HomeMy WebLinkAbout2210 Windsor Lake Cir 10-1330 (new t-home)RECEIVED
AFR 2 8 Z019 CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
d-91 2�
, , 0�
Application No: /o Documented Construction Value--.$
Job Address: 27/6 Historic District: Ves El No 0
Parcel ED: 12-2Q-30—.T1S--(7000—A1-jP 0 Zoning:
Description of Work: Alleal T"hajg Unt
Plan Review Contact Person: Title:
Ph.ne:44071aS7-040 Fax(
47X0S'-5'73b E-mail: t) CC lad L6 C ARC R. ff-(641
Property Owner Information
Name Rzwdej &,ngj LLC
Street:
City, State Zip: 11
6/y, F6 azz 13
Phone: 6071sw, 30ff(�e
Resident of property? :
Contractor Information
Name 0#1/mki Aom' , VIA Phone: (407J 5-51-34F(o
aim
Street: '77S fiadlea 6NU bd 61,0- Fax: A071 96- S ?3(0
City, State Zip: 6-ap'lov- CjN ge State License N"o.:CW 288
1r Architect/Engineer Information
Name: k&4"47 Y7 &71766 LiTC 6?9z
P h o n e: 921— 0251—
Street: Fax:
City, St, Zip: E-mail:
Bonding Company:
A Mortgage Lender:
Address: /9/0 i5t A/� 7� ddress:19-16— Al PAd
Tamog_ �t- 33,4o 7
14, �' 57 614.
Building Permit PE - RMIT INFORMATION
o Square Footage:
No. of Dwelling Units:
Electrical 11
. New Service — No. of AMPS:
Construction Type:
Flood Zone:
Mechanical 0 (Duct layout reqy!ed for new systems)
C/
0
No. of Stories: ;17
Plumbing 0
New Construction - No. of Fixtures:
Fire Sprinkler/Alarm 0 No. of heads:
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no
work or installation has commenced prior to the issuance of a permit and that all work will be perforined 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.
Signaft Ur of Owner/Agent U i6ate I
Print Owner/Agent's
Signature of Notfiry-StYe&-florida Date/
D. A. CLARK
NOMy COMMISSION # DD 667814
EXPIRES: JUM 27,2011
* BoadedThru BudgetNAY SUVIGOE
,�""vr
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
JM,tA— &
Sign4tfire of Contractor/A*ggent Dad
V
Print Contractor/A
Signature of Notary -State of Florida,,Ry P te
"��,Ry p Q
D. A. CLARK
My COMMISSION# DO 667814
EXPIRES: JUne27,2011
'111FO" Bonded Thro Budget Notary SerWces
Contractor/Agent is Personally Known to Me or
Produced ID _ Type of ID
WASTE WATER:
BUILDING: d� I to KZ
. I, -it
Rev 11.08
F�EGEIVED
A�R 2 8 201U CITY OF SANFORD
BUILDING & FIRE PREVENTION
PE MIT APPLICATION
Application No: J�D
Documented Construction Value:$ 00 0
Job Address: 101nadIff Zak 60t(l Historic District: Yes 0 No
Parcel ID: 12-2Q-,30-5'1,T-o0o0-_d1tf o - Zoning:
Description of Work:9&/ ToAhme' MM
Plan Review Contact Person: hoe, ClOrL Title:
Phone:( V
407ja97-OW Fa.r407)4?0E-573b E-mail:49phlIC ff
1- - - Cjdfk1'6CPMC8 (661
Property Owner Information
Name wad /j'C' " 0-7152- 30ff (42
A Phone: (h
Street:17a #a&�dmnyajg 18lud Resident of property?
City, State Zip: OAu F6,3z;z3
Contractor Information
1� F
Name Aom S LIM (1 7, /C Phone: 6407J 5T-34cf(o
Street:-7& fialkil MWL W NO Fax: 96- S )3(0
City, State Zip: 6-4 3 2 26 3 State License No.:CBC 288
I—, Architect/Engineer Information
Name:. Blw�on,& we_ Phone: Zl- 6? 2 2,
%J
Street:
City, St, Zip:
Bonding Company: A)l
A
If
Address:
Building Permit V
Square Footage: 2.10 1
No. of Dwelling Units: /
Electrical 0
Fax:
E-mail:
MortgageLender:
Addressl wo A / a) W h6
PERMIT INFORMATION
Construction Type:
Flood Zone:
New Service — No. of AMPS:
Mechanical 0 (Duct layout required for new systems)
No. of Stories: 2-
Plumbing 0
6
New Construction - No. of Fixtures:
Fire Sprinkler/Alarm 0 No. of heads:
"'M
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 perfon-ned 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 pen -nits 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.
%� I tv-"� "k'o
SignatL Ur of Owner/Agent U 95ate I
AwAh*wa
Print Owner/Age
Signature ofNoV6ry-S�Ere&-Y1-orida Date/
D. A, CLARK
my COMMISSION # DD 667814
EXPIRES: June 27,2011
Bonded Thru Budget NOWY WvicO'
Owner/Agent is Personally Known to Me or
Produced ID _ Type of ID
APPROVALS: ZONING:
S igneue of Contractor/Agent Datl
Print Contractor/A
�ff�
Signature ofNotary-State of Florida
,��Ry Dite
D. A. CLARK
My COMMISSION # DD 667814
EXHRES:,1111`1027,2011
Bonded Thru Budget Notiry Services
Contractor/Agent is Personally Known to Me or
Produced ID _ Type of ID
UTILITIES: aASTE WATER:
AU14-40
FIRE:
ENGINEERING: 5�A
COMMENTS: -1// 0 0 /1 ("t
Rev 11.08
0
RECEIVED
AFR 2 8 Z01[I
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
42
Application No: /0— Documented Construction Value: $ q
"000
Job Address: Zak 091(/ Historic District: Yes 0 No
Parcel ID: 12-20-30-5-10-'_(0000-Atf -)
L Zoning:
Description of Work: 141101 Tawhf XJ6
Plan Review Contact Person: ILML Title:
Phone:(
407JZ7-04c) Faxr407A6_T-573b E-mail:daphneclark.16 c@cR. r,(
Property Owner Information
Name lwdej #om ac, Phone: t1IJ071 jx-y/- 30n2
Street: '775 #a alaig 6/0( Resident of property?
City, State Zip: OW" cdwl F6_ az;�6 3
Contractor Information
Name lkm 1,2'j6A VM'('z0 Phone: (407J 5-T-3096
Street:
-7 71 /7� &L , L W Alt Id Fax: 03)
City, State Zip: 61afilae- Ihj A6' 3276,�� State Lic'ens'e N"o.: 2&3
j A r-hotect/Engineer Information
Name: LWAAY-IlAn Phone: g2l_ Z7
Street: Fax:
City, St, Zip: E-mail:
Bonding Company: A)
/A
Address:
Building Permit V
Square Footage: 210
No. of Dwelling Units:
Electrical 0
New Service — No. of AMPS:
Mortgage Lender:
Address: /4/0)u
Ta-M&A. AC 33,46 -7
f
24WIi I k9111 IM-61 Z-VU-N 060,1
Construction Type:
Flood Zone:
Plumbing 0
Z5
No. of Stories: 2-
New Construction - No. of Fixtures:
Mechanical 0 (Duct layout required for new systems) Fire Sprinkler/Alarm 0 No. of heads:
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no
work or installation has commenced prior to the issuance of a permit and that all work will be performed to
meet standards of all laws regulating construction in this jurisdiction. I understand that a separate permit
must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, 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.
Signatt. Ur of Owner/Agent U 95ate I Sign�le of Contractor/Agent Datl
Print Owner/Agent's Print Contractor/A
&L
SignatUre of Noky-StlgretWlorida Date/ Signature of Notary -State of Florida
Q rte
D. A. CLARK
D. A. CLARK My COMMISSION# DD 667814
My COMMISSION # DD 667814 EXPIRES: June 27, 2011
EXPIRES: June 27,2011 Bonded Thru Budget Notary SeMoes
BondedThiuBudg8tN0tMSerVi0eE
Owner/Agent is Personally Known to Me or Contractor/Agent is Personally Known to Me or
Produced ID Type of ID Produced ID _ Type of ID
APPROVALS: ZONING: UTILITIE -4 K'26'/o WASTEWATER:
ENGINEERING: FIRE:
COMMENTS:
BUILDING:
Rev 11.08
0
0
RECEIVED
AN 2 8 Z010 CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: /0
Documented Construction Value:$ 00 o
Job Address: :7216 LIP201-01' Zak 6X Historic District: Yes 0 No El
k
ParcelID: Zoning:
Description of Work: AW TAY7171me, lyne
11 1A /,'
Plan Review Contact Person: Title:
Phone:(
4071W-040 Fax(/ -S73b -mail:4a a n(_Pcf1-rL
47)q6T E _,phnecLdL
Property Owner Information
Name AAAZ 6ad ac, Phone: 1140-715YJ- 30ff (42
Street: in &A 'f p'
WSIndla Bfud Resident o roperty?
City, State Zip: LOW" 6/y, F6 3z;z 3
1 1' .
Name
Street:
city, S.
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Building Permit V
Square Footage: 2.10 1
No. of Dwelling Units: /
Electrical 13
New Service — No. of AMPS:
Contractor Information
Phone: (40?J 36F(o
Fax: )3(0
State License No.:4WZ?S_4'288
'runjiLec.ui=n9ineer Information
12-64 A LLT
7 4L Phone: 921-
%a
Fax:
E-mail:
Mortgage Lender:
Address:/ 41-6 A/
Tfto& r'"c 3346
PERMIT INFORMATION
Construction Type:
Flood Zone:
No. of Stories: ;17
Plumbing 0
25
New Construction - No. of Fixtures:
Mechanical 0 (Duct layout required for new systems) Fire Sprinkler/Alarm 0 No. of heads:
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no
work or installation has commenced prior to the issuance of a permit and that all work will be performed to
meet standards of all laws regulating construction in this jurisdiction. I understand that a separate permit
must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, 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
pen -nit is released.
Signat r of Ow.ner/Agent U Oate I
:Pr i :nt 0 —wn e 7r/A g e n t's
S'gn.t'.re . 0 r 4
ry St e
fN -st e I.rida Date/
[). A. CLARK
My COMMISSION # DO 667814
EXPIRES: June 27,2011
Bonded Thru Budget Notary SeMM
I", 0"r
Owner/Agent is Personally Pown
Produced ID Type of IP14
APPROVALS: ZONING
ENGINE[
COMMENTS:
Rev 11.08
to Me or
i�j -.10
UTILITIES:
�U4.* I FIRE:
SigneveofContractor/Agent Datl
gm-A�j�
Print Contractor/A
Vail
SignatUre ofN'otary-State offlorida QV
te
U. A. CLARK
My COMMISSION # DD 667814
EXPIRES: June 27,2011
Bonded Thru Budget Notary Seroces
Contractor/Agent is Personally Known to Me or
Produced ID _ Type of ID
WASTE WATER:
BUILDING:
P 0'
�1877
Wf 1157 M%719-41
City of Sanford
Planning and Development Services
Engineering — Floodplain Management
Flood Zone Determination Request Form
Name: Daphne Clark Firm: Mercedes Homes
Address: 775 Harley Strickland Blvd
City: Orange City State: FL Zip Code: 32763
Phone: 407-257-621Q— Fax: 407-905-5736 Email: daphnecIarkincCW-cfI.rr.com
Property Address: 2210
Property Owner: Mercedes Homes
Parcel identification Number: 12-20-30-515-0000
Phone Number: 407-257-6940 Email:
The reason for the flood plain determination is:
�6 New structure El Existing Structure (pre-2007 FIRM adoption)
F1 Expansion/Addition El 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: X Base Flood Elevation: Datum:
FIRM Panel Number: 120117CO07OF Map Date: 9/28/07
The referenced Flood Insurance Rate Map indicates the following:
F-1 The parcel is in the: 0 floodplain F-1 floodway
F-� A portion of the parcel is in the: 0 floodplain 7 floodway
�The parcel is not in the: Erfloodplain 7 floodway
El The structure is in the: F-1 floodplain El floodway
[��J'The structure is not in the: [�J-iloodplain F-1 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: Kimberly Charbono Date: 4/29/10
-�7'7 ;T6 -
7
F:\Engr-Files\Elevation Cbrtificate\Flood Zone Determination Request Form.doc
LIMITED POWER OF ATTORNEY
DATE:
I HEREBY NAME AND APPOINT: GUSTAV BOTES, DAPHNE CLARK
EACH AN AGENT OF: MERCEDES HOMES INC.
TO BE MY LAWFUL ATTORNEY IN FACT TO ACT FOR ME AND APPLY TO
THE BUILDING DEPARTMENT OF: a
7 -�7—
FOR A BUILDING PERMIT FOR WORK TO BE PERFORMED AT
LOT NUMBER: 4g,-
SUBDIVISION:
ADDRESS:
PARCELID:
AND TO SIGN MY NAME AND DO ALL THINGS THAT ARE NECESSARY
TO THIS APPOINTMENT.
JASON MICHAEL VENEZIA
(NAME OF CONTRACTOR.)
OL 42�,v
(SIGN TURAF CONTRACTOR.)
STATE CERT. # CBC 1254283
(CONTRACTOR'S STATE REGISTRATION NUMBER.)
The foregoing instrument was a4nowledged before me this
DATE:
BY: JASON41CHAf L VENEZIA Who is personally known to me and did not take an oath.
STATE OF FLORIDA NAME: APRIL MARSHALL
NOTANY PUBLIC
COUNTY OF ORANGE. My Commission hT)I6101-1 5—T9 $TATE OF FLORIDA
My Commission Expires: )cxbt� Comm# DD0929579
NOTARY: E A Expires 9/30/2013
SIGNATURE OF NOTARY: NOTARY SEAL.
Seminole County Property Appraiser Get Information by Parcel Number http://www.scpafl.org/web/re—web.seminole count��title?PARCEL=
DAviD JoHNSON4, CFA,ASA
PROPERTY
5EMINOLECOCUTr
No 11 \ �/FL.
I lo, k.
SANFORD, FL327,71-14W
407 -6�/55�505
VALUE
SUMMARY
VALUES
2010
Working
2009
Certified
GENERAL
Parcel Id: 12-20-30-514-0000-0480
Owner: MERCEDES HOME LLC
Own/Addr: STE 110
Nlailing Address: 755 HARLEY STRICKLAND BLVD
Cfty,State,ZipCode: ORANGE CITY FL 32763
Property Address: 2210 WINDSOR LAKE CI R SANFORD 32773
Subdivision Name: WINDSOR LAKE TOWNHOMES
Tax District: Sl-SANFORD
Exemptions:
Dor: 0003-VACANT TOWNHOME
Value Method
Cost/Market
CosttMarket
Number of Buildings
0
0
Depreciated Bldg Value
$0
$0
Depreciated EXFT Value
$0
$0
—
Land Value (Market)
$13,000
$13,000
Land Value Ag
$0
$0
Just/Market Value
$13,000
$13,000
—
Portablity Adj
1 $01
$0
Save Our Homes AdJ
1 $01
$0
Assessed Value (SOH)
1 $13,0001
$13,000
Tax
Estimator
2010 TAXABLE VALUE WORKING ESTIMATE
Taxing Authority
Assessment Value
Exempt Values
Taxable Value
County General Fund
$13,000
$0
$13,000
Schools
$13,000
$0
$13,000
City Sanford
$13,000
$0
$13,000
SJWIqSaint Johns Water Management),
$13,000
$0
$13,000
County Bonds
I $13,000i
so!
$13,000
The taxable values and taxes are calculated using the current years working values and the prior years approved millage rates.
SALES
2009 VALUE SUMMARY
Deed Date Book Page Amount Vac/Imp Qualified
2009 Tax Bill Amount: $254
SPECIAL WARRANTY DEED 02/2010 07336 0569 $80,000 Vacant Yes
2009 Certified Taxable Value and Taxes
Find Comparable Sales Wthin this Subdikision
DOES NOT INCLUDE NON -AD VALOREM ASSESSMENTS
LAND
LEGAL DESCRIPTION
Land Assess Method Frontage Depth Land Units Unit Price Land Value
PLATS: Pick...
LOT 0 0 1.000 13,000.00 $13,000
LOT 48 WINDSOR LAKE TOWNHOMES PB 70 PGS 44 - 51
NOTE: Assessed values shown are NOT certified values and therefore are subject to change before being finalized for ad valorem tax purposes.
*** If you recently purchased a homesteaded property your next year's property tax will be based on JustlMarket value.
I of 1 4/28/2010 9:30 AM
THIS INSTRUMENT WAS PREPARED B A"k MARYANNE MORSE, CLERV OF CIRCUIT COURT
Suzanne L. Stickels SEMINOLE COUNTY
BDR Title Corporation BK 07336 Pg 0581; (Ipg)
775 Harley Stricklarid. Blvd., Ste. 110 CLERK"-,; # 24D10018161
Orauge City, FIL 32763 RECORDED nRJl7/PAiA AliqAtAQ DM
Buildffig Permit No. /0 Tax Folio No. 12-20-30-514-0000 ,&IRIING FEES 10.00
NOTICE OF COMMENCE] ED BY T Spith
FS 713.13
K
Aa ccordance with Chapter 713,
THE UNDERSIGNED notifies all parties that improvements will be made to certainJok lik�:t t Ina
Florida Statutes, the following information is provided in this Notice of Commencement-'�'
I . Description of Property,
Lot 48, WINDSOR LAKLA TOWNHOMES, according to the map or plat thereof, as recorded in Plat
Book 70, Pages 44 through 51, inclusive, Public Records of Seminole County, Florida.
2. General Description of Improvements: Single Family Residence
3. Owner Information:
a. Name and Address: Mercedes Homes, LLC
775 Harley Strickland Blvd., Ste. 110, Orange City, Fl 32763
b. Interest in property: Fee Simple
C. Name and address of fee simple titleholder (if other than Owner): Same
4. Contractor (name and address): Same as Owner
5. Surety Information:
a. Name and Address:
b. Amount of bond:
avalflt'D COPI
Pjjt4f� IAoqsv-
'131, Coal
"LER foval
6. Lender Information: 7 2010
a. Designated Contact: Tracey Edwards
b. Name and Address: Bank of America, N.A.
21410 N. Westshore Blvd., Ste. 1000, Tampa, FL 33607-4519
(813) 282-4149
7. Name and address of person within the State of Florida designated by Owner upon whom notices or other documents may be served (as
designated in Florida Statutes, Section 713.13(l)(a)(7):
8. Expiration Date of Notice of Commencement (1 year from recording date unless specified):
WARNING TO OWNER: ANY PAYMENTS MADE BY OWNER AFTER THE EXPIRATION DATE OF THE NOTICE OF COMMENCEMENT ARE
CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTE, 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 WITH YOUR LENDER OR ATTORNTY
BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. ---I
MERCEDES
By:
Narne:;4pistina Quiatana
I �f
Title: DAvisjon President
Verification pursuant to Section 92.525, Florida Statutes. Under penalties of perjury, I declare tVat;f have read the foregoing and that the
facts stated in it are true to the best of my knowledge and belief. // , '/
MERCEDES
By:
Nani��,,.Gistina Quintana
Titre'/bivision President
INOTE: per Section 713.13(1)g, Florida Statotes "Owner must sign ... and no one else may be perinitted to sign in his or lier stead."I
STATE OF FLORIDA
COUNTY OF Volusia
The foregoing instrument was acknowledged before me this Thursday, February 11, 2010 by Cristina Quintana , as Division President
for the Orlando Division of MERCEDES HOMES, LLC a Florida limited liability company, who executed and acknowledged execution of
the foregoing Notice of Commencement on behalf of said coompany. He/she is personally known to me or has produced Driver[js License as
identification and did did not X take an oath.
(Notary Seal) SUZANNE L. STICKEL$ /A�O PUBLIC
E S
N # DD 898726 N
W MY COMMISSIO
EXPIRES: July 9,2013 My Commission Expires:
Bonded Thru NotarY Public Underwriters
PLOT PLAN for. MERCEDES HOMES, INC.
DESCRIPTION: LOT 48, WINDSOR LAKE TOWNHOMES
RECORDED IN PLAT am< 70 PAcE(s) 44 thru 51 PUBLIC RECORDS OF SEMINOLE COUNTY, FLORIDA
0
LOTS ARE ON PAGE 46
U.
0
LJL..
3.50' ffl
m
U5
z
5 LLJ
OC)
ff)
F- C'4
00
z
25'DRAINAGE EASEMENT j
—0 R. BOOK 1279, PAGE 1482 2
0
c�
.43 W-- T,15-67— __2aa3.__
25.83' _�0,7_�9 'n
2Z3S 2zw mw 2Z3S
CRUM
BOWA
0
r
z LOT 46
&6-r
LOT 47
LOT 45
.0
i Z
22_33,T
'0 PMYE
c�
0
(N
25 .83'
,1, 22.00'
3.50'
0
0 <
DIWO
z
1.0
in LOT 48
"w
t"s, LLI u
oo
1'
00 u
22- 33'
00
:,COW',
c�
C"
25.83'
')i jj�
WEST LINE OF 24'
INGRESS / EGRESS EASEMENT
- --------------------
C-1 KCL E
CENTERLINE OF
zpc-) 24' INGRESS / EGRESS EASEMENT
EAST LINE OF 24'
INGRESS / EGRESS EASEMENT
AB8REV1A770NS11EG;f�tffl':--
L.B.-LICENSED BUSINESS
P.R.C.-POINT OF REVERSE
THE UNDER -SIGNED AND CAVONE, INC. LAND SURVEYORS
ARC -ARC LENGTH
CURVATURE
and MAPPERS MAKE NO RESERVA77ONS OR GUARANTEES
CH. -CHORD
D.&U.E.- DRAINAGE & UTILITY
AS TO THE INFORMATION REFLECTED HEREON PERTAINING
R -RADIUS
EASEMENT
TO EASEMENTS, RIGHTS OF WAY, SETBACK LINES,
A DELTA (CENTRAL ANGLE)
ESMT. - EASEMENT
AGREEMENTS AND OTHER MATTERS, AND FURTHER THIS
P.C.-POINT OF CURVATURE
U.E.- UTILITY EASEMENT
INSTRUMENT IS NOT INTENDED TO REFLECT OR SET FORTH
P.T.-POINT OF TANGENCY
D.E,- DRAINAGE EASEMENT
ALL SUCH MATTERS. SUCH INFORMATION SHOULD BE
P.I.- POINT OF INTERSECTION
CONC.-CONCRETE
OBTAINED AND CONFIRMED BY OTHERS THROUGH
C - CENTERLINE
)
APPROPRIATE TITLE VERIFICATION.
NOTES:
1. BEARINGS ARE BASED ON THE WESTERLY
Detail
LINE OF LOT 45 BEING N07'21'43"W.
0
f
2. ELEVATIONS AND LOT DRAINAGE TYPE
LOT
SHOWN HEREON ARE BASED ON SITE
ENGINEERING PLANS FOR THE PROJECT.
1 BUILDING TIES ARE TO FOUNDATION
4. LOT HAS NOT BEEN STAKED IN THE FIELD.
IMPROVEMENTS SHOWN ARE PROPOSED.
THIS IS NOT A SURVEY
25'DR-AINAGE EASEMENT
OR. BOOK 1279, PAGE 1482
N07-21'43'Wo
1 3.50'
FLOOD CERTIFICATION
LOT 48
BASED ON THE FEDERAL EMERGENCY
0 '8 0
MANAGEMENT AGENCY FLOOD INSURANCE
0 0 <
PATE MAP, THE STRUCTURE SHOWN HEREON
6 0
6
DOES NOT LIE WITHIN THE 100 YEAR FLOOD
0 <
HAZARD AREA.
r--
z
THIS STRUCTURE LIES IN ZONE "X
z 0
T�
COMMUNITY PANEL NO. 120294 0070 F
LOT 47 T , �.:
EFFECTIVE DATE:
<
L,) > .ou -Y 8
Lij Lli
MAP REVISION DATE: SEPTEMBER 28,2007.
z uj u
G- _j
uj
(SUBJECT TO CHANGE)
DIWO
00 00 u
2ZWV v,
C14
00 0o
BUILDING SETBACKS
'co"v
(UNITS WITH DRIVEWAYS)
MVF-'
o
FRONT: 20'
c;
REAR: 5'
04
(UNITS WITHOUT DRIVEWAYS)
8 3
FRONT: 12.5'
:NC
REAR: 12.5'
WEST LINE OF 24'
INGRESS / EGRESS
EA__
WIND-90R
AUAS:
CIR\CLE
(IN SQUARE FEM
LOT .1937
CENTERLINE OF 24'
8E
RIW - 2321�
INGRESS / EGRESS EASEMENT
GROSS AREA - 2,169±
IMPROVEMENTS:
��EAST
0' 7.5' 15' 30'
FOUNDATION' - 985
DRTVr- MO
UNE OF 24'
Fiq I RY - N"�-.
INGRESS / EGRESS EASEMENT
A/C FAA v
SCALE 1"= 30'
P"-'.1us�- 6R�
ENTRYY-'ALV�, 01-
71!) ., 'A LK - 129
P,101�' � 44
J7*
A VONE NC
THIS SURVEY NOT VA�11?.,VNLESS EMBOSSED
MTH THE 9GNATURE, i MISF) ��,EAL OF
D -,R vErOr?
A FL(FIDA LICEWE S, WAPFEP
REVISION
DATE
DRAW BY
LAND SURVEYORS AND MAPPERS
7,300 SOU77-f RONALD REAGAN BOUIEVARD
LONGWOOD, FLORIDA 32750-5499
TELEPHONE (407) 830-9080
FAX No. (407) 339-3636
E-MAIL- CAVONE 0 CFL.RR.COM
DOMINICK F. CAW)Nk '.PRET0FNT
FLORIDA SURVEYOR & AWAFFER NUMBER 2005
LICENSED BUSINESS NUMBER 5073
PLOT PLAN
1-18-2010 1
GLN
LOT by GLN W.U. ZUIU-41
U: \-PLOT PLAN\Windsor Lake Townhomes\'MNDSOR LAKE- TH-L45- 48. dwg
0 - I 11� Isu k�_
RP9
COUNTY OF SEMINOLZ
IMPACT FEE STATEM
,414T
STATEMENT NUMBER: 10100002 DATE:
April 28,
2010
2 0 7
BUILDING APPLICATION #: 10-10000207
2 0 7
BUILDING PERMIT NUMBER: 10-10000207
UNIT ADDRESS: WINDSOR LAKE CIRCLE 22 12-20-30-515-0000-0480
TRAFFIC ZONE:022 JURISDICTIO
SEC: TWP: RNG: SUF: PARCEL:
/AGE:
SUBDIVISION:
TRACT:
PLAT BOOK: PLAT BOOK BLOCK:
LOT:
OWNER NAME -
ADDRESS:
APPLICANT NAME: MERCEDES HOMES
ADDRESS: 775 HARLEY STRICKLAND BLV #110 ORANGE CITY
FL 32763
LAND USE: TOWN HOME UNIT
TYPE USE:
WORK DESCRIPTION: CITY-SANFORD
SPECIAL NOTES: 2210 WINDSOR LAKE CIR./TOWN HOME UNIT
--------------------------------------------------------------------------------
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
RECEIVED BY: SIGNATURE:
(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
**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
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 CC UNT Y BUILDING PERMIT NUMBER AT THE TOP LEFT OF THIS STATEMENT.
***THIS STATEMENT IS NO LONGER VALID IF A BUILDING PERMIT IS NOT***
ISSUED WITHIN GO CALENDAR DAYS OF THE RECEIVING SIGNATURE DATE ABOVE
* DETAIL OF CALCULATION AVAILABLE UPON REQUEST. CALL 407-665-7356.
-7
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: Documented Construction Value: $ 3 c/
Job Address: D VJ t ncLDQLL0,& L3. Historic District: Yes[] No[]
Parcel ID:
Description of Work:
Plan Review Contact Person:
Phone:
Zoning. -
Fax: E-mail:
Property Owner Information
Title:
Name
Hol-s%&S '14y
C__
'5-
Phone: 2 '2 L L5-5-cf I
Street: / �Z 0C 1
6 C' e PA
5:r 0
Resident of property? /00
City, State Zip: lc�4_ 32
EZ(!�
Contractor Information
Name
6�le 1,,g c,�
r;�z j
Phone.- "/0? 6Y(� $700 r -2 23
Street: 2 L5- I
rA 6,,�'c-S cooU o9 at�
Fax: "/ () -2 6"17 —
City,StateZip: b4,�/,V725�,Z
r,4AC lr-�
? Z JXF
State License No.: 4_:::� 13 0 '2 R
Arch Itect/En gineer Information
Name: Phone:
Street: Fav
City, St, Zip: E-mail:
Bonding Company:
Address:
Building Permit 0
Square Footage:
Z!,
No. of Dwelling Units:
Electrical jX
Mortgage Lender:
Address-.
PERMIT INFORMATION
Construction Type:
New Service - No. of AMPS: 15-0
Flood Zone. -
No. of Stories:
Plumbing [3
New Construction - No. of Fixtures:
Mechanical 13 (Duct layout required for newsystems) Fire Sprinkler/Alarm 0 No. of heads:
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no
work or installation has commenced prior to the issuance of a permit and that all work will be performed to
meet standards of all laws regulating construction in this jurisdiction. I understand that a separate permit
must be secured for electrical- work, plumbing, signs, wells, pools, furnaces,. boilers, heaters,janks, 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 FAILL-RE TO RECORD A NOTICE OF COINAIENCENNIENIT 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.
N01 ICE: 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 �ppllied to your permit fees when the
permit is released. K .
Signaturc of 0v.mcr/Agcnt
Print OwnerlAprit's Name
Date
Signaturr ofNtA;jry-St4te ofFlonda Date
Owncr/Agcnt is Personally Known to Me or
Produced ID Type of ID
APPROVALS: Z(N ING:
ENGINEERING:
COMMENT&
Rev 11.08
UTILITIES:
lim
Signaturc of Contractor,"Agcrit C--) Datc
—d C-7 - �0 Lo j
t ontractor/AgenCs Name
n
�—s
sig.t. fwr�'try-Slatc of Florida Date
Contractor/Agent is X Personally Known to Me or
Produced ID _ Type of ID
WASTE WATER�
BUILDING:
MERCEDES HOMES
PROPOSAL
WINDSOR LAKE TOWNHOMES
Diego
1810 Living Sq Ft
Price: We offer to perform the above -described work, including state sales tax, for the amount of:
Total
$3,495.00
This price is valid for 30 days.
Terms: 70% due at completion of rough -in; balance due upon final inspection including extras. All terms and conditions
on the attached "Exhibit A" are hereby incorporated in and made part hereof.
PALMER ELECTRIC COMPANY
Residential Wiring Group
Anrill 22 21711171
This agreement is hereby accepted and entered into by:
Executed in the presence of:
To accelerate job start, plase fill in all of the following:
Start Date:
Job Addres
Model Type:
Bldg Permit Numberi
Ref: 23-MERCE-01161-01 PALMER ELECTRIC COMPANY
STATE LICENSE #ECO001858
875 JACKSON AVENUE - WINTER PARK, FLORIDA 32789
407-646-8700 - FAX 407-647-8951
PALMER,
r
June, 1,20 10
City of Sanford
300 North Park Ave
PO Box 1788
Sanford, Florida 32772-1788
RE: Addition of Temporary Service to 10-1330
Debbie,
.Per my conversation with you please amend the following electrical permit to include a
60 amp temporary service pole.
Mercedes Homes
48 Windsor Lakes TH
Unit 48
2210 Windsor Lake Cir
10-1330.
Please contact me when you receive this so I can paywith my credit card at 407-646-
8700 ext 723.
R ']I
eVectf
V y,
Ronald G, Howard
EC-13004172
Swornto before me this I" day of June, 2010, Ronald G Howard who is.personally
known to me and did not take an oath.
Notar� Z7
=,d09 Py& NoiarV Public Siatc' of Florida
Ter -us
�'M
psmeja S Ternus
-a 'n P-1)9()4727
C ei'
C()Mmlssion DD904727
E x �Ms 08IM712C)l 3
xpires 08,10712013
PALMER ELECTRIC COMPANY
STATE LICENSE #ECO001858
875 JACKSON AVENUE - WINTER PARK, FLORIDA 32789
407-646-8700 - FAX: 407-647-8951
ZOO/ZDO'd Z09# z9:EL OLOZA0/80
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: (0 — 1330 Documented Construction Value: $
Job Address: _,ZZ -�3 W%'V%8LSG-.- Lgx\C-6 Colv'&C Historic District: Yes[] No�
Parcel ED: 1-0 - 0000 — 0 q 90 _ Zoning:
Description of Work: —
Plan Review Contact Person: Title:
Phone: Fax: E-mail:
Property Owner Information
Name Nkoy cp&es &W\XIS Phone: 116 Z 75
Street: 175; 0-y-Ay!, % "�VVTXVkQvA 9%'YA Resident of property?
City, State Zip: QVaL'1s$ Q S , f -1- -_NXI f.
Contractor Information
Name 0 " txt S Phore: 407- S71— [700
Street: - 3 SL k �Zny,4qc�" Or- Fax: 467- 91(- Y-2-5(4
City,StateZip: GOV14 rL 34_7�f State License No.:
14.2 �N(o
Arch itectlEngineer Information
Name: Phone:
Street: Fax:
City, St, Zip: E-mail:
Bonding Company: Mortgage Lender:
Address: Address -
PERMIT INFORMATION
Building Permit 0
.=ao& J I
Square Footage: D"11 Construction T'ype: No. of Stories: Iz
No. of Dwelling Units: Flood Zone:
Electrical 0
New Service - No. of AMPS:
Mechanical 0 (Duct layout required for new systems)
Plumbing R
New Construction - No. of Fixtures:
Fire Sprinkler/Alarm 13 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 COMMENCEMIENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMEENTS TO YOUR PROPERTY. A NOTICE
OF COMMENCEMEENT 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 COMMENCEMIENT.
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. ;[[-?/ to
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:
ENGINEERING:
COMMENTS:
Signature of Contractor/Agent Date
Print Contractor/Agent's Name
0 ';t;`unfdM. Date
gra
L LIN
AS LlNscorr
Comm# DD0681106
y Pt,
Mal
Exrires 6/3/2011
i"_�Nliortkl%;o FlOrld, Notay Assn., Inc
Contractor/Agent is )( Personally Known to Me or
Produced ID _ Type of ID
UTILITIES:
FIRE:
WASTE WATER:
BUILDING:
Rev 11.08
Model Pricing- Linscott Plurming Inc.
Windsor Lake Estates:
Ameila Plan $4900.00
Bonita Plan $4900.00
Cristina Plan $4800.00
Diego Plan $4900.00
M#r-edes Homes ffiapfesentative Date
-,�,Mi,-SCIC-p esentative Date
�� �-r
........ .....
775 Harley Striddand Blvd. - Swite 110 - OraW GtT FL 32763 - Teh (386) 851-7940 - Pm (386) 951-7941
http://www.mercedeshonws.com CGC1510141
RECEIVED
JUN j 0 ZUIU
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
/04330
Application No: Documented Construction Value: $ 4) 77, 5�
JobAddress: Zin Oal_& rt&tj�:s N7 Lo4 �? Historic District: Yes [I No D
Parcel ID: Zoning:
jA,k_CAW
Description of Work: ::T4_0-yL� A-1c
Plan Review Contact Person: 0 Title:
Phone: Fax: E-mail:
Property Owner Information
Name ef Phone:
Street: Resident of property?
City, State Zip:
Contractor Information
Name Phone:
Street:Aq?5 Fax: 7)5ff
City, State Zip: State License No.: CAQ1KI-3E33
Architect/Engineer Information
Name: Phone:
Street: Fax:
City, St, Zip: E-mail:
Bonding Company: Mortgage Lender:
Address: Address:
Building Permit 0
Square Footage: I 7S_ -7
No. of Dwelling Units:
Electrical 0
PERMIT INFORMATION
Construction Type:
Flood Zone:
New Service — No. of AMPS:
Mechanical Duct layout required for new systems)
No. of Stories:
Plumbing 11
New Construction - No. of Fixtures:
Fire Sprinkler/Alarm 0 No. of heads:
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no
work or installation has commenced prior to the issuance of a permit and that all work will be performed to
meet standards of all laws regulating construction in this jurisdiction. I understand that a separate permit
must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and
air conditioners, etc.
OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will
be done in compliance with all applicable laws regulating construction and zoning.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE
OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE
FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this
property that may be found in the public records of this county, and there may be additional permits required
from other governmental entities such as water management districts, state agencies, or federal agencies.
Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida
Lien Law, FS 713.
The City of Sanford requires payment of a plan review fee. A copy of the executed contract is required in order
to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the
plan review fee based on past pennit activity levels. Should calculated charges exceed the documented
construction value when the executed contract is submitted, credit will be applied to your permit fees when the
pen -nit is released.
Signature of Owner/Agent
Print Owner/Agent's Name
Date
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
Signature ofContractor/Agent Date
ed,e� Ea��a4-e-u—
Print Contractor/Agent's Name
_6�t� 6 �
Signature ofNotaTy-State of Florida--- Date
BRENDA G HARNISH
My COMMISSION # DD946431
EXPIRES December 14, 2013
53
S ntractcx�Agent is Person -Rff -6wn to) Me or
___, Piers _ally
Produced ID Type
UTILITIES: WASTE WATER:
FIRE: BUILDING:
Rev 11.08
BE IT KNOWN, that EDDIE PALIVIATEER has made and appointed, and by these
presents does make and appoint
true and lawful attorney for him/her and in his/her name, place and stead, giving and granting
to said attorney, general, full and unlimited power and authority to do and perform all and
every act and thing whatsoever requisite necessary to be done in and about the premises as
fully, to all intents and purposes, as could be done if personally present, with full power of
substitution and revocation, hereby ratifying and confirming all that said attorney shall lawfully
do or cause to be done by virtue hereof.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this 22 day of
June —, 2010 .
Signed and Notarized:
Jobsite Addresslinformation (if Needed):
Mercedes Homes Resident
2210 Windsor Lake Circle
Lot 48
Sanford FL 32773
AtE ATR- CONDITIONING, INC
EDDIE PALMATEER - LICENSE # CAC1813533
State of FLORIDA
County of Seminole County
The foregoing instrument was acknowledged by me this 22 day of June —, 2010
V'-'
by TO.Ka-4C , who is personally known by me or who has
produced identification.
tr�.111'7 SREt4DAGViA;
M� COMMISSIOM #
EX91,RES Decem'-
b,
(SEAL) 53
L "'�'i 53
Notary Public (-407)398,----
State of FLORIDA My Commission Expires: 13
ORENOA G HARNISH
MY COMMISSION # DD946431
EXPIRES December 14,201:3
(407)31 R)HdallotaryService.com
Orlando Division
Mercedes Homes, Inc.
775 Harley Strictland Blvd.
ORANGE CITY, FL 32763
Tel: (407)591-3101 Fax: (386)851-7949
ACE AIR CONDITIONING, INC.
2985 ENTERPRISE ROAD
Debary, FL 32713
Tel: (386)668-8651 Fax: (386)668-7758
(ORLACAICO)
DUPLICATE
Ship To: "WINDSOR LAKES - SUNCOR**
Lot: 048
22 10 Windsor Lake Cir.
SANFORD, FL 32773
Attention: MATT JOHNSON
PO Number: 004-550-001324
CDS: ORL-000004-10
Fax No: (386)668-7758
Order By:
Print Date:
05/27/2010
Tel. No: (386)668-8651
Porch. Agent:
OrderDate:
05/26/2010
Disc. Terms: n/a
Ship Via:
Date Req:
Terms Code: Small Trds Rcvd 15th / 30th
Taken By:
Req. No:
Line Description
Quantity UofM //,"U nit Cost Total Amount
Disc% Draw*/.
Amount Due
Project: -WINDSOR LAKES - SUNCOR- Lot 048 ModellElev.: 1757.06 - DIEGO/ Swing: NIA Cfah. 17- .
0010 000OBase - BASE MODEL, Draw 1
1.00 EA 4,177.5900 4,177.59
40.00%
1,671.04
Alloc: H2ORL,004-550,048,1220,00
z
Sub -Total.
1,671.04
Taxes:
0.00
Total.
1,671.04
Purchase Orders and Variance Purchase Orders must be submitted for payment no later than 60 days after closing of the house or townhouse in order
to be paid for the amount stated on purchase orders.
Any billings after 60 days will not be paid and returned to sender
Supplier Page I of I
GERTIFICATE OF ELEVATION
Address: 9210vjtuj)50P- LAVJ�-C1J2-CL-'
Legal Description: Lot4-6 WINDSOR LAKE TOWNHOMES
Plat Book'70 Pages ��&14 .51
Seminoie County, 004ric a
The Finished Floor Elevation of the structure on Lot 4-45
WINDSOR LAKE TOWNHOMES
meets or exceeds the requirements set forth in ft City of Sanford, Building Code Chapter 18
Sec.184(a).
in
D ' 'ick F - Cavone'.
'er Reg. No. 2005
,-U8�si§"d', Bu-
sines"u 'i6ber 5073
0
Date Fieldwwork Completed: .5 - / 8 -00 1(:)
Work Order No._?,Qj0-477
IMPORTANT: In these
MIbnuation from Set-11on A
Sults. wWjor 810g. No.) or
No.
city
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONT."
Copy both sides of this E:Jevatlon Certificate for (1) community official, (2) insurance agent/company, and (3) building owner.
Commenis-
SEcTIOW E - BUILDING ELEVATION INFORMATION (SURVEY NOT REIOUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE)
For Zones AO and A (,�ftout BFE), complete Items EI-E5. If the Certificate is Intended to support a LOMA or LOMR-F request, complete Sections A. B,
and C. For Items El -E4, use natural grade. If available, Check the measurement -used. In Puerto Mco only, *enter meters .
El. Provide elevation Inforrnation for the fbilowing 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, an4wispace, or enclosure) is []feet Elmeters F labove or Elbelow the HAG.
b) Top of bottom floor (including basement, crawlspace, or enclosure) Is Fleet Flmeters Oabove or Elbeiaw the LAG.
E2. For Building Diagrams 6-9 with permanent flood openings provided in Sect! LA items 8 Vd/or 9 (see pgges 8-9 of Instructions), the next higher floor
(elevation C2.b in the diagrams) of the building is 0 fisst t meters U above or 0 below the HAG.
E3. Attached garage (top of slab) is_._ Mf6st FJ meters []aboveor rlbelowtheHAG.
E4. Top of platrann of machinery and/or equipment servicing the building Is feet [:]meters [Jaboveor MbelowtheHAG.
E5. Zone AO only. If no flood depth number is available, is the top of Me bottom.floor elevated In accordance with the community's floodplain management
ordinance? [] Yes [3 No [_-] Unknown. The local official must car* this Mrmewn In Section G.
SECTION F - PROPERTY OWNER (OR OWKWS 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. 71he statements in SecthnsA, B, and E am corrad to Me best of my knowledge.
ProperkOwner's or Owner's Authorized Representative's Name
Address aty State ZIP Code
Signature Date Telephone
Comments
11 Check here If attachmen
SECTION G - COMMUN17Y INFORMATION (OPTIONAL)
The local official who is authorized by law or ordinance to administer the communWs floodplain management ordinance can- complete Sections A, 13, C (or E),
and G of this Elevation Certlficate. Complete the applicable ItBrn(s). and sign below- Check the measurement used in Items G8 and G9.
G1. ',� The Information In Section C was taken from 6ther 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 eievabon data in the Comments area below.)
G2. A community official completed Section E fbr 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.
G6. Date Permit Issued
G6. Date Certificate Of Compliance/Occupency Issued
G7. This permit has been Issued for. M -New construction E Substantial Improvement
G8. Elevation of as-bullt lowest floor (including basement) of the building
G9. BFE or (in Zone AO) depth of flooding at the building site
G10. CommunitYs design flood elevation
Local Official's Name 11te
Community Name Telephone
S19'nature Date
Comments
ID feet meters (PR)
feet meters (PR)
feet mete'rs (PR)
Datum
Datum
LJ Check here if attachmen
PEMA Form 81-31, Mar 09 Reolaces all previous editior
U.S. DEPARTMENT OF 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, �012
Al
A2..4JUIVInl� Street Addrasg Qnclqng Apt., UpIt.
City
SECTION A - PROPERTY INFORMATION .
No.) or P.O. Route and BoxNo.
=1 7
A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) JQFS1C2r-�1A1__
A5. Latibide/Longitude: Lat �q 19"My 1 *1 P -
Long. WEV17 Horizontal Datum: NAD 1
A6. Attach at least 2 photograph2 qfthe building If the Certificate Is being used to obtain flood Insurance,
A7. Building, DIqgram Number-1Z
A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage:
a) Square fbotage of crawispace or enclosure($) sq ft a) Square footage of attElched garage —sq ft
b) No. of permanent flood openings. In the crawlspace or b) No. of perminent flood openings In the attached narage
enclosure(s) within 1 .0 foot above adjacent grade within 1.0 foot above adjacent gradi
c) Total net area of flood openings. In A8.b sq In c) Total net area of flood openings In )3 /Asq in
[] Yes KNO d) Engineered flood openings? [] Yes ;R-rz—
d) Engineered flood openings? W.b
SECTION 8 - FLOOD INSURANCE RATE MAP (FIW INFORMATION_-
- " "' " "'W'-Y -Imllu CX %1UJ11111L1n1tY IMUMDer 52. unty Name
60-r tic s4w&ac) 1210 244 1
B3 Stai-:
B4. Map/Panel Number
135. Suffix I Bi� FIRM Index 87. FIRM Panel
B8. Flood B9. ase Flood Elevetion(s) (Zone
7C- 00 76
Date Eff8ctive/Revised Date
Zone(s) AO, use base W depth)
41 n 1 A! 4-- 44� -
-- ..6 source Ul U le base Flood tievation (BFE) date or bass flood depth entered in Item B9.
El FIS Profile [IFIRM Community Determined [] Other (Describe)
B11. Indicate elevation datum used for BFE in Item B9: D NGVD 1929 tfWVD 1988 E] Other.(Describe)
B12. Is the building located in a COastZ'"arrier Resources System (CBRS) area 6r otherwise Protected Area (OPA)?
Designation Date A(/A E] CBRS E] OPA El Yes VNo
SEC71ON C - BUILDING ELEVATION INPORMATION (SURVEY REOUIRM
C1. Building eAevatlons are based on: [] Construction Drawlngs- E] Building Under Constructon-
*A new Elevation Certificate will be required when construction of the building Is complete.
KFInIshed Construction
C2. Elevations - Zones Al-A30, AE, AH, A (with BFE), VE, W-V30. V (with BFE), AR, AR/A, AR/AE, AR/Al-A30, AR/AH, AR/AO. Complete Items C2.a-h
below according to the building ag3jrn specified in Item A7. Use the same datum as the BFE.
Benchmark Utilized lem e- L-a 6c 4�rr
Vertical Datum AIA
VD il 2- k?
Conversion/Comments
Check the measurement used.
a) Top of bottom floor (including basement, crawispace, or enclosure floor) R feet meters (Puerto Rico only)
b) Top of the next higher floor
c) Bottom of the lowest horizontal structural member (V Zones only)
'(09feet
feet
meters (Puerto Rico only)
FlmetOrs
d) Attached garage (top of slab)
feet
(Puerto Rico only)
0 meters (Puerto Rico only)
e) Lowest elevation of machinery or equipment servicing the building
(Describe type of equipment and location 4n Comments)
A. 'V feet
n Meters (Puerto Rico only)
f) Lowest adjacent (finished) grade next to building (LAG)
g) Highest adjacent (finished) grade next to building
-CLWfeet
F] metem (Puerto Rico only)
(HAG)
- 2 f9 feet
meters (Puerto Rico only)
h) Lowest adjacent grade at lowest elevation of deck or stairs, including
structural support
4 _0 6? feet
E] Meters (Puerto Rico only)
SECT-10N D - SURVEYOR, ENGINEER,'OR ARCHITECT -CERTIFICATION
This certificatlon is to be signed and sealed by a I —and surveyor, enginear,or architect authorized by law to certify elevation
information. I ceriffy that the Information on this Certlflcate repxasents my best eflbrts to interpret the date avaffable.
.1 understand that any talsestatemeht may be punishable by flne or imprisonment under 18 U. S. Code, Sectibn 1001.
Check here if comments are provided on back of form. Were latitude and longitude In Section A vAded by
A r? )<
licensed land suryeyo Yes 8DNO
Title
"'Y jw
_Z� el
1-31, Mar 09' See reverse side for continuation, Replaces a . 11 previdus edifions
PLAT OF BOUNDARY for. MERCEDES HOMES, INC.
DESCRIP 77ON: LOT 48, WINDSOR LAKE TOWNHOMES
RECORDED IN PLAT BOOK 70 , PAGE(s) 44 thru 51 PUBLIC RECORDS or SEMINOLE COUNT)� FLORIDA
L07S ARE ON PAGE 46
25'DRAINAGE EASEMENT
O.R. BOOK 1279, PAGE 1482
0
LO
07-?l 43 V.11- ar,.67.
e� 25.83' Nc 9_00 --25.83'
3.50'
T
T
3.50'
0
0
0
Lo
0
Lu
ce
�co
rc�
�,o
Lc)
z
0
ca
z LOT 46
ul
0
oo
LOT 47
0
Ld
LOT 45
�o
co
r
LOT 49
LOT 4
Lu u
z
z
c
N
, co
a
z
z
u
00
00 u
C'4
04
00
00
z
'0
z
c�
04
-,k2
5. 8 3' 4,,22.00'
22.00'
25.83'�
1=1
NO
_T2 L4_a%t
1=1
R5_6
I
ZL
--!T
T "A" - C MWAREA
WEST LINE OF 24'
INGRESS / EGRESS EASEMENT
Gi RCL E
0�_ CENTERLINE OF
------ 24-INGRESS / EGRESS EASEMENT
EAST LINE OF 24'
INGRESS / EGRESS EASEMENT
ABBREWA
L.B.—LICENSED BUSINESS
P.R.C.—POINT OF REVERSE
THE UNDERSIGNED AND CAVONE, INC. LAND SURVEYORS
ARC —ARC LENGTH
CURVATURE
and MAPPERS MAKE NO RESERVA77ONS OR GUARANTEES
CH. —CHORD
D.&U.E.— DRAINAGE & UTILITY
AS TO THE INFORMATION REFLECTED HEREON PERTAINING
R —RADIUS'
EASEMENT
TO EASEMENTS, RIGHTS OF WAY, SETBACK LINES�
4A DELTA (CENTRAL ANGLE)
ESMT. — EASEMENT
AGREEMENTS AND OTHER MATTERS, AND FURTHER THIS
P.C.—POINT OF CURVATURE
U.E.— UTILITY EASEMENT
INSTRUMENT IS NOT INTENDED TO REFLECT OR SET FORTH
'P.T.—POINT OF TANGENCY
D.E.— DRAINAGE EASEMENT
ALL SUCH MATTERS. SUCH INFORMATION SHOULD BE
'P.I.— POINT OF INTERSECTION
CONIC. —CONCRETE
OBTAINED AND CONFIRMED BY OTHERS THROUGH
(� — CENTERLINE
APPROPRIATE TITLE VERIFICATION.
NOTES:
1. BEARINGS ARE BASED ON THE WESTERLY
LINE OF LOT 45 BEING N07'21'43"W.
2. UNDERGROUND IMPROVEMENTS, ROOF
OVERHANGS AND FOOTERS HAVE NOT
BEEN LOCATED.
3. ELEVATIONS ARE BASED ON NATIONAL
GEODETIC VERTICAL DATUM OF 1929.
4. BUILDING TIES ARE TO FOUNDATION.
5. BUILDING TIES ARE NOT TO BE USED TO
CONSTRUCT DEED OR PLATTED LINES.
6. BEARINGS AND DISTANCES SHOWN HEREON
ARE MEASURED AND PER RECORDED PLAT
UNf ESS OTHERWISE NOTED.
7. UTILITY EASEMENT DEDICATED TO THE
CITY OF SANFORD LIES IN PORTIONS OF
TRACT "A" - COMMON AREA UNLESS
OTHERWISE SHOWN.
FLOOD CERTIFICATION
BASED ON THE FEDERAL EMERGENCY
MANAGEMENT AGENCY FLOOD INSURANCE
RATE MAP, TRE STRUCTURE SHOWN HEREON
DOES NOT LIE WITHIN THE 100 YEAR FLOOD
HAZARD AREA.
THIS STRUCTURE LIES IN ZONE "X
COMMUNITY PANEL NO. 120294 0070 F
EFFECTIVE DATE:
MAP REVISION DATE: SEPTEMBER 28,2007.
(SUBJECT TO CHANGE)
@ FOUND 1Y4 " IRON PIPE (LS 2005)
R*
0' 7.5' 15' 30'
SCALE 1"= 30'
/T 1
:4 70NE. INC.
J9 -
0" LAND SURVEYORS AND MAPPERS
300 SOUTH RONALD REAGAN BOULEVARD
LONGWOOD, FLORIDA 32750-5499
TELEPHONE (407) 830-9080
PAX No. (407) 339-3636
E—MAIL: CAVONE 0 CFL.RR.COM
:Detail 0
LOT 4�
D
25'DRAINAGE EASEMENT j
O.R. BOOK 1279, PAGE 1492
CONC
A/C PAD NOT21'43"WL0
I I - _ _I
/T 3.50'
LOT 48
0
0
C)
COVERED
0 <
L6
CONC
L6
r__
ENTRY
- 3.40
<
z
LOT 47
co
U)
uj u.)
0
uj
00z
V) m 3.0
LLI
r-
ozo b
0 Li
Of 1:
r-
DO
c1l
co u
22.33'
N
00
C4
00
Z
z
3' CONC
0
0
DRIVE
WALK
6
N
5
CONIC
AL. I�A
COMMON A A WALK
__��WS_TUNE OF 24'
cv
ADDR&S. ' Z?'l0__-lNGRESS / EGRESS EASEMENT
WIND
�-90R I KF
q P.C. ____ _IKCLE
REC. NAIL & DISK CENTERLINE OF 24'
LS 2494
THIS-SORVEY NOT VALID UNLESS EMBOSSED
04TH 774E SIGNATURE"AND RAISED SEAL OF
A FkCrIDA -LICENSED SURVEYOR A PER
-DOMINICK F. CAVONE PRESIDENT
FLORIDA SURVEYOR & MAPPER NUMBER 2005
" LICENSED BUSINESS NUMBER 5073
��EAST LINE OF 24'
INGRESS / EGRESS EASEMENT
DA TE
RECERTIFIED
FINAL LOCATION
8-18-2010
FOUNDATION LOCA77ON
FORMBOARD LOCATION
5-18-2010
STAKE HOUSE
5-10-2010
Itel,
u
LOT hv nLN
U:\—PLOT PLAN\Vindsor Lake Townhomes\WNDSOR LAKE— TH—L45-48.dwg W-0. FOUNDATION W.O. FINAL 2010-643 W.O. RECERT
COUNTY OF SEMINOLE
IMPACT FEE STATEMENT
STATEMENT NUMBER: 10100002 DATE: April 28, 2010
BUILDING APPLICATION #: 10-10000207
BUILDING PERMIT NUMBER: 10-10000207
t o- 1116 y
(Oq j 9 0
c4c) S+ �
UNIT ADDRESS: WINDSOR LAKE CIRCLE 2210 12-20-30-515-0000-0480
TRAFFIC ZONE:022 JURISDICTION:
SEC: TWP: RNG: SUF: PARCEL:
SUBDIVISION: TRACT:
PLAT BOOK: PLAT BOOK PAGE: BLOCK: LOT:
OWNER NAME:
ADDRESS:
APPLICANT NAME: MERCEDES HOMES
775 HARLEY STRICKLAND BLV #110 ORANGE CITY FL 32763
LAND USE: TOWN HOME UNIT
TYPE USE:
WORK DESCRIPTION: CITY-SANFORD
SPECIAL NOTES: 2210 WINDSOR LAKE CIR./TOWN HOME UNIT
--------------------------------------------------------------------------------
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 D:OV
2,883,00
STATEMENT
dw-
RECEIVED BY:
SIGNATURE:
(PLEASE PRINT NAMt
DATE:
NOTE TO RECEIVING SIGNATORY/APPLICANT: FAILURE TO NOTIFY
�WNA AND
ENSURE TIMELY PAYMENT MAY
RESULT
IN YOUR LIABILITY FOR THE FEE.
DISTRIBUTION: 1-BLDG DEPT
3-APPLICANT
2-FINANCE
4-LAND MANAGEMENT
**NOTE**
PERSONS ARE ADVISED THAT 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
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.
\ 10
�k P
6, 10' ?",
FORM 11 OOA-08 OfFICE PERMIT #-1� �o�
FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION
Florida Department of Community Affairs Residential Performance Method A
Project Name: Diego 1810
Builder Name: Mercedes Homes
Street: 2210 Windsor Lake Cir.
Permit Office: (4(ffjv��
City, State, Zip: Sanford , FL , 32771-
Permit Number.
Owner: Mercedes Homes
Jurisdiction:
Design Location: FL, Daytona Beach
'5--Qy-0
1 . New construction or existing New (From Plans)
9. Wall Types
Insulation Area
2. Single family or multiple family Multi -family
a. Frame - Wood, Exterior
R=13.0 696.00 ft2
b. Concrete Block - Int Insul, Common
R=4.1 576.00 ft2
3. Number of units, if multiple family 1
c. Concrete Block - Int Insul, Exterior
R=4.1 544.00 ft2
4. Number of Bedrooms 4
d. other
R= 424.00 fl:2
5. Is this a worst case? No
10. Ceiling Types
Insulation Area
6. Conditioned floor area (fi:2) 1810
a. Under Attic (Vented)
R=30.0 938.00 ft2
b. N/A
R= ft2
7. Windows Description Area
c. N/A
R= ft2
a. U-Factor: SgI, U=0.63 211.00 ft2
SHGC: SHGC=0.35
11. Ducts
b. U-Factor: N/A ft2
a. Sup: Attic Ret: Interior AH: Interior Sup. R= 6, 362 ft2
SHGC:
12. Cooling systems
c. U-Factor: N/A ft2
a. Central Unit
Cap: 43.0 kBtu/hr
SHGC:
SEER: 14
d. U-Factor: N/A ft2
13. Heating systems
SHGC:
a. Electric Heat Pump
Cap: 40.0 kBtu/hr
e. U-Factor: N/A ft2
HSPF: 8.7
SHGC:
14. Hot water systems
8. Floor Types Insulation Area
a. Electric
Cap: 40 gallons
a. Slab -On -Grade Edge Insulation R=0.0 790.00 ft2
EF: 0.92
b. Floor over Garage R=19.0 134.00 ft2
b. Conservation features
c. other R= 14.00 ft2
None
15. Credits
Pstat
Glass/Floor Area: 0.117 Total As -Built Modified Loads: 31.14
PASS
Total Baseline Loads: 40.05
1 hereby certify that the plans and specifications covered by
Review of the plans and
S'7:4�"
this calculation are in compliance with the Florida Energy
.,.specifications covered by this
0:01AE
0
Code. Prepared BY:
8111117317 Ace Air Conditioning
calculation indicates compliance
with the Florida Energy Code.
10'2-W� Jimm Evans
PREPAR�,D
Before is
construction completed
DATE: HVAC/Mechanical Licens
':this building will be inspected for
__'--CAC1r8-13533
compliance with Section 553.908
I hereby certify that this building, as deseign in compliance
Florida Statutes.
with the Florida Energy Code.
W 'E
OWNER/AGENT
BUILDING OFFICIAL:
DATE:
DATE:
- Compliance requires certification by the air handier unit manufacturer that the air handier enclosure
qualifies as certified factory -sealed in accordance with N111O.A.3.
1/22/2010 9:52 AM EnergyGauge@ USA - FlaRes2008 Page 1 of 5