HomeMy WebLinkAbout2350 Trillium Park LnE
RECEIVED,
T 1 9, 2010
CITY OF SANFORD.
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: I'r l Documented Construction Value:
Job Address: 1? 350 r, i «f A 490 -i -L L" E_ Historic District: Yes NW
Parcel ID: /02 -old -3D- 5-111- 00,06 - 69 (Do Zoning:
Description of !'York: r aar>>ly Q per. . `l bj')nh'DMES
Plan Review Contact Person: U(,('X ) e. T de
Phone: Fax: E-mail:
I
Property Owner Information
Name r-0r) , 1 nC . Phone: k D`I - X550 - d
Street: J D J ke e -9l t' . , # od Resident of property?
City, State Zip- Dj'Ian of o L 3ag
Contractor Information
Name 54e -yen /71.y'lq Phone: 'fb 7 - SSb - 5-a -0 0
Street: 5850 t , / .e -91 Yd . , Fax: - 0`15-` FC/
City, State Zip: Or/aj)do., 6& State License No.:
Architect/Engineer Information
Name: kJod—e a-1 n Phone:
Street: ]P l D /021 Fax:
City, St, Zip: bex tnon+, _34-7 1-)- E-mail:
Bonding Company: Mortgage Lender:
Address: Address:
1 PERMIT INFORMATION
Building Permit 0
Square Footage: `
sf I Construction Type: 56e_- T%{ No. of Stories:
No. of Dwelling Units: / Flood Zone:
Electrical
New Service - No. of AMPS:
Mechanical (D&I layout required for new systems)
Plumbing
New Construction - No. of Fixtures:
Fire Sprinkler/Alarm 11 No. of heads:
r
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
aivconditioners etc.
OWNER'S AFFIDAVIT: 1 certify that all of the foregoing information is accurate and that all work will
be done in compliance with all applicable laws regulating construction and zoning.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE
OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE
FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITI-I 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
fi-om 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.
lD/ q11,0
Signature of Owner:Aee Date Signature of nhactor!Agent nate
I C1m F -, 'c( -S, t ead
Print Owner/Agents Name
Signature of Notal y -State of 1=linida Date
3Y fv,>
4, VALERIE L. FURRER
Commission DD 668238
y7ry€ Expires May 25, 2011
Bonded 7hro Troy Pain Mumma 800,855-7019
Owner/Agent is V Personally Known to Me or
Produced ID Type of ID
APPROVALS- ZONING: UTILITIES:
ENGINEERING:
COMMENTS:
Rev 11.08
FIRE:
5icyen --R.
Print Contractor,%Agent s Name
Signature ol' Notary -S ate of Florida Date
VALERIE L. FURRER
Commission DD 668238
Expires May 25, 2011
bonded fhfu Troy Fain Insurance 800-085.7019
Contractor/Agent isPersonally Known to Me or
Produced ID Type of ID
WASTE WATER:
BUILDING: /d 1,9f --'It d
s
REC:EIV
OCT t92,0111
CITY OF SAN'FORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: Documented Construction nVa1ue: //D, 3-5-1.00
Job Address: a 3SU %:=,1 h iuoA 496Ur-L L" E_Historic District: Yes No
Parcel ID: /oZ -020-30=- 5-Iy- 6006 - 0900 Zoning.- oning:
DescriptionDescriptionof Work: 1
q
1'05 16 wY l y cc tfa Toc<nhomES
Plan Review Contact Person: Vr ex)e• pe-an'I - Obord_-"O''-
Phone: Fax: E-mail: V I -rye-r a d r brj pil . t pf')
Property Owner Information
Name T• 1 , MU r_- cr) 1 t1C Phone: 40 1 - I a50 --:5ab0
Street: 5M J /_e C_ Resident of property?
City, State Zip: 6t- /a-/) I(-,)
Contractor Information
Name _4ewr) q Phone: Ltb 7- Sb - 5 ao O
Street: 5-850 f ,, Le -e --91m, W & to Fax: P - a9S--09909`1
City, State Zip: OrlMdo., State License No.:
Architect/Engineer Information
Name: kii2 Sema -lin
Street:
nD
l G k /02 I SSS
City, St, Zip: C A6_rAIDr1±, [:::-L- 3 4-7 1
Bonding Company:
Address--
Building
ddress:
Building Permit IJ
Square Footage: //& l
Phone: y
Fax:
E-mail:
Mortgage Lender: &/
Address:
PERMIT INFORMATION
Construction Type: 5!`,e- %{ No. of Stories: 02 -
No. of Dwelling Units: / Flood Zone:
Electrical
New Service - No. of AMPS:
Mechanical '(Duct layout required for new systems) /
D
Plumbing
New Construction - No. of Fixtures:
Fire Sprinkler/Alarm No. of heads:
rZe-j®L
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 pen -nit 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.
is
Signature of Owner: AeeDate signature of ntiactor/Agan Date
b-) I I i avy) r--- -, -Aar S,%t C) d
Print Owner;Agent's Name
signatu tNC-07 State of rlonda Date
VALERIE L. FURRER
t` d - Commission DD 668238
V;1_1;1.uv Expires May 25, 2011
it J; 1,N
9Wn
Bonded Thai Troy fain Immvance 600•x.75--7019
Owner/Agent is V/f Personally Knq to Mem
Produced ID Type of ID
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
Rev 11.08
UTILITIES:
FIRE:
5icye n `R,
Print Conuactor'Agenvs Name
Signature ol' Notary -S ate of Florida Date
R VALERIE L. FURRER
Commission DID 668238
Expiros May 25, 2011
t, (zondeU Thtu Troy FUln ln6lllanC0800-33;i30j9 .
Contractor/Agent is vXPersonally Known to Me or
Produced ID Type of ID
WASTE WATER:
BUILDING:
r
9ECEN C'
i jrT 1 2.011
24k
CITY OF SANFORD
BUILDING.&,FIRE PREVENTION
PERMIT APPLICATION
Application No: I Cli Documented Construction Value: $ 11o, 3sl . 0 o
Job Address: a3So _c I I i JU0A 496LrL LC -l e_ Historic District: Yes No [R
Parcel ID: /02 -a0-3o- S"ly- 0000 — 0900 Zoning:
Description of Work a_tfaa4g d ToconhorneS
Plan Review Contact Person: klex 1 Z Tale -T Ir(nJ
Phone: -5, Fax: 6 A95- S9rS"3 E-mail: V rre,Q drhaY an. ,
Property Owner Information
Name c r) 1 i1C Phone: SO -SaO0
Street: C. gl k'a( #(000 Resident of property?
City, State Zip:,-/crn3a 2a
Contractor Information
Name -54e_Ve_n } ,q Phone: J b i - YSb - Ya 6
Street: 850 l G _ jy( wzP6 Fax: Y61lP- 1:1795- 09y Y9
City, State Zip: _ Qr l o -Mo ., 1::2. -3a80 9 State License No.:
Architect/Engineer Information
Name: ki,odemafin Phone:
Street:
nD', (
G v215Sy Fax:
City, St, Zip: 0je rA-)cn+, 1 E-mail:
Bonding Company: rtl p Mortgage Lender:
Address: Address:
1
Building
PERMIT INFORMATION
Permit U
Square Footage.- I Construction Type: 7W No. of Stories: ',;2_
No. of Dwelling Units: / Flood Zone:
Electrical Plumbing
New Service — No. of AMPS: 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 conunenced 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 Owncr:';lie Date $ignaturc of nhactor/Agent Date
W+Il aa) h tc teld
Print OwncrALent'-s"NNaame
1 4IL4/0/)4/y ,
Sionattrrcol Notar-N,-Stateol Fltwida Dale
VALERIE L. FURRER
x, *_ Commission DD 668238
Expires May 2a, 2011
Bonded Thro Troy Fam lmjr:ancu 600.375-7o19
PersonallyOwner/Agent is Knox n to
Produced ID Type of iD
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
Rev 11.08
5iCVe_n 'R . i/nurl
Print Contractor: /Agent's Name
Swnature of Notary -s ate or Florida Date
VALERIE L. FURRER
Commission DD 668238
c
Expires May 25, 2011
8cnddd into Troy P tii I,nsuranco 80o.0,.i.70j9 -
Contractor/Agent is Personally Known to Me or _
Produced ID Type of ID
UTILITIES. / WASTE WATER:
FIRE: BUILDING:
RECENE"
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: Documented Construction Value:
Job Address: 3S-0 r=, Iilu(Yk 496„'r-L L" E_ Historic District: Yes No
21
Parcel ID: /oZ -026-30GDdD - 69oD Zoning:
Description of Work: v "ngle 6wr)A 604 ddhg d `7_oe6nhorneS 4
Plan Review Contact Person:ywe, x j e T.de_C' (nJ Obord_.'o- z),-
Phone: 4167- 'SO-So28a- Fax: E-mail: VI_rre.r,j dr1-,brjDn
11 ''
Property Owner Information
Name :. fJo roc 111C Phone: 4O'7 -
Street. 5M % /_e'. /{gra(, #Lo00 Resident of property?
City, State Zip: Q,-&n etz) 31Q?1_)_ -
Contractor Information
Name 5-e-Ven } [?Gy'1G Phone: IM 7- NS-6 - 5-a6 O
Street: 585y t G . l_.P.e—-s1 Yd , Fax: o?9S--Fc}
City, State Zip: Or'lMCC, 'r5L State License No.:
Architect/Engineer Information
Name:
Street: JS.Sy
City, St, Zip: be,rnlon+, FL -7 1 -)L-
Bonding Company:
Address--
Building
ddress:
Building Permit 0 '
Phone: 5:5a - a
Fax:
E-mail:
Mortgage Lender: ,+((//
Address:
PERMIT INFORMATION
Square Footage_: /i& / Construction Type` _/_/ No. of Stories:
No. of Dwelling Units: / Flood Zone: X (SW -0- a+iUj',0_1)
Electrical
NeNv Service - No. of AMPS:
Mechanical (Duct layout required for new systems)
Plumbing
61bo
New Construction. - No. of Fixtures: _
Fire Sprinkler/Alarm 11 No. of heads:
rI
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no
work or installation has conunenced 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.
rid/' . y"'/ / /U
Signatureofownci'.42e Date Signature of nttactor!Agent Date
Print Owner;Agent's Name
Signafurc of Notan-State of I lin ida Date
VALERIE L. FURRER
Commission UD 668238
Expires May 25, 2011
j;ty Dondmd lhni Trny F.in lnau;:snr.'o 800.385.7419
Owner/Agent is /Personally Known to Me or.
Produced ID Type of ID -
APPROVALS: ZONING: Ot (0 Tt-U UTILITIES:
ENGINEE'
0-26-10
FIRE:
COMMENTS:
Rev 11.08
5i'e-ye.n --R-
6
Print ConiractorAgent's Name
Signature , Notary -S ate of Florida Date
moaac
VALERIE L. FURRER
x; Com mission DD 668238
Expires May 25, 2011
138hdo8't N Troy FWn Innuranao 804 1 y.7016 .
Contractor/Agent is (Personally Known to Me or.
Produced ID Type of ID
WASTE WATER:
BUILDING:
City of Sanford
Planning and Development Services
1 0
87Engineering — Floodplain Management
Flood Zone Determination Reauest Form
Name: \&I e {- (e_, Firm: —0 . t7-, (--p ,. ,
Address: 56 SO -T. (, . Lem i3••. .SwA-Z foo
City: c- (0..._j State: Zip Code: 32817:L -
Phone: `/o ? •BSO SZg z Fax: 84G.29S•e3989Email: y l•, rrAr 2 A616 N .. Co a
Property Address: 2 3S c) r i l ( %'P c k,- Uo,w e -
Property Owner:
Parcel identification Number: l "L • 20 3y • S l 4 • aboO • o 9 O 0
Phone Number: qy'7 • 6SO • S2o0 Email:
The reason for the flood plain determination is:
New structure Existing Structure (pre -2007 FIRM adoption)
Expansion/Addition Existing Structure (post 2007 FIRM adoption)
Pre 2007 FIRM adoption = finished floor elevation 12" above BFE
Post 2007 FIRM adoption = finished floor elevation 24" above BFE (Ordinance 4076)
t <; ,k".a+ , c '' yy -ca ...r ,'
3. a,y: e •# a ;
t+ -5
Flood Zone: j( Base Flood Elevation: Datum:
FIRM Panel Number: H2O 29 4 Oo7D Map Date: 9 • Z$ . 0 -T
The referenced Flood Insurance Rate Map indicates the following:
The parcel is in the: floodplain floodway
A portion of the parcel is in the: floodplain floodway
v]r The parcel is not in the: floodplain floodway
The structure is in the: floodplain floodway
The structure is not in the:floodplain floodway
If the subject property is determined to be flood zone 'A', the best available information used to
determine the base flood elevation is:
Revie CDate: 10 • ZG . J
TAEngr-Files\Elevation Certificate\Flood Zone Determination Request Form.doc
Application NO: _
Job Address: 50 Y 11, liul i
77 20I/
Parcel ID: 1G ' `,.",? a
Description of Work:
Plan Review Contact Person:
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Documented Construction Value: $
Historic District: Yes No
DqCD Zoning:
J a man 1 Lt Sta-?r 00
Phone: Fax: E-mail:
Name
Name
City, State Zip:
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Title:
Property Owner Information'.
Phone: L—o
J Resident of property?
Contractor Information
Phone.
Cl. Fax:
0
State License No.:
Architect/Engineer Information
Phone:
Fax:
E-mail:-
Bonding
mail:
Mortgage Lender:
Address:
PERMIT INFORMATION
Building Permit
Square Footage Construction Type: No. of Stories:
No. of Dwelling Units: Flood Zone:
Electrical Plumbing
New Service —,,
ffNo.
of AMPS: New Construction - No. of Fixtures: _
Mechanical Duct layout required for new systems) Fire Sprinkler/Alarm 0 No. of heads:
6q. I,-)
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 Icalculate 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 -1-1.08
UTILITIES:
Y PtF
S 2Lre of Contractor/Agent Date
O 6V / ,
Pri Con or/Agent's Name
Signature of Notary -State of Florida Date
FRANCINE V. HILL
MY COMMISSION H 89877898778z
d 2013of °P0 Sured Thru h
er 12,
r Public Unde r'ters
Contractor gen own to Me or
Produced ID Type of ID
WASTE WATER:
BUILDING:
A
PURCHASE ORDER
IJAROMNO;
1 4 1-
11
S F—
VENDOR: 685252 OPEN AMOUNT: 1,968.00
Fage 1
Purchase Order Date 11/19/10
Bid Contract Number 100010
FPO Requisition Number
Purchase Order Number 200939 ON
Sub # /Lot # 38166 / 0090
Swing/Plan/Elevation L / 1051 / A
Remit To ------------
D.R. HORTON
5850 T.G. Lee Blvd. Suite 600
ORLANDO, FL 32822
Phone: Fax:
Work Description
42190.02 HVAC Final
MILLS AIR INC
6500 Forest City Road
ORLANDO FL. 32810
Phone: (407) 277-1159, Fax: (407) 292-4390
DELIVER TO:
Windsor Lakes Delivery Date
2350 Trillium Park Ln
SANFORD, FL 32773
Lot/Block
Terns Tax Percentage Sales Tax Total PO
1,968.00
Superintendent: MCCARTHY JR KEVIN
D.R. Horton Appr:
Phone:
DATE:
JAN 0 6 2011
CITY,OF SANFORD
3 & FIRE PREVENTION
PERMIT APPLICATION;
Application No: S Documented Construction Value: $ 32 C) 0
Job Address: 3 3 SO \ Historic District: Yes No
Parcel ID: Zoning:
n
Description of Work: (,' e xkw S r 1- 10 n
Plan.Review Contact Person: Title:
Phone: Fax: E-mail:
Property Owner Information
Name i4z:f— Phone:
Street: Resident of property? :
City, State Zip:
Contractor Information
Name F ani ( ( ,Dd 6-trl.t. Phone: 41 s s4 i (o 7
Street: eDk _ l (t e_ r Fax: Lie- $ 3 L 3 1f30
City, State Zip: L-Orv!!,)Wozo c) State License No.: C CV5_0 7 &S'
Architect/Engineer Information
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Building Permit
Phone:
Fax:
E-mail:
Mortgage Lender:
Address:
PERMIT INFORMATION
Square Footage: Construction Type: No. of Stories:
No. of Dwelling Units: Flood Zone:
Electrical Plumbing "U
New Service — No. of AMPS: New Construction - No. of Fixtures: 13
Mechanical 0 (Duct layout required for new systems) Fire Sprinkler/Alarm 11 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
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
Signature of Contractor/Agent Date
e n k-U P6. elCu 0,t
Print Contractor/Agent's Name
UTILITIES:
FIRE:
L // (
Date
4' =
MY COMMISSION # DD 949039
EXPIRES: February 21, 2014
Bonded Thru Notary Public Underwriters
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
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DAVID JOHNSON. CFA. ASA 1 M
PROPERTY ll
APS ISEO
SEMINOLFP9UNTY.FL
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0I,"E Fn2STST
SANFORO FL 32771-1466'
407-665-7.506.
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ELM IF
VALUE SUMMARY
VALUES
2011 2010
GENERAL Working Certified
Value Method Cost/Market CosUMarket
Parcel Id: 12-20-30-514-0000-0900
Number of Buildings 0 0Owner: D R HORTON INC
Depreciated Bldg Value $0 $0Own/Addr:
Depreciated EXFT Value $0 $0MailingAddress: 5850 T G LEE BLVD STE 600
Land Value (Market) $11,000 $11,000City,State,ZipCode: ORLANDO FL 32822
Land Value Ag $0 $0PropertyAddress: 2350 TRILLIUM PARK LN SANFORD 32773
Just/Market Value $11,000 $11,000SubdivisionName: WINDSOR LAKE TOWNHOMES
Tax District: S1-SANFORD Portablity Adj $0 $0
Exemptions: Save Our Homes Adj $0 $0
Dor: 0003 -VACANT TOWNHOME Amendment 1 Adj $0 $0
Assessed Value (SOH) $11,0001 $11,000
Tax Estimator
2011 TAXABLE VALUE WORKING ESTIMATE
Taxing Authority Assessment Value Exempt Values Taxable Value
County General Fund $11,000 $0 $11,000
Amendment t adjustment is not applicable to school assessment) 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.
SALES 2010 VALUE SUMMARY
Deed Date Book Page Amount Vaclimp Qualified 2010 Tax Bill Amount: $221
SPECIAL WARRANTY DEED 10/2010 07458 0016 $432,000 Vacant No 2010 Certified Taxable Value and Taxes
DOES NOT INCLUDE NON -AD VALOREM ASSESSMENTSFind. Comparable Sales within this Subdivision
LAND LEGAL DESCRIPTION
Land Assess Method Frontage Depth Land Units Unit Price Land Value
LOT 0 0 1.000 11,000.00 $11,000 PLATS: Pick... -
Permits LOT 90 WINDSOR LAKE TOWNHOMES PB 70 PGS 44 - 51
NOTE: Assessed values shown are NOT certified values and therefor; are subject to change before being finalized for ad valorem tax purposes.
Ifjtou recently purchased a homesteaded property your next ear's property tax will be based on JusUMarket value.
http://www.scpafl.org/web/re_web.seminole_county title?parcel=122030514... 1/6/2011
as
0
CITY OF SALFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: Documented Construction Value:. $ 65 ,CY)
Job Address: o135CF—tc LcW, yY P&A Erni,. Historic District: Yes U No LJ
Parcel ID:
11}
Zoning:
Description of Work: 3c) (iao
Plan Review Contact Person: Title:
Phone: Fax: E-mail:
Property Owner Information
Name Phone: `1b7 45 D '-L.2C)Q
CStreet:J 5 u -T,-& ' &V d Resident of property.' : ^ ND
1City, State Zip: 0d aodu –3.
0b _-,
J
Contractor Information
Name Gam. ___ Phone:((
Street: 8 T Nth Fax: q6lz 647 S 451
City, State Zip: W , 12a, U 32729 State License No.: IS.Z !304)12
Name
Street:
City, St, Zip:
Bonding Company: _
Address:
Building Permit
Square Footage:
No. of Dwelling Units:
Elechtical A 1
New Service – No. of AMPS: r
Architect/Engineer Information
Phone:
Fax:
E-mail:
Mortgage Lender:
Address:
PERMIT INFORMATION
Construction Type:
Flood Zone.-
Electrical
one:
No. of Stories:
Plumbing
New Construction - No. of Fixtures:
Mechanical 0 (Duct layout required for ne-w 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,. ivvells,..pools,_furnaces,.. boilers,. heaters,.ta.n1,L--,. 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 COiiIiNIENCEN'IENT 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.
Signator of Owncr'Agcnt Datc
Print Owner/Agent's Name
Signature of Notnty-Slate of Florida Date
Owncr/Agent is Personally Known to Me or
Produced ID Type of ID
APPROVALS: ZO NING:
ENGINEERING:
COMMENTS:
Rev 11.08
UTILTTIES:
FIRE:
Sig tare of Contractor/Agc Daate
Vri QL
P Contractor/Agent's Name
Signaluro or Nu ark-ate yilMF,lrtq
443" h ,SrY Public State of Florida
S Ter
rian's.5sion DD904727
prr off' ; ,d EK alr&o 0W07(2013
Contractor/Agent is X Personally Known to Me or
Produced ID Type of ID
WASTE WAIER.-
BUILDING:
re fit -real OV -s 7)e_1un1) 70
r-
S So T G•e alvR.6co
QPelrr t o t >~
h 3_, Fgo-
Tax Folio No.
NOTICE OF COMMENCEMENT
State of Florida .
County of Seminole
The undersigned hereby gives notice that improvement
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.
i
111011 IM 11 all I IN II 11111 11111 IQ 11/0111111 HI I IN 11 oil 110M
MARYWNE MORSE, CLERK OF CIRCUIT COURT
SEMINOLE COUNTY
BK 07463 Pg 106,?; t 1 pg )
CLEEtR .5 #! 2010120096
RECORDED 10/1540010 08146220 AM
RECORDING FEES 10.00
RECORDED BY T Smith
I . Description of property: (leal description of the property, and street address if/ a vailable) 4 96
70'iunh,)me , PH— 7n . pa. - J141 -_S-/
2. General description of improvement: 0Ad-&heA F-' L,)0i1-yne_,
3. Owner itifonnation: Name: b,i2. / r a l_r_ZsY1(' •
Aciclress: 5_?5_o% . L . 46e l /.Xf6 eo, 6/'16Ct
b. Interest in property:
c. Name and address of fee simple title older (ifother than Owner): Name:
Address:
4. Con[ractor.Name:. •• >D fG n. 1!)C Phonenuinber:
c. Address: S -95d i. d. GeV_
5. Surety Names/r}
Address:
OUT ,`
AS
b. Amount of bond: j BARO>v RC R1DPt
6. Lender: Name:
Address:
h. f,cnder's phone number:
7.a. , Persons within the State of Florida designated by Owner upon whom notices or other docutnen
provided by Section 713.13(1 )(a)7., I'Iotida Statutes: Name:
Address:
8.a. In addition to himself or herself, Owner designates of to receive a copy of the
1 -Tenor's Notice as provided in Section 713.130)(b), Florida Statutes.
b. Phone number of person or entity designated by owner:
9. Explrafion date of notice of commencement (the expiration date is I year from the date of recording unless a different
date is specified)
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF'FI1E
NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1,
SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO FOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB
SITE -BEFORE THE FFIIRRST 1 SPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WI -1-1-1 YOUR
LENDER OR ,&ry tit vliZ : BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF
MEN
tature o Officer/Director/Partner/Manager Signatory's Title Office
The loregoing instrument Nvas acknowledged) before rue this 1`day of //' /o; (yeas).;'by (name of person) as (type of
authority, ... e.g. officer, trustee, attorney In fact) for (name of party on behalf of wh m instrument was executed)) -
3 VALERE L. FURRERtiL ... - ----- (Sf:Af-) , Corrmission DD 6E'
C
Signature ut Notary Pubbc ° .Explr'es May 25, 2011
H L.mda N u r p••ii In r i Ep0355-1014IusonallyKnown R Produced Identification T ,
Ver, licat,on pur u e on 92. 25, Florida Statutes: Under penalties of perjury, I declare that I have read the foregoing and that
I facts stat (1 i t to the best of my knowledge and belief.
Signature o Nat" erson Si ning Above
Rev. date 3/2008
QO
FORM 1100A-08 P E R M I T xz
FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION
Florida Department of Community Affairs Residential Performance Method A
Project Name: DR Horton - Cedar Builder Name:
Street 3 bff Ilk
Permrt.Office .Tits d.t r
City. State, Zip. FL . Permit -Number. VFFIUOwner: Cedar Townhome Jurisdiction:
Design Location: FL, Orlando
1. New construction or existing New (From Plans) 9. Wall Types(1785.3 sqft-) Insulation Area
2- Single family or multiple family Multi -family
a. Concrete Block - Int Insul, Common R=4.1 1265.30 ft'
3. Number of units, if multiple family 1
b. Frame - Wood, Exterior R=.11.0 260-00 ft'
c Concrete Block - Ext Insul, Exterior R=4-1 130-00 fl'
4. Number of Bedrooms 2 d- other R= 130.00 ft'
5. Is this a worst case? Yes 10_ Ceiling Types (546.0 sgft.) insulation Area
6. Conditioned floor area (tt') 1051 a- Under Attic (Vented) R=30.0 546.00 fl'
b. N/A R= ft'
7. Windows(140.0 sgff.; Description Area R= ft' c- NIA
a. U -Factor. Dbi, U=0 55 140-00 It'
SHGC: SHGC=0.29 11. Ducts
b. U -Factor: NIA It, a. Sup: Attic Ret: Attic AHinterior Sup- R= 6, 220 ft'
SHGC: .12. Cooling systems
c. U -Factor. N/A ft' a- Central Unit Cap: 24.0 kBtu/hr
SHGC: SEER: 14
d. U -Factor: NrA ft'
13. Heating.systemsSHGC:
e. U -Factor: N/A
a. Electric Heat Pump Cap: 24-0 kBEuJhr
tt' HSPF: 8.2
SHGC:
14 Hot water systems
8. Floor Types (546.0 sq8.) insulation Area a- Electric Cap: 40 gallons
a. Slab -On -Grade Edge Insulation R=0.0 54&00 It' EF: 0.92
b. N/A R= ft' b. Conservation features
c. N/A R= ft'
None
15. Credits Pstat
Glass/Floor Area0.133PASS
Total As -Built Modified Loads: 19.66
Total Baseline Loads: 23.34
1 hereby certify that the plans and specifications covered by Review of the plans and
O
Hb STAl6)
this calculation are in compliance with he- Florida Ene y specifications covered by this
Code. calculation indicates compliance v; ;,
with the Florida Energy Code- Uw
PREPARED BY: Before construction is completed
DATE: 61. _. _ this building will be inspected for fir c b
compliance with Section 553-908'`p,
x ,
I hereby certify that this building, as designed, is in compliance Florida Statutes- ,,">`'.
r
with the Florida Energy Code CDD WE
OWNER/AGENT `//— \ BUILDING OFFICIAL:
DATE: 10/ 14 ho _ DATE: — - _.—_ . _-......... .
Compliance requires certification by the air handler unit manufacturer that the air handler enclosure
qualifies as certified factory -sealed in accordance with N1110.A.3.
10/12/2010 3:19 PM EnergyGaugeO USA - FlaRes2008 Page 1 of 5
I PLOT
r ERIPT10N: OFFICE
PLAN
AS FURNISHED)
I HAVE EXAMINED THE F.I.R.M. COMMUNITY PANEL NUMBER
LOTS 89-94, WINDSOR LAKE TOWNHOMES
PROPOSED DRAINAGE FLOW
AS RECORDED IN PLAT BOOK 70, PAGES 44-51, OF THE PUBLIC RECORDS OF SEMINOLE COUNTY, FLORIDA
I I I I I I I
LOT 82 '
LOT 80 j j LOT 78
1
LOT 76
I LOT 81 1 1 LOT 79 1 1 LOT 77 I I I
1 1 I 1 1
L --------J --
1— — — — — — — — — L- — — — — J
Z TRACT 'A'
COMMON AREA
1" = 20' °30
S89.22'41 "W 93.66'
GRAPHIC SCALE— — 1
0 10 20 16.17' 15.33' 1 15.33' 1 15.33' I 15.33'
A/
16. 1 T
s.
To' —! — —
1 1CI1 0.5' 1
a.3' 0.5' •'.:.. -
0 4vn IC I /C I
A/ I A/ in14 -o -11 NAI
LANAI.'.', n al.. .
3.7' 4.3 a.3'I .. 3.7'
11,7' I .LANAL. .-j IANAI, •...:.;LALANAI;: 11.7
I
11.T z
1
0 11.0.. I Q
s1 I 1 92 68' j 1 J
1
I 1 6 UNIT TOWNHOME (15' PRODUCT) I
J
0 z " o FINISH FLOOR EIE NATION= 43.75 i 1i N s D
I
LOT 95SDm o IW 1 1
Z n m
m la LOT LOT
a I
A A LOT Im LOT " -0 LOT to LOT "
10 m a A
m '
n Z 89 90 ° w 91 92 °1 93 94 /
D V• OI oil 01 ol V• D 1
O 0-;
O - I
irri Im im
j Q
1
Q j COVERED i I COVERED I Q 1
1. ENTRYCOVERED I COVERED 1 ENTRY I
1
ENTRY
1
ENTRY
1
14,7' 1 COVERED
COVERED 14.7' ho d I ENTRY
ENTRY `I:. .:. IN 15.7' 15.7'
I
a'
14 16.0. 1
0.5
16.0' 1 i 4 , h ..a.3•, 1 0.5' 13'
t 4 16.17'
I 15.33' ` 15.33' I 15.33'
I 15.33' 16.1 T
15.0' — — -
r
o o N89'22'41 "E 93.66' a
P I
24.0' INGRESS/ 1
EGRESS EASEMENT
I "
00A
01 LwJ
p1I tO
I
TRACT 'A, -, --- r--
FSS \ \ \ COMMON AREA
CENTERLINE OF
INGRESS/EGRESS ^'
EASEMENT
PREPARED FOR\\\ s0\
DR HORTON \
QPBUILDINGSETBACKS: \
24.0' INGRESS/
EGRESS EASEMENT
THIS TOWNHOME UNIT HAS \ ^
BEEN POSITIONED TO FIT WITHIN \\ CIA
THE REQUIRED PLOTTED LOT AREAS \ ' V
AS ESTABLISHED ON THE FINAL RECORDED LOT , \/
LEGEND
1. ELEVATIONS SHOWN ARE PER LOT
PROPOSED ELEVATIONGRADINGPLANSPROVIDEDBYTHECLIENT. XX XX
2. ELEVATIONS SHOWN ARE BASED ON SEMINOLE
COUNTY BENCHMARK 304-22-01, ELEV. 45.941
VERTICAL DATUM (NGVD 1929).
THIS PLOT .PLAN ''IS INTENDED FOR PERMITTING PURPOSES
ONLY. THIS IS NOT INTENDED FOR THE CONSTRUCTION OF
THE PROPOSED HOUSE. REFER TO HOUSE PLAN AND OPTION
LIST FOR CON TRUCTION.
ALL BUILDIN SET BACK LINES -SHOWN HEREON IS PER. DATA
FURNISHED Y CLIENT AND IS FOR INFORMATIONAL PURPOSES
ONLY.
THIS IS NOT A SURVEY
THIS IS A PLOT PLAN ONLY
I
X—
I HAVE EXAMINED THE F.I.R.M. COMMUNITY PANEL NUMBER
CENTERLINE
120294 0070 F, DATED 09-28-07 AND FOUND THAT THE
PROPOSED DRAINAGE FLOW
RIGHT OF WAY LINE
CONCRETE
TYP TYPICAL
2. NO UNDERGROUND IMPROVEMENTS HAVE BEEN
CONTACT THE LOCAL F.E.M.A. AGENT FOR VERIFICATION..
CS CONCRETE SLAB L CENTRAL ANGLE
P) PER PLAT R RADIUS
C) CALCULATED
L
C
ARC LENGTH
CHORD
PB PLAT BOOK CB CHORD BEARING
PGS PAGES UP UTILITY PAD
S0. FT. SOUARE FEET A/C AIR CONDITIONER
R/W RIGHT—OF—WAY
D.U.E. DRAINAGE & UTILITY EASEMENT
8cM A P PIN G INC.
P.A.E. PRIVATE ALLEY EASEMENT
CERTIFICATION OF AUTHORIZATION NUMBER LBp6393 v !'-"`
y
I
1. THE SURVEYOR HAS NOT ABSTRACTED THE
I HAVE EXAMINED THE F.I.R.M. COMMUNITY PANEL NUMBER LAND SHOWN HEREON FOR EASEMENTS, RIGHT
120294 0070 F, DATED 09-28-07 AND FOUND THAT THE OF WAY, RESTRICTIONS OF RECORD WHICH
SUBJECT PROPERTY DES IN ZONE "X" AREA OUTSIDE THE MAY AFFECT THE TITLE OR USE OF THE LAND
100 YEAR FLOOD PLAIN. THE SURVEYOR MAKES NO
GUARANTEES AS TO THE ABOVE INFORMATION. PLEASE
x
4
wr<+
r .. 2. NO UNDERGROUND IMPROVEMENTS HAVE BEEN
CONTACT THE LOCAL F.E.M.A. AGENT FOR VERIFICATION.. LOCATED EXCEPT AS SHOWN.
3. NOT VALID WITHOUT THE _SIGNATURE AND THE ORIGINAL
BEARINGS SHOWN HEREON ARE BASED`
Rx,
RAISED SEAL OF A -FLORIDA LICENSED SURVEYOR
ON THE WESTERLY LINE OF LOT 69 AND MAPPER.
J
AS BEING S00'37'19"E, PER PLAT
A M E FR I C A NFIELDDATE:)
REVISED:
U R V E )` I N G
JJJ
SCALE: 1., = 20 FEET
8cM A P PIN G INC. APPROVED BY: JB
CERTIFICATION OF AUTHORIZATION NUMBER LBp6393 v !'-"`
y
JOB N0. 0100403 LOTS 89-94 1030 N. ORLANDO AVE, SUITE B
WINTER PARK, FLORIDA 32789
FOR
r THEFIRM
DRAWN BY: PLOT PLAN t0 -t3-10 Bw
407) 426-7979
WWW.AMER]CANSURVEYINGANDMAPPING.COM
JAMES -W. B01-EMAN PSM%]6485 DATE
6t-
I
1 hereby name and appoint ya om t yrreu xevm tvic army, r
an agent of (`D YW l"1 nc
4Name,ofcompam")';a:
Jo be my lawful attorney-in-fact to act for me to apply for, receipt for. sign for and do all things
necessary to this appointment for.(check only one option): i
D All permits and applications submitted by this contractor.
The specific permit and application for work located at:
Street Address)
Expiration Date for This Limited Power of Attorney:
License Holder Name:
State License Number:
Signature of License H
STATE OF FLORIDA
COUNTY OF C n
The foregoing instrument was acknowledged before me this ^ day of
200 , by Ske:Ue 0 Q . _\Wf-n who is dpn
mor o who has produced as
identification and who did (did not) take an oath.
Signature
DANIELLE BINGHAM
o e 16 20 Z
09 ' '
Po BondedtC`c.••
i, 99y •;; Publi Y0
Print or type name
Notary Public - Sta e ofDof
Commission No.
My Commission Expires: CD ILL A'
COUNTY OF SEMINOLE
IMPACT FEE STATEMENT
STATEMENT NUMBER: 10100004
BUILDING APPLICATION #: 10-10000424
BUILDING PERMIT NUMBER: 10-10000424
DATE: October 19, 2010
UNIT ADDRESS: TRILLIUM PARK LANE 2350 12-20-30-514-0000-0900
TRAFFIC ZONE:022 JURISDICTION:
SEC: TWP: RNG: SUF: PARCEL:
SUBDIVISION: TRACT:
PLAT BOOK: PLAT BOOK PAGE: BLOCK: LOT:
OWNER NAME:
ADDRESS:
APPLICANT NAME: D.R. HORTON, INC.
ADDRESS: 5850 T.G. LEE BLVD., # 600 ORLANDO FL 32822
LAND USE: TOWNHOME UNIT
TYPE USE:
WORK DESCRIPTION: CITY-SANFORD
SPECIAL NOTES: 2350 TRILLIUM PARK LN / LOT 90 / TWNHM
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
FIRE RESCUE N/A
00
LIBRARY CO -WIDE ORD
00
Condominium* 54.00 1.000 dwl unit 54.00
SCHOOLS CO -WIDE ORD
2,450.00 1.000 dwl unit 2,450.00
PARKS N/AN/A
LAW ENFORCEN/A
00
DRAINAGE N/A
00
00
AMOUNT DUE 2,883.00
RECEI VEDTBY : vLVPr1'e_ FitYr6-1
S IGNATURE :(
PLEASE PRINTPRINT NAME)
DATE: hq
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.
SHOULD BE MADE TO: SEMINOLE COUNTY OR CITY OF SANFORD
BUILDING DEPARTMENT
1101 EAST FIRST STREET
SANFORD, FL 32771
PAYMENT SHOULD BE BY CHECK OR MONEY ORDER, AND SHOULD REFERENCE
THE COUNTY BUILDING PERMIT NUMBER AT THE TOP LEFT OF THIS STATEMENT.
THIS STATEMENT IS NO LONGER VALID IF A BUILDING PERMIT IS NOT***
ISSUED WITHIN 60 CALENDAR DAYS OF THE RECEIVING SIGNATURE DATE ABOVE
DETAIL OF CALCULATION AVAILABLE UPON REQUEST. CALL 407-665-7356.