HomeMy WebLinkAbout2111 Trillium Park Lnr— --- -
1
CITY OF SANFORD PERMIT APPLICATION
Application # : /O) 2 J\ Submittal Date: J
Job Address: ''11-L/'um 1il/e Value of Work:$
Parcel ID: l 7 ,960 0 0 Zoning: . 5 Historic District: Description
of Work: e0A-. b % 7_0GLG% 4 0 A)/T TO Ltd &IM-5h74E Square Footag¢ /J'O?J-- Permit
Type: Building Q1_-' Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool Sign Electrical:
New Service --# of AMPS Q 7O Addition/Alteration Change of Service Temporary Pole Mechanical:
Residential E Non -Residential Replacement New B"ng(
Duct
Layout & Energy Cale. Required) Plumbing/
New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines Plumbing/
New Residential: # of Water Closets _Xyh Plumbing Repair -Residential Commercial•• Occupancy
Type: Residential 0-`_ Commercial Industrial Occupancy Use Group(s): 2--3 Construction
Type: C # of Stories: I-? # of Dwelling Units: Flood Zone: X (FEMA form required ) Property
Owner: /7 t /-/0M6_'5 Contractor: 11)6eerss /-1ame5 Address: ! :JCL'
C JI Address:lf'ligdi'C JI,CE R'nl
O • Z Uzi ,eLlil(» %7 • :z:3Z ;, Phone: / a
E-mail: L %i/7v S• Yhone: ` / State License Number:(— Bonding Company:
Address: Architect/
Engineer:
j%' WE )09 Address: ' o '
W %fib Plan Review
Contact Person:1_ii/1P I) E
L18 Opwe Phone:` Mortgage
Lender: -
Address: Phone:
i/
QQ Fax: ,_"
Fax:
U ?`
J 3 E-mail: L. Z6 @/'n6 .Gtit7v5-1 cDm 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. I Acceptance
of
permit is verification that I will notify the owner of the pro erty of the requirements of Florida Lien Law, FS 713. Signat r
of Owner/Agent Date Sig a re of Contractor/A nt Date j G
n dQm71 a Jasto V ea?lai Print Ow
er/ gent's Name Print Co tractor/Agent's Name e8 O5
APRILSi{X4fr
6dMl`r$tate o Florida ate Signature o Notary -State of da , )Date pComm#OD0453861
APRIL KISZ Expres 9/18/
2009 Comm., -.- Bonded thru (800)
432.4254: y'vf Exp;-- '
4 u a......
Inc 'a,nuuu• ._34:
5..,, Flom' Owner/
Agent iPersonallyKno _ to Me or Contractor/Agent is ersonally Known ib'fOkl9t••••...;.,.., :nc Produced ID:' Produced
ID •4 APPROVALS: ZONING:O
UTIL: FD: _ ENG: BLDG: Special Conditions: Rev
07.07
93P s
STATEMENT NUMBER: 08100003
BUILDING APPLICATION ##: 08-10000369
BUILDING PERMIT NUMBER: 08-10000369
DATE: September 11, 2008
UNIT ADDRESS: TRILLIUM PARK LANE 2111
TRAFFIC ZONE:022
SEC: TWP:
SUBDIVISION:
PLAT BOOK:
OWNER NAME:
ADDRESS:
JURISDICTION:
RNG: SUF
PLAT BOOK PAGE:
APPLICANT NAME: MERCEDES HOMES
ADDRESS: 12001 SCIENCE DRIVE ORLANDO
LAND USE: TOWN HOME UNIT
TYPE USE:
WORK DESCRIPTION: CITY-SANFORD
12-20-30-514-0000-1010
PARCEL:
TRACT:
BLOCK: LOT:
FL 32829
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: (L 7 S IGNATURE :/
PLEASE PRINT NAME)
DATE: ,/z Od
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
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_
Limited Power of Attorney
I hereby name and appoint Kathy Ramseyer or Lynda Leach of Mercedes Homes,
Inc. to be my lawful attorney in fact to act for and apply to City of Sanford for a
residential/single family building permit for work performed at a location described
as: Section
Subdivision: Windsor Lakes Town home Building 101-106
Address: 2111 Trillium Park Lane
Mercedes Homes, Inc. 12001 Science Dr. Suite #160 Orlando, FL. 32826
Owner of Property and Address)
And to sign my name and do all things necessary to the appointment.
Jason Venezia-CBC1254283
Type or Print name of Certified Contractor and License)
4'X -
Si ature of Certi ied Contractor)
Acknowledged:
Swo and descri ed before me thistt
Day of UkMbKA.D. 0%08
Notary Public, State of Florida
My commission expires: Q 115 1 6
DPW W126-
i
APRIL KISZ
Comm# DD0453861
Expires 9/1812009 : S ? Bonded thru (
800)432.4254 Fl..nda Notary
Assn., Inc Sun.n....................................
Prepared by and Return to:
Suzanne L. Stickels
B-D-R Title Corporation
12001 Science Drive, Suite 150
Orlando, Florida 32826
Our File Number: 11760L
For official use by Clerk's office only
MARYANNE MURSEb, CLERK UE CIRCUIT COURT
SEMINOLE COUNTY
EIK 07062 Rg 09201 Qpg)
CLERK' S # 24DO8103625
RECUE401-D 00/11/P008 0114W2 PM
u'b i)UC:" TAX 11&0. 00
RE CONDINU K.PS 10.00
RECORDED BY L McKinley
STATE OF Florida ) SPECIAL WARRANTY DEED
COUNTY OF Seminole ) (Corporate Seller)
THIS INDENTURE, made this September 11, 2008, between Windsor Lakes Community Developers, Inc., a Florida
Coporation, whose mailing address is: 6905 N. Wickham Road, Suite 501, Melbourne, Florida 32940, party of the first part, and ,
Mercedes Homes, Inc., a Florida Corporation, whose mailing address is: 12001 Science Drive, Suite 160, Orlando, Florida
32826, party/parties of the second part,
WITNESSETH:
First party, for and in consideration of the sum of TEN AND NO/100 DOLLARS ($10.00) and other valuable considerations,
receipt whereof is hereby acknowledged, does hereby grant, bargain, sell, aliens, remises, releases; conveys and confirms unto second
party/parties, his/her/their heirs and assigns, the following described property, towit:
Lots 101, 102,103, 104, 105, and 106, WINDSOR LAKE1 TOWNHOMES, according to the Plat
thereof, as recorded in Plat Book 70, Pages 44 through 51, of the Public Records of Seminole County,
Florida
Subject, however, to all covenants, conditions, restrictions, reservations, limitations, easements and to all applicable zoning
ordinances and/and restrictions and.probibitions imposed by governmental authorities, if any.
TOGETHER with all the tenements, hereditaments and appurtenances thereto belonging or in anywise appertaining.
TO HAVE AND TO HOLD the same in fee simple forever.
AND the party of the fast part hereby covenants with said party of the second part, that it is lawfully seized of said land in fee
simple: that it has good right and lawful authority to sell and convey said land; that it hereby fully warrants the title to said land and
will defend the same against the lawful claims of all persons claiming by, through or under the party of the first part.
IN WITNESS WHEREOF, first party has signed and sealed these present the date set forth on September 11, 2008.
Signed, sealed and delivered
in the presence of
Print witness name
State of Florida
County of Brevard
Windsor Lakes Conununity Developers, Inc., a Florida
Corporation
By. . ".—r
Print Mime: James L. Sigmund
Title: Vice President
Corporate Seal)
THE FOREGOING INSTRUMENJ was acknowledged before me this September / ) 12008 by James L. Sigmund, Vice
President of Windsor Lakes Community Developers, Inc., Florida Corporation, who is personally known to me and who did not
take an oath.
Not ubhc
Print NotAy Name
My Commission Expires: t-5--/
Notary Seal
DEED - Special Warranty Deed - Corporate
Closers' Choice
m........:....................................
MARY F. NAGLE
Expires 51IWZ12
Florida Notmy Assn., Inc
A nuou.nsas.............uu...........d
CERTIFIED COPY
NMARYi E MORSE
CLER F IRCUIT COURT
6EMIN L ORIDA
MY
DEPUTY CLERK
p JU
Wi i loci
THIS INSTRUMENT WAS PREPARED BY:
Suzanne L. Stickels
BDR Title Corporation
12001 SCIENCE DRIVE, SUITE 150
ORLANDO, FL 32826
Building Permit No.
MARYANNE MORE, CLERK OF CIRCUIT LwRT
SEMINOLE COWY
BK 07062 Pq 0925; (Ipq)
CLERW S # 2008103628
RE[s010.'D 09/ 11 ! ?0()8 Ol a Oka W8 04
Tax Folio No. 12-20-30-514-0000-11'1W)ROIN6 i`IJ.'s 10.00
NOTICE OF C0MMENCENffNTjk0 BY U McKinley
FS 713.13
THE UNDERSIGNED notifies all parties that improvements will be made to certain real property, and in accordance with Chapter 713,
Florida Statutes, the following information is provided in this Notice of Commencement:
1. Description of Property,
Lot 101, WINDSOR LAKE TOWNHOMES, according to the Plat thereof, as recorded in Plat Book 70, Pages 44 through 51,
of the Public Records of Seminole County, Florida.
2. General Description of Improvements: Single Family Residence
3. Owner Information:
a. Name and Address:
Interest in property:
Mercedes Homes, Inc.
12001 Science Drive, Suite 160
Orlando, FL 32826
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:
6. Lender Information:
a. Designated Contact: Melinda Plakiotis
b. Name and Address: Bank of America, N.A.
250 S. Park Avenue, Suite 400
Winter Park, FL 32789-4316
CERT(F(EO Copy
MARYANNE WMORSE
CLERK CIRCUIT-CpURT`
SEMIN L C; FLORIf
DEPUTY CLERK
SEP- 1 1 2W8
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(1)(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 I, 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 ORATTORNTY
BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. H (.}A,1,
s
0I?:..
MERCEDESHO S C.
85
Bv:
Name: istinaQuintana
Title: ;Won President
Verification pursuant to, Section 92.525,.Florida Statutes. Under penaltiesoi
facts stated in it are true to the best of my knowledge and belief.
P
NOTE: per Section 713.13(1)g, Florida Statutes "Owner must sign ... and no one else
STATE OF FLORIDA )
COUNTY OF ORANGE )
read the foregoing and that the
51
fA
her stead."
The foregoing instrument was acknowledged before me this Thursday, September 11, 2008 by Cristina Quintana , as Division President
for the Orlando Division of MERCEDES HOMES, INC., a Florida corporation, who executed and acknowledged execution of the foregoing
Notice of Commencement on behalf of said corporation. He/she is personally known to me or has produced Driver[Is License as
identification and did _ did not X take an oath.
Notary Sea])
F ',I ,
f u
a +ssrti35 i1,",a191iarti1J/fi a Y
PUBIC ALE. STICKELS
ti6+Commission
p I
CITY OF SANFORD PERMIT APPLICATION
4pplication # 233 Z Submittal Date:
Job Address: i .[ e'I L Pa r[e n Value of Work: $
Parcel ID: Zoning: Historic District:
Description of Work: f I Wm U i Square Footage:
I........................................................,.............
Permit Type: Building Electrical Mechanical Plumbing 0 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 Cale. Required)
Plumbing/ New Commercial # of Fixtures # of Water & Sewer Lines # of Gas Lines
Plumbing/New Residential: # of Water Closets Plumbing Repair — Residential Commercial
DccupancyType: Residential V111 Commercial Industrial Occupancy Use Group(s):
onstruction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required )
roperty Owner: h ace 4 e_ 3 4 am en Contractor:
kddress: D-Ou 1 9V f t`' P C-f I G kf e _4 1 LD Address:
Us amZ doR, 3A 2(/ - am c3hone:`TR27.
55,T f E-mail: Phone: ay S 15State License Number:\..\°'" 3onding Company:
ddress: Mortgage
Lender:
Address: lrchitect/
Engineer:
Phone: ddress: Fax:
Ian Review
Contact Person: Phone: Fax: E-mail: p application
is
hereby made to obtain a permit to do the work and installations as indicated. 1 certify that no work or installation has commenced prior to the ssuance of
a permit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction. 1 understand that a separate ermit must
be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and tIR CONDITIONERS,
etc. WNER'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 onstruction and
zoning. VARNING TO
OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR -PAYING TWICE FOR MPROVEMF.NTS
TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE IRST INSPECTION.
IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR 10TICE OF
COMMENCEMENT. IOTICE: 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 its 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 requi nts of Florida Lien Law, FS 713. Signature of
Owner/Agent Date ignature o for/Agent ` Date L Print
Owner/
Agent's Name Print o tractor/Al Signature of
Notary -State of Florida , Date D Date JEN MY
COMMISSION #
DD 66; EXPIRES: August
24, 2011 S nded?
hruNotaryPueilounderwIfters Owner/Agent,
is _ Personally Known to Me or Contractor/Agent is _ Personally Known to Me or Produced ID
Produced ID PPROVALS: ZONING:
UT[L: FD: ENG: B LDG: pecial Conditions:
ev 07.
07
LIMITED POWER OF ATTORNEY
I, David W. Littiken, residing at 13512 Sendcastle Road, Groveland, Florida 34736, hereby
appoint. David J. Littiken of David Littiken Plumbing, Inc. to act as my "Agent'. He may pull
the plumbing permit for 2111 Trillium Park Lane, on my behalf and act as my agent.
David W. Littike
SIGNATURE:
ARY'S PRINTED FULL LEGAL NAME:
Jennifer Arnold
Acknowledgement: 0, r$ JENNIFER ARNOID
9' : MY COMMISSION # DD 666656
EXPIRES: August 24, 2011
STATE OF FLORIDA ?pFa; 8ondedThruNcteryPublic underwriters COUNTY
OF LAKE The
foregoing instrument was acknowledged before me this 15th day of September, 2008 by DAVID
W. LITTIKEN who is personally known to me. DAVID
LITTIKEN PLUMBING, INC. 7100
Sampey Road Groveland,
Florida 34736 Phone:
352-429-7755
CITY OF SANFORD PERMIT APPLICATION
Application
Job Address•v!
Parcel ID' Zoning:
Submittal Date:
Value of Work: S
Historic District:
Description of Work: Square Footage:
Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool Sign
Electrical: New Service — # of AMPS 1,54) Addition/Alteration Change of Service Temporary Pole
Mechanical: Residential. M'-** 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 UK' Commercial Industrial Occupancy Use Group(s):
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required)
ti......................
Property Owner: i/lh_1+o Contractor: R_ J-(/&4AM4A4
Address: Address: i yao /- 2;4 At
m. 6/-.31 go'7 _OAZ 2n iG 3V9 0'7
V07 G E!l3oo/' 9Phone: 9% E-mail: ; ; Phone: 77•//SS State License Number:
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. 1 certify that no work or installation has commenced prior to the
issuance of a permit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction. 1 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.
1d -0ir
Signature of Owner/Agent Date Signature of Contractor/A en Date
Print Owner/Agent's Name Print tract r/ ent's Name
Signature of Notary -State of Florida Date Signature of Notary -State of Florida Date
Owner/Agent is _ Personally Known to Me or
Produced ID
APPROVALS: ZONING:
Special Conditions:
Rev 07.07
UTIL: FD:
r + W i 'ruY. a
DEEEIE'3LAN.
r PIY COMMISSION # DD629096MtnNp
EX''IPE.S: beoaiary25, 2011
Contractor/Agent is _ Personally: Kn9wrt to Lyle or
Produced ID
ENG: BLDG:
t.
0{T-10-2008(FRI) 09:16 Ranger American FRX)d072821149 P 0021002
CITY OF SANFORD PERMIT APPLMATrOr1
AppGealdon 0: V cq o ,-3 52 Subtuitt:t Date: 1,19 - /_ - 10 8
Job Address:1//j GCLIt(G_ 'e/ 4QlC - 4Or- /O/ Value ofNork.-S f V
Pared ID: Zoning; Historic Disuicr.
Description L*fii Square Eoatxgc
Permit Type Building - Electrical O Mechanical O Plumbing 0 Fire SprinWcr!Alamt O Pool C1 5iyt
Electrical: New Servicc - 9 of AMPS . AddWordAltcration 0 Change of Sct,<icc Q Temporary Polc
Mechanical: Rmidential Non-RC'idCnLial Q Rep(acctttcln Nett 0 [Duct Layout &. Encrnv Calc RequircJ)
Plumbing/ New Criwauercul: 0 of Fixturas k of wxicr & $-Ater Liam_._ r- of Gas LIsms
PluanbiaWNcw Residential• u of Watcr Closets Ptarnbing Kcpair - Rtiidcntia) Commercial C1
Occupaacr Type RcSidatti33 0 COMIlnercial Industrial Occupancy UseCroup(s): _
Construction Type: _ N urStorics _ _ o of Dwelling UniLc _ Flood Zone _ _ IFEM abno mlui cd I
s,:_.._........,_...._......__._......-----...._,......._..__....._-....................^...---............._._._....,.._.• -
Propert)O•n er: rLQpeS l,vAee3 Contnlctor Guardian Protection Services, Inc.
Addresc —1 S t 7L.9bE' !*k/ 57-RICJC / A-4-0 " //'a Addrns' 17Ld T}lnrrt iTi 1 1 _ Roar1 _
ej2re . ' t j Z 7 G 3 _ Warrendale, PA 15086
Phone:rhonc(724) 741-3s5t t7rl,iccnscNumUcr. FF-0001052
Bonding Cooipasy _ blurtgsgc I .ender:
l dd rt;ss'
lrchit CCtIF nRirrrcr _
Add ri'yi
Plan Rctictt (Pnlact Vrrsun
Vhnut
1 3t
Pltunc: -- -. I at. F-tn.ail:
ArwI,C?tion i her by rnadt la ohm. it n j,:mut It, It, th, • nrL an,I ins t7llJnvn.:n „,J,caoI I tend) Ilea mt u.IrL ,K nri7l Mahan 1 - emmn csxed pl I— M Ou
IiighnnC Ora p -nnif and that all +,KL • -IIt Ix' pC1`I0Mxd w meat :unjJNs of oil 1:1— NdPfuI,II In,; aJn$lr ucl nrn In dui Iur15aJltm,n onJ.: ntJnJ that J ` -VJ1 I,
Wrrthtniust t- d[cured f o I I Ird rR11 11 ti,(IRK PI I MIIJ Ir R11:1.1 `: 1'rA)lti l IrltlI:.Al h.i III III I1r.\ IIt- !Fk> 11NK% ir,l
MR I 'U ND I I I ONE o f .I,.
tlttrlf 'S .arFlhAt II 1 ,mill ill it A .1 Ill. I.nc p-1113 unarllcur.m r: J%:turtrc rl.l tbrn JII ,,, IC. dl lu Ism. uI „nuphaA,. ,Ilh Il .gryatill, la,. •. i. {alputl; comiructlon
and xonul,i tVARNING
TO UWNER. %0UR IAJLUIQ IU ME'(URU A NOfl('I: 01.: VONIAILIWEIVIVNI MAN M!SU1.1 IN'rUt)k I-A-i IM, Mir I. RJR IMPROVEMENTS
TO YUUIr PROPERTY. A NOTICE OC C.OMMENCEt EW MUST pE Kli-CORDED AWD POSTED ON THE SOU S) Ili UL•FORI: THE FIRST
INSPECTION IF YOU INTEND TO OBTAfN CINANCING, CONSUL T WITH POUR LE.'dDER UR AN' AT70RNEY BEFOftF. It XORDING YOUR NOTICEOFCOMMENCEME, IT NOTI
In addition to the mluiccmellu of thik Pmnil. then: my be additional nrsuicuonl apptirrblc to thi:; protpirty Iha1 may be found In t1,: I,trbltr rrcwda W this
county, and there tray be additional permits requirctl rmm oiler goycrnntenta( entities such as rater manSgcrncnl districts.. stair agentlrc., of fcScmi syeneles 0.
cecptance of permn It .enrdcation Char I will notify the owrti-r ui die pro" of thr requirenrnts o0oeida Liu, i..at-. FS 71 :; Y'
SiRnalwt
afOwneNAgent Date mr f (7nnirad gem Date Joseph
M. - o PrirttOWrtcr/
Aguu't Name Print Contraetor+Agenr`s Signawre
of Notuy-Start of Florida Notary PI tu", I{9I'R7Tt'c I)ate ENIY
Commission Expires Dec 27, 2010 I y=' •°'
Commission # DD 606307 Bonded
Through National NotaryAssn. OwnedAgcnt
is _, Pcrsoually Mown to 6fe oe Produced (
D APPROVALS:
ZONING: UTIL: 1-D: Special
Conditions: „ Rev
07.0'7 ConMetor/,
agent is __ Pcrsonatly Kitu" to Mc or Pmduccd
ID BLOG;_- -- --
POWER OF ATTORNEY
Date: /B /S r 06'
I hereby name and appoint -1 o F / t ! h D•F z _
Of Guardian Protection Services, Inc. to be my lawful attorney
In fact to act for me and apply to the 4 0-/
Building Department for a Ol7`WP _ permit
For work to be performed at a location described as:
Section Township Range _ Lot / 0l block
Subdivision 2 / / / / llll,- amry 40,Ao,<oe
t1d"e:3 '' L- 4 0 --s__
Owner of Property and Address)
and to sign my name and do all things necessary to this appointment.
Joseph M. Colosimo, EF-0001052
Type or Print Name of Register or Certified Contractor and Contractor's License Number
Signature of Register or Certified Contractor
The foregoing instrument was acknowledged before me this day of(.-'___ of 20
By ` 1 rri
Ko^is persona c,wn to me ho produced
As identification
State of Flo(r
County of \
take oath.
Seal
Notary Pub ic, range County, Flon -a ,?o- PaR e, TRA CIE DEWENDER
Notary public - State of FloridaN1yCommissionExpirespec27, 2010Commission # DD 606307
IBondedThroughNationalNotarygssn. R
2/12/2008
CITY OF SANFORD PERMIT APPLICATION
10/9/2008
Application #:
m ar ane
Job Address:
Parcel ID' Zoning:
Install A/C equipment and ductwork
Submittal Date:
Value of Work: $
Historic District:
Description of Work: Square Footage:
0.............
Permit Type: Building Electrical Mechanical 6 Plumbing Fire Sprinkler/Alarm Pool Sign
Electrical: New Service — ## of AMPS Addition/Alteration Change of Service Temporary Pole
Mechanical: Residential 6 Non -Residential Replacement New (Duct Layout & Energy Calc. Required)
Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines
Plumbing/New Residential: # of Water Closets
Occupancy Type: Residential ] Commercial Industrial
of Gas Lines
Plumbing Repair —Residential Commercial
Occupancy Use Group(s):
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required )
Windsor Lakes Resident •.• AceAirG oncliiioriig, Inc.
Property Owner: Contractor:
12 Science rive
Add ess: Addr seb aryBriano
Phone: E-mail:
Bonding Company:
Address:
Architect/Engineer:
Address:
Plan Review Contact Person:
Phone: State License Number:
Mortgage Lender:
Address:
Phone: Fax:
Phone:
Fax:
E-mail:
Application is hereby made to obtain a permit to do the %vork 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 own , the erty o e r uiremenPof Florida Lien Law, FS 713.
0/9/2008
Signature of Owner/Agent Date Signature ofCohtractor/A ent Date
Eddie Palmateer
Print Owner/Agent's Name Print tr /A ent's Name
10/9/2008
Signature of Notary -State of Florida Date Signature of Notary -State o Ylori ` `..
LEET`RA ®B RT ®N tv1Y
COMMISSION # DD770606 F,
EXPIRES
Warch , 2012 407)
39R Owner/
Agent is _ Personally Known to Me or Contractor/Agent is _JIersonally Known to Me or Produced
ID Produced ID APPROVALS:
ZONING: UTIL: FD: ENG: BLDG: Special
Conditions: Rev
07.07
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
0,0
Application No: 0 ` Documented Construction Value: $ o) 1 P
Job Address: T(LA l LLLrn erV9-. CANVc Historic District: Yes No
Parcel ID: Zoning:
description of Work: -AULLC?AD 6)
Plan Review Contact Person: Title:
Phone:
Name Mee c- C-CL4-1
Fax: E-mail:
Property Owner. Information
Phone:
Street: Resident of property? :
City, State Zip:
Contractor Information
i
Name Rk ws I, AP , - Phone: 467 3 &(a - 73 b
Street: Z OSS 61(- Lro i46 ST Fax: +7 lo& - 73o g,
City, State Zip: 0J I L]-Jo 3.-7(0State License No.: Architect/
Engineer Information Name:
Phone: Street:
City,
St, Zip: Bonding
Company: Address:
Building
Permit Square
Footage: No.
of Dwelling Units: Electrical
New
Service — No. of AMPS: Fax:
E-
mail: Mortgage
Lender: Address:
PERMIT
INFORMATION Construction
Type: Flood
Zone: No.
of Stories: Plumbin
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.
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:
e of Contractor/Agent Date
HAOc, A,V-)iLJ_16t»S
Print Contractor/Agent's Name
Signature of Notary -State of Florida Date
UTILITIES:
FIRE:
DEBBIE I3T 'TON
1
viY CG INliSS1ON DD629096
o E1.i'IPES: February 25, 201 t
OP F1. Notcay Discount Asa-. C°. r
SCO-1-NOTARY ' ,,. .. maa .r.
Contractor/Agent is Personally Known to Me or
Produced ID Type of ID F iN L etp4.111 WASTE
WATER: BUILDING:
Rev
11.08
i
CERTIFICATE OF ELEVATION
Addres ri Iium Park Lane
Legal Description: Lot 101 WINDSOR LAKE TOWNHOMES
Plat Book 70, Pages 44, 45, 46, 47, 48, 49, 50 and 51
The Finished Floor Elevation of the structure on Lot 101
WINDSOR LAKE TOWNHOMES
meets or exceeds the requirements set forth in the City
of Samford Build rq;,;Code Chapter 6, Sec. 6-7 (a)
74
Flor davS:urveygr iy-'Mapper Reg. No. 2005
Licensed' sin,t ss Number 5073
Date Fieldwork Completed
Dec. 1 , 2008
W.O. # 2008-2531
OMB No. 1660-0008
U.S. <7rPARTMENT of HOMELAND sEcuRITY ELEVATION CERTIFICATE
Fede al =mergence Management Agency
EXDires February 28. 2009
National Fiocd Insurance Program Important: Read the instructions on pages i-8.
SECTION A - PROPERTY INFORMATION For insurance Company Use:
Al Building Owner's Name r I Policy Number
A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box. No. I Company NAIC Number
2 I lR_ILLIuvv oArk /4nlF= City
5-qAtrG / State ;
C
L ZIP
Code 5277-3 A3.
Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Z_
CT-/01 W/,--O /-/vt q es P 171.3r1L_'70 RaGGS y/f ir 5"l, Se p; / FC A4.
Building Use (e.g,, Residential, Non -Residential, Addition, Accessory, etc.) i:..
A5.
Latitude/Longitude: Lat.Z 8 Y ®3 Long. $y (e 3 7 Horizontal DaIUi7 CJ NAD 192 J
fi
rvN
1983 A6.
Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7.
Building Diagram Number A8.
For a building with a crawl space or enclosure(s), provide: A9. For a building with an attache tgarage, p ovid : a)
Square footage of crawl space or enclosure(s) / /Q sq ft a) Square footage of attaches-fSarage,:- ;_% i/ ."-sq ft b)
No. of permanent flood openings in the crawl space or b) No. of permanent flood ooennci.S in the attached garage enclosure(
s) walls within 1.0 toot above adjacent grade , I f^ walls within 1.0 foot above adjacent grade adec)
Total net area of flood openings in A8.b % sq in c) Total net area of flood openings'inA9.b „ _ sq in SECTION
B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1.
NFIP Community Name & Community Number B2. County Name B3. State C /
v of ' 4 JFc,! D /ZO 7-14 5En') I11-0 B4.
Map/Panel Number B5. Suffix 86. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevations (Zone Date
Effective/Revised Date Zone(s) AO, use base flood depth) 12-
1 X`7 q-ZS-:zao7 X. 5EE F-/0 B10.
Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. FIS
Profile FIRM Community Determined 0Other (Describe) Na 6 R,., ZCI B11.
Indicate elevation datum used for BFE in Item B9: _ NGVD 1929 ;&NAVD 1988 Other (Describe) B12.
Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)7 Yes No Designation
Date tlJ - CBP.S OPA (,vd
i ZOee^ Z53J 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, V1-V30, V (with BFE), AR, AR/A, AR/AE, AR/Al-A30, AR/AH, AR/AO. Complete Items C2.a-g below
according to the building diagram specified in Item A7. A
a BenchmarkUtilized .3 -9 +4 )V-0 bE /3 *7-M ` 5157*j Q t Vertical Datum /yy /8g Conversion/Comments
V e -,+G ur.. Check the
measurement used. a) Top
of bottom floor (including basement, crawl space, or enclosure floor) RI feet meters (Puerto Rico only) b) Top
of the next higher floor feet meters (Puerto Rico only) c) Bottom
of the lowest horizontal structural member (V Zones only) feet meters (Puerto Rico only) d) Attached
garage (top of slab) /V/p. feet meters (Puerto Rico only) e) Lowest
elevation of machinery or equipment servicing the building L4 % feet meters (Puerto Rico only) Describe type
of equipment in Comments) f) Lowest
adjacent (finished) grade (LAG) 1{7- A feet meters (Puerto Rico only) g) Highest
adjacent (finished) grade (HAG) Lf 2- feet meters (Puerto Rico only) 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. l
certify that the information on this Certificate represents my best efforts to interpret the data available. l understand
that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1007. FLOR/Oq 1_-4n/o 5uRvC y 14 p
back of form. a Ma
PPE C NO- Z 5 Chick here
if comments are provided on ac , •' / Certifier's
Name 7 okn L,ifi 7 `may`\; r ,!f''C
o/VE' License Number y Title
CompanyNameAddressCity
State ZIP Code SOc. k
FrG'tv stJ Q 32 , Signature .= /`
Gate
L-i'
Z4a Telephone lira-7- 17f0-`./G; LeI- / yr . T vow ,vrc
I F-CAvoNE 1 L >
4 2'd I'- v
FEMA Form
81-31 , February 2006! i'i-t7 0 See reverse side for continuation. Replaces all previous editions
IMPORTANT: In these spaces, copy the corresponding information from Section A. I For Insurance Company Use. .
Building Street Address (includino Apt_ Unit, Suite. and/or Bidg. No.) or P.O. Route and Box No. Policy Number
City State ZIP Code Companv N.AIC Number -
ID 32?73
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
r
Signature j Date
I-ri`r f is'y'` j-> :2—! Z"O Check here if attachments
SECTION E -iUii_{OING;ELCViA,T!F R INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE)
For Zones AO a=id A (w!acut B E); ornriete items E1-E5. If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, B,
candC. For Items' E1-,"u e naibrtsl graa'e, if available. Check the measurement used. In Puerto Rico only, enter meters.
E 1 . Provide elevdt on.infor„iatibn foi ;the -following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent
grade (HAG) and:the lowe2,t adjacent grade (LAG).
r
a) Top of bottom floor (including basement, crawl space, or enclosure) is _ feet meters ! 1 above or below the HAG.
b) Top of bottom floor (including basement, craw! space, or enclosure) is _ feet meters above or below the LAG.
E2 For Building Diagrams 6-8 with Dermanent flood openings provided in Section A Items 8 and/or 9 (see page 8 of instructions), the next higher floor
elevation C2.b in the diagrams) of the building is feel meters above or below the HAG
E3. Attached garage (too of slab) is feet meters above or below the HAG.
E4. Top of platform of machinery and/or eouipment 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 fioodplain management
ordinance? Yes No U 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 FE MA -issued or community -issued BFE)
or Zone AO must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge.
Property Owner's or Owner's Authorized Representative's Name
Address City State ZIP Code
Signature Date Telephone
Comments
Check here if attachments
SECTION G - COMMUNITY INFORMATION (OPTIONAL)
The local official who is authorized by law or ordinance to adrpinister 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.
3 . 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.)
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
Local Official's Name Title
Community Name - ' • i Telephone
Signature Datei
CommentsJi
t --
VED-Check here if attachments
i =-EMA Form 81-31, February 2006 R2 Olaces all previous editions
OMB No. 1660-0008
U.S.:rEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE
Federal Emergency Management Agency
xDires Fedruary 28. 2009
National Flood Insurance Program Important: Read the Instructions on pages -8.
SECTION A - PROPERTY INFORMATION For insurance Comcam+Use:
Al. Building Owner's Name Policy Number
IM EIZGGDE5 no
A2 Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company NAIC Number
2111 % P.14 LI t irr-t ®A - k G414
City 5 - / / State ZIP Code ` 7 7 3
A3. Property Description (Lot and (Block Numbers, Tax Parcel Number, Legal Description, etc.) /!
L..,o77/df W1mo0 O/,-/1 4 A/eD 5 lP6-r-713oc-74--IQ6 v.!- 4-LS/_.5eE., aled F(: A4.
Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.)- o
n . v A5.
Latitude/Longitude: Lat. 2 8 Y6r d3 Lang. 01 / $ 7 Horizontal Gate r'R!AD 1i27 'NtiD 19E3 A6.
Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. AT
Building Diagram Number r - A8.
For a building with a crawl space or enclosure(s), provide: A9. For a building with an attached garaq prvid a) Square
footage of crawl space or enclosure(s) / Q sq ft a) Square footage of attach ea oS3 ag6 /1sq ft b) No. of
permanent flood openings in the crawl space or b) No. of permanent flood openings ir.the attached garage enclosure(s) walls
within 1.0 foot above adjacent grade walls within 1.0 foot above adjacert grade c) Total net
area of flood openings in A8.b sq in c) Total net area of flood openings in A9.b sq in SECTION B - FLOOD
INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community
Name & Community Number B2. County Name B3. State C /V of
S4 JFO"D /ZbZ1 SLr rwolc= B4. Map/Panel
Number B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) (Zone Date ,..1- Effective/
Revised
Date
Zone(s) A0, use base flood depth) B10 Indicate the
source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. _J Q FIS
Profile
FIRM El Community Determined RJ Other (Describe) No 64 5 FlUdd D P 'P1-e,,--e4 f; ZoXF B11. Indicate elevation
datum used for BFE in Item 89: NGVD 1929 ;&NAVD 1988 Other (Describe) B12. Is the
building located in a Coastal Barrier Resources System (CBP.S) area or Otherwise Protected Area (OPA)? Yes No Desionation Date / 14:
CBP.S 7 OPA # 531 SECTION C -
BUILDING
ELEVATION INFORMATION (SURVEY REQUIRED) Cl. Building elevations
are based on: Construction Drawings' Building Under Construction' ,k Finished Construction A new Elevation
Certificate will be required when construction of the building is complete. C2. Elevations - Zones
Al-A30, AE, AH, A (with BFE), VE, V1-V30, V (with BFE), AR, AR/A, AR/AE, AR/Al-A30, AR/AH, AR/AO. Complete Items C2.a-g below according to
the building diagram specified in Item A7. Benchmark Utilized 5
CA' ) IVO Ile 13 01-M '5 SS0 f Vertical Datum - 1'14y 0 °/Bg Conversion/Comments Check the
measurement used.
a) Top of bottom
floor (including basement, crawl space, or enclosure floor) 3 feet i meters (Puerto Rico
only)
b) Top of the
next higher floor 1V 14 's LJ feet LJ meters (Puerto Rico only) c) Bottom of the
lowest horizontal structural member (V Zones only) P14 'n feet meters (Puerto Rico only) d) Attached garage (top
of slab) 1g. feet meters (Puerto Rico only) e) Lowest elevation of
machinery or equipment servicing the building 42 feet meters (Puerto Rico only) Describe type of equipment
in Comments) f) Lowest adjacent (finished)
grade (LAG) IVZ A!J 2 feet meters (Puerto Rico only) g) Highest adjacent (finished)
grade (HAG) L. 0 9 r7 feet meters (Puerto Rico only) 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. 1 certify that
the information on this Certificate represents my best efforts to interpret the data available. 1 understand that any
false statement maybe punishable by fine or imprisonment under 18 U.S. Code, Section 1001. r`7 `zo 10.4_ L-4yyr0 SVRvCy r ; .. q ua w'.
a '?. 21Jo. Zc x05 Check here if commentsareprr,,;ded ` n bFick of fo rrn. 1" l Certifier's Name License
Number P 7?'ji1: PiGl/tJ %JC%.0 i49Wlfi< `4 Title FEMA Form 81-
31 ,
February 2006 See reverse side for continuation. Replaces all previous editions
IMPORTANT: In these spaces; copy the corresponding information from Section A. I For InsumnCe Company Use
Building Street Address (including Act., Unit, Suite, and/or Bing. No.) or P.O. Route and Box No. Policy Number
21II 21LL, u P L4NE
City State Code
2
Comoanv N.AIC Number
SECTION D - SURVEYOR. ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED)
Copv both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner.
Comments
4-
Signature fl Date
8 neck here if attachments
SECTION -E- Bum DING E'Y'EUA71ON INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE)
For Zones AO and A (without B c), com; t to items E1-E5. If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, B,
and C. For Items E'? E4, u^e natur LgHadej; available. Check the measurement used. In Puerto Rico only, enter meters.
EI . Provide elevation'infor"mation for,th'e`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, crawl space, or enclosure) is feet meters above or below the HAG.
b) Top of bottom floor (including basement, crawl space, or enclosure) is feet meters above or below the LAG.
c2. For Building Diaorams 6-8 with permanent flood openings provided in Section A Items 8 and/or 9 (see Daoe 8 of instructions), the next higher floor
elevation C2b 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.
c4. 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 fioodplain management
ordinance? Yes No Unknown. The local official must certify this information in Section G.
SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION
The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA-issued or community -issued BFE)
or Zone AO must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge.
Property Owner's or Owner's Authorized Representative's Name
Address City State ZIP Code
Signature Date Telephone
Comments
Check here if attachments
SECTION G - COMMUNITY INFORMATION (OPTIONAL)
The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E),
and G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement used in Items G$. and G9.
3 . The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, enoineer, or architect who
is authorized by law to certify elevation information. (Indicate'the source and date of the elevation data in the Comments area belovv.)
2. U A. community official completed Section E for a building located in Zone A (without a F=MA-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
38. Elevation of as -built lowest floor (including basement) of the building: feet meters (PR) Datum
39. BFE or (in Zone AO) depth of flooding at the building site: feet meters (PR) Datum
Local Official's Name 7:" ` ' , < Title )
Community Name — Telephones t t Wr
i-N
Signature I _ DateyJ
Comments = ~ ` ^
Check here if attachments
MA Form 81-31, February 2006 Replaces all previous editions
FORM •600A-2004R OFFICE EnergyGauge® 4.5.2
FLORIDA ENERGY EFFICIENCY CODE
FOR BUILDING CONSTRUCTION
Florida Department of Community Affairs
Residential Whole Building Performance Method A
Project Name: Cascade Builder: Mercedes Homes
Address: 2111 Trillium Park Ln. O Permitting Office: Sj A[F:56?
City, State: Sanford, FI 32771- Permit Number: aOwner: Mercedes Homes Jurisdiction Numbe 3
Climate Zone: Central n P'7 . q / C-0 6
1. New construction or existing New
2. Single family or multi -family Single family
3. Number of units, if multi -family 1
4. Number of Bedrooms 3 _
5. Is this a worst case? Yes _
6. Conditioned floor area (W) 1415 ft2
7. Glass type and area: (Label regd..by 13-104.4.5 if not default)
a. U-factor:
I
Description Area
or Single or Double DEFAULT) 7a(Sngle Default) 179.0 ft2
b. SHGC:
or Clear or Tint DEFAULT) 7b. (Clear) 179.0 ft2
8. Floor types
a. Slab -On -Grade Edge Insulation R=0.0, 147.9(p) ft
b. Raised Wood, Adjacent R=0.0, 77.0ft2 _
c. N/A
9. Wall types
a. Concrete, Int Insul, Exterior R=4.1, 980.2 ft2
b. Frame, Wood, Exterior R=11.0, 621.4 ft2 _
c. N/A
d. N/A
e. N/A
10. Ceiling types
a. Under Attic R=19.0, 735.0 ft2
b. N/A
c. N/A
11. Ducts
a. Sup: Unc. Ret: Con. AH(Sealed):Interior Sup. R=6.0, 184.0 ft
b. N/A
12. Cooling systems
a. Central Unit
b. N/A
c. N/A
13. Heating systems
a. Electric Heat Pump
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: 0.13 Total as -built points: 18535 PASSTotalbasepoints: 18885
I hereby certify that the plans
this calculation ale in c9Aq42lia
Code.
PREPAB
rr
D .
DATE: /Ib
I hereby certify that this buien
with the Florida Energy Code.
OWNER/ENT:
DATE: 616
ecifications covered by
s ith the Florida Energy
as de gn i compliance
1 Predominant glass type. For ctual glass
En
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:
see Summer & Winter Glass output on pages 2&4.
iauge0 (Version: FLRCSB v4.5.2)
Cap: 34.2 kBtu/hr
SEER:13.00
Cap: 34.0 kBtu/hr _
HSPF: 8.20
Cap: 40.0 gallons
EF: 0.92
PT, _
01SHE ST9? 4V
0 inn°
n O 0D
wE S
PLOT PLAN for: MERCEDE5 110ME5, INC.
DESCRIPTION: LOT5 10 1, WIND50K LAKE TOWNHOME5
RECORDED IN PLAT BOOK 70 PAGE(S) 44 thrUJ 1 PUBLIC RECORDS OF 5EMINOLE COUNTY, FLORIDA
TRACT "A"
COMMON AREA 93.G7 - (OVERALL)
589°22'4 1 "W 589°22'4 1 "W 589°22'4 1 "W 589°22'4 1 "W 589°22'4 1 "W 589°22A "W
16. 17' 1 5.33' 15.33' i 5.33' 1 5.33' 16. 17
fl'
0.50'
TRACT "A"
COMMON AREA
FLOOD CERTIFICATION
BASED ON THE FEDERAL EMERGENCY MANAGEMENT AGENCY
FLOOD INSURANCE RATE MAP, THE 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.
4.00' WC
O A/C A/C A/C A/C'
PJC 4.00'
b'.
LANAI LANAI .
O
LANAI b LANAI LANAI LANAI
MODEL: MODEL: MODEL: MODEL: MODEL: MODEL:
CASCADE CEDAR SHEKWOOD SHERWOOD CEDAR CASCADE
15.67' 15.33' 15.33' 15.33' 15.33' 15.67
9
LOT 101d LOT 102 LOT 103 LOT 104 LOT 105 LOT IOG
00 p p O O O 00
CV O ( O I O O O c
r c m
Out Ou pLn O n On
O O O O O
z z z z z
6.00'
0.50'
TRACT "A"
COMMON AREA
o
O
m
O Ln
O
z
b.
0.50' 0.50'
589'22A 1 "W 589'22A 1 "W 589'22'4 1 "W 589'22A 1 "W 589°22A 1 "W 589°22A 1 "W
1 G. 17'
15.33' 15.33' 15.33' 15.33' 1 G. 17'
93.67 - (OVERALL)
PROPOSED FINISHED
FLOOR ELEVATION=44.00
O
O
O
O
SOUTH UNE OF 24'
INGRESS/EGRESS EASEMENT
O' S' '°' 2°' TRILLIUM PARK LANE NOTES.
o0 1. BEARINGS ARE BASED ON THE
BASELINE OF GEOMETRY" (L OF 24' INGRESS/ 'BASEUNE OF GEOME7RY BEING S6922'41'W.
SCALE: 1"=20' TRACT"A"coMMONAREA EGRESS EASEMENT 2. BUILDING 77ES ARE TO FOUNDATION.
J. LOT HAS NOT BEEN STAKED IN THE FIELD.
559.22aiw - -
IMPROVEMENTS SHOWN HEREON ARE PROPOSED.
ABBREVIATIONS/LEGEND: THIS IS NOT A SURVEY.
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 RESERVATIONS OR GUARANTEES INC.
THIS
CH. -CHORD D.&U.E.- DRAINAGE &UTILITY AS TO THE INFORMATION REFLECTED HEREON PERTAINING 9 1-0 AWITH
R'-RADIus
A DELTA (CENTRAL ANGLE)
EASEMENT
U.&S.E.- UTIUTY & SIDEWALK
1n EASEMENTS, RIGHTS OF WAY, SETBACK LINES,
AGREEMENTS AND OTHER MATTERS, AND FURTHER THIS
LAND SURVEYORS AND MAPPERS
EASEMENT 0 SOUTH RONALD REAGAN BOULEVARD
P.C.-POINT OF CURVATURE
U.E.- UTILITY EASEMENT
INSTRUMENT IS NOT INTENDED TO REFLECT OR SET FORTH 730 LONGW000, RIDA(
407
3 499
P.T.-POINT OF TANGENCY
D.E.- DRAINAGE EASEMENT
ALL SUCH MATTERS. SUCH INFORMATION SHOULD BE E 30-90TELEPHONE D
P.1.- POINT OF INTERSECTION
CONC.-CONCRETE
OBTAINED AND CONFIRMED BY OTHERS THROUGH 07) 39-3636FAXNa. (407) 339 FLORA
l.¢ -CENTERLINE APPROPRIATE TITLE VERIFICATION. L.RR. E—MAIL: CAVONE ®CFL.RR.COM
DETAIL OF LOT 1 O 1
WIND50R LAKE TOWN110ME5
0' 5' 10' 20'
LOT 101 IS ON PAGE 46
TRACT "A"
5CALE: 1'=20'
COMMON AREA
589°22'4 1 "W
IG.1T
4.00' NC
b.. - :.. '' `*njEl0.50'
CXNAI
TRACT "A"
COMMON AREA
O
MODEL:
CASCADE
1 5.67'
CENTERLINE OF WALL
ON LINE
O LOT 102
n O op
O
O o v
v
p
Ooo11 rp
TELEPHONE
I-00
a
RISER
LL
w
O
z
CONC PAD W/ w
TRANSFORMER
CABLE
RISER 0:5
G.00'
O
AREAS: LIGHT
IN SQUARE FEET) POLE
LOT - 954
R/W _ N/A
GROSS AREA - 954
IMPROVEMENTS:
5.0' CONC WALKFOUNDATION -657
DRIVE - N/A
ENTRY - 23
A/C PAD - 9 O O
PATIO(S) - 82 O O
PUBLIC WALK -81 SOUTH LINE OF 24'
APRON -N/A
p
INGRESS/EGRESS EASEMENT
NET AREA - 102 t — ADDRE55: 2 1 — -
TRILLIUM PARK LANE
N "BASELINE OF GEOMETRY" q OF 24' INGRESS/
TRACT "A" COMMON AREA - EGRESS EASEMENT
559'22'4 1w
kNOT VALID 'UNLESS EMBOSSED
ATIKE;RNO RAISED SEAL OF
FNSED §bPVEYOR.,AND MAPPER
c .C4VONE .:- PRESIDENT
EYd.4' d MNaPER NUMBER 2005
DA TE
by MIKE
GAUU tlLt:mIVU.)VK L.AAL-III-LaVU-1V .UrrU
IA/ n gnnA 1 itUF