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HomeMy WebLinkAbout305 Bella Rosa CirRECEIVED JUL ± 2009 :F D CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION o?07QQ9 Application No: 9 -off /�// Documented Construction Value: $ i Job Address: afl&' c' /ick 6./cle, Historic District: ves ❑ Nom' Parcel ID: Zoning: Description of Work: Plan Review Contact Person:t� �I i''a:iP,lri Title: Phone: &02)&2-yO(Z Fax: � 977 6d�E-mail: -C�' 103 Property Owner Information Name //2_ez1z&1t1y 9,1-neS Street: 1p0D /v, City, State Zip: llze-Tirm %717 Phone: Z%6%2�5��%-S/��Z Resident of property? : XUD //_- J_ ` / - Contractor Information 407 /�1 / // Name 56c., &beoy-� �. rc7yL Phone: ` 07'6S '7 �� -ex/03 Street: LPA ti L!%S�S�xWg. !tel c�y� Fax: 4P7 -?77 6,2d2 - City, State Zip: 1_4YL� State License No.: e6e_ Architect/Engineer Information Name: _,')VU17 (2 - Phone: Street: d 9Fax: 35a City, St, Zip: -7-a ( a4e-e S, F�— 3 a %% Y E-mail: Bonding Company: Address: Building Permit a Mortgage Lender: Address: :�1q PERMIT INFORMATION Square Footage: -2 Construction Type: 5� No. of Stories: Z No. of Dwelling /Units: Flood Zone: Q-1 ElectricalC� Plumbing New Service - No. of AMP ') 2D)New Construction - No. of Fixtures: v Mechanical D<Uct layout requ ew systems) Fire Sprinkler/Alarm O No. of heads: T )3j j3$.11 h I f srl k /a l�gJ = l �'� �� yj if ���- � � 39.G/ � � f Zf a•a � rj' 02 07 g�� i Z .'T 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 1 will notify the owner of the property of the requirements of Florida Lien Law, FS 713. The City of Sanford requires payment of a plan review fee. A copy of the executed contract is required in order to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the plan review fee based on past permit activity levels. Should calculated charges exceed the documented construction value when the executed contract is submitted, credit will be applied to your permit fees when the permit is released. 7 - 26 -0 Signature of Owner/Agent Date Print Owner/Agent's Name A "";uif o �l�plPry A�ghc utat® o' FIoAc ,p� Anpel®J Kfal©wake My Gon:lteliWn DD9B08®0 rQ+jo � Exp�fEC 01111/$p15 Owner/Agent is Personally Known to Me or Produced ID Type of ID APPROVALS: ZONING: ENGINEERING: COMMENTS: Rev 11.08 UTILITIES: FIRE: 7 - -10 - 2. 'O✓ Signature of Contractor/Agent Date Print Contractor/Agent's Name S =ova' °v,�Notary pubhl: $1ate of Florida ^ Angela J Kratewsks My Commission OD860660 Expires 01/11/2013 Contractor/Agent is ✓ Personally Known to Me or Produced ID Type of I D WASTE WATER: BUILDING: I Z RECEIVED JUL i ! 2009 CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No..:22,9� Documented Construction Value: $ Job Address: Historic District: Yes ❑ No4a' Parcel ID: 02%- /,% - 3/ " vZ - oZ�w - o 3 i a Zoning: Description of Work: PzzlJ eD4Sh uGy�dri - Plan Reg4)2)&!i- 41,F6 w Contact Person: Title: f'l i'a_'i i,(.ri,S,�c Title: //--`��/�'� Phone:Z Fax: (�/D7) 277 dvZE-mail: �/7!'laf/, z Property Owner Information Name Street: laaDx�x k'1l.S-"�_ City, State Zip: 7a__,ac,_ r—�_ 3 360 g Phone: Z/6_2)6a-VSwl2 Resident of property? : /C/D c�/� / - Contractor Information / /�1 / // Name ✓ 6-C, beol � �. • 7A_ Phone: ` 6? -6 -� `�' "7 fw1_ Z -r,< - eecJ3 Street: &0b /f% _"D 141 Fax: 4k7-ef `7% 6,<2d2 -- City, State Zip: Gc� (� 3 iC�% State License No.: �r� c>2S71S Architect/Engineer Information Name: % (.!i 6173 Phone: 5'a 66 / l yl Street: 0 9 SsFax: 3�Jv� &6c City, St, Zip: ra ila" -e S, FL- _32_/7SE-mail: Bonding Company: Address: Building Permit Square Footage: No. of Dwelling /Units: Electrical C� Mortgage Lender: Address: PERMIT INFORMATION Construction Type: Flood Zone: New Service - No. of AMPS: ACD Mechanical li <Uct layout required for new systems) No. of Stories: -2, Plumbing New Construction - No. of Fixtures: Fire Sprinkler/Alarm D 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. 7 -26 -09 •-7 - 2-0 - ZOO J Signature of Owner/Agent Date Signature of Contractor/Agent Date Owner/Agent is V Personally Known to Me or Produced ID Type of ID APPROVALS: ZONING: COMMENTS: Rev 11.08 Print Contractor/Agent's Name 5 zarw` Puk, Notary public $tate of Florida Angola J Kralewsk) ,P. My Commission ODS60660 '?or rid► Expires 01/11/2013 Contractor/Agent is ✓ Personally Known to Me or Produced ID Type of ID UTILITIES: %23- ASTE WATER: ENGINEERING: FIRE: BUILDING: Application is hereby made to obtain a permit to do the work and installations as indicated. 1 certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and air conditioners, etc. OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713. The City of Sanford requires payment of a plan review fee. A copy of the executed contract is required in order to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the plan review fee based on past permit activity levels. Should calculated charges exceed the documented construction value when the executed contract is submitted, credit will be applied to your permit fees when the permit is released. 7 - 26 -Ocj Signature of Owner/Agent Date 51 2c)66! 77 i7k Print Owner/Agent's Name 4A, Owner/Agent is Produced ID APPROVALS COMMENTS: Rev 11.08 Natary Au41ly Slalo WHO( Angola J KINWOKt My com-1,1061on UD960680 ExptfC,. 01111/2015 L Personally Known to Me or _ Type of ID ZONING: ` �� .1 UTILITIES: ENGINEERING: �' 11 4FIRE: - 2.0 - Z007 Signature of Contractor/Agent Date .`2r� 26& f Print Contractor/A Rent's Name _ S r° , ^ Notary Rupbc $tate of Florida Angela J Kratewski My Commission OD850660 ?or rldp Expires 01/11/2013 Contractor/Agent isy Personally Known to Me or Produced ID Type of ID WASTE WATER: BUILDING: RECEIVED JUL ! 2009 a a+ CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No:22��9 -a k sly Documented Construction Value: $ Job Address: _3Us_ 6"-c Historic District: Ves7❑ No43' Parcel ID: c�2i- /%- 3/ -Ozlio -o Sia Zoning: Description of Work: pzz'cJ Plan Re7e)2)&5_y-L1,F62- w Contact Person: l i'a 'i /.Lric Title: Phone: Fax: A1,92) 2%7 -6%E -mail: �P/, z, ecC4 ,e Property Owner Information 7 `_` 71W4?1_1 Name Street: City, State Zip: —� FL --5-36o(? Phone: L/o%)652/' Z .& 7 - Resident Resident of property? : X! D //-. J --261y / - Contractor Information // //��11 / // / Name 156-0, �%e/-� �. � 7 _ Phone: q6? , -� `�' " /. 4, ex/ 03 Street: SPO?) /U L(J�oS�S .rcltio , ly� Fax: 4�7 -E7% v City, State Zip: �liYL17%.y �(� 3 �g State License No.: e6c / C;� =S/ Architect/Engineer Information l// Name: !.v �� C T2_ Phone: �J �� - I7 Street: 76, ;4&y 95s Fax: 35a c - 3 36 City, St, Zip: -4 (/Cure S, F�— 32-77 E-mail: Bonding Company: Address: Building Permit F� Square Footage: Mortgage Lender: Address: -PERMIT INFORMATION Construction Type: ` No. of Stories: -2— No. of Dwelling /Units: Flood Zone: Electrical C� New Service - No. of AMPS: Mechanical 0-06uct layout required for new systems) Plumbing 2_____' New Construction - No. of Fixtures: Fire Sprinkler/Alarm 0 No. of heads: Ft��,Ft� ren P CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: 6C\-- Documented Construction Value: $ 4'r\zi l • SN Job Address:., C�I��o G r Historic District: Yes ❑p No ❑ Parcel 1D: A - M- 3l -So a.- &yn - u -s V Zoning: �iacar-� l�5► c1 a, v,-��� Description of Work: Plan Review Contact Person: Title: Phone: 4W1 S3�1 - OaL4lt Fax: E-mail: Property Owner Information Name 1�Ini-.0.� YncS , LL -C _ Phone: 414 '1 S-3JL-o Street: GM) IJ - I1�045ylow_L_ 1, u oAn Resident of property? : 1� City, State Zip: 1 Contractor Information Name lrvs�o C� 1f u NunPhone: LW 11 � -N Street: 1,,M 0 - Il�.t4 �o�—� J A 4 Skeq Fax: City, State Zip: 1a Y ori..•. 1--L- 3"3l�yC) State License No.: Architect/Engineer Information Name: Phone: Street: City, St, Zip: Bonding Company: Address: Fax: E-mail: Mortgage Lender: Address: PERMIT INFORMATION Building Permit O Square Footage: Construction Type: SFil.. No. of Stories: No. of Dwelling Units: Electrical O New Service - No. of AMPS: Flood Zone: Plumbing 61-1 New Construction - No. of Fixtures: Mechanical 13 (Duct layout required for new systems) Fire Sprinkler/Alarm O No. of heads: I J Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and air conditioners, etc. OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713. The City of Sanford requires payment of a plan review fee. A copy of the executed contract is required in order to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the plan review fee based on past permit activity levels. Should calculated charges exceed the documented construction value when the executed contract is submitted, credit will be applied to your permit fees when the permit is released. Signature of Owner/Agent 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: COMMENTS: Rev 11.08 ENGINEERING: / `lr1 `0c ` Signature of ContraFt r/Agent Date UTILITIES: FIRE: G ark &l . C Ir of S Print Contrac Agent's Name W/tI(Q5 Si nature ofNotary-State of Florida Date .0'o- Notary Public State of Florida Sandra M Lausier My Commission DD570008 OF Expires 07/0=010 Contractor/Agent is Personally Known to Me or Produced ID Type of ID WASTE WATER: BUILDING: LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Oviedo, Sanford, Seminole County, Winter Springs Date: August 19, 2009 1 hereby name and appoint: Mark Manick an agent of. First Quality Plumbing, Inc. 746 N. Volusia Ave., Orange City, FL 32763 (Name of Company) to be my lawful attorney-in-fact to act for me to apply for, receipt for, sign for and do all things necessary to this appointment for (check only one option): 8 All permits and applications submitted by this contractor. p The specific permit and application for work located at: Lot 31 Celery Estates II, 305 Bella Rosa Circle, Sanford, FL 32771 (Street Address) Expiration Date For This Limited Power Of Attorney: 8/19/2009 License Holder Name: Gary W. Evers State License Number: CFC050566 Signature Of License Holder: STATE OF FLORIDA COUNTY OF VOLUSIA The foregoing instrument was acknowledged before me this 19TH day of August 200 9 , by Gary W. Evers who is personally known to me/ or who has produced as identification and who did/did not take an oath. R Notary Public State of Florida if . Sa^Ira M Lausier W orn.n,gs-on DDS70006 Expires 07102/ 201 0 (Notary Seal) r Signature Sandra M. Lausier Print or Type Name Notary Public — State of Florida Commission Number DD570008 My Commission Expires: 7/2/2010 ATTENTION: ALAN REFERENCE: MODEL CYPRESS (SPEC LEVEL 1) FIRST QUALITY PLUMBING PROPOSES TO FURNISH THE PIPING MATERIALS AND LABOR NECESSARY TO COMPLETE THE ABOVE REFERENCED JOB. PLEASE NOTE THE FOLLOWING JOB QUALIFICATIONS: 50' OF 3034 SEWER LINE FROM HOUSE TO TAP ( TAP NOT DEEPER THAN 4') 50' OF SCH 40 WATER SERVICE PIPING FROM HOUSE TO METER. A/C CHASES 3034 PVC UP TO 35 FEET EACH. ALL SANITARY PIPING TO BE DWV PVC. ALL WATER PIPING TO BE CPVC WORK SCOPE BASED ON CURRENT STANDARD MECHANICAL CODE. ALL FIXTURE COLORS ARE TO WHITE. ALL UNDERGROUND PLUMBING TO BE BACKFILLED BY OTHERS. IF A BACKFLOW PREVENTOR IS REQUIRED, THIS WILL BE BILLED SEPARATELY. (PER COMMUNITY) PERMITTING FEES INCLUDED. ITEMS TO BE SUPPLIED BY FOP: WASHER BOX ICE MAKER BOX HOSE BIBS A/C CHASE PAY SCHEDULE AS FOLLOWS 30% R/I - 30% TUB SET - 40% TRIM (ROUGH IN. TUB SET AND ANY CHANGES MUST BE PAID IN FULL PRIOR TO START OF TRIM). PAYMENT DUE FOR EACH PHASE UPON RECEIPT 5% LATE CHARGE AFTER 10 DAYS. PROPOSAL PRICES WILL BE LOCKED IN FOR A PERIOD OF THREE MONTHS. AN INCREASE MAY BE APPLIED THEREAFTER DUE TO RISING COSTS OF MATERIALS. TOTAL COST: $ 2,701.81 ANY ALTERATION OR DEVIATION FROM ABOVE SPECIFICATIONS INVOLVING EXTRA COSTS WILL BE EXECUTED ONLY UPON WRITTEN ORDERS AND WILL BECOME AN EXTRA CHARGE OVER AND ABOVE THE ESTIMATE. THIS PROPOSAL MAY WITHDRAWN BY US IF NOT ACCEPTED WITH IN 30 DAYS. THANK YOU FOR THE OPPORTUNITY TO QUOTE THIS PROJECT. IF YOU ARE IN AGREEMENT WITH THE QUALIFICATIONS, THE PROPOSAL COST, AND PAYMENTS TERMS, PLEASE SIGN BELOW AND RETURN TO AUTHORIZE WORK WITH THE ACCEPTANCE OF THIS PROPOSAL. THANK YOU SINCERELY. HARLEY DAVIS APPROVED BY: DATE: Quality oivLrst UMBING-., January 16. 2009 746 NORTH VOLUSIA AVE ORANGE CITY, FL. 32763 TEL :(386) 775-0909 FAX : (386) 776-0918 LENNAR HOMES. INC. 101 SOUTHHALL LANE STE.45O ORLANDO FL. 32751 ATTENTION: ALAN REFERENCE: MODEL CYPRESS (SPEC LEVEL 1) FIRST QUALITY PLUMBING PROPOSES TO FURNISH THE PIPING MATERIALS AND LABOR NECESSARY TO COMPLETE THE ABOVE REFERENCED JOB. PLEASE NOTE THE FOLLOWING JOB QUALIFICATIONS: 50' OF 3034 SEWER LINE FROM HOUSE TO TAP ( TAP NOT DEEPER THAN 4') 50' OF SCH 40 WATER SERVICE PIPING FROM HOUSE TO METER. A/C CHASES 3034 PVC UP TO 35 FEET EACH. ALL SANITARY PIPING TO BE DWV PVC. ALL WATER PIPING TO BE CPVC WORK SCOPE BASED ON CURRENT STANDARD MECHANICAL CODE. ALL FIXTURE COLORS ARE TO WHITE. ALL UNDERGROUND PLUMBING TO BE BACKFILLED BY OTHERS. IF A BACKFLOW PREVENTOR IS REQUIRED, THIS WILL BE BILLED SEPARATELY. (PER COMMUNITY) PERMITTING FEES INCLUDED. ITEMS TO BE SUPPLIED BY FOP: WASHER BOX ICE MAKER BOX HOSE BIBS A/C CHASE PAY SCHEDULE AS FOLLOWS 30% R/I - 30% TUB SET - 40% TRIM (ROUGH IN. TUB SET AND ANY CHANGES MUST BE PAID IN FULL PRIOR TO START OF TRIM). PAYMENT DUE FOR EACH PHASE UPON RECEIPT 5% LATE CHARGE AFTER 10 DAYS. PROPOSAL PRICES WILL BE LOCKED IN FOR A PERIOD OF THREE MONTHS. AN INCREASE MAY BE APPLIED THEREAFTER DUE TO RISING COSTS OF MATERIALS. TOTAL COST: $ 2,701.81 ANY ALTERATION OR DEVIATION FROM ABOVE SPECIFICATIONS INVOLVING EXTRA COSTS WILL BE EXECUTED ONLY UPON WRITTEN ORDERS AND WILL BECOME AN EXTRA CHARGE OVER AND ABOVE THE ESTIMATE. THIS PROPOSAL MAY WITHDRAWN BY US IF NOT ACCEPTED WITH IN 30 DAYS. THANK YOU FOR THE OPPORTUNITY TO QUOTE THIS PROJECT. IF YOU ARE IN AGREEMENT WITH THE QUALIFICATIONS, THE PROPOSAL COST, AND PAYMENTS TERMS, PLEASE SIGN BELOW AND RETURN TO AUTHORIZE WORK WITH THE ACCEPTANCE OF THIS PROPOSAL. THANK YOU SINCERELY. HARLEY DAVIS APPROVED BY: DATE: CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: 0 q • k $ Documented Construction Value: $ .29h Cv • 00 3�5 �l bi i' 0 0 Job Address: .S�- �ilrC�'� Historic District: Yes No Parcel ID• Zoning: Description of Work: _ ��i�11 ew 61te"W1CAJ --ice S'FfL Plan Review Contact Person: Title: t �'imQ-�►� �rGtPe%. Phone: q07- 333- ZlA (AS Fax: L/07- Ste- 10 OZ- E-mail: S't�c7-iD �G�QI A �r • corn Property Owner Information _ Name L,ek)nAr- 142YW Phone: gl >_ 95 0 - /V& Street: Wo N. Of6l-,,S%OYe *3;V, cS% 900 Resident of property? City, State Zip:1 A�'r� �.tii, i'L .l3' ale 0,9 Contractor Information Name l 2E.'�i� S.. ( kC • Phone: Street: 531 W d i,s C -D GA` LY Fax: Y07- 99-C- 100a City, State Zip: —';Qrr(:TY-d E -f- 'JZ%% I State License. No.: RiJOP �7115'_ Architect/Engineer Information Name: Phone: Street: Fax: City, St, Zip:- E-mail: Bonding Company: Mortgage Lender: Address:. Address: PERMIT INFORMATION Building Permit ❑ Square Footage: Construction Type: No. of Stories: No. of Dwelling Units: Flood Zone: Electrical ar"l- Plumbing ❑ New Service — No: of AMPS: ZA7V New Construction - No. of Fixtures: Mechanical ❑ (Duct layout required for new systems) Fire Sprinkler/Alarm ❑ No. of heads: q D-f-Sv col x.00 Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and air conditioners, etc. OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. Acceptance of permit is verification that I will. notify the owner of the property of the requirements of Florida Lien Law, FS 713. The City of Sanford requires payment of a plan review fee. A copy of the executed contract is required in order to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the plan review fee based on past permit activity levels. Should calculated charges exceed the documented construction value when the executed contract is submitted, credit will be applied to your. permit fees when the permit is released. Signature of Owner/Agent Print Owncr/Agent's Name Date Signature of Notary -State of Florida Date Owner/Agent is Personally'Known to Me or Produced ID Type of ID APPROVALS: ZONING: ENGINEERING: COMMENTS: C-'�A a/z, /'� Signature of Co /Agent Mtc Joseph Strada, J.r, Print 9%y, / 01 Signature of Notary-Statiy6f 'da Date ::ty;•., PATRICIA GUZMAN Commission # DD 923247 r ` Ex ires September 8 2013 ••'%.P,;. `ear&o nvu iso, Fan 4wrj=(100.7657019 Contractor/Agent is ✓ Personally Known to Me or Produced ID Type of ID UTILITIES: WASTE WATER: FIRE: HI 1 D CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: C) 9- Q t3 9 Documented Construction Value: $ (I ;I -- Job Address:305 Bella 9,0a Gree Historic District: Yes ❑ No I� Parcel ID• Zoning: Description of Work: tow \1 0 4O G e G(t C-iyl ced Plan Review Contact Person: Title: Phone: Fax: E-mail: Name 1-tev1ar 4o(v)e5 Street: City, State Zip: Property Owner Information Phone: Resident of property? : N Contractor Information Name l eyon Secur m Phone: LA01 (P Z S 4(0 ( S Street: + 01 V t "'1GMGr 'td Fax • City, State Zip: State License No.: 1=%.2r000 3.50 Architect/Engineer Information Name: Phone: Street: Fax: City, St, Zip: E-mail: Bonding Company: Address: Mortgage Lender: Address: PERMIT INFORMATION Building Permit O j Square Footage: Construction Type: No. of Dwelling Units: Flood Zone: Electrical O New Service — No. of AMPS: Mechanical 13 (Duct layout required for new systems) No. of Stories: Plumbing O New Construction - No. of Fixtures: Fire Sprinkler/Alarm O 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, beaters, tanks, and air conditioners, etc. OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713. The City of Sanford requires payment of a plan review fee. A copy of the executed contract is required in order to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the plan review fee based on past permit activity levels. Should calculated charges exceed the documented construction value when the executed contract is submitted, credit will be applied to your permit fees when the permit is released. Signature of owner/Agent Print Owner/Agent's Name Date Signature of Notary -State of Florida Date Owner/Agent is Personally Known to Me or Produced ID Type of ID APPROVALS: ZONING: UTILITIES: COMMENTS: Rev 11.08 94LZ c 9 Signature of Contractor/Agent We wae�la� LZ,,e-1.yV1 Print Contracto Agent's Name l�Il cdl �I pA(�h �lUVI,G(1 /010g 09 Signature of Notary -St to of 1porida D eat HEIDI LEIGH JONES MY COMMISSION A DD 640654 { ' ; EXPIRES: Mardi 4, 2011 aaMed nNo" rub w le Urderonbere Contractor/Agent is ✓Personally Known to Me or Produced ID Type of ID ENGINEERING: FIRE: WASTE WATER: BUILDING: SupplyPro Printable Order Detail Page 1 of 2 c� 1 �o�1b1 Not Available Shipping Information 6695601031 - 305 Bella Rosa Circle 305 Bella Rosa Circle Sanford, FL 32771 Contact Information: Chris Westhelle, [OLH-CM] (407)832-0246 Chris.Westhelle@Lennar.com Task: T - Security System Rough [5708526 - 11596062-000] [OP] Devcon Security Services Corp. 6202 Benjamin Rd., 100 Requested Start Date: 10/8/2009 Tampa, FL 33634 End Date: 10/9/2009 Phone: (813) 630-5400 Fax: (813) 630-5454 Order Received Lennar Homes LLC - Builder's Account Number: 16300-5708526 Order Type: PurchaseOrder Builder's Order Number: 11596062-000 Order Status: Received Builder Status: Permit Not Available Number: Job: 6695601031- 305 Bella Rosa Circle .lob Start Date: 8/17/2009 Permit Number: Job Address Billing Information 305 Bella Rosa Circle Celery Estates II, 669560 Sanford, FL 32771 600 N. Westshore Blvd. Suite 900 Plan / Elevation / Swing: Tampa, FL 33609 CYPl/A/R $40.00 (ZSPECCHG -CHANGE SPEC LEVEL ) Contact Information: Subdivision / Phase: 0 Celery Estates II, 669560 / Phase 0 Chris.Westhelle@Lennar.com Lot / Block: 1 1031 / SEC BLK LOT 31 $8.00 Detail Page 1 of 2 c� 1 �o�1b1 Not Available Shipping Information 6695601031 - 305 Bella Rosa Circle 305 Bella Rosa Circle Sanford, FL 32771 Contact Information: Chris Westhelle, [OLH-CM] (407)832-0246 Chris.Westhelle@Lennar.com Task: T - Security System Rough [5708526 - 11596062-000] [OP] Requested Start Date: 10/8/2009 End Date: 10/9/2009 SKU Description Order Received Unit Price Total CONTRACT FW57AO1058 -MASTER CONTROL PANELLABOR 1 0 $56.00 $56.00 & MATERIAL 80% (ZSPECCHG -CHANGE SPEC LEVEL ) CONTRACT FW57AO1108-KEYPADLABOR & MATERIAL 80% 1 0 $40.00 $40.00 (ZSPECCHG -CHANGE SPEC LEVEL ) CONTRACT FW57AO1258 -INDOOR SOUNDERLABOR & 1 0 $8.00 $8.00 MATERIAL 80% (ZSPECCHG -CHANGE SPEC LEVEL ) CONTRACT FW57AO1358 -TRANSFORMERLABOR & 1 0 $4.00 $4.00 MATERIAL 80% (ZSPECCHG -CHANGE SPEC LEVEL ) CONTRACT FW57AO1408 -DOOR CONTACTSLABOR & 3 0 $8.00 $24.00 MATERIAL 80% (ZSPECCHG -CHANGE SPEC LEVEL ) CONTRACT FW57AO1458 -WINDOW CONTACTSLABOR & 4 0 $8.00 $32.00 MATERIAL 80% (ZSPECCHG -CHANGE SPEC LEVEL ) CONTRACT FW57AO1508 -BATTERY BACK-UPLABOR & 1 0 $4.00 $4.00 MATERIAL 80% (ZSPECCHG -CHANGE SPEC LEVEL ) CONTRACT FW57AO1558-RJ-31X JACKLABOR & MATERIAL 1 0 $4.00 $4.00 80% (ZSPECCHG -CHANGE SPEC LEVEL) Subtotal: $172.00 https://www. hyphensolutions.comIMH2SUPPLY1OrderslOrderPrt.asp?order_id=2664475... 10/6/2009 POWER OF ATTORNEY Date: (� IPS 0q I hereby name and appoint wat.uviQ of Deyay-) �e(AmL4- ,t to be my lawful attorney in fact to act for me and apply to the Semt lr o te— (ouv1-L-,-1LC (:�i q v-4-fly'cf Building Department for a ou-) VO (+0 e, e'tec y c permit for work to be performed at a location described as: Section Township Range Lot 3 1 Block Subdivision (DS4 6I0'0I-6, Sa nd �=1 3211 (Address of Job) L -akar l -bane s (Owner of Property and Address) and to sign my name and do all things necessary to this appointment. I r The foregoing instrument was acknowledged before me this t�JJ3 day of 20 0'? by Daytcl �h� It ISS who is :rsonally known t me/who produced as identification and who did not take oath. State of Florida County of ©r ck4 -� W-kj-), l/u. Notary Public, Ora 4 e C4jnty, Florida r HEI DI t EIQH JONES '0. MY COMMISSION i DD 640654 W., -- " EXPIRES: March 4, 2011 d.. ` Bonded ilim Notary PuWb Undenfiten Seal 1C) , CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: Q Al 0 Ap Documented Construction Value: $ -� Job Address: JOJ64 sa Q,I( � Historic District: Yes ❑ No Parcel ID• Description of Work: Plan Review Contact Person: Phone: Fax: Zoning: Title: E-mail: . &V,2�operty Owner Information Name (2AAYA r�VPhone: Street: City, State Zip: Resident of property? : Contractor Information Name DEL -AIR HEATING & AIR CON'D. Phone: JM ( C.VL1iJ'vt1 4V H 1 Street: SANFORD. FL 39771 Fax: Robert G. Dello Russo City, State Zip: State License No.: S,4rt-_'2442 Name: Street: City, St, Zip: Bonding Company: _ Address: Building Permit O Square Footage: No. of Dwelling Units: Electrical O Architect/Engineer Information Phone: Fax: E-mail: Mortgage Lender: Address: PERMIT INFORMATION Construction Type: Flood Zone: New Service — No. of AMPS: Mechanical V'(*Duct layout required for new systems) No. of Stories: Plumbing O New Construction - No. of Fixtures: Fire Sprinkler/Alarm O No. of heads: 0,7.5-7 /Du -v1 •pod Application is hereby made to obtain a permit to do the work and installations as indicated. l 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 4willWieLd ted contract is required in order to calculate a plan review charge. If the executed contract is nerve the right to calculate the plan review fee based on past permit activity levels. Shoges exceed the doc ented construction value when the executed contract is submitted, cto r permit fee hen the permit is released. Signature oCOwner/Agent Date/ ' azure of Contractor/Agent Date 6 RODERT G. DELLO RUSSO 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 Print Conductor/Agent's Name l p� Signature of Notary -State of Florida Date ;lIRINDAC.TURNER b1Y COMMISSION R DD 667937 r; EXPIRES: June 14, 2011 7 %. ..... ,',ondedThru Notary Public Underwriters Contractor/Agent is Personally Known to Me or Produced M Type of 1D UTILITIES: WASTE WATER: FIRE: BUILDING: Application No: Job Address:// � Parcel ID: /7 Description of Work: Plan Review Contact Person: Phone: Name /f, G� Street: City, State Zip: CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION o� Documented Construction Value: $ .500 / Historic District: Yes ❑ No Zoning: Title: Fax: E-mail: Property Owner Information Phone: • Resident of property? Name Street:, City, State Zip: Name: Street: City, St, Zip: Bonding Company: Address: Contractor Information Phone:��r�, Fax: .� State License No.:/� Architect/Engineer Information Phone: Fax: E-mail: Mortgage Lender: Address: PERMIT INFORMATION Building Permit O Square Footage: Construction Type: No. of Dwelling Units: Flood Zone: Electrical O New Service — No. of AMPS: Mechanical 0 (Duct layout required for new systems) No. of Stories: Plumbing O New Construction - No. of Fixtures: Fire Sprinkler/Alarm 0 No. of heads: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and air conditioners, etc. OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713. The City of Sanford requires payment of a plan review fee. A copy of the executed contract is required in order to calculate a plan review charge. if the executed contract is not submitted, we reserve the right to calculate the plan review fee based on past permit activity levels. Should calculated charges exceed the documented construction value when the executed contract is submitted, credit will be applied to your permit fees when the permit is released. &ij Ale " Signature of Owner/Agent Date Print DEBORAH GREATHOUSE MY COMMISSION # DD 914033 EXPIRES: November 20, 2013 Bonded Thru Notary Public Underwriters Owner/Agent is Personally Known to Me or Produced ID Type of ID APPROVALS: ZONING: ENGINEERING: COMMENTS: Rev 11.08 UTILITIES: FIRE: Sig tur of Co c r/Agent Date Prin ontr for/Agent' Name ,/ O? Signature of N Date _ DEBORAH GREATHOUSE MY COMMISSION 0 DD 914033 EXPIRES: November 20, 2013 Bonded Thru Notary Public Underwriters Contractor/Agent is Personally Known to Me or Produced ID Type of ID ' WASTE WATER: BUILDING: November 9, 2009 To the City of Sanford: This is to inform you that Lennar Homes has hired Focal Point Nursery to install an irrigation system for Lennar Homes at 305 Bella Rosa Cir. Celery Estates. The contract price for this system is $500.00 to cover the front yard on this property. This is required by the city of Sanford for Lennar Homes to acquire C.O. on this property. Please accept this as a binding contract from Lennar Homes due to all contracts are signed per subdivision and not per home site. Sincerely /� 4 Chris Westhelle Lennar Homes Construction Manager 407-832-0246 Signed, sealed and delivered this 9 day of November, 2009. §Wprnjo and su ri d before me this 9the day of November 2009.By is ersonally known to me or produced Identi Hca ' nand did take anda #111,71-Y n 11-Ynn"n In .4 l/V Notary Public ' Name: Deborah Greatho74w/—:- My Commission expires L` ' DEBDRAH GREATHOUSE m ? + COMMISSION k DD 914033 NN EXPIRES: November 20, 2013 4 ���Ff,n Bonded ?Iw Notary Pubbc Underwnter6 Special Power of Attorney I, James Jacobs, (License Holder), license number RX0062182, hereinafter referred to as the " License Holder", the Irrigation Supervisor, of Focal Point Landscape, Inc., hereinafter referred to as the "Company", hereby appoint the following persons as Attorney -In -Fact of the License Holder/Company in order to a.) sign and submit building permit applications, b.) obtain building permits, and c. btain on behalf thethe License Holder/Company: LICENSE HOLDER WITNESSES: Sign: Sign: Name: 3afnes Jacobs Print Name: Michael Crowthers Title: Irrigation Supervisor Company Name: Focal Point Landscape, Inc. Mailing Address:Post Office Box 169 Geneva, Florida 32732 Telephone No.: (407) 349-2695 E-mail address: gwen(n,)focalpointlandscape.com Fax No.: (407) 349-2232 State of: County of: T e foroin inst ent was acknowledged before me this d4 of by James Jac s, the Irrigation S ervisor of Focal Point Landscape, Inc., a Florida orporation, on a if of th corp ion. He is personally kno Yt - DEBORAH GREAT1i0USE .: MY COMMISSION It DD 914033 EXPIRES: November 20, 2013 ' rp%' Bonded TAru Notary Public Urder Lwm; otary Public Commission Expires: REQUEST FOR PRE -POWER Altamonte Springs, Casselberry, Lake Mary, Longwood, Oviedo, Sanford, Seminole County, Winter Springs Date: 1 / / /2w Project Name:_ LFS /9�-f ""4project Address:_ ?Jos �[ ( q �S q- C, / Building Pen -nit #: C79 — 24 F b Electrical Permit # In consideration for authorizing the appropriate utility company to energize the facility, we agree with and understand the following: 1. The facility will not be occupied until a certificate of occupancy has been issued. 2. If the jurisdiction hereafter finds that the facility has been occupied before a certificate of occupancy has been issued, the jurisdiction will have the unilateral right to direct the utility to terminate electrical service without notice. Furthermore, we understand and agree that should the jurisdiction exercise such right, the jurisdiction will not be responsible for any damages or costs which may result from the exercise of such right. Also, in the event any third party claims damages from the exercise of such right, we agree to jointly and individually indemnify and hold harmless the jurisdiction from all such damages and costs, including attorney's fees. 3. The building or structure shall be weather tight and secure. The electrical wiring in the area designated for pre -power shall be complete and in safe order. All electrical services associated with the area will be 100% complete unless specifically approved by the electrical inspector. 4. Interior electrical rooms shall be lockable, if electrical panels are in an area that cannot be locked by doors, the panels shall be equipped with a locking mechanism (approved by the AHJ). The licensed electrical contractor or his licensed representative shall hold the keys(s) for such access to electrical panels to prevent energizing circuits other than those that are safe. 5. If provided, the fire sprinkler system must be operational, per the local AHJ requirements, with water on the system prior to pre -power. 6. This pre -power approval is valid for a maximum of 180 days from date of approval. 7. Check with the local jurisdiction for fees associated with pre -power. 4wez ea, Print Name of Ownerfrenant S—ip—af ireUrMwner/renant ,uV,_W_ X. 6�­yz_ Print Name of Gen. Contractor lignature of Gen. Contractor x cAC, I zs575 t Gen. Contractor License # JURISDICTION EMPLOYEE NAME: E/ L� JURISDICTION: CALLED INTO: ? Progress Energy (Rev. 3/27/07) Prince of El. Contractor C>414_ Signatur of E . Contractor S El. Contractor License # ? Florida Power and Light on / U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008 Federal Emergency Management Agency I Expires March 31, 2012 National Flood Insurance Program Important: Read the instructions on pages 1-9. SECTION A - PROPERTY INFORMATION For Insurance Company Use: Al. Building owners Name Lennar Homes -Central Florida Policy Number A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. I Company NAIC Number 305 Bella Rosa Circle City Sanford State FL ZIP Code 32771 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Lot 31, Celery Estates North, Plat Book 71, Pages 38A5 A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Residential A5. Latitude/Longitude: Lat. 28'48'13"N Long. 81"14'09"W 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. A7. Building Diagram Number 1A 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) 0 sq It a) Square footage of attached garage 400 sq ft b) No. of permanent flood openings in the crawlspace or b) No. of permanent flood openings in the attached garage enclosure(s) within 1.0 foot above adjacent grade 0 within 1.0 foot above adjacent grade 0 c) Total net area of flood openings in A8.b 0 sq in c) Total net area of flood openings in A9.b 0 sq in d) Engineered flood openings? ❑ Yes ® No d) Engineered flood openings? ❑ Yes ® No SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name 8 Community Number B2. County Name B3. State 120294 City of Sanford I Seminole I Florida 84. Map/Panel Number B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) (Zone 12117C 0090 F Date Effective/Revised Date Zone(s) AO, use base flood depth) 9/28/2007 9/28/2007 X Unshaded N/A B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. ❑ FIS Profile ❑ FIRM ❑ Community Determined ❑ Other (Describe) _ B11. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe) _ B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ® No Designation Date _ ❑ CBRS ❑ OPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction' ® Finished Construction "A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations -Zones Al -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, 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 4716401 Vertical Datum 1988 Conversion/Comments Check the measurement used. a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 14.6 ® feet ❑ meters (Puerto Rico only) b) Top of the next higher floor 24.4 ® feet ❑ meters (Puerto Rico only) c) Bottom of the lowest horizontal structural member (V Zones only) NA._ ❑ feet ❑ meters (Puerto Rico only) d) Attached garage (top of slab) 14.1 ® feet ❑ meters (Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building 13.9 ® feet ❑ meters (Puerto Rico only) (Describe type of equipment and location in Comments) Q Lowest adjacent (finished) grade next to building (LAG) 13.5 ® feet ❑ meters (Puerto Rico only) g) Highest adjacent (finished) grade next to building (HAG) 13.9 ® feet ❑ meters (Puerto Rico only) h) Lowest adjacent grade at lowest elevation of deck or stairs, including 14.2 ® feet ❑ meters (Puerto Rico only) structural support SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION _ This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. I certify that the information on this Certificate represents my best efforts to interpret the data available./ understand that any false statement maybe 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 PLACE SEAL Certifiers Name Gary R. Roche License Number 6306 HERE Title Professional Surveyor 8 Mapper Company Name Franklin, Hart & Reid City Kissimmee State Florida ZIP Code 32744 vsd �016 FEMA Form 81-31, Mar 09 See reverse side for continuation. Replaces 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 305 Bella Rosa Circle 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 agenticompany, and (3) building owner. Comments Lowest elevation of equipment -A/C Pad A letter of map revision (LOMAR) IjaS bee _"sued recertifying the improved portion of this lot as Zone "X Unshaded (case 09-04-5540A) Signature " ` Date 11/13/09 ❑ Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A (without BFE), complete Items E1 -E5. If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, B, and C. For Items E1 -E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters. E1. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom floor (including basement, crawlspace, or enclosure) is — _ ❑ feet ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom floor (including basement, 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 Community Name Title Telephone Signature Date Comments ❑ Check here ff attachments FEMA Form 81-31, Mar 09 Replaces all previous editions Franklin, Hart & Reid Civil Engineers — Land Surveyors CERTIFICATE OF ELEVATION November 13,2009 Site Address: 305 Bella Rosa Circle, Sanford, FL 32771 Legal Description: Lot 31, Celery Estates North, as recorded in Plat Book 71, Pages 38 through 45, of the Public Records of Seminole County, Florida. The finished floor elevation of the house on lot 31, on the date of our field survey, meets or exceeds the requirements set forth in the City of Sanford Building Code; Chapter 18, Section 18-4 (a). Gary Roche, PSM LS no. 6306 State of Florida 1368 East Vine Street - Kissimmee, FL 34744 • Phone (407) 846-1216 • Fax (407-846-0037) • Email survey@fhrsurvey.com iAplat subdivision\celery estateslsanford elevation cert letteAmrtificate of elevation for sanford-celery lot 31.doc Building Photographs See Instructions for Item A6. For Insurance i Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number 305 Bella Rosa Circle City Sanford State FL ZIP Code 32771 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, following. FRONT Building Photographs Continuation Page For Insurance Company Use: Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 305 Bella Rosa Circle City Sanford State FL ZIP Code 32771 I Company NAIC Number If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs with: date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View." REAR IW M PREPARED FOR MAP OF SURVEY "BOUNDARY WITH IMPROVEMENTS" LOT 3>, CELERY ESTATES NORTH,, ACCORDING TO THE PLAT TBEREOF,AS RECORDED IN PLAT BOOK 71, PAGES 38-45 OF THE PUBLIC RECORDS OF SEMINOLE COUNTY, FLORIDA. LOT 29 N89'50'10 -E 60.00' 5' D.E. G U. E. F I � EL -10.0 P.D.C. - POINT OF FLAT Io. 00. 8 - FR - FROFOSE•D '•PATIO. ' p (�^c� - CALCULATm I�ASUADQ NNi 17.5' 25.00 ' 17.5 -COVERED I P.O.T. - POINT OF TERMINUS p FNC - FENCE � � I P. C. - POINT OF CURVATU;E LOT 32 c - FINISHED FLOOR ELEVATION LOT 31 RESIDENCE I N o LOT 30 d -CERA OR CENTRAL ANGLE FF -14.62 o Q - CENTERLINE �I P. T. - POINT OF TANGENCY R - RADIUS LS Off' CONC - CONCRETE oo y I R/W 17.5' gc CEENNTTRYYD I D.E. - DRAINAGE EASEMENT LB - LICENSED BUSIPESS P.R.M. - FEANAPENT REFERENCE NONUENT ESNT - EASEWENT I 20.00 17.5 PHONE BOX EL -f2. ! f0' U.E. — • SET X -CUT F ON s/w _JO\_ S89 050.10 "W : . 00 ' CIL EL -12.07 Aj� S89150110'w 92.50' BELLA ROSH CIRCLE 50' B/F PER PLAT TRACT E N SCALE 1" = 30' SURVEY NOTES: - SETBACK REQUIREMENTS: FRONT -25' SIDES- 7.5' REAR- 20' CORNER LOTS- 15' - ELEVATIONS SHONN HERE ON NATIONAL GEODETIC - RFARTN1;S SNONN MFRFAP - UYUCNBMUUIVU WIL11M). MUHUAIIUNJ, STRUCTURES HERE NOT LOCATED BY THIS - BEARINGS AND DISTANCES SHOWN HEREON ARE PLAT AND MEASURED UNLESS SHONN OTHERWISE • - S.I.R.C. 5/8 LB 0 6605 61617-6, TO SECTION ACCORDING TO THE FEDERAL EMERGENCY MANAGEMENT AGENCY FIRM MAP NO.12117C 0090 F. EFFECTIVE. GA R. ROCHE, LS NO. 6306 09/26/07. THE PROPERTY DESCRIBED HEREON IS IN ROBERT D. JOHNSTON. LS NO. 5031 ZONE 'AE' FLORIDA REGISTERED LAND SURVEYOR AND MAPPER. NOT A LETTER OF MAP REVISION (LOMB) HAS BEEN ISSUED VALID WITHOUT THE SIGNATURE G THF- ORIGINAL RAISED 146 ZONE E 'X SHADED' (CASE 09-04-5540A)).. RTHE IMPROVED PORTION THIS LOT AS SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER. S.C.N. _ SET CONCRETE KONU W P.D.C. - POINT OF FLAT EL -13.1 - AIR courTIONJMs UVIr FR - FROFOSE•D F.C.M. - FOU,D CONCRETE NMINEMT EL -13.5---------1 (�^c� - CALCULATm I�ASUADQ NNi _ EL -13.1 I I COV. -COVERED I P.O.T. - POINT OF TERMINUS p FNC - FENCE � � I P. C. - POINT OF CURVATU;E - DEED OR DESCRIPTION FF - FINISHED FLOOR ELEVATION W - ORIVEWAY B. I. R. C. -SET IRON ROD AND CAP o LOT 30 d -CERA OR CENTRAL ANGLE D.U.E. -DRAINAGE AND UTILITY EASEIEN► C/L - CENTERLINE FND NCD - FMM MAIL AND DISK P. T. - POINT OF TANGENCY R - RADIUS LS p CONC - CONCRETE � y I R/W I RES. EL -12.7 I D.E. - DRAINAGE EASEMENT LB - LICENSED BUSIPESS P.R.M. - FEANAPENT REFERENCE NONUENT ESNT - EASEWENT / IEL-12.6-----_�� SET X -CUT ON SIN 0 0 P. 1. FND 92.50' NGD LB07143 FND I NAIL NOV 13 2009 I CERTIFIED TO AND FOR THE EXCLUSIVE BENEFIT OF: CHACY B. TONGE UNIVERSAL AMERICAN MORTGAGE COMPANY NORTH AMERICAN TITLE INSURANCE COMPANY NORTH AMERICAN TITLE COMPANY PROPERTY ADDRESS: 'ARE BASED 305 BELLA ROSA CIA. RTICAL DATUM 1929. RE BASED ON THE LINE OF BELLA ROSE - UYUCNBMUUIVU WIL11M). MUHUAIIUNJ, STRUCTURES HERE NOT LOCATED BY THIS - BEARINGS AND DISTANCES SHOWN HEREON ARE PLAT AND MEASURED UNLESS SHONN OTHERWISE • - S.I.R.C. 5/8 LB 0 6605 61617-6, TO SECTION ACCORDING TO THE FEDERAL EMERGENCY MANAGEMENT AGENCY FIRM MAP NO.12117C 0090 F. EFFECTIVE. GA R. ROCHE, LS NO. 6306 09/26/07. THE PROPERTY DESCRIBED HEREON IS IN ROBERT D. JOHNSTON. LS NO. 5031 ZONE 'AE' FLORIDA REGISTERED LAND SURVEYOR AND MAPPER. NOT A LETTER OF MAP REVISION (LOMB) HAS BEEN ISSUED VALID WITHOUT THE SIGNATURE G THF- ORIGINAL RAISED 146 ZONE E 'X SHADED' (CASE 09-04-5540A)).. RTHE IMPROVED PORTION THIS LOT AS SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER. S.C.N. _ SET CONCRETE KONU W P.D.C. - POINT OF FLAT - AIR courTIONJMs UVIr FR - FROFOSE•D F.C.M. - FOU,D CONCRETE NMINEMT P.O.B. - PbINT OF SESIMRNO (�^c� - CALCULATm I�ASUADQ NNi EL eL -ELEVATION COV. -COVERED F. I. R. C. - FOUND JRON ROD AND CAP P.O.T. - POINT OF TERMINUS - FIELD NEASIA�NT FNC - FENCE SIN - SIDEWALK F.I.R. _ FOUD IRON ROD P. C. - POINT OF CURVATU;E - DEED OR DESCRIPTION FF - FINISHED FLOOR ELEVATION D/N - ORIVEWAY B. I. R. C. -SET IRON ROD AND CAP P. Z. - POINT OF JNTERSECTJON d -CERA OR CENTRAL ANGLE D.U.E. -DRAINAGE AND UTILITY EASEIEN► C/L - CENTERLINE FND NCD - FMM MAIL AND DISK P. T. - POINT OF TANGENCY R - RADIUS LS - LICENSED SIRVEVOR CONC - CONCRETE - FOUND F U.E. - UrJLITY EASEMENT A - ARC LENGTH R/W - RIGHT OF MAY RES. - RESIDENCE P - POWAM99 Myna POINT D.E. - DRAINAGE EASEMENT LB - LICENSED BUSIPESS P.R.M. - FEANAPENT REFERENCE NONUENT ESNT - EASEWENT DATE OF FIELD SURVEY PLOT PLAN BOUNDARY 08/21/09 FORMBOARD 08/24/09 FOUNDATION 09/01/09 1771JAI 11/19/AO FRANKLIN, HART & REID CIVIL ENGINEERS — LAND SURVEYORS 1368 EAST VINE STREET, KISSIMMEE. FL 34744 PHONE 846-1216 FAX 846-0037 CERTIFICATE NO. LB 6605 PHUJtC1 lWUHMATZUN JOB N0. 114374 DRAWN BY: TOF REVIEWED BY: GRP FORM 1100A-08 FLORIDA ENERGY EFFICIENCY CODE FOR BUILDI G CTION -. Florida Department of Community Affairs Residential Performance Method A Project Name- CYPRESS ' `"� Builder Name: LPEMA IT Street: ? 16. _ L t Permit Office: # O My City, State, Zip" F �� G Owner: ZezZ�� Cj Permit Number" Jurisdiction: Design Location: FL, Orlando 1. New construction or existing New (From Plans) 9. Wall Types Insulation Area 2. Single family or multiple family Single-family a. Frame - Wood, Exterior R=15.0 1188.00 fP b. Concrete Block - Int Insul, Exterior R=4.1 766.67 ft' 3. Number of units, if multiple family 1 c. Frame - Wood, Adjacent R=11.0 184.00 ft' 4. Number of Bedrooms 3 d. N/A R= fN 5. Is this a worst case? Yes 10. Ceiling Types Insulation Area 6. Conditioned floor area (ft') 1945 a. Under Attic (Vented) R=38.0 1149.00 ft' b. N/A R= fl' 7. Windows Description Area c N/A R= fY a. U -Factor: Dbl, U=0.60 225.78 fl' SHGC: SHGC=0.32 11. Ducts b. U -Factor: N/A it, a. Sup: Attic Ret: Attic AH: Interior Sup. R= 6, 486 ft' SHGC: 12. Cooling systems c U -Factor: N/A ft' a. Central Unit Cap: 29 kBtu/hr SHGC: SEER: 14 d. U -Factor: N/A it, 13. Heating systems SHGC: a. Electric Heat Pump Cap: 29 kBlu/hr e. U -Factor: N/A it, HSPF:8.2 SHGC: 14. Hot water systems 8. Floor Types Insulation Area a. Electric Cap: 50 gallons a. Slab -On -Grade Edge Insulation R=0.0 796.00 ft' EF: 0 9 b. Floor over Garage R=13.0 353.00 fl' b. Conservation features c. N/A R= ft' None 15. Credits Pslat Glass/Floor Area: 0.116 Total As -Built Modified Loads: 41.12 PASS Total Baseline Loads: 50.50 1 hereby certify that the plans and specifications covered by Review of the plans and oHE STgT this calculation are in compliance with the Florida Energy specifications covered by this 4V _ Code. n PREPARED BY: calculation indicates compliance with the Florida Energy Code. Before construction is completed y`'��.,, ` =r �+ JL. rh1,' UJ DATE: f / v 5 .. this building will be inspected for V 1 compliance with Section 553.908 I hereby certify that this building, as designed, is in compliance Florida Statutes. ry CUU with the Florida Energy Code. WE OWNER/AGENT: BUILDING OFFICIAL: DATE: DATE: - Compliance requires certification by the air handler unit manufacturer that the air handler enclosure qualifies as certified factory -sealed in accordance with N1110.A.3. 3/24/2009 12:14 PM EnergyGaugeO USA - FlaRes2008 Page 1 of 5 vq- a I W OWNER NAME: ADDRESS: APPLICANT NAME: LENNAR HOMES LLC ADDRESS: 600 N. WESTSHORE BLVD. STE.900 TAMPA FL 33609 LAND USE: SINGLE FAMILY DETACHED TYPE USE: WORK DESCRIPTION: CITY-SANFORD SPECIAL NOTES: 305 BELLA ROSA CIRCLE / SINGLE FAMILY DETACHED -------------------------------------------------------------------------------- FEE BENEFIT RATE UNIT CALC UNIT TOTAL DUE TYPE DIST SCHED RATE UNITS TYPE -------------------------------------------------------------------------------- ROADS-ARTERIALS CO -WIDE ORD RO inglee"PammCTiipOly_Houring Single Pal ly HoU7iing FI RRBESS //A COUNTY OF SEMINOLE 1.000 dwl unit 1.000 dwl unit 705.00 .00 .00 LIBRARY CO -WIDE ORD Single Family HousinWggl PS nng a Family HousingRKS DE ORD IMPACT FEE STATEMENT 1.000 dwl unit 1.000 dwi unit 54.00 5,000.00 00 STATEMENT NUMBER: 091 0002 DATE: July 28, 2009 BUILDING APPLICATION #: 09-10000213 J 3 BUILDING PERMIT NUMBER: 09-10000213 AMOUNT DUE I,JT J1 UNIT ADDRESS: BELLA ROSA CIRCLE 305 29-19-31-502-0000-0310 TRAFFIC ZONE:022 JURISDICTION: SEC: TWP: RNG: SUP: PARCEL: SUBDIVISION: TRACT: PLAT BOOK: PLAT BOOK PAGE: BLOCK: LOT: OWNER NAME: ADDRESS: APPLICANT NAME: LENNAR HOMES LLC ADDRESS: 600 N. WESTSHORE BLVD. STE.900 TAMPA FL 33609 LAND USE: SINGLE FAMILY DETACHED TYPE USE: WORK DESCRIPTION: CITY-SANFORD SPECIAL NOTES: 305 BELLA ROSA CIRCLE / SINGLE FAMILY DETACHED -------------------------------------------------------------------------------- FEE BENEFIT RATE UNIT CALC UNIT TOTAL DUE TYPE DIST SCHED RATE UNITS TYPE -------------------------------------------------------------------------------- ROADS-ARTERIALS CO -WIDE ORD RO inglee"PammCTiipOly_Houring Single Pal ly HoU7iing FI RRBESS //A 705.00 .00 1.000 dwl unit 1.000 dwl unit 705.00 .00 .00 LIBRARY CO -WIDE ORD Single Family HousinWggl PS nng a Family HousingRKS DE ORD 54.00 5,000.00 1.000 dwl unit 1.000 dwi unit 54.00 5,000.00 00 LAW ENFORCE N/A 00 DRAINAGE N/A .00 AMOUNT DUE 5,759.00 STATEMENT RECEIVED BY: L/ ^Glc.SIGNA (PLISASE PRINT AME) NOTE TO RECEIVING SIGNATORY/APPLICANT: FAILURE TO NOTIFY OWNER AND ENSURE TIMELY PAYMENT MAY RESULT IN YOUR LIABILITY FOR THE FEE. +++ DISTRIBUTION: 1 -BLDG DEPT 3 -APPLICANT 2-PINANCE 4 -LAND MANAGEMENT **NOTE** _ 'I'I; SEMINOLECOCOUNNTTYY ROAD, FIRE_/RSSIC6, STATEMENT ANDD/OREEDUCATIONNAALL THE ISSUANCE OF A BUILDING PER T. PAYMENT SHOULD BE MADE TO: SEMINOLE COUNTY OR CITY OF SANFORD BUILDING DEPARTMENT 1101 EAST FIRST STREET SANFORD, FL 32771 PAYMENT SHOULD BE BY CHECK OR MONEY ORDER AND SHOULD REFERENCE THE COUNTY BUILDING PERMIT NUMBER AT THE TOP LEFT OF THIS STATEMENT. ***THIS STATEMENT IS NO LONGER VALID IF A BUILDING PERMIT IS NOT*** ISSUED WITHIN 60 CALENDAR DAYS OF THE RECEIVING SIGNATURE DATE ABOVE * DETAIL OF CALCULATION AVAILABLE UPON RBOVE T. CALL 407-665-7356. � O � �1s77 *� City of Sanford Planning and Development Services Engineering — Floodplain Management Flood Zone Determination Request Form Name: t l Firm: Z Address: City: State: Zip Code: �3G209 Phone: -07 Fax: 74?/7710e)amail: i a Property Address:s Property Owner: 1"4/2 17al, Parcel identification Number: Phone Number:��os ��y� Email:a7&//& The reason for the flood plain determination is: 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) OFFICIAL USE ONLY Flood Zone: )99'8 Base Flood Elevation: / Datum: IVAI/16 fjp� FIRM Panel Number: lQo Map Date: 9,��,ZC1y7 The referenced Flood Insurance Rate Map indicates the following: ® The parcel is in the flood plain , c f' � 7,0hl7 ' AXWd S))I� ❑ A portion of the parcel is in the floodplain ❑ The parcel is not in the floodplain LJ 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: -a ST , 7D 1 -NJ s FCo01> S14U Reviewed by: Date: �7 ,72/• y TADevelopment Review\04-Engineering\Flood Zone Determination Request Form.doc THIS INSTRUMENT PREPARED BY: Name:��I _Address: ,,w- State of Florida 11111111noluAuluu11111uH11Iu111111 MARYANNE MORSE, (1_ERK OF CIRCUIT IIJRT SEMINOLE COLNTY BK 0%1W Pg 00161 (lplt) CLERK' S # 2009056382 RECO100 05/t-'%/kM 011133146 p" RECORDING FEES 10.00 RECORDED BY L McKinley NOTICE OF COMMENCEMENT Permit Number (2 f—. 111 Parcel ID Number (PI D) ON "�/ ���—��'� —,o310 The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with.Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. DESCRIPTION OF PROPERTY/ (Legal description of the property rty `and stree a'd/ddrress if available) 5_ �i� %C / GENERAL DESCRIPTION OF IMPROVEMENT t:tKllrltU copit MARYANNE MORS[ G4141( OF CIRCUIT LOUR OWNER INFORMATION / / �OkE VName and address: /�/%�%G'Gl�' /`7�i'�')�S �iGC. s Name and address of Fee Simple Title Holder (if other than owner) : CONTRACTOR Name and address: / V46z',, /7G' e -S zz'(::�-- Persons within the State of Florida noir /Z�- 3i71/ )C-� 3 el7/, gnated by Owner upon whom notice or other documents may be served as provided In addition to himself, Owner Designates of To receive a copy of the Lienor's Notice as Provided in Section 713A3(1)(b), Florida Statutes. Expiration Date of Notice of Commencement: The expiration date is 1 year from date of recording unless a different date. is specified. WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDtD AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. STATE OF /-I,. COUNTY OF Ae Z�Wwxwe &/, <&� OWNERS SIGNATUREOWNERS PRINTED NAME T "(NOTE: Per Florida Statute 713.13(1 (g), pwner must sign...... and no one else may be permitted to sign in his or her stead." The foregoing instrument was acknowledged before me this % Z day of , 20 by �r�wcexr� (¢�• Who is personally known to me Name of person making statement OR who has produced identification El type of identification produced VERIFICATION PURSUANT TO SECTION 92.625, FLORIDA STATUTES. UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING AND THAT THE FACTS STATED IN IT ARE TRUE T E ST KN O E DGE AND BELIEF. SIGNATU E OF NATUk<*PERSO NG ABOVE R9�p�►r"r PO Notary Notary Publie -Si- a of Florida NotarySignature Elizabeth A HIP My Commission D0854385 n ExPiree 01126/2013 Ell UTILITY AFFIDAVIT PERMIT NUMBER: " *,7'.;1 o OWNER'S NAME: XVII �2 4 X 2 :. PROPERTY ADDRESS: 3-0 �07 31 CONTRACTOR'S NAME.Gl�GAO�X/Tc�►+j�f�Q.L CONTRACTOR'S PHONE NUMBER: ��/ " �D� �i� �' 16 3 I S-16J.e S/',I L being the legal owner/contractor acknowledge that I have investigated the availability of water, sewer and electrical utilities, in accordance with Sections 604.1 and 701.3 of the 2001 Florida Building Code Plumbing and article 230 of the National Electrical Code for the above referenced property. The purveyor of those utilities are as follows: Water: _ Well: "-Public Utility: Name of Purveyor.'- Phohe No. Waste Water Septic: -----Sewer: Treatment Name of Purveyor Phone No. Electricity: Name of Purveyor (Power Company) I further acknowledge that each of the -purveyors have been notified of my intent to require service as of (date) This information is being provided to Osceola County for information purposes only and in NO WAY relieves me of my obligation to contact each utility purveyor, pay any applicable fees, and/or make provisions for utility connection. My failure to provide potable water and sewage treatment may -result in the denial of the issuance of a Certificate of Occupancy. Signature Rev. 02/02 Check one box ❑ ALTAMONTE SPRINGS ❑ LAKE MARY X SANFORD " ❑ CASSELBERRY (East of Hwy 17 & 92) ❑ LONGWOOD ❑ WINTER SPRINGS ❑ CASSELBERRY (West of Hwy 17 & 92) ❑ OVIEDO ❑ CENTRAL FL RESEARCH PK Site Street Address: 15. L(r1�1 1-20 Ste. (re Tax parcel I.D.# : - = GbZ-6000-4 Q Ll Legal Description Attached Subdivision Name: &Jney Eda e 5 A&,dA P4ase_.Z- Lot: Block: Owner Name: Le.✓Abe Aaw_s LLC Mailing Address: 4'0 t s City: Cl�es'/YiQrD te: rP: B Phone: Q - , Z 7� . O Fax. no.: _ 777-- 4g Contractor Name: ¢ hbe+ S» A�_ ._ ./b1 ✓57s1 Mailing Address: ..A lS0614A26c _ P: City: o State:�,�. Zi 3 B Phone: (. �7-1� 7- !�/�dL C}� Fax. no.: S/d7-f 74 902=. Protect Name: y A�s Building Name: PEqPosW Residentatl Use: (Check one) Single -Family ❑ Duplex ❑ Townhome/Condominium ❑ Mobile Home ❑ Apartment List the number of dwelling Units: Number'ofguildings: Proposed Nonresidential Use: List the use and size of Building: (Example: Restaurant, medical office, general office. If a mixed use, list all.) Use # 1 Size Use #3 Size Use #2 Size Use #4 Size Proposed Change of Use: (Applicant may be entitled lo impact fee credits for prior uses .) This use replaces a use of Size: Size: ❑ Yes ❑ No If within the City -of Altamonte Springs, is a fin: sprinkler system proposed? If yes, please submit construction drawings indicating the sprinkler system. ._..._............. _...........__......._.._......_. �. : ..... _ ..1_..4 .......... ........................ _...... x......_......_.....1...,..:..., _:..........._.............._._ ....._ ..........._....._..:... _..:.... _..._.....::.�...._:..�....__ �......... __........5 ..........�.1r:::::::- :.:-::::,-:::_:-,: r�:,:::_:::-:::::,.:::::::- :::_:..:::: _.,::.:-.�::::::::.:::....._ .:::_...... .......... _........:_.._...... _.. ........._._............... s�:............_. NU Statement no. Date: Input by: Comments: L'Wp projecisfnpact teeNAA rERSNCfty h pad tee iomdoc