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HomeMy WebLinkAbout2240 Trillium Park DrJUN 2 4 2013 ( CITY OF SANFORD BYr i BUILDING & FIRE PREVENTION P RMIT APPLICATION Application No: 13— 1 03 Documented Construction Value: $ Job Address: p?DU(C Tl<<<1, u _k__rAVk 1 U Historic District: Yes No Parcel ID: 1o? -IRO -30 (r; 6OD6 Zoning: Description of Work: 'r'n e r>r ly (FQc To rlhor'Y1Es Plan Review Contact Person: o lex)2. I'i-< rre_r Title _—Pea .i Phone: qZ) i - Fax: E-mail: Property Owner Information Name -L) -R , x--12 (--k; rl , 1 t1C . Street:J VD J U /-'. -5l Wd .. --&- Lo0O City, State Zip: Q,'cctl L Phone: ktD'-I - a5O - c) Resident of property? Contractor Information Name _54ey En Phone: Street: -S50 1 1 Y'4 . LPbU Fax: IY416- o?9S-Y`3yll Cite, State Zip: Or'hMo ., F& -3"kXD 9 State License No.: Architect/Engineer Information Name:e_l-na n Street:. U . 01 City, St, Zip: %s Mvn 4 , G1— 3 4-71 Bonding Company: Address: 2 /d viz Phone:Sr3 - aha -efo 0 Fax: E-mail: Mortgage Lender: tf'/4 Address: PERMIT INFORMATION Building Permit Square Footage: I a54 Construction Type: No. of Stories: No. of Dwelling Units: Flood Zone: Electrical Plumbing New Service – No. of AMPS: New Construction - No. of Fixtures: Mechanical (Duct layout required for new systems) Fire Sprinkler/Alarm No. of heads: J n0 3 J J Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and air conditioners, etc. OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. NOTICE: In addition to the requirements of this permit. there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713. The City of Sanford requires payment of a plan review fee. A copy of the executed contract is required in order to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the plan review fee based on past permit activity levels. Should calculated charges exceed the documented construction value when the executed contract is submitted, credit will be applied to your permit fees when the pen released. C) W% X - A l (o l s 13 Sian. en'A ent ate Sienatureof on .ctodA en Date u Print Owner: Agc t s Name Ptint ContractoriAgent s Name Signa --yr, A - Date snimi F, VALERIE L. FURRER Commission # EE 079058 Expires May 25, 2015 oc e„°,Q`Bordeti Thru Troy fain Insuranx 800.365.70;9 Owner/Agent is /Personally Known to Me Produced ID Type of ID APPROVALS: ZONING: ENGINEERING: COMMENTS: Rev 11.08 UTILITIES: FIRE: tI-Sl13 Date VALERIE L. FURR.ER Commission # EE 079058 Expires May 25, 2015 Bonded Thnr Troy Fain Insurance 800.365-7019 Contractor/Agent is Personally Known to Me or Produced ID Type of 1D WASTE WATER: BUILDING: 1 CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: 12-1-703 Documented Construction Value: 10, Job Address: 190uc) TNku KA Historic District: Yes No LR Parcel ID: 6? -fid 0-- 51 (C 60DO - (QLO Zoning: Description of Work: 'Single Faar»Jy Ct tfCt 1bLul l lYl&S Plan Review Contact Person: )10'lexle Fun -e -z- T i t I e 0rdtlr1Ya-1-L Phone: Fax: E-mail: 'y I_W(_rr-e.r Ft d r hbj' Property Owner Information Name T. x--12 r-cn 1i1C . Phone: 4U 6 Street: r 5" 1 % Resident of property? City, State Zip: iQ,'cctl Contractor Information Name 154e;y'_)rl kr'lq Phone: Street: 85U Fax: City, State Zip: Or'%(i`/)do , FZ_ 3 -MD 9 State License No.:- Architect/Engineer Information Name: Street:. City, St, Zip: 0-Aermea -f , F- . :3 4"713--- Bonding Company Address: IVIA Phone: 3,5,4 - -ele c, - Fax: Fax: _ E-mail: Mortgage Lender: h1 Address: PERMIT INFORMATION Building Permit © - - Square Footage: Construction Type: No. of Stories: No, of D eling Units. Flood Zone: Electrical Plumbing New Service - No. of AMPS: Mechanical (Duct layout required for iipv systems) New Construction - No. of Fixtures: Fire Sprinkler/Alarm 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 -ovill be done in compliance with all applicable laws regulating construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT IVIAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COM1\IENCEI\1ENT AIUST 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 COMMENCEI\IENT. 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-0111 other governmental entities such as water inanagemernt 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 docunented construction value when the executed contract is submitted, credit will be applied to your permit fees when the pen released. u(1 Sian. N c Aaerrt ate Signature of on ctor/A.-en Date C'J r •+ nom; 'Y1c -i..v n i % sur, Print •wnevA2cyr1s Name Punt Contractor Agent's Name Date VALERIE L. FURRIER Commission # EE 0790158 h Expires May 25, 2015 Sonded Ttru Trey Fain Insummn 500,3L8 re - i . •-,=s... mate VALERIE L. FURR.ER R. Commission # EE 079056 k Expires May 25, 2015 z ,a6onderiTYauTroyFainlnsuance c,+s.r.,.....mss,=4.............=f.....-o._ r......._ _ - _ - _. Owner/Agent is _% Personally Known to Me oz Contractor/Agent is Personally Known to Me or Pro- duced_I-D - - T--y-pe-_of-1D'— --- _-----_-------_P_rc_duced_ID_- — _ Type -of ID APPROVALS: ZONING: UTILITIES: WASTE WATER ENGINEERING: FIRF j COMMENTS: Rev 11.08 BUILDING: JUrd Z11 2" 13 CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: 13--- 103 Documented Construction Value: $ Job Address: t9puc Historic District: Yes No 1 Parcel ID: Zoning: Description of Work: I';ncIle- *J -r -)A a --dame, d Tot nF ornes Plan Revie-,v Contact Person: wex le. Title 7- e- /nlf Phone: Far: & i'S9ry E-mail: V I-i%u_rre! r q d r htt-4&n . &&tl Property Owner Information Name Phone:D' -SG S GCy Street:J ! % /-e.ld>c . ,(oDC Resident of property? City, State zip:. -6j- /,-t-n c / L 3,2?0-9 Contractor Information Name 54eyLr) V/.u)q Phone: L[G 7- Y5b 5-a 6 c Street: X8.5C) 1 L ,- p Fax: Y66 — Y1 ff*' City, State Zip: 000..mo r Fz__ -3'-w g State License No.: Architect/Engineer Information Name.- k 'll de- a n n Street: P. D . ,B 01 /a / 5-S6 City, St, Zip: 016 -ascan 4 , L_ 3 q--7 i D -- Bonding Company: SIA Address: Building Permit D Square Footage: Phone: Jrc3 - -ele U . Fax: E-mail: Mortgage Lender: .>l ld Address: PERMIT INFORMATION Construction Type: No. of Stories: No. ofD elling Units: ------- Flood Zone:-------- ---- 177 - Electrical Plumbing Neiv Service - No. of AMPS: Ne -w 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. 1 certify that no work or installation has cornnienced 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 1V1AY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COM1\1ENCEI\9ENT 1\9UST 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 COMMENCEI\IENT. 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 Lav, FS 713. The City of Sanford requires payment of a plan review fee. A copy of the executed contract is required in order to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the plan review fee based on past permit activity levels. Should calculated charges exceed the documented construction value when the executed contract is submitted, credit will be applied to your permit fees when the pen released. o m 13 sign. ci;AL,em ate Signature ofaonctorlA.en D5tc Print Owner. A24it s Name Print ContractoCAgent s Name 3 Date ll -S(13 Date VALERIE L. FURRER,. , Y'Ps¢;. VALERIE L. FURR.ER L Commission # EE 079058 r'' • ' ° = Commission # EE 079058 h -"§Z Expires May 25, 2015 = Emires May 25, 20" 5 8,,dW Thw Tral Fahr Nsurdnc SCO -3E= -7G.9 ' k o °` L'ardeci TY ru Tru/ Fain I suonce HUU-3E_ Owner/Agent is /Personally Known to Me Contractor/Agent isPersonally Known to Me or odticed_lD_ Type of 1D APPROVALS. ZONING: ENGINEERING: COMMENTS: I Rev 11.08 i i UTILITIEWASTE WATER FIRE: BUILDING: 1 CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION 12- 03 Construction Value: $ 100 3'TApplicationNo: 1 Documented Job Address: Historic District: Yes No I Parcel ID: Zoning: Description of Work: h?r,l( Plan Revie-,v Contact Person: 110,le-T 1 e Title C'i'lrl_>'rifK U Phone: 41Z) - Fax: F - & --.,Jq5- 81?,k9 E-mail: Property Owner Information Name 42 Phone: -5G SUZY Street: 5 ?5D Resident of property? City, State Zip: 6,'I a 1 Contractor Information Name . - v' r1 /'y Phone: LtC 7 - b.5b 5 a6 0 Street: S50 `! ( LE' l Y 4&cO Fax: o S-- City, State Zip: OrI(t do FL. -3,'D 9 State License No.: %ZS a,20— Architect/Engineer Information Name: k./r?'le -n Cc/% Street: P. r -k City, St, Zip: 0 -le oicr, 4.9 Ft___ .3 4-71 3— Bonding Company: Address: Phone: - aq' - e / e C_ - Fax: Fax: E-mail: Mortgage Lender: ild Address: PERMIT INFORMATION Building Permit - Square Footage: Construction Type: No. of Stories: No. of Dwelling Units: Flood Zone: Electrical Plumbing New Service - No. of AMPS: Mechanical 0 (Duct layout required for new systerns) New.Construction - No. of Fixtures: Fire Sprinkler/Alarm 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 COIVIMENCENIENT. 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 per released. 01 t- 5 Siem. + cdAeem Oate Signature of4.on4hor/A.-en Dale Print owner: Aec t -s Nano Print Contractor'Aeent's Name Signator= -moi ` n ymc,r Date VALERIE L. FURRER,. Commission # EE 079053 o Expires May 25, 2015 T, OQ j, ov F;,.`'• Bonded Thro Troy Fain insurncs BC,0-3B5-7Ui5 VALERIE L. FURRER y Commission # EE 079,056 Ex;)ires May 25, 2015 Boded Thru Troy Fain mswance 800-3U`7319 Date Owner/Agent is V/Personally, Contractor/Agent is 1/Personally Known to Me or Produced_JD - T_ype_o-f_ID' — _- _ –__ _–______ P_roduced_]D ___Ty_pe of lD APPROVALS: ZONING: W41A •i'j UTILITIES: - ENGINEERINVVJ_' - I '_ 13 FIRE: COMMENTS: i Rev 11.08 WASTE WATER: BUILDING: PLOT PLAN DESCRIPTION: (AS FURNISHED) LOTS 1-5 WINDSOR LAKE TOWNHOMES REPLAT 1 AS RECORDED IN PLAT BOOK 77, PAGE(S) 47-48, OF THE PUBLIC RECORDS OF SEMINOLE COUNTY, FLORIDA j LOT 76 j LOT 75 j LOT 74 j LOT 73 II I I ! L ------- T1 ------- 1-------L -------- TRACT 'A' rn COMMON AREA m o PLAT BOOK 70, PAGES 44-51 o I 1 1* L---- I- ,5 a 0z 1"=30' GRAPHIC SCALE 0 15 30 CITY OF SAMFCR0 - BIJII,.DIWCPftA PLA,II`~$ING AND DFV'FI OP EMP( SF -13 PREPARED FOR: B -H -H® N" J taeyir,a-'s ,ucY BUILDING SETBACKS THIS TOWNHOME UNIT HAS BEEN POSITIONED TO FIT WITHIN THE REQUIRED PLOTTED LOT AREAS AS ESTABLISHED ON THE FINAL RECORDED LOT NOTES: q TRACT 'A' DATE BUILDING SETBACK LINE I 8 COMMON AREA NGRESS/ PLAT BOOK 70, PAGES 44-51 24.0' INGRESS/— PC PT POINT OF CURVATURE POINT OF TANGENCY SEMINOLE COUNTY BENCHMARK 304-22-01, RIGHT OF WAY LINE RP RADIUS POINT EGRESS EASEMENTEGRESS I5 PRC PCC POINT OF REVERSE CURVATURE 1929). I r I PROPOSED DRAINAGE FLOW CS PG 1834 i TRIWUM PARK LANE 83.66' 153.28' C) P' C) S89'22'41 "W IL 265.28' PB REFERENCE BEARING) N INGRESS/EGRESS CENTRAL ANGLE A/C AIR CONDITIONER PGS SQ. FT. PAGES LINES SHOWN HEREON IS PER DATA FURNISHED BY CLIENT AND IS FOR INFORMATIONAL PURPOSES ONLY. EASEMENT F.E.M.A. SQUARE FEET FEDERAL EMERGENCY MANAGEMENT AGENCY L-- C F.I.R.M. FLOOD INSURANCE RATE MAP THIS IS NOT A SURVEY PREPARED FOR: B -H -H® N" J taeyir,a-'s ,ucY BUILDING SETBACKS THIS TOWNHOME UNIT HAS BEEN POSITIONED TO FIT WITHIN THE REQUIRED PLOTTED LOT AREAS AS ESTABLISHED ON THE FINAL RECORDED LOT NOTES: LEGEND: 1. ELEVATIONS SHOWN ARE PER LOT GRADING PLANS PROVIDED BY THE CLIENT. BUILDING SETBACK LINE PI POINT OF INTERSECTION 2. ELEVATIONS SHOWN ARE BASED ON CENTERLINE PC PT POINT OF CURVATURE POINT OF TANGENCY SEMINOLE COUNTY BENCHMARK 304-22-01, RIGHT OF WAY LINE RP RADIUS POINT ELEVATION 45.941 VERTICAL DATUM NGVD XX.XX PROPOSED ELEVATION PRC PCC POINT OF REVERSE CURVATURE 1929). TYP POINT OF COMPOUND CURVATURE PROPOSED DRAINAGE FLOW CS TYPICAL CONCRETE SLAB THIS PLOT PLAN IS INTENDED FOR PERMITTING PURPOSES(P) PER PLAT ONLY. THIS IS NOT INTENDED FOR THE CONSTRUCTION OF CONCRETE C) CALCULATED THE PROPOSED HOUSE. REFER TO HOUSE PLAN AND PB PLAT BOOK OPTION LIST .FOR CONSTRUCTION. ALL BUILDING SET BACK CENTRAL ANGLE A/C AIR CONDITIONER PGS SQ. FT. PAGES LINES SHOWN HEREON IS PER DATA FURNISHED BY CLIENT AND IS FOR INFORMATIONAL PURPOSES ONLY. R RADIUS L ARC LENGTH F.E.M.A. SQUARE FEET FEDERAL EMERGENCY MANAGEMENT AGENCY C F.I.R.M. FLOOD INSURANCE RATE MAP THIS IS NOT A SURVEY CHORD LENGTH CB CHORD BEARING ORB OFFICIAL RECORDS BOOK THIS IS A PLOT PLAN ONLY UP UTILITY PAD S/W SIDEWALK D.U.E. P.A.E. DRAINAGE & UTILITY EASEMENT PRIVATE ALLEY EASEMENT I HAVE EXAMINED THE F.LR.M. COMMUNITY PANEL NUMBER 1. THE SURVEYOR HAS NOT ABSTRACTED THE 120294 0070 F, DATED 09-28-07 AND FOUND THAT THE m 4 LAND SHOWN HEREON FOR EASEMENTS, RIGHT SUBJECT PROPERTY UES IN ZONE "X" AREA OUTSIDE THE YEAR T, OF WAY, RESTRICTIONS OF RECORD WHICH FLOOD PLAIN. THE SURVEYOR MAKES NO GUARANTEES AS TO THETO MAY AFFECT THE 7T4_F,. OR USE OF THE LAND. ABOVE INFORMATION. TON. PLEASE CONTACT THE LOCAL F.E.M.A. AGENT FOR TVERIFICATION. 2. NO UNDERGt `JJND.IMPZO`JEIv1ENTS HAVE BEEN 3. LOCATED.EXCEPTIA'S SHOWN NOT VA' ID "Si'TF' ,Nr1>T"JR,-ANDBEARINGSSHOWNHEREON. ARE BASED ON THE CENTERLINE OF TRILLIUM PARK LANE BEING 589'22'41"W, PER PLAT. ORGINALTHE `;;;FLORIDA I= R II CAN LICENrED-fiU ER. FIELD DATE:) REVISED: 1" = 30 FEET u w a N GSCALE: JB MAPPING INC. APPROVED BY: CERTIFICATION OF AUTHORIZATION NUMBER LB#6393 3191 MAGUIRE i w i0„1.;`•L44/.,'t'-''Q^ JOB N0. 0100403 LOTS 1-5 BOULEVARD, SUITE 200 ORLANDO, FLORIDA 32803{ FORREPLAT05-30-13 JMH DRAWN BY: 407) 426-7979 THE Q 7 ` ! FIRMPLOTPLAN# 10-11-11 RE WWW.AMERICANSURVEYINGANDMAPPING.COM JAMES W. BOLEMAN PSM# 6485 DATE y g ° City of Sanford Planning and Development Services 1877 ` Engineering — Floodplain Management Flood Zone Determination Reauest Form Name: 5s Firm: 4r 4-1', . Address: -5-,8 -0 -d d City: U r (ate o State: i- L Zip Code: 2 Z Phone: 1/0 7- SSo SZ,--- Fax: Email: Property Address: Z2t-{v r% A'4 ; Property Owner: YoV,rQrt Parcel identification Number: /2 - p o -- o a 2a Phone Number: 4W- F? 5-o --5Z00 Email: The reason for the flood plain determination is: D 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) st ;t"z '3 "n''.107, u. OEFCIALLQ!jE ®N11Y Flood Zone: X Base Flood Elevation: Datum: FIRM Panel Number: jz<<7coz,7y Map Date: 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 flobdway The parcel is not in the: E?foodplain floodway The structure is in the: floodplain floodway E5 The structure is not in the: E]f oodplain 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: S' Date: ZS T:\Engr-Files\Elevation Certificate\Flood Zone Determination Request Form.doc Illlllllllllllllllllllllllfllllllllllll1111161111111111 SEMINOLE COUNTY MULTI%URISDICTiONAC REQUEST FOR PRE -POWER Altamonte Springs, Casselberry, Lake Mary, Longwood, Oviedo, Sanford, Seminole County, Winter Springs Date: to 111 15 Project Name: Building, Permit #: Windsor Lakes Project Address: 5!0U 0 - Y iilk` w O o Electrical Permit #: In consideration for authorizing the appropriate utility company to energize the facility, we agree with and understand the following: 1.' The facility will not be occupied until a certificate of occupancy has been issued. Z If the jurisdiction hereafter finds that the facility has been occupied before a certificate of occupancy has been issued, the jurisdiction will have the unilateral right to direct the utility to terminate electrical service without notice. Furthermore, we understand and agree that should the jurisdiction exercise such right, the jurisdiction will not be responsible for any damages or costs which may result from the exercise of such right: Also, in the event any third party claims damages from the, exercise of such right, we agree to jointly, and individually indemnify and hold harmless the jurisdiction from all such damages and costs, including Yattorney' s fees. 3. The building or structure shall be weather tight and secure. The electrical wiring in the area designated for pre -power shall be complete and in,safe order. A11 electrical services associated with the area will be 100% complete unless specifically approved by the electrical inspector. 4. Interior electrical rooms shall be lockable, if electrical panels are in an area that cannot be locked by doors, the panels shall be equipped with a.locking mechanism (approved by the AHJ). The licensed electrical contractor or his licensed representative shall hold the keys(s) for such access to electrical panels to prevent energizing circuits other than those that are safe. 5. _ If provided, the fire sprinkler system must be operational,per.the local AHJ requirements, with water on the system prior to pre -power. 6. This pre -power approval is valid for a maximum of 180 days from date of approval 7. Check with the local jurisdiction for fees associated with pre -power. JURISDICTION EMPLOYEE NAME: JURISDICTION: Steven. R. Young Print Name n. ntra for i at of Gen: Contr CBC1252212' Gen. Contractor License # Joe Strada Print Name of€I o actor Signa of El. Contractor EC13003715 El. Contractor License # CALLED INTO: Progress Energy Florida Power and Light on Rev. 3/27/07) r. Thompson Print N e Ownerirenant atur Owner/Tenant JURISDICTION EMPLOYEE NAME: JURISDICTION: Steven. R. Young Print Name n. ntra for i at of Gen: Contr CBC1252212' Gen. Contractor License # Joe Strada Print Name of€I o actor Signa of El. Contractor EC13003715 El. Contractor License # CALLED INTO: Progress Energy Florida Power and Light on Rev. 3/27/07) SEM INOLE COUNTY MULTI -JURISDICTIONAL Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Dater (1 0 l I hereby name and appoint: Valerie Furrer, Meghan Nelson, Angelo Santiago, Tina Osteen an agent of: D. R. Horton, Inc Name of Company) to 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): All permits and applications submitted by this contractor. The specific permit and application for work located at: QQ Street Address) ka Parcel Identification) Expiration Date for This Limited Power of Attorney: License Holder Na State License Number: Steven R. Young Signature of License H( STATE OF FLORIDA r COUNTY OF - 1/ {`-' The foregoing instrument was acknowledged before me this k7 day of V' 20X' who is Its, by -f il'y"t C 1/Lc/i` personally known to me or El who has produced as identification and who did (did not) take an oath. Signature of q0vry 011lilll V oe 16, 00 4 2 : #DD 962209 ; ® 0,nadedkX\1 Qi -Z X STP E dAn9Qy AAe^t;R4 DANIELLE BINGHAM Print or type Notary name Notary Public - State of Commission No. My Commission Expires: PERMIT # t7o? FORM 405-10 FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Florida Department of Business and Professional Regulation - Residential Performance Method Project Name: Windsor Lakes - Lot 96 Builder Name: DR Horton J-4-VA4 Street: '9"?"c UVI Permit Office: City, State, Zip: , FL , Permit Number: /3-r7a7 Owner: DR Horton Jurisdiction: // CIO Design Location: FL, Orlando 1. New construction or existing New (From Plans) 9. Wall Types (1924.0 sqft.) Insulation Area a. Concrete Block - Int Insul, Common R=8.0 1395.30 ftz2. Single family or multiple family Multi -family b. Frame - Wood, Exterior R=11.0 264.33 ft 3. Number of units, if multiple family 1 c. Concrete Block - Int Insul, Exterior R=4.1 264.33 ftZ 4. Number of Bedrooms 2 d. N/A R= ftZ 10. Ceiling Types (617.0 sqft.) Insulation Area 5. Is this a worst case? No a. Under Attic (Vented) R=30.0 617.00 ftZ 6. Conditioned floor area above grade (ftZ) 1144 b. N/A R= ftZ c. N/A R= ftZ Conditioned floor area below grade (ft') 0 11. Ducts R ftZ 7. Windows(119.5 sqft.) Description Area a. Sup: Attic, Ret: Second Floor, AH: Second Floor 6 228.8 a. U -Factor: Dbl, U=0.34 80.00 ftZ SHGC: SHGC=0.32 12. Cooling systems kBtu/hr Efficiency b. U -Factor: Dbl, U=0.62 39.50 ftZ a. Central Unit 23.2 SEER:14.00 SHGC: SHGC=0.32 c. U -Factor: N/A ftZ SHGC: 13. Heating systems kBtu/hr Efficiency d. U -Factor: N/A ftZ a. Electric Heat Pump 22.4 HSPF:8.00 SHGC: Area Weighted Average Overhang Depth: 2.983 ft. Area Weighted Average SHGC: 0.320 14. Hot water systems a. Electric Cap: 40 gallons 8. Floor Types (1144.0 sqft.) Insulation Area EF: 0.920 a. Slab -On -Grade Edge Insulation R=0.0 527.00 ftZ b. Conservation features b. Floor Over Other Space R=0.0 527.00 ftZ None c. other (see details) R= 90.00 ftZ 15. Credits Pstat Total Proposed Modified Loads: 19.86 Area: 0.104 PASSSSGlass/Floor Total Standard Reference Loads: 25.87 F'\a7 I hereby certify that the plans and specifications covered by Review of the plans and C TKE S7 - this calculation are in compliance with the Florida Energy specifications covered by this v Code. Jonathan calculation indicates compliance Mcclinchy with the Florida Energy Code. PREPARED BY: o11 zoas 6.06 Before construction is completedp t { 14:3 DATE: this building will be inspected for compliance with Section 553.908 I hereby certify that this building, as designed, is in compliance St t tFloridaStatutes. l with the Florida Energy Code. OL. WIE n , OWNER/AGENT:e--A_ - \ C iVU BUILDING OFFICIAL: DATE: h < « « DATE: Compliance requires certification by the air handler unit manufacturer that the air handler enclosure qualifies as certified factory -sealed in accordance with 403.2.2.1.1. Compliance requires completion of a Florida Air Barrier and Insulation Inspection Checklist Compliance requires an air distribution system test report, by a Florida Class 1 Rater, confirming system leakage to outdoors tested at 25 pascals pressure difference in accordance with 403.2.2.1. is not greater than 34 cfm:Duct#1) 6/6/2013 1:46 PM EnergyGauge® USA - FlaRes2010 Section 405.4.1 Compliant Software Page 1 of 5 VCLjp t- e- t'Lt f-er MARYANNE MOR5Ei CLERK OF CIRCUIT COURT K_, Wo- 4-- t ; 4 it . 5 ,c ,Lc i{vrt. (tC SEMINOLE COUNTY Q fcu cc; r- U J — C9 ` DK 0082 'g 0034, (1pg? Permit No. Tax Folio No. CLERK' S #'rt 13092`3 RECORDED 07/16/2013 02:06:18 PM NOTICE OF COMMENCEMENT RECORDING FEES 10.00 State of'Florida RECORDED BY H DeVore 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 1. Description of roperty: (legal description of the property, and street address if a ailable l 2. General description of impWMA rovement: uYliIcl: 7C'% cG?L l ECX I L tii l 1Gtil C 3. Owner information: Name: t>> Address: 5 BD—b • vd. ao D/ c d b. Interest in property: c. Name and address of fee simple title polder (if other than Owner): Name: Address: Phone number: '104 4. Contractor Name: 5960 % G' . Leec. Address: 5' 5. Surety Name Address. b. Amount of bond: 6. Lender: Name: Address: b. Lender's phone number 7.a. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes: Name: Address: of to receive a copy of the 8.a. In addition to himself or herself, Owner designates Lienor's Notice as provided in Section 713.130)(b), Florida Statutes. b. Phone number of person or entity designated by owner: 9. Expiration date of notice of commencement (the expiration date is 1 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 THENOTICEOFCOMMENCEMENTARECONSIDEREDIMPROPERPAYMENTSUNDERCHAPTER713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTSTOYOUR 'I OPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BE RE T E FIRST SPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR CO DE OR AN r TTO EY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMM CEME// Signature of 0z3mer or Ora r er's ,Authorized Otticer!Director/ParineriRlanager Signatory's Ti Ie/Office The foregoing instrument was acknowledged before me this day of go (year) , by (name of person) as (type of authority, ... e.g. officer. trustee. attorney in fact) for (name of party on beha VALERIE L. FURRERt[d'Y.PY,x z4 °* Commission # EE 079058 SEAL) h CxliirasMay 25, 2015 5 ndcv TFr Tm/Ftinlnsurh A00-3E5.7019Q Signature of Notary Public "Dda PersonaType of Identification lly Known _.— OR Produced Identification fication Produced Veri ica 'on p suant to Sec ton 92.525, Florida Statutes: Under penalties of perjury. I declare that I have read the forezoing and that the facts stated i i r t e t ''the best of my know ledge and belief. CERTIFIED Yv®pV Simiature t ral Person Signing Above CLERK U' C P: Ut4 ^UURT Rev. date 312008 " EMI 0 E C/ II ITS(, nRIDA 9Y. 0F,7,PI.ITy;P1 toRK COUNTY OF SEMINOLE IMPACT FEE STATEMENT 1 y _ v v STATEMENT NUMBER: 13100004 DATE: July 10, 2013 BUILDING APPLICATION 4: 13-10000411 ' JUL 2 2 2013BUILDINGPERMITNUMBER: 13-100004.11 UNIT ADDRESS: TRILLIUM PARK LN 2240 12-20-30-516-0000-00201. TRAFFIC ZONE:022 JURISDICTION: L.. i— SEC: TWP: RNG: SUF: PARCEL: SUBDIVISION: TRACT: ?Pr t-_-d7— PLAT BOOK: PLAT BOOK PAGE: BLOCK; LOT: OWNER NAME: ADDRESS: APPLICANT NAME: D R HORTON INC. ADDRESS: 5820 T G LhE BLVD, STE 600 ORLANDO FL 32822 LAND.USE: TOWN HOME TYPE USE:' WORK DESCRIPTION: CITY-SANFORD SPECIAL NOTES; 2240 TRILLIUM PARK LN/ LOT 2/ 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 unitROADS-C07,,LECTORN/A 3.79.00 Condominium* .00 1.000 dwl unit FIRE RESCUE N/A 00 LIBRARY CO -WIDE ORD 60 Single Family Housing 54.00 1.00.0 dwl unitSCHOOLS ' 54.00 CO -WIDE ORD 2,450.00 1.000 dwl unit 2,450.00 PARKS N/AN/A LAW ENFORCE N/A 00 DRAINAGE N/A 00 00 AMOUNT DUE 2,883.0.0 STATEMENT RECEIVED BY: r L SIGNATURE: PLEASE PRINT NAME) DATE: 7 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 TRIS IS A STATEMENT OF FEES DUE UNDER THESEMINOLECOUNTYROAD, FIRE/RESCUE, LIBRARY AND/OR EDUCATIONALISSUANCEOFABUILDINGP.E. IT. PERSONS ARE ALSO ADVISED THAT ANY RIGHTS OF THE APPLICANT,. OR OWNER, TO APPEAL THE CALCULATION OF ANY OF THE ABOVE MENTIONED IMPACT FEESMUSTBEEXERCISEDBYFILINGAWRITTENREQUESTWITHIN .45 CALENDARDAYSOFTHERECEIVINGSIGNATUREDATEABOVEBUTNOTLATERTHANCERTIFICATEOFOCCUPANCYOROCCUPANCY. THh REQUEST FOR REVIEW MUST MEET THEREQUIREMENTS OF THE COUNTY LAND DEVELOPMENT CODE. COPIES OF RULES GOVERNING APPEALS MAY BE PICKED UP OR REQUESTED, FROM THE PLAN IMPLEMENTATION OFFICE: 1101 EAST FIRk 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 REFERENCETHECOUNTYBUILDINGPERMITNUMBERATTHEIOPLEFTOFTHISSTATEMENT. 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. TOTAL FEES DUE::..., ,. u ,... AMOUNT RECEIVED .. .. ........ .... .. ...... VMS S DEPOSITS MON—REFUNDABLE x- frir -1 HE:.F:E IS A PfiC1t.:Gwi;'77.NG FEE RETAINAGE FOR itil...L REFUNDS tE3i c..l_.r.-t:.r>v z.;Y:: ;z<,:,z{u :;-..r r ra: z;.1r .. .. ,. Q a CASH/CHECKHE::CK AP1C" UN -i S ., b a .. 2883.00 ll:CS'T'F IBUTION,.., ., ., .. < ,. x J. •— COUNTY ;_t -•- CUSTOMER r Z4cj TCI L C, ( u W P,q-L 00 AP1= L 4 13....10000411 PERMITT 0 REC;Ii:.:l:PT 0 02 SS;r' SO JOB ADDRESSa WITY NORTH LOT 0;: 54.00 54.00 00 SCI SCHOOLS R 2450.00 2450.00 00 SCI ROAD ARTERIALS R 379.00 379.00 00 TOTAL FEES DUE::..., ,. u ,... AMOUNT RECEIVED .. .. ........ .... .. ...... VMSS DEPOSITS MON—REFUNDABLE x- frir -1 HE:.F:E IS A PfiC1t.:Gwi;'77.NG FEE RETAINAGE FOR itil...L REFUNDS tE3i c..l_.r.-t:.r>v z.;Y:: ;z<,:,z{u :;-..r r ra: z;.1r .. .. ,. Q a CASH/CHECKHE::CK AP1C" UN -i S ., b a .. 2883.00 ll:CS'T'F IBUTION,.., ., ., .. < ,. x J. •— COUNTY ;_t -•- CUSTOMER r Z4cj TCI L C, ( u W P,q-L 00 i4,0 DRIT # FORM 405-10 FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Florida Department of Business and Professional Regulation - Residential Performance Method Project Name: Windsor Lakes - Lot 96 Street: Lto -WMA u,+ `pa1lK L i1 Builder Name: DR Horton n Permit Office: .-Y*f v FU ,(oC. p City, State, Zip: , FL , Savl jk0%'6 f Permit Number: / 3 -( 7-J.? Owner: DR Horton Jurisdiction: (Pl rvc) Design Location: FL, Orlando 1. New construction or existing New (From Plans) 9. Wall Types (1924.0 sqft.) Insulation Area a. Concrete Block - Int Insul, Common R=8.0 1395.30 ftz2. Single family or multiple family Multi -family b. Frame - Wood, Exterior R=11.0 264.33 ft 3. Number of units, if multiple family 1 c. Concrete Block - Int Insul, Exterior R-4.1 264.33 ftZ 4. Number of Bedrooms 2 d. N/A R= ftZ 10. Ceiling Types (617.0 sqft.) Insulation Area 5. Is this a worst case? No a. Under Attic (Vented) R=30.0 617.00 ftZ 6. Conditioned floor area above grade (ftZ) 1144 b. N/A R= ftZ c. N/A R= ftt Conditioned floor area below grade (ftZ) 0 11. Ducts R ftz 7. Windows(119.5 sqft.) Description Area a. Sup: Attic, Ret: Second Floor, AH: Second Floor 6 228.8 a. U -Factor: Dbl, U=0.34 80.00 ftZ SHGC: SHGC=0.32 b. U -Factor: Dbl, U=0.62 39.50 ftZ 12. Cooling systems kBtu/hr Efficiency a. Central Unit 23.2 SEER:14.00 SHGC: SHGC=0.32 c. U -Factor: N/A ftZ SHGC: 13. Heating systems kBtu/hr Efficiency d. U -Factor: N/A ftZ a. Electric Heat Pump 22.4 HSPF:8.00 SHGC: Area Weighted Average Overhang Depth: 2.983 ft. Area Weighted Average SHGC: 0.320 14. Hot water systems a. Electric Cap: 40 gallons 8. Floor Types (1144.0 sqft.) Insulation Area EF: 0.920 a. Slab -On -Grade Edge Insulation R=0.0 527.00 ftZ b. Conservation features b. Floor Over Other Space R=0.0 527.00 ftZ None c. other (see details) R= 90.00 ftZ 15. Credits Pstat Total Proposed Modified Loads: 19.86 Glass/Floor Area: 0.104 q C SPASS Total Standard Reference Loads: 25.87 1 hereby certify that the plans and specifications covered by Review of the plans and Q1jT1IE S'rq1. this calculation are in compliance with the Florida Energy specifications covered by this 1' Code. Jonathan calculation indicates compliance V0 McGlinchywith the Florida Energy Code.10 2013;06A6PREPAREDBY: 14:35:53 letedBeforeconstructioniscompletedP r43 fU4 DATE: this building will be inspected for 0 compliance with Section 553.908 Q I hereby certify that this building, as designed, is in compliance tFloridaStatutes. St t l Jg. GODwiththeFloridaEnergyCode. WS OWNER/AGENT: A --f a BUILDING OFFICIAL: DATE: DATE: Compliance requires certification by the air handler unit manufacturer that the air handler enclosure qualifies as certified factory -sealed in accordance with 403.2.2.1.1. Compliance requires completion of a Florida Air Barrier and Insulation Inspection Checklist Compliance requires an air distribution system test report, by a Florida Class 1 Rater, confirming system leakage to outdoors tested at 25 pascals pressure difference in accordance with 403.2.2.1. is not greater than 34 cfm:Duct#1) 6/6/2013 1:46 PM EnergyGauge® USA - FlaRes2010 Section 405.4.1 Compliant Software Page 1 of 5 Sep.25. 2013 2:23PM Mills Air No. 0814 P. 4 CITY OF SANFORD BUILDING & FIRE PRf VENT ION nmoffl, APPLICAi[ON A.pplicatiou Na; vl Doeumented Construction. Value; $ ia b Address — Historfc Dis€rict- Yes Q Ido:( 0 ' D zoning; Parcel ]]• I 5 l Non 6 Description o; Work: ` Title: Plan Review Contact Person; Qw \fsal Phone: E - %lI Gf Fax: >? - mail: G .1'l.. property owner fnformation Name Street.. f U -5 s"-"" Resident of property? ; Cq- City, State Zap: G.3. 3'2 Contractor InformatfOr" Phone: Name til l l l. - r Street - D l Fax: q 0 P q - City, State Zip • t Q, f U J State License No.: Archltectl5n9ineer Information Phone: Name- Fax: Street: Citgo, St, Zip: E-mail: Bonding Company; Mortgage Lender: Address, ddress, I PERMIT IN[=ORMA71ON Building Permit 13 Constructlou fype: NO. of Stories; Square Footage: No. ofDwellingUnits., Flood Zone: Nectric€l n PluIIlbin Cf New Ser Ace , No. of ANLPS: Mechanical 9 (Duet layout requirad for now systems) jqew Construction - No. of Ftare-5: Fire Sprinkler/Alarm [I No. of heads: Sep -25. 2013 2:24PM Mills Air No. 0814 P. 5 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- th© issuance of a permit and that all work will be performed to meet .standards of all laws reg lating 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 COMMNCEWNT MAY RESULT INYOUR PAYING TWICE FOR IMPkOVEMENTS•TO YOUR PROPERTY, A NOTICE Off' .COMM:ENCEWNT 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 COM ENCEIVIENT, NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that inay be found in the public records of this county, and there may bo additional perulits required from other governmental entities such as water management districts, state agencies, or federal agencies. Acceptance ofpermit is verification t]iat 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. Signa[ur, of Ovmer/Agent Date Print OtvptdAgent's tvrame , Signature ofNotnry-State of Mort& Dato Own'e.r/Agent is Personally Known to Me or Produced ID - Type of ID APPROVALS: ,ZONING; UTILITIES: ENGINEERING: FIRE: COMMENTS: Re,v 11.08 q 6 5113 3ignaturo of 6114trH4r/Agent Dale Print o tracto ants Signa ot ofNotaryStsreofFloride Date MARIET A OSTOS MY COMMON # EED42392 11 EXPIRES November 16, 2014 07 r96rvM Co n to Me or Produced ID Type of ID WASTE WATER,; _ BUILDING; 7/2ESeP, 25, 2013'' 2:24PM 3 (Mills Ai r No, 0814 P. 6 PURCHASE ORDER Page 1 Purchase Order Date 07/29/13 13id Contract Number 100010 FPO Requisition Number Purchase Order Number 210671 ON Sub # / Lot # 38166 / 0002 Swing/Plan/Elevation 1144 / A Remit To D.R. HORTON 5850 T.G. Lee Blvd. Suite 600 ORLANDO, FL 32822 Phone; Fax; Wank D egcriptian 42190.02 HVAC Final HVAC Final VENDOR. 685252 MILLS AIR INC 6502 FOREST CITY ROAD ORLANDO FL 32810 OUNT: 1,897.00 Phone-, (407) 277-1159 Fax: (407) 292-4390 DELIVER TO: 01 Windsor Lakes Delivery Date 2240 Trillium Park Ln SANFORD, FL 32773 Lot/Block Plat Lot/Block/Phase Option Qty Unit Price Extension 1.00 1,897.000 1,897.00 1,897.00 SPECIAL INSTRUCTIONS: 5. No liability will beassomodfor materials placed onthe job site that arc not installed or that are in the excess of the amount specified on this P.O. 1. We reserve the right to cancel if notfilled as specified. C this P.O. is applicable only to th a jobs indicated. 2. P1aceP.O. number on all invoices. 7. Receipt of this P.O. is binding on supplier Por material atprices specified. 3. A copy of delivery ticket signed by D.R. Horton personnel and this signed P.O. S. All terms and conditions of the signed contract and scope of work apply must accompany each invoice submitted for payment with signed lion release, to this document. 4. Partial Shipments will not be accepted. TermsTax ercelltage Sales Tax Total PO 1,897.0 0 Lstiperintendent: RICHARDS, SHAWN L Phone: (407) 697-9408 D.R. Horton Appr: DATE: BOUNDARY & AS -BUILT SURVEY DESCRIPTION: (AS FURNISHED) LOT 2 WINDSOR LAKE TOWNHOMES REPLAT 1 AS RECORDED IN PLAT BOOK 77, PAGE(S) 47-48, OF THE PUBLIC RECORDS OF SEMINOLE I LOT 771 I LOT 76 I I I I j LOT 75 j LOT 74 LOT 73 I TRACT 'A' COMMON AREA - I L------ I I I 1-------1-------L-------- PLAT BOOK 70, PAGES 44-51 I J T TRACT 'A' TRIWUM PARK LANE 1834 POINT OF INTERSECTION COMMON AREA PARKER KALON 589'22'41 "W POINT ON CURVE FOUND 4"x4" o PLAT BOOK 70, PAGES 44-51 0 POINT OF REVERSE CURVATURE CONCRETE - 15.33' PSM PROFESSIONAL SURVEYOR AND MAPPER PTPOINT MONUMENT NO ID. 9'22'41 S/W 15.0' _________.,___ I 23.84 _15.__33'-- T-1157 -ST15.3S - _T--- 23.83' UTILITY PAD I I LOT m LOT LOT I LOT LOT I n I 2 v 3 i4 5 m I I I El CP A/C 1 IjOI I I Cpm _ I 70:COVERO 0.7' I I :0 '°•I TRY (TYP) II z i' 11.3 LOT 94 I o AArnD Z I TWO STORY I I to IIItoDU1 O 91 CONCRETE it 9 0OAIBLOCK " A O(DIto I I A t0 L,d iW0OD FRAMEL4 O-4 l RESIDENCE I O I O D I FINISH FLOOR I f NI V I I S; ELEV.-45.84D PI rm IU ml I1 Im I 15.3' - I I L- - - - - _(__15.33----1=---- u EDGE 0 WALK IS EDGE OF 5' S/W ',': 1 WALK 1$ 2.1' S. S89'22'41"W ovyu _7!Illum 13 - t 'o3 D m O;m of ozn D~ L .11DmDn N COUNTY, FLORIDA. IiAlt 1"=30' GRAPHIC SCALE 0 15 30 1 Na9 A a mZ o',,C7 I o m N J DIIm 1 N m O I m r Nm TjfZ < 15.33' D FOR THE BENEFIT AND EXCLUSIVE USE OF: R"HORR9N ` 04,16 NOTES: 1. ALL DIRECTIONS AND DISTANCES .HAVE BEEN FIELD VERIFIED, INCONSISTENCIES HAVE BEEN NOTED ON THE SURVEY, IF ANY. 2. PROPERTY CORNERS SHOWN HEREON WERE SET/FOUND ON 12-03-13, UNLESS OTHERWISE SHOWN. 3. THE SURVEYOR HAS NOT ABSTRACTED THE LAND SHOWN HEREON FOR EASEMENTS, RIGHT OF WAY, RESTRICTIONS OF RECORD WHICH MAY AFFECT THE TITLE OR USE OF THE LAND. 4. NO UNDERGROUND IMPROVEMENTS HAVE BEEN LOCATED. 5. BUILDING TIES SHOWN HEREON ARE NOT TO BE USED TO RECONSTRUCT THE BOUNDARY LINES. 6. ELEVATIONS SHOWN HEREON ARE BASED ON SEMINOLE COUNTY BENCHMARK #4573601 AS BEING 46.22' PER NGVD 1929 DATUM. 7. THE FINISHED FLOOR ELEVATION OF THE STRUCTURE LOCATED AT THE ABOVE LOCATION LEGAL DESCRIPTION, MEETS OR EXCEEDS THE REQUIREMENTS SET FORTH IN THE CITY OF SANFORD CODE CHAPTER 18, SEC. 18-4-(A). I HAVE EXAMINED THE F.I.R.M. COMMUNITY PANEL NUMBER 120294 0070 F. DATED 09-28-07 AND FOUND THAT THE SUBJECT PROPERTY LIES IN ZONE "X" AREA OUTSIDE THE 100 YEAR FLOOD PLAIN. THE SURVEYOR MAKES NO GUARANTEES AS TO THE ABOVE INFORMATION. PLEASE CONTACT THE LOCAL F.E.M.A, AGENT FOR VERIFICATION. BEARINGS SHOWN HEREON ARE BASED ON THE CENTERLINE OF TRILLIUM PARK LANE BEING S89 -22'41"W, PER PLAT. FIELD DATE:) 07-08-13 REVISED: SCALE: 1" = 30 FEET APPROVED BY: JBFINAL 12-03-13 CC FORMBOARD 08-07-13 CC JOB NO. 0100403 LOT 2 REPLAT 05-30-13 JMH DRAWN BY: PLOT PLAN#2 10-11-11 RE 8i i c 153.28- 153.28' (M)(C) IPI C— - — - — - — - — - — - CENTERLINE OF 265.28' INGRESS/EGRESS EASEMENT 155.28' (P) ADDRESS: 2240 TRILLIUM PARK LANE SANFORD FLORIDA 32773 LEGEND: CENTERLINE RIGHT OF WAY LINE EXISTING ELEVATION A/C AIR CONDITIONER CONCRETE C CHORD LENGTH CB CHORD BEARING CBW CONCRETE BLOCK WALL CNA CORNER NOT ACCESSIBLE CP CONCRETE PADCsCONCRETESLAB. C/W CONCRETE WALK F.E.M.A. FEDERAL EMERGENCY MANAGEMENT AGENCY F.I.R.M. FLOOD INSURANCE RATE MAP ID IDENTIFICATION L ARC LENGTH LB LICENSED BUSINESS LS - LICENSED SURVEYOR s y a; AMI=F 1CA6V SUF?\/I-= ING MAPPING INC_ CERTIFICATION OF AUTHORIZATION NUMBER LB#6393 3191 MAGUIRE BOULEVARD, SUITE 200 ORLANDO. FLORIDA 32803 407) 426-7979 WWW.AMERICANSURVEYINGANDMAPPING.COM Ei FOUND 4"x4" CONCRETE MONUMENTLB #6393 Q FOUND NAIL AND DISC LS #2005 OSET 1/2" IRON ROD AND CAP SI 8IY TRACT 'A' COMMON AREA - 24.0' INGRESS/— IH PLAT BOOK 70, PAGES 44-51 EGRESS EASEMENT PC ' PC TRIWUM PARK LANE 1834 POINT OF INTERSECTION 93.66' PARKER KALON 589'22'41 "W POINT ON CURVE REFERENCE BEARING) w 1- POINT OF REVERSE CURVATURE PRM FOR THE BENEFIT AND EXCLUSIVE USE OF: R"HORR9N ` 04,16 NOTES: 1. ALL DIRECTIONS AND DISTANCES .HAVE BEEN FIELD VERIFIED, INCONSISTENCIES HAVE BEEN NOTED ON THE SURVEY, IF ANY. 2. PROPERTY CORNERS SHOWN HEREON WERE SET/FOUND ON 12-03-13, UNLESS OTHERWISE SHOWN. 3. THE SURVEYOR HAS NOT ABSTRACTED THE LAND SHOWN HEREON FOR EASEMENTS, RIGHT OF WAY, RESTRICTIONS OF RECORD WHICH MAY AFFECT THE TITLE OR USE OF THE LAND. 4. NO UNDERGROUND IMPROVEMENTS HAVE BEEN LOCATED. 5. BUILDING TIES SHOWN HEREON ARE NOT TO BE USED TO RECONSTRUCT THE BOUNDARY LINES. 6. ELEVATIONS SHOWN HEREON ARE BASED ON SEMINOLE COUNTY BENCHMARK #4573601 AS BEING 46.22' PER NGVD 1929 DATUM. 7. THE FINISHED FLOOR ELEVATION OF THE STRUCTURE LOCATED AT THE ABOVE LOCATION LEGAL DESCRIPTION, MEETS OR EXCEEDS THE REQUIREMENTS SET FORTH IN THE CITY OF SANFORD CODE CHAPTER 18, SEC. 18-4-(A). I HAVE EXAMINED THE F.I.R.M. COMMUNITY PANEL NUMBER 120294 0070 F. DATED 09-28-07 AND FOUND THAT THE SUBJECT PROPERTY LIES IN ZONE "X" AREA OUTSIDE THE 100 YEAR FLOOD PLAIN. THE SURVEYOR MAKES NO GUARANTEES AS TO THE ABOVE INFORMATION. PLEASE CONTACT THE LOCAL F.E.M.A, AGENT FOR VERIFICATION. BEARINGS SHOWN HEREON ARE BASED ON THE CENTERLINE OF TRILLIUM PARK LANE BEING S89 -22'41"W, PER PLAT. FIELD DATE:) 07-08-13 REVISED: SCALE: 1" = 30 FEET APPROVED BY: JBFINAL 12-03-13 CC FORMBOARD 08-07-13 CC JOB NO. 0100403 LOT 2 REPLAT 05-30-13 JMH DRAWN BY: PLOT PLAN#2 10-11-11 RE 8i i c 153.28- 153.28' (M)(C) IPI C— - — - — - — - — - — - CENTERLINE OF 265.28' INGRESS/EGRESS EASEMENT 155.28' (P) ADDRESS: 2240 TRILLIUM PARK LANE SANFORD FLORIDA 32773 LEGEND: CENTERLINE RIGHT OF WAY LINE EXISTING ELEVATION A/C AIR CONDITIONER CONCRETE C CHORD LENGTH CB CHORD BEARING CBW CONCRETE BLOCK WALL CNA CORNER NOT ACCESSIBLE CP CONCRETE PADCsCONCRETESLAB. C/W CONCRETE WALK F.E.M.A. FEDERAL EMERGENCY MANAGEMENT AGENCY F.I.R.M. FLOOD INSURANCE RATE MAP ID IDENTIFICATION L ARC LENGTH LB LICENSED BUSINESS LS - LICENSED SURVEYOR s y a; AMI=F 1CA6V SUF?\/I-= ING MAPPING INC_ CERTIFICATION OF AUTHORIZATION NUMBER LB#6393 3191 MAGUIRE BOULEVARD, SUITE 200 ORLANDO. FLORIDA 32803 407) 426-7979 WWW.AMERICANSURVEYINGANDMAPPING.COM Ei FOUND 4"x4" CONCRETE MONUMENTLB #6393 Q FOUND NAIL AND DISC LS #2005 OSET 1/2" IRON ROD AND CAP LB #6393 0 CENTRAL ANGLE ' P) PER PLAT PC POINT OF CURVATURE PCC POINT OF COMPOUND CURVE PCP PERMANENT CONTROL POINT PI - POINT OF INTERSECTION PK PARKER KALON POC POINT ON CURVE POL POINT ON LINE PRC POINT OF REVERSE CURVATURE PRM PERMANENT REFERENCE MONUMENT PSM PROFESSIONAL SURVEYOR AND MAPPER PTPOINT OF TANGENCY R , RADIUS SQ. FT. SQUARE FEET S/W SIDEWALK TYP TYPICAL UP UTILITY PAD I HEREBY CERTIFY, THAT THIS SURVEY, SUBJECT TO THE SURVEYOR'S NOTES CONTAINED HEREON MEETS THE APPLICABLE "MINIMUM TECHNICAL STANDARDS" SET FORTH' 63 T11E , FLORIDA BOARD OF PROFESSIONAL SURVEYORS AND'6MAPPERS IN CHAPTER 5J 17', FLORbA ADMINISTRA`T:VE CODE PURSUANTTQ CH:1' _ ,FLORIDA STATUTES FOR THE FIRM JAMES W. BOLEM`r11111111619M4II5 °A 1 THIS BOUNDARY & AS -BUILT SURVEY -IS NOT VALID WITHOUT THE SIGNATURE- AND THE ORIGINAL RAISED SEAL OF A 'FLORIDA LICENSED SURVEYOR AND MAPPER. Linscott Plumbing 407-891-9256 p.4 CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No:3rr-" 7 Q 3 Documented Construction Value: S C5 0 S.5 -7 Jab Address: '7& rV's Historic District: Yes No Parcel ID: Description of Work: k) VN g Plan Review Contact Person: Phone: Fax: Zoning: E-mail: Property Owner Information Title: Name 0.9'. r S Phone: Street: .S S 510 Cv-. \-Ze Q V.Jc. Resident of property? • Qu City, State Zip: Contractor Information Namie _`..i \S_SA S'p"ryICN5 Phone: 1-4 0-7 ( s -1t 1-10e Street: Uc>g JCX. c IN: Fag: f407 -- B ` t R to City, State Zip: S, 3{ State License No.: CFC 1 1.2. 'i j 4 Architect/Engineer Information Name: Q A Phone: Street: City, St, Zip: Bonding Company: W Address: Building Permit Square Footage: No. of .Dwelling Units: Electrical New Service - No. of AMPS: Fax: E-mail: Mortgage Lender: Address: PERMIT INFORMATION Construction Type: Flood Zone: Mechanical (Duct layout required for new systems) No. of Stories: Plumbing New Construction - No. of Fixtures: i Fire Sprinkler/Alarm 0 No. of heads: Linscott Plumbing 407-891-9256 P.5 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. POSTER 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 COM34ENCEM ENT. 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/Agent Print Owner/Agent's Name I Signature of Notary -State of Florida Date OwnerfAgent is Personally Known to Me or Produced ID Type of ID APPROVALS: ZONING: ENGIlVEERING: COMMENTS: Rev 11.08 4 . ((. I 13 Signature of Contractor/Agent Date S z -k aa_$5 Print Contractor/AgenCs Name 2 Si State of Florida Date / NICHOLAS LINSCOTI' v lJOTARY PUBLIC a .STATE OFFLORIDA Comm# EE098263 Iwxpir" WWI Cont-actor/Agent is Personally Known to Me or Produced ID Type of ID UTILITIES: FIRE: WASTE WATER: 0 0 CONT' RpICTOR:''.869820 ' ''JQ It'I 17RMA'11dN CONTRACT INFORMATION Pag9e 1 De[e 1Q118J19 L'{}$GO I?LU M9 0 ERVICEi INC ; . I' IN FA COMM KO QOURT 3T CLOUD,. FL 34769 ' ' ' t;ubdiylejgri Number 391680000 Coy 100070 0ub.'-v1s166.Name Contrsat OescrigAan Pho+ie: (407) 891-1700 Fox;_!(407}BBt-8260 Windsor lakes PLUMBING: LIN3COTT Cost, coat Code 2ypp Option mOr1ytlou L031A 1144A 1309A 3419A 19C4A --- 1840A LRI70.02 1593 Vluablvg elnb Rough 1071.50 1077.50 1079.90 1L70.00 1072.60 1170.00 1073.50 LL70.00 1365.00 1469.50 1072.50 1170.00 1363.00 1465.50 42170.03 1533 Plunbing Top Out: 42170..03 1533 Plumbing Sinal 1430.06 1430.00 .1460.00 1430.00 1560.00 - 1630.60 1951.00 Hese Total 3676.00 7675.00 3900.00 3575.00 3900.00 4660.00 d99s.00 Contract Total 3673.00 3575.06 3900.00 3575.0D 3900.00 '4550.00 4085.00 1 4:• 14':'6. y: 11• J•.i' :t{''.i Subeoritractot . I c /J%l b/!' lBrf XtJt++- t! AI.1}t15CQ Q Sli&VICB3 ll+fC . , iyjy !. PrlafcdNRms&TIUc Pak D.R. Harton Orbada SIGNING THIS PAGE APROVES PAGES I THROUGH 1M it at e Dots CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: Documented Construction Value: S q2 CSC Job Address: 2-2--44 0 _(rjU,,.,,, _ (> Historic District: Yes No Parcel ID: Zoning: it Peri-tS„n Description of Work: N2" Q_zC r- 'e . A - r,, -rii -j-y-; r Plan Review Contact Person: qtr a r Title:. c Phone: iu7.?. >3. ZL::t :;t- !C)91, Fax: b . 7 z. t CSO E-mail: i t r E'(e c1C i &r r -n Property Owner Information Name ) 0 Phone: 32j . 2H 4 . qS 00 Street: `-T-G l._ ,cu', r Resident of property? fes City, State Zip: P a. X2_822 Contractor Information Name ,4 ,,- 1 c- r -t E ; c:c- Phone: R T PN -,p. l i Fa, Street:l,?;:crL> ... Fax: Cit -v State Zip: , .-.c. t tl Z?i l State License No.: Architect/Engineer Information Name: Phone: Street: City, St, Zip: Bonding Company: Address: Building Permit Square Footage: No. of Dwelling Units: Electrical Fax: E-mail: Mortgage Lender: Address: PERMIT INFORMATION Construction Type Flood Zone: Plumbing El No. of Stories: New Service - No. of ANIPS: j J 0 New Construction No. ofFixtures: Mechanical 0 (Duet layout required for thew systerns) Fire Sprinkler/Alarm 0 No. of heads: 4 Application is hereby made to obtain a permit to do the work and imtallations as indicated. I certify that no WOCK or installation has commenced prior to the issuance of a pe =it and that all work will'be performed to meet standards of all lags reaulatma 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. y ONVNER'S AFFED A ZT: I certify that all of the foregoing information is accurate and that all work i jl.l be done in compliance Nr-ith all applicable laws regulating construction and zoning. VAR2NING TO OWNER: FOUR FAILURE TO RECORD A NOTICE OF COILlIENCEIIE_NIT ItiLkY RESULT IN YOUR PAYING TAVTCE FOR I_N PRONTMENTS TO YOUR PROPERTY. A iiNOTICE OF CO LATENCVNIENT MUST BE RECORDED -AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT NVTTH FOUR LENDER 0R LN ATTORNEY BEFORE REC0RDLNG YO UR NOTICE OF COIL`'11- CEIfEYT. NO! IC _ In addition to he r,-quirements oft, pernit, there may be additional restriCtiOrIS aL'Dllcable t0 ti-Lis propertyfiat may be ibund LT til pli'Oli records of tl S county, and there coati be additional p2i LtS r?4L1Scd r Oill OC'Ller 0 et u7i r_tal entiiic'S c l as 'y, atzr m na'gemier;t districts, state as mciCS, or Ic^d?ral a=enCi" . Accev Larice Or lett' ti 15 V I.fication that 1 %ill 1'7"; r , c. _ n t the C'. r:er 0! the prop e tV 0! tt. CN'Ll ren_ +i 0 1 i0ridaLien ? aur, FS I 13, The C'or Sari or` requires Payr, ._ l t Oi a plan r0v 1c`;', I,,-. cop v" 0 the executed com act ! rc'ia111_t IIl oruer tO CcrC l ie a (3lan , :l L' lai 1 the :t_-t;uzed contract 1 not allb I tied_ Vit, r. _. -c { a a+ e t r 1 tie an Ic ie, > e based On Da.t_ _ve -Sp; D "cost t 1 I, -Should cicar du - a Cons--- 1 _.Orl Val"ae drie-P til,. -executed C0ntta 1 1 sub 11'i. -d. Crt dl_ ,7:11 be appl_ed to tic p_",7_it kC_ ..h,rl the. i)eri111t is released. S=a:urs at SI;l1aC.!7.. OC i10t ,' - i,te of-EiOL`" IS Peisona lV Kno1 ,-n to l`1e or F-coiced ID TvI e of ID _ Sier :uz o Con: --tor/ nt i n 13 e 0i'C10PCiL LT_te JENNIFER K GARTER : MY COMMISSION Y FF 029301 EXPIRES: June 19, 2017 Con-ractur,'gcnt is YC;s0:13i1`_% K;G`Ia [0 !`Vie o - T) TTTye e of ID APPROVALS: Z0ti1' G UTILITIES 'WASTE COMMENTS: Rev I1.O's EtiGINNEE.R1NG: FIRE.: BtiiUD'INTG: I IIIIIII 1111 111111 111111111 Illl Illlli I Ill lll ill Il>I SEMINOLE COUNTY MULTI -JURISDICTIONAL REQUEST FOR PRE -POWER Altamonte Springs, Casselberry, Lake Mary, Longwood, Oviedo, Sanford, Seminole County, Winter Springs Date: 1(1I1f z Project Name: Building Permit #: Windsor Lakes Project Address: C'Qc o Electrical Permit #: In consideration for authorizing the appropriate utility company to energize the facility, we agree with and understand the following: 1. The facility will not be occupied until a certificate of occupancy has been issued. 2. If the jurisdiction hereafter finds that the facility has been occupied before a certificate of occupancy has been issued, the jurisdiction will have the unilateral right to direct the utility to terminate electrical service without notice. Furthermore, we understand and agree that should the jurisdiction exercise such right, the jurisdiction will not be responsible for any damages or costs which may result from the exercise of such right. Also, in the event any third party claims damages from the exercise of such right, we agree to jointly and individually indemnify and hold harmless the jurisdiction from all such damages and costs, including attorney's fees. 3. The building or structure shall be weather tight and secure. The electrical wiring in the area designated for pre -power shall be complete and in safe order. All electrical services associated with the area will be 100% complete unless specifically approved by the electrical inspector. 4. Interior electrical rooms shall be lockable, if electrical panels are in an area that cannot be locked by doors, the panels shall be equipped with a locking mechanism (approved by the AHJ). The licensed electrical contractor or his licensed representative shall hold the keys(s) for such access to electrical panels to prevent energizing circuits other than those that are safe. 5. If provided, the fire sprinkler system must be operational, per the local AHJ requirements, with water on the system prior to pre -power. 6. This pre -power approval is valid for a maximum of 180 days from date of approval. 7. Check with the local jurisdiction for fees associated with pre -power. LLOwnerfTenant pson Steven R. Young Joe Strada P nfrenant Print Na VG.Nortractor Pr a o 1. Contractor Si ature of Tig lure of Gen. ? 212 ractgn EI. Contractor CBC125 EC13003715 Gen. Contractor License # E1. Contractor License # JURISDICTION EMPLOYEE NAME: JURISDICTION: CALLED INTO: Progress Energy Florida Power and Light on Rev. 3127107) COUNTY OF SEMINOLE IMPACT FEE STATEMENT STATEMENT NUMBER: 10100004 BUILDING APPLICATION #: 10-10000419 BUILDING PERMIT NUMBER: 10-10000419 DATE: October 19, 2010 / J UNIT ADDRESS: TRILLIUM PARK LANE 2240 12-20-30-514-0000-0970 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: 2240 TRILLIUM PARK LN / LOT 97 / 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 00 LIBRARY CO -WIDE ORD Condominium* 54.00 1.000 dwl unit 54.00 SCHOOLS - CO -WIDE ORD Multifamily 2,450.00 1.000 dwl unit 2,450.00. PARKS N/A LAW ENFORCE N/A 00 DRAINAGE N/A 00 00 AMOUNT DUE 2,883.00 RECEIVEDTBY: IMP%'f-- Ur/---e"--SIGNATURE: PLEASE PRINT NAME) DATE: NOTE TO RECEIVING SIGNATORY/APPLICANT: FAILURE TO NOTIFY OWNER AND ENSURE TIMELY PAYMENT MAY RESULT IN YOUR LIABILITY FOR THE FEE. *** DISTRIBUTION: 1 -BLDG DEPT 3 -APPLICANT 2 -FINANCE 4 -LAND MANAGEMENT NOTE** PERSONS ARE ADVISED THAT THIS IS A STATEMENT OF FEES DUE UNDER THE SEMINOLE COUNTY ROAD, FIRE/RESCUE, LIBRARY AND/OR EDUCATIONAL ISSUANCE OF A BUILDING PERMIT. PERSONS ARE ALSO ADVISED THAT ANY RIGHTS OF THE APPLICANT, OR OWNER, TO APPEAL THE CALCULATION OF ANY OF THE ABOVE MENTIONED IMPACT FEES MUST BE EXERCISED BY FILING A WRITTEN REQUEST WITHIN 45 CALENDAR DAYS OF THE RECEIVING SIGNATURE DATE ABOVE, BUT NOT LATER THAN CERTIFICATE OF OCCUPANCY OR OCCUPANCY_ THE REQUEST FOR REVIEW MUST MEET THE REQUIREMENTS OF THE COUNTY LAND DEVELOPMENT CODE. COPIES OF RULES GOVERNING APPEALS MAY BE PICKED UP, OR REQUESTED, FROM THE PLAN IMPLEMENTATION OFFICE: 1101 EAST FIRST STREET, SANFORD FL, 32771; 407-665-7356. PAYMENT SHOULD BE MADE TO: SEMINOLE COUNTY OR CITY OF SANFORD BUILDING DEPARTMENT 1101 EAST FIRST STREET SANFORD, FL 32771 PAYMENT SHOULD BE BY CHECK OR MONEY ORDER, AND SHOULD REFERENCE THE 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. RECEI E0, CITY OF SANFORD l €1 8 2010 BUILDING & FIRE PREVENTION PERMIT APPLICATION pp ! / / ' A _ licaton No; __ Documented. Construction. Value: S. /I q "?39,•x'"-. Job Address: 0 7ti'u m P0.r IL 2.ZAe_ Historic District: Yes No Parcel ID: Zoning: Description of Work: jaar);ly CtACit 6Fe d 7_oGvnh,me_S Plan. Review Contact Person: Valex Ie Title_T rM.iJ Phone: 4M 7 - 5_0 - 5a8, - Fax: e9R9 F -mail: V 1 _u_rre r a J r 11 Property Owner Information Name r-Un 1 t1C . Phone: kt6`1 X50 -Sabel, Street: ke e -9l Vel . , jodU Resident of property? Cite, State Zip: D,-kf) E Contractor information Name 54ever1}ak'oq Phone: 6i-b'Sb-5 760 Street: 585D r ., (a . Le -Sl Yd , 4 Fax: City, State Zip: " or'l u)d. / .1:5L -5'V 2 State License No.: Architect/Engineer Information Name:M&'ln Street: I' n al SSO City, St, Zip: 0Ay_ymon Fes`' Phone.- hone: Fax.- Fax: E-mail: E-mail: Bonding Company:zV'1A Mortgage Lender: Address: Address: Building Permit LTJ Square Footage: No. of Dwelling Units: 1 Electrical New Service - No. of AMPS: PERMIT INFORMATION Construction Type: %' Tfzz No. of Stories: Flood Zone: Mechanical (Duct layout required for new systems) S- C coa0 Plumbing 0 New Construction - No. of Fixtures Fire Sprinkler/Alarm No. of heads: g9 3,q11 Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has cotrnnenced 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 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 executedcontract 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 caner/'4Date Bk)- I 1 i ay) T---w.cs'S,=10d Print Owner/Agenl s Name Sinn; ure (al gran -c n Date sey VIAL . RRER Commission DD 668238 Expires May 25, 2011 Handad Thar Trdy Fain InturWe 800-385-7019 Owner/Agent is /Personally Known to Mem Produced ID Type of ID APPROVALS: ZONING: UTILITIES: ENGINEERING: COMMENTS: Rev 11.08 FIRE: j Z94 Pic Signature of onuac or%_ gent ate 5 jCVe.n 'R. Print Contractor. Agents Name 1p &J_A- ) -0 , Signature of Notary -State ol`l-loiida Date VALERIE L. FURRIER Commission DD 668238 Expires May 25, 2011 dand89 bru Troy ri nn InOuranaa 900.365.7079 Contractor/Agent is " Personally Known to Me or Produced ID Type of ID WASTE WATER: BUILDING: /o/da//o 11 RE' -'C- d D CITY OF SANFORD EJl + 2.010 BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: I / l L Documented Construction Value: Job Address: .`o. r'//uM Par 1L LZAe—Historic District: Yes \'o . Parcel 1D: 1,R -old-31)- S/W/- 6,900 — 09 `7 0 Zoning: Description of Work:. -rbwnhornes Plan Review Contact Person: l% ex) e. Title-4WmA 01)04 i0np" Phone: Fax: E-mail:. V rre drJ bY on`.E oM Property Owner Information Name• C- prl 1 t1C . Phone: --- 46' Street: ' {411 . , --ff & Resident of property? City, State Zip: Contractor Information Name 54e yen} , 1I x _g Phone: 116 7 - 6VS6.- S a -o d Street. -5-85 J Lo58S' C- !. l yd' 60 Fax: y 95-Y vSg City, State Zip: Qr/amo -3wo g State License No.: Architect/Engineer Information Name.- ndc- rn& r) Phone: 35c-aV-1-6I©tl Street:fn Fax: City, St, Zip: ^i16}'1 3 z/'7/,;.)-- E-mail: Bonding Company: Mortgage Lender: Address: Address: Building Permit0 Square Footage f02S,% No. of Dwelling Units: l Electrical New Service - No. of AMPS: PERMIT INFORMATION Construction Type.- Ji=m IW No. of Stories-, Flood Zone: Plumbing v— New Construction - No. of Fixtures: Mechanical 0 (Duct layout required for new systems) Fire Sprinkler/Alarm 0 No. of heads: a 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 corrnYienced 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 fi-orn other governmental entities such as water- management districts, state agencies, or federal agencies. Acceptance of permit is verification that 1 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 pen -nit fees when the perniit is released. j Si nanrre of caner 1 Date Lo" I I i c m T--- -, ea o, Print Oxvnei-Agents Name Siena u--, q and-\ {{ nRRER Date Commission DD 668238 P Expire, May 25; 2011 nP, Nord©d ThtU Troy Air. Innuranc© 300.385-7019 Owner/Agent is /Personally Known to Me n - Produced ID Type of ID APPROVALS: ZONING: ENGINEERING: COMMENTS: Rev 11.08 Signature or onuac or/ gent ate 5icye.n 'R Vt7ln Print Contractor. Agent Name S12naurre of Notary -State of rlonda Date VALERIE L. FURRIER Commission DDA_'668238 Expires May 25, 2011 P„ V,6 Norden Tha frby rAln Innuronu 800.385.)019 Contractor/Agent is /Personally Known to Me or _ _ Produced ID Type of ID UTILITIES: %U' WASTEWATER-., FIRE: BUILDING: Ab F D- CITY OF SANFORD I Z010 BUILDING& FIRE PREVENTION PERMIT APPLICATION Application No: / ( Documented Construction Value: $ // q, ?3 9 Dd Job Address: Tri'//urr 700-r 1L L"E_ Historic District: Ye's No Parcel ID:'—/,-;? -o26-31)- sly- 6000 - Oq ? 0 Zoning: Description of Work: 'S i:Qg1e arr,/ Q.c Tp yhha/ytEs Plan Review Contact Person: /[l j e, Title-Tefyflf ilk' ord_ "oa<' Phone: 41, - SSa-,57,;ZBa Fax: E-mail:'/1._u-rre,rtj d.rk)bi-4toil. 6vt" Property Owner Information Name r4-cr) 1 i\C Phone: _ 40 1 50 -Sab 7 Street. 6-S5D / ::/_e f31 yC # (oDD Resident of property'.' City, State Zip: _tor'ct Contractor Information Name _54e e n } t'lq Phone: '6 7 - 6''S6 - 5-a 6 O Street: 'S8S0 ( Lem l-,f t, 60 Fax:117915_ 41 609 City, State Zip: Or'f mdo., z::Z- 3 b'a State License No.: Architect/Engineer Information Name.- n% J n,P_Jna,—)ri Street.- City, treet: City, St, Zip: N>° 1"MOD f, 3 z1-7la- Bonding Company: IV,& Address: Building Permit 0 Square Footage: No. of Dwelling Units: 1 Electrical NeNv Service - No. of AMPS: Phone: 3Sa - a4f-a- 610-0 Fax: E-mail: Mortgage Lender: _A01-4 Address' PERMIT INFORMATION Construction Type: J!'' fi2 No. of Stories: v— Flood Zone: X ep—a6atiX4 Plumbing Mechanical (Duct layout required for new systems) New.Construction - No. of Fixtures: Fire Sprinkler/Alarm ' 'No. of heads: Application is hereby made to obtain a pen -nit 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: 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 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 pen -nit fees when the permit is released. Signature of wner'A Dale Print Owner'Agent's Name O Signa tire ogtarv- n DarrV,?L I . RRER Commission DD 668238 Expires May 26 2011 Bondod ihm Troy Pain Insurance 800325-7019 Owner/Agent is Vf Personally Kiown to Mem Produced ID Type of ID APPROVALS: ZONINGA010t %'Cf tU UTILITIES: ENGINEERI /"(O'to FIRE: COMMENTS: Rev 11.08 41/,a Signature ofC ontrac orYgent ate 5i'e-ven .-R V Print Contractor Agent's Name Signature of Notary -Stale of Flonda Date aSpP"•.'ye' VALERIE L. FURRER Commission DD 668238 iz Expires May 25, 2011 a roe k4 landAd hili fmy Fain Inoararica 8W,M-7019 Contractor/Agent is /Personally Known to Me or Produced ID Type of ID WASTE WATER: BUILDING: City of Sanford Planning and Development ServicesP8ill7Engineering - Floodplain Management Flood Zone Determination Reauest Form Name: \0.I £ f i Q—' Firm: 0. t7-, Address: 58 Sc) 7 . c, LP -q- (Poo City: State: (_ Zip Code: 32812-Z Phone: qo 7-61Q. S B z- Fax: gGr, - 295•L'989Email: 11 ,rrA, 2 Ar` it)(D 1\-W ag Property Address: 22, -Io -T'- 11 ; Property Owner: (Z, Vko f,o v%, Parcel identification Number: I 2. • 1p - 30 • S- i q L-X)oo • 09"7o Phone Number: qy? • 6-S70 • -5700 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) x....:::..° L t ` OFFICIAIJS:E ONLY Flood Zone: j( Base Flood Elevation: Datum: FIRM Panel Number: 12o 29,4 Oo7D F Map Date: 9 • ZZ -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 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: TO*"It—t37 Review Date: 10 - Z( - J T:\Engr-Files\Elevation Certificate\Flood Zone Determination Request Form.doc REt R.. D CITY OF SANFORD t I (8 2010 BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: t ( Documented Construction Value: $ / y '73 9. 00 Job Address: -2- 0 u t'y) P0..r 1L Lul e—Historic District: Yes [1 No 21 Parcel Zoning: Description of Work: 5'Qq1e- r -v »)A &,iLa.a4e d 7_61vhhornEs Plan Review. Contact Person: U(l Ie. Title:- P InJ 0z)ord_'i0aJn-- Phone: qd7- S.Sa:SaFla- Fax: ?66 A9.5- M9 E-mail: Vf_crre_r dri tiYlD/.E.r l Property Owner Information Name Url 1i1C. Phone: /O'1SO-5x00 Street: 5M 1 % " ,L.e 'L _91a „ -W-w00 Resident,of property? City, State Zip: 6t-ld-n ekz) Contractor Information Name 54eye n R[X,v1q Phone: Lt6 7 - b'S6 - 5 ao O Street: ,-850 l ,, Le. 1yd . Fax: City, State Zip: 000-F)CLo, FL 3 a 2- State License No.: Architect/Engineer Information Name: LiodErn&,-) r) Street: 5550 City, St, Zip: +, /;P - Bonding Company: Address: Building Permit Square Footage: 1asy No. of.Dwelling Units: ) Electrical New Service - No. of AMPS: Phone: 35-2 - aV.-D-- U 10-0 Fax: E-mail: Mortgage Lender: Address: PERMIT INFORMATION Construction Type: 5i 7_# No. of Stories Flood Zone: Mechanical (Duct layout required for new systems) as 98 7S_ 12 Plumbing New Construction - No. of Fixtures: o J Fire Sprinkler/Alarm No. of heads: v- YrD 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 wilFbe 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 i;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 pen -nit fees when the pen -nit is released. Signature of wnerA Dale Wim, I i i am f - .. Cts` t 0of Print Owner -Agents Name o // 0 Signa ureFal A,larv- ru Date Pis- VtL . IV.cr. RRER Commission DD 668238 Expires May .25; 2011 oF `,•`•• Bonded TirnrTroy Fain Insurance 800-335-'014 Owner/Agent is /Personally Known to Mem Produced ID Type of ID APPROVALS: ZONING: ENGINEERING: COMMENTS: Rev 11.08 UTILITIES 40 Signature of onn:ac ori gent ate 5icVe.n 'R. Vn1 n 9 Print Contractor Agents Name f Signature or Notary -State of Florida Date r VALERIE L. FURRIER Commission DD 668238 Expires May 26, 2011 95hd^d Titru Troy Fain Innuuenae 00,305-7019 Contractor/Agent is '' Personally Known to Me or Produced ID Type of ID WASTE WATER.- FIRE: ATER: FIRE: BUILDING: o ADDRESS: BOUNDARY & AS -BUILT SURVEY 2340 TRILLIUM PARK LANE s sANFORD FLORIDA 32773 DESCRIPTION: (AS FURNISHED) a LOT 91, WINDSOR LAKE TOWNHOMES a FOR THE BENEFIT AND AS RECORDED IN PLAT BOOK 70, PAGES 44-51, OF THE PUBLIC EXCLUSIVE USE OF: RECORDS OF SEMINOLE COUNTY, FLORIDA = DR HORTON 1"=20' TRACT A GRAPHIC SCALE COMMON AREA 0 10 20 k, 15.33' O" N89"22'41"E ` pry 16.17' 15.33 3.5'x3.5' I 15.33' 1 15.33' - - T - 16.17' ~r I i i I A/C N I I I I I 1 I I IIII I I 14.0QPVERED I I I I I I bENTRY-' I I I I LOT i I i V ,, 3:' F 1 LOT i LOTILO89LOTII, LOT wi i 92T i 93 i 94 I I I IN 90 1 ,0 91 0l I 0 .-O w j j Z I I TWO STORY I I Ln I I to n c D N 4 E I p of I CONCRETE v O I I Iw x D LOT 95 i C o ^n I la U, O D I BLOCK I I D I I l y i C7 a -I C18 ml y`nolo (O LA I IWOOD FRAMEI I --I to Ie s I I o1 O v {I j RESIDENCE I I O 'lu Iw If m D vl IO O *I IFINISH FLOORI I y 0 0l` Daly I a DI' I INIIm - t0 I IELEV.=44.831 I Ire' Im 1 ° - I I r I I I I ct I I I I I I I I I j COVERED j j I I I I I J I ENTRY I I I I I I II I I I I L 15.3' J L I I I I I '4 u I I 1 I I I I I 4?9' _ 16 17' 1 15.33' C/W 15.33' I 1533' I -16.17' 1617' 1 --------------------------- 15.0' — — — WALK IS WALK IS 1.4' S. .5' S/W ."< 1.5' S. S89"22'41 W 15.33' PRC 5 rya, \ 24.0' .INGRESS/ EGRESS EASEMENT No 0 o 0 m FgS'Pc S'P<i TRACT 'A' I------ COMMON AREA / I 3.33' I o PT^\jIL 261.95' _ O, - '--` N89'22'41"E 265.28' O\ , ;po, 1Sl \ / q/ CENTERLINE OF - C 6v O° Ss, l+ / iA bq INGRESS/EGRESS ^ 4°AS6;°°• \ / P v . 5100 s.N5, 9 EASEMENT s' * + \ F + 6 PC Ge 16p6 — — NOTES: \ \ / c / / 24.0' INGRESS/ 1. ALL DIRECTIONS AND DISTANCES HAVE\ Nj EGRESS EASEMENT BEEN FIELD VERIFIED, INCONSISTENCIES HAVE 10 Q BEEN NOTED ON THE SURVEY, IF ANY. \ Cj 2. PROPERTY CORNERS SHOWN HEREON WERt, SET/FOUND ON 03-25-11, UNLESS OTHERWISE\/ SHOWN. \ PI 2 / 3. THE SURVEYOR HAS NOT ABSTRACTED THE LAND SHOWN HEREON FOR EASEMENTS, RIGHT OF \ / LEGEND WAY, RESTRICTIONS OF RECORD WHICH MAY AFFECT THE TITLE OR USE OF THE LAND. \ / CENTERLINE FOUND NAIL do DISC RIGHT OF WAY LINE Al LS /2494 4. NO UNDERGROUND IMPROVEMENTS HAVE BEEN V 131.24 EXISTING ELEVATION SET 1/2" IRON ROD AND CAP LOCATED. A/c AI CONDITIONERDITIONER ® LS p6393 A DELTA ANGLE 5. BUILDING TIES SHOWN HEREON ARE 0 CONCRETE (P) .'PERPLAT Pc POINT OF CURVATURENOTTOBEUSEDTORECONSTRUCTTHECCHORDLENGTHPCCPOINTOFCOMPOUND CURVEBOUNDARYLINES. C.B. CHORD BEARING PCP PERMANENT CONTROL POINT CBW CONCRETE BLOCK WALL PI POINT OF INTERSECTION 6. ELEVATIONS SHOWN HEREON ARE BASED ON CNA CORNER NOT ACCESSIBLE PK PARKER KALON SEMINOLE COUNTY BENCHMARK #4573601 CP CONCRETE PAD POC POINT ON CURVE CS CONCRETE SLAB POL POINT ON LINE AS BEING 46.22' PER NGVD 1929. C/w CONCRETE WALK PRC POINT OF REVERSE CURVATUREF.E.M. A. FEDERAL EMERGENCY MANAGEMENT AGENCY PRM POINT OF REVERSE MONUMENT 7. THE FINISHED FLOOR ELEVATION OF THE DF. I.R.M. IDENTIFICATIOFLOOD N PSMRATEMAPPSM PROFESSIONAL SURVEYOR AND MAPPER STRUCTURE LOCATED AT THE ABOVE LOCATION L ARC LENGTH RT RADPOINT IUS F TANGENCY LEGAL DESCRIPTION, MEETS OR EXCEEDS THE LB LICENSED BUSINESS RP RADIUS POINT LS LICENSED SURVEYOR S/W SIDEWALK REQUIREMENTS SET FORTH IN THE CITY OF (M) MEASURED TYP TYPICAL SANFORD CODE CHAPTER 18 SEC. 18-4-(A). OHU OVERHEAD UTILITY LINE UP UTILITY PAD I HAVE EXAMINED THE F.I.R.M. COMMUNITY PANEL NUMBER 120294 0070 F. DATED 09-28-07 AND FOUND THAT THE e THIS BOUNDARY SURVEY .IS NOT VALID. SUBJECT PROPERTY LIES IN ZONE "X" AREA OUTSIDE THE s' WITHOUT TH[`SIGNATURE .Np THE ORIGINAL 100 YEAR FLOOD PLAIN. THE SURVEYOR MAKES NO RAISED SEAL OF A FLORIDA LICENSED GUARANTEES AS TO THE ABOVE INFORMATION. PLEASE SURVEYIDR`AND MAPPER. CONTACT THE LOCAL F.E.M.A. AGENT FOR VERIFICATION. BEARINGS SHOWN HEREON ARE BASED ON THE WESTERLY LINE OF LOT 89 AS BEING S00'37'19"E, PER PLAT FIELD DATE:) 11-18-10 REVISED: S U FZ I—= I N GSCALE: 1" = 20 FEET MAPPING INC. 29 2 -al tAPPROVEDBY: JB CERTIFICATION OF AUTHORIZATION NUMBER LB#6393 FOR JOB N0. 0100403. LOT 91 FOUNDATION/FINAL 1030 N. ORLANDO AVE, SUITE B WINTER PARK, FLORIDA 32789 THEFIRM DRAWN BY: 03-25-11/CC 407) 426-7979 WWW.AMERICANSURVEYINGANDMAPPING.COM JAMES W. BOLEMAN PSM#6485 DATE PLOT PLAN 10-13-10 ew to be my lawful attorney-in-fact to act for to apply for, receipt for, sign for and do all things necessary to this appointment for (check only one option): All ermrts and a lications submitted by this contractorPPP F The specific permit and application for work located af: Street Address) " .. Expiration Date for This Limited Power of Attorney: License Holder Name: State License Number: c - Signature of License Holder: —A& STATE OF FLORIDA COUNTY OF r The foregoing instrument was acknowledged before me this /j - lay of 4&4tb-l- , 20th ( , by a)kCOf) Q _ who is dpersonall k_n n 1u-ne-or o who has produced as identification and who did (did not) take an oath. 111111!!lllllj1Signature DANIELLE GRAM rrrrrrNota Q' SIONF.9! 16, 20i09 .• Print or type name Notary Public - State of F (1 DD 962209 : o Commission No. I. I tyu Q '•:%eor,death g,,: o My Commission Expires:__0 L1 i • r r j t _zPERMIT OFFICE FORM 1100A-08 FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Florida Department of Community Affairs Residential Performance Method A Project Name: DR Horton - Sherwood Street:..._ .. X02 46T i IWm w y Ltd Builder Name: Permit Office: City, State, Zip: FL. Permit Number: 13,7 Owner: Sherwood Townhome Jurisdiction: Design Location: FL, Orlando 1. New construction or existing New (From Pians) 9. Wall Types (1854.7 sgft.) Insulation Area 2. Single family or multiple family Multi -family a. Concrete Block - int Insul, Common R=4.1 1334.70 ft2 b. Frame - Wood, Exterior R=11.0 260.00 ft2 3. Number of units, if multiple family 1 c. Concrete Block - Ext Insul, Exterior R=4.1 130.00 112 4. Number of Bedrooms 2 d. other R= 130.00 ft2 5. Is this a worst case? Yes 10. Ceiling Types (617.0 sgft.) Insulation Area 6. Conditioned floor area (ft') 1144 a. Under Attic (Vented) R=30.0 617-00 ft2 b. N/A R= ft2c. 7. Windows(125.0 sgft) Description Area NIA R= ft' a. U -Factor: Dbl, U=0.55 110.00 ft2 SHGC: SHGC=0-29 11- Ducts b. U -Factor Dbl, U-0.55 15.00 ft2 a. Sup: Attic Ret: Attic AH: Interior Sup- R= 6, 228.8 ft2 SHGC: SHGC=0.26 12. Cooling systems c. U -Factor: N/A ft2 a. Central Unit Cap: 24.0 kBtu/hr SHGC: SEER. 14 d. U -Factor: NIA ft2 13. Heating systemsSHGC: a. Electric Heat Pump Cap: 24.0 kBtulhr e- U -Factor: N/A ft2 HSPF:8.2 SHGC: 8. Floor Types (617.0 sgft.) Insulation Area 14. Hot water systems a. Slab -On -Grade Edge Insulation R=0.0 617.00 WEF: a. Electric IonsCap: 40 gallons 0-92 b. N/A R= ft2 b_ Conservation features c. N/A R= ft2 None 15. Credits Pstat Glass/Floor Area.- 0-109 Total As -Built Modified Loads: 20.44 PASS PASSTotalBaselineLoads.- 24.22 I hereby certify that the plans and specifications covered by this calculation are in compliance with the Florida Energy Review of the plans and specifications covered by this 4-VHE ST4t Qti 0„ Code. - ^ calculation indicates compliance with the Florida Energy Code. PREPARED BY: v-( 71 Before construction is completed DATE: / _ .. this building will be inspected for compliance with Section 553.908 t z hereby certify that this building, as designed, is in compliance Florida Statutes. with the Florida Energy Code. COU y"rE OWN ER/AGENT:`` BUILDING OFFICIAL: DATE: - 16 J /41 MD - 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 3:28 PM EnergyGauge® USA - FlaRes2008 Page 1 of 5 tie ked Chij i)e_yun f) -to. 4— PermitPermit o. Tax Folio No. 0--A0 -30 ` 5-1 /-0006 -69.70 NOTICE OF COMMENCEMENT State of Florida County of Seminole File undersigned hereby gives notice that improvement vHI be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 11111111N 11 all 11101 HI I IN 11 IN 0 IN 0 Iml 11 N111 u11 am MARYANNE MORSE, CLERK OF CIRCUIT COURT SEMINOLE COUNTY BK 07463 Pg 00571 Q pg ) CLERK'S 0 2010120091091 RECORDED 10/15/2010 0814WO AM RECORDING FEES 10.00 RECORDED BY T Saith 1. Description of Pfroperty: (legal description ofthe properly, and street address if available) "4 11. j 2. General description of improvement: cSinC le— am,1 e Q Tba ltlhb>` 3. Owner inlonnation: Name: D,R., r461 r_i :Z:Ae Address `_?5b -7 G . ke,,_ B Is/,4 #( G0, Drlw)dp, oL 5-D b. Interest in property: 9 c. Name and address of fee simple titleholder (if other than Owner): Name: Address: 4. Contractor Name: !U. '.Z/DA,L Phonenumber: 'Ehi-SSD-fir c. Address: SSD i- ' . L.ec?.. 6iyey. G,(D, Drl""i"3a8a- 5. Surety Name Address: b. Amount of bond 6. Lender: Name: Address: b. Lender's phone number: 7.11. Persons within the State of Florida designated by Owner upon whom notices or other documen provided by Section 7 13.1 3(1)(a)7., Florida Statutes: Name: Address: S.a. In addition to himself or herself, Owner designates Lienor's Notice as provided in Section 713.13(I)(b), Florida Statutes. b. Phone number of person or entity designated by owner: 9. Expiration date of notice of commencement (the expiration date is date is specified) of AR ffVC1R 1j CI as VIA to receive a copy of the 1 year from the date of recording unless a different WARNING TO OWNER: ANY PAYMIHNTS,MADE BY THE OWNER AFTER THE EXPIRATION OFTHEHE NOTICE OI" COMNIENCEMENF ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THP; .JOB SITE BEFORE THE_ FIRST INW-CTION'. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITI-I YOUR LENDER OR AN T- N_ 3EFORE COMMENCING WORK OR RECORDING YOUR NOTICE O C MEN{C - tature o w r or s .Au cc Otticer.'Director/ParuteriManager Signatory's Title/Office The foregoing instru ent was acknowledged before me this /i/Lh day of 16111) , (year) , by (name of person) as (type of authority, ... e.g. officer, trustee, attorney in fact) For (name of party on behalf of whom instrument was executed) . VALERIE I... FURRIERy. 3 t" - ------ ---___ - (SEAL) temg Ccr,„mission Ud 668238ExF;ires Iv?ay 25, %011StgnauueofNotaryublicBondedThaio-oyraino-swanausao-aesaoiv Personally Known OR Produced identification Type°flllfiT' Veri lication pursuant to . ti 9 ” , Florida Statutes: Under penalties of perjury, I declare that I have read the foregoing and that tl facts statedi true t I est of my knowledge and belief. Signature of aural Per n Rev. date 3/2008 PLOT PLAN DESCRIPTION: (AS FURNISHED) LOTS 95-100, WINDSOR LAKE TOWNHOMES AS RECORDED IN PLAT BOOK 70, PAGES 44-51, OF THE PUBLIC RECORDS OF SEMINOLE COUNTY, FLORIDA Emma 131 0" 0fill FFICE wa o I I LOT 76 j LOT 75 j LOT 74 LOT I z 73 O 20' v I GRAPHIC SCALE1-------L-------- J 0 10 20 TRACT COMMON AREA m Cn O OAhh NO 4' S S89'22'41 "W 93.66' 0' I_ -- _ _ - Ir 15. .33.'.' 15,33' 5.33' o Ii 16,17' 15.33'6.17' 5.33' 0.5' 77'15.33 01. 55.' II / I 14.3' .. Afn a N..'.::.,.. Iv r;.' A. 14.3 - 4.3,1I`, T3.7' LANAI LAN 311.7'ZA'I 0 O.. I 11.0•::. I 1.0' 1 I I o W A 92 68' i I i J n —I OoDJm Z> 6 UNIT TOWNHOME (15' PRODUCT) 1 o D Z FINISH FLOOR ELEVATION= 44.25 I Z n j LOT 94 j rri v D -o LOT ; o LOT ; o LOT LOT ; LOT ; S LOT o > D 95 N1to I i ( o 96 -: o 97 -10 98 - o 1 1 c.: ! (.: 99 - lo 100 u V' ... oIJOIC oIJ OIJ 01 OI 1G .'s Unun oI 1 Im0 I f Im Im Im O Q j COVERED j i j COVERED i Q ENTRY 1ENTRYICOVEREDCOVERED I COVERED ENTRY ENTRY 14.7' ro 1 d 14.7' I COVERED ENTRY ENTRY NI 4. n IN 15.7' I 15.7' I Iv 16.0' 4; '. I 0.5' 0.5' 1436 16.17' t5.33' 15.33' 15.33' 16.n tai. 6 50150<- o O_ N N89*22'41 "E 93.66' N N 0 0 I I III o TRACT I1I1 to o p o I v COMMON AREA p l J 24.0' INGRESS/ 0.1 j I r EGRESS EASEMENT j rn II- 1 I I PREPARED FOR: II tio II DR HORTON TRILLIUM PARK LANE CENTERLINE iv INGRESS/EGREE SS BUILDING SETBACKS: EASEMENT THIS TOWNHOME UNIT HAS BEEN POSITIONED TO FIT WITHIN - - THE REQUIRED PLOTTED LOT AREAS AS ESTABLISHED ON THE FINAL RECORDED LOT LEGEND 1. ELEVATIONS SHOWN ARE INTERPOLATED PER LOT XX PROPOSED ELEVATION XXLGRADINGPLANSPROVIDEDBYTHECLIENT. CENTERLINE 2. ELEVATIONS SHOWN ARE BASED ON SEMINOLE BUILDING SETBACK LINE PROPOSED DRAINAGE FLOW COUNTY BENCHMARK 304-22-01, ELEV. 45.941 RIGHT OF WAY LINE CONCRETE VERTICAL DATUM (NGVD 1929). TYP TYPICAL 0CSCONCRETESLAB CENTRAL ANGLE THIS PLOT PLAN IS INTENDED FOR PERMITTING PURPOSES P) PER PLAT R RADIUS L ARC LENGTH ONLY. THIS IS NOT INTENDED FOR THE CONSTRUCTION OF C) CALCULATED C CHORD THE PROPOSED HOUSE. REFER TO HOUSE PLAN AND OPTION PB PLAT BOOK CB CHORD BEARING LIST FOR CONSTRUCTION. ALL BUILDING SET BACK LINErS SHOWN HEREON IS PER DATA PAGESSQSFT, TY PADqAIRLICONDTONER FURNISHED BY CLIENT AND IS FOR INFORMATIONAL PURPOSES FEETSQUAREFEETo. RIGHT-OF-WAY ONLY. THIS IS NOT A SURVEY D.U.E. DRAINAGE & UTILITY EASEMENT THIS IS A PLOT PLAN ONLY P.A.E. PRIVATE ALLEY EASEMENT 1. THE SURVEYOR HAS NOT ABSTRACTED THE IHAVE EXAMINED THE F.I.R.M. COMMUNITY PANEL NUMBER ki ra 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 LIES IN ZONE "X" AREA OUTSIDE THE MAY AFFECT THE TITLE OR USE OF THE LAND 100 YEAR FLOOD PLAIN. THE SURVEYOR MAKES NO 2. NO UNDERGROUND IMPROVEMENTS HAVE BEEN GUARANTEES AS TO THE ABOVE INFORMATION. PLEASE CONTACT THE LOCAL F.E.M.A. AGENT FOR VERIFICATION.' LOCATED EXCEPT AS SHOWN. 3. NOT VALID WITHOUT -THE- SIGNATURE.AND THE ORIGINAL T'sr RAISED SEAL _OF`A `FLORIDA LICENSED SURVEYOR AND MAPPERlJBEARINGSSHOWNHEREONAREBASED - ON THE WESTERLY LINE OF LOT 95 AS BEING S00'37'19"E, PER PLAT AMERICA N FIELD DATE:) REVISED: U\/ E Y I N G J SCALE:—'"= 20 FEET BCM APPING INC. APPROVED BY: JB C 4 T` FOR JOB NO. 0100403 LOTS 95-100 CERTIFICATION OF AUTHORIZATION NUMBER LBg6393 030 N. ORLANDO AVE, SUITE B WINTER PARK, FLORIDA 32789 F'r/ z/ THE J FIRM JAMES W.fBOLEM AN ,,.ESM/j6485 DATE DRAWN BY: 407) 426-7979 WWW.AMERICANSURVEYINGANDMAPPING.COMPLOTPLAN10-13-t0 Bw U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008 Federal Emergency Management Agency I Expires March 31, 2012 National Flood Insurance Program Important: Read the instructions on pages 1-9. SECTION A - PROPERTY INFORMATION 'SFor`fnsuance Company.Use Al. Building Name DR Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. ZIP Code 32773 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 91, WINDSOR LAKE TOWNHOMES EAST A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL A5. Latitude/Longitude: Lat. 28°46'057" Long. -81°16'630" Horizontal Datum: NAD 1927 ® NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. AT Building Diagram Number 1A A8. For a building with a crawlspace or endosure(s): A9. For a building with an attached garage: a) Square footage of crawlspace or enclosure(s) 0 sq ft a) Square footage of attached garage N/A sq ft b) No. of permanent flood openings in the crawlspace or b) No. of permanent flood openings in the attached garage enclosure(s) within 1.0 foot above adjacent grade 0 within 1.0 foot above adjacent grade 0 c) Total net area of flood openings in A8.b 0 sq in c) Total net area of flood openings in A9.b 0 sq in d) Engineered flood openings? Yes ® No d) Engineered flood openings? Yes ® No SECTION B - FLOOD INSURANCE RATE MAP (FIRM)' INFORMATION B1. NFIP Community Name & Community Number B2. County,Name B3. State CITY OF SANFORD 120294 SEMINOLE FLORIDA B4. Map/Panel Number _ B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) (Zone 12117CO070 F Date Effective/Revised Date Zone(s) AO, use base flood depth) 9-28-2007 9-28-2007 X N/A B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. FIS Profile FIRM Community Determined Other (Describe) B11. Indicate elevation datum used for BFE in Item B9: NGVD 1929 NAVD 1988 Other'(Describe) N/A B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise, Protected Area (OPA)? Yes ® No Designation Date N/A CBRS OPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. Building elevations are based on: Construction Drawings' Building Under Construction` ® Finished Construction A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations -Zones Al -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, AR/AE, AR/A1-A30, AR/AH, AR/AO. Complete Items C2.a-h belowaccording to the building diagram specified in Item A7. Use the same datum as the BFE. Benchmark Utilized 304-22-01 ELEV=45.941', Vertical Datum NGVD1929 Conversion/Comments Conversion to NAVD'88 Datum (-1.03') Check the measurement used. a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 43.8 ® feet meters (Puerto Rico only) b) Top of the next higher floor 54.2 ® feet meters (Puerto Rico only) c) Bottom of the lowest horizontal structural member (V Zones only) N/A. feet meters (Puerto Rico only) d) Attached garage (top of slab) N/A. feet meters (Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building 43.5 feet meters (Puerto Rico only) Describe type of equipment and location in Comments) 0 Lowest adjacent (finished) grade next to building (LAG) 43.2 ® feet meters (Puerto Rico only) g) Highest adjacent (finished) grade next to building (HAG) 43.3 ® feet meters (Puerto Rico only) h) Lowest adjacent grade at lowest elevation of deck or stairs, including N/A. feet meters (Puerto Rico only) structural support SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. / certify that the information on this Certificate represents my best efforts to interpret the data available. l understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a , PLACE licensed land surveyor? ® Yes No Certifier's Name JAMES License Number 6485 Title PROFESSIONAL SURVEYOR & MAPPER Company Name American Surveying & Map Address 1030 N. ORLANDO AVE, STE B City WINTER PARK State FL ZIP Code 32789 Signature e 10,DateTelephone (407) 426-7979 w f rn_s S o ,i r FEMA Form 81-31, Mar 09 See reverse side for continuation. Replaces all previous editions i IMPORTANT: In theses aces, co the corresponding information from Section A. rFor Insurance Compan ruse , mpPYP9 Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy'Number7 2340 TRILLIUM PARK LANEk City SANFORD State FL ZIP Code 32773' ° Company MAIC Number tr ; i N F t ix SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agenticompany, and (3) building owner. Comments Surveyor is only responsible for Sections A - D. Item 61: Community name & number is based on property appraiser's website and the Item C2.e: The Elevation shown is for the A/C unit. Sod is not installed yet. This document is not valid if photographs are removed or omitted. 1-11 Gym ii !tel/. C7 iYYt{," / / a/L Z -}/ 20 Signature Date Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A (without BFE), complete Items E1 -E5. If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, B, and C. For Items E1 -E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters. E1. Provide elevation information for the follo1'wing and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom floor (including basement, crawlspace, or enclosure) is feet meters above or below the HAG. b) Top of bottom floor (including basement, crawlspace, or enclosure) is feet meters above or below the LAG. E2. For Building Diagrams 6-9 with permanert flood openings provided in Section A Items 8 and/or 9 (see pages 8-9 of Instructions), the next higher floor elevation C2.b in the diagrams) of the building is feet meters above or [3 below the HAG. E3. Attached garage (top of slab) is -E3 feet Elmeters E3above or E]below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is feet meters above or below the HAG. E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? Yes [I No Unknown. The local official must certify this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA -issued or community -issued BFE) or Zone AO must sign here. The statements in Sections A, 8, and E are correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement used in Items G8 and G9. G1. The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. A community official completed Section, E for a building located in Zone A (without a FEMA -issued or community -issued BFE) or Zone AO. G3. The following information (Items G4 -G9) is provided for community floodplain management purposes. G4. Permit Number I G5. Date Permit Issued I G6. Date Certificate Of Compliance/Occupancy Issued G7. This permit has been issued for: New Construction Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building: feet meters (PR) Datum G9. BFE or (in Zone AO) depth of flooding at the building site: feet meters (PR) Datum G10. Community's design flood elevation feet meters (PR) Datum Local Official's Name Title Community Name Telephone Signature Date Comments Check here if attachments FEMA Form 81-31, Mar 09 Replaces all previous editions Building Photographs See Instructions for Item A6. For Insurance Company Use: Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number 2340 TRILLIUM PARK LANE City SANFORD State FL ZIP Code 32773 Company NAIC Number If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two building photographs below according to the instructions for Item A6. Identify all photographs with: date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View." If submitting more photographs than will fit on this page, use the Continuation Page on the reverse. FRONT VIEW Building Photographs Continuation Page For Insurance Company Use: Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number 2340 TRILLIUM PARK LANE City SANFORD State FL ZIP Code 32773 Company NAIC Number If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs with: date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View."