Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
2251 Trillium Park Ln
RECEIVED 00 CITY OF SANFORD MAR 3 1 2010 BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: /©'' I ` - Documented Construction Value: Job Address: ZZs/ Thll1m UIL L06 Historic District: Yes No d' Parcel ID: 12-Z0-30 "575-0000. / _ 0 Zoning: Description of Work: /Vi9V T"/ im, Unit Plan Review Contact Person: ,J'%(me ( Title: Phone:407)Z7-040 Fax(M7)9W-573b E-mail:dgphneclar' Mr-socka 6a Property Owner Information Name Qada &Az4 U, C, Phone: 1/h0-71 - 30,?42 Street: 775AQt%!/(SfhL ICJ kJ i%U Resident of property? City, State Zip: ©i aL C./W, F6 3276 3 Contractor Information Name jai VI 6:z(j Phone: Ao?j 5-T "30406 Street: -M_ if M/& 9ki(i W Sud Fax: % 107) Wr_ S )310 City, State Zip: .322L3 State License No.: C& ZZS`4283 66 47 paDDl AM14L 1—hiitect/Engineer Information// Name: l!'1G(LfVi Phone: 92/-- S C`l 7 Z Street: Fax: City, St, Zip: E-mail: Bonding Company: A;1A Mortgage Lender: SJ1.171 yr Address: 10J"Z Qsyr yJ Address: /4/0 y Gj/zi'hor,(-,d d c4) 77,*y7 j i , ,,, Q tt 33,48 Building Permit Square Footage: No. of Dwelling Units: l Electrical New Service - No. of AMPS: PERMIT FORMATKYN Construction Type: Flood Zone: Mechanical (Duct layout required for new systems) No. of Stories: 2 - Plumbing New New Construction - No. of fixtures: Fire Sprinkler/Alarm 0 No. of heads: Application is hereby made to obtain a permit to do the work and installations as indicated. 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. 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 fOwner/Agent Date MAWiW1 Print Owner/Agent's Name 0 3 3i D Signature of Notary -State of Florida Date PA' Pj r ' *..kv MY COMMISSION # DD 667814 EXPIRES: June 27, 2011 r" feoFF oP\° Q Bwed Thru Budget Notary S8*eS Owner/Agent is Personally Known to Me or Produced ID Type of ID APPROVALS: ZONING: ENGINEERING: COMMENTS: Rev 11.08 UTILITIES: Signa eofContractor/Agent OF Date aa & -&40 adIx 4&pa Print Contractor/A Signature of Notary -State of Florida 4Da!e 2 : c* MY COMMISSION # DD 887814 EXPIRES: June 27, 2011 SFOFF POP WdedThruBudget Notary ServW FIRE: Contractor/Agent is Personally Known to Me or Produced ID Type of ID WASTE WATER: BUILDING: RECEIVED CITY OF SANFORD MAR 3 1 1010 BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: 10-1132-- Documented Construction Value: $ &/ 1600 Job Address: i,,W / till ,l aIL"La,16 Historic District: Yes No Parcel ID: /2^20-30-'5/SS0000- 1H O Zoning: Description of Work: A46141 ToWf'Adt Mh% Plan Review Contact Person: h 0 9 G/QY,. Title: Phone:&07PS7-040 Fax Waf—J 73b E-mail:"" hnecWkr` cea(_1-Ac6m hh // , rProperty Owner Information Name /v/Q"el ej &494 ac, ,/ Street: 77Y Aa Q(( h % u City, State Zip: ©—W cfid, FG 32763 Phone:1`1071 1-- 30S Resident of property? : Contractor Information Name Me1r6d5lj & 1.-=, JaJo ./MG210 Phone: (407 Street: 77S M11,,61 6 MU W Nuct Fax: l kw) 96-523(o City, State Zip: 6wooe tll 3276 3 State License No.: C&,e Z? -J-4 21,3 wArchitect`/ E/ngineer Information /,; Name: hlYl[,(Ll/ia`?f 1? AT( Phone: 32- 4!J ""COY 7 2. Street: Fax: City, St, Zip: E-mail: Bonding Company: AJIA Address: Building Permit Mortgage Lender: Address: 4-60 Al N64&6„i/ aftg= r 33107 PERMIT INFORMATION a Square Footage: /QS/ Construction Type: No. of Stories: 2 No. of Dwelling Units: l Flood Zone: 1i 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: 3 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. Jam- & A" d Signatur£Owner/Agent Date Print Owner/Agent's Name Print Contractor/Ag m 3 3/ Signature of Notary -State of Florida Date tpn: yup D. A. CLARK MY COMMISSION # DD 667814MYCOMMISSION # DD 667814 EXPIRES: June 27, 2011 n 1rFOFF O\ oe Bonded ThmBudget N&ryWr6s Owner/Agent is Personally Known to Me or Produced ID Type of ID APPROVALS: ZONING: ENGINEERING: COMMENTS: Rev 11.08 Contractor/Agent is Personally Known to Me or Produced ID Type of 1D UTILITIES: AIt/' WASTE WATER: FIRE: BUILDING: A" d Signa e of Contractor/Agent Date d tTevx Lmkra Print Contractor/Ag m v Signature of Notary -State of Florida DaDale D.A.CLARK MY COMMISSION # DD 667814 EXPIRES: June 27, 2011 f rFOFF Poe Wded Thr, Budget wwy SOMW Contractor/Agent is Personally Known to Me or Produced ID Type of 1D UTILITIES: AIt/' WASTE WATER: FIRE: BUILDING: RECEIVED MAR i 1 2010 CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: 10-1132-- Documented Construction Value: $ 9/ Job Address: 22s / l ilij w a L .Lgo6 Historic District: Yes No M' Parcel ID: 1-2-20-30-575--0000— 1H 0 Zoning: Description of Work: T6whAd`2 filYJl G Plan Review Contact Person: }doe L/Cl/iC Title: Phone: D71o'7s%"6 40 Fax(M7)gOF-573b E-mail:49phneclark inc@dl-Acw Property Owner Information Name Ale wde, ( j aC' / Phone:(`l` 4-q1_ 3o8 Street: 77,5 !1(.Q h fJ 416 Resident of property? City, State Zip: Contractor Information Name 1%rC J l70d1? J(,J6 VIA 6:zIj Phone: (48 5-T ^ 30F( Street: 77S Q'l.a 6 tkick W 6I1)d Fax: _/407) Qd— S 3(0 City, State Zip: UILlkioe 32%( 3 State License No.: ! .BLZ2J_4283 Arch itect//El ngineer Information Name: ilytuLll 1R1?fil „,Ifu /CffUC. Phone: Street: City, St, Zip: Bonding Company: i1) Address: Building Permit V a Square Footage: _ /ff No. of Dwelling Units: l Electrical Fax: E-mail: Mortgage Lender: AM/ MrQh Address:1/d PERMIT INFORMATION Construction Type: Flood Zone: New Service — No. of AMPS: Mechanical (Duct layout required for new systemsa No. of Stories: 2— Plumbing New New Construction - No. of Fixtures: Fire Sprinkler/Alarm 0 No. of heads: Application is hereby made to obtain a permit to do the work and installations as indicated. 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. 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. 0 l_ lj,-2t,r/,L ,r. 3/3_ly Signatur fOwner/Agent o Date Print Owner/Agent's Name Signature of Notary -State of Florida Date D. A. CLARKr' c* MY COMMISSION # DO 667814 EXPIRES: June 27, 2011 11k0FF w, BondedThruBudgetN&mSeMces Owner/Agent is Personally Known to Me or Produced I D Type of I D APPROVALS: ZONING: ENGINEERING: COMMENTS: Rev`1'1.08 h,(- ,g Signa e of Contractor/Agent Date Print Contractor/A m Signature of Notary -State of Florida Da e D. A. CLARK 2° : ''• ° * MY CWMISS{ON # DD 667814 EXPIRES: June 27, 2011 1r" " oFF v BandedThNBudgoNolwyWWI UTILITIES: FIRE: Contractor/Agent is Personally Known to Me or Produced ID Type of ID WASTE WATER: BUILDING: T? I ^ z-1 Address: y l Contact Name: Contact h: y Plan Review Information Construction "' C/O Fire Alarm Fire Sprinkler Hood Tank Paint Booth Total Fees: a RECEIVED 00 ll` MAR 2010 CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION 2 f _ Application No:©' I I3Z Documented Construction Value: $ &/, 0_0°bOD Job Address: 22s.. N1161041161 Q K.._ L406 Historic District: Yes No 9 Parcel ID: 12-2Q—jQ -'S/S d000— 1H D Zoning: Description of Work: AIIA Tarnhime, Anit Plan Review Contact Person:.hI P Ghr Title: Phone:(4O?v S7'-040 Fax(4u7)'7W"573k E-mail:&acclark in(edl-rGcoM T h ,/ J / Property Owner Information / Name -/1/Q%CQUej &.1744 !_GG / Phone: l -107I l—' 30Y62 Street: 77S (SfMC&9!d CJS k1I000 Resident of property? City, State Zip: ©{ /Y, FG 3276 3 Contractor Information Name / jaPhone: 648 SII " 36'10 Street: -77_ lbilld (VkkiU Fax: _ ly0i) 96J ' S . 3(0 City, State Zip: 3 2 State License No;: CBL a1428.3 j Archiitect/Engineer Information Name: hll L a P? BInf A " Phone: 3Z/- 2 Street: City, St, Zip: Bonding Company: A)l Address: Building Permit V Fax: E-mail: Mortgage Lender: J6 71LST M41 Address: WOO A/ IJAd TaAW& 331,0 PERMIT INFORMATION Square Footage: QS Construction Type: No. of Stories: 2 No. of Dwelling Units: l Flood Zone: Electrical Plumbing New Service — No. of AMPS: NewConstructfon. - No. of )Fixtures: Mechanical 11 (Duct layout required for new systems) Fire Sprinkler/Alarm No. of heads: 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. 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. Jw,- t, _ r/,i Signatur fOwner/Agent Date Print Owner/Agent's Name Signature of Notary -State of Florida Date SpH` jU D. A. CLARK MY COMMISSION # DO 667814 EXPIRES: June 27, 2011 r^" rfoFF o\O. BondedThru Budget NotM Se*65 Owner/Agent is Produced I D APPROVALS COMMENTS: Rev 11.08 Personally Known to Me or Type of I D ZONING: UTILITIES: _ ENGINEERING: ° FIRE: Contractor/Agent is Personally Known to Me or Produced ID Type of ID WASTE WATER: BUILDING: Signa6k of Contractor/Agent Date ill d TaJf L4_kpa Print Contractor/ Ao m z) Signature of Notary -State of Florida Da e PU'9' D. A. CLARKPAY r "'• ° MY COMMISSION # DO 667814 EXPIRES: June 27, 2011 rgrFOFfLOP P BondedThruBudgetNotarySetvices ZONING: UTILITIES: _ ENGINEERING: ° FIRE: Contractor/Agent is Personally Known to Me or Produced ID Type of ID WASTE WATER: BUILDING: g ® City of Sanford Planning and Development Services 1877— Engineering Floodplain Management Flood Zone Determination Reauest Form Name: Daphne Clark Firm: Mercedes Homes Address: 775 Harley Strickland Blvd City: Orange City State: FL Zip Code: 32763 Phone: 407-591-3086 Fax: 407-905-5736 Email: daphneclarkinc(a)-cfl.rr.com Property Address: ZZJ Trillium Park Lane Property Owner: Mercedes Homes LLC Parcel identification Number: 12-20-30-515-0000- 1110 Phone Number: 407-591-3086 Email: daphneclarkinc@cfl.rr.com 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) OFFICIAL USE ©'NL Y ^ ;. r _°` ;: • '.," Flood Zone: _ Base Flood Elevation: Datum: FIRM Panel Number: 1211-1 C()o ^] F- Map Date: 28° (D-7 The referenced Flood Insurance Rate Map indicates the following: The parcel is in the: floodplain floodway A portion of the parcel is in the: floodplain floodway The parcel is not in the: floodplain floodway The structure is in the: floo plain [:]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: Reviewed by: Date: 4-2-0 T:\Engr-Files\Elevation Certificate\Flood Zone Determination Request Form.doc CERTIFICATE OF ELEVATION Address: -22.51 TP !LL IUM Legal Description: Lot %% WINDSOR LAKE TOWNHOMES Plat Book 70 Pages 444 51 Seminole County, Florida The Finished Floor Elevation of the structure on Lot -ILL. WINDSOR LANCE TOWNHOMES meets or exceeds the requirements set forth in the City of Sanford, Building Code Chapter 18Sec. 1$-4(a)_ r Reg. No. 2005 507; Date Fieldwwork Completed: 447. 212010 Work Order No. 20 lei— (6 20 IMPORTANT: In these spaces, copy the.cormsponding information from Sect.11on A. Bu!ldina Street Address ancludinq Apt., Upit, Suite, and/or Bldg. No.) or P.O. Route and Box No. City SECTION D - SURVEYOR, ZIP OR ARCHITECT CERTIFICATION Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. 6f, argnaiure n (- i Oj p - a— G}usr 2 2d r_,, t/ ` f ! ( El Check here if attachmentsi SECTIO E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A (without BFE), complete Items EI -E5. if the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, B, and C. For Items E1 -E4, use natural g1rade, If available. Check the measurement -used. In Puerto Rlco only,'enter meters. E1. Provide elevation Information for the following and'check the appropriate boxes to show whether the. elevation is above or below the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom floor (including basement, crawlspace, or enclosure) Is feet meters above or below the HAG. b) Top of bottom floor (Including basement, kaawlspace, or enclosure) is Meet meters above or below the LAG. E2. For Building Diagrams 6-9 with permanent fiood openings provided In SectlgaA Items 8 and/or 9 (see a es 8-9 of Instructions), the next higher floor elevation C2.b, in the diagrams) of the building is _ ,feet meters above or EJbelow the HAG. E3. Attached garage (top of slab) is n feet Q meters [' above or. below the HAG. E4. Top of platform of machinery and/or equipment servicing the building isfeet meters above or below the HAG. E5. Zone AO only. If no flood depth number is available, Is the top of the bottom.floor elevated in accordance with the community's floodplain management ordinance? [] Yes No Unknown. The local official must Certify this Information In Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA -issued or community -issued BFE) or Zone AO must sign here. The statements /n Sections A, B, and E are correct to the best of my knowledge: PropertyrOwner's or Owner's Authorized Representative's' Name Address City Slate ZIP Code Signature bate Telephone Comments Check here if attachment SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance oan•complete Sections A, 8,'C (or E)'. and G of this Elevation Certificate. Complete the applicable ltem(s) and sign below. Check the measurement used in items G8 and G9. G 1. 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 Infonnation.,(Indicate the source and date of the elevation data in the Comments area below.) G2. A community official completed Section E fora building located in Zone A; (without a FEMA -Issued or community4ssued 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 pen -nit has been Issued for. New Construction Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of.the building feet meters (PR) Datum G9. BFE or (in Zone AO) depth of flooding at the building site feet meters (PR) Datum G10. Communfty`sydesignflood elevation feet meters (PR) Datum Locaf0ffi6ial s Name r r -- Title Community Name !; Telephone r` Signature Date Cort'nentsa" Check here If attachmen FEMA Form 81-31, Mar 09 Replaces all previous editor. L. ..... . U.S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency National Flood Insurance Program Al. LVA City Block EL.EVATiON CERTIFICATE Important: Read the instructions on pages 1-9. SECTION A - PROPERTY or Route and Box No. State bar, Legal Description, etc.) A4, Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.)D]'1k A5. Latitude/Longitude: Lat. 2t3,7t /ilOkis Long. (. 7 1(l1%I ST A6. Attach at least 2 photograph of the building if the Certificate Is being used to obtain flood Insurance. A7. Building. Diagram Number A8. For a building with a crawispace or enclosure(s): A9. a) Square footage of crawlspace or enclosures) sq ft b) No. of permanent flood openings. In =space or enclosure(s) within 1.0 foot above adjacent grade kZA c) Total net area of flood openings, In A8.b Isq in d) Engineered flood openings? n Yes gNo OMB No. 1660-0008 ; Expires March -31, 2012 ZIP Horizontal Datum: NAD 1927 VNAD 1983 For a building with an attached garage: a) Square footage of attached garage T" sq ft b) No. of permanent flood openings In the attached garage within 1.0 foot above adjacent grade c) Total net area of flood openings in A9.b sq in d) Engineered flood openings? n Yes SECTION 8 -FLOOD INSURANCE RATE ANAP (FIRM) INFORMATION ' B1. NFIP Com nity Name & Community Number Gr a s~o' M...r__._ B2. County Name B3. State trjuoA' B4. Map/Panel Number 85. Suffix 136. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) (Zone 7C_7 meters (Puerto Rico only) dy/ Daale( Effective/Revised Daae Zone(s) AOX01, use base fl od depth) oan. Lowest elevation of machinery or equipment servicing the building feet . meters (Puerto Rico only) Describe type of equipment and location In Comments) ulcaio UJ6 avufoa ur ule case Flood trevagon tbt-t) data or base Hood depth entered in Item 89. ' FIS Profile L1XIRM Community Determined El Other (Describe) 11311. Indicate elevation datum used for BFE in Item 139: NGVD 1.929 t3 WVD 1988 Other.(Descxibe) IB12. Is the building located in a Coas artier Resources System (CBRS) area or Otherwise Protected Area (OPA)? Yes VINO Designation Date /V CBRS OPA "S5.. SECTION C ,13ULLDING 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, ARIA, ARAE, AR/A1-A30, AR/AH, AR/AO. Complete Items C2.a-h below according to the building iag m specified in Item A7. Use the same datum as the BFE. siBenchmarkUtilizedStlio4le.. w -K ' Rr-Ac p AMC ke 17/Vertical Daum Conversion/Comments a) b) Check the measurement used. Top of bottom floor (including basement, crawispace, or enclosure floor),EK feet ® meters (Puerto Rico only) Top of the next higher floor `, feet meters (Puerto Rico only) c) Bottom of the lowest horizontal structural member (V Zones only) VIA feet meters (Puerto Rico only) d) Attached garage (top of slab) feet meters (Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building feet . meters (Puerto Rico only) Describe type of equipment and location In Comments) f) g) Lowest adjacent (finished) grade next to biuilding (IAG)feet Highest adjacent (finished) Ifeet meters (Puerto Rico only), grade next to building (HAG) meters (Puerto Rico only) h) Lowest.adjacent grade at lowest elevation of deck or stairs, including feet meters (Puerto Rico„ orlly) structural support i SECTION D SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a idnd surveyor, engineer,'or architect authorized by law to certify elevationil information. 1 certify that the information on this Certiilcate represents my best efforts to Interpret the data available. 1 understand that any false statement may be punishable by fine or Imprisonment under 18 U.S. Code, Section 1001.1 1/.. Check here if comments are provided on back!of form. Were latitude and longitude in Section A provided by a y licensed land surveyor? Yes No y 81-31, Mar 09 See reverse side foe continuation. y eplaces all previous editions FLOOD CERTIFICATION I PLAT OF BOUNDARY for. MERCEDES i10ME5, INC. BASED ON THE FEDERAL EMERGENCY MANAGEMENT AGENCY DETAIL OF LOT I I I DESCRIPTION: LOT I I 1, WINDSOR LAKE TOWNF10ME5 DOES INSURANCE IN THE 10 THE STRUCTURE SHOWN HEREON DOES NOT LIE WITHIN THE 100 YEAR FLOOD HAZARD AREA. THIS WINDSOR LAKE TOWNI TOMES RECORDED IN PLAT BOOK 70 PAGES) 44 THRU 51 PUBLIC RECORDS OF 5EMINOLE =FFLaRiDA STRUCTURE LIES IN ZONE ' x COMMUNITY PANEL NO. 120294 0070 F - - 0` 5' 10' - 20' EFFECTIVE' DATE - TRACT "A". MAP REVISION DATE: SEPTEMBER 28, 2007. - ,. . TRACT A COMMON AREA 93.67 - (OVERALL) \ COMMON AREA scALe: I^=zo' 589°22'4 1 "W 589°22'41 "W 589°2241 "W 589°22'4 1 "W 589122'4 1 "W 589°22'4 "W P 5(59'22'41"W 3' X 3' coNc C 16. 17' 15.33 15.33' 15.33'-,,, 15.33' 16. 17 09 \ 15.33' APAD T COVERED o O y \ STARE GE o 109 oCOVERED'-,. CONIC TRACT "A" LANAI ,: < .30' TRACT "A" \ 15.00' COMMON AREA OMMON AREA 1 a LLJ o LOT 107 LOT 108 LOT 109 LOT 11 0 LOT I I 1 o LOT 1 12 F O LOT 11 0Ln cr o Ln LOT 112 m (n tu LL, w a; omW O —o —o —o -,0 W0 - 0 LLJ 0VUI o o, z r`o o o — p Ln O Ln, O LIT" O Ln' r m O O O O m THE UNDERSIGNED AND CAVONELnn, o oINC. LAND -SURVEYORS and O O MAPPERS MAKE NO RESERVATIONS O ! 14.67'4 _ U) OR GUARANTEES AS,, -TO THE 0.32' 0 INFORMATION REFLECTED HEREON o 4.3 o . a PERTAINING TO fASEMENIx C-433' RIGHTS OF WAY SETBACK LINES, cork AGREEMENTS AND OTHER MATTERS, N WALK fOo N A. AND 'FURTHER'7141S INSTRUMENT IS NOT INTENDED TO. REFLECT OR 589°22'4 1 "W 589°22'4 1 "1N 589°22'4 1 "W 589°22'4 1 "W SET FORTH ALL SUCH MATTERS. 589°22'4 I "W 589°22'4 I "W SUCH INFORMATION SHOULD BE 24 I "W 15.33' 15.33' 15.33' 1533' OBTAINED AND CONFIRMED'"BY 15.33,': OTHERS THROUGH APPROPRIATE 717LE VERIFICATION. 5', CONI 93.67 - (OVERALL) 3 WALK o 0 S 3 o M o NOTES: s so It o't 1. BEARINGS ARE BASED ON THE ADDRESS: 2251 Y SOUTH LINE OF 24' o '"BASELINE OF GEOMETRY' BEING -S8922'41 "W.SOUTH UNE OF 24' In INGRESS/EGRESS EASEMENT Z 2. UNDERGROUND IMPROVEMENTS, ROOF OVERHANGS INGRESS/EGRESS EASEMENT V--------------------- ---- — AND FOOTERS HAVE NOT BEEN LOCATED. — ----- pyo o' 5 10' 20' 3. ELEVATIONS ARE BASED` ON NGVD OF 1929. d J N TRILLIUMM 'PARK LANE o 4. BUILDING TIES ARE JO FOUNDATION. TRILLIUM PARK LANE Z L5. " BASELINE OFGEOMETRI^' 6. BEARINGS ANDING TIE'S DISTANCESSHOWN HEREON ARF,-{ EGRESS EASEMENT rRAcr' qRENOTTOBEUSEDTOU SCALE:1°=20' q OF 24' INGRESS/ CONSTRUCT DEED OR PLATTED LINES. OF 24' INGRESS BASELINE OF GEOMETRY' TRACT "A" COMMON AREA EGRESS EASEMENT- A' COMMON of ses zza w - - MEASURED AND.- PER RECORDED AT UNLESS. Ll - 1 N ARpA ABBREVIATIONS/LEGEND OTHERMSE NOTED, 589^zz4 P.R.C.-POINT OF REVERSE L.B.-LICENSED BUSINESS CURVATURE T}'IS SURVEY 07.VALIO'UNLES$ EMBOSSED REVISION DATE CENTERLINE A/C -AIR CONDITIONER PAD E-MAIL:._.CAVONE-® CFL:RR.COM 1 LICENSED 'BUSINESS `NUMBER 5073 - STAKE LOT 8-13-2008 LOT by GLN W.O. STAKE LOT 2008-1785 W.O. STAKE HOUSE 2008-1785 W.O. FORM CHECK 2010-400 WO. FOUNDATION 2010-620` ''W0. FINAL 2010-620 W.O. RECERT_ CADD FILE: WINDSOR LAKE- TH-L107-1IZDWG i. ARC -ARC LENGTH D:&U.E.- DRAINAGE & UTILITY O FOUND 1 2 IRON PIPE (LS ,2005)® e 8-2-2010 FOUNDA77ON LOCA71ON 8-2-2010 1. AND STAKE HOUSE- CH. -CHORD Q FOUND IRON ROD 9 isAFL5A`'EN EZ'•P URlEYOR MAPPER R -RADIUS A DELTA (CENTRAL ANGLE) EASEMENT U.&S.E.-. UTIUTY & SIDEWALK EASEMENT FOUND IRON PIPE- LAND SURVEYORS AND MAPPERS i } O.C.-POINT OF CURVATURE u.E.- unuTY EASEMENr FOUND CONCRE7E MONUMENT 300 SOUTH RONALD REAGAN-BOULEVARD Lot,FLORIDA 32750-5499 P,T.-POINT OF TANGENCY D.E.- DRAINAGE EASEMENT TELEPHONE (407) 830-9080 DOMINICK. CA DONE : — : PRESIDENT ` P:I.- POINT OF INTERSECTION CONC.-CONCRETE ' ' FAX No. (407) 339-3636 FLORIDA,SIIR.+IEYOR, &-MAPPER NUMBER 2005 CENTERLINE A/C -AIR CONDITIONER PAD E-MAIL:._.CAVONE-® CFL:RR.COM 1 LICENSED 'BUSINESS `NUMBER 5073 - STAKE LOT 8-13-2008 LOT by GLN W.O. STAKE LOT 2008-1785 W.O. STAKE HOUSE 2008-1785 W.O. FORM CHECK 2010-400 WO. FOUNDATION 2010-620` ''W0. FINAL 2010-620 W.O. RECERT_ CADD FILE: WINDSOR LAKE- TH-L107-1IZDWG i. RECERTIFIED FINAL LOCA77ON 8-2-2010 FOUNDA77ON LOCA71ON 8-2-2010 FORMBOARD LOCATION, 4-29-2010 STAKE HOUSE- 8-13-2008 CENTERLINE A/C -AIR CONDITIONER PAD E-MAIL:._.CAVONE-® CFL:RR.COM 1 LICENSED 'BUSINESS `NUMBER 5073 - STAKE LOT 8-13-2008 LOT by GLN W.O. STAKE LOT 2008-1785 W.O. STAKE HOUSE 2008-1785 W.O. FORM CHECK 2010-400 WO. FOUNDATION 2010-620` ''W0. FINAL 2010-620 W.O. RECERT_ CADD FILE: WINDSOR LAKE- TH-L107-1IZDWG i. FLOOD CERTIFICATION, PLOT PLAN for. MERCEDES MOME5, INC. BASED ON THE FEDERAL EMERGENCY MANAGEMENT AGENCY FLOOD INSURANCE RATE MAP, THE STRUCTURE SHOWN HEREON DESCRIPTION: LOT I 1 1, WIN05OR LAKE TOWNIIOME5 DOES NOT LIE WITHIN THE 100 YEAR FLOOD HAZARD AREA. THIS RECORDED IN PLAT BOOK 70 PAGES) 44 thru 5 1 PUBLIC RECORDS OF 5EMINOLE COUNTY, FLORIDA STRUCTURE UES IN ZONE - x -. CCMMUNIn PANEL No. 120294 0070 f EFFECTIVE DATE TRACT "A" MAP REVISION DATE: \ SEPTEMBER 28, 2007. - COMMON AREA 93.67 - (OVERALL) r- 589°22'4 1 "W 589°22'4 1 "W 589°22'4 1 "W 589°22'4 1 "W 589°22'4 I "W 589°22'4 "W cp I G. 17' 1 5.33' 15.33' 15.33' ; 15.33' 16. 17 o y 0.50' TRACT "A" COMMON AREA O O mm O O z 0.50' 0' 5 10 20' 5CALE: 1"=20' LB. -LICENSED BUSINESS .. ARC -ARC LENGTH CH. -CHORD R- -RADIUS 6 DELTA (CENTRAL ANGLE). P.C.-POINT OF CURVATURE P.T.-POINT OF TANGENCY P.I.- POINT OF INTERSECTION I 'CENTERLINE .. 4.00' A/C A C a C IVC C 4.00' A/C AS TO THE INFORMATION .REFLECTED -HEREON PERTAINING EASEMENT TO EASEMENTS, RIGHTS OF WAY, SETBACK LINES, - U.&S.E'.- UTILITY k SIDEWALK AGREEMENTS AND OTHER MATTERS AND FURTHER THIS EASEMENT INSTRUMENT IS NOT INTENDED TO REFLECT OR SET FORTH U.E.-.UTILITY EASEMENT - ALL SUCH• MATTERS. SUCH INFORMATION SHOULD BE D.E.- DRAINAGE EASEMENT OBTAINED AND CONFIRMED BY OTHERS THROUGH CONC.-CONCRETE . APPROPRIATE TITLE VERIFICATION.: - No. (407) 339-3636 T,_ LANAI eb.J ANAI, LANAI LANAI MODEL: MODELODEL: MODEL: MODEL: MODEL: CASCADE CEDAR 5HERWOOD 5HERWOOD CEDAR SCADE 15.67' 15.33' 15.33' 15.33' 15.33' 15.G7 LOT 107 LOT 108 LOT 109 LOT 11 0 LOT I I I LOT 1 12 oo- O -0O O O O N 0 L L p In u0o Ln O 0 0 0 z b IH I 6.00' Nps \ Z. O (^ O 0.50' \ TRACT "A" COMMON AREA 3 o O om O Ln 0 z 0.50' 589'22'41"W5(59 -22'41'W559 -22'41'W589 -22'41"W 58922'4 1 "W 533' 533' 15 58922'4'1 "W I G. 17' ... 33' 15.33' 1 G 17' 93.67 - (OVERALL) 3 O0 on v po SOUTH UNE OF 24' INGRESS/EGRESS EASEMENT Z TRILLIUM PARK LANE BASELINE OF GEOMETKY' OF 24' INGRESS/ TRACT "A" COMMON AREA EGRESS EASEMENT 559-22'41W - - - - - P.R.C.-POINT OF REVERSE THE UNDERSIGNED AND CAVONF_ INC. LAND SURVEYORS CURVATURE and MAPPERS MAKE NO RESERVATIONS OR GUARANTEES D.&U.E.- DRAINAGE & UTILITY - AS TO THE INFORMATION .REFLECTED -HEREON PERTAINING EASEMENT TO EASEMENTS, RIGHTS OF WAY, SETBACK LINES, - U.&S.E'.- UTILITY k SIDEWALK AGREEMENTS AND OTHER MATTERS AND FURTHER THIS EASEMENT INSTRUMENT IS NOT INTENDED TO REFLECT OR SET FORTH U.E.-.UTILITY EASEMENT - ALL SUCH• MATTERS. SUCH INFORMATION SHOULD BE D.E.- DRAINAGE EASEMENT OBTAINED AND CONFIRMED BY OTHERS THROUGH CONC.-CONCRETE . APPROPRIATE TITLE VERIFICATION.: - PROPOSED FIN151IED FLOOR ELEVATION=44.00 DETAIL OF LOT I I IEDSORLAKETOWNdOME5 LOT 111 IS ON PAGE 46 TRACT "A" COMMON AREA 589°22'4 1 "W 15.33'- , CENTEI:'.LINE OF WALL ON LINE — LOT 110 AREAS: IN SQUARE FEET) LOT - 904 R/W - N/A GROSS AREA - 904 t IMPROVEMENTS: FOUNDATION -509 DRIVE - N/A ENTRY - 18 A/C PAD - 9 PATIO(S) - 77 PUBLIC WALK -76 APRON -N/A NET AREA - 215.t O AC O LANAI O 5' .10' 20' I SCALE: 1'=20' MODEL OF WALL CEDAR[_ EEfffRiINE ON LINE 15.33' 0 LOT 1 12 M SO, 0 oN0z tom O m TH RONALD REAGAN BOULEVARD w On LONGWOOD, FLORIDA 32750-5499 589°22'4 1 "W 15.33' 0 0 O O SOUTH LINE OF 24' INGRESS/EGRESS EASEMENT NOTES: TRILLIUM PARK LANE 1. BEARINGS ARE BASED ON MEo BASELINE OF GEOMETRY BEING S892241 -W 5-` N "BASELINE OF GEOMETRI^' r- (j OF 24' INGRESS/ 2 Bua.DING TES ARE TO FOUNDAnaa.- TRACT"A" COMMON a2fa EGRESS EASEMENT 3. LOT HAS NOT. BEEN STAKED W THE FIELD WROVEM04TS SHOWN HEREON ARE PRA OSED? ; 7- 589'22'4 1W THIS IS NOT A SURVEY. N1 INC. M SO, ND SURVEYORS AND MAPPERS TH RONALD REAGAN BOULEVARD LONGWOOD, FLORIDA 32750-5499 TELEPHONE (407) 830-9080OFAXFLiNo. (407) 339-3636 E-MAIL: CAVONE CFLRR.COM DA'UCENSED SURVEYOP,AND MAPPER. s ISN 13C,>'F -AVON.'E-,' - PRESIDENT SUR4fYOR & .4Al'PER NUMBER 2005 NS{ -D BUST CESS' NUMBER 5073 LOT by GLN W. -O . 2006-1559 CADD FILE -WINDSOR LAKE-TH-L107-112.DWG RM 1100A-08. 1 3MIT /d-_%/ 2 OFFICE DIN N TR TIL®RIDA ENERGY EFFICIENCY CODE FOR DlJ L G C® S UC ON Florida Department of Community Affairs Residential Performance Method A Project Name: Cedar 2 - 1051 Builder Name: Mercedes Homes Street: 2251 Trillium Park Lane Permit Office: C17K 6P!,f/`iWnW City, State, Zip: Sanford , FL , 32771- Permit Number: Owner: Mercedes Homes Jurisdiction: Design Location: FL, Daytona Beach 1. New construction or existing New (From Plans) 9. Wall Types Insulation Area 2. Single family or multiple family Multi -family a. Frame - Wood, Common R=13.0 624.00 ft2 b. Concrete Block - Int Insul, Common R=4.1 615.33 ft2 3. Number of units, if multiple family 1 c. Concrete Block - Int Insul, Exterior R=4.1 320.67 ft2 4. Number of Bedrooms 2 d. other R= 240.00 ft2 5. Is this a worst case? No 10. Ceiling Types insulation Area 6. Conditioned floor area (ft2) 1051 a. Under Attic (Vented) R=30.0 602.00 ft2 b. N/A R= ft2 7. Windows Description Area c. N/A R= ft2 a. U -Factor: Sgl, U=0.63 140.00 ft2 SHGC: SHGC=0.35 11. Ducts b. U -Factor: N/A ft2 a. Sup: Attic Ret: Attic AH' Interior Sup. R= 6, 210.2 ft2 SHGC: 12. Cooling systems c. U -Factor: N/A ft2 a. Central Unit Cap: 31.0 kBtu/hr SHGC: SEER: 14 d. U -Factor. N/A ft2 13. Heating systems SHGC: a. Electric Heat Pump Cap: 32.0 kBtu/hr e. U -Factor: N/A ft2 HSPF:8.7 SHGC: 14. Hot water systems 8. Floor Types Insulation Area a. Electric- Cap: 40 gallons a., Slab -On -Grade Edge Insulation R=0.0 525.50 ft2 EF: 0.92 b. Raised Floor R=19.0 77.00 ft2 b. Conservation features c. N/A R= ft2. None 15. Credits Pstat Total As -Built Modified Loads: 17.38 Glass/Floor Area: 0.133 d'.® PASSSSTotalBaselineLoads: 22.66 I hereby certify that the plans and specifications covered by Review of the plans and ST? this calculation are in compliance with the Florida Energy Code. j Prepared By: specifications covered by this calculation indicates compliance 0: ok1E 1 - Yfp/ Ace Air Conditioning PREPARED BY: Jimmy Evans with the Florida Energy, Code. Before construction is completed i w . - z _ HVAGIMeOwnical-License: DATE`. (7 CACI-81-353-3 ' - this building will be inspected for compliance with Section 553.908 I hereby certify that this building, as desi ed, is in compliance Florida Statutes. 5`t with the Florida Energy Code. Ob 4NE OWNER/AGENT:- ___-- _ _ __--__-___.___ BUILDING OFFICIAL: DATE: - 3..-v -- -- --- --- 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. Compliance requires an air distribution system test report, by a Florida Class 1 Rater, confirming system leakage to outdoors is not greater then 32 cfm at 25 pascals pressure difference in accordance with N1110.A.2. 1/22/2010 11:15 AM EnergyGauge® USA - FlaRes2008 Page 1 of 5 Seminole County Property Appraiser Get Information by Parcel Number http://www.scpafl.org/web/re_web.seminole_county title?PARCEL= 1 of 1 3/31/2010 9:14 AM DAym Jo LA CFA. ASA` SEMINOLEC'OU FLI ww,i a .. . t SOt E. FiRSTST SANFORD, FL W7-665;-75198 thy. VALUE SUMMARY GENERAL Parcel Id: 12-20-30-514-0000-1110 Owner: MERCEDES HOMES LLC Own/Addy: STE 110 VALUES 2016 2009 Working Certified Value Method Cost/Market Cost/Market Number of Buildings 0 0 Depreciated Bldg Value $0 0 Mailing Address: 775 HARLEY STRICKLAND BLVD City,State,27pCode: ORANGE CITY FL 32763 Property Address: 2251 TRILLIUM PARK LN SANFORD 32773 Subdivision Name: WINDSOR LAKE TOWNHOMES Depreciated EXFT Value $0 0 Land Value (Market) $13,000 13,000 Land Value Ag $0 1 $0 Just/Market Value $13,000 13,000 Tax District: S1-SANFORD Portablity Adj $0 0 Exemptions: Dor: 0003 -VACANT TOWNHOME Save Our Homes Adj $0 0 Assessed Value (SOH) $13,000 13,000 Tax Estimator 2010 TAXABLE VALUE WORKING ESTIMATE Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund 13,000 $0 13,000 Schools 13,000 $0 13,000 City Sanford 13,000 $0 13,000 SJWM(Saint Johns Water Management) 13,000 $0 13,000 County Bonds 13,0001$0 13,000 The taxable values and taxes are calculated using the current years working values and the prior years approved millage rates. SALES 2009 VALUE SUMMARY Deed Date Book Page Amount Vac/Imp Qualified 2009 Tax Bill Amount: 254 SPECIAL WARRANTY DEED 02/2010 07331 0649 $90,000 Vacant Yes 2009 Certified Taxable Value and Taxes Find Comparable Sales within this Subdivision DOES NOT INCLUDE NON -AD VALOREM ASSESSMENTS LAND LEGAL DESCRIPTION Land Assess Method Frontage Depth Land Units Unit Price Land Value PLATS:' Pick... LOT 0 0 1.000 13,000.00 $13,000 LOT 111 WINDSOR LAKE TOWNHOMES PB 70 PGS 44 - 51 OTE: Assessed values shown are NOT certified values and therefore are subject to change before being finalized for ad valorem tax purposes. If you recently purchased a homesteaded property your next.year's property tax will be based on Just/Market value. 1 of 1 3/31/2010 9:14 AM THIS INSTRUMENT WAS PREPARED B. JanHall BDR Title Corporation 775: Harley Strickland Blvd., Ste. 110 Orange City, F1L 32763 Building Permit No. _Id ` N 32., MAR) MM -' 91 tip W CU11, U.}l~tT SENIM it 1; CUUWTY BK 0`1331 Pq 0662; tlpg) CL E RK I S # 20100132 5'9 RECI)NIkl) 02/M/610 08:0308 AN RiEi IMINE fEl ; 10.00 Tax Folio No. 12-20-30-514-0000-1IMfill)Fl1 1+Y J Ee,kellroih(all) NOTICE OF COMMENCEMENT 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, PE Lot 111, WINDSOR LAKE TOWNHOMES, according to the Plat thereof, as recorded in Plat Book 70, Pages 44 through 51, inclusive, Public Records of Seminole County, Florida. 2. General Description of Improvements: Single Family Residence 3. Owner Information: a. Name and Address: Mercedes Homes, LLC 775 Harley Strickland Blvd., Ste. 110, Orange City, Fl 32763 b. Interest in property: Fee Simple C. Name and address of fee simple titleholder (if other than Owner): Same BI- Same as Owner4. Contractor (name and address): 5. Surety Information: a. Name and Address: b. Amount of bond: 6. Lender Information: a. Designated Contact: Tracey Edwards b. Name and Address: Bank of America, N.A. 21410 N. Westshore Blvd., Ste. 1000, Tampa, FL 33607-4519 813)282-4149 7. Name and address of person within the State of Florida designated by Owner upon whom notices or other documents may be served (as designated in Florida Statutes, Section 713.13(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 OR ATTORNTY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. MERCEDES S, LL By: 1-4 Nam ri ina Quintana Titre- bivision President Verification pursuant to Section 92.525, Florida Statutes. Under penalties of facts stated in it are true to the best of my knowledge and belief. By: NOTE: per Section 713.13(1)g, Florida Statutes "Owner must sign ... and no one else may I decl7 t1 ES C'ristina Quintana Division President read the foregoing and that the permitted to sign in his or her stead."I STATE OF FLORIDA ) COUNTY OF ORANGE ) The foregoing instrument was acknowledged before me this 7 by Cristina Quintana , as Division President for the Orlando Division of MERCEDES HOMES, LLC a Florida limited liability company, who executed and acknowledged execution of the foregoing Notice of Commencement on behalf of said coompany. He/she is personally known to me or has produced Driver s License as identification and did _ did not X take an oath. n APRIL- MAROWALL Notary Seal) NOTARY PUBLIC STATE OF FLORIDA Comm# DD0929579 Expires 9/30/2013 1 NOTARY PUBLIC Name: (z (krqvq My Commission Expires: I-Mi FLOOD CERTIFICATION PLOT PLAN for: MERCEDE5 MOME5, INC. BASED ON THE FEDERAL EMERGENCY MANAGEMENT AGENCY DETAIL OF LOT I I I DESCRIPTION: LOT I I' I, WIND50R LAKE TOWM-10ME5 FLOOD INSURANCE RATE MAP, THE STRUCTURE SHOWN HEREON DOES NOT LIE WITHIN THE 100 YEAR FLOOD HAZARD AREA. THIS WINDSOR LAKE TOWWI OME5 IN PLAT BOOK 70. PAGE(S) 44 thru 5 I PUBLIC RECORDS OF 5EMINOLE COUNTY, FLORIDA UES L ZONE x •. STRUCTRECORDEDCOMMUNITYPANELN0. 120294 0070 FCOMMUNITY 0' S' 10' 20' EFFECTIVE DATE: I I6-- TRACT "A" MAP REVISION DATE: SEPTEMBER 28, 2007. TRACT "A" 6--A COMMON AREA 93.67 - (OVERALL) LOT 111 IS ON PAGE +6 COMMON AREA SCALE: I'=zo' 589°22'4 1 "W 589°22'4 1 "W 569°22'41 "W 589°22'4 1 "W 589°22'4 1 "W 589°22'4 "Wc \ 589°22'41 "W I G. 17' 1 5.33' 15.33' 1 5.33' 15.33' 1 G. 1 7 15.33' OIC 4.00'. 4.00' OIJE1 y c^ o ac WC OIC OIC OIC p 3 N n LANAI LANAI -. -.r, 0.50' 0.50, s LANAI ' '. 'P JANJII LANAI LANAI n _. ATIAI, TRACT "A" COMMON AREA MODEL: MODEL: MODEL: MODEL: MODEL: MODEL: TRACT "A" OMMON AREA MODEL: CENTERLINE OF WALL CENTERLINE OF WALL CASCADE CEDAR 5HERWOOD 5HERWOOD CEDAR CASCADE ON LINE CEDAR - ONLINE 15.67' 15.33' 15.33' 15.33' 15.33' 15.67 15.33' O LOT 107 LOT 108 LOT 109 LOT 11 0 LOT I I I LOT 1 1 2 o m 0 LOT 11 0 o LOT 1 12 ov) - o o n o o ImrnoOmr) p p N O O OOvzO zM G) mOm wn - m a5 Omm O O O Op O OOOOOO z z z z z w z z AREAS: IN SQUARE FEET) LOT - 904. n 0.50' n 0.50' R/W - N/A o D O O O GROSS AREA -_904 t 7 o G.00' G.00' IMPROVEMENTS: n FOUNDATION -509 DRIVE -.>_ W 589°22'4 1 "W 589°22'4 1 "W 589°22'4 "W 589°22'4 1 "W 589°22'4 I "W PROPOSED FINIS ED ENTRY - 1B8 A/C PAD - 9 589°22'4 1 "W S89°22'4 I 5.33' 1533' 15.33' 15.33' I G. I T i G. I T FLOOR ELEVATION=44.00 PBLIC - 77 15.33' PUBLIC WALK -76 APRON -N/A 93.6 / - (OVERALL) p 3 NET AREA - 215 t O 00 O a, - Z_ C) O O OT p S a O OV SOUTH LINE OF 24' SOUTH UNE OF 24' INGRESS/EGRESS EASEMENT<> Z 1NGRESSAGRESS EASEMENT o' S O 20' TRILLIUM PARK LANE o NOTES.TRILLIUM PARK LANE7. 'BEARMfGS ARE BASED ONTHEo BASELINE OF GEOMETRY! - q OF 24' INGRESS/ BASELINE OF GEOMETRY BEING S897247•W. r 'BASELINE OF GEOMETRI^' OF 24' INGRESS/ 5CALE: 1"=20' - 2 9V&DWG. TIES ARE TO FOUNDATION. TRACT "A' COMMON AREA- EGRESS EASEMENT TRACT "A" COMMON ARBA EGRESS EASEMENT 3. LOT HAS NOT BEEN. STAKED IN THE F91D. L 569'22'aiw _ _ 9MROVEMENTS SHOWN HEREON ARE PROPOSED ;. :: _ _ -- 5e92zaiw ABBREV1AT10NS/LEGEND THIS IS NOT A SURVEY. MLIa L.B.-LICENSED BUSINESS P.R.C.-POINT OF REVERSE THE UNDERSIGNED AND CAVON& INC. LAND SURVEYORS a" REVISION DATE DRAWN. 7FlIS}' 1RVF" NOT VALID UNLESS EMBOSSED iM7H` NF GNATURE,;Ah RAts'iD. SEAL OFCURVATURE ARC -ARC LENGTH and MAPPERS MAKE RESERVATIONS OR GUARANTEES 0.&U.E- DRAINAGE & UTILITY AS TO THE IMFORMA7ION REFLECTED HEREON PERTAINING l fi o AFI 1C LIC 1 7 ` IRVEYOR '.1Na MAPPER CH. -CHORD R -RADIUS EASEMENT TO EASEMENTS RIGHTS wAY, sETBAac uNE LAND SURVEYORS AND MAPPERS U.&S.E.- UTILITY & SIDEWALK e DELTA (CENTRAL ANGLE) AGREEMENTS AND OTHER MATTERS AND FURTHER THIS 300 SOUTH RONALD REAGAN BOULEVARD' EASEMENT P.C.-POINT OF CURVATURE INSTRUMENTUCHJ IS NOT INTENDED TO REFLECT OR D B FORTH P.T.-POINT OF TANGENCY U.E.- UTILITY EASEMENT ALL jCl{ MATTERS. SUCH MFORMATION -SHOULD BE LONGV OOD, FLORIDA 32750-5499 TELEPHONE (407) 830-9080 DG AIFJIC"`1t= CAVOEJEs )PRESIDENT D.E.- DRAINAGE EASEMENT P.I.- POINT OF INTERSECTION OBTAINED AND CONFIRMED' BY OTHERS THROUGH FAx No.; (407) 339-3636 FLORIDG, SUPV€YsJR,h AJAPPEr, P1lJMBER 2005 coNc.-coycaETE CENTERLINE -.. APPROPRIATE TITLE VERIFICATION. E-MAIL: CAVONE ®CFLRR:COM U LSED 9k;S)NESS NUMSER 5073 PLOT PLAN 7-17-2008 GLN i , LOT by GLN VV O' 2006-1559 CADO FlLE:IWNDSOR"LAKE- TH-L107-112DWG 1 mj A 77 e DATE: I HEREBY NAME AND APPOINT: GUSTAV BOTES , DAPHNE CLARK EACH, AN AGENT OF: MERCEDES HOMES INC. TO BE MY LAWFUL ATTORNEY IN FACT TO ACT FOR ME AND APPLY TO THE BUILDING DEPARTMENT OF: FOR A BUILDING PERMIT FOR WORK TO BE PERFORMED AT LOT NUMBER:—// / SUBDIVISION: 00 via, i ADDRESS: ZZJ (/ A46 PARCEL ID: 12.''2-0 rid 616 l}Qdd %,o AND TO SIGN MY NAME AND DO ALL THINGS THAT ARE NECESSARY TO THIS APPOINTMENT. JASON MICHAEL VENEZIA NAME .OF CONTRACTOR.) SIGNATURE OF CONTRACTOR.) STATE CERT. # CBC 1254283 CONTRACTOR'S STATE REGISTRATION NUMBER.) The foregoing instruments ac l owledged before me this DATE:3< 4D BY: JA ON MICHAEL VENEZIA, Who is personally known to me and did not take an oath. STATE OF FLORIDA NAME:-/ S COUNTY OF ORANGE, My Commission #: My Commission Expires NOTARY: SIGNATURE OF NOTARY: NOTARY SEAL. t Trs' 1)DQ453Oti1 4 tc .O09 x M thru (800),1132-1254. NOTARY SEAL. MERCEDES HOMES PALM E R , '' ;Vis. ELECTRIC PROPOSAL WINDSOR.LAKE TOWNHOMES 1254 SHERWOOD 1,254 sq. ft Price: We offer to perform the above-described work, including state sales tax, for the amount of: $0.00. Rough -In Trim -Out Total 2,303.00 987.00 3,290.00 This price is valid for 30 days. Terms: 70% due at completion of rough -in; balance due upon final inspection including extras. All terms and conditions on the attached "Exhibit A" are hereby incorporated in, and made part hereof. PALMER ELECTRIC COMPANY Residential Wiring Group Anril"22 2nin This agreement is hereby accepted and entered into by: Executed in the presence of: nn rTo accelerate tob:start plase fill in all of the folloHnng , ., . M a . a x , ; tarT b.Y,.n t i, rStDate r ` 5t m ob Bldg Perrnit Number',,tmtxx Ref: 23 -MERLE -01254-01 PALMER ELECTRIC COMPANY STATE LICENSE #EC0001858 875 JACKSON AVENUE • WINTER PARK, FLORIDA 32789 407-646-8700 • FAX 407-647-8951 10- 1( 3-'2 COUNTY OF SEMINOLE d. r IMPACT FEE STATEMENT ! 1f y STATEMENT NUMBER: 10100001 DATE: April 08, 2010 BUILDING APPLICATION #: 10-10000176 BUILDING PERMIT NUMBER: 10-10000176 UNIT ADDRESS: TRILLIUM PARK LANE 2251 12-20-30-515-0000-1110 TRAFFIC ZONE:022 JURISDICTION: SEC: TWP: RNG: SUP: PARCEL: SUBDIVISION: TRACT: PLAT BOOK: PLAT BOOK PAGE: BLOCK: LOT: OWNER NAME: ADDRESS: APPLICANT NAME: MERCEDES HOMES ADDRESS: 775 HARLEY STRICKLAND BLVD ORANGE CITY FL 32763 LAND USE: TOWN HOME UNIT TYPE USE: WORK DESCRIPTION: CITY-SANFORD SPECIAL NOTES: 2251 TRILLIUM PARK LANE / TOWNHOME UNIT/ WINDSOR LAKE TOWNHOMES 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 MMultifamily 2,450.00 1.000 dwl unit 2,450.00 P N/A LAW ENFORCE N/A 00 DRAINAGE N/A 00 00 AMOUNT DUE 2,883.00 STATEMENT RECEIVED BY:Avkd'0-V SIGNATURE: Z 0_" PLEA E PRINT NAME) DATE: NOTE TO RECEIVING SIGNATORY/APPLICANT: FAILURE TO NOTI Y O ER 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. THh REQUEST FOR REVIEW MUST MEET THE REQUIREMENTS OF THE COUNTY LAND DEVELOPMENT CODE. COPIES OF RULES GOVERNING APPEALS MAY BE PICKED UP, OR REQUESTED, FROM THE PLAN IMPLEMENTATION OFFICE: 1101 EAST FIRST.STREET, SANFORD FL, 32771; 407-665-7356. PAYMENT SHOULD BE MADE TO: SEMINOLE COUNTY OR CITY OF SANFORD BUILDING DEPARTMENT 1101 EAST FIRST STREET SANFORD, FL 32771 PAYMENT SHOULD BE BY,CHECK OR MONEY ORDER, AND SHOULD REFERENCE THE COUNTY BUILDING PERMIT NUMBER AT THE TOP LEFT OF THIS STATEMENT. THIS STATEMENT IS NO LONGER VALID IF A BUILDING PERMIT IS NOT*** ISSUED WITHIN 60 CALENDAR DAYS OF -THE RECEIVING SIGNATURE DATE ABOVE DETAIL OF CALCULATION AVAILABLE UPON REQUEST. CALL 407-665-7356. I CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Q Application No: 1(2-- Ll -I Documented Construction. Value: $ 3 1 %S . v Job Address: Z Z S / %-l{ I G- L/U'! 00/2A 4-4) Historic District: Yes No L I Parcel ID: Zoning: Description of Work: /,SD *,44 rF' + w L G7 2 C- /'I T Plan Review Contact Person: Title:. Phone: Fax: E-mail: Property Owner Information Name i'lOZG D ,5 rtor S ia/ c Phone: `iG ?_ 2 7 S c5S-5d Street: 1_2 0C l 5 G i w e-, e I?A ST L6 O Resident of property? City, State Zip: b/Lia.v by ,c"L 3 2 ` F ZG Contractor Information Name %2/ Phone: `fO ? 6X6 F700 r22-3 Street: S 2,5- , rA GyS vw i9 C, F Fax: 410"7 City, State Zip: I W TFl2. ?MR r 1L 3 Z;f$ 9 State License No.: L G 13 0 171 7 a Arch itectlEng1neer Information Name: Street: City, St, Zip: Bonding Company: Address: Building Permit Square Footage: No. of Dwelling Units: Electrical Phone: Fax: E-mail • _ Mortgage Lender: Address: PERMIT INFORMATION Construction Type: No. of Stories: New. Service — No. of AMPS: 15-0 Flood Zone: Mechanical (Duct layout required for new systems; IoS a s7 Plumbing New Construction - No. of Fixtures: Fire Sprinkler/Alarm No. of heads: ME' 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 CONINIENCENIENT 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/Agcnt Datc Print Owner/Agent's Name Signature of Notary -Stale (if Florida Dale Owner/Agent is Personally Known to Me or Produced ID Type of ID la l10 Signature o Contractor/Agent Datc qn al d r7.17 6 L'oerd Print Contractor/Agent's Name 01a1110 Signature a <otary-State of Florida Datc Contractor/Agent is X Personally Known to Me or Produced ID Type of ID APPROVALS: ZONING;: ITTILITIES: WASTE CATER: ENGINEERING: FIRE: BUILDING: COMMENTS: Y Py Notary Public State of Florida Rev 11.08 Margaret A Rzeszut o` My Commission DD613510 dOF F10 Expires 0126/2011 PALMER r ° - `RErEfiENTRIC MERCEDES HOMES WINDSOR LAKE TOWNHOMES 1161 CEDAR 1,161 sq. ft PROPOSAL Price: We offer to perform the above-described work, including state sales tax, for the amount of: $0.00. Rough -In Trim -Out Total 2,222.50 952.50 3,175.00 This price is valid for 30 days. Terms: 70% due at completion of rough -in; balance due upon final inspection including extras. All terms and conditions on the attached "Exhibit A" are hereby incorporated in and made part hereof. PALMER ELECTRIC COMPANY Residential Wiring Group Anril 22. 2n1 n This agreement is hereby accepted and entered into by: Executed in the presence of: nn To accelerate lob start; plase fill in aIIE_of.the,folloHnng - Start Date Job Address l 4 j z Model Type Bldg Perind Number Ref: 23-MERCE-01161-01 PALMER ELECTRIC COMPANY STATE LICENSE #EC0001858 875 JACKSON AVENUE • WINTER PARK, FLORIDA 32789 407-646-8700 • FAX 407-647-8951 CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION 00 Application No: JC) k \3 Z Documented Construction Value: $ 4100 Job Address: ,2 2 5 l1r' 1 1 V w Pary, `AVA Historic District: Yes No Parcel ID: 0- -1A -- 3d -- S 14- < ODU U Q Zoning: Description of Work: wn Plan Review Contact Person: Phone: Fax: E-mail: Property Owner Information Title: Name+r',C11E L'S Z S Phone: 59(o-951-7140 Street: 7 S . lly+-- n'' F t ko 3 S 1Y1C1G vA t VA. Resident of property? WO City, State Zip: QYgy u` n L 32?63 Contractor Information Name Lyss. L& Q i y,"i -q Seyy,- e S t' Phone: moi - ?I i " 1-1 Do Street: ?)12- Tvnm) i ov%l7Y Fax: 487 - 941 q.ZS( City, State Zip: i- ao\-: , 'r -L 3 S-7 bc State License No.: G*C i q2 (44 (o Architect/Engineer Information Name: M h Phone: Street: City, St, Zip: Bonding Company: W R Address: Building Permit ) pS I Fax: E-mail: Mortgage Lender: Address: PERMIT INFORMATION Square Footage: k&j Construction Type: No. of Stories: No. of Dwelling Units: Flood Zone: Electrical Plumbing 1 i New Service - No. of AMPS: New Construction - No. of Fixtures: 10 Mechanical (Duct layout required for new systems) Fire Sprinkler/Alarm No. of heads: l I Z 3 J (,P -3 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 UTILITIES: FIRE: tS'lo ignature of Contractor/Agent Date Print ContraaokAgent's Name osuasosny avNICSLINSCo1T Comm# DDG681106 do Expires 6/3/2011 Contractor%QgeWig .... Florida Notary Inc FIrPer-sot==Wn to Me or Produced ID Type of ID WASTE WATER: BUILDING: Madel Pricing- Linscott Pluming Inc. Windsor Lake Estates: eila Plan $49 Bonita Plan $4900.00 Cristina Plan $4800.00 Diego Plan $4900.00 3 des Homes esentative Date sc P resentative Date 775 Harley Strickland Blvd, • Suite 110. Orange City, FL 32763 • Teh (386) 851-7940 • r -x (386) 851-7941 http://www.mercedeshomes.com CGCi510145 CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: (' ' 1' Documented Construction Value: $ Job Address: 'l r may! P t h - Historic District: Yes No i Parcel ID: / , I Zoning: Description of Work: I `q 0"kc4(.c d'F Plan Review Contact Person: Title: Phone: Fax: E-mail: Property Owner Information Name I C S Phone: `-l'b 7— _Tc- 559 Street: J , n - Resident of property? City, State Zip: Contractor Information Namef Phone: Street: Fax: (. lae 7 %,'S_ff City, State State License No.:C % s Architect/Engineer Information Name: Phone: Street: Fax: City, St, Zip: E-mail: Bonding Company: Mortgage Lender: Address: Address: PERMIT INFORMATION Building Permit Square Footage: 1651 Construction Type: No. of Dwelling'Units: Flood Zone: Electrical New Service — No. of AMPS: Mechanical (Duct layout required for new systems) No. of Stories: Plumbing New Construction - No. of Fixtures: Fire Sprinkler/Alarm 0 No. of heads: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and air conditioners, etc. OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713. The City of Sanford requires payment of a plan review fee. A copy of the executed contract is required in order to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the plan review- fee based on past 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 Signature of Contractor gent Date L ", Peer Print Owner/Agent's Name Print Contractor/Agent's Name Z" h :& 4 Signature of Notary -State of Florida Dategr«":wi Date BRENDA G HARNISH MY rOMMISSION # DD946431 EXPIRES December 14,201,3 407) 398-0153 FlorldallotarySerwc om Owner/Agent is Personally Known to Me or Contractor/Agent is P to Me or Produced ID Type of ID Produced ID Type of ID APPROVALS: ZONING: UTILITIES: WASTE WATER: ENGINEERING: FIRE: BUILDING: COMMENTS: Rev 11.08 Orlando Division Mercedes Homes, Inc. 775 Harley Strictland Blvd. ORANGE CITY, FL 32763 Tel: (407)591-3101 Fax: (386)851-7949 ACE AIR CONDITIONING, INC. Ship To: ** WINDSOR LAKES - SUNCOR** 2985 ENTERPRISE ROAD Lot: 111 Debary, FL 32713 2251 Trillium Park Ln. Tel: (386)668-8651 Fax: (386)668-7758 SANFORD, FL 32773 Attention: MATT JOHNSON ORLACAICO) LATE PO Number: 004-550-001017 CDS: ORL-000014-10 Fax No: (386)668-7758 Order By: Print Date: 04/27/2010 Tel. No: (386)668-8651 Porch. Agent: Order Date: 04/27/2010 Disc. Terms- n/a Ship Via: Date Req: Terms Code: Small Trds Rcvd 15th / 30th Taken By: Req. No: Line DescriptionQuantity UofM' Unit Cost Total Amount Disc% Draw°b Amount Due Project. "WINDSOR LAKES - SUNCOR- Lot: 111 Model/Elee: 1051.01. CEDAR 2BDR CB/ Swing: N/A Craft: n20.0; WAC 0010 00008ase - BASE MODEL, HVAC ROUGH 1.00 EA 4,114.1400 4,114.14 40.00% 1,645.66 Alloc: H2ORL,004-550,111,1220,00 Sub -Total. 1,645.66 Taxes: 0.00 Total. 1,645.66 Purchase Orders and Variance Purchase Orders must be submitted for payment no later than 60 days after closing of the house or townhouse in order to be paid for the amount stated on purchase orders. Any billings after 60 days will not be paid and returned to sender. Supplier Page 1 of 1 LIMITED POWER OF ATTORNEY BE IT KNOWN, that EDDIE PALMATE R has made and appointed, and by these presents does make and appoint t true and lawful attorney for him/her and in his/her name, place and stead, giving and granting to said attorney, general, full and unlimited power and authority to do and perform all and every act and thing whatsoever requisite necessary to be done in and about the premises as fully, to all intents and purposes, as could be done if personally present, with full power of substitution and revocation, hereby ratifying and confirming all that said attorney shall lawfully do or cause to be done by virtue hereof. IN, WITNESS WHEREOF, I have hereunto set my hand and seal this 26 day of May , 2010 . Signed and Notarized: Jobsite Address/Information (If Needed): Mercedes Homes Resident 2251 Trillium Park Lane Lot 111 Sanford FL 32773 ACE AIR ON IONING, INC EDDIE PALMATEER - LICENSE # CAC1813533 State of FLORIDA County of Seminole County The foregoing in trument was acknowledged by me this 26 day of May 2010 by who is personally known by me or who has produced identification. kw MY COMMISSION # DD946431 v. EXPIRES December 14, 2013 SEAL) (407)398-0153 Florida NotaryServlce.com Notary Public State of FLORIDA My Commission Expires. (,z> - I' 'f3