HomeMy WebLinkAbout2565 River Landing DrApplication # :
Job Address:
CITY OF SANFORD PERMIT APPLICATION
Submittal Date: ~'Vt
Value of Work: S 200
Parcel ID: rofllork: V A A— % ning: Historic District.
Description O Square Footage:
o..........................................
o ...
o .... ..... o
Permit Type:BuildingElectrical Mechanical QPlumbing 0 Fire Sprinkler./Alarm Pool Sign
Electrical: New Service— # of AMPS /oPi— Addition/Alteration Change of Service Temporary Pole
Mechanical: Residential Non -Residential Replacement New• (Duct Layout & Energy Calc. Required)
Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines
Plumbing[New Residential:. # of Water Closets _ 3 Plumbing Repair —Residential Commercial
Occupancy Type: Residential Commercial Industrial Occupancy Use/G roup(s): 9.
Construction Type: u19 # of Stories: # of Dwelling Units: Flood Zone: ` (FEMA form required )
i.... .................
ofif
Property O,w/n er: I Contractor:
Address: [ r p1' Address:
PhonekWVW"
Bonding Company:
Address
Architect/Engineer:
E-mail:
wG1
Phone: 1 State License Number:
Mortgage Lender: i
Address:
Phone:
Address: (g 6 V_ IPS AS OIN IVX)
n
Fax:
T
ti
Plan Review Contact Person: -- - Phone:gb%' 'JFax: E-mail:
Mi D GS • CON
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, ste agencies, or federal agencies.
that 1 will notify the owner of the propertWf the
Signature of r r/Agent Date Signature of C
s Name Print
Si n Time otary aj- P60ate of Fldrida Date
2°tPB r Jenna Hermans
May Commission DD669642
9r of a °a Fxoires 05/02/2011
Owner/AgenLis - —Personally Known to Me or
APPROVALS: ZONING: a il'la`1 UTIL FD
Special Conditionsy. 1
Rev 07.07
Lien Law, JS 7) 3
3`A
Pµ'f Cpg Notary Public Slate of Florida
Jenna Hermans
My Commission DD669642o
Expires 05/02/2011
Contractor/Agent is Personally Known to Me or
3`A
1 /
7 7 ,
3v 3 l gkbf
z
CITY OF SANFORD PERMIT APPLICATION
Application # : 09-0920
Job Address: 2565 River Landing Drive
Submittal Date: 06/10/09
Value of Work: $ 5250.00
Parcel ID: Zoning: Historic District:
Description of Work: Install 2.5 ton, 14 SEER system, includes ductttA'Footage:
Permit Type: Building Electrical Mechanical Q Plumbing Fire Sprinkler/Alarm Pool Sign
Electrical: New Service — # of AMPS Addition/Alteration Change of Service Temporary Pole
Mechanical: Residential ® Non -Residential Replacement New (Duct Layout & Energy Calc. Required)
Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines
Plumbing/New Residential: # of Water Closets Plumbing Repair—Residential Commercial
Occupancy Type: Residential Commercial Industrial Occupancy Use Croup(s):
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required)
Property Owner: M/I Homes Contractor: One Stop Cooling S Heating, Inc.
Address: 300 Colonial Center Parkway, Suite 200 Address: 669 Harold Avenue
Lake Mary, FL 32746 Winter Park, FL 32789
407-531- 407-629
Phone. 5100 E-mail: Phone: 6920 State License Number: CA C056786
Bonding Company: Mortgage Lender:
Address
Architect/Engineer:
Address:
Plan Review Contact Person:
Address:
Phone: Fax:
Phone:
Fax:
E-mail:
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 th operty of the rements of Florida Lien Law, FS 713.
06/10/09
Signature of Owner/Agent Date Si ure of C actor gent Date
S hen A. G y
Print Owner/Agent's Name P ' t -Contr or/Agent's N e
Signature of Notary -State of Florida Date Signature of of too lorida DarDatt
oN0Y
4n Notary Public State of FloridaDianeMJones
My Commission DD792564
v ofn°` Expires 07/21/2012
Owner/Agent is
T Personally Known to Me or Contractor/t°is
Produced ID Produced ID
APPROVALS: ZONING: UT'IL: FD: ENG: BLDG:
Special Conditions:
Rev 07.07
D ONE
STOP
Cooling and Heating, Inc.
669 Harold Avenue, Winter Park, FL 32789
407) 629.6920 Fax (407) 629.9307
CAC056786
March 30, 2009
City of Sanford
Building Department
300 N. Park Avenue
Sanford, FL 32771
To Whom It May Concern:
This letter is to confirm we have been contracted by M/I Homes to install the HVAC for
Riverview Town homes.
Riverview, Lot 17, 2565 River Landing Drive, BP# 09-0920, Dryford Model has the
contract amount of $5250.00.
If you have any questions or problems, please contact me.
Thank you.
Very truly yours,
ONE CO G TING, INC. M/I O , LLC.
ephe A. Gadoury Brad ghtman
President VP of Construction
STATE OF FLORIDA
COUNTY OF ORANGE
The foregoing instrument was acknowledged this 30th day of March, 2009,
by Stephen A. Gadoury and Brad Wightman, who are personally known to me.
LCW vNotary Public State of FloridaDianeMJonesoMyCommissionDD792564
Expires 07/21/2012
669 Harold A\,enue, Winter Park, FL 32789
407) 629-6920 Fax (407) 629-9307
CAC056786
I hereby name and appoint Nicole Wissinger to be my lawful
attorney in fact to act for me and apply to the
City of Sanford building department for a mechanical
permit for work performed at a location described as:
M/i Homes: Riverview, Lot 17, 2565 River Landing Drive, BP#09-0920
And sign my name and do all this necessary to this appointment.
Shen`A. Gadoury, Jr.
CA C056786
STATE OF FLORIDA
COUNTY OF: Orange
The Boorgoing ins me was acknowledged this 10th day of .June , 20 09,
by j,, , who is personally known to me.
Diane Jones
ro"
W P"' votary Public State of Florida
Diane M Jones
My Commission DD792564
4?
0i
moa
Expires 07/21/2012
ro ,I
I J IUDrr , r n
Altamonte Springs, Casselberry, Lake Mary, Longwood, Oviedo, Sanford, Seminole
County, Winter Springs
Date: /
n
Project Name: ! , )
7
Project Address: (166 yff j1(1'I
Building Permit #: 00-0111/70 Electrical Permit #
In consideration for authorizing the appropriate utility company to energize the facility, we agree with and
understand the following:
1. The facility will not be occupied until a certificate of occupancy has been issued.
2. If the jurisdiction hereafter finds that the facility has been occupied before a certificate of occupancy has
been issued, the jurisdiction will have the unilateral right to direct the utility to terminate electrical service
without notice. Furthermore, we understand and agree that should the jurisdiction exercise such right, the
jurisdiction will not be responsible for any damages or costs which may result from the exercise of such
right. Also, in the event any third party claims damages from the exercise of such right, we agree to jointly
and individually indemnify and hold harmless the jurisdiction from all such damages and costs, including
attorney's fees.
3. 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.
4. Interior electrical rooms shall be lockable, if electrical panels are in an area that cannot be locked by doors,
the panels shall be equipped with a locking mechanism (approved by the AHJ). The licensed electrical
contractor or his licensed representative shall hold the keys(s) for such access to electrical panels to prevent
energizing circuits other than those that are safe.
5. If provided, the fire sprinkler system must be operational, per the local AHJ requirements, with water on
the system prior to pre -power.
6. This pre -power approval is valid for a maximum of 180 days from date of approval.
7. Check with the local jurisdiction for fees associated with pre -power.
Print am f O ner nt
SignatuA of Own enant
JURISDICTION EMPLOYEE
JURISDICTION:
Print Name o . o tractor
Signatur of Gen. Contractor
en. Contractor Lic nse #
CALLED INTO: Progress Energy
Rev. 3/27107)
o r s rloJA,rew
Print Nanje of El. Contractor
Signature of El. Contractor
3
El. Contractor License #
Florida Power and Light on / 1
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: o l —`"I 7o7 Documented Construction Value: $ :' G C)
Job Address: 76: v (lr,f ,C VYJ i a A C C - Historic District: Yes No Ild
Parcel ID: ZLf _ l 3c)SSU — C) 60U —'01 -70 Zoning:
r
Description of Work: i Lo (`i G < F ex r I i:6
Plan Review Contact Person:
Phone: Fax: E-mail:
Property Owner Information
Title:
Name UWI %S ' ` L,L Phone: 07- 3c3
Street:( `}_ Resident of property? : 7
City, State Zip: Lca4F a r(4 F/Sr24L0
Contractor Information ,,
II
Name I n s }-ow Phone: "-- %U3`'
Street: I ( ')
I4
K U 0_7 - 3'al q 31Fax:
c ---- _
City, State Zip: a 1 7 State License No.: ---
Name:
Street:
City, St, Zip:
Bonding Company:
Address: _
l
Building Permit
Square Footage: _
Architect/Engineer Information
Phone:
Fax:
E-mail:
Mortgage Lender:
Address:
PERMIT INFORMATION
Construction Type: No. of Stories:
No. of Dwelling Units: Flood Zone:
Electrical i
New Service - No. of AMPS:
Mechanical 0 (Duct layout required for new systems)
Plumbing
New Construction - No. of Fixtures:
Fire Sprinkler larm al' 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 charge exceed the documented
construction value when the executed contract is submitted, credit will be applied your permit fees when the
permit 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:
Rev 11.08
UTILITIES:
FIRE:
I-) IZI 0
nt Contra o /Agent's Name
4ci qrC
S ature of Notary -State lorida Date
q3 SAMANTHA L FURBOTER
RIF
MY cOMMISSION# DD865138
EXPIRES March 01, 2013
Florldallo[aryS ICO.com407398-0153
Contractor/Agent is Personally Known to Me or
Produced ID Type of ID
WASTE WATER:
BUILDING:
Seminole County Property Appraiser Get Information by Parcel Number Page 1 of 1
DAVID JOHNSON, CFA, ASA-
Hgg T
PF41AISJER
SEMINOLE COUNTY FL.
1101 'E. FIRST.sT
SANFORD. FL32771-1486
407-665-7506
j•.
d ,
l
kyr .. s
r E p
ray r
et <
VALUE SUMMARY
GENERAL VALUES
2009 2008
Working Certified
Parcel Id: 26-19-30-5SU-0000-0170 Value Method Cost/Market Cost/Market
Owner: M/I HOMES OF ORLANDO LLC Number of Buildings 0 0
Own/Addr: SUITE 200 Depreciated Bldg Value $0 $0
Mailing Address: 300 COLONIAL CENTER PKWY Depreciated EXFT Value $0 $0
City,State,ZipCode: LAKE MARY FL 32746
Property Address: 2565 RIVER LANDING DR SANFORD 32771
Subdivision Name: RIVERVIEW TOWNHOMES
Tax District: S1-SANFORD
Exemptions:
Dor: 0003 -VACANT TOWNHOME
Land Value (Market) $11,000 $22,880
Land Value Ag $0 0
JusUMarket Value $11,000 $22,8880
Portablity Adj $0 $0
Save Our Homes Adj $0 $0
Assessed Value (SOH) $11,000 $22,880
Tax Estimator
2009 TAXABLE VALUE WORKING ESTIMATE
Taxing Authority Assessment Value Exempt Values Taxable Value
County General Fund $11,000 $0 $11,000
Schools $11,000 $0 $11,000
City Sanford $11,000 $0 $11,000
SJWM(Saint Johns Water Management) $11,000 $0 $11,000
County Bonds 1 $11,000 $0 $11,000
The taxable values and taxes are calculated using the current years working values and the prior years approved millage rates.
2008 VALUE SUMMARY
SALES
2008 Tax Bill Amount: $433
Deed Date Book Page Amount Vaclimp Qualified
2008 Certified Taxable Value and Taxes
DOES NOT INCLUDE NON -AD VALOREM ASSESSMENTSFindComparableSaleswithinthisSubdivision
LAND LEGAL DESCRIPTION
Land Assess Method Frontage Depth Land Units Unit Price Land Value
LOT 0 0 1.000 11,000.00 $11,000
Permits
PLATS: ;
LOT 17 RIVERVIEW TOWNHOMES PB 74 PGS 46 - 53
NOTE: Assessed values shown are NOT certified values and therefore are subject to change before being finalized for ad valorem tax purposes.
Ifyou recently purchased a homesteaded property your next ear's property tax will be based on Just/Market value.
http://www.scpafl.org/web/re_web.seminole_county_title?parcel=2619305 SU00000170&c... 6/24/2009
POWER OF ATTORNEY
Date: ?/ G
I hereby name and appoint U
of BRINKS HOME SECUR ITY to drop off and pick up permits at the
C(prR(4,(1 Building Department on my behalf for
a LOW VOLTAGE SECURITY Permit for work to be performed at a location described as:
Parcel cry 1q --3C)- SSU —L(200 — 61-70
Subdivision
Address of Job
Owner
Lc,4qcl, ACt-Sbwn
U fr- Lc-n n Z)r .
5 C)4 Or ( ftL
Douglas Bassett EF0000921
Type of Print Name of ertified Contractor
Signature f ertified Contractor
The foregoing instrument was acknowledged before me this 2 day of 20 Ci
by Douglas Bassett
who is personally known to me/who produced
as identification and who did not take oath.
State of Florida
County of
Notary Public, Seminole Co nty, Florida
PiaLPZAE;E H A KHNG
S:,ry, Ei:Pll Es O°tib Yt ' , .:; Vii)°I w E
n
COUNTY OF SEMINOLE
IMPACT FEE STATEMENT
STATEMENT NUMBER: 09100001 DATE: March 16, 2009
BUILDING APPLICATION 4: 09-10000100
BUILDING PERMIT NUMBER: 09-10000100
UNIT ADDRESS: RIVER LANDING DRIVE 2565 26 -19 -30 -SSU -0000-0170
TRAFFIC ZONE:022 JURISDICTION:
SEC: TWP: RNG: SUF: PARCEL:
SUBDIVISION: TRACT:
PLAT BOOK: PLAT BOOK PAGE: BLOCK: LOT:
OWNER NAME:
ADDRESS:
APPLICANT NAME: M/I HOMES OF ORLANDO LLC
ADDRESS: 300 COLONIAL CENTER PKWY LAKE MARY FL 32746
LAND USE: TOWN HOME
TYPE USE:
WORK DESCRIPTION: CITY-SANFORD
SPECIAL NOTES: 2565 RIVER LANDING DR. / 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
S% RECEIVEDTBY: !/l tVAI SIGNATURE:
PLEASE PRINT NAME) l
DATE:
NOTE TO RECEIVING SIGNATORY/APPLICANT: FAILURE TO NOTIFY OWNER AND
ENSURE TIMELY PAYMENT MAY RESULT IN YOUR LIABILITY FOR THE FEE. ***
DIS'T'RIBUTION: 1 -BLDG DEPT 3 -APPLICANT
2 -FINANCE 4 -LAND MANAGEMENT
NOTE**
PERSONS ARE ADVISED THAT TIJIS 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 ``T'OP 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.
Permit Number 26-19-30-59U-0000-01 70
Folio/Parcel ID Number
407 531-5100
Prepared B Jenna Hermans
Interest in Property Fee Simple Interest
Return To 300 Colonial Center Parkwa ,Ste. 200
Lake Mary, FL 32746
11111111it III Ifall 111111111111111411111oil 111110in1111111111
NARYPN* Mi)N'tW! CLERK W CIRCUIT CIOT
S MINOLE COUIM
8K 07121 P9 1491; (1pg)
CLERK' S #i! 2009+'rt:>6874
RkC'0f?0LD 011l!1l'009 0:3:4:3: IjIhi
REIMPOIN8 t l i_4; 10.w
RSCi:)RM'D BY L Mi-MuleY CEPTTIED COPY
irlARYANNE MORSE
CLERK OF CIRCUIT COURT
NOTICE OF COMMENCEMENT
SE.1 E COUNTY. FLORIDA
State of Florida, County of Seminole BY
The undersigned hereby gives notice that improvement(s) will be made to certain real property, and in DEP TY LERK
accordance with Chapter 713, Florida Statutes, the following information is provided in this Notic . f
Commencement:
1. Description of property (legal description of theproperty, and street address if available
Riverview, Lot 17: 2565 River LandingDrive
2. General description of improvement(s)
Townhomes
3_ Owner information
Name M/I Homes Telephone Number 407 531-5100
Address 300 Colonial Center Parkway, Suite 200
Lake Mary, FL 32746
Interest in Property Fee Simple Interest
4. Fee Simple Title Holder (if other than owner shown above)
Name N/A Tele hone Number N/A
Address N/A
5. Contractor
Name M/I Homes Telephone Number 407 531-5100
Address 300 Colonial Center Parkway, Suite 200 Lake Mary, FI 32746
6. Surety (if any)
Name N/ATele hone Number N/A
Address I N/A I Amount of Bond $ N/A
7. Lender (if anv)
Name N/A Telephone Number I N/A
Address N/A
8. Persons within the State of Florida designated by Owner upon whom notices or other
documents may be served as Drovided by 5713.130)(a)7, Florida Statutes.
Name Larry Sekely I Telephone Number 407 531-5168
Address 300 Colonial Center Parkway, Suite 200 Lake Mary, A 32746
9. In addition to himself or herself, Owner designates the following to receive a copy of the
Lienor's Notice as Drovided in &713.13(1l(bl. Florida Statutes.
Name N/A Telephone Number 407 531-5100
Address 300 Colonial Center Parkway, Suite 200 Lake Mary, FI 32746
10. Expiration date of notice of commencement (the expiration date is one year form the date of
recording unless a different date is specified)
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,
CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF
COMMENCEMENT.
11. t-- Fred Sikorski
Signature ofdwner Signatory's Printed Name/Title/Office
or Owner's Authorized Officer/Director/Partner/Manager §713.13[1][d])
r
The foregoing instrument was acknowledged before me this `
I
day of ; ,0(' by Fred Sikorski
year) (name of person)
as Regional President for
Type of authority, eg., officer, trustee, attorney in fact)
3 ture of otary
ublicc---`
State of Florida
y /
P6;//
r
sonally Known OR Produced ID
Type of ID Produced
M/I Homes
Name of party on behalf of whom instrument was executed)
Print, type, or stamp commissioned name of Notary Public)
Notaiv Put I c State of Florida F
4 ` JIenn) Hermans
ron,mis,ion [111669642
F , rr 05
Verification pursuant to Section 92.525, Florida Statutes: Under penalties of perjury, I declare that I have
read the foregoing and that the facts stated in it are true to the best of my knowledge and belief.
Signature of Natural Person Signing on Line 11 -Above
Form Revised: 11/19/07
Ayr 1Dela{ a.
ffenx &* e4affociates lkce
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
N54 °22'31 "W 190.01' O
Manhole
EL: 24.3GL
355.71' _ f _ 273.55'
N54 °22 31 "W V 629.26'
CIL Tract "B"
R/W Varies) Access
LEGAL DESCRIPTION
Lots 14, 15, 16, 17, 18, 19 & 20, "Riverview Townhomes",
according to the plat thereof as recorded in plat book 74 at page(s) 46 - 53 of
the public records of Seminole County, Florida.
FLOOD HAZARD DATA: The parcel shown hereon lies within flood zone 'X"
according to the Flood Insurance Rate Map community panel number
120294-006OF dated 9/28/2007.
Flood Zone determination was performed by graphic plotting from Flood
Insurance Rate Maps provided by FEMA. No field surveying was performed by
this firm to determine this zone. The exact zone location can only be determined
by an elevation study. We assume no responsibility for actual flooding
conditions.
General Notes:
1. This is a BOUNDARY Survey performed in the field on Pie oP4 SED
2. No aerial, surface or subsurface utility installations, underground improvements or
subsurface/aerial 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
CITY OF SANFORD - BUILDING PLAN REVIEW
PLANNING AND DEVELOPMENT SERVICES
APPROVED 4#,., N M!d2.--
DATE 2 •4-1- "`L
SETBACKS.-
Front:
ETBACKS:
Front: 21.5' Side : 7.17" Rear: 4.5'
BEARING BASE. -The bearings shown hereon are based upon the
eastern plat boundary as being N00°10'00"W.
Vertical datum is based on engineering plans as provided by the client,
prepared by Evans Engineering, Inc., Job # 12001.
Legend
PERMIT # e- f2c-)
0/S Offset
DATE,
TTz
Oficial Records Book
BOW Back of sidewalk PB Plat Book
Tract 'A"
Centerline PC Point of Curvature
A Central or (Delta) Angle
Open Space, Access & Drainage
Point of Compound Curvature
CALC Calculated
P.C.P. Permanent Control Point
CB Chord Bearin 9
PG.
O D AA
Page Le...
o.,r ..,....., AA ..............
N54 022'31 "W 190.01 '
20' 30' .00' > 25 25 21. 36.
Zted 9, 19.2' 9, 13.5' po 15.5' a
t„w o and m 155' m 13.5' a m 19.2' motedo tr"d Z
Ca
U1
2 0
10.2'
o o_ v, h
7.8' 9.5'
9' 12.8' h
ZT 11.5'
9.5' 78'
o
10.2'
2 W
U
0GJ Astor Brantford Castine Dryford Castine Brantford Astor 0CJ
V o Rivervie v - 7 -Unit Tc wnhome o v
o Lot 14 60' Deep x Lot 20
3,113 Sq. Ft. Lot 15 17566' Wide Lot 19 3,114 Sq. FL ni
Lot 13 2a
1'632 F fished Floor El .:25,3 1,832
Lot 17
2.r Lot21
11
Sq. FL Lot 16 2,150 Sq. Ft. Lot 18 Sq. Ft a
2r Z150
0 5o 4.0' 12 3' 2,150 8.3'
50w
2.71 00
Sq. Ft.
13.0'
u1
12.0' Sq. Ft. 13.0' mo
tv4 mW
OyvWol0.r
45 2 18.0'
L
llittase
nnr
ent
n nnr nc n r n nnr nr_ nwr
N54 °22'31 "W 190.01' O
Manhole
EL: 24.3GL
355.71' _ f _ 273.55'
N54 °22 31 "W V 629.26'
CIL Tract "B"
R/W Varies) Access
LEGAL DESCRIPTION
Lots 14, 15, 16, 17, 18, 19 & 20, "Riverview Townhomes",
according to the plat thereof as recorded in plat book 74 at page(s) 46 - 53 of
the public records of Seminole County, Florida.
FLOOD HAZARD DATA: The parcel shown hereon lies within flood zone 'X"
according to the Flood Insurance Rate Map community panel number
120294-006OF dated 9/28/2007.
Flood Zone determination was performed by graphic plotting from Flood
Insurance Rate Maps provided by FEMA. No field surveying was performed by
this firm to determine this zone. The exact zone location can only be determined
by an elevation study. We assume no responsibility for actual flooding
conditions.
General Notes:
1. This is a BOUNDARY Survey performed in the field on Pie oP4 SED
2. No aerial, surface or subsurface utility installations, underground improvements or
subsurface/aerial 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
CITY OF SANFORD - BUILDING PLAN REVIEW
PLANNING AND DEVELOPMENT SERVICES
APPROVED 4#,., N M!d2.--
DATE 2 •4-1- "`L
SETBACKS.-
Front:
ETBACKS:
Front: 21.5' Side : 7.17" Rear: 4.5'
BEARING BASE. -The bearings shown hereon are based upon the
eastern plat boundary as being N00°10'00"W.
Vertical datum is based on engineering plans as provided by the client,
prepared by Evans Engineering, Inc., Job # 12001.
Legend
G Temporary Benchmark 0/S Offset
assumed datum)
O.R.B. Oficial Records Book
BOW Back of sidewalk PB Plat Book
CfL Centerline PC Point of Curvature
A Central or (Delta) Angle PCC. Point of Compound Curvature
CALC Calculated
P.C.P. Permanent Control Point
CB Chord Bearin 9
PG.
O D AA
PageLe...
o.,r ..,....., AA ..............
OFFICE
FORM 60OA-2004R EnergyGauge® 4.5.2
FLORIDA R Y EFFICIENCY CODE
FOR BUILDINGCONSTRUCTION
Florida Department of Community Affairs
Residential Whole Building Performance Method A
Project Name: RV 17, Unit D 1830 NE _
p j 1
Builder: MI Homes
Permitting Office: SanfordAddress: f,j ()r)
1
City, State: Permit Number:
Owner: MI Homes Jurisdiction Number: 691500
Climate Zone: Central
Description Area
1. New construction or existing New
2. Single family or multi -family Multi -family
3. Number of units, if multi -family 1
4. Number of Bedrooms 3 _
5. Is this a worst case? No _
6. Conditioned floor area (ft2) 1830 ft2
7. Glass type I and area: (Label reqd. by 13-104.4.5 if not default)
a. U -factor: Description Area
or Single or Double DEFAULT) 7a. (Dble, U=0.7) 147.0 ft2
b. SHGC:
or Clear or Tint DEFAULT) 7b. (SHGC=0.67) 147.0 ft2 _
8. Floor types
a. Raised Wood R=13.0, 206.0 ft2 _
b. Slab -On -Grade Edge Insulation, 0 R=0.0, 76.0 ft2
c. I Others 24.0 ft2 _
9. Wall types
a. Concrete, Int Insul, Exterior R=9.0, 244.0 ft2 _
b. Frame, Wood, Adjacent R=13.0, 237.0 ft2
c. Frame, Wood, Exterior R=13.0,352.0 ft2
d. Concrete, Int Insul, Adjacent R=9.0, 93.0 ft2 _
e. N/A
10. Ceiling types
a. Under Attic R=30.0, 1018.0 ft2
b. N/A
c. N/A
11. Ducts
a. Sup: Unc. Ret: Unc. AH(Sealed):Interior Sup. R=6.0, 200.0 ft
b. N/A
12.Fi filly ystems V ``
Fal Unit/Split
b.
c. N/A
L3. Heating syst s
a. Electric Heat p/Split
b. N/A
c. N/A
14. Hot water systems
a. Electric Resistance
b. N/A
c. Conservation credits
HR -Heat recovery, Solar
DHP-Dedicated heat pump)
15. HVAC credits
CF -Ceiling fan, CV -Cross ventilation,
HF -Whole house fan,
PT -Programmable Thermostat,
MZ -C -Multizone cooling,
MZ -H -Multizone heating)
Glass/Floor Area: 0.08
Total as -built points: 16758 PASSncc
Total base points: 21364 r/-1 7 7
I hereby certify that the plans and specifications covered by this
calculation are in compliance with the Florida Energy Code.
PREPARED BY:
DATE: `
I hereby certify that this buildii g, as d signed, is in liance
with the Florida Energy C090.
OWNER/AGENT:
DATE:
Review of the plans and
specifications covered by this
calculation indicates compliance with
the Florida Energy Code. Before
construction is completed this
building will be inspected for
compliance with Section 553.908
Florida Statutes.
BUILDING OFFICIAL:
DATE:
1 Predominant glass type. For actual glass type and areas, see Summer &winter Glass output on pages 2&4.
EnergyGauge® (Version: FLRCPB v4.5.2)
Cap: 29.1 IcBtu/hr
HSPF: 8.50
Cap: 50.0 gallons
EF: 0.95
PT,
CITY OF SANFORD PERMrT APPLICATION
Application #: Submittal Date:
Job Address: ' ii Cff c- Value of Work: $ y""
Parcel ID• Zoning: Historic District:
Description of Work: (iJirinG.. Square Footage:
a........... 0 ...............
Permit Type: Building 13 Electrical Meclani • • Plumbing Fire Sprinkler/Alarm Pool Sign
Electrical: New Service — # of AMPS 15Q Addition/Alteration Change of Service Temporary Pole
Mechanical: Residential Non -Residential 0 Replacement New (Dud Layout & Energy Calc. Required)
Plumbing/ New Commercial• # of Fixtures # of Water & Sewer Lines , # of Gas Lines
Plumbing/New Residentiah # of Water Closets Plumbing Repair — Residential Commercial
Occupancy Type: Residential Commercial . Industrial Occupancy Use Group(*.
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required)
4.......... .......
Property Owner: .. • • •O=s. •LI -C Contractor: A__
Address: Co Y R AddrewW* o'?9A E. Cc bn it e k b Y 1 c -
L 3a-- D r-
Pbone: E-joa91: Phone: 1 1 ' State License Number: 50300 IDi1lp
Bonding Company:
Address:
ArchiteettEngineer:
Address:
Mortgage Lender:
Address:
Phone:
Fax:
Plan Review Contact Person: Phone: Fax: E-mail:
Application is Lereby made to obtain.a permit to do the work and installations as indicated. I cerlit'y 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 wrung
WARNING TO OWNER. YOUR FAILURE TO RECORD A NOTICE OF ColeviENCElviENT MAY RESULT IN YOUR PAYING TWICE FOR
IMPROVEMEN'T'S TO YOUR -PROPERTY. A -NOTICE OF COMMENCEMENT MUST -BE -RECORDED -AND POSTED -ON THE JOB SITEBEFORETHE
FIRST INSPECTION. IF YOU MEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR
NOTICE OF COMMENCEMENT.
NOTICE Irl addition to the requirements ofthis permit, there may be additional restrictions applicable to this property that may be found in the public records of
this county, and ibere may be additional permits required fram other governmental entities such as water management districts, state agencies, or federal agencies.
Acceptance of permit is motion 9W i will notify the owner of the property o ukcmcnts of Florida lien Law, FS 713.
Signature of Owner/Agent Date Signature of Contractor/Agent Date
Cht
Prim Owner/Agents Name Print Contxacto; Agent'
Signature of Notary -State of Florida Date Signature of Notatj-State of Florida Date
fir p otary ublic Stet® of Florida
Brian Walewski
My Commission D0621809
Expires 02/24/2011
Owner/Agent is , _Personally Known to Me or Contractor/Agent is Personally Known to Me or'
Produced ID Produced ID
APPROVALS: ZONING: UTEL: FD:
Special Conditions:
Rev 07.07
BLDG:.
1
a,
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
i 29C C`
Application No: - Documented Construction Value: $ l t )10
Job Address:c A In,( Historic District: Yes No
Parcel ID:
Description of Work:
Plan Review Contact Person:
Phone: Fax:
Zoning:
E-mail:
Title:
Property Owner Information
11
Name l Phone: ` GI 5-3151
Street:
1
C z-f/ Resident of property?
City, State Zip: t 'C 3 LU
Contractor Information
p-
Name Q- 1'x`3 Phone: LAV ` L4tu)l ut)
Street: Fax: 40--Yn4 to 01 Lo 2
City, State Zip: La State License No.: C 051 CO-' S
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Building Permit
Square Footage:
Architect/Engineer Information
Phone:
Fax:
E-mail:
Mortgage Lender:
Address:
PERMIT INFORMATION
Construction Type: No. of Stories:
No. of Dwelling Units: Flood Zone: +
Electrical Plumbing]
New Service - No. of AMPS: New Construction - No. of Fixtures:
Mechanical (Duct layout required for new systems) Fire Sprinkler/Alarm 0 No. of heads:
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no
work or installation has commenced prior to the issuance of a permit and that all work will be performed to
meet standards of all laws regulating construction in this jurisdiction. I understand that a separate permit
must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and
air conditioners, etc.
OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will
be done in compliance with all applicable laws regulating construction and zoning.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE
OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE
FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this
property that may be found in the public records of this county, and there may be additional permits required
from other governmental entities such as water management districts, state agencies, or federal agencies.
Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida
Lien Law, FS 713.
The City of Sanford requires payment of a plan review fee. A copy of the executed contract is required in order
to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the
plan review fee based on past permit activity levels. Should calculated charges exceed the documented
construction value when the executed contract is submitted, credit will be applied to your permit fees when the
permit is released.
Signature of Owner/Agent Date
Print Owner/Agent's Name
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
Rev 11.08
UTILITIES:
FIRE:
4c/. " > al9
Signature o ontractor/Agent Date
Print Contractor/Agent's Name
l 3 Wog
Signature of Notary -State of Florida Date
KRISTIE SANFORDNOTARYPUBLIC -8 TEOF FLORIDACOMMISSION # DD477357
EXPIRES 90/02/2009
B(MtOED THRU t 688 NOTARYI
Contractor/Agent is Personally Known to Me or
Produced ID Type of ID
WASTE WATER:
BUILDING:
1f'A
Bordeau's
One Stop Plumbing Inc.
Price For Above $4,1o8.66 $6,310.28 Total w/Std Fixtures
3o% Rough In $1,232.6o
3o% Tub Set $1,232.6o
4o% Trim $1,64346
564 Cooper Commerce Drive Apopka F1 32703
Office 407-4io-ol6o Fax 407-4io-oi63
CFC057555
Standard Proposal
Date November 7, 2oo8
Contractor MI Homes
Plan/Model Unit D-Dryford Select One Brantford or Eva
uanti Each Total
Master Bath Up 1 Elongated Water Closet W/ Seat MB up Lav 2 2383 4766
2 See Selection Sheet for Lav and Faucet Lav Faucet 6610 or 6410 2 77.87 155.74
1 See S.S. for Shower base W/ See Selection Sheet for Valve and Shower Trim Shower Base JS356969 1 348.21 34821
Right 1 See Selection Sheet for Tub W/ See Selection Sheet for Valve and Tub Trim Shower Trim & Valve 2152 or 2132 1 86.56 86.56
Nova 60x42Tub °w/No Skirt 1 368.33 36833
Hall Bath Up 1 Elongated Water Closet W/ Seat Tub Trim & Valve T933 or T943 1 213.67 213.67
1 See Selection Sheet for Lav and Faucet HB 2 Lav 1 23.83 2383
Left 1 See Selection Sheet for Tub W/ See Selection Sheet for Valve and Tub Trim Lav Faucet 6610 or 6410 1 77.87 77.87
5' Steel Tub 1 141.56 141.56
Half Bath Dn 1 Elongated Water Closet W/ Seat Tub Trim & Valve 2153 or 2133 1 102.48 102.48
1 See Selection Sheet for Ped Lav and Faucet
PB Ped Lav 20x18 1 96.78 96.78
Water Heater 1 See Selection Sheet for Water Heater Lav Faucet 6610 or 6410 1 77.87 77.87
1 Sewer Connection o' To 30'
1 4" AC Chase WH 55 gallon 1 33267 33267
2 Quick bib w/ cap @ tubset/ Hose Bibb W/ 3/4" Vacuum Breaker on trim
1 1" PVC Water Service o' to 30'
1 Thermal Expansion Device
Kitchen 1 See Selection Sheet for Kitchen Sink and Faucet
1 Dishwasher Connection w/ Shock Arrestor Kit.
1 Ice Maker Box w/ LOOP to kitchen w/ shock arrestors 33x22 6" deep SS 1 44.78 4478
1 1/2 Hp Disposal on Right Chateau K/Faucet 7430 1 83.61 83.61
1 Studer vent @ kitchen
Laundry Up 1 Washingmachine Box w/ shock arrestors & Pan w/ 1" PVC Drain Total Trim Options: $ 2,2o1.62
Price For Above $4,1o8.66 $6,310.28 Total w/Std Fixtures
3o% Rough In $1,232.6o
3o% Tub Set $1,232.6o
4o% Trim $1,64346
564 Cooper Commerce Drive Apopka F1 32703
Office 407-4io-ol6o Fax 407-4io-oi63
CFC057555
U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008
Federal Emergency Management Agency Expires March 31, 2012
National Flood Insurance Program Important: Read the instructions on pages 1-9.
SECTION A -PROPERTY INFORMATION For,,lnsurance'Company`Use:
A"1. Building Owner's Name M/I Homes Policy Number
A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company NAIC Number.
2565 River Landing Drive
City Sanford State FI ZIP Code 32772
A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
Lot 17, Riverview Townhomes, Plat Book 74 Pages 46-53 Seminole County, Florida
A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Residential
A5. Latitude/Longitude: Lat. 28°48'47.3" Long --81°17'48.6" Horizontal Datum: NAD 1927 N 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) 0 sq ft a) Square footage of attached garage 254 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 0 within 1.0 foot above adjacent grade 0
c) Total net area of flood openings in A8.b 0 sq in c) Total net area of flood openings in A9.b 0 sq in
d) Engineered flood openings? Yes N No d) Engineered flood openings? Yes N No
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP Community Name & Community Number B2. County Name B3. State
City of Sanford & 120294 TSeminole County FI
B4. Map/Panel Number B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) (Zone
12117CO060 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 Other (Describe) N/A
611. Indicate elevation datum used for BFE in Item 139: NGVD 1929 NAVD 1988 Other (Describe) N/A
B12. Is the building located in a Co stal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? El Yes N No
Designation Date ( CBRS OPA
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on: Construction Drawings" Building Under Construction' ® Finished Construction
A new Elevation Certificate will be required when construction of the building is complete.
C2. Elevations -Zones Al -A30, AE, AH, A (with BFE), VE, V1430, V (with BFE), AR, AR/A, ARAE, 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 BM8095501Vertical Datum NAVD 88
Conversion/Comments Note Construction Engineering plans are based upon NGVD 1929.
Check the measurement used.
a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 24.5 N feet meters (Puerto Rico only)
b) Top of the next higher floor 35.2 N 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) 24.2 N feet meters (Puerto Rico only)
e) Lowest elevation of machinery or equipment servicing the building 23.9 N feet meters (Puerto Rico only)
Describe type of equipment and location in Comments)
0 Lowest adjacent (finished) grade next to building (LAG) 23.7 N feet meters (Puerto Rico only)
g) Highest adjacent (finished) grade next to building (HAG) 23.9 N 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. / certify that the information on this Certificate represents my best efforts to interpret the data available.
I understand that any false statement maybe punishable by fine or imprisonment under 18 U.S. Code, Section 1001.
N Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a
licensed land surveyor? N Yes No O
Certifier's Name Darae L. Przemieniecki License Number PSM 6030
Title Professional Surveyor and Mapper Company Name Herx & Associates, Inc.
Address 769 Douglas
Sign
FEMA Form 81-31, Mar 09
ity Altamonte Springs State FI ZIP
Date 08-20-09 Telephone 407-788-8808
YY1 lri
See reverse side for continuation.
N
Replaces all previous editions
IMPORTANT: In these spaces, copy the corresponding information from Section A. For Insurance Company Use:
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number
2565 River Landing Drive'
City Sanford State FI ZIP Code 32772 Company NAIC Number .
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED)
Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner.
Comments Item C2e refer Conditioner slab elevation.
Flood Zone was determine by gra hic plotting on EMA Flood Insurance Rate Maps.
Fjgrx & Associates, In as e o responsibility r actual flooding conditions.
JYI
Signature Date 08-20-09
Check here if attachments
SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE)
For Zones AO and A (without BFE), complete Items E1 -E5. If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, B,
and C. For Items E1 -E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters.
E1. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent
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, 8, 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 G5. Date Permit Issued 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
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
2565 River Landing Drive
City Sanford State FI ZIP Code 32772 Company NAlCNumber
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 Page
For Insurance Company Use:
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number
2565 River Landing Drive
City Sanford State FI ZIP Code 32772 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 "RE!ar View"; and, if required, "Right Side View" and "Left Side View."
Rear View
Herx & Associates Inc.
769 Douglas Avenue
Altamonte Springs, Florida 32714
407.788.8808 - 407.788.8762 (fax)
August 20, 2009
City of Sanford Building Division
P.O. Box 1788
Sanford, Florida 32772-1788
RE: Lot 17 Riverview Townhomes, 2565 River Landing Drive
To Whom It May Concern,
The finished floor elevation of the structure located at:
2565 River Landing Drive, Sanford, Florida
Legal Description:
Lot 17, "RIVERVIEW TOWNHOMES", according to the Plat thereof, as recorded in
Plat Book 74 at pages 46 through 53 Public Records of Seminole County, Florida.
Meets or exceeds the requirements set forth in the City of Sanford Code Chapter 18,
sections 184(a).
Sincerely. Yours,
Herx & Associate I
C.DarJe L. Przemieniecki., P.S.M
Associate Vice President
DLP/bb
Lot 13
04880 ® tes e
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
R
Map of Survey
Tract 'A"
Open Space, Access & Drainage
N54 °2231 "W
Iq
190.01'
20 :; 3 :: 00 •:: 5 5. 1. 36. ..::;•:::
m 13.5'9, 15.5'? 9147.4 v14r a 155' m r.n, 0 13.5' 9, cewo, 19.2' 9 m . 19.2' 9, = 0 727.2 0 o o
CIL
12.
o o
10.1'
L8' 9.5. 17' 11.5'
9.5' 7.8'
10.2'
Astor Bran Nom' Castine Dryfoai Castine Brantford Astor
a
4
C. M.
Rivervie v - 7 -Unit Tc wnhome
EL. or ELEV
o
Lot 14
3,113 Sq. FL Lot 15 F ished Floor EI 25.7 Lot 19
Lot 20
3,114 Sq. Ft.
2.r 1,832
Point of Reverse Curvature
Lot 17
Finished Floor Elevation
1,832 17'
y
Sq. Ft. Lot 16 2,150 Sq. Ft. Lot 18 Sq. FL
RAD
2.7' 8.3' ao 2, 150
So'
4.0' 12.3' 2, 150
So a 8.3'
a
2.7
RAV
o' Sq. Ft. 11.0' Sq. Ft. m
Mea Measured
0 13.0'
N/D(N&D)
o
N.R.
O
O
7. 1B.
X-X- Fence symbol (see drawing)
20.0'0
0.%
B.718.0'
O
220.0'
Checked by: DP
Prepared for: M/I Homes
asemaUtilit
Job Number: 07-00541
110'
36 1252 00.00' 00 23
set I NPN 11': 7 JWjo 7J'"l
N&D• ° j Ser io, CIL EL.' 24.1 m
X355.71 o N80
N::C/L
22'31 "W 629.26'
Maybeck
court CIL River Landing Drive
R/W Varies) Tract "B"Access
LEGAL DESCRIPTION
Lots 14, 15, 16, 17, 18, 19 & 20, "Riverview Townhomes';
according to the plat thereof as recorded in plat book 74 at page(s) 46 - 53 of
the public records of Seminole County, Florida.
FLOOD HAZARD DATA: The parcel shown hereon lies within flood zone 'X"
according to the Flood Insurance Rate Map community panel number
120294-006OF dated 9/28/2007.
Flood Zone determination was performed by graphic plotting from Flood
Insurance Rate Maps provided by FEMA. No field surveying was performed by
this firm to determine this zone. The exact zone location can only be determined
by an elevation study. We assume no responsibility for actual flooding
conditions.
General Notes: - 4
2 . 1. This is a BOUNDARY Survey performed in the field on
2. No aerial, surface or subsurface utility installations, underground improvements or
subsurface/aerial 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.
e Denotes %" iron rod with plastic cap marked LB4937, or '." iron rod with
red plastic cap marked "Witness Corner", unless otherwise noted.
O Denotes P.C.P. (Permanent control point)
Denotes Permanent Reference Monument
2009 Herx & Associates Inc. All rights reserved
Certification: Nol valid wilho l the ' nalure and the of inal raised seal
of a Florida licensed Survey, and Ma per
This survey meets the requirem nts of th Florida Minimu echnical
Standards as contained in Cha r 61 7-6 Florida Admi ist ative Code.
William A. Herx, P. L. S. Florida RegistefNqd Land Surveyor No. 3182
DaraeL. Przemienieckl, P.S.M. Regist d Surveyor and Mapper No. 6030
Herx & Associates Inc., State of Florida LB 4937
SETBACKS:
Front 21.5' Side :7.17" Rear: 4.5'
W
V
N
R
Lot21
of of
11I
273.55'
e/ PCP
BEARING BASE. -The bearings shown hereon are based upon the
eastern plat boundary as being N00°10'00"W.
Vertical datum is based on engineering plans as provided by the client,
prepared by Evans Engineering, Inc., Job # 12001.
Legend
Temporary Benchmark
O/S
O.R.B.
Offset
Official Records Book
assumed datum)
PB Plat Book
BOW Back of sidewalk
PC Point of Curvature
CIL CenterlinePCC. Point of Compound Curvature
A 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 P/L Property Line
C. M. Concrete Monument p O B. Point of Beginning
EL. or ELEV Elevation (Proposed) P. O. C. Point of Commencement
FINAL EL. Elevation (Measured) P.1. Point of Intersection
FD. Found PRC. Point of Reverse Curvature
Fin.Fl. Elev. Finished Floor Elevation PT. Point of Tangency
l.P. Iron Pipe R Radius
I.R. Iron Rod RAD Radial line
L Arc Length RES. Residence
LB Licensed Business RAV Right -of -Way
LS. Land Surveyor TSM 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)
Drawn by: CM
Checked by: DP
Prepared for: M/I Homes
Job Number: 07-00541
Scale: 1 " = 40'
Plot Plan Performed: 01-11-09
Foundation Survey: 03-11-09
Final Survey: 08.13-09
Revisions: