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HomeMy WebLinkAbout1407 W 17 StD. 0% RECEIVED CITY OF SANFORD JUN 8 2009 BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: "I — '3 -7 ( Documented Construction Value: $ M, 000 Job Address: ILW7 I,O. AS -f. 30'Aiy( ft- 3a771 Historic District: Yes ❑ No Parcel ID: Zoning: I �i- Description of Work: 4o hu& su4' U' Xd rxcCu iLSI C-47,bte e - Plan Review Contact Person: thavk5 r payyis� 0 Title:C+1xS%itC�i�vt (ctit�t r Phone: 7- (�`3(n -�� �`�5 Fax: 1. 0-1cr7(o -5?33 E-mail: VYIS /.ra/�l frl�S2i�21 rlol¢ •0 � Property Owner Information Name JO k4'W_..A-Phone: 7- & Ib - S955 Street: 154Eik 14/ Resident of property? : Aa6f-df'dNvi &dner- City, State Zip: A5(;e bjerj�4 L 3'707 Contractor Information Name tit �l / Phone: 407- Street: /SNS' �Pi-yuhdl'L. SC►/�..SGu /4-1 Fax: qby?-109(0 City, State Zip:O� It Avtir7,1 YL 3a7 D7 State License No.: Architect/Engineer Information Name: MIA?, keeS�P Phone: 401- 0 o �D- 2333 Street: qLlc) s Qj/2 iG &Ss6w-9?iA % � Fax: y'U7- $1S - 1x77 City, St, Zip: A,Dook'a FLL 3,2703 E-mail: MAeesee.(0, rN kda . 6C. Bonding Company: 414 Mortgage Lender: Na h Address: Address:lyg ('Q SSe Phc'r / `L 3. X7G -7 Building Permit a / / Square Footage: //4�0 No. of Dwelling Units: Electrical O New Service — No. of AMPS: PERMIT INFORMATION Construction Type: No. of Stories: Flood Zone: X Plumbing O New Construction - No. of Fixtures: Mechanical 0 (Duct layout required for new systems) Fire Sprinkler/Alarm 0 No. of heads: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and air conditioners, etc. OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713. The City of Sanford requires payment of a plan review fee. A copy of the executed contract is required in order to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the plan review fee based on past permit activity levels. Should calculated charges exceed the documented construction value when the executed contract is submitted, credit will be applied to your permit fees when the permit is released. A, S'Z Sig re fner/Agent Date Signa ,relof ttractor/Agent Date �s c�{�� :E -:0"_ - Print Ow r/Agent's Name Print Contractor/Agent's Name dt9-t,C --Z�10 9 5/29�0 y Sig ature otary-State of Florida Date Sig ture otary-Stale of Florida Date ................................. ...........: GAYLE L. HORNER Comm#DD0736955 �': Expires 11/26/2011 '.4aw�:.` Florida Notary Assn— Inc Owner/Agent is ��Contractor/Agent is '� Personally Known to Me or Personally Known to Me or Produced ID Type of ID Produced ID Type of ID APPROVALS: ZONING: 64S -OA -001 UTILITIES: COMMENTS: R. Rev 11.08 J WASTE WATER: BUILDING: i ` D RECEIVED CITY OF SANFORD JUN 8 2009 BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: A - - -7 (0 Documented Construction Value: $ 180, 060 Job Address: 140 W -12fk&- 30-1L&,J R- :W71 Historic District: Yes ❑ No Parcel ID: r �-Ig- `?U --X13- ONDD- 0020 Zoning: 21A Description of Work: 4t buA k<"idme e Plan Review Contact Person: Okav�S t% f "VviS 0 Title: (1/X 51r1.1CAevt I&YA r Phone: —Fax: 4y'7-lvr7[o -5?33 E-mail: -U-y✓riS /.&"1-2i7Ur7 /& .05 Property Owner Information Name J8 it Phone: Street:c'k- i4/ Resident of property? : Aa6h N 146weLftdne_r City, State Zip: [AS�e i l herjQ ► f L 3�)`707 Contractor Information Name Albi h Ill �lxl'&dn Phone: Street: /SNS' 4ek7vnRA_ 61y4. _ktu& Fax: -1 3 g%7-- bC)& Stf� City, State Zip: � ll�vroi i'L .3 707 State License No.: I �/A Architect/Engineer Information Name: M Iki: ltn-%ec�v, U ss Irl, Phone: q07- 0 p ?Q - 2333 Street: +F-) s OM1ii'Af4 &SsmYrn.c�_ � Fax: qD"7- 5U - 1a77 City, St, Zip: A,Dooka F1,32-703 E-mail: AWsee 0 m kda . CL Bonding Company: A L A Address: Building Permit a Mortgage Lender: 14W h tl�lir ZVr�FurnG72t�, /N rn/nl'� Address: CQ S2 Phc'Km FL -3-276-7 If PERMIT INFORMATION Square Footage: 140 Construction Type:' No. of Stories: No. of Dwelling Units: Flood Zone: X Electrical ❑ New Service - No. of AMPS: Plumbing ❑ New Construction - No. of Fixtures: Mechanical 0 (Duct layout required for new systems) Fire Sprinkler/Alarm 0 No. of heads: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and air conditioners, etc. OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713. The City of Sanford requires payment of a plan review fee. A copy of the executed contract is required in order to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the plan review fee based on past permit activity levels. Should calculated charges exceed the documented construction value when the executed contract is submitted, credit will be applied to your permit fees when the permit is released. Sig re fner/Agent Date Signa reTof optractor/Agent Date Print Ow r/Agent's Name Print Contractor/Agent's Name dyk4a a%fl0 9 Alr,cam s119/o 9 Sig azure otary-State of Florida Date Sigg4ture otary-Slate of Florida Date r••••u••,,GAYIE L.HORNER r.u.... ,o��yd �"» ",•,. Comm# DD0736955 r Expires 11/26/2011 �oawr� Florida Notary Assn., Inc : Owner/Agent Is ✓ Personally Known Vo Me or Contractor/Agent is v"' Personally Known to Me or Produced ID Type of ID Produced ID Type of ID APPROVALS: ZONING: UTILITIES: WASTE WATER: ENGINEE 6 /29 /ol FIRE: BUILDING: COMMENTS: /ks,c.�e�r 1�� 0 ,- S u/ v e Rev 11.08 1 c7� RECEIVED JUN . Il. �Lq CITY OF SANFORD- BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: Ci- l V-7Documented Construction Value: Job Address: 1421 W I PAS1. �ryL v ( 61_X7 71 Historic District: Yes ❑ No Parcel ID: ��55-Iq - °U- �I3- D' -IDD- 00020 Zoning: �I �i- Description of Worl(: 4o httt�i S1vt�J,(.-Kcrltc�l iCSICf`PGiL P Plan Review Contact Person: CAAV�' r %4aW15 TLS Title: 1tixgrllc ie" 1(ctituVr Phone: Fax: -5?33 E-mail: -(�-rcrrt'iS /.raG�r�-S2irunoJ¢ •Di5 Property Owner Information Name f". dC Ctlia4 Phone: 4A?- 69b - SF5 5 Street: 164Ec'k- SLI Resident of property? : Na�dL l weAdt7er City, State Zip: A5-�e )Yl -g4 rL 3�7U% Contractor Information Name !�/ �i .l�% Phone: ,, /I 407- Jar - VSJ Street: 46- ndlA- 19 ty..Scu At/ Fax: Nva- b9& s7ff- 3 City, State Zip: � 1hekwi l=L 3,Z71)7 II- Statc License No.: Ar chitect/Engineer Information Name: Alike, ka2e_ - IlaYCc�P�P. he,� _�YL Phone: p �o?- 0 WQ - 2'�3 3 Street: I tis Qrc'ri�iG %(Dss9M �rn c� 1�" Fax: y'U'?- �JqS ` 1 77 City, St, Zip: A,OOI�� F -L 32%03 E-mail: MAQse e.(� nr kda . ec Bonding Company: A 1 4 Address: Building Permit N. Mortgage Lender: 14a h Address:121 -khm111.131,d. , �,QV I �dun�Sj ('aS, 'etbeKm FL 3k;276-7 It PERMIT INFORMATION Square Footage: N0 Construction Type:' No. of Stories: % No. of Dwelling Units: Flood Zone: X Electrical ❑ New Service - No. of AMPS: Mechanical 11 (Duct layout required for new systems) A, wf'/6� Plumbing ❑ New Construction - No. of Fixtures: Fire Sprinkler/Alarm 13 No. of heads: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and air conditioners, etc. OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713. The City of Sanford requires payment of a plan review fee. A copy of the executed contract is required in order to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the plan review fee based on past permit activity levels. Should calculated charges exceed the documented construction value when the executed contract is submitted, credit will be applied to your permit fees when the permit is released. n s z�- Sigtwtvref ner/Agent Date i- L5 PrintOw gent's Name Print Contractor/Agent's Name Z;o% k4a �;%Z910 9A/, Sig ature otary-State of Florida Date Sigpiture otary-State of Florida Date GAYLE L. HORNER EYP Comm#DD0736955 Expires 11/26/2011 " aa` Florida Notarysn As.. Owner/Aent is Inc • ''�nnna•�• g Personally Known �o Nie�or�.�������..�.��.�.••••Contractor/Agent is '� Personally Known to Me or Produced ID Type of ID Produced ID Type of ID APPROVALS: ZONING: UTILITIES: WASTE WATER: ENGINEERING: FIRE: BUILDING: COMMENTS: Rev 11.08 COUNTY OF SEMINOLE 09- 1770 _ IMPACT FEE STATEMENT '%/S e S 3 x STATEMENT NUMBER: 09100001 DATE: July 01, 2009 S F BUILDING APPLICATION #: 09-10000167 BUILDING PERMIT NUMBER: 09-10000167 UNIT ADDRESS: W. 17TH STREET 1407 35-19-30-513-0400-0020 TRAFFIC ZONE:022 JURISDICTION: SEC: TWP: RNG: SUF: PARCEL: SUBDIVISION: TRACT: PLAT BOOK: PLAT BOOK PAGE: BLOCK: LOT: OWNER NAME: ADDRESS: APPLICANT NAME: HABITAT FOR HUMANITY INC. ADDRESS: 1548 SEMINOLA BLVD STE 141 CASSELBERRY FL 32707 LAND USE: NEW SINGLE FAMILY DETACHED TYPE USE: WORK DESCRIPTION: CITY-SANFORD SPECIAL NOTES: 1407 W. 17TH STREET / NEW SFR -------------------------------------------------------------------------------- FEE BENEFIT RATE UNIT CALC UNIT TOTAL DUE TYPE DIST SCHED RATE UNITS TYPE -------------------------------------------------------------------------------- ROADS-ARTERIALS CO -WIDE ORD Single Family Housing 705.00 1.000 dwl unit 705.00 ROADS -COLLECTORS N/A Single Family Housing .00 1.000 dwl unit .00 FIRE RESCUE N/A .00 LIBRARY CO -WIDE ORD Single Family Housing 54.00 1.000 dwl unit 54.00 SCHOOLS CO -WIDE ORD PARKS N/ SSingle Family Housing 5,000.00 1.000 dwl unit 5,000.00 e7 .00 LAW ENFORCE N/A J��' 6 .00 DRAINAGE N/A M, AMOUNT DUH 5,759.00 P o , STATEMENT / RECEIVED BY: SIGNATURE: (PLEAS PRINT NAME) DATE: tl U '71Z /0 NOTE TO RECEIVING SIGNATORY&PLICANT: FAILURE TO NOTIFY OWNER AND ENSURE TIMELY PAYMENT MAY REESULT IN YOUR LIABILITY FOR THE FEE. *** DISTRIBUTION: 1 -BLDG DEPT 3 -APPLICANT 2 -FINANCE 4 -LAND MANAGEMENT **NOTE**PERSI] SEMINOLENS ACOUNTYIROADED THFIRE/_RESCUEIS IS , LIBTRARYNT OF AND/OREEDUCATIONDUE NAALL THE ISSUANCE OF A BUILDI{QG 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. THS 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 170P 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. p0. i —18ii 9 City of Sanford Planning and Development Services Engineering — Floodplain Management Flood Zone Determination Request Form Name: Firm: cG. l r-o.ce.� Firm:: Address: /S7gt3 Sela City: Co sSe I State: %L Zip Code: 37-70-7 Phone: qo 7.675- /5-9y Fax: Email: r}ra�e.� (� Cwbi�o.l deva�d CO Property Address: I 1'7 (10\. ` Property Owner: c� i la'�' � > f-.o•n; �v ��-► �:�0(0. �-? v Parcel identification Number: 3s- Iq - 3v • S-) 'Z • O qc)() - coo 2c3 Phone Number: Email: The reason for the flood plain determination is: N New structure ❑ Expansion/Addition The finished floor elevation for the above noted construction shall be a minimum of 24" above the base flood elevation as indicated below. (Ordinance 4076) OF ,ICI L US ON Flood Zone: X Base Flood Elevation: 0 As Datum: W kv b I q 68 FIRM Panel Number: 12117 C oo-70 F Map Date: 4/28107 The referenced Flood Insurance Rate Map indicates the following: ❑ The parcel is in the flood plain ❑ A portion of the parcel is in the floodplain The parcel is not in the floodplain ❑ The structure is in the floodplain ❑ The structure is not in the floodplain If the subject property is determined to be flood zone W, the best available information used to determine the base flood elevation is: Review Date: Co /Z q o9 T:\Deve�eview\04-Engineering\Flood Zone Determination Request Form.doc tt r 499 Nash Salo Rod 434 Suite 2153 Altmttona Spring, FWdde 32714 Td: 407-774.8372 Fax: 407-662-W5 E440: Shmmwv@noLmn NO W-SNIM, W%VwMy;mMg April 26, 2010 City of Sanford Building Division PO Box 1788 Sanford, FL 32772 RE: Tax Parcel # 35-19-30-513-0400-0020 1407 17th Street W, Sanford, FL 32771 To Whom It May Concern: The finished floor elevation for the structure located at 1407 17th Street W, •SanfordITI, 32771, Tax Parcel # 35-19-30-513-0400-0020, meets or exceeds the iegairements set forth in the City of Sanford Code Chapter 65, Sec 6-7(a) ZF .. Sincerely, es R. S n . P.S. . #4671 President of S on eying S 0066, BOUNDARY SURVEY DESCRIPTION: A PARCEL OF LAND LYING IN SECTION 35, TOWNSHIP 19 SOUTH, RANGE 30 EAST, CITY OF SANFORD, SEMINOLE COUNTY, FLORIDA. BEING MORE PARTICULARLY DESCRIBED AS FOLLOWS: LOT 2, EXCEPT THE WEST 17.77 FEET THEREOF, AND LOT 3, BLOCK 4, PINE LEVEL, ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 6, PAGES 36 AND 37, OF THE PUBLIC RECORDS OF SEMINOLE COUNTY, FLORIDA. 90100'00'E 17TH STREET 115.96' T17.77 Z 31 64.73' �,�pypgp S WALK E NA wn p r7 s• ■ 1 = 47, d , •� pppp�+t BLOCK CONCRETE .7 O $Q S7MJMRE ®® I '01117 .t /. RESIOD= LOT 1 f1 407 `O 16O t F.FL�31.67 N to = ,+*t LOT 2 I LOT 3 vc yry 8 I NOTES: Z % o sm - BEARINGS BASED ON THE NORTH RIGHT OF WAY Ln 77 / s1 23' neo !� UNE OF 17TH STREET AS BONG N90'0 OO E. 4- ELEVATIONS BASED ON NAVD 1988 DATUM. �LLEY� S89*52'IeW °/e• , - AOCORDING TO F.I.R.M. PANEL B 1211700070F, 43.03 THE DESCRIBED PROPERTY UES IN ZONE X, AREAS DETERMINED TO BE OUTSIDE THE 500 1;4z YEAR FLOODPLAIN. SHANNON SURVEYING. INC. LEGEND 499 NORTH S.R. 434 - SUITE 2155 Q SANITARY MANHOLE ALTAMONTE SPRINGS. FLORIDA. 32714 (407) 774-8372 LB B 6898 0 WATER METER ''0.1 WOOD UTILITY POLE DAZE OF SURVEY: 04/2042MO GUY ANCHOR �IAM'R. SHANNON J .. . 04871FMD 6Y' 20AL SCALP: r - 3D•-0/H-OVERHEAD UTILITY U EA A U¢ 901 AND W�v Nt�R RA15FD iiLE NUYBFJC P PAR-B-BNDY U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 11660-0m Federal Emergency Management Agency I Expires March 31, 2012 National Flood Imuahce Prognu Important: Read the instructions on pages 1-9. A2. Building street Address 140717TH ST W City SANFORD SU A3. Property Description (Lot and Block Numbers. Tax Parcel Number. Legal Desalp0on, etc.) LOT 2 (LESS W 17.77 FT) 8 ALL OF LOT 3 BLK 4. PINE LEVEL PLAT BOOK 8 PAGE 38 - TAX PARCEL a 35-19-W5134)400-0020 A4. Building Use (e.g., Residential. tel. Addition. Aooessb y, eta) j "Riff Gl1 AD. IatiludeA apuude: LSL 2rAr47.98' Lone. 41-170.1g' Hortronnal Datum: ❑ NAD 1927 ® NAD 1983 A8. Attach M least 2 photographs o1 the building 0 the Certificate Is being used to obtain flood Insurance. A7. Building Diagram Number ]B As. For a building with a aawispam or enclosure(s): A9. For a buntch building with an attached swap: a) Square toolage of onawlapsoa or shdosu a(s) Q aq 8 a) Square rootage of attached panes Q x011 b) No. of permanent flood opeMhea In the crawlspew or b) No. of permanent Good openings In on attached garage enclosure(s) within 1.0 tool above aljaoerd grads W within 1.0 foot above adjacent grade Ift O Total net ares of flood openings In A8.b 11(b aq In c) TOW net was of food openings In A9.b &6 aq In d) Engineered flood op -Ings? ❑ Yes ® No d) Engineered flood openings? ❑ Yes ® No SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. mu NFIP COmniy Name 8 Community Number B2. County Name B3. Stab Ctly of Sanford -120297 1 Seminole County Florida B4. MapftW Nwrdm 1 Bit. Suft Bit. FIRM Index 1 B7. FIRM Pant 88. Flood 1 89 Base Food Elevallw(s) (Zone 1211700070 F Dots E1ledlvelRsvlesd Data Zone(s) AO, use base food depth) 09/2812007 09/t812007 X WA B10. Indicate the soros of Ohs Bass Flood EW4W (BFE) data or base flood depth emceed In Item 89. ❑ FIS ProOa ® FIRM ❑ Commwniy oeEerm6nsd ❑ Other (D—be) _ 811. Indkift elevation deWm used for SFE In Item M. O NGVD 1629 ® NAVD 1988 ❑ Other f0motbe) _ 812. Is the building', , , - In a Coastal Barrier Resources System(CBRS) arm orOt Otherwise P.olectsd Area (OPA)7 ❑ Yes ® No Designation Dab Rf O CBRS ❑ OPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building ebvatlons are based on: ❑ Construction Drawings' ❑ Building Under Construction' ® FlnUhed Co sbuolbn 'Anew Elevalon CerllRpls w® be required when construction of" building Is canpbb. C2. EW420orM - Zones AI -A30, AE. AH. A (with BM, VE, V1 -V30. V (wltlh BFE). AR, ARIA. ARAE, ARIA14A30. ARIAH, ARIAO. Complele Items C2.0 -h below aocadi g o the bu8dlne dlegnm spedlled In tan A7. Use the same datum as the SFE. Benchmark UNUed Sem Co. SM 04774301 VWW Datum NAVD ION comwatowconmentsMM Check the measurement used. a) Top of bottom floor (including basanat. aawlspace. or enclosure Goo UAZ ® font O melon (Puerto woo only) b) Top of the nmd higher tabor 1A_ ❑ feel (3 meters (Puerto Rias only) c) Bottom of the lowest horlaontal structural member (VZones N" WA, ❑fast ❑ mda+s (Puerto Rko a" d) Attached garage (top of slab) WA._ O fast O metre (Porno Poon mM e) Lowest elevation of Woo& p or equipment servicing the bWldbg alga ® bet O no/srs (Punto Rico onM In— be type of equipment and iontion In Comment) 0 Lowest adjacent (&dui*) grade nod to building OAG) U.21 ® bat ❑ maters (Puerto Poco wdO g) ►4phhest adjacent (Ibdshed) grade nwd to buildup (HAG) ,'}lin M bet ❑ maters (Puao Poco ondp) h) Lowest adjacent erode a lowest ebvaton ofd** or stairs. khav0lrg WA. ❑ bat O martin ^ero Rico only) I nu caarcetion s to De GWM aro smheo by a who swayer, engineer. or werma a lin== by taw to csnly mvar trdarrnatlon. I oeroy ow Me imormstion on Ws owtvicats rsprmanfs my beet shorts o Braerp w Me date sva*bfe. I understand Nat any Mao sMement may be punishable by qhs orsnodsonment under 18 U.S. Coda Section 1001. ❑ Check than If comments we provided on back of form. Wee latitude and longitude M Section A provided by a licensed land surveyor? ❑ Yes ® No PL tilde for coMinustion. Re**s all previous editions, SECTION D - SURVEYOR ENGINEER. OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Caffikate for (1) commurty official. (Z) bour snee opemkornparry, and (3) building owner. For Zones AO and A WOW BFE), complete Iters El -E6. If tiro CartllIcAN 4 Intended to support a LOMA or LOMR-F request corrosse Sections A, B, and C. For Items EI -E4, use nabrrd grade. If available. Check the meawranmd used. In Puerta fico only, oder meters. El. Provide elevation InIbmatiom for the followlp and dmedc the aF; c is atA Dom to show wl tets. the elevation Is above or below Bre Mptnsst adjacent grads (HAG) and the lowest sd*W grade (LAG). a) Top of bottom poor (rdtludN basement crawLRpace, or enclosure) Is _ _ O feet ❑metes 0ove or ❑ below the HAG. b) Top of bottom floor (Including basement aswspats, or enclosure) is -� O feet O rneles ❑ above or O betcw the LAG. E2. For Bunting Diagrams 64 with permanent flood openings provided N Section A Items 8 andror B (era pagn 84 of Instructions), the nmd hglsr floor (olsvation CZ.b in tis diagmma) of Bs bWldbV is ❑ fleet ❑ meters ❑ above or p below sire NAG. E3. Attached oarage (top of slab) is O feet ❑ meters O above or ❑ below Bro MO. E4. Top of platrorm or machinery antler equipment servicing the building Is _ - O feet ❑ meters O above or O below the HAG. Ell. Zone AO only,. If no flood depth number Is avaflable, is the top of the bottom Boor eleveled In accordance wNh the communitye floodplein management ordinance? O Yes O No O Unknown. The local otildal must ceNy tins Information It Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owners authorized representative who completes, Sections A. S. end E for Zone A (without a FEMA4uuea or con muraty-Ism BFE) orZorn AO must sign here. Tiro sfeterrrorte to Sections A A and E are oared to the best odmy knowleo(Ie. Property Ownees or Owners Augwbatl Rspre enteBW'a Name Address City Slate ZIP Code Signature Date Telephone Comments The local green cane 19 suonoraeo VY law er orossnea M 90MM W Bs M M WWO itooaptatn management ordinance ran complete Sow" A. B. G (or E7. and G of this Elevation CeNflote. Complete the applicable Mems) and sign below. Check the measurement used M Ilerns GB and Ge. G1.0 The Inkrrnadon It Seotlon C was taken ban other doaanermbtlon that has boon signed and aeafsd by a Iksnsed ennvsYor, anpbmser. or arfillad who to authorized by law to cm* elevation h1cmurtfom. (Indicate the source and date of the elevation dab In the Comments toes bebw.) G2.0 A community official completed Section E for a bulding located In Zone A (without a FEMA -Issued or BFE) or Zone AO. G3.0 The following blomnatiom (Isms G448) Is provided for community eoodplakn marspemerd purposes. G4. Permit Number GS. Date Permit Issued G8. trete CeM kats Of ConpBrmoNOceupency Issued GT. This permit has been Issued for O New Construction O Substmaid Improvement G8. Elevation of as-0ulp lowest floor (Including basement) of the building: -- O feet O meters (PR) Dslmm - Gg. BFE or (in zone AO) depth of 800dbg at the buUdbg aIle: -- O feet ❑ mew (Pip Datum - G10. CommuWe deagn flood elevation -._ O fest O asters (PW Datum - Local Oifldars Name TWO Community Name Telephone Signature Date Comments n FEMA Form 8131, Mar 09 Replaces all previous edition$ i 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 — 1407 17TH ST W Clty SANFORD State FL ZIPCode 32771 Cm*anyNAICNumber 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. ISM CITY OF SANFORD P.O. BOX 1788 SANFORD FL 327721788 C E R T I F I C A T E O F O C C U P A N C Y P E R M A N E N T Issue Date . . . . . . Parcel Number . . . . . Property Address . . . Subdivision Name . . . Legal Description . . . Property Zoning . . . . 5/21/10 35.19.30.513-0400-0010 1415 W 17TH ST SANFORD FL 32771 PINE LEVEL SUBDIVISION LOT 1 BLK 4 PINE LEVEL PB 6 PG 36 MULTIPLE FAMILY Owner . . . . . . . . . HABITAT FOR HUMANITY Contractor . . . . . . Application number 09-00001871 000 000 Description of Work NEW SINGLE FAMILY HOME - DETACHED Construction type . . . TYPE VB Occupancy type . . . . RESIDENTIAL USE GROUP Flood Zone . . . . . . MINIMAL FLOODING Approved . . . . . . . ing attic Mem -o@eJ4*M-VM-J N910$UeZ@1-3-3itointo In accordance with this Certificate of Occupancy, all inspections for compliance with Florida Building Code 2004 for occupancy and use have been performed and approved. If the construction project was permitted and built under the owner/builder contractor exemption of Florida State statute 489.103; refer to state statute regarding limitations on renting, lease or sale of this property. CITY OF SANFORD BUILDING AND FIRE PREVENTION DIVISION PO Box 1788 SANFORD, FLORIDA 32772 PHONE: 407.688.5150 EXT. 5332 FAx: 407.688.5152 PLAN REVIEW COMMENTS Date: 1/22/2010 Reference Number: 9-1870 Contact Person: Jeff Diciero Contact Phone Number: Contact Fax Number: (407) 362-7975 Contact E-mail Address: Project Description: Single -Family Residence Job Address: 1407 W. 171" Street Please comply with the listed deficiencies noted below: ARCHITECTURAL ,% Submit two sets of manufactures specifications and shop drawings for ICF Wall System. Submit Florida Product Approval. / Submit manufactures and installation instructions for all windows and doors. Include Florida Product Approvals. 3. Submit Electrical, Plumbing, Mechanical, and Roofing Permit Applications. C.J rc C J'k b 0krr 4. Sheet D-2. Detail ICFO1. Key Note 8, cannot locate WS06 on plans. ? M i T'/v ( (r /5! Sheet D-2 detail ICFOI O TYP ICF Wall has changed by Engineer. All new plans will have to be revised showing all changes in plans. Sheet D-2. ICFO1 detail Keynote 6. Refer to L -sheets for required Vertical Reinforcement J above openings. No details in Header Schedule for vertical reinforcement. Submit two sets of revised Energy Forms. 8. Sheet D-2. ICFOI, Keynote 3. No corner reinforcement show. Submit ICF Wall System. (o '✓ ���N� No construction can continue on the walls until we receive all requested documentations and the new plans have been approved and issued. STRUCTURAL MECHANICAL PLUMBING ELECTRICAL Any error or omission in this plan review shall not be construed to grant approval of any violation of any of the adopted codes or municipal ordinances of this jurisdiction. Please direct any questions you may have to Joy Deen at 407.688.5150 Ext. 5332 or fax to 407.688.5152. You may also contact me by E-mail at joy.deenQsanfordfl.gov. Respectfully, Joy Deen Plans Examiner 02/02/2010 TUE 13:32 FAX 7 N • ********************* *** FAX TX REPORT *** ********************* TRANSMISSION OK JOB NO. 1002 DESTINATION ADDRESS 94073627975 PSWD/SUBADDRESS DESTINATION ID ST. TIME 02/02 13:32 USAGE T 00'25 PGS. 1 RESULT OK CITY OF SANFORD BUILDING AND FIRE PREVENTION DIVISION PO Box 1788 SANFORD, FLORIDA 32772 PHONE: 407.688.5150 EXT. 5332 FAx: 407.688.5152 PLAN REVIEW COMMENTS Date: 1/22/2010 Reference Number: 9-1870 Contact Person: Jeff Diciero Contact Phone Number: Contact Fax Number: (407) 362-7975 Contact E-mail Address: Project Description: Single -Family Residence Job Address: 1407 W. 17 th Street Please comply with the listed deficiencies noted below: ARCHITECTURAL 1. Submit two sets of manufactures specifications and shop drawings for ICF Wall System. Submit Florida Product Approval. 2. Submit manufactures and installation instructions for all windows and doors. Include Florida Product Approvals. 3. Submit Electrical, Plumbing, Mechanical, and Roofing Pen -nit Applications. 4. Sheet D-2. Detail 1CFOL Key Note 8, cannot locate WS06 on plans. 5. Sheet D-2 detail ICFO10 TYP ICF Wall has changed by Engineer. All new plans will have to be revised showing all changes in plans. 6. Sheet D-2. ICFOI detail Keynote 6. Refer to L -sheets for required Vertical Reinforcement above openings. No details in Header Schedule for vertical reinforcement. 7. Submit two sets of revised Energy For ns. 8. Sheet D-2. ICFO1, Keynote 3. No corner reinforcement show. Submit ICF Wall System. 9. No construction can continue on the walls until we receive all requested documentations and the new plans have been approved and issued. STRUCTURAL MECHANICAL PLUMBING 0001 Entrance Checklist Exit Checklist Processor Initials: A- Sto work Order 044PIV Contractor Signature/POA Owner Signature/POA ✓ Contractor Attached to Permit Contractor Registration fee / Copy of signed Contract Q- Update Plan Review Fee Road Impact Statement NOC FEMA packet O Processor Initials: Application fee — Plan Review Fee Contractor Registration fee- updated docs needed? �I7,p Sto work Order O/ 2 Surveys Sets of Plans ✓ 2 Sets of Engineering 3 Sets Energy Calcs Az 74- Copy of signed contract Fee Calculations Initals Make sure to fill in and check applicable items Application fee: (is owner doing all trades?) Bldg Elec J:Iech lbg Plan Review Fee: is update needed after plan review? Fire Impact Fee: ISN Mobil: Multi -family of units Occupancy t e: Commercials . footage Police Impact Fee: S/F Mobile: Multi -family of units Occupancy e: lCommercials . footage Parks Impact Fee: S/F Mobilc Multi -family of units Occupancy e: Commercials . footage Radon Recovery Sem Cnty Impact Statement Library ✓�/ v School Roads Fire Plan Review Fee P Building Permit Fee (stopwork issued - double fee assessed) s`j �jett_ X D RECEIVED CITY OF SANFORD JUN 8 2009 BUILDING & FIRE PREVENTION PERMIT APPLICATION S r 1 1 2T / Application No: "�7 t Documented ConstrucionValue: $ Par-*& / Job Address: 140 U).0fka. 3M rt- N1771 Historic District: Yes ❑ No Parcel ID: o�i5-Iq - �'�- �I 3- Dy00- 0020 Zoning:/q- Description of Work: 40 hu r%. 5AA* 1 t rlCt cote- Q Plan Review _ Contact Person: AAVk-, r 4av k17 Title: Pix5riicAe-. Vr Phone: �tQ7�(9`��-��55 Fax: 40-010 -5?33 E-mail: nbk •0 Property Owner Information Name Phone: 1 a9- Street: S /4-/ Resident of property? : 14a6t -a f' l-6e#td17eV City, State Zip: As,;t lbeLv4 t- 3a7o7 Contractor Information Name�.(Ma M .14 _ .& Phone: ?'��I�v Street: 1SyY �P,I�/u�IBItL �Ct/�. SGGC`�C /�l Fax: qD7-C) City, State Zip: _I '( 11yVrQi h- D7 State License No.: Architect/Engineer Information '/ Name: Al k& keel - ltloya�Q�P. U., ;/L Phone: ' I `70'%- YW0- 2333 Street: �t-i�'J .�' �oyL� &DISSM Fax: qD%- 5qb - la7'7 City, St, Zip: 4000ka rt -3.2%03 E-mail: m*&see Q rx kda . eL Bonding Company: 414 Address Mortgage Lender: 14.4 %.Cl-1�t1�'/1Gyz Address: ( Qs!'2PhCYrn CL X707 PERMIT INFORMATION Building Permit Square Footage: �s Construction Type:No. of Stories: No. of Dwelling Units: Flood Zone: X G 7 13A"N Electrical O Plumbing O 3 1-4e70 !x*r- New Service - No. of AMPS: 6b Mechanical D (Duct layout required for new systems) New Construction - No. of Fixtures: Fire Sprinkler/Alarm 0 No. of heads: h - /� �� � to/• Qs � �I 6 .� �, 3,� LC A1lr �" 3l•41 !lo't' ����� A t �535� Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and air conditioners, etc. OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713. The City of Sanford requires payment of a plan review fee. A copy of the executed contract is required in order to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the plan review fee based on past permit activity levels. Should calculated charges exceed the documented construction value when the executed contract is submitted, credit will be applied to your permit fees when the permit is released. 52111- di A4 Sl .tai Sig re f ner/Agent Date Signa re of o tractor/Agent Date Print Ow r/Agent's Name Print Contractor/Agent's Name t�° a�zgl0 9A�Ir S12 9 Sig Lure otary-State of Florida Date Sig lure otary-State of Florida Date (3AYLE L. HORNER p :yc Comm# DD0736955 Explres 11/26/2011 Florida Notary Assn., Inc ? "nu„m•� Owner/Agent is y i ......................................... ✓Personal) Known Vo Nie or Contractor/Agent is v"" Personally Known to Me or Produced ID Type of ID Produced ID Type of ID APPROVALS: ZONING: UTILITIES: WASTE WATER: ENGINEERING: FIRE: COMMENTS: Rev 11.08 BUILDING: 5 • U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008 t Federal Emergency Management Agency Expires March 31, 2012 National Flood Insurance Program Important: Read the instructions on pages 1-9. SECTION A - PROPERTY INFORMATION For Insurance Company Use: Al. Building Owners Name HABITAT FOR HUMANITY IN SEMINOLE CO FLA Policy Number A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company NAIC Number 1407 17TH ST W City SANFORD State FL ZIP Code 32771 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 2 (LESS W 17.77 FT) 8 ALL OF LOT 3 BLK 4, PINE LEVEL, PLAT BOOK 6 PAGE 36 - TAX PARCEL # 35-19-30-513-0400-0020 A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Residential A5. Latitude/Longitude: Lat. 28.4747.98" Long. -81.17'0.19" 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 JA A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage: a) Square footage of crawlspace or enclosure(s) Q sq It a) Square footage of attached garage Q sq ft b) No. of permanent flood openings in the crewlspace or b) No. of permanent flood openings in the attached garage enclosure(s) within 1.0 foot above adjacent grade N/A within 1.0 foot above adjacent grade WA c) Total net area of flood openings in A8.b N/A sq in c) Total net area of flood openings in A9.b hn 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 8 Community Number 82. County Name B3. State City of Sanford -120297 1 Seminole County I Florida 771 84. Map/Panel Number B5. Suffix Be. FIRM Index B7. FIRM Panel Be. Flood B9. Base Flood Elevation(s) (Zone 12117CO070 F Date I Effective/Revised Date Zone(s) AO, use base flood depth) ❑ meters (Puerto Rico only) c) 0928/2007 09/28/2007 X WA 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) 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, V1430, V (with BFE), AR, AR/A, ARAE, AR/A1-A30, AR/AH, AR/AO. Complete Items C2.a-h below according to the building diagram specified in Item AT Use the same datum as the BFE. Benchmark Utilized Sem Co. BM #4774301 Vertical Datum NAVD 1988 Conversion/Comments None This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevati, information. I certify that the information on this Certificate represents my best efforts to interpret the data available. I 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 forth. Were latitude and longitude in Section A provided by a licensed land surveyor? ❑ Yes ® No Certifiers Name James R Shannon Jr License Number PLS 4671 Title President Company Name Shannon Surveying Address 499 SR 434, Suite No. 2155 _-Qjk Altamonte Springs State FL ZIP Code 32714 FEMA Forp'81- 1, Mar 09 See reverse side for continuation. Rep a s all previous editions Check the measurement used. a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 21.Az ® feet ❑ meters (Puerto Rico only) b) Top of the next higher floor N/A. ❑ feet ❑ meters (Puerto Rico only) c) Bottom of the lowest horizontal structural member (V Zones only) jy/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 21.0 ® feet ❑ meters (Puerto Rico only) (Describe type of equipment and location in Comments) Q Lowest adjacent (finished) grade next to building (LAG) 31.008 ® feet ❑ meters (Puerto Rico only) g) Highest adjacent (finished) grade next to building (HAG) 21.22 ® 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 n This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevati, information. I certify that the information on this Certificate represents my best efforts to interpret the data available. I 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 forth. Were latitude and longitude in Section A provided by a licensed land surveyor? ❑ Yes ® No Certifiers Name James R Shannon Jr License Number PLS 4671 Title President Company Name Shannon Surveying Address 499 SR 434, Suite No. 2155 _-Qjk Altamonte Springs State FL ZIP Code 32714 FEMA Forp'81- 1, Mar 09 See reverse side for continuation. Rep a s all previous editions IMPORTANT: In these spaces, copy the corresponding information from Section A. For Insurance Company Use: Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number 1407 17TH ST W City SANFORD State FL ZIP Code 32771 Company NAIC Number SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agentloompany, and (3) building owner. used for lowest Zo1v SECTION E - BUILDING ELEVATION IMPORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A (without BFE), complete Items E1 -E5. If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, B, and C. For Items E1 -E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters. E1. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom floor (including basement, crawlspaoe, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom floor (induding basement, crawlspace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9 (see pages 8-9 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E3. Attached garage (top of slab) is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA -issued or community -issued BFE) or Zone AO must sign here. The statements in Sections A. B, and E are correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑ Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A. B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement used in Items G8 and G9. G1. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. ❑ A community official completed Section E for a building located in Zone A (without a FEMA -issued or community -issued BFE) or Zone AO. G3. ❑ The following information (Items G4 -G9) is provided for community floodplain management purposes. G4. Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building: ❑ feet ❑ meters (PR) Datum G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters (PR) Datum G10. Community's design flood elevation ❑ feet ❑ meters (PR) Datum Local Official's Name Title Community Name Telephone Signature Date Comments ❑ Check here if attachments FEMA Form 81-31, Mar 09 Replaces all previous editions 0 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 1407 17TH ST W City SANFORD State FL ZIP Code 32771 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. BOUNDARY SURVEY DESCRIPTION: A PARCEL OF LAND LYING IN SECTION 35, TOWNSHIP 19 SOUTH, RANGE 30 EAST, CITY OF SANFORD, SEMINOLE COUNTY, FLORIDA. BEING MORE PARTICULARLY DESCRIBED AS FOLLOWS: LOT 2, EXCEPT THE WEST 17.77 FEET THEREOF, AND LOT 3, BLOCK 4, PINE LEVEL, ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 6, PAGES 36 AND 37, OF THE PUBLIC RECORDS OF SEMINOLE COUNTY, FLORIDA. 0 17TH STREET - r 0.00'00"E 115.96' " 8 �I LEGEND Q SANITARY MANHOLEim (�� ® WATER METER r2, WOOD UTILITY POLE GUY ANCHOR JAMES SHANNON NOTV D1'0TTHE SIGI —0/H—OVERHEAD UTILITY LINE A FLORIDA UCEIISJ? SHANNON SURVEYING, INC. 499 NORTH S.R. 434 — SUITE 2155 ALTAMONTE SPRINGS, FLORIDA, 32714 (407) 774-8372 LB # 6898 IV DATE OF SURVEY: 04/20/2010 L.S. #4671 FIELD BY: WB• SCALE: 1� - 30' AND THE ORIGINAL RAISED PB6-PG38-PAR-B-BNDY YOR AND MAPPER FILE NUMBER: 0/H0 -.t—�j�tCONdtE7E I. 1 7 77' 31.23' pie,, ' I 84.73' RECOVERED t -t S� 0� Y AJ N � • Y _� •�� x r� ' Lx r • 1♦.8 . COVERED CONCRETE II '�' :. x�• ~ 1 STORY O �. s OP 3 04 I $ CONCRETE BLOCK b � g < y p STRUCTURE �� O 07 I J ti18.0, b 12.0 RESIDENCE h [] v Z ' LOT 1 �� teal X1407 t 0'� F.F.E.-31.87' F.F.E.-31 6-�O e1 TO I N o^ CRETE vP x+!" LOT 2 LOT 3 +3r I ONOTES: s RECOVERED — BEARINGS BASED ON THE NORTH RIGHT OF WAY L,7.77'yl[ UNE OF 17TH STREET AS BEING N90'00'00"E. 31.23' 11.so' — ELEVATIONS BASED ON NAVD 1988 DATUM. $REG 89'52'14"W g ,ED — ACCORDING TO F.I.R.M. PANEL # 12117CO070F, `ALLEY 43.03 THE DESCRIBED PROPERTY UES IN ZONE X, AREAS DETERMINED TO BE OUTSIDE THE 500 - - _ YEAR FLOODPLAIN. LOT 4 . LEGEND Q SANITARY MANHOLEim (�� ® WATER METER r2, WOOD UTILITY POLE GUY ANCHOR JAMES SHANNON NOTV D1'0TTHE SIGI —0/H—OVERHEAD UTILITY LINE A FLORIDA UCEIISJ? SHANNON SURVEYING, INC. 499 NORTH S.R. 434 — SUITE 2155 ALTAMONTE SPRINGS, FLORIDA, 32714 (407) 774-8372 LB # 6898 IV DATE OF SURVEY: 04/20/2010 L.S. #4671 FIELD BY: WB• SCALE: 1� - 30' AND THE ORIGINAL RAISED PB6-PG38-PAR-B-BNDY YOR AND MAPPER FILE NUMBER: BOUNDARY SURVEY DESCRIPTION: A PARCEL OF LAND LYING IN SECTION 35, TOWNSHIP 19 SOUTH, RANGE 30 EAST, CITY OF SANFORD, SEMINOLE COUNTY, FLORIDA. BEING MORE PARTICULARLY DESCRIBED AS FOLLOWS: LOT 2, EXCEPT THE WEST 17.77 FEET THEREOF, AND LOT 3, BLOCK 4, PINE LEVEL, ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 6, PAGES 36 AND 37, OF THE PUBLIC RECORDS OF SEMINOLE COUNTY, FLORIDA. 0 17TH STREET T17.77' � � 31. 3: •• •,:� C4 ,► x� •fig•' . 3 CONCRETE a .' N — J rl �ry18.0 b 120 LOT 1 4' 18.0' 1 0'. N I �° 14.8 N wERED - xP!P x�� LOT 2 � Q` 13.4 , Z Li 7.77 RECOVOtMO s/r utoN 31.23' 90'00'00"E 115.96' " s ALLEY S89*52'14"W; j�. - 4.3.03'/ LOT 4 �1 LEGEND (S) SANITARY MANHOLE ® WATER METER c0o WOOD UTILITY POLE GUY ANCHOR J S R. NON —0/H—OVERHEAD UTILITY LIN SEAL OF A FLOIMHRIDA U OVA NOTES: — BEARINGS BASED ON THE NORTH RIGHT OF WAY UNE OF 17TH STREET AS BEING N90.00'00"E. —ELEVATIONS BASED ON NAVD 1988 DATUM. — ACCORDING TO F.I.R.M. PANEL # 12117CO070F, THE DESCRIBED PROPERTY LIES IN ZONE X. AREAS DETERMINED TO BE OUTSIDE THE 500 YEAR FLOODPLAIN. SHANNON SURVEYING, INC. 499 NORTH S.R. 434 — SUITE 2155 ALTAMONTE SPRINGS, FLORIDA, 32714 (407) 774-8372 LB # 6898 oc DATE OF SURVEY: 04/20/2010 VL -S. #4671 FIELD BY: W.B. SCALE: 1• a 30' AND THE ORIGINAL RAISED pg6-PG36-PAR-B-BNDY YOR AND MAPPER FILE NUMBER: N 84.73' RECOVERED 3 CONCRETE 1_t/4• Cti yryryx 1 � p► • 14.8 wERED - NCRETE � Q` 13.4 , g 1 STORY O CONCRETE o 3Q Q BLOCK < v STRUCTURE �� O RESIDENCE V 01407 F.F.E.m31.87' V' e1 Q O �CRE1E �� LOT 3 x�Qp ALLEY S89*52'14"W; j�. - 4.3.03'/ LOT 4 �1 LEGEND (S) SANITARY MANHOLE ® WATER METER c0o WOOD UTILITY POLE GUY ANCHOR J S R. NON —0/H—OVERHEAD UTILITY LIN SEAL OF A FLOIMHRIDA U OVA NOTES: — BEARINGS BASED ON THE NORTH RIGHT OF WAY UNE OF 17TH STREET AS BEING N90.00'00"E. —ELEVATIONS BASED ON NAVD 1988 DATUM. — ACCORDING TO F.I.R.M. PANEL # 12117CO070F, THE DESCRIBED PROPERTY LIES IN ZONE X. AREAS DETERMINED TO BE OUTSIDE THE 500 YEAR FLOODPLAIN. SHANNON SURVEYING, INC. 499 NORTH S.R. 434 — SUITE 2155 ALTAMONTE SPRINGS, FLORIDA, 32714 (407) 774-8372 LB # 6898 oc DATE OF SURVEY: 04/20/2010 VL -S. #4671 FIELD BY: W.B. SCALE: 1• a 30' AND THE ORIGINAL RAISED pg6-PG36-PAR-B-BNDY YOR AND MAPPER FILE NUMBER: 499 North State Road 434 Suite 2153 • Altamonte Springs, Florida 32714 Tel: 407-774-8372 • Fax: 407-682-6655 • E -Mail: Shannosurv©aol.com 4-K�.I,'�iI•�_ �f7!_��};i in -M �, ' MINIM April 26, 2010 City of Sanford Building Division PO Box 1788 Sanford, FL 32772 RE: Tax Parcel # 35-19-30-513-0400-0020 1407 17th Street W, Sanford, FL 32771 To Whom It May Concern: The finished floor elevation for the structure located at 1407 17th Street W, Sanford, FL 32771, Tax Parcel # 35-19-30-513-0400-0020, meets or exceeds the requirements set forth in the City of Sanford Code Chapter 65, Sec 6-7(a) Sincerely; Fames R. Sharon K. P.S. #4671 President of Sh on Stdveyinp, s1:�; s 5' - .',►:fir,.. '-: , ii BOUNDARY SURVEY DESCRIPTION: A PARCEL OF LAND LYING IN SECTION 35, TOWNSHIP 19 SOUTH, RANGE 30 EAST, CITY OF SANFORD, SEMINOLE COUNTY, FLORIDA. BEING MORE PARTICULARLY DESCRIBED AS FOLLOWS: LOT 2, EXCEPT THE WEST 17.77 FEET THEREOF, AND LOT 3, BLOCK 4, PINE LEVEL, ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 6, PAGES 36 AND 37, OF THE PUBLIC RECORDS OF SEMINOLE COUNTY, FLORIDA. 11 N 90'00'00"E 17TH STREET 15.96' N 8 a v �y • ry dtatT x'� • '�'x 0/H 0/H� I. T17.77' 31.23;' !V n .aa '� X40 x+!-* LOT 2 CONCRETE x _ COVERED CONCRETE ►A Cy X3.4 S' CONCRET 84.73 CONCRETE in rx N 14.6 LEGEND (S) SANITARY MANHOLE ® WATER METER c(L WOOD UTILITY POLE v GUY ANCHOR —0/H—OVERHEAD UTILITY I C� CRETE LOT 3 1p WI NOTES: — BEARINGS BASED ON THE NORTH RIGHT OF WAY UNE OF 17TH STREET AS BEING N90'00'00"E. — ELEVATIONS BASED ON NAVD 1988 DATUM. — ACCORDING TO F.I.R.M. PANEL # 12117C0070F, THE DESCRIBED PROPERTY UES IN ZONE X, AREAS DETERMINED TO BE OUTSIDE THE 500 YEAR FLOODPLAIN. SHANNON SURVEYING, INC. 499 NORTH S.R. 434 — SUITE 2155 ALTAMONTE SPRINGS, FLORIDA, 32714 (407) 774-8372 LB # 6898 DATE OF SURVEY: 04/20/2010 R. SHANNON J ., L. . #4671 FIELD BY: W.B. SCALE: I' a 30' BAUD WITHOUT THE SIGN RE AN THE ORIGINAL RAISED pg6-PG38-PAR-B-BNDY OF A FLORIDA UCEN SURVE AND MAPPER FILE NUMBER: 1 STORY N X40 x+!-* LOT 2 CONCRETE $ a BLOCK O EA 0 STRUCTURE J C O LZ 17.77' RECOVERm 5/8' IRON 31.23' 11.80 �,y16.tY 012 /, RESIDENCE LOT 1 teal 0 t o� 1407 F.F.E.=31.87' LEGEND (S) SANITARY MANHOLE ® WATER METER c(L WOOD UTILITY POLE v GUY ANCHOR —0/H—OVERHEAD UTILITY I C� CRETE LOT 3 1p WI NOTES: — BEARINGS BASED ON THE NORTH RIGHT OF WAY UNE OF 17TH STREET AS BEING N90'00'00"E. — ELEVATIONS BASED ON NAVD 1988 DATUM. — ACCORDING TO F.I.R.M. PANEL # 12117C0070F, THE DESCRIBED PROPERTY UES IN ZONE X, AREAS DETERMINED TO BE OUTSIDE THE 500 YEAR FLOODPLAIN. SHANNON SURVEYING, INC. 499 NORTH S.R. 434 — SUITE 2155 ALTAMONTE SPRINGS, FLORIDA, 32714 (407) 774-8372 LB # 6898 DATE OF SURVEY: 04/20/2010 R. SHANNON J ., L. . #4671 FIELD BY: W.B. SCALE: I' a 30' BAUD WITHOUT THE SIGN RE AN THE ORIGINAL RAISED pg6-PG38-PAR-B-BNDY OF A FLORIDA UCEN SURVE AND MAPPER FILE NUMBER: X40 x+!-* LOT 2 3 X+ EA 0 C O LZ 17.77' RECOVERm 5/8' IRON 31.23' 11.80 '�'^^ $8952'14"W ALLEY 43.03 LOT 4 LEGEND (S) SANITARY MANHOLE ® WATER METER c(L WOOD UTILITY POLE v GUY ANCHOR —0/H—OVERHEAD UTILITY I C� CRETE LOT 3 1p WI NOTES: — BEARINGS BASED ON THE NORTH RIGHT OF WAY UNE OF 17TH STREET AS BEING N90'00'00"E. — ELEVATIONS BASED ON NAVD 1988 DATUM. — ACCORDING TO F.I.R.M. PANEL # 12117C0070F, THE DESCRIBED PROPERTY UES IN ZONE X, AREAS DETERMINED TO BE OUTSIDE THE 500 YEAR FLOODPLAIN. SHANNON SURVEYING, INC. 499 NORTH S.R. 434 — SUITE 2155 ALTAMONTE SPRINGS, FLORIDA, 32714 (407) 774-8372 LB # 6898 DATE OF SURVEY: 04/20/2010 R. SHANNON J ., L. . #4671 FIELD BY: W.B. SCALE: I' a 30' BAUD WITHOUT THE SIGN RE AN THE ORIGINAL RAISED pg6-PG38-PAR-B-BNDY OF A FLORIDA UCEN SURVE AND MAPPER FILE NUMBER: it ENGINEERING ASSOCIATES January 27, 2010 Reference: Model/Elevation Address: PERMIT# 951 South Orange Blossom Trail I Apopka, Florida 32703 P: (407)814-2125 1 F: (407)880-2309 1 E: info@fdseng.com Website: www.fdseng.com Habitat for Humanity of Seminole County 1140 1407 West 17'" Street 09-1870 To whom it may concern, FEB1 0- S 1\- 1Y iN-]-�'"ORD o c toio RECEIVED Based upon a phone conversation with Jeff Diciero from Habitat for Humanity of Seminole County on 1-26-10, we have been asked to review the above mentioned project. It has been brought to our attention that there are comments on the plan review that need our attention. The items noted all refer to sheet D-2 Detail ICFO1, This sheet has been revised and clouded. If you have any questions, please do not hesitate to call. Sincerely, Carl A. Brown, P.E. FLPE# 56126 1/27/2010 "Doing Business with a Service Mindset and an Eye for Detail" 951 South Orange Btossom Trail I Apopka. Florida 32703 P: (407)814-2125 1 F: (407)880-2309 1 E: info@fdseng.com Website: www.fdseng.com ENGINEERING ASSOCIATES January 21, 2010 Reference: ModelMcvation: Address: PERMIT# CITY OF SnnlF�RD Habitat. for Humanity of Seminole County 1140 1407 West 17'x' Street 09-1870 To whom it may concern, JAN 2 2 2010 RE�CIVfD Based upon a phone conversation with Jeff Mciero from Habitat for Humanity of Seminole County on 1-21-10, we have been asked to review the above mcntioncd project. It has been brought to our attention that while installing the vertical steel prior to the slab being pourod, the contractor installed #5 rcbur at 32" on center. We have dctcrmined that the use of 45 verticals kom the foundation into the wall above is adequate and acceptable for the design loads of this project .1.f you have any questions, please do not hesitate to call. Sincerely, OFFICE "Doing Ontirmm Wish a Service Mindsel and an Eye for Actail" FDS951 South Orange Blossom Trail I Apopka, Florida 32703 P: (407)814-2125 1 F: (407)880-2309 1 E: info@fdseng.com Website: www.fdseng.com ENGINEERING ASSOCIATES January 20, 2010 - � 1 Reference: Habitat for Humanity of Seminole Cou Model/Elevation: 1140 Address: 1407 West 170' Street PERMIT# 09-1870 JAN 2 2010 To whom it may concern, \ V -� Based upon a phone conversation with Jeff Diciero from Habitat for Humane Seminole County on 1-20-10, we have been asked to review the above mentioned project to see if the vertical steel spacing can be increased. It has been brought to our attention that the contractor will be using the 6" thick core ICF blocks for this project instead of the 4" thick core indicated. Upon further review of our typical ICF detail, ICF01, we have determined that the contractor can install the #4 verticals at 32" on center for 8ft tall 6" thick walls. If you have any questions, please do not hesitate to call. Sincerely, e -1-Z, % -------------- Carl A. Brown, P.E. FLPE# 56126 1/20/2010 "Doing Business with a Service Mindset and an Eye for Detail" Seminole County Property Appraiser Get Information by Parcel Number Page 1 of 1 PARCEL, DETAIL l Z DAVID JoHN50P'k CFA. ASA PROPERTY .. r ,6 U ,Z „ 1, ,p a 7 o 12D 1 1 IRRA5ER L sO;o F. °0 sA I 4� 1101 H.FIMT.,C7 sAmFo* ),IL3E?1.148a 1d U ,+ U ,: t, 407.GW7808 VALUE SUMMARY GENERAL VALUES 2009 WorkinD 2008 Certified Parcel Id: 35-19-30-513-0400-0020 Value Method Cost/Market Cost/Market Owner: HABITAT FOR HUMANITY IN Number of Buildings 0 0 Own/Addy: SEMINOLE CO FLA INC Depreciated Bldg Value $0 $0 Mailing Address: 1548 SEMINOLA BLVD STE 141 Depreciated EXFT Value $0 EO CIty,State,ZlpCode: CASSELBERRY FL 32707 Land Value (Market) $14,112 $15,288 Properly Address: 1407 17TH ST W SANFORD 32771 Land Value Ag $0 $0 Subdivision Name: PINE LEVEL JusUMarket Value $14d12 $15,288 Tax District: S1-SANFORD Portablity Ad) $0 Exemptions: Save Our Homes Ad) $0 Dor: 00 -VACANT RESIDENTIAL Assessed Value (SOH) 314 $15,288 Tax Estimator 2009 TAXABLE VALUE WORKING ESTIMATE Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund $14,112 $0 $14,112 Schools $14,112 $0 $14,112 City Sanford $14,112 $0 $14,112 SJWM(Saint Johns Water Management) $14,112 $0 $14,112 County Bonds $14,112 $0 $14,112 The taxable values and taxes are calculated using the current years working values and the prior years approved millage rates. SALES Deed Date Book Page Amount Vac/Imp Qualified 2008 VALUE SUMMARY WARRANTY DEED 11/2008 07102 0389 $18,600 Vacant No QUIT CLAIM DEED 12/2005 61 166550 $1,000 Vacant No 2008 Tax Bill Amount: $290 QUIT CLAIM DEED 01/1981 01315 0777 $200 Vacant No 2008 Certified Taxable Value end Taxes DOES NOT INCLUDE NON -AD VALOREM ASSESSMENTS WARRANTY DEED 05/1977 01251 0955 $100 Vacant No Find Comparable Sales within this Subdivision LEGAL DESCRIPTION LAND PLATS: Pick... 101 Land Assess Method Frontage Depth Land Units Unit Price Land Value LOT 2 (LESS W 17.77 FT) & ALL OF LOT 3 BLK 4 PINE FRONT FOOT 8 DEPTH 49 133 .000 300.00 $14,112 LEVEL PB 6 PG 36 NOTE: Assessed values shown are NOT certified values and therefore are subject to change before being finalized for ad valorem tax purposes. If you recently purchased a homesteaded property your next ears property tax will be based on Just/Market value. http://www.scpafl.orglweb/re web.seminole_county_title?PARCEL=35193051304000020... 5/29/2009 Ok • ' • Habitat 1 for Humanity® in Seminole County May 29, 2009 City of Sanford, Florida Building and Fire Prevention Department 300 N. Park Ave. Sanford, FL 32771 To Whom It May Concern: Help build rt! Habitat for Humanity in Seminole County owns the property located at 1407 W. 171h Street in Sanford, Parcel ID #35-19-30-513-0400-0020. The home we would like to build on this property will cost $100,000. Habitat for Humanity in Seminole County is the contractor for this project. Sincer ly, Charles F. Harris III Construction Manager 1548 Seminole Blvd Ste 141, Casselberry, FL 32707-3648 Phone: (407) 696-5855 Fax: (407) 696-5833 www.habitatseminole.org frnRio,�nEs�Bivs�a�anoivs���. arnOcnisuExsixWINS TRANSMITTAL LETTER TO: ATTN: We are sending you via for the following items: ITEM (COPIES Date; i �z t/i n Project: FDS Number: RE: / 07 f 7 -0 Regular Mail Q Courier Express Mail total pages including transmittal Information F] Comment OAction Noted: E] Approval Request NE (No Exceptions taken) MC (Make Corrections noted) SS (Submit Specified item) RR (Revise and Resubmit) RE (Reject) DESCRIPTION I REMARKS (ACTION 951 south orange blossom trail • apopka, fl 32703 • (407) 814-2125 • fax (407) 880-2309 • Structural Engineering 0 . •i PLOT PLAN "-(oj w DESCRIPTION: A PARCEL OF LAND LYING IN SECTION 35, TOWNSHIP 19 SOUTH, RANGE 30 EAST, CITY OF SANFORD, SEMINOLE COUNTY, FLORIDA. BEING MORE PARTICULARLY DESCRIBED AS FOLLOWS: LOT 2, EXCEPT THE WEST 17.77 FEET THEREOF, AND LOT 3, BLOCK 4, PINE LEVEL, ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 6, PAGES 36 AND 37, OF THE PUBLIC RECORDS OF SEMINOLE COUNTY, FLORIDA. 8 8 N 17TH STREET N $ x'�°j0 EDGE OF PAVEMENT x�� g x'b x�` N Nx'1?• —®�M 30,iiAK-N9�'&0'00"E—c&—�"'��—° ��♦ -�1 9 - 0ti x C;� 17.77" 31.23' I i 84.73' x� �ry t0' CAMPHOR t oAK N I r a t' M 1oAK 2°AK tY DAK I 14. Ili 011 � � I ^� ' Y � 22Qt COVERED ('�• �� AK PORCH e Q' X13.3 9• ,� te' PALM \ O O W NI PROPOSED 1 y1 N � d STORY BUILDING ty O v% F.F.E-31.75' a Q O U 15' PALM >> v LOT 1d e.- I LOT 3 > T oil ®tx O ti N I LOT 2 I 1 PALM ,er\ OAK a Q 914' PALM Ewf 3 e• ,s`oAK ` •dL CITY OF SANFORD BUILDING PLAN REVI x'p. I t,{ AW ' ,. • PLANNING AND DEQ D ENT SERVICES �– 1r eb �rysx x+� APPROVED 20• o DATE ' m G v� ,' r OAK � uAK colk NOTES: LZ BEARINGS BASED ON THE NORTH RIGHT OF WAY 17.77' .3423' is 103801 LINE OF 17TH STREET AS BEING N90'00'00"E. 16 PALM . r Ox ° °i� �ti – THIS IS NOT A BOUNDARY SURVEY. S89 5214 V�ry x�'' – PLOT PLAN BASED ON PREVIOUS SURVEY ALLEY 43.03 c ' ��"`• PERFORMED BY OTHERS. — s `ALM – ELEVATIONS BASED ON NAVD 1988 DATUM. x�+� LOT 4 / SHANNON SURVEYING, INC. LEGEND i� 1 499 NORTH S.R. 434 – SUITE 2155 (S SANITARY MANHOLE / ALTAMONTE SPRINGS, FLORIDA, 32714 0 WATER METER / (407) 774-8372 LB # 6898 c'Qj WOOD UTILITY POLE DATE OF SURVEY: 05/28/2009 GUY ANCHOR JA S ANNON JR�iP L.S 4671 1' = 30' —O/H—OVERHEAD UTILITY L E • # FIELD BY: - SCALE: NOT AUD WITHWT THE 9GNARIRE AND THE ORIGINAL RAISED �- PROPOSED DRAINA OF A FLORIDA UCENSED SURVEYOR AND MAPPER FILE NUMBER: P86-PG36-PAR-B-PLOTPLAN PLOT PLAN DESCRIPTION: A PARCEL OF LAND LYING IN SECTION 35, TOWNSHIP 19 SOUTH, RANGE 30 EAST, CITY OF SANFORD, SEMINOLE COUNTY, FLORIDA. BEING MORE PARTICULARLY DESCRIBED AS FOLLOWS: LOT 2, EXCEPT THE WEST 17.77 FEET THEREOF, AND LOT 3, BLOCK 4, PINE LEVEL, ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 6, PAGES 36 AND 37, OF THE PUBLIC RECORDS OF SEMINOLE COUNTY, FLORIDA. 8 8 v N 17TH STREET N / I C4 M IIr eOAK 22AK I N 0 J LOT 1 n I N I I 3 0 x10 NOTES: )AX - BEARINGS BASED ON THE NORTH RIGHT OF WAY UNE OF 17TH STREET AS BEING N90'00'00"E. THIS IS NOT A BOUNDARY SURVEY. PLOT PLAN BASED ON PREVIOUS SURVEY PERFORMED BY OTHERS. - ELEVATIONS BASED ON NAVD 1988 DATUM. LEGEND QS SANITARY MANHOLE ® WATER METER cU, WOOD UTILITY POLE , wl GUY ANCHOR JAM R. S ANNON,� .,. P.L.S. #4671 -0/H-OVERHEAD UTILITY LIN NOT AUD VATHOUT THE Slf'D,�IAIURE AND THE ORIGINAL RAISED �- PROPOSED DRAINAGE OF FLORIDA UCQ(sED.SURVEYOR. AND MAPPER SHANNON SURVEYING, INC. 499 NORTH S.R. 434 - SUITE 2155 ALTAMONTE SPRINGS, FLORIDA, 32714 (407) 774-8372 LB # 6898 DATE OF SURVEY: 05/28/2009 FIELD BY: — SCALE A' a 30' ME NUMBER: P86—PG36—PAR—B—PLOTPLAN iuiinu111Iuu1iii11 gill uiu11111111 RIONuuii11Iain11 MARYW& MURbt, CLEW OF CIKVIT LIJURT NOTICE OF COMMENCEMENT SEMINOLE COUNTY Permit No. . l 70 BK 0'/199 Pq 0951; Opy) Parcel 1D: 35— 19— ,40 CJI -0400 — 00;ZQ CLERK'S 0 2009061362 State of Florida ' REC01401-0 06/086-%9 0I. -8h44 FW County of Seminole RECO1t0IND FLES 10.00 RECORDED BY L McKinley The undersigned hereby gives notice that improvement will be made to certain CtKf IfIEU Cb'Pli" real property, and in accordance with Chapter 713, Florida Statutes, the following MARYANNE MORSE information is provided in this Notice of Commencement. CLEM OF CIRCUIT EOURT I . Description of property: (legal description of the property and street address ifU FIARIDAI available) 1407 W. 17 St., Sanford, FL 32771 $EMINO LOT 2 (LESS W 17.77 FT) & ALL OF LOT 3 BLK 4 PINE LEVEL PB 6 PG 36 2. General description of improvement: Build Single Family Residence �11A1 O 2009, 3. Owner Information V1`I a. Name and address: Habitat for Humanity in Seminole County, 1548 Seminola Blvd., St. 141, Casselberry, FL 32707 b. Interest in property: To build a single family residence c. Name and address of fee simple titleholder (if other than owner) I 4. Contractor a. Name and address: Habitat for Humanity in Seminole County, 1548 Seminola Blvd., St. 141, Casselberry, FL 32707 b. Phone Number: (407) 696-5855 5. Surety a. Name and address: N/A b. Amount of bond $ c. Phone Number: 6. Lender a. Name and address: N/A b. Phone Number: 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(I)(a)7., Florida Statutes: a. Name and address: Charles F. Harris, Ill, Habitat for Humanity in Seminole County, 1548 Seminola Blvd., St. 141, Casselberry, FL 32707 b. Phone Number: (407) 696-5855 8. In addition to himself or herself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1) (b), Florida Statutes: a. Name and address: N/A b. Phone Number: 9. Expiration date of notice of commencement (the expiration date is I year from the date of recording unless a different date is specified) WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTINCE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO 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 YO LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMA OM EMENT. G. Signa ure Owner or Owner's Authorized Officer/Director/Partner/Manager Signatory's Title/Office Ecom Caw o Mwe, The foregoing instrument was acknowledged before m this, oma( day of lu , 2001 by 6�,e5 rll& (name of erson),as Il Y ( e of authority ...e.g. officer, trustee, attorney in fact) for 1t "A name of party on behalf of whom instrument was executed)). `....�gpp..n4u.IN�... n...n..u...n.r 11115 :N511iUIv1tILV1' PRUARED BY: GAYLE L. HORNER e f�1� +mn tary Public, State of Florida ,,�'"Yp���• Comm# DD0736955 NAMEe-'17pires: § Expires 11/26/2011 ADDR. «�"�� 1 nf1/14!t" �a e Fbrtda Notary Ass^•, Inc - r�+ ' I ! GAS—;Y`'j,�' rJJ7tt•.t .....-�......�e..........e - PLOT PLAN 0�- 18l u k) w �� DESCRIPTION: A PARCEL OF LAND LYING IN SECTION 35, TOWNSHIP 19 SOUTH, RANGE 30 EAST, CITY OF SANFORD, SEMINOLE COUNTY, FLORIDA. BEING MORE PARTICULARLY DESCRIBED AS FOLLOWS: LOT 2, EXCEPT THE WEST 17.77 FEET THEREOF, AND LOT 3, BLOCK 4, PINE LEVEL, ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 6, PAGES 36 AND 37, OF THE PUBLIC RECORDS OF SEMINOLE COUNTY, FLORIDA. 8 $ Lo N 17TH STREET N 9y 1 ti� x - i ALLEY x'PIP LEGEND Q SANITARY MANHOLE ® WATER METER M.> WOOD UTILITY POLE wl GUY ANCHOR -0/H-OVERHEAD UTILITY L — PROPOSED DRAINAQ C4 M r 12�;K �e 22 DAK F- 0 i� n H rn `Ln to O O O Z F 10 a o PROPOSED 1 i F,ISTORY BUILDING 31,0 09 F.F.E-31.75' U U „n LOT 3 OT 2 I •31. o ms's IY PALM e 14' PALM 106OAK � 10' OAK e x'� I 1 ' PALM ` e� 12• a I �• S89'52'14' 43.03'1 20. 0 LOT 4 /AUD WITHOUT THE OF A FLORIDA LICE OAKJ 131 `OAK �ti x� rqALM 7 / Y1 Yr 64.73' 1 • OAK •4'd�AK 20` GAK s' S► d Com✓ 0. I e 1 OAK ^fes 'ALM L� �x O ti94 �� OAK �? ctl OL CITY OF SANFORD . BUILDING PLAN REVIEW PLANNING AND DEVELOP ENT SERVICES x4� APPROVED DATE s ' NOTES: - BEARINGS BASED ON THE NORTH RIGHT OF WAY UNE OF 17TH STREET AS BEING N90'00'00"E. - THIS IS NOT A BOUNDARY SURVEY. - PLOT PLAN BASED ON PREVIOUS SURVEY PERFORMED BY OTHERS. - ELEVATIONS BASED ON NAVD 1988 DATUM. f i P.L.S. #4671 AND THE ORIGINAL RAISED YOR AND MAPPER SHANNON SURVEYING, INC. 499 NORTH S.R. 434 - SUITE 2155 ALTAMONTE SPRINGS, FLORIDA, 32714 (407) 774-8372 LB # 6898 DATE OF SURVEY: 05/28/2009 FIELD BY: - SCALE: 1' - 30' FILE NUMBER: PB6-PG36-PAR-B-PLOTPLAN FORM 1100A-08 FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Florida Department of Community Affairs Residential Performance Method A Project Name: CSF1140 3 BEDROOM Builder Name: HABITAT FOR HUMANITY t Street: 1407 W. 17TH STREET Permit Office: SANFORD `I �c City, State, Zip: SANFORD, FL, 32771- Permit Number. Owner: HABITAT FOR HUMANITY Jurisdiction: Design Location: FL, SANFORD 1. New construction or existing New (From Plans) 9. Wall Types Insulation Area 2. Single family or multiple family Single-family a. Insulated Concrete Form, Exterior R=26.0 1376.00 fN b. N/A R= ft' 3. Number of units, if multiple family 1 c. WA R= ft' 4. Number of Bedrooms 3 d. N/A R= fN 5. Is this a worst case? No 10. Ceiling Types Insulation Area 6. Conditioned floor area (ft=) 1140 a. Under Attic (Vented) R=30.0 1140.00 ft' b. N/A R= fP 7. Windows Description Area c. N/A R= IF a. U -Factor. Dbl, U=0.54 120.00 fV SHGC: SHGC=0 32 11. Ducts b. U -Factor. N/A IN a. Sup: Attic Ret: Attic AH: Interior Sup. R= 6, 228 ft2 SHGC: 12. Cooling systems c. U -Factor: N/A ft' a. Central Unit Cap: 24.0 kBtu/hr SHGC: SEER: 13 d. U -Factor: N/A ft= 13. Heating systems SHGC: a. Electric Heat Pump Cap: 24.0 kBtu/hr e. U -Factor. N/A fN HSPF:7.8 SHGC: 14. Hot water systems 8. Floor Types Insulation Area a. Electric Cap: 50 gallons a. Slab -On -Grade Edge Insulation R=0.0 1140.00 fN EF: 0.91 b. WA R= IF b. Conservation features c. N/A R= ft= Solar.FEF=3.2 15. Credits Pstat Total As -Built Modified Loads: 17.44 Glass/Floor Area: 0.105 PASS Total Baseline Loads: 32.66 1 hereby certify that the plans and specifications covered by Review of the plans and V -Via S74l, this calculation are in compliance with the Florida Energy specifications covered by this VV Code. calculation indicates compliance with the Florida Energy Code. n,/p^a, ..t.• ,.V s „ O� PREPARED B Before construction is completed DATE: this building will be inspected for " a compliance with Section 553.908 . e I hereby certify that this building, as designed, is in compliance Florida Statutes. ♦,l, with the Florida Energy Code. Cpp W -E J OWNER/AGENT- BUILDING OFFICIAL: DATE: DATE: - Compliance requires certification by the air handler unit man cl r aidirat0irekkAw., qualifies as certified factory-seale�ccordance with N1110.A ` ♦ 1-7 i Dp�E. - FEB 2 2010 1 /77Mntn 4.47 PM Fnornvraswwft I KA - FbR04W"-. . L U�� Pano 7 MR CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: 9 I Documented Construction Value: $ 32 `-' 83 Job Address: i�D-� LA.) i Historic District: Yes ❑ No ❑ Parcel ID: Description of Work: U.. m 61 Plan Review Contact Person: Zoning: Title: Phone: Fax: E-mail: Property Owner Information Name • .a -1D -%..- A\u " Street: hQQ =P"Ny�^At City, State Zip: ?SL113 Phone: Resident of property? : Contractor Information Name 1n,( . Phone: Street: AeiQ -PD 444 Fax: 45,12 City, State Zip:"1VY- f'%yo,6 T -t _�5Zn1b State License No.: CITIL 14ZLi—+—+Z Name: Street: City, St, Zip: Bonding Company: Address: Building Permit O Square Footage: No. of Dwelling Units: Electrical O New Service — No. of AMPS: Architect/Engineer Information Phone: Fax: E-mail: _ Mortgage Lender: Address: PERMIT INFORMATION Construction Type: Flood Zone: No. of Stories: PlumbintA New Construction - No. of Fixtures: Mechanical 13 (Duct layout required for new systems) Fire Sprinkler/Alarm 0 No. of heads: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and air conditioners, etc. OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713. The City of Sanford requires payment of a plan review fee. A copy of the executed contract is required in order to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the plan review fee based on past permit activity levels. Should calculated charges exceed the documented construction value when the executed contract is submitted, credit will be applied to your permit fees when the permit is released. 4&4byrl - - I- m. ID Signature of Owner/Agent Date gnature of Contractor/AgcntDate Print Owner/Agent's Name Signature of Notary -State of Florida Date Owner/Agent is Personally Known to Me or Produced ID Type of ID APPROVALS: ZONING: ENGINEERING: COMMENTS: Rev 11.08 UTILITIES: FIRE: —N-pwzw Print Contractor/Agent's Name PrJCA-- /, � 2– , /0 Signature of Notary -State of Florida Date Contractor/Agent is Personally Known to Me or Produced ID Type of ID WASTE WATER: : CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: Q ' 12?? D Documented Construction Value: $ 9;Z 10 J - da Job Address: t} D W - 17 Th S tAeeHistoric District: Yes ❑ No ❑ Parcel ID: Zoning: Description of Work: W j re- /l e,.a re J y Gip It ce Plan Review Contact Person: Phone: Fax: Title: E-mail: Property Owner Information Name wig &,-i+-R t Phone: Street: City, State Zip: Resident of property? : �; Contractor Information Name Old f�6a ca- 7 6r- Phone: Street: A> 4 '� /. a a lI Fax: 90 I c( 7 38 2 City, State Zip: �i,k4 .L L s J' Zia `� State License No.: L `� Name: Street: City, St, Zip: Bonding Company: Address: Architect/Engineer Information Fax: E-mail: Address: PERMIT INFORMATION Building Permit ❑ Square Footage: Construction Type: No. of Dwelling Units: Flood Zone: Electrical New Service — No. of AMPS: Mechanical ❑ (Duct layout required for new systems) �n J7 r3 No. of Stories: Plumbing ❑ 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 COMMENCEMENT. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713. The City of Sanford requires payment of a plan review fee. A copy of the executed contract is required in order to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the plan review fee based on past permit activity levels. Should calculated charges exceed the documented construction value when the executed contract is submitted, credit will be applied to your permit fees when the permit is released. Signature of Owner/Agent Date Signature of Contractor/Agent Date Print Owner/Agent's Name Signature of Notary -State of Florida Date Owner/Agent is Personally Known to Me or Produced ID Type of ID APPROVALS: ZONING: UTILITIES: ENGINEERING: COMMENTS: Rev 11.08 FIRE: Print Contactor/Agent's Name 3kAntL& — / c� Signature of Notarvstate of Florida Date ; 0'' ' ; PAMELA Y DIORNE MY COMMISSION 4 DW1596 +o.Z EXPIRES June 22 2013 (407) 30"1!+9 PondoNotorySe�vice.com Contractor/Agent is �ersonailyKnown Me or Produced ID Ty WASTE WATER: BUILDING: PROPOSAL/CONTRACT Habitat For Humanity 1548 Seminola Blvd. Suite 141 Casselberry, FI. 32707 S� t 1 t3q owe q0P bet )K !s 40.044W Date: 1/7/2010 We propose to furnish material and labor for the electrical work at job name: Plan 1140 (4 Bedroom) for the sum of $ 4,200.00 Which will be done per the following schedule: 13 Lighting Outlets 0 Post Light Outlets 4 Paddle Fan Outlets 0 Paddle Fan Installation 22 S.P. Switch Outlets 4 3 -Way Switch Outlets 0 4 -Way Switch Outlets 36 Duplex Receptacles 4 Weatherproof Outlets 1 Washer Outlet 1 Dryer Outlet 1 Furnace Outlets ( 10KW ) 1 Air Conditioner Outlet ( 2 Ton 0 Dishwasher Outlet 1 Disposal Outlet 0 Recess Lights 1 Push Button Outlet 1 Chime Outlets 1 T.V. Outlets 2 Telephone Outlets 6 Smoke Detectors 0 Floor Outlets 1 Range Outlets 0 Oven Outlets 1 Water Heater Outlets 2 Bath Fan Outlets 0 Bath Fan # 0 Kitchen Hood Outlet 0 Jacuzzi Outlet 0 Garage Door Outlet 0 Microwave Outlet This Includes 150 Amp Main Service. This Includes NO Allowance For Fixtures.(Except As Noted) This Includes Hanging Fixtures and Connecting Equipment. 2 Fluorescent 02 Fixtures included In price. TERMS AND CONDITIONS: E E REVERSE SIDE OF THIS PROPOSALICONTRACT FOR ADDITIONAL TERMS AND CONDITIONS. ALL OF WHICH THE UNDE IG D S CIFICALLY ACKNOWLEDGES AND AGREES TO ABIDE BY. IF YOU WISH TO ACCEPT THIS PROPOSAL AND Is . U O P EED, KINDLY SIGN AND RETURN AN EXECUTED COPY TO STE ELECTRICAL SYSTEMS, RETAINING THE ORIGI F0 OU CORDS WITHIN 30 DAYS. Accepted By: Ler. anise- Date: so For S.T.E. Date: Jeff onne LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: -'-F 0 V I hereby name and appoint:—�NISd,Tt�p81t��So�� an agent of: (Name L 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): Q�. All permits and applications submitted by this contractor. O The specific permit and application for worylocated at: 14 0 x) rt i 1419 L -)i ')A /- (Street Address) Expiration Date for This Limited Power of Attorney: 3 License Holder Name: I-Fj-r r prz� G.t'- State License Number: Signature of License H STATE OF FLORIDA COUNTY OF LCL V - The foregoing insoment was acknowledged before me this 204D _,byTGc.wy�.t.�ir4- to me or o who has produced identification and who did (did not) take an oath. (Notary Seal) ' ==-- URAMY C504807EX2010aadede�wdtsn (Rev. 3/27/07) ature (2Z- day who iswfrsonally known L ccyr&- L,, r. 1l Print or type narife Notary Public - State of _ Commission No. My Commission Expires: as 1311 Seminola Blvd. • HEATING Casselberry, FL 32707 • AIR CONDITIONING G64moa •REFRIGERATION MECHANICAL SERVICES, INC. 407-695-6646 • ICE MACHINES 407-696-0003 fax www.gembecki.com CAC058531 DATE: , PREPARED FOR: -011K Z_0 GOOD GUYS TO HAVE AROUND BILLING JOB ADDRESS: SITE: CITY: STATE: ZIP: CITY: S ;A r -' Jrck STATE: T k' ZIP I� 1-1 3 PHONE: -!SQ Y01�4\ y _R LMI PHONE: FOR THE SUM SET FORTH WE AGREE TO FURNISH, INSTALL AND SERVICE THE FOLLOWING TOTAL COMFORT SYSTEM WITH JOURNEYMAN CLASS TECHNICIANS AS PER THE SPECIFICATIONS OUTLINED BELOW. ENERGY SAVING ITEMS O Heat and Cool Thermostat ❑ Programmable Thermostat Digital Thermostat INDOOR AIR QUALITY O Ultraviolet Light O Electronic Air Cleaner m# O Media Filter m# PIPING Liquid Line Suction Line , Drain Line O Emergency Drain Pan ❑Outdoor Line Cover O Service Upgrade to 200 Amp Including Lightning Arrestor and Driven Ground ELECTRICAL ❑ Copper Wiring to Air Handler ❑ Copper Wiring to Condensing Unit MODIFICATIONS ❑ Includes Required Disconnects, Switches, Breakers and Conduit ElAttic Light Receptacle Safety Float Switch O Condensate Pump 1 Year Labor Year Prts Year Condenser Coil Limited Warranty Emergency Service Available [ Year Compressor Limited Warranty WARRANTY O Limited Heat Exchanger Warranty ❑ Cooling Warranty on a 950 Day, the Inside Temperature Will be 780 and on a 300 Additional Warranties Day, the Inside Temperature will Average 700 REMOVAL ❑ Remove Furnace O Remove Air Handler O Remove Condensing Unit O Remove Package Unit MISC. ❑ 14and Insulate Platform O Reinforced Pad O Prehung Door w/Hardware O Build attic Walk Platform OTHER SERVICES: G��A' n TOTAL INCLUDING TAX: ($ L` �J ) ALTERNATE:Z f` L'L-&?S '<ka D F u\A S t Ore ($ ) TERMS: 91 First Comfort Club inspection date SALES AGREEMENT PROPOSAL EFFECTIVE FOR 6Z> DAYS Staff Consultant r Customer Approval Customer Approval Date: I have the authority to order the work above. In the event payment is not made promptly in accordance with agreed terms it shall be seller's option to charge a service charge not exceeding two (2) percent per month. The first service charge becoming due 15 days from the date of the billing of our amount due on the job. In the event of collection by attorney, all attorney, court costs and other legal fees shall be bome by the buyer; in the event of nonpayment, purchaser agrees to allow seller on premises to remove equipment installed. This sales agreement shall be binding upon the heirs, successor, or assigns of the party hereto. It is understood that the title of all products and equipment covered by the contract remains solely in the seller until the entire purchase price has been paid in full and the manner of installation and/or attachment to any equipment and/or any portion of the build- ing structure in which the installation Is made shall not in any manner jeopardize the seller's title. 1p"Condensing Unit Tons SEER Z J A/C Ht�Eumpi TOTAL;Air deI G S 2,1-1 Q �� t Make � � � /ten Handler tonsa •JKW S Model P W U, a IAO S Ib Make G,.yynlry% COMFORT SYSTEM ❑ Furnace Model Make �CLJJ1 ❑ Coil Tons BTUH Cooling Output Model LL) Make BTUH Heating Output 3, -),AT Package Unit Tons Model Make AIR DELIVERY SYSTEM # of Supply Y # of Return ( Floor Ceiling Sidewall O Reconnect Supply O Reconnect Return C) ew Supply / New Return ❑ Duct Hood ENERGY SAVING ITEMS O Heat and Cool Thermostat ❑ Programmable Thermostat Digital Thermostat INDOOR AIR QUALITY O Ultraviolet Light O Electronic Air Cleaner m# O Media Filter m# PIPING Liquid Line Suction Line , Drain Line O Emergency Drain Pan ❑Outdoor Line Cover O Service Upgrade to 200 Amp Including Lightning Arrestor and Driven Ground ELECTRICAL ❑ Copper Wiring to Air Handler ❑ Copper Wiring to Condensing Unit MODIFICATIONS ❑ Includes Required Disconnects, Switches, Breakers and Conduit ElAttic Light Receptacle Safety Float Switch O Condensate Pump 1 Year Labor Year Prts Year Condenser Coil Limited Warranty Emergency Service Available [ Year Compressor Limited Warranty WARRANTY O Limited Heat Exchanger Warranty ❑ Cooling Warranty on a 950 Day, the Inside Temperature Will be 780 and on a 300 Additional Warranties Day, the Inside Temperature will Average 700 REMOVAL ❑ Remove Furnace O Remove Air Handler O Remove Condensing Unit O Remove Package Unit MISC. ❑ 14and Insulate Platform O Reinforced Pad O Prehung Door w/Hardware O Build attic Walk Platform OTHER SERVICES: G��A' n TOTAL INCLUDING TAX: ($ L` �J ) ALTERNATE:Z f` L'L-&?S '<ka D F u\A S t Ore ($ ) TERMS: 91 First Comfort Club inspection date SALES AGREEMENT PROPOSAL EFFECTIVE FOR 6Z> DAYS Staff Consultant r Customer Approval Customer Approval Date: I have the authority to order the work above. In the event payment is not made promptly in accordance with agreed terms it shall be seller's option to charge a service charge not exceeding two (2) percent per month. The first service charge becoming due 15 days from the date of the billing of our amount due on the job. In the event of collection by attorney, all attorney, court costs and other legal fees shall be bome by the buyer; in the event of nonpayment, purchaser agrees to allow seller on premises to remove equipment installed. This sales agreement shall be binding upon the heirs, successor, or assigns of the party hereto. It is understood that the title of all products and equipment covered by the contract remains solely in the seller until the entire purchase price has been paid in full and the manner of installation and/or attachment to any equipment and/or any portion of the build- ing structure in which the installation Is made shall not in any manner jeopardize the seller's title. ,AAA � -e rJo+-f CITY OF SANFORD PERMIT APPLICATION Application # : 09 ( 0 -7 0 Job Address: 01 W + Submittal Date: Value of Work: S Parcel ID: /� / Zoning: Historic District: J - Description of Work: rr�6 ( Iti`1,) CIVOAwva.n. X-4-1 13. D Sif-9 L61—Square Footage: JS SS .................. .. .... ..................................................... Pt�.r P. i ia;,:� Permit Type: Building Electrical O Mechanical W lumbing O Fire Sprinkler/Alarm O Pool O Sign O Electrical: New Service - # of AMPS Addition/Alteration O Change of Service O Temporary Pole O Mechanical: Residential ly^ Non -Residential O Replacement O New 9 (Duct Layout & Energy Calc. Required) Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines Plumbing/New Residential: # of Water Closets Plumbing Repair -Residential O Commercial O Occupancy Type: Residential N� Commercial O Industrial O Occupancy Use Group(s): Construction Type: �_ # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required) .....................................................................................ff__.....(/............................... Property Owner: Contractor: (�iiiY✓V)Ze K / r`-t-Gt" /R�/ �I Cil Address: Address: i - 1 m y rr ✓W r, lvd 0"-550 6yey , E 32-10'7 Phone: E-mail: Phoneko7)w-6k' f L -State License Number: C/-GD57S73/ Bonding Company: Address: Architect/Engineer: Address: Plan Review Contact Person: Mortgage Lender: Address: Phone: Fax: Phone: Fax: E-mail: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and AIR CONDITIONERS, etc. OWNER'S AFFIDAVIT: 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 M 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 requireme s of Florida Lien Law 713. 3�l��lb , " Signature of Owner/Agent Date Signature o Contractor/ gent Date fk4�z,rV_ (,t —k� Print Owner/Agent's Name Signature of Notary -State of Florida Date Owner/Agent is _ Personally Known to Me or Produced ID - APPROVALS: ZONING: Special Conditions: Rev 07.07 UTIL: FD: Pri Name Signature of Notary -State of Florida Date ori . Notary Public State of Florida Marsha Horal or r. My Commission DD554078 Expires 07120 Contractor/Agent is Pe Kn o Me or Produced ID ENG: BLDG: GEMBECKI MECHANICAL SERVICES, INC. • AIR CONDITIONING 1311 Seminola Blvd. • REFRIGERATION Casselberry, FL 32707 • ICE MACHINES 407-695-6646 fax. 407-696-0003 March 18, 2010 City of Sanford Building Dept. 300 N Park Ave. Sanford, FL 32771 Re: 1407 W. 17`h St., Sanford — To Whom It May Concern: I hereby authorize George Perina to sign for and pick up the mechanical permit for the above referenced job. My state certification number is CAC 058531. Please feel free to contact me if you have any questions. Thank you. Sincerely, "ki Mar Gembec President Sworn to and subscribed before me this i b t� day of 2010. "'—�aALLNviJ —/Ko-r5ko-por—aL,( Notary Public — State of Florida �Y PV Notary bGcState of Florida Marsha Horse y� My Commission 00554073 Expires 07122012010 i 04/08/2010 THU 12:27 FAX Application No: 09- /97d RECEIVED APR IQUU1/VVZ CITY OF SANFORD g. 2010 BUILDING & FIRE PREVENTION PERMITAF*LICATION Documented Construction Value: $ Job Address: Lyb7 •/-7--'%, S-( w . Historic District: Yes ❑ No ❑ Parcel ID: ,:�S / 9. 3 0 Description of Work: Zoniug:s-�- Plan Review Contact Person: Title: ,l/ Phone: '16 �31a l q? Fax: gQ7•S/� 93&� E-mail / � I t -1O t Property Owner Information Name 746/-w Phone3)j. Street: _1410-7 1-71%S W . Resident of property? City, State Zip:SIT`3 D-7 Name Street City, S )rmation Phone: �% 3 9j. Fax: �6i vw • 2?& State License No.:C 110,454,11 S% Architect_ Engineer Information Name: Street: PL City, St, Zip: iYlA-i rl-AW6 .7-- / 3 --t-7S / Bonding Company: Address: Building Permit Square Footage: No. of Dwelling Units: Electrical ❑ New Service — No. of AMPS: Phone: Fax: E-mail: Mortgage Lender: Address: PERMIT INFORMATION Construction Type: Flood Zone: Plumbing ❑ No. of Stories: New Construction - No. of Fixtures: Mechanical 13 (Duct layout required for new systems) Fire Sprinkler/Alarm ❑ No. of heads: 04/08/2010 THU 12:27 FAX 0002/002 Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and air conditioners, etc. OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713. The City of Sanford requires payment of a plan review fee. A copy of the executed contract is required in order to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the plan review fee based on past permit activity levels. Should calculated charges exceed the documented construction value when the executed contract is submitted, credit will be applied to your permit fees when the permit is released. o„ �i• Sto Signature of Owner/Agent Print Owner/Agent's Name Date Signature of Notary -State of Florida Date Owner/Agent is Personally Known to Me or Produced ID Type of M APPROVALS: ZONING: ENGINEERING: COMMENTS: 11.08 UTILITIES: t� 'mature of Con!Tat:turMgenl Date Print Contractor/Agent's Name ylyh o Signa ure of N tary-State of Florida Date NOTARY PUBLIC -STATE OF DA "•' Maxine Costanzo Commission # DD607979 Expires: DEC. 05, 2010 BONDED THRU ATIANl1C BO, I� CO., INC. Contractor/Agent is Personally Known to Me or Produced ID Type of ID WASTE WATER: BUILD IC/ I. 7• L Iv L•JII Ir, t LL Solar Domestic Not .Oraet�rw.a: 'robin Pergtf-oq' / 9'7 0 Gi i� v r ew DI-IW30118 x.31 is C11otnxtars lams: ismVIVATIF Mar I:tmj*n* s t GN rA v ILMA jr I 01 -IT— A. v OrlaersAdbat: � 14V W-f1h sl� wi. i4pof rvowl: Mau 8or11a EUwra taes6le Em& RsprsraerlhlrK V• ryE55�G � TamK. Ilolydq,wlamabaAAlldOIARY Jane.- 1'NeCv �lawh Ystw of prompt o tndd M a aleck o o floarw Fun Roof cohnim -31m ❑ 6mol Sysism �Misty QT Q Rai Roar WIwes Comm": vt — 7 ✓ I- 3p11aak fi r- Cak ) ..r UlfiiryPww.. jj!brr4n" 4110 Colulor(s) E*ft Timk _� Acte Cantel Lail CoOedoo _,,L Oh jAAA P.VID.O P1mp /:db coder(l) l0 000 Stings Tank 311 mater(s) in "m Slangs W Psuhe C4dOutw(1) T., Pnad16 egisel" TOTAL DEPOSIT BALANCE Any ahsnOa w de bhu bmh1q Mrs vent wm be 01190111101111 span x11111111 order, amd 0101 bsaoy alrs CUM oar oW above Lbs u0ni. Al spnmznu an as11Uwd We 011A ssddmk. ad or d6p beyond otm ft*ol The Owner tbd ce" FW(q dsm K rum, temado, and other d ride balms e. By amptaaa or Ob tomos, Customer adm Otdgn that Cwlomer baa rnd sod uod,Maads the low ad aof0ona of lbrt Apemal, sod spa Io be bmod by IM ams, ew betty agrsa 1bs1 Ods AOnemnl supsradn soy and to prop#* onl or wdnt% and al olat agmmmor, rwitoUsVou and sam=*aUsre belwson the parOu or their ogmts.tdlb ntp el to Ow wb)al mann Mnol. AbSDIAR It awborited to mamma work ACCORDING TO FLORIDA'S CONSTRUCTION LIEN LAW (SECTION 71001-718.37, FLORIDA STATUTES) THOSE WHO WORK ON YOUR PROPERTY OR PROVIDE MATERIALS AND SERVICES AND ARE NOT PAID IN FULL HAVE A RIGHT TO ENFORCE THEIR CLAIM FOR PAYMENT AGAINST YOUR PROPERTY, THIS CLAIM IS KNOWN A CONSTRUCTION ZEIN. IF YOUR CONTRACTOR OR A SUB- CONTRACTOR FAILS TO PAY SUB -CONTRACTORS OR MATERIAL SUPPLIERS, THOSE PEOPLE WHO ARE OWED MONEY MAY LOOK TO YOUR PROPERTY FOR PAYMENT, EVEN IF YOU HAVE ALREADY PAID YOUR CONTRACTOR IN FULL, IF YOU FAIL TO PAY YOUR CONTRACTOR, YOUR CONTRACTOR MAY AL80 HAVE A LIEN ON YOUR PROPERTY, THIS MEANS IF A LIEN IS FILED YOUR PROPERTY COULD BE SOLD AGAINST YOUR WILL TO PAY FOR LABOR, MATERIALS, OR OTHER SERVICES THAT YOUR CONTRACTOR OR A SUB -CONTRACTOR MAY HAVE FAILED TO PAY. TO PROTECT YOURSELF, YOU SHOULD STIPULATE IN THIS CONTRACT THAT BEFORE ANY PAYMENT IS MADE, YOUR CONTRACTOR IS REQUIRED TO PROVIDE YOU WITH A WRITTEN RELEASE OF LIEN FROM ANY PERSON OR COMPANY THAT HAS PROVIDED TO YOU A "NOTICE TO OWNER:' FLORIDA'S CONSTRUCTION LIEN LAW IS COMPLEX AND IS RECOMMENDED THAT YOU CONSULT AN ATTORNEY. Qelow admordrdga"ndswsd the Tama ad Ceddtiotu/a the ¢w, s Me of Ude Agreuoal, soul Lbmmer Wm to ash Terme. &e,..b au ALLSOIAII Rep( alai apmtas Date bwk FL 3014 1 Tr1:10►•Na1e10 1 Wee: 0114 b1T1 1 fu.401-11111-013 13htt lkmu CVC0$W1 I allsol■rllortdn.com Seminole County Property Appraiser Get Information by Parcel Number Page 1 of 1 PARCEL DETAIL 2 DAvm JOw=w CFA. ASA ala tl q 1z r 1 11 to 0 7 PROPERTY T 7.0 12D 1 e 7 e v .o EIO,4,' e� Soaoie.00uNrr n. 3 1101 K. FMZST Sr aA.a=awn.ct3277t•ta69 , b 407-eBs-7soe VALUE SUMMARY GENERAL VALUES 2010 Working 2009 Certified Parcel Id: 35-19-30-513.0400-0020 Value Method Cost/Market Cost/Market Owner. HABITAT FOR HUMANITY IN Number of Buildings 0 0 Own/Addr: SEMINOLE CO FLA INC Depreciated Bldg Value $0 $0 Mailing Address: 1548 SEMINOLA BLVD STE 141 Depreciated EXFT Value $0 $0 City,State,VpCode: CASSELBERRY FL 32707 Land Value (Market) $22,464 $22,464 Property Address: 1407 17TH ST W SANFORD 32771 Land Value Ag $0 $0 Subdivision Name: PINE LEVEL Just/Market Value $22,464 $22,464 Tax District: S1-SANFORD Portablity AdJ $0 $0 Exemptions: 34-CHARITABLE/CIVIC 0 Save Our Homes AdJ $0 $0 Dor: 00 -VACANT RESIDENTIAL Assessed Value (SOH) $22,464 $22,464 Tax Estimator 2010 TAXABLE VALUE WORKING ESTIMATE Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund $22,484 $22,464 $0 Schools $22.464 $22,464 $0 City Sanford $22,464 $22,464 $0 SJWM(Salnt Johns Water Management) $22.464 $22,464 $0 County Bonds $22,4641 $22.464 EO The taxable values and taxes are calculated using the current years working values and the prior years approved millage rates. SALES Deed Date Book Page Amount Vac/imp Qualified 2009 VALUE SUMMARY WARRANTY DEED 11/2008 07 102 0389 $18,600 Vacant No QUITCLAIM DEED 12/2005 116101 7650 $1,000 Vacant No 20Tax BIII Amount: $0 09 ­ - ' "' - - QUIT QUIT CLAIM DEED 01/1981 01315 0777 $200 Vacant No 2009 Certified Taxabll e Value and Taxes DOES NOT INCLUDE NON -AD VALOREM ASSESSMENTS DEED 05/1977 01251 0955 $100 Vacant No Find Comparable Sales within this Subdivision LAND LEGAL DESCRIPTION Land Assess Method Frontage Depth Land Units Unit Price Land Value PLATS: Pick... 0 FRONT FOOT 8 DEPTH 78 133 .000 300.00 $22,464 LOT 2 (LESS W 17.77 FT) & ALL OF LOT 3 BLK 4 PINE Permits LEVEL PB 6 PG 36 OTE: Assessed values shown are NOT certified values and therefore are subject to change before being finalized for ad valorem tax purposes. —11 you recently purchased a homesteaded property your next ear's property tax will be based on Just4Warket value. http://www. scpafl .org/weblre_web.seminole_county_title?parcel=3 5193051304000020&cp... 4/8/2010 STATE OF -FLORIDA DEPARTMENT OF BUSINESS AND.PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850)-487-1395 1940 NORTH MONROE STREET •"WW1 TALLAHASSEE FL 32399-0783 BESSETTE, DAVID EDWARD ALLSOLAR SERVICE CO INC 1507 DAMON AVENUE KISSIMMEE FL 34774 ._..---•••--..•..........-•.............................••-••--------..._........................---•--•-•---••••••...................••-•i STATE OF FLORIDA Congratulabonsl With this license you become one of the nearly one million _ DEPARTMENT' .OF • BUSINESS AND Floridians licensed by the Department of Business and Professional Regulation. :: PROF.ESSIONAL REGULATION. Our professionals and businesses range from architects to yacht brokers, from boxers to barbeque restaurants, and they keep Florida's economy strong. CVC05665.7 �•::. '0.7%19/08:•088007876 Every day we work to improve the way we.do business in order to serve you better. ' For information about our services, please log onto www.myfloridalleense.com. ,- •CBRTI-FIBD_• SOLAR. CONTRACTOR...: . There you can find more information about our divisions and the regulations that BBSSETTE; =' DAVID.'•. EDWARD' impact you, subscribe to department newsletters and learn more about the : r,: •ALLSOLAR.-'SERVICE" • CO INC' :•= Department's initiatives. Our mission at the Department is: License Efficiently, Regulate Fairly. We- constantly'strive to serve you better so that you can serve your customers. `' :Is:;CBgTIPISD �indas tho:prooisioas of ca.489 vs Thank you for doing business in Florida, and congratulations on your new licensel ' aria :ae., i ud"' 31, 2010. •-LO8071900454 _ ...................................................••....... . DETACH HERE .... .......... .... ...... . .............................................. ..................................................... .. ..... .. . . .. . . . . ,..:. j .��� Vii.: - : -; . �-:,.•.� D$PART�T`:;0� OFBSSIONAL• : -.REGULATION. -I- CIITSiNG ` BOARD _ 1,.:�::' ' � _c( '`." ' 71.— SEQ# L08071900454 The SOLAR CONTRACTOR, Named below -IS CERTIFIED:_ Under the provisions,o��Cb Expiration date: AUG 3 L •:;:2 BESSETTE, DAVID E'. ALLSOLAR SERVICE 1507 DAMON AVENUE KISSIMMEE CHARLIE CRIST GOVERNOR MUM e-rr`:4_:8_'9%°'.FS`•: '�.•. _. _: ;�-.�i��;a;i}�N�_'�= -:i.:+ {s::"- .. _• - , : � ..._. . •} =_-- 07/19/2008 088007876' CV:CO.55:6:57_: '%'''" "' %• '" •~:• DISPLAY_AS RECIUIRED: BY is A' J -'%:_+•- -• 1:� : .•. _...1.'il '-: .. - N The SOLAR CONTRACTOR, Named below -IS CERTIFIED:_ Under the provisions,o��Cb Expiration date: AUG 3 L •:;:2 BESSETTE, DAVID E'. ALLSOLAR SERVICE 1507 DAMON AVENUE KISSIMMEE CHARLIE CRIST GOVERNOR - AFL :347:44 e-rr`:4_:8_'9%°'.FS`•: '�.•. _. _: ;�-.�i��;a;i}�N�_'�= -:i.:+ {s::"- .. _• - , : � ..._. . •} =;CHUCK. DRAGO =-.� _ -��•���!-�'�..�'�•.�+� i`�:•.F�- • {: �'-==: ':-'�:�;• •~:• DISPLAY_AS RECIUIRED: BY is A' J -'%:_+•- -• 1:� : .•. _...1.'il '-: .. - N • - T ,� • il:.: ' •� •tel • • - (,'i! - _ - AFL :347:44 =;CHUCK. DRAGO =-.� _ -��•���!-�'�..�'�•.�+� i`�:•.F�- • {: �'-==: ':-'�:�;• N R:'SECRETARY '�'-rt,-. �y�.,•.:r: IT$IM• DISPLAY_AS RECIUIRED: BY LAW, ' -.. ,:. + 'U,11=:' �- • ;= FLORIDA SOLAR ENERGIE CENTER 167.9 CLEARLAKE ROAD, COCOA, FLORIDA 32922-5703 *(321) 638-1000 • Approved Solar Energy System FSEC +" S9241 Approval Date: JAN 2008 DISTRIBUTOR SYSTEM Alternate Energy Technologies, LLC D-80-40 1057 N. Ellis Road, Suite 4 Jacksonville, FL 32254 . OFFICE This system was evaluated by the Florida Solar Energy Center (FSEC) in accordance with the Florida Standards Program For Solar Domestic Water and Pool Heating Systems (FSEC-GP-7-80) and was found to meet the minimum standards established by FSEC. North South/Central The calculated Florida Energy Factors for this system are: 2.6 . 2.8 Description Collector Manufacturer Model Number Units,y, ^ Total Rating (Btu) 1. Alternate Energy Tech 3. 4. Tank Manufacturer PuAt4s R 1. American Water Heater SE62-801-1-045S 80 2. Rheem Water Heaters: 81 VR80-TC-1 80 3. 4. 34,400 Pump Manufacturer Model Number Power Draw (Watts) Rated Power 1. TACO, Inc. 003-BC4 . 60 1/40 H.P. 2. Grundfos UP15-10135 55 1/25 H.P. 3. 4. Controller Manufacturer Model Number Type: Differential 1. Goldline Controls GL-30-LCO 2. IMC Instruments Eagle 1 3. IMC Instruments Eagle 2 Freeze Protection oral all A 1. Thermally operated freeze protection valve pA1E; i 2. Manual draindown 3. Other Major Components' 1. 2. If further information is required you may contact the Florida Solar Energy Center at the above address. DIRECT SYSTEM D-80-40 AIR VENT COLLECTOR rp --- FREEZE PROTECTION SENSOR PR VALVE \,-- PRESSURE RELIEF �1 VALVE ATTIC PENETRATIONS (TYPICAL) II II II BOILER DRAIN 120 VAC DIFF TEMP---' (- CONTROL ANTI—SCALD VALVE (BY OTHERS) MOTE, PLUMBING TO BE MIN 1/2' NOM COPPER PIPE. 3/4' PIPE TO BE USED IN MULTIPLE COLLECTOR CONFIGURATIONS OR WHERE THE TOTAL PIPE RUN EXCEEDS 100'. �— BOILER DRAIN ...—CHECK VALVE -7—ISOLATION BALL VALVES 0 ��N IBM 'l 1 II II 11 1 is 1 11 II I I II 1 I n u 11 j ul I COLD IN �-- SHUT—OFF VALVE T&P RELIEF VALVE SOLAR STORAGE TANK WITH BACKUP ELECTRIC ELEMENT TANK SENSOR TANK DRAIN W A T''E R H A .� E A 5 Solar Storage Wank With Electric Element 6 -Year Limited Tank and Parts Warranty* All Solar Storage Tanks have a Fused Ceramic Shield applied under pressure and fired at 1600•F to completely cover the tank interior. This provides a tough interior surface for storage tanks and - maximum protection against the wearing effects of high-volume and high-temperature water. • 2" Non -CFC Foam Insulation Foam Insulation traps heat within the tank, saving energy. • Anode Rod Promotes longer tank life through protection against corrosion of tank Interior. • CSA Certified and ASME Rated UP Relief Valve • Factory -Installed Dielectric Nipples • Pre -Wired Sensor Lead From storage sensor mounting stud to top of tank. Does not Include sensor. • Water Connections Accessible from four 3/4"dielectric nipples located on top of tank. • Solar Circulation Connections Option of Placement on Side or Top of Tank • 4500 -Watt Heating Element andAutomatic Thermostat Where a back-up system is desired. • Compliance Units are UL and cUL listed to UL 174 Standard for Household Electric Storage Tank Water Heaters and CAN/CSA-C22.2 No. 110-M90; Packaged Solar Domestic Hot Water Systems (Liquid -to -Liquid Heat Transfer) For All -Season Use, F379.1-09 and Packaged Solar Domestic Hot Water Systems for Seasonal Use, F379.2-09. �L C@Us LISTED •Forcomplete warranty Information consult the written warranty of American Water Heaters found at www americanwaterheater.com, or call (800)456-9805. NopartofftworkmghetepodmdatmwnittedInany forms orbyagmemLele nokarrtedtminthn 119 phetompyhgardreO tyab)artyhdom•tloostorogerehlerslftstemwlthoutpemdssbnInwrNingformAmeAonwhewHeaters. Apo atm�ean- itAT R N,EA.TE�RS ACCESS PANEL A� Solar Storage Tank With Electric Element HOT COIR O o LOOCC TION A O ANODE OPnONa-6-p OPTIONAL SOIAROUT/UP SOWIIN/DOWN O 'Umited warranty on tank and parts. Complete details In manual. Specification Furnish and Install, where Indicated, In accordance with manufacturer's Instructions and In compliance with all rules and regulations of authorities having Jurisdiction. Storage tank(s) shall be American* Model as manufactured by American Water Heaters or equivalent. Storage tank(s) shall have a nominal storage capacity of gallons, recovery of GPH at ' F temperature rise and supplied with auxiliary heating elements rated at 4.5 KW, volt. Storage tank(s) are hydrostatic tested at 300 PSI having a working pressure of 150 P51 and shall have a Fused Ceramic Shield Internally lined tank applied under pressure and fired at 1600' F allowing for maximum protection. Storage tank(s) shall be equipped with an approved pressure and temperature relief yalve.The outer Jacketing shall have a baked enamel finish. The tank shall be foam Insulated with an EPA -approved, non -CFC material 2' In thickness. Storage tank(s) shall have a 6 -year limited warranty against corrosion as outlined in the written warranty. Distributed By: Order Entry and Sales 500 Princeton Road (FEDEX, UPS) Johnson City, TN 37601-2030 P.O. Box 4808 (Mailing) Johnson City, TN * 37602-4808 (800) 937-1037 FAX (800) 581-7224 Warranty and Service 500 Princeton Road (FEDEX, UPS) Johnson City, TN 37601-2030 P.O. Box 1597 (Mailing) Johnson City, TN 37605-1597 (800) 456-9805 FAX (800) 999-5210 NognofftwwtfeybeWoduiWwhanmtaedtnmbmwbymwmdectookwmHhvicaLbxkfgdo ,;I- andnmdb5.orbyany WwmstbnstoogeMbUT4systnlwWmusPCWAWonhwdtbmkomMmbnftttimutm HEIGHT HEIGHT OPTIONAL OPTIONAL APPROX. MODEL GALLON WATER JACKET TOP OF SOLAR SOLAR SHIP NUMBER CAPACITY CONN. DIAMETER TANK IN/DOWN OVT/UP WEIGHT A B C D to •.E62�`-Bda455&=Aw 9SUMPM5 Iw' 160J°L4 Iw i s 4w 'a� 0059-" ' ;."W(D:"1%2 7�,5 SE62.119R-0455 119 62 28 61-1/2 20.1/2 7-1/2 278 'Umited warranty on tank and parts. Complete details In manual. Specification Furnish and Install, where Indicated, In accordance with manufacturer's Instructions and In compliance with all rules and regulations of authorities having Jurisdiction. Storage tank(s) shall be American* Model as manufactured by American Water Heaters or equivalent. Storage tank(s) shall have a nominal storage capacity of gallons, recovery of GPH at ' F temperature rise and supplied with auxiliary heating elements rated at 4.5 KW, volt. Storage tank(s) are hydrostatic tested at 300 PSI having a working pressure of 150 P51 and shall have a Fused Ceramic Shield Internally lined tank applied under pressure and fired at 1600' F allowing for maximum protection. Storage tank(s) shall be equipped with an approved pressure and temperature relief yalve.The outer Jacketing shall have a baked enamel finish. The tank shall be foam Insulated with an EPA -approved, non -CFC material 2' In thickness. Storage tank(s) shall have a 6 -year limited warranty against corrosion as outlined in the written warranty. Distributed By: Order Entry and Sales 500 Princeton Road (FEDEX, UPS) Johnson City, TN 37601-2030 P.O. Box 4808 (Mailing) Johnson City, TN * 37602-4808 (800) 937-1037 FAX (800) 581-7224 Warranty and Service 500 Princeton Road (FEDEX, UPS) Johnson City, TN 37601-2030 P.O. Box 1597 (Mailing) Johnson City, TN 37605-1597 (800) 456-9805 FAX (800) 999-5210 NognofftwwtfeybeWoduiWwhanmtaedtnmbmwbymwmdectookwmHhvicaLbxkfgdo ,;I- andnmdb5.orbyany WwmstbnstoogeMbUT4systnlwWmusPCWAWonhwdtbmkomMmbnftttimutm eco' Effective: September 21, 2009 Submittal Data Information 101-028 Model 006 Cartridge Circulator Supersedes: March 15, 2004 Job: Engineer. Contractor: Rep: ITEM NO. MODEL NO. IMP. DIA O.P.M. HEAD/Fr.. H.P. ELEC. CHAR. Features • Standard High Capacity Output - Compact Design • Quiet, Efficient Operation • Direct Drive -Low Power Consumption • Unique Replaceable Cartridge Design -Field Serviceable • Self Lubricating • No Mechanical Seal • Unmatched Reliability -Maintenance Free • Bronze or Stainless Steel Construction with Sweat,Threaded or Union Connections Materials of Construction or Stator Housing Steel Cartridge: Stainless Steel Impeller. Non -Metallic Shaft: Ceramic Bearings: Carbon O -Ring & Gaskets: EPDM Model Nomenclature B - Bronze, 3/4" Sweat BC - Bronze, 1/2" Sweat, Panel Mount ST - Stainless Steel BC -I - Bronze, Union, Panel Mount Variations: Z - Zoning Circulator VS - Variable Speed, Set Point VR Variable Speed, Outdoor Reset W Variable Speed,Variable Voltage Performance Data Flow Range: 0 — 10 GPM Head Range: 0 — 9 Feet Minimum Fluid Temperature: 407 (4°C) Maximum Fluid Temperature: 2207 (104"C) Maximum Woridng Pressure: 125 psi Connection Sizes: 1/2" Sw4 314" Swt, 314" NPT or Union c&s USUD FOR INDOOR USE ONLY Application The Taco 006 is designed for circulating hot or chilled fresh water in open or closed loop applications. Typical uses Include hydronic heating, domestic hot water recirculation, hydro - air headng/cooling, heat recovery units, water source heat pumps, drain down open loop Solar systems and potable water applications. The unique, replaceable cartridge contains all of the moving parts and allows for easy service instead 'of replacing the entire circulator. The, compact, low power consumption design is ideal for high efficiency jobs. PumpDimensions & Weights RPM HP oo6Ap14odds 115 60 1 A B C D F G Ship WL Model Conn. In. mm In. mm in. mm In. mm in. mm in. mm lbs. Kg 00684 314"Swt S-1/8 130 4.1/8 10S 2-3116 56 3.1116 78 3-S/16 84 4.13132 112 6.0 2.7 006BC4 IQ"Swt S-1/8 130 4-118 10S 2-II0 $4 3-1116 78 3.5/16 84 4 -IN 106 6.0 2.7 006574 3140NPT 5.518 143 4.7/8 124 7 SI 3.1116 78 3-S/16 84 4 102 6.0 2.7 OO6BC4-I t/Non S -S/32 131 4-11132 110 2.31132 76 3-1116 78 3-S/16 84 1 S-15116 ISI 6.0 2.7 Mounting Positions acgjDw Standard Optional OK if over 20 psi Model Volts Hz PhAmps RPM HP oo6Ap14odds 115 60 1 .5 3750 I140 Motor Type Permanent Split Capacitor Impedance Protected Motor Options 27015011, 220/6011. 23016011, 10 0/1 1 015 0 /6011 Performance Field - 60Hz Do it Once. Do it Right." PrINedhUSA TACO INC., 1160 Cranston Street, Cranston, RI 02920 Telephone: (401) 942-8000 Fax: 942.2360 CovydOn 2M TACO (Canada), Ltd., 6180 Orden Drive, Mississauga, Ontario 1_5T 2133 Telephone: (905) 564.9422 Fax: (905) 564-9436 TACO, Ina Visit our website at: www.laco-hvac.com w :k v ul. 4. 14, L V I�xL VL WIA As ANN, :k v ul. 4. 14, L V I�xL VL -t L V VL 1. ,.:.: , ANN, -t L V Er 77 o, O_IiRii 1. ,.:.: , UHMra-,. v— — � & va - nPilap- -9 k— . , C' c E X �' Tj N .L D o N 001 � �7 � C as ® ~ OJ N 3 C1 L C A C u c c E �o.N q•g� d ai � 'Q •p '^ UJ li 7 aCi W d E E; ��1 w N Y , vor;,o�;P Q�E� as m .10 LL In12O 4j u •! ro LLJ Q V ' as m .10 LL In12O 4j u •! V o c c It p q O IXn�a? v 'Z-Ei Eo E � 5 'w eco 8--o a a U. 0 of o r� Xa'0 LL ;SO 3>-AY t • A A R t v O oc Vi VIvo N'%aM� v q d C 9 V U cut Mv 9�V N 3Y 3c'a �j i�.`o `v �z'�� u e �m o9 c c , MZ� 3 Cro^ V � iYl 3 CL 5 S a cc, c V 9 o�s 0ZT= s o�lit�, A 01°f5 v 3 01 0 f Q Yv$f �c0 � <I�0? dr v� O N LL J3 x9� E 5. CEv LaV oo�z O a b u_ cRo,� o. Vw$ A 3 z anrn= d c e m o' S o. ro Q a _ �+ t o �0o LA 6. s a+ CL '2 z u F- c EE v � d C 0 IL o u z g d G 3 N u � d {2+ �{ •i• Ate+ v L CCC Li a V o c c It p q O IXn�a? v 'Z-Ei Eo E � 5 'w eco 8--o a a U. 0 of o r� Xa'0 LL ;SO 3>-AY t • A A R t v O oc Vi VIvo N'%aM� v q d C 9 V U cut Mv 9�V N 3Y 3c'a �j i�.`o `v �z'�� u e �m o9 c c , MZ� 3 Cro^ V � iYl 3 CL 5 S a cc, c V 9 o�s 0ZT= s o�lit�, A 01°f5 v 3 01 0 f Q Yv$f �c0 � <I�0? dr v� O N LL J3 x9� E 5. CEv LaV oo�z O a b u_ cRo,� o. Vw$ A 3 z anrn= d c e m o' S o. AET and its predecessors are the United States andMIR manufacturing solart since :L975. • AET has managers, e installation experts v of combined experiei .industry. • AI I AE -Series col I attractive low profiles l yH ht'd sign.. sae on AET's new energy efficient Thermatool .sol*id-state weld head has reduced the carbon footprint of manufacturing 'solar collectors by 25%. wide col lectors that 4 years of dependable ful I zo year warranty. ector's quick -lock mounting rated into the frame wall for tallation and to add to its design. built with quality pure durability and rformance. Be USA • Our Crystal Clear selective coating is non-toxic and a more eff icient electro- plating than other coating methods used in the solar industry. c .P' s �, x Qui wo a���= �� arNom °�E lLn ACL "Lao ru'O dr `.00 waE �fp�c mUo ..QBE �Qr "CXU c W a,.ao c°'�' oEE F -A N N N OI"' 'W �W CW 1�' 7 C jqN� O C y W O' U E m t Y. 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Vlz >4 aO m� `tea mo 0ii°�ieefd. oeae »oar eves alfteum E0o0 em6admesb Iffind be"per dsc8 7-06 Z DoOdIna mesa hoot esyuts met to eme6d 00 saes S Caegay 1 and 0 normal Hmmd brDdlsp S b*wtanoo ri t�or or LOO d rd teeds per abut belea eanUaotor to w+fb wind sssede for L at oeaetngNm tis eemaeotfmr for boa diPabole sL D mat °se..a�� n to taps and r+ea► iz i.7 6L�7 6T�1� 6 %�1.6"lf � 6'7f 7 G-.7LL� t"•T.� Cr•T>• [rT� CT'T7 [S>t>• L Detsrsk» sAwispssd for proposed location and select 6ritdlatbn Wtst for that locntb► L Panels are to be locates ottt h sore P only bless outnerl:sd In writing, by He ongimem A. PExposure ressures are a001Md nOrpz to surface 300 otter ai4wwreii and holo Iwithlodoela, adjust to artmeFactor A 4. ilorlda a�inking, Code tA07 edttan of the Code SSand �mms�ts. sWWy prossurts acting tosars ens away iron the swans r tspectivNy. 4 Par hip roofs with 0th 2 •. 2orr 3 shop be treated as Zero L 7. for effective was between those plvem the value Is per itted to be Interpatated, otherwise nee He value associated oft the loser N/tcHve oven B Notatbn a. 10 percent o1 least hwftDntd sloe n or CAN whichever Is smaller, but not less than either a percent of the least horizontal arenslon er feet. M Ikon root In feet (netters% except that wave helpht shall be used for roof angles <10 Angle of plane of root ban Im -- tot In .I in wit *40166 0 rassaort AIela FOR s+aseo Men no mmm sur t J C 8m . W CL N Ca. o."' 0,X I S 0 I E as E -ti 40 3P E 46 a�A it 1 �R Solar Wats Heater Installation Notes: 1. These drawings and engineering establish the Installation requirements for All Solar sols water heating equipment an buildings In Flor10o 60 lest or Ives In In height and at roof angles kern flat up to 45 degrees. The solar panels shall in oil cases be Installed Rush on the upper surface of the root covering. This Engineer has evatuated the Installation components and hardware currently provided by All Sdor Services as its ODA installation kits and found them to meet the requirements of the Florldo Building Cods 2007 cods. The panels shell not hove a welght greater then 5 pounds per Rues e foot or 1/2 the cods allowed dead load of 10 pounds per swore fool. 2. plumbing shell be per drosings shown and Installed In accordance with the norido plumbing Code with particular attention to support requirements. 3. System shall be protected by manual or automatic moons to prevent freezing. 4. These plans are for Installation In different parts of Florida and as such the contractor shall determine the proper wind load and category for the location that system Is to be Installed In and the appropriate connection to roof be used as shown on the plans S. Alt pentstrotions into the roof including connectors and plumbing shall be properly sealed using sealants approved for this application. 6. Wind loads increase dromoticany at edge and peak zone 1 as such panels shall be placed In Interior tons / only. if It Is necessary to Install In edge or peak zones the appropriate wind loading shall be used with approval of engines. 7. Engines may be contacted at 407-448-8644 or small at skiloflOgrnall.com. PANEL BRACKET INTO TRUSS _W/1/4X3' LAG SCREWS LAG BOLT OPTION LIMITED TO MAX 120 MPH WAND LOAn SOLAR PANEL MOUNTING OPTIONS ' 'J' BOLT NUT AND LOCK WASHER ZOOF TRUSS (TYP) Kindorf Channel or, 2-X2-XI/4- ANGLE IRON /or 2'X12' BLOCKING 3/8' THREADED MID W/ NUT AND LOCK WASHERS EACH END 2 a 2 � n c as ;PS SPF N abi 3 OLAR WATER PANELS AV. I I I I II v ^ (—SOLAR LOOP DRAIN CHECK VALV—MOTOR W/PUMP SOLATION VALVE TEMP/PRES RELIEF VALVE�« DIFFERENTIAL CONTROL .0COLD WATER SHUT OFF HOT WATER COLD WAIR LEGEND -&—_IsOLAnoN VALVE (OPTIONAL) I I IN I I I C>< TANK SUPPLY SHUT OFF SECONDARY HEATING II I IIII i ELEMEN T (no►�AL► DsoLAR Looe oRAmoP ro- IIII I PROTECnON VALVE (OPTIONAL) I I IIII TEMPERTURE �FREEZE RATURE�ssURE RELIEF VALVE I ssuRE RELIEF VALVE SENSOR ---4,,,, I AV I AIR VENT (BALI I IIIII IIII — --CHECK VALVE — r- MOTOR WMMP DIRECT SYSTEM a 2 � n c as ;PS SPF N abi 3 04/08/2010 THU 12:27 FAX Application No: RECEIVED CITY OF SANFORD APR 8 2010 BUILDING & FIRE PREVENTION PERSMU,6I*tICATION Documented Construction Value: $ Job Address: Parcel ID: Description of Work: Historic District: Yes ❑ No ❑ Zoning: �-�Yz- Plan Review Contact Person: , / Title: 7 Phone: %(� �3 la !q? Fax: O7•S/F • l3&� E-mail Property Owner Information �p 7 GSA Name 4/��iZ X4/7/ Phone: ,3o� % (R� Street: /4YOVI 1-71% Resident of property? City, State Zip:S" eZ ,fl .3 a'] 7 / Contractor Information !l Name S'D �A'�2 - Q S,S;c� Phone: Street: s0 Fax: �67 �l� • 1�� City, State Zip: j,L�s, m�t,P.t / 3� �y State License No.:C Vif 454, 1,oS7 Arch itect_/Engineer Information Name: Phone: Street: 135 r P2-. Fax: City, St, Zip: MAS tGAyy6._4'—_ / .3 a -7S E-mail: Bonding Company: Address: Building Permit CY Square Footage. No. of Dwelling Units: Electrical ❑ New Service — No. of AMPS: Mortgage Lender: Address: PERMIT INFORMATION Construction Type: Flood Zone: No. of Stories: Plumbing ❑ New Construction - No. of Fixtures: Mechanical 13 (Duct layout required for new systems) Fire Sprinkler/Alarm 0 No. of heads: -., Aviv rrtu 1L:'l7 FAX @1002/M Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a pen -nit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction. 1 understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and air conditioners, etc. OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713. 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. Q",; 'D Signature of Owner/Agent Print Owner/Agent's Name Date Signature of Notary -State of Flonda Date Owner/Agent is Personally Known to Me or Produced ID Type of ID APPROVALS: ZONING: ENGINEERING: COMMENTS: 11.08 UTILITIES: Y nature of ConitatioTMgent Date Pnnt Contractor/Agent's Name • O Signa ure of N tary-State of Florida Date 8 % NOTARY PUBLIC -STATE OF F DA Maxine Costanzo Commission # DD607979 Expires: DEC. 05, 2010 BONDED THRU ATLWnC BONDIN CO., INC. Contractor/Agent is Personally Known to Me or Produced ID Type of M WASTE WATER: BUILD O AG