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345 Bella Rosa Cir (2)
4 CZE 9 CEIVED a •U, �'"� ,IAN 2011 CITY OF SANFORD ;,. 1 BUILDING & FIRE PREVENTION BY: PERMIT APPLICATION �P Application No: Documented Construction Value: $ Job Address: 3q5 16411a oeofa. -ICHistoric District: Yes ❑ No 9 Parcel ID• a9- l9 - -2)1- 5oa - 0000 - .94 L o Zoning: Description of Work: N Ew 3FFL Plan Review Contact Person: 14%t4 Title: IntNT Phone: 06 11) 4-7 to - O$Lo3 Fax:(7!a,tl 4-1 q- 1-141.0 E-mail: -1 P_ Property Owner Information '. Name Lte✓jmA(, IAo►.tes- LL -C- Phone: (1a.-1)'+-i`Z- \-I OC) Street: 15550 ►..-.%CgR-rw Ave _biz\vc , 210 Resident of property? City, State Zip: CA-Ef►.2wATm � Fi- 33, too Contractor Information Name STEVE S1-l�T h! Phone: �-lal) 'wlg - %-I" 1 Street: 10>550 l_iC�,lCTwPrvE �2\V� , Su�TE = 210 Fax: ( 1a-1) A4-JC9 - \-IL-41.o City, State Zip: Uectruxa _+ f , FL- - 33'7t.c0 State License No.: 4 GC .- -1!5) 8iW ��11 Architect/Engineer Information Name: nP� ,ee, E Assoc. Phone: %' g'k q%o ` o2335 Street: Fax: _(Ci %W- a3o4 City, St, Zip: Ka I FL 3X`10 E-mail: dav:cL.��ll�lc�,ry e4oY�esce . + Bonding Company: MIA Address: Mortgage Lender: Nla Address: PERMIT INFORMATION Building Permit d +� Square Footage: o2o? / l� No. of Dwelling Units: Electrical 0' New Service - No. of AMPS: ALO Construction Type: No. of Stories: Flood Zone: At C CS,,.e o,6;ac.LkI Plumbing E� Mechanical d(Duct layout required for new systems) New Construction - No. of Fixtures:' Fire Sprinkler/Alarm 0 No. of heads: 1 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 rel as ILL 0 Signat Dau Sign t JZV LV 4. "V ck Print O e /Agent's Name ignwufc of . otary-State of Fioridi Dilue STEPHANIE FARMER :.: Commission DD 641221 ri 0. Expires February 15, 2011 ••Rq�;h. • eaaanwTmywnmwticeeoa3es�oia .'. Owner/Agent is ✓ Personally Known to Mees= Produt:ed1b Type of ID • APPROVALS: ZONING: ply I' IS II UTILITIES: �orr►n 1�,y e_W Print d • gent's Name Signature 6f Notary -State of Florida Date •', §T€ I ANIE FARMER r: 06171 ISsIon DD 641221 ' & WN February 15, 2011 '�ll,�},,,,,•� ilwroRatrrt,wonrcsto�.�es�ote Contractor/Agent is ✓ Personally Known to Mem -Pr-edueed-FB— Type of ID ENGINE �' r FIRE: COMMENTS: &le vo.1z\vj., c� �. c,,e c ee " . t„ Rev 11.08 WASTE WATER: BUILDING: Go . City of Sanford Planning and Development Services Engineering — Floodplain Management Flood Zone Determination Request Form Name:.. t,- L, v c ;,� Firm: L e ms,s0.r Ptp nneS LLC— Address: LC— Address: I S 5 Sm Cr. 210 City: h (e0. r State: f L_ Zip Code: 3S r(a 0 Phone: 813 •N -7c. • o 3G 3 Fax: 7Z 1, y79.1,7±4. Email:L• . 713 a 6 . Coe., Property Address: 3 N S Cie 1 kA Ito So. C. r c 1 e Property Owner: ,,Qar I -Vo n -tie f L L C Parcel identification Number: 24 • (4 •,3 ( • SO,Z • o Phone Number: 7 2 T • 4 '79 •17oo Email: The reason for the flood plain determination is: 02""New structure ❑ Existing Structure (pre -2007 FIRM adoption) ❑ Expansion/Addition ❑ Existing Structure (post 2007 FIRM adoption) Pre 2007 FIRM adoption = finished floor elevation 12" above BFE Post 2007 FIRM adoption = finished floor elevation 24" above BFE (Ordinance 4076) OFFICIAL USE ONL Flood Zone:* -AL Base Flood Elevation: g • ( Datum: H ts, v ►) 'P P� FIRM Panel Number: 12th 7-gL4 ax:&o Map Date: 4.2$ •07 The referenced Flood Insurance Rate Map indicates the following: ❑ The parcel is in the: ❑ floodplain ❑ floodway ❑ A portion of the parcel is in the: ❑ floodplain ❑ floodway 00"The parcel is not in the: E21loodplain ❑ floodway ❑ The structure is in the: ❑ floodplain ❑ floodway The structure is not in the:loodplain ❑ floodway If the subject property is determined to be flood zone W, the best available information used to determine the base flood elevation is: RP d -/(-(./s 4,L roc -F '*o4 - o •-SS- o Xr•c a th --e, SG A Review Date: I . IS • 1 1 TAEngr-Files\Elevation Certificate\Flood Zone Determination Request Form.doc .• 1 Application No.. RECEIVED JAN 12 1011 BY: CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Documented Construction Value: $ g Gl � y• 61i Job Address: 3q5 fLlla eofa- .,Circe, Parcel ID:.o2'3 -19 - 31 - 50a - GYRO o - P 4 L o Description of Work: N Ew SFP - Historic District: ices ❑ No 9 Zoning: --- Plan Review Contact Person: 7 E1N . L�l --- Title: .e NT Phone: 06131 `-1(o - 03(D3 Fax: b2 -.l -I q-. 1-14U E-mail: P_ �N V oo.cm� Property Owner Information Name LcuNA2 uoMEs- Li -c- Phone:L-1a-1) 4-►ct- \-I 00 Street: 1555y 1--tcnwrw Ave -be,kvE , &%-re- 210 Resident of property? City, State Zip: C -.cAo2wa-re-irZ 1 P'L_ 33-1 too Name S-ve-VC S+ -k -%-c %4 Contractor Information Phone: Lull '*-Ig - %-1 --1 1 Street: 15550 L.uGMTvikve �Q�vF , Sui-rc : 210 Fax: hall .4-v=t - 1-14ta City, State Zip: CAyxxjrWcAar , FL- 33-7toO State License No.: Architect/Engineer Information Name: KPt3ef_ E aSSoC Phone: ��1U�� <I%0 - Street: Q4 -C3 S. Orenaeri \o m_Fait Fax: (40'' ) %W - (IW4 City, St, Zip: AU'QKa rL 39-10� E-mail: d8v�d�.D�llslour� egoYeesee . Bonding Company: u`A Address: Mortgage Lender: Nla Address: PERMIT INFORMATION Building Permit ly �/ / Square Footage: o2o / Construction Type: No. of Dwelling Units: Flood Zone: Electrical D' New Service - No. of AMPS: J -CO Mechanical d(Duct layout required for new systems) No. of Stories: Plumbing d 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 -T -WIDE -FOR -IMPROVEMENTS TO YOUR-PROPER-T-Y—A-NOTIC-E-- 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 rel as 10 MILL LZr Signat Date sign t bile Print O er/Agent's Name Signatuhe of . otary-State of Florida Ddte ;F�••.,; STEPHANIE FARMER Commission DD 641221 Expires February 15, 2011 bd TJ'U Tmy Fain I mama WMW7019 Owner/Agent is ✓ Personally Known to Me 4w Produced -ID Type of ID APPROVALS: ZONING: ENGINEERING: COMMENTS: Rev 11.08 �o�rtln, L.a v �Ly Print Con 4tor/ gent's Name Signature of Notary -State of Florida Date Q �T€HANIE FARMER x afrifrlission DD 641221 M -q' "Miff February 15, 2011 Contractor/Agent is ✓ Personally Known to Mem T r—ede ;ed 1P Type of ID UTILITIES: �I- -/,,-WASTEWATER: FIRE: BUILDING: -S. j 0 i CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: \1- (s \,;4 Documented Construction Value: $ v�,�Sr�°l •�tkO Job Address: 3qs 6etk(_ kma_ I ,Ir d (_ Historic District: Yes ❑ No ❑ Parcel ID: �Ok - lit - 31- - 07t -n - O LL 0 Zoning: I Description of Work: P&uj `.�t�S�-1' n t!` " I�l�yti.l�► Plan Review Contact Person: Title:c�- Phone: LLuZ 7S)- Qqlo Fax: E-mail: Nw6 . A� r c �V net,L 1 I Property Owner Information Name �-UNYAA `alt M, LLL Street: City, State Zip:C�nuJ 3 3110 Phone: Resident of property? : &W 4-+. Contractor Information Name V�(-S-- Q Uki 6al=,• Phone:( jg � 1 gn-Oc1d.1 Street: !qtu 0. 0 o Atf - Fax: f 3 s" 'lrly Oc(k� City, State Zip:(�i" q CA -5)'-7 6 3 State License No.: (`'TCO Architect/Engineer Information Name: Street: City, St, Zip: Bonding Company: Add ress: Phone: Fax: E-mail: Mortgage Lender: Address: PERMIT INFORMATION Building Permit ❑ Square Footage: Construction Type: 5 PT— No. of Dwelling Units: l Flood Zone: Electrical ❑ New Service - No. of AMPS: Mechanical ❑ (Duct layout required for new systems) No. of Stories: l Plumbing Gk' -- New Construction - No. of Fixtures: i "S Fire Sprinkler/Alarm 0 No. of heads: -G r^— Application is hereby made to obtain a permit to do the work and installations as indicated. 1 certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and air conditioners, etc. OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713. The City of Sanford requires payment of a plan review fee. A copy of the executed contract is required in order to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the plan review fee based on past permit activity levels. Should calculated charges exceed the documented construction value when the executed contract is submitted, credit will be applied to your permit fees when the permit is released. Signature of Owner/Agent Date Print Owner/Agent's Name Signature of Notary -State of Florida Date Owner/Agent is Personally Known to Me or Produced ID Type of ID APPROVALS: ZONING: ENGINEERING: COMMENTS: Rev 11.08 UTILITIES: FIRE: Signature of Contractor/Agent Date G0.12N o3 - E%JIVI Print Contractor/ gent's Name N Signature of Notary -State of Florida Date SANDRA N. LAUSIER r'• W COMMISSION 1 DD 978444 EXPIRES: July 2, 2014 Bonded iluu Notary PuDBc Undenaltaa Contractor/Agent is v' Personally Known to Me or Produced ID Type of 1D WASTE WATER: BUILDING: LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Oviedo, Sanford, Seminole County, Winter Springs Date: 2/4/2011 I hereby name and appoint: Jose Caro 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 41 Celery Estates, 345 Bella Rosa Cir., Sanford, FL 32771 (Street Address) Expiration Date For This Limited Power Of Attorney: 2/8/2011 License Holder Name: Gary Wayne Evers State License Number: CFC050566 Signature Of License Holder: STATE OF FLORIDA COUNTY OF Volusia The foregoing instrument was acknowledged before me this 4th 20011 , by Gary Wayne Evers or who has produced day of February who is personally known to me/ as identification and who did/did not take an oath. SANDRA M LA01 U' , WCOMMISSION/DD979/44 Si nature ' July 2 Uh adleP Sandra M. Lausier (Notary Seal) Print or Type Name Notary Public — State of Florida Commission Number DD978444 My Commission Expires: 7/2/2014 R� CERTIFICATE OF LIABILITY INSURANCE OPID ,i DATE(MMIDDIYYYY) 02/04/11 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the po cy les must be endorsed. , subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER NAME: PHONE All AIC No Ext): (AJC, No): Sihle Insurance Group /DEL 5 ADDRESS: 1300 S WOODLAND BLVD DELAND FL 32720 CER CUSTTOOMERIDII: FIRST44 Phone:386-736-6444 Fax:386-736-6772 INSURER(S) AFFORDING COVERAGE NAIC6 INSURED INSURERA: State Auto Insurance Comany 000856 Firstuality Plumbing b Irrigation, Inc. Gary Wayne Evers License number • CFC050566 746 N Volusia Ave INSURER B: BradgeLaeld Casualty Ins. Co. INSURER C INSURER O: INSURER E: Orange City FL 32763 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT. TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE INN WVD POLICY NUMBER POLICY EFF (MMIDDIYYYY) FUUL;v tAr (MMIDD/YYYY) LIMITS SANFORD FL 32772 GENERAL LIABILITY EACH OCCURRENCE $1000000 PREMISEA ES E�a'oaarrrence $100000 A X COMMERCIAL GENERAL LIABILITY PBP2298600 01/01/11 01/01/12 CLAIMS -MADE M OCCUR MED EXP (Any one person) $5000 PERSONAL 6 ADV INJURY $1000000 X contractual BLNva ADDIL INSRD CG2033 GENERAL AGGREGATE s2000000 GEN'L AGGREGATE LIMIT APPLIES PER, PRODUCTS -COMP/OPAGG 52000000 POLICY X JECT 0 LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1000000 (Ea ecadent) A X ANY AUTO BAP2139078 01/01/11 01/01/12 BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY (Per acadent) S SCHEDULED AUTOS X HIREDAUTOS PROPERTY DAMAGE $ (Per accident) $ X NON-OWNEDAUTOS $ A X UMBRELLA Me X OCCUR PBP2298600 01/01/11 01/01/12 EACH OCCURRENCE $1000000 AGGREGATE $1000000 EXCESS UAB CLAIMS -MADE DEDUCTIBLE $ $ RETENTION $ 0 $ OR KERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVqIA OFFICER/MEMBER EXCLUDED? (Mandatory In NH) 083033735 03/13/10 03/13/11 03/13/11 03/13/12 X TORY LIMITS XI 0TH - ER E.L. EACH ACCIDENT IS1000000 E L DISEASE - EA EMPLOYEE $ 1000000 It yes, describe under DESCRIPTION OF OPERATIONS below E L. DISEASE - POLICY LIMIT S 1000000 A JEquipment Floater I PBP2298600 01/01/11 01/01/12 leased 40,000 or rented DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, M mm specs Is required) Plumbing Contractor- residential and commercial CERTIFICATE HOLDER CANCELLATION " -©1986-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CITY SA THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN CITY OF SANFORD ACCORDANCE WITH THE POLICY PROVISIONS. 407-330-5677 300 N. PARK AVE AUTHORIZED REPRESENTATIVE P.O.BOX 1788 SANFORD FL 32772 " -©1986-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD Ch 'rst Qualit J' yI UMBING March 10, 2009 746 NORTH VOLUSIA AVE ORANGE CITY, FL. 32763 TEL: (386) 775-0909 FAX: (386) 775-0918 LENNAR HOMES, INC. 101 SOUTHHALL LANE STE 450 ORLANDO FL. 32751 ATTENTION: ANGELA REFERENCE: MODEL 1677 (SPEC LEVEL 3) 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. 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 OR BISCUIT. ALL BATHROOM FAUCETS ARE TO EVA BRUSHED NICKEL. SECONDARY LAVS TO BE CULTURED MARBLE (BY OTHERS) 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: 1 WASHER BOX 1 ICE MAKER BOX 2 HOSE BIBS 1 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: $ 2,829.26 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:/-CQI1��� Documented/ Construction Value: $ 3, 1 O • "45- Job Address: .3�lS &1/12 �P qjn j. .-b� D!J445.� Historic District: Yes ❑ No ❑ Parcel ID: Zoning: Description of Work: I LZIlr!'J1[7AT.' _ ,)flL� R� llC�f:'�/� •�fl�A! Plan Review Contact Person:t Title: rrv'7ml.• Property Owner Information Name �t.ylt�r� �S� U�0 Street:0YI-.IAQZY'IU10.. d4 2/0 Ili City, State Zip: _U _ .3.'?7& d Phone: C'12:7) 179 -1700 Resident of property? : Contractor Information Name Tm.,A !rc(pcA�, e- Phone: (.3110) G73 - 33 / l Street: Fax: C aW A 4,73-3-514,? City, State Zip: State License No.:COb_!13/.5� Name: Street: City, St, Zip: Bonding Company: _ Address: Building Permit ❑ Square Footage: No. of Dwelling Units: Electrical I!� Architect/Engineer Information Phone: New Service - No. of AMPS: I Sn Fax: E-mail: _ Mortgage Lender: Address: PERMIT INFORMATION Construction Type: No. of Stories: Flood Zone: Mechanical 0 (Duct layout required for new systems) Plumbing ❑ New Construction - No. of Fixtures: 0 (ME Fire Sprinkler/Alarm 0 No. of heads: N 1� •i Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and air conditioners, etc. OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713. The City of Sanford requires payment of a plan review fee. A copy of the executed contract is required in order to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the plan review fee based on past permit activity levels. Should calculated charges exceed the documented construction value when the executed contract is submitted, credit will be applied to your permit fees when the permit is released. Signature of Owner/Agent Print Owner/Agent's Name Date Signature of Notary -State of Florida Date Owner/Agent is Personally Known to Me or Produced ID Type of ID APPROVALS: ZONING: ENGINEERING: COMMENTS: Rev 11.08 UTILITIES: FIRE: Contractor/Agent is Personally Known to Me or Produced ID Type of ID WASTE WATER: BUILDING: Sig ture of Contractor/Agent Date C: Pnnt Contra o /Agent's Name f Flor Date Signature of Notr-1—gy P ICIS J. MIHALI51 MY COMMISSION k DD956251 EXPIRES: February 03,2014 R. Norory 0immt Mwc. Co. Contractor/Agent is Personally Known to Me or Produced ID Type of ID WASTE WATER: BUILDING: CEI D MAR I Q Zp�� BY: CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: �� In n Documented Construction Value: $ / 00.00 Job Address: 3 L� S �� fi,&�I�. Historic District: Yes ❑ No &-- Parcel ID: Zoning: Description of Work: QK whra- ,ALtcn lY1&wArf;m „ek. - 10, el Plan Review Contact Person: Title: Phone: Fax: E-mail: Property Owner Information Name L &_V.Z1 R HOMES ! Phone: —2212 1-179 / 74Q0 Street: 1SS50 Resident of property? : /Vip City, State Zip: OocL 33760 56� W, -sem Contractor Information Name KEE 90FG/1A&A1 Phone: y0 7 3y/ .2173 Street: 93ou /9L•aow Fax: q07 a % 0 .S9// City, State Zip: Oit�r /cL Ja1&0 State License No.: EF eZ 0000 %/L/ Name: Street: City, St, Zip: _ Bonding Company: Address: Building Permit O Square Footage: No. of Dwellin nits: Electrical New Service — No. of AMPS: Architect/Engineer Information Phone: Fax: E-mail: Mortgage Lender: Address: PERMIT INFORMATION Construction Type: No. of Stories: Flood Zone: Plumbing O New Construction - No. of Fixtures: Mechanical 13 (Duct layout required for new systems) 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, 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. 11-4 a elL., Signature of Owner/Agent Date Signe-tur for/Agent Date Print Owner/Agent's Name Print C ntractor/Agent's Name 6141 Signature of Notary -State of Florida Date Si nature of KRISTYN S WELCH MY CommiSSION # DD845564 '?+�• • •� CXPIRES January 05, 2013 orit . FiorrrlaNOtarySefrvi--WM (407) 390-0153 Owner/Agent is Personally Known to Me or Contractor/Agent is Personally Known to Me or Produced 1D Type of ID Produced ID Type of ID APPROVALS: ZONING: UTILITIES: WASTE WATER: ENGINEERING: FIRE: BUILDING: COMMENTS: Rev 11.08 SupplyPro: Order Management t Meme I Orders Reports I Manager i Shipping Information Celery Estates 11.669561 6695611041 -345 Bella Rosa Circle Order Management Orders To Do Order Received Clearwater, FL 33760 To Do 0 Pending Approval Builders, Account Numben Complete (SSS) 555.5555 anthomr.deslmone0lennar.com (407) 832-0246 Clids.Westhelleftenner.aom Builders Order Numben Alerts Builder Status: Unread Notes lob: Cancellations )ob Start Dote a Reschedules Subtotal. $93.20 Chango O►drn Over Shipped Orden Detail Notes Pending Back Charges Job Address Completed Back Charges 345 Belle Rosa Circle Cancelled Bads Charges Mord, FL 32771 Pending Reschedute(s) Plan / Elevation / Swing., Pending Change Ordar(s) 1677 / C / R Manuel Order Envy Subdivision / Phase: Celery Estates II -669561 / Phase 0 Order Search Lot / Blodu 1041 / SEC BLK LOT 41 Builder Complete Cleanup Suppliers Order Number: Transmitted Orders List Task Filten Show Sobs With Active Orden Task: Day Calendar Requested Stag Dater Acknowledged Start Date: Actual Start Date: Note to Builder Page 1 of 1 Thursday, March 10, 2011 SOUTHEAST WIRING SOLUTION, INC. System Admin Sign Out Help Lennar Family of Builders - USH Orlando 16300.4219261 OrderTypoh Pun*ucOrdcr View Sehcdulo 13512330.000 Order Status: Accepted View Documents Permit Number: 11-618 View Printable 669561104 1 - 345 Bella Rose ClMe View BuildPro Format 1/31/2011 History I Change Requests I Options Billing Information Shipping Information Celery Estates 11.669561 6695611041 -345 Bella Rosa Circle 15550 Lightwave Drive 345 Bella Rosa Circle Suite 210 Sanford. FL 32771 Clearwater, FL 33760 1 0 Contact Information: Contact Informotlon: Chris Westhelle, 1OLH-CM) (SSS) 555.5555 anthomr.deslmone0lennar.com (407) 832-0246 Clids.Westhelleftenner.aom Supplier Information a . Update,Supplier.lnfo Detail T-Securlty System Rough 14219261 - 13512330.000) [OP) 3/11/2011 End Date: 3/11/2011 3/11/2011 — ® End Date: 3/11/2011 End Date. 3/11/2011 no 0 CC Me on Ackn wledoement • SKU Description CONTRACT FW57A0106B -MASTER CONTROL PANEL PREWIRELABOR 6 MATERIAL 80% CONTRACT FW57AOI IIS -KEYPAD PREWIREL ABOR a MATERIAL 8D% CONTRACT FW57AO1268 -INDOOR SOUNDER PREWIRELABOR ® MATERIAL 80% CONTRACT FW57AO1418 -DOOR CONTACTS PREWIRELABOR 0 MATERIAL 80% CONTRACT FW57A01460 -WINDOW CONTACTS PREWIRELABO R & MATERIAL 00% O - Indicates a Required field I Moms I Sign Out I CopyrlgM (D2WD•2010 Hyphen SWulbns. Uel. AB Rights Reserved. SID: SBCWebM Order Ship Received Remalning UPS t Total 1 0 0 — O $80.00 $80.00 1 0 0 j O $4.00 $4.00 1 0 0 �~ u O 54.00 $4.00 5 0 0 5'- p $0.40 $2.00 a 0 0 g— O $0.40 $3.20 Subtotal. $93.20 Tax: $0.00 Total: $93.20 —sew an action— h Ezecula • Rescheduling Order will not complete the order. https://www.hyphensolutions.com/MIi2SUPPLY1OrderslOrderDetaii.asp?order%5Fid=32... 3/10/2011 T'd 2STS889L0b:01 :WMId M7:60 6002-ET-Ndf SupplyPro: Order Management Home I Orders Reports I Manager Billing Information Shipping Information Celery Estates 11-669561 6695611121 -336 Bells Rose Circle Order Management Orders To Do Order Received Clearwater, FL 33760 To Do 0 j' Pending Approval Bultdees Account Numben Complete (555) 555-5555 anthonv.deslmonefdlennar.aom (407) 832-0246 Chrls.Westhelle(rDLennar.mm Bullders Order Number. Alerts Builder Status: Unread Notes Job: Cancellations Job Stant Date i Reschedules $0.40 Change Orders B Over Shipped Orders Detall Notes Pending Back Charges Job Address Completed Back Charges 336 Bele Rosa Circle Cancelled Back Charges Sanford, FL 32771 Pending Reschedule(s) Plan / Elevation / Swing: Pending Change Order(s) 1677/ B/ R Manual Order Enlry Subdivision / Phase: Celery Estates 11669561 / Phase 0 Order Search lot / Block: / SEC BLK LOT 121 Builder Complete1121 Cleanup Supplier's Order Number. Transmitted Orders list Task Filter. Show Jobs With Active Orden Task: Day Calendar Requested Start Date: Acknowledged Start Dote: Actual Start Data: Note to Builder. Page I of 1 Thursday, Mardi 10, 2011 SOUTHEAST WIRING SOLUTION, INC. System Admin Sign Out Help Lennar Family of Builders - USH Orlando 16300.4219261 Order Type: PurchaseOrder View Schedule 13545395-000 Order Status: Accepted view Documents Permit Number. 11.749 View Printable NgS811121- 336 Belle Rosa Cirde View SultdPro Format 2/24/2011 History I Change Requests I Options Billing Information Shipping Information Celery Estates 11-669561 6695611121 -336 Bells Rose Circle 15550 Ughtwave Drive 336 Bella Rosa Circle Suite 210 Sanford, FL 32771 Clearwater, FL 33760 0 0 j' Contac Informstlon: Contact Information: Chris Westhelle, [OLH-CM] (555) 555-5555 anthonv.deslmonefdlennar.aom (407) 832-0246 Chrls.Westhelle(rDLennar.mm Supplier Information Update.Suppller Into Detail T -Security System Rough [4219261 -13545395-0(10] (OP) 3/18/2011 End Date: 3/16/2011 3/18/2011 Q End Date: 3/18/2011 3/18/2011- - 0 O End Dater 3/18/2011 me n CC Mean Acknow ledgement e SRU Description CONTRACT FW57AD1068 -MASTER CONTROL PANEL PREWIRELABOR & MATERIAL 80% CONTRACT FW57AOI118 -KEYPAD PREWIRELABOR & MATERIAL 80% CONTRACT FW57AO1266 -INDOOR SOUNDER PREWIRELABOR & MATERIAL 80% CONTRACT FW57AO1418 -DOOR CONTACTS PREWIRELAS OR& MATERIAL 60% CONTRACT FW57AO1468 -WINDOW CONTACTS PREWIRELABO R & MATERIAL 80% O - bldtrates a "Oed field I Home I sign Out I CopydgMC Z000•Z010 Hyphen SolutbrL% Ltd. AO Rights Restsved. SID$ SBCWeD(B Order Ship Received Remaining �� Total 1 0 0 1 O $80.00 $80.00 1 0 0 j' O $4.00 $4.00 1 0 0 " ' O 14.00 $4.00 5 O 0 5 p $0.40 $2.00 B 0 0 O $0.40 $3.20 Subtotal: $93.20 Tax: $0.00 Total: $93.20 — Select on ecdon— r • Rescheduling Order will not complete the order. https://www.hyphensolutions.convMH2SUPPLY1OrderslOrderDetail.asp?order%SFid=32... 3/10/2011 2'd 2STS889LOt7:01 :WO83 d£b:60 6002-£t-NUf SupplyPro: Order Management Nome I Orders Reports I Manager Total 1 0 Order Management Orders To Do Order Received 1 TO Do 0 — Pending Approval Builder's Account Number. Complete 1 0 Builder's Order Numbon Alerts Builder Status: Unread Notes Job: Concellotions Job Start Date: Reschedules $0.40 Change Orders 5 Over Shipped Orders Detail Notes Pending Bach Charges Job Address Completed Back Charges 349 Ddb Rose Circle Cancelled Back Charges Sanford, FL 32771 Pending Reschedules) Pending Cringe Order(s) plan / Elevation / Swing., Subtotal: 15731 A/ R Manuel Order Enty Subdivision / Phase: Celery Estates 11.669561 / Phase 0 Oh'der Seamb lot / Block; 1042 / SEC BLK LOT 42 Builder Complete cleanup Supplleex Order Number: Transmitted Orders List Task Filter. Show3obs With Active Orden Task: Day Calendar Requested Start Date: Acknowledged Start Date: Actual Start Date. Note to Builder Page 1 of 1 Thursday, March 10, 2011 SOUTHEAST WIRING SOLUTION, INC. System Admin Sign Out Help Lennar Family of Builders - USH Orlando 16300.4219261 Order Type: PurcheseOrder view Schedule 13512437-000 Order Status., Accepted View Documents Permit Number. 11.571 View Printable 669561304 2 - 349 Bella Rosa Circle VIM BuildPro Format 1/31/2011 History I Change Requests I Options Billing Information Shipping Information Celery Estates 11-669561 6695611042 - 349 Beb Rosa Circle 15550 Ughtwave Drive 349 Bella Rosa Circle suite 210 Sanford, FL 32771 Clearwater, FL 33760 Contact IMormation: Contact Information: Chris Westhelle, (OLH-CM) (555)555.5555 (407)832.0246 anthanX.des:monel®lennaraom Chris.Westhelleftennar.mm Supplier Information iy update supplier IrIg Detail T-Securlty System Rw* (4219261 -13512437.0001(OP) 3/11/2011 End Date: 3/11/2011 3/11/2011 ® End Date: 3/11/2011 3/11/2011 O End Date: 3/11/2011 00 (� CC He On Acknowledgement • SKU Description CONTRACT FW57AC1069 -MASTER CONTROL PANEL PREWIRELABOR & MATERIAL 80% CONTRACT FINVA01118 -KEYPAD PREWIREL A80R & MATERIAL 80% CONTRACT FW57AD1268 -INDOOR SOUNDER PREWIRELABOR & MATERIAL 80% CONTRACT FW57AO1418 -DOOR CONTACTS PREWIRELABOR & MATERIAL 80% CONTRACT FW57AO1466 -WINDOW CONTACTS PREWIRELABO R & MATERIAL 60% O - Indicates a Required Recd 1 Horne I Sign Out I Copyrl8htm 2000.2010 Hyphen SckAbns, Ltd. All Rights Reserved. SID: SBCWeb08 Order Ship Received Remaining Unit Price Total 1 0 0 O $60.00 $80.00 1 0 0 — O $4.00 $4.00 1 0 0 y 0 $4.00 $4.00 4 0 0 q O $0.40 $1.60 5 0 0 5...._._ O $0.40 $2.00 Subtotal: $91.60 Tax: $0.00 Total: 591.60 — Selecten action— r ' Rescheduling Order will not complete the order. https://www.hyphensolutions.comIMH2SUPPLY1OrderslOrderDetaii.asp?order%5Fid=32... 3/10/2011 £'d 2STS889L0b:01 :WOad d£b:60 6002 -£T -Neff RECEIVED t .r; MAR 0 7 2011 CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: 111 (� D Tumented Construction Value: $ ova 4.00 Job Address: 3`'1 Historic District: Yes ❑ No ❑ Parcel ID: Description of Work: Plan Review Contact Person: Phone: Fax: Zoning: E-mail: Property Owner Information Name Ler\aa v� Phone: Street: City, State Zip: Title: Resident of property? : CnntracMr Information Name DEL -AIR HEATING & AIRsON'D, 531 CODISCO WAY Street: S.A.MFOR , F 3 2 771 City, State Zip: Name: Street: City, St, Zip: Bonding Company: Phone: go -1 - �s%5 - X0 0 4 Fax: qO7 - 333 — =6g 5 3 v ,e.TRti3sa State License No.: CAC032448 Architect/Engineer Information Phone: Fax: E-mail: Mortgage Lender: Address: Address: Building Permit O Square Footage: No. of Dwelling Units: Electrical O New Service — No. of AMPS: PERMIT INFORMATION Construction Type: Flood Zone: No. of Stories: Plumbing 0 New Construction - No. of Fixtures: 10 Mechanical E3 (Duct layout required for new systems) 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, heaters, tanks, and air conditioners, etc. OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713. The City of Sanford requires payment of a plan review fee. A copy of the executed contract is required in order to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the plan review fee based on past permit activity levels. Should calculated charges exceed the documented construction value when the executed contract is submitted, credit will be applied to your permit fees when the permit is released. �. Signature of Owner/Agent Print Owner/Agent's Name Date Signature of Notary -State of Florida Date Owner/Agent is Personally Known to Me or Produced ID Type of ID APPROVALS: ZONING: ENGINEERING: COMMENTS: Rev 11.08 Signature o ontracto Date MOVIT. G. DELLO RUSSC Print Contractor/Agent's Name Signature of Notary -State of Florida Date r .,,, MIRINDA C. TURNER - = MY COMMISSION N DD 667937 EXPIRES: June 14,2011 Bonded Thiu Notary Public Undsrxil e :L Contractor/Agent is Personally Known to Me or Produced ID Type of ID UTILITIES: I4i_11t;1 WASTE WATER: BUILDING: THIS INSTRUMENT PREPARED BY: Name: L mNj-io2 (IoKES- LLC- (&s7EN) Address: i655o LxGFITnNA` a -DR• �rIC'.2i0 CA-" 4.W ArEI� , 1:7,L83'7roo j MINOLE COUNTY State Of Florida RIDA'S WATUMAI.CHOICE -1111111111111111111111111(1111111111111111in1111111111111 MARYANNE MORSE, CLERK OF CIRCUIT COURT SEMINOLE COUNTY BK 07517 Pg 0071; upg) CLERK'S 0 2011008601 RECORDED 01/24/2011 04124:52 PH RECORDINDFEES 10.00 RECIIRDED 9Y 0 Harford NOTICE OF COMMENCEMENT Permit Number Parcel ID Number.(PID)- 959 -19 -3i —50a — OODU— 09 LO 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 Noticeiof Commencement. DESCRIPTION OF PROPERTY (Legal description of the prope Y. -an street address if avallable) ���I � rATesA rl{ Pe) .11 'tom' 3B '-IS LouLou.4 1 . 3 45 6 ./ z - AS a, Cle.. �O)4Nir b . FL 3.—n-71 GENERAL DESCRIPTION OF IMPROVEMENT NE w cSF�2 OWNER INFORMATION ' Name and address: LEN -Jr-49, No��E s - l I_L , . two \..,,C-,NTw�'vE"D2 C.L.ERP W ATE ►2 ,:: F -L 33-7&,0 CONTRACTOR Name and address: STEVE SAtTH IT:60 1—t CiRlwg1 e -D2 , Z„ -TE: rZo ''C1 EA 2wA-TitP-, Fc- 33-71po Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served as provided by Section 713.13(1)(b), Florida Statutes. Name and address: S,. -re '. alo C' I• Fft•tZtyPr'rE2 . FL �3'ICcD In addition to himself, Owner Designates of =To receive a copy of the Llenor's Notice as Provided In Section 713.13(1)(b), Florida Statutes. Expiration Date of Notice of Commencement: The exclration date Is 1 year from date of recording unless a different date Is s e�cifled 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 IMPRNMENTS 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 COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. STATE OF FLORIDA COUNTY OF SEMINOLE OWNERS -SIGNATURE OWNERS PRINTED NAME "(NOTE: Per Florida Statute'713.13(1) (g), owner must sign...... and nooneelse may be permitted to sign In his or her stead." The foregoing Instrument was acknowledged before me this / day of ✓ MUeLi/4 , 20 by S-Py Q. �t� ►� Who Is perso�allY ���w� tQme Name of person making statement type of ldentlflcatlon produced VERIFICATION PURSUANT TO SECTION 92.525, FLORIDA STATUTES. UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING AND THAT THE FACTS STATED IN IT ARE TRUE TO THE BEST OF MY KNOWLEDGE AND BELIEF. SIGNATURE OF NA PERSON SIGNING CEKIIHLU Wh WIARYAN14E MORS ,IpwaielGIRCUFT COU Notary Slflnature \11 7.242011 (SEAL) STEPHANIE FARMER DD 641221 ACommission w Explres February 15, 2011 -0r;,fr;6,4X� eoi.anwnoyFilm W neu6MMS-790 PERSON SIGNING CEKIIHLU Wh WIARYAN14E MORS ,IpwaielGIRCUFT COU Notary Slflnature \11 7.242011 ... $-I a l' COUNTY OF S 1 a IMPACT FEE STATEMENT C7` STATEMENT N UM 1010ON 0010-10000517 DATE: December 17, 2010 BUILDING BUILDING PERMIT NUMBER: 10-10000517 UNIT ADDRESS: BELLA ROSA CIRCLE 345 29-19-31-502-0000-0410 TRAFFIC ZONE:022 JURISDICTION: SEC: TWP: RNG: SUF: PARCEL: SUBDIVISION: TRACT: PLAT BOOK: PLAT BOOK PAGE: BLOCK: LOT: OWNER NAME: ADDRESS: APPLICANT NAME: LENNAR HOMES LLC ADDRESS: 15550 LIGHTWAVE DR. SUITE 210 CLEARWATER FL 33760 LAND USE: SINGLE FAMILY DETACHED TYPE USE: WORK DESCRIPTION: CITY-SANFORD SPECIAL NOTES: 345 BELLA ROSA CIRCLE / LOT 41 / SF DETACHED -------------------------------------------------------------------------------- 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-COLLECTOIRS FISingleCUEml y Hou7iing .00 RE R // 1.000 dwl unit .00 . .00 LIBRARY CO -WIDE ORD Single Family Housinq 54.00 1.000 dwl unit 54.00 SCHppopL3 CO -WIDE ORD SS�gle Family HoNgAng 5,000.00 1.000 dwl unit 5,000.00 PAR // .00 LAW ENFORCE N/A .00 DRAINAGE N/A .00 AMOUNT DUE 5,759.00 STATEMENT !h /r RECEIVED BY: �J► w IQ iG�j � wf/YII%SIGNATURE: (PLEASE PRINT NAME) DATE: NOTE TO RECEIVING SIGNATORY APPLICANT: FAILURE TO NOTIFY OWNER AND ENSURE TIMELY PAYMENT MAY RESULT IN YOUR LIABILITY FOR THE FEE. *** DISTRIBUTION: 1 -BLDG DEPT 3 -APPLICANT 2 -FINANCE 4 -LAND MANAGEMENT **NOTE** PERSONS ARE ADVISED THAT THIS IS A STATEMENT OF FEES DUE UNDER THE SEMINOLH COUNTY ROAD FIRE/RESCUE, LIBRARY AND/OR EDUCATIONAL ISSUANCE OF A BUILDIPG PERMIT. 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 'SOP 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. logJ FORM 1100A-08 FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Florida Department of Community Affairs Residential Performance Method A ProjectName: Street: 3 5 %� 77 U O - & s 0. LI rt�le Builder Name: LENNAR - TAMP O Permit Office: �t � �itGI � LAB City, State, p: FL , Permit Number: I (^ Q01 W Owner. � 0 h n /1 y `C `' `' "� Design Loca�U�oit' `"FL Tempa Jurisdiction: V •1 New construction or existing New (From Plans) 9. Wall Types Insulation Area 2. Single family or multiple family Single-family a. Concrete Block - Int Insul, Exterior R=4.1 1570.00 fl' b. Frame - Wood. Adjacent R=11.0 290.6411' 3. Number of units, if multiple family 1 c. N/A R= 11' 4. Number o/ Bedrooms 3 d. N/A R= its 5. Is this a worst case? Yes 10. Ceiling Types Insulation Area 6. Conditioned floor area (it') 1677 a. Under Attic (Vented) R=30.0 1679.D0 fl' b. N/A R= H' 7. Windows Description Area c. N/A R= fl' a U -Factor: Dbl, U=0 60 152, 9911' SHGC: SHGC=0.32 11. Ducts b. U•Factbr. Sgl, U=1.27 48.00112 a. Sup: Attic Ret: Atlic AH: Interior Sup. R= 6, 419.25 fl' SHGC: SHGC=0.75 12. Cooling systems c. U -Factor. N/A h' a. Central Unit Cap: 29 kBtu/hr SHGC: SEER: 14 d. U -Factor. N/A H' 13. Healing systems SHGC: a. Electric Heal Pump Cap: 29 kBtulhr e. U -Factor: N/A fl' HSPF:8.2 SHGC: 14. Hol water systems 8. Floor Types Insulation Area a. Electric Cap: 50 gallons a. Slab -On -Grade Edge Insulation R=0.0 1677.00 fl' EF- 0.9 b. N/A • R= fP b. Conservation features c. N/A R= fit None 15. Credits Paint Total As -Built Modified Loads: 36.62 Glass/Floor Area: 0.120 PASS Total Baseline Loads: 44.22 I hereby certify that the plans and specificetlons covered by Review of the plans and t CNE ST4r 0 ,this calculation are In compliance with the Florida Energy specifications covered by this '€?I Bp Code. calculation indicates compliance � with the Florida Energy Code. PREPARED BY: Before construction Is completed DATE: this building will be inspected for compliance with Section 553.908 u 1 hereby certify that this building, as des' n d, is compliance Florida Statutes. with the Florida Energy Code. L'Up•� OWNER/AGENT: BUILDING OFFICIAL: DATE: tuzmmimsi== DATE:NI - Compliance requires certlfl tion by the air handler unit manufacturer that the air handler enclosure qualifies as certified factory -sealed In accordance with N1110.A.3. 8/20/200910:04 AM EnergyGaugeO USA - FlaRes2008 Page 1 of 5 SKETCH OF DESCRIPTION PREPARED FOR "NOT A FIELD SURVEY' LOT 41, CELERY ESTATES NORTH, ACCORDING TO THE PLAT THEREOF,AS RECORDED IN PLAT BOOK 7>, PACES 38-45 OF THE PUBLIC RECORDS OF SEMINOLE COUNTY, FLORIDA. --------------------------- _______ o N89'50'10"E 60.00' EL=12.0 PR .. 15 D.E.>AND ACCESS lizEL=12.0 PR N P.C. 272.49' O a O b 0 UJ LOT 40 LLQ') O O 2 EL=12_0 PR S69'50' 10'N BELLA ROSA CIRCLE 50' R/W PER PLAT TRACT E N J AN 0 5 1011 SURVEY NOTES: - SETBACK REQUIREMENTS: FRONT 25' SIDES: 7.5' REAR- 20' CORNER LOTS- 15' - ELEVATIONS SHOWN HEREON ARE BASED ON NORTH AMERICAN VERTICAL DATUM OF 1988. - BEARINGS SHOWN HEREON ARE BASED ON THE RECORD PLAT. THE CENTERLINE OF BELLA ROSA CIRCLE BEING S89'50'10'N. - LANDS SHOWN HEREON WERE NOT ABSTRACTED FOR EASEMENTS, RIGHTS-OF-WAY, DEED RESTRICTIONS, OR ADJOINERS OF RECORD. - UNDERGROUND UTILITIES, FOUNDATIONS. OR OTHER STRUCTURES WERE NOT LOCATED BY THIS SURVEY SCALE 1" = 30' THIS IS NOT A SURVEY! THIS CRANING IS NOT TO BE USED FOR CONSTRUCTION OR LAYOUT OF ADDITIONAL STRUCTURES. PLAT MEASUREMENTS MAY DIFFER FROM ACTUAL FIELD MEASUREMENTS. 4 I HEREBY CERTIFY THAT THE SKETCH OF DESCRIPTION SHOWN HEREON IS IN ACCORDANCE WITH THE TECHNICAL STANDARDS AS SET FORTH BY THE BOARD OF PROFESSIONAL LAND SURVEYORS IN CHAPTER 5J-17, FLORIDA ADMINISTRATIVE CODE PURSUANT TO SECTION ` 101 "C SETBACK LINE _ (P) - PLAT I I • I covo � (C) - CALCULATED NEASIRV ENT PATIO 1 D' o F. J. R. C. - FOUA IRON ROD AND CAP P.0.1. - POINT OF TERMINUS 0- Ij FNC II 0 > P. C. - POINT OF CURVATURE (D) -DEED OR DESCRIPTION LOT 41 AGENCY FIRM MAP NO.12117C 0090 F, EFFECTIVE, 09/28/07, THE PROPERTY DESCRIBED HEREON IS IN .r W I E DEV 1 C77 P.I. - POINT OF INTERSECTION A - DELTA OR CENTRAL ANGLE I - DRAINAGE AND UTILITY EASEMENT LOT 42 3 o I PROPOSED I c R - RADIUS RESIDENCE _ F P3. I LS 40 FF 13.40 >` A - ARC LENGTH j - RIGHT OF NAY AES. - RESIDENCE P.C.P. - P&WANENT CONTROL POINT a O I I COVERED .33' A LETTER OF MAP REVISION (LOMB) HAS BEEN ISSUES FLORIDA REGISTERED LAND SURVEYOR AND MAPPER. NOT ENTRY• Z 10I L — — 1I l o' REC4 ERTIFING THE IMPROVED PORTION OF THIS LOT AS VALID WITHOUT THE SIGNATURE 6 THE ORIGINAL RAISED � ZONE ZONE 'X (CASE 09-04-5540A). SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER. EL=11.9 PR 10' U. E. ------- A?:S. S89.50-10'W:::;CO_,'0; ' o P.C. 272.49' O a O b 0 UJ LOT 40 LLQ') O O 2 EL=12_0 PR S69'50' 10'N BELLA ROSA CIRCLE 50' R/W PER PLAT TRACT E N J AN 0 5 1011 SURVEY NOTES: - SETBACK REQUIREMENTS: FRONT 25' SIDES: 7.5' REAR- 20' CORNER LOTS- 15' - ELEVATIONS SHOWN HEREON ARE BASED ON NORTH AMERICAN VERTICAL DATUM OF 1988. - BEARINGS SHOWN HEREON ARE BASED ON THE RECORD PLAT. THE CENTERLINE OF BELLA ROSA CIRCLE BEING S89'50'10'N. - LANDS SHOWN HEREON WERE NOT ABSTRACTED FOR EASEMENTS, RIGHTS-OF-WAY, DEED RESTRICTIONS, OR ADJOINERS OF RECORD. - UNDERGROUND UTILITIES, FOUNDATIONS. OR OTHER STRUCTURES WERE NOT LOCATED BY THIS SURVEY SCALE 1" = 30' THIS IS NOT A SURVEY! THIS CRANING IS NOT TO BE USED FOR CONSTRUCTION OR LAYOUT OF ADDITIONAL STRUCTURES. PLAT MEASUREMENTS MAY DIFFER FROM ACTUAL FIELD MEASUREMENTS. 4 I HEREBY CERTIFY THAT THE SKETCH OF DESCRIPTION SHOWN HEREON IS IN ACCORDANCE WITH THE TECHNICAL STANDARDS AS SET FORTH BY THE BOARD OF PROFESSIONAL LAND SURVEYORS IN CHAPTER 5J-17, FLORIDA ADMINISTRATIVE CODE PURSUANT TO SECTION ` P.O.C. - POINT OF CONNENCEM W (P) - PLAT A/C - AIR CONDITIONING (MIT PR - PROPOSED F.C.M. - Fo CONCRETE MO OENT P.O.B. - POINT OF BEGINNING (C) - CALCULATED NEASIRV ENT EL ACCORDING TO THE FEDERAL EMERGENCY MANAGEMENT -- - F. J. R. C. - FOUA IRON ROD AND CAP P.0.1. - POINT OF TERMINUS (N) - FIELD NEASUIEAENT FNC - FENCE SIN - SIOENALK > P. C. - POINT OF CURVATURE (D) -DEED OR DESCRIPTION i5 AGENCY FIRM MAP NO.12117C 0090 F, EFFECTIVE, 09/28/07, THE PROPERTY DESCRIBED HEREON IS IN GA R. ROCHE. NO. 6306 J. S. R. C. - SET IRON ROD AND CAP P.I. - POINT OF INTERSECTION A - DELTA OR CENTRAL ANGLE O.U.E. - DRAINAGE AND UTILITY EASEMENT CA - CENTERLINE FND NGO - FOM NAIL AND DISK P.T. - POINT OF TANGENCY R - RADIUS LS ZONE AE' LS FNA - FO(RA >` A - ARC LENGTH j - RIGHT OF NAY AES. - RESIDENCE P.C.P. - P&WANENT CONTROL POINT a LB - LICENSED BUSINESS P.R.M. - PEW4WNT REFERENCE NONIAEMT A LETTER OF MAP REVISION (LOMB) HAS BEEN ISSUES FLORIDA REGISTERED LAND SURVEYOR AND MAPPER. NOT REC4 ERTIFING THE IMPROVED PORTION OF THIS LOT AS VALID WITHOUT THE SIGNATURE 6 THE ORIGINAL RAISED � ZONE ZONE 'X (CASE 09-04-5540A). SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER. S.C.M. - SET CO(AETE NOMAENT P.O.C. - POINT OF CONNENCEM W (P) - PLAT A/C - AIR CONDITIONING (MIT PR - PROPOSED F.C.M. - Fo CONCRETE MO OENT P.O.B. - POINT OF BEGINNING (C) - CALCULATED NEASIRV ENT EL - ELEVATION COV. - COVERED F. J. R. C. - FOUA IRON ROD AND CAP P.0.1. - POINT OF TERMINUS (N) - FIELD NEASUIEAENT FNC - FENCE SIN - SIOENALK F. 1'. R. - FOUR IRON ROD P. C. - POINT OF CURVATURE (D) -DEED OR DESCRIPTION FF - FINISHED FLOOR ELEVATION D/W - DRIVEWAY J. S. R. C. - SET IRON ROD AND CAP P.I. - POINT OF INTERSECTION A - DELTA OR CENTRAL ANGLE O.U.E. - DRAINAGE AND UTILITY EASEMENT CA - CENTERLINE FND NGO - FOM NAIL AND DISK P.T. - POINT OF TANGENCY R - RADIUS LS - LICENSED SURVEYOR CONC - CONCRETE FNA - FO(RA U.E. - UTILITY EASEMENT A - ARC LENGTH RIN - RIGHT OF NAY AES. - RESIDENCE P.C.P. - P&WANENT CONTROL POINT O.E. - DRAINAGE EASEMENT LB - LICENSED BUSINESS P.R.M. - PEW4WNT REFERENCE NONIAEMT ESNT - EASEMENT J FRANKLIN, HART & REID CIVIL ENGINEERS — LAND SURVEYORS 1368 EAST VINE STREET, KISSIMMEE, FL 34744 PHONE 846-1216 FAX 846-0037 CERTIFICATE N0. LB 6605 PROJECT INFORMATION JOB NO. 11BB14 DRAWN BY: TOF REVIEWED BY: GRP Franklin, Hart & Reid Civil Engineers - Land Surveyors CERTIFICATE OF ELEVATION 04/13/11 Site Address: 345 Bella Rosa Circle, Sanford, FL 32771 Legal Description: Lot 41, 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 41, 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). r�� -I- - G ry . Roche, PSM LS .6306 Sta a of Florida APR t 9 2011 1368 East Vine Street - Kissimmee, FL 34744 • Phone (407) 846-1216 • Fax (407-846-0037) • Email surveyey®fhrsurvey.coma t iAplat subdivision\celery estateslsanford elevation cert letter\certiricate of elevation for sanford-celery lot 41.doc U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008 Fedbral 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 Owner's 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. Company NAIC Number 345 Bella Rosa Circle City Sanford State FL ZIP Code 32771 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Lot 41, Celery Estates North, Plat Book 71, Pages 38-45 A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Residential A5. Latitude/Longitude: Lat. 28'48'15"N Long. 81°14'25"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. AT 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 ft a) Square footage of attached garage 400 sq It b) No. of permanent flood openings in the crawlspace or b) No. of permanent flood openings in the attached garage enclosure(s) within 1.0 foot above adjacent grade 0 within 1.0 foot above adjacent grade 0 c) Total net area of flood openings in A8.b 0 sq in c) Total net area of flood openings in A9.b 0 sq in d) Engineered flood openings? ❑ Yes ® No d) Engineered flood openings? ❑ Yes ® No SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number B2. County Name B3. State 120294 City of Sanford I Seminole I Florida 610. 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, V1430, V (with BFE), AR, ARIA, 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) B4. Map/Panel Number B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) (Zone ❑ meters (Puerto Rico only) 12117C 0090 F Date Effective/Revised Date 1 Zone(s) AO, use base flood depth) Attached garage (top of slab) 12.9 ® feet 9/28/2007 9/28/2007 X Unshaded N/A 610. 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, V1430, V (with BFE), AR, ARIA, 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) 13.4 ® feet ❑ meters (Puerto Rico only) b) Top of the next higher floor NA. ❑ 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) 12.9 ® feet ❑ meters (Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building 12.9 ® feet ❑ meters (Puerto Rico only) (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) 11.2 ® feet ❑ meters (Puerto Rico only) g) Highest adjacent (finished) grade next to building (HAG) 12.8 ® feet ❑ meters (Puerto Rico only) h) Lowest adjacent grade at lowest elevation of deck or stairs, including 12.9 ® feet ❑ meters (Puerto Rico only) structural support SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. /certify that the information on this Certificate represents my best efforts to interpret the data available.) 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 form. Were latitude and longitude in Section A provided by a licensed land surveyor? ® Yes ❑ No Certifier's Name Gary R. Roche License Number 6306 Title Professional Surveyor & Mapper FEMA Form 81-31, Mar 09 Company Name Franklin, Hart & Reid See reverse side for continuation. :3,iF_A1. 14FR2 145,d co 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 345 Bella Rosa Circle City Sanford State FL ZIP Code 32771 1 Company NAIC Number SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. Comments Lowest elevation of equipment -A/C Pad A letter of map revision (LOMAR) has been issued recertifying the improved portion of this lot as Zone "X Unshaded (case 09-04-5540A) Signature v ,/ - Date 4/13/11 !� ❑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 El -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 Title Community Name Telephone Signature Date Comments ❑ Check here if attachments FEMA Form 81-31, Mar 09 Replaces all previous editions Building Photographs See Instructions for Item A6. For Insurance Company Use: Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number 345 Bella Rosa Circle City Sanford State FL ZIP Code 32771 I 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, 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. Policy Number 345 Bella Rosa Circle City Sanford State FL ZIP Code 32771 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 W M S.C.M. _ SET CONCRETE MOMENT P.O.C. - POINT OF CONNENCDIENT (P) - PLAT A/C - AIR CONDITIONING UNIT PR - PROPOSED F.C.M. _ FOUND CONCRETE MONUMENT P.O.G. - POINT OF BESIMHNG C1 - CALCtUTED RERSUREMENT EL - ELEVATION COV. - COVERED F.I.R.C. - FOUND IRON ROD AND CAP P.D.T. - POINT OF TERMINUS - FIELD MEASUFO ENT FNC - FENCE S/W - SIDEMALK UNp F.I.R. - FOIRON ROD P. C. - POINT OF CURVATURE 1 - DEED OR DESCRIPTION FF - FINISHED FLOOR ELEVATION D/W- DRIVEWAY S. I.R. C. - SET IRON ROD AND CAP P. I. - POINT OF INTERSECTION A - DELTA OR CENTRAL ANSLE D.U.E. - DRAINAGE AND UTILITY EASOM Ca - CERMINE FND NCD - FOUND MAIL AFD DISK P. T. - POINT OF TANGENCY R - RADIUS LS - LICENSED SURVEYOR CONC - CONCRETE AQ - FOUND U.E. - UTILITY EASEMENT A - ARC LENSTH R/W - RIGHT OF WAY RES, - RESIDENCE LL MAP OF SURVEY PREPARED FOR "BOUNDARY WITH IMPROVEMENTS" LOT 41, CELERY ESTATES NORTH,, ACCORDING TO THE PLAT THEREOF,AS RECORDED IN PLAT BOOK 71, PAGES 38-45 OF THE PUBLIC RECORDS OF SEMINOLE COUNTY, FLORIDA. --------------------------- 0 EL -JO. 1 9 •50 •1 "E 60. 00 6' CHAIN LINK 15 D.E. AND ACCESS 09.9 sol' g SETBACK LINE — ------� I COVERED I PA1I0\ 4010, O I O o U, 11 II o o o ~ 11 II ^ Z) LOT 41 I ' LOT 42 RESIDENCE I LOT 40 I FF=13.4! I cno I Lo I I I I O I • I O I COVERED3' Z ENTRY - a' 10I CABLE BOX EL-12.0- FND X -CUT - ON SIN P.C. FND N6D NO ID 272.49' Ln POWER BOX 10' U.E. EL -J2 .2 `' FND X -CUT con •cn 4n w'. ch :%R ON SIN CIL EL -12.21 S8970'f0'W BELLA ROSA CIRCLE 50' RIW PER PLAT TRACT E APR 132011 N SCALE 1" = 30' SURVEY NOTES: - SETBACK REQUIREMENTS: FRONT -25' SIDES- 7.5' REAR- 20' CORNER LOTS- 15' - ELEVATIONS SHOWN HEREON ARE BASED ON NORTH AMERICAN VERTICAL DATUM OF 1988. - BEARINGS SHOWN HEREON ARE BASED ON THE RECORD PLAT, THE CENTERLINE OF BELLA ROSA CIRCLE BEING S89.50'10'W. - LANDS SHOWN HEREON WERE NOT ABSTRACTED FOR EASEMENTS RIGHTS -OF -MAY, DEED RESTRICTIONS. OR ADJOINERS OF RECORD. - UNDERGROUND UTILITIES FOUNDATIONS, OR OTHER STRUCTURES WERE NOT LOCATED BY THIS SURVEY. • - F.I.R.C. 5/0 LB 17143 UNLESS NOTED ACCORDING TO THE FEDERAL EMERGENCY MANAGEMENT AGENCY FIRM MAP NO,12117C 0090 F. EFFECTIVE 09/28/07, THE PROPERTY DESCRIBED HEREON IS IN ZONE 'AE' A LETTER OF MAP REVISION (LOMR) HAS BEEN ISSUED RECERTIFING THE IMPROVED PORTION OF THIS LOT AS ZONE 'X ' (CASE 09-04-5540A). I HEREBY CERTIFY THAT THE MAP OF SURVEY SHOWN HEREON IS IN ACCORDANCE WITH THE TECHNICAL STANDARDS AS SET FORTH BY THE BOARD OF I PROFESSIONAL LAND SURVEYORS IN CHAPTER 5J-17, FLORIDA ADMINISTRATIVE CODE, PURSUANT TO SECTION 472.027 FLORIDA STATUTES. GAR R. ROCHE. LS NO. 6306 FLORIDA REGISTERED LAND SURVEYOR AND MAPPER. NOT VALID WITHOUT THE SIGNATURE G THE ORIGINAL RAISED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER. PF.C.P. - poNAMW CONTRDL POINT 0. E. - DRAINAGE EASEMDIT LB - LICENSE) BUSINESS P.R.N. - pamtgNT REFERENCE MONUMENT ESMT - EASEMENT J DATE OF FIELDSURVEY PLOT PLAN 01/05/11 BOUNDARY 2/7/11 FORMBOARD 2/11/11 FOUNDATION 2/16/11 FTARAI A144144 FRANKLIN, HART & REID CIVIL ENGINEERS — LAND SURVEYORS 1368 EAST VINE STREET, KISSIMMEE FL 34744 PHONE 846-1216 FAX 846-0037 CERTIFICATE NO. LB 6605 PHUJEGT INFORMATION JOB NO. 119676 DRAWN BY: TOF REVIEWED BY: GRP -- CEI9LLICATION D APR 0'FANFORD UILDING &VENTION �X; Application No: Documented Construction Value: $ �a�® Job Address:L1'// -'3YJ`-,96LGR �S5,4 2/ R Historic District: Yes ❑ N0141 Parcel ID• Zoning: Description of Work: Plan Review Contact Person: Title: Phone: Fax: E-mail: Na Str Cit nformation Phone: Resident of property? : No Contractor Information NameZ.&7 IVAPP� 591) YS 7eMs-Ir Phone: Street;' Fax:�fieRR Npn`s/cA eats • Jl f City, State Zip: 3 State License No.: hk Architect/Engineer Information Name: Phone: Street: Fax: City, St, Zip: E-mail: Bonding Company: Address: Building Permit D Square Footage: _ No. of Dwelling Units: Electrical O New Service — No. of AMPS: Mortgage Lender: Address: PERMIT INFORMATION Construction Type: No. of Stories: Flood Zone: Plumbing 0 New Construction - No. of Fixtures: Mechanical 0 (Duct layout required for new systems) Fire Sprinkler/Alarm 0 No. of heads: ,.; '1 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. Date DEgORAY GREATHOUSE MY CQMMISSION I DD 914033 EXPIRES: November 20.2013 Bonded Thtu Notary Publk Underw hers Owner/Agent is %/ Personally Known to Me or Produced ID Type of ID APPROVALS: ZONING: ENGINEERING: COMMENTS: Rev 11.08 V4 UTILITIES: FIRE: Signature ofContractor/Agent Date�^ Print of Contractor/Agent is Produced ID DEBORAH GREAIHOUSE MY COMMISSION Y DD 914033 Bonded Thio N Pub kr 20, 2013 — Personally Known to Me or Type of ID WASTE WATER: BUILDING: y 8 a 5 1 bfiifi�fbl bl i1l =4O.Q.0.aK p;0.EGB 6 €y 0a 'iib 5s th bf bf bf =aa o.d v ! i�¢� � �E •'�g V O Z n a o a n n� o �� $$ ���� �E� U Z a a n o O i Cl) Ix O U a�is�lt�z�o� i�9z �a9 ` �JJF SrV.1me a si v r r0$ 077rc7 a 'I a a 4 O Cl) Ix O U z W PM o 2� ' i T o vwi a J2 t N �W� z;a � waWM r V Q T,;;; Q W N t5t B a► V ! 11 hU. oz W. Z, UUO� C1®g m it t x � 1 � W Ufa HUN s m � J 212.38voos 4 O = z W PM o 2� ' i T o vwi a J2 � g F ~ � - a tib N �W� R W � o T,;;; Q W N t5t B a► V ! 11 hU. oz d i l51 x � 1 � S m J o. �Or � 0 0 W Z v b w< W F3 a r Z W O Z A Z IL � ZZ J o. IiE on a r 3 f -Y aS N _T OHR u » !6 e� S 51 b ci 1 1 11 11 11 1!! H I I I I I H IN I