: N.A. 8. Persons within the State of Florida designated by the Owner upon whom notices or other documents may be served as provides by 713.13(1)(a)7., Florida Statutes: N.A. 9. In addition to himself , Owner designates the following to receive a copy of the Lienor's Notice as provided in 713.13(1)(b), Florida Statutes. N.A. 10. Expiration date of notice of commencement: One year from the date of recording. 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 INTENT TO OBTAIN FINANCING, CONSULT YOUR LENDER OT ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMEND: MENT. 11. Date Signed : /O %� Signature of Owner's Agent Construction Mattamy Homes Sworn to and subscribed before me this by Glenn P Kirwan who is personally known to me. �SF� `Pvd(a D. A. Gl.Ahi, Notary Public * MY COMMISSION #EE 0921 Daphne A Clark EXPIRES:J+08 27, 2015 My commission expires: 6/27/2015 M°�oFFLo�`� �a,dedThnj&dye1No1aryServiee Serial No. EE092141 Notary Signature: Notary seal: - AND - Verification pursuant to Se tion 92.525, Florida Statutes. Under penalties of perjury, I declare that I have reap, e fore oin and that the f s stated in it are true to the best of my knowledge and belief CtRTI� COPY MARYANNE MORSE CLERK OF CIRCUIT COURT Sig a e ofperson siinIng in 11. above. SEMINOLE COUNTY, FLORIDA 81► rj kl i`fV 431. � Memorandum City of Sanford Department of Planning & Development Services P.O. Box 1788 Sanford, FI 32772-1778 Telephone: 407.688.5140 Fax: 407.688.5141 TO: Building Department Fire Department Police Department Public Works Department Utilities Department Post Office Florida Power, & Light Co. Progress Energy Florida PublicUtilities BellSouth Brighthouse Networks E-9-1-1 RE: ADDRESS CHANGE Project Location: Reserve at Loch Lake Tax Parcel Number: 10-20-30-514-0000-1 Earlier today, an address change was distributed to and 109 at the Reserve at Loch Lake. The owner of Lot 107. Please see the address change below for L Lot Number Previous Address 107 2124 Rookery Lane The attached exhibit identifies the locations of the regarding the above or pertaining to addresses wit] office. Thank you. Eileen Hinson, AICP Senior Planner Attachment: Site vicinity map April 23, 2013 Seminole County Sheriffs Office Seminole County Planning Department Seminole County Property Appraiser Seminole County School Board Supervisor of Elections rect a four unit townhome containing lots 106, 107, 108 property has since requested a change in the address for 107 of Reserve at Loch Lake. New Address 2126 Rookery Lane :s and associated addresses. If you have any questions the City of Sanford please do not hesitate to contact this Cc: Address File Amanda Tibbs — Mattamy Homes — Amanda.tibbs@mattamyhomes.com T20NINGIADDWonthly MemosWddress Memo -Change Loch Lake Lot 107.doe / LOCA Loa+ Loke 100—yr F1004 Elev. - 44.9- ��, � s�I■�d�i�■it�� ,� `: ♦ ■rfw�Filri���l4a � �,1� r ��Ji1[IB, ���1®1�atl�� ,• FRO �• ■�t■; ■x�.i•r�� • t•;a�n■�•�� i■ wk . d�t�■�t•rt _ ■jra�■ ■ •.•r�. • � .ems,. Herx & Associates Inc. 769 Douglas Avenue Altamonte Springs, Florida 32714 407.788.8808 - 407.788.8762 (fax) April 15, 2013 City of Sanford Building Division P.O. Box 1788 Sanford, Florida 32772-1788 RE: Lot 107 Reserve at Loch Lake, 2124 Rookery Lane To Whom It May Concern, The finished floor elevation of the structure located at: 2124 Rookery Lane, Sanford, Florida Legal Description: Lot 107, "Reserve at Loch Lake", according to the Plat thereof, as recorded in Plat Book 76 at pages 27 through 33 Public Records of Seminole County, Florida. Meets or exceeds the requirements set forth in the City of Sanford Code Chapter 18, Section 18-4(a). Sincerely Yours, Darae L. Przemieniecki ,. P. Associate Vice President DLP/bb U.S. DEPARTMENT QF HOMELAND SECURITY Federal Emergency Management Agency National Flood Insurance Program ELEVATION CERTIFICATE Important: Read the instructions on pages 1-9. OMB No. 1660-0008 Expires March 31, 2012 SECTION A - PROPERTY INFORMATION I For, lhsurance; Comoahy Use: Al. Building Owner's Name: Mattamy Homes I Policy Number I A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company NAIC Number 2124 Rookery Lane City Sanford State FI ZIP Code 32773 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Lot 107, Reserve at Loch Lake, Plat Book 76 Pages 27-33 Seminole County, Florida A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Residential A5. Latitude/Longitude: Lat. 28°45'46.5"Long.-81*18'01.7" Horizontal Datum: ❑ NAD 1927 E NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number 1A A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage: a) Square footage of crawlspace or enclosure(s) NA sq ft a) Square footage of attached garage 221 sq ft b) No. of permanent flood openings in the crawlspace or b) No. of permanent flood openings in the attached garage enclosure(s) within 1.0 foot above adjacent grade NA within 1.0 foot above adjacent grade NA c) Total net area of flood openings in A8.b NA sq in c) Total net area of flood openings in A9.b NA sq in d) Engineered flood openings? ❑ Yes E No d) Engineered flood openings? ❑ Yes E No SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number 62. County Name B3. State City of Sanford & 120294 Seminole County FI B4. Map/Panel Number B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) (Zone 12117CO070 F Date Effective/Revised Date Zone(s) AO, use base flood depth) 9/28/2007 9/28/2007 X N/A B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. ❑ FIS Profile ❑ FIRM ❑ Community Determined E Other (Describe) N/A B11. Indicate elevation datum used for BFE in Item 139: ❑ NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe) N/A B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes E No Designation Date ❑ CBRS ❑ OPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. Building elevations are based on: ❑ Construction Drawings" ❑ Building Under Construction' E Finished Construction `A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations -Zones Al-A30, AE, AH, A (with BFE), VE, V1-V30, V (with BFE), AR, AR/A, AR/AE, AR/A1-A30, AR/AH, AR/AO. Complete Items C2.a-h below according to the building diagram specified in Item A7. Use the same datum as the BFE. Benchmark Utilized Seminole County BM 4141601 Vertical Datum NAVD 88 Conversion/Comments. Check the measurement used. a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 51.6 E feet ❑ meters (Puerto Rico only) b) Top of the next higher floor 62.3 ❑ feet ❑ meters (Puerto Rico only) c) Bottom of the lowest horizontal structural member (V Zones only) N/A. ❑ feet ❑ meters (Puerto Rico only) d) Attached garage (top of slab) 51.3 E feet ❑ meters (Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building 50.9 E feet ❑ meters (Puerto Rico only) (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) 50.3 E feet ❑ meters (Puerto Rico only) g) Highest adjacent (finished) grade next to building (HAG) 50.8 E feet ❑ meters (Puerto Rico only) h) Lowest adjacent grade at lowest elevation of deck or stairs, including N/A. ❑ feet ❑ meters (Puerto Rico only) structural support SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. I certify that the information on this Certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. E Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a licensed land surveyor? E Yes ❑ No Certifier's Name Darae L. Przemieniecki License Number PSM 6030 Title Professional Surveyor and Mapper Company Name Herx & Associates, Inc. Douglas Avenpe�_-.( 1 City 4.Itamonte Springs State FI ZIP Code 32714 Signature V _Date 04-15-13 Telephone 407-788-8808 FEMA Form 81-31, Mar 09 See reverse side for continuation. Replaces all previous editions IMPORTANT: In these spaces, copy the corresponding information from Section A. For Insurance Gompany'Use': Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. ,Policy Number 2124 Rookery Lane City Sanford State FI ZIP Code 32773 Company"NAIL-Number r` SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. Comments Item C2e refers to Air Conditioner sl evation. Herx & Associates, Inc. assumes no sp risibility for act I looding conditions. 1 ignatur Date 04-15-13 ❑ Check here if attachments SECTION E - BUILDING ELE TI N INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A (without BFE), complete Items El-E5. If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, B, and C. For Items E1-E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters. El. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom floor (including basement, crawlspace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom floor (including basement, crawlspace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9 (see pages 8-9 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E3. Attached garage (top of slab) is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA-issued or community -issued BFE) or Zone AO must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑ Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement used in Items G8 and G9. G1. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. ❑ A community official completed Section E for a building located in Zone A (without a FEMA-issued or community -issued BFE) or Zone AO. G3. ❑ The following information (Items G4-G9) is provided for community floodplain management purposes. G4. Permit Number I G5. Date Permit Issued I G6. Date Certificate Of Compliance/Occupancy Issued G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building: ❑ feet ❑ meters (PR) Datum G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters (PR) Datum G10. Community's design flood elevation ❑ feet ❑ meters (PR) Datum Local Official's Name Title Community Name Telephone Signature Date Comments ❑ Check here if attachments FEMA Form 81-31, Mar 09 Replaces all previous editions (. Y Building Photographs See Instructions for Item A6. For Insurance Company Use: Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number 2124 Rookery Lane City Sanford State FI ZIP Code 32773 Company NAIC Number If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two building photographs below according to the instructions for Item A6. Identify all photographs with: date taken; "Front View' and "Rear View'; and, if required, "Right Side View" and "Left Side View." If submitting more photographs than will fit on this page, use the Continuation Page on the reverse. Front View Building Photographs Continuation Paqe For Insurance Company Use: Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number 2124 Rookery Lane City Sanford State FI ZIP Code 32773 Company NAIC Number If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs with: date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View." Rear View Serx * 014g8ociateBlnc. a v G) PCP m a City of Sanford Land Surveyors 769 Douglas Avenue, Altamonte Springs, Florida. 32714 (407)788-8808 Member of the Florida Surveying and Mapping Society and American Congress on Surveying and Mapping Map of Survey CURVE TABLE CURVE I LENGTH I RADIUS I Delta CII 20.591 150.00 7°51'57" LINE TABLE LINE LENGTH I BEARING L11 2.191 S74 °43'51 "E Loch Low Lake Tract B S 34 041 '56" W S 34 041 '56" W-�'l 88. 61 CIL EL: 51.6 C/L Rookery Lane (RIW Varies) Tract A Multipurpose Easement LEGAL DESCRIPTION Lots 106, 107, 108, 109, "Reserve at Loch Lake" according to the plat thereof as recorded in plat book 76 at page(s) 27-33 of the public records of Seminole County, Florida. FLOOD HAZARD DATA: The parcel shown hereon lies within flood zone 'X" according to the Federal Emergency Management Agency Letter of Map Revision Based on Fill, Case No.:11-04-5767A, Dated September27,2011. Community Map panel number 120294 0070F. There has been no field surveying performed by this firm to determine this flood zone. Herx & Associates, Inc. assumes no responsibility for actual flooding conditions. The lender (if any) makes the final determination as to the requirement of Flood Insurance or not. Tract A Multipurpose Easement Lot 105 BEARING BASE: Bearings shown hereon are referenced to the Southerly plat boundary of Reserve at Loch Lake as being S 89°18'27"E. Vertical datum shown hereon is based upon Seminole County Benchmark 4141601 (Elevation 47.984) NA VD 88. i General Notes: 1. This is a BOUNDARY Survey performed in the field on Legend O/S offset 2. No aerial, surface or subsurface utility installations, underground improvements or 0 Temporary Benchmark O.R.B. Official Records Book subsurfacelaerial encroachments, if any, were located. (assumed datum) PS Plat Book 3. Building ties shown are to the exterior unfinished foundation surface or formboard. BOW Backolsidewalk PC Point of Curvature 4. Elevations shown hereon, if any, are assumed and were obtained from approved C/L d Centerline Central or (Delta) Angle FCC. Point of Compound Curvature Construction plans provided b the Client unless otherwise noted, and are shown p Y CALC Calculated P.C.P. PG. Permanent Control Point Page only to depict the proposed or actual difference in elevation relative to the assumed CB Chord Bearing P.R.M. Permanent Reference Monument temporary Benchmark shown hereon. CD Chord PrL Property Line 5. The parcel shown hereon is subject to all easements, reservations, restrictions, and C. M. Concrete Monument P. D.B. Point of Beginning Rights -of -way of record whether depicted or not on this document. No search of the EL. or ELEV Elevation (Proposed) P.O. C. Point of Commencement Public Records has been made by this office. FINAL EL. FD. Elevation (Measured) Found P.I. Point of Intersection al description shown hereon is as furnished by client. 6. The legal p Fin.Fl. Elev. Finished Floor Elevation PRC. pT. Point of Reverse Curvature Point of Tangency 7. Platted and measured distances and directions are the same unless otherwise noted. I.P. Iron Pipe R Radius 8. Copies of this Survey may be made for the original transaction only. I.R. Iron Rod RAD Radial Line • Denotes %" iron rod with plastic cap marked LB4937, or %" iron rod with L Arc Length RES. Residence red plastic cap marked 'Witness Comer", unless otherwise noted. LB LS. Business B Licenseus Land Surveyor RnM Right-of-way O Denotes P.C.P. (Permanent control point) Mae■ Measured TBM Typ. Temporary Benchmark Typical Denotes Permanent Reference Monument /D(N&D) NID Nail and Disk Fence symbol (see drawing) © 2013 Herx & Associates Inc. All rights reserved N.R. Not Radial -X—X- Fence symbol (see drawing) Drawn by: CM Certification: Not valid without the slgnatu d the original ral seal of a Florida licensed Surveyor and Mapper Checked by: DP This survey meets the requireme of the Flora inimum Techni I Prepared for: Mattamy Homes Standa s contained in Chap r 5J- and A inistrative C Job Number: 11-005-02 1 Plot Plan Performed: 09-18-12 Willia erx, P.L.S. Florida Registered La d Su eyor No. 3182 Formboard Survey: 12-15-12 Darae L. Przemieniecki, P.S.M. Registered S eyo xand Mapper No. 6030 Foundation Survey., 01-16-13 Herx & Associates Inc., State of Florida LB 493 f Final Survey: 04-10-13 4 Revisions: loth REQUEST FOR TUG & PREPOWER AGREEMENT Altamonte Springs, Casselberry, Longwood, Oviedo, Sanford, Seminole County, Winter Springs Date: q 1 1W1 (,�) Project Name:VASL15R yV-P— (Q_'_) LJQCJJLrJVkroject Address: ', A N/ LZn Building Permit Il: '���' ��� 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, thejurisdiction will have the unilateral right to direct the utility to terminate electrical service without notice. Furthermore, we understand and agree that should thejurisdiction 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 roorns 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. P ' t ame of Ow r ant Pri t e of Gen. tr ctor Print a of El. Co tract 1 ' XA4A^ S' nature of Owner/Tenant Sig ature of Gen. Contractor ' nature of , 1. Contractor 300:2016- Gen. Contractor License # El. Contractor License # JURISDICTION EMPLOYEE NAME: JURISDICTION: CALLED INTO: ❑ Progress Energy o Florida Power and Light on (Rev. 4/20/07)