HomeMy WebLinkAbout2152 Lili Petal CtDEC 18 2011
CITY OF SA FORD
PERMIT APPLICATION
Application No: 1 Docu ented tru tion Value: $ Zo. ZSC) . `�
Job Address: 2• t aT " �istoric District: Yes ❑ Nwk
r, r
Parcel ID: ��I •3 - rJc� • ��Y`-t� Zoning:
Description of Work:
Plan Review
,Contact Person:
t i \ l( x
Phone• `-K•3-3h =�-f-1 Fax:
Name
Street:
City, State Zip:
Property Owner Information
Resident of property?:
/� p Contractor Information
Name I,NAMPAC3AI6 Tn,*,.S J &IMU, ;Z/6ftone: 4'0 1-
Street: SL W 1 6F_/vH /►1iyN LAt TE 10/ Fax: n % - 3 - K, W1
City, State Zip: S A I�% F -D k-_1> . L)_ 39,773 State Lict ase No.: C100_03 -;Z55_7
Architect/Engineer Information
Name: �6� .r�� ��•G�o�.
Street: 2 {3 / SV-
City,
V-City, St, Zip: A �., • -�'�e/ ���� ��
Bonding Company:
Address:
Building Permit 0
Square Footage:
No. of Dwelling U its:
Electrical
New Service - No. of AMPS:
,i' L 2, C Z,
Phone:
Fax: 4--U 7 " V7
E-mail:
Mortgage Lender:
Address:
PERMIT INFORMATION
Construction Type: No. of Stories:
Flood Zone:
PlumbingLl!�
New Construction - No. of Fixtures:
Mechanical 0 (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. 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, beaters, tanks, and
air conditioners, etc.
OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that an 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.
AQ
6ft � C&A� Ole -
Si Nie ofower/Agent Date
P ' t wn / e e
Si re o Notary -State of Florida Date
TERI LEE
Notary Public,
comm. expires I
thru
Produced ID
TERI LEE SMAT
Notary Public, State of
y comm. expires Much
OD
Bonded thru Ashton Agency, c. '
or C n ac or gen isPerson
Produced] TvDe of I
APPROVALS: ZONING: UTILITIES:
ENGINEERJNG:
COMMENTS:
Rev 11.08
FIRE:
WASTE WATER:
to Me or
BUILDING: o'0 I/
AEC 19 2011
BY: CITY OF SA FORD
BUIL GS FIRE -PREVENTION
PERMIT APPLICATION
Application No: 1- 5 Documented[ru tion Value:
Job Address: 2 t �' listoric District: Yes ❑ NJK'
Parcel ID: )a • - 5oao ` C(M •'U4q0 Zoning:
Description of Work:
Plan Review
..,M (
Contact Person:
Phone•` -i •330 e649 Fax:
Name
Street:
City, State Zip:
Property Owner Information �, fadvo qz� �Ce;o
I Phone: N(� 1 ` �JS • (�
Resident of property?:
�pp
Contractor Information
Name {A M 10A C, M6 T�� L� 0? &-Alk4L FA_ �ZltPhone: 14 O� - 3 �, D - .� � z-/ 9
Street: q 1 6E'_ A/�_ / Fax: 41 y % - 3 - l�
City, State Zip: S A 1�%>�D l2� . � L- 3 a-% 73 State License No.: C SCO 3 R 557
Architect/Engineer Information
Name:
Street: 2K.21' SV -
City, St, Zip: _ 6 e,, V' /
Bonding Company:
Address:
Building Permit C3
Square Footage:
3 z 7 C Z—
Phone: 4o,- G% /o S
Fax: er,y 7 - Z7 `- i o i %
E-mail:
Mortgage Leader:
Address:
PERMIT INFORMATION
Construction Type: No. of Stories:
No. of Dwelling U its: Flood Zone:
Electrical
New Service — No. of AMPS:
Mechanical ❑ (Duct layout required for new systems)
Plumbing,�E�
New Construction - No. of Fixtures:
Fire Sprinkler/Alarm 13 No. of beads:
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 AFTIGDAVTT: 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.
AO
Si tune of Own /Agent Date
P ' t wn r/ e e
Si re o Notary -State of Florida Date
Bonded thru Ash
Ow _
Produced ID
APPROVALS:
COMMENTS:
Rev 11.08
TERI LEE
Notary Public,
comm. expires I
TERI LEE
Notary Public,
comm. expires A
Bonded thru Ashton Agency, c.
or Clifactor/Agent is
Produced ID Type
ZONING: [0
UTILITIES:
ENGINEERING:
FIRE:
WASTE WATER:
BUILDING:
to Me or
Application No:
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Documented Construction Value: $
Job Address: 21 4
oS�f�c�
Parcel ID: 3
Description of Work: al=6- &"- o6r_>1
Plan Review Contact Person:
Phone: -f4>7, Fax:
Name 1'6'J) i CW v y
Street: Zi SZ G. // 1,-1
City, State Zip:
Historic District: Yes ❑ No ❑
Zoning:
Title:
E-mail:
Property Owner Information
Phone:
Resident of property?:
Contractor Information
f
Name /y4fx Phone: � �-:�,* 7— ?(I -r— S4 3 "%
Street: ill �i� ► ���
City, State Zip: 3 7,`l3 (�
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Building Permit 0
Square Footage:
No. of Dwelling Units:
Electrical D
New Service - No. of AMPS:
Fax:
State License No.: A'G / '33 � 3
Architect/Engineer Information
Phone:
Fax:
E-mail:
Mortgage Lender:
Address:
PERMIT INFORMATION
Construction Type:
Flood Zone:
No. of Stories:
Plumbing D
New Construction - No. of Fixtures:
Mechanical 0 (Duct layout required for new systems) Fire Sprinkler/Alarm 0 No. of heads:
A
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no
work or installation has commenced prior to the issuance of a permit and that all work will be performed to
meet standards of all laws regulating construction in this jurisdiction. I understand that a separate permit
must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and
air conditioners, etc.
OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will
be done in compliance with all applicable laws regulating construction and zoning.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE
OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE
FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this
property that may be found in the public records of this county, and there may be additional permits required
from other governmental entities such as water management districts, state agencies, or federal agencies.
Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida
Lien Law, FS 713.
The City of Sanford requires payment of a plan review fee. A copy of the executed contract is required in order
to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the
plan review fee based on past permit activity levels. Should calculated charges exceed the documented
construction value when the executed contract is submitted, credit will be applied to your permit fees when the
permit is released.
Signature of Owner/Agent Date
Print Owner/Agent's Name
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
APPROVALS: ZONING: UTILITIES:
ENGINEERING:
COMMENTS:
Rev 11.08
MIT3
I_ 2--
Signature of Contrac10 Agent Date
PrinLContractor/Astent's Name
0/.09.
VEBBIE BLAN ION
Notary Public - Stale of Florida
My Comm. Expires Feb 25. 2015
Commission N EE 60132
Bonded Through NaliOnal Notary Assn.
Contractor/Agent is Personally Known to Me or
Produced ID Type of ID
WASTE WATER:
BUILDING:
D CITY OF SANFORD .
BUILDING & FIRE PREVENTION
l PERMIT APPLICATION
Application No: Documented Construction Value: $
Job Address:
Parcel ID•
Description of Work:
Plan Review Contact Person:
Phone: ax:
Name
Street:
City, State Zip:
Owner I
Historic District: Yes 0,/No 0
Zoning:
lone:
Resident of property?
Contractor Information
Name
Phone:
Street:
Fax:
City, State Zip:
State License No.:
Archit ct/Engin\nation
Name:
one:
Street:
x:
City, St, Zip:
mail•
Bonding Company:
Lender.:
Address:
' ,I?Ek4T INFORMATION
Building Permit
Square Footage: Construction Type:
No. of Dwelling Units: Flood Zone:
Electrical O Plumbing 0
New Service — No. of AMPS: New Construction - No. of Fixtures:
Mechanical 0 (Duct layout required for new systems) Fire Sprinkler/Alarm 13 No. of heads:
No. oMtories:
//
i My1 .��,%� County Building Department DATE
Gentlemen:
I herein authorize G!�
(Name of bearer of this letter)
to print my name and sign his/her own name for a consruction permit from your Department
for Electrical on the property described as
Lot: `-7� Block: Subdivision: %"e --c; dOfccc A -Ido L
Property Holder's Name: [ U C'
Location Address: 2/ S L L 1
Mailing Address: n —J—� i
Under my Florida Construction Industry Licensing Board Registration number - EC 00022
Champagne Pools of Central Florida, Inc.
Signed
Rex A. Roach
Certified. Contractor— .
Signature of bearer must
presejitat4o- for permit.)
State of Florida -1
County of SEMINOLE
The foregoing instrument was acknowledge before me this.—//Z?a�
by Rex A. Roach , who is personally nown to me.
Notary Signature
Nc tM. EE121ea®
EXPIRES August 15, 2015
(40 7)63 F =m
Permit No.
Tax Folio No.3Z V • r/- S`1 c>_462z,
11 4�IV6
NOTICE OF COMMENCEMENT
State of Florida
County of Seminole
Q
wim (F CIRCUIT MURT
.ry� i /3a.,,?L.. OX*Pg IMI UPI)
4, -=�& 0 2*3 M)Z20 1
07 /09/PO1L 0805A1 fall
R MOMINS FMS -10.00
RMOMM BY T Smith
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.
of
2. General description of improvement:
3. Owner information: Narne:—
Address: ,:D I C-:;� I .. 1
of the property, and street addLess if available)
b. Interest in property: F k YJA�t/ '
c. Name and address of fee simple titleholder (if other than Owner): Name:
Add res•
4. Contrac
c. Address
5. Surety
Addres:
b. Amour..
6. Lender: Name:
Address: 0
b. Lender's phone number: d
7.a. Persons within the State of Florida designated by Owner upon whom notices or other documents
c;;
provided by Section 713.13())(a)7., Florida Statutes: Name:
Address:
8.a. In addition to himself or herself, Owner designates of to receive a copy of the
Lienor's Notice as provided in Section 713.13(l)(b), Florida Statutes.
b. Phone number of person or entity designated by owner:
9. Expiration date of notice of commencement (the expiration date is 1 year from the date of recording unless a different
date is specified)
�ttr� K OE rvttcv �. �`ORti)a
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 1,
SECTION 713.13. FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB
SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR
LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF
C MMENCEMENT.
nature of Owner or Own s Auth6rized Office irector/Part er/Manager Signatory's Title/Office S�'1,� Cr
t
The foregoing instrument was acknowledged before me t is� day o� year) , by (name o person) as (type of
city, ... e. ofti stee ey in fact) for (name of party on
Notaarry Public, Of FlOride
(SEAL)n5onded
y comm. expires MNo DD7600M
$tgnature otary Public shtonAgency. Inc. (800)451.4884ersonally Known-lr�OR Produced Identification rcatton Produced
Wi fication pursuant to Section29 525• Florida Statutes: Under penalties of perjury, I declare that I have read the foregoing and that
the facts tated in it are true t&4he best of my knowledge and belief.
ature of Natural Person SigningAbove
Rev. date 3/2008
SCPA HyperLiteWeb Parcel View: 32-19-31-520-0000-0440
Page 1 of 2
00VWJC*Wvo "...CFIs Parcel: 32-19-31-520-0000-0440
WA
Owner: CRUEY JOSHUA & KSENIA & DMITRIEV IGOR ET AL
Property Address: 2152 LILI PETAL CT SANFORD, FL 32771
< gaq< < Previous Parcel Next Parcel > j I Save Layout Reset Layout F New Search
Parcel: 32-19-31-520-0000-0440 I Value Summary
Property Address: 2152 LILI PETAL CT
Owner: CRUEY JOSHUA & KSENIA & DMITRIEV IGOR
ET AL
Mailing: 2152 LILI PETAL CT
SANFORD, FL 32771
Subdivision Name: TUSCA PLACE NORTH
Tax District: S1-SANFORD
Exemptions: 00 -HOMESTEAD (2011)
DOR Use Code: 01 -SINGLE FAMILY
�I \
34
I =
.LILI-PETAL COURT-o->------r—
I ,
�21 I ll I� Ql
l
Map Aerial Both Footprint EIF Extents Center
Dual Map View - Extemal
Tax Amount without SOH: $2,633
2011 Tax Bill Amount $2,633
Tax Estimator
Save Our Homes Savings: $0
Does NOT INCLUDE Non Ad Valorem Assessments
Legal Description
2012 Working
2011 Certified
Values
Values
Valuation Method
Cost/Market
Cost/Markel
Number of
Buildings
1
1
Depredated Bldg
Taxing Authority
Value
$140,850
$148,477
Depredated EXFT
$164,850
$50,000
Value
Schools
Land Value
$25,000
$139,850
(Market)
$24,000
$24,00C
Land Value Ag
$114,850
JusWark Value
$164,850
$172,477
$114,850
Portability Adj
County Bondsl
$C
Save Our Homes
$114,850
Adj
$0
Amendment 1 Adj
Assessed Value
$164,850
$172,477
Tax Amount without SOH: $2,633
2011 Tax Bill Amount $2,633
Tax Estimator
Save Our Homes Savings: $0
Does NOT INCLUDE Non Ad Valorem Assessments
Legal Description
LOT 44 TUSCA PLACE NORTH PB 72 PGS 69 - 70
Tax Details
Taxing Authority
Assessment Value
Exempt Values Taxable Value
County General Fund
$164,850
$50,000
$114,850
Schools
$164,850
$25,000
$139,850
City Sanford
$164,850
$50,000
$114,850
SJWM(Saint Johns Water Management)l
$164.8501
$50,0001
$114,850
County Bondsl
$164.8501
$50,0001
$114,850
Sales
Deed Date
Book I Page I
Amount I Vacllmp I
Qualified
SPECIAL WARRANTY DEED 04/2010
7 1771
$189,500 Improved
Yes
WARRANTY DEED 11/20081
7 1 229-11
$110,0001 Vacantl
No
Find Comparable Sales Comparable Sales within�is Subdivision Subdivision
http://www.scpafl.org/ParceiDetai ls.aspx?PID=32-19-31-520-0000-0440 12/14/2011
V
Champagne Pools of Central Florida, Inc:
5497 Benchmark Lane, Suite #101'
Sanford, Florida 32773 -
(407) 330-5049 - office
(407) 323-6941 - fax
www.champagnepoolandspa.com
BUILDING
PROFESSIDINRL
License Numbers
CPC 032557
CPC 057135
NAME:
-1/ I _7�5r__ r I
-�yC-
(Her'(H!Zp termed "Owner")
JOB ADDRESS: 2 (S2
L,�` i CITY
v _
TATE ��.J
MAILING ADDRESS. l `
► I CITY
1 t
SATE ZIP
TELEPHONE- (Home)
BUILDING PERMIT:
(Office),,_
(Cell)
CP to act as Owners agent to
LEGAL: Subdivision
obtain building permit only
Lot„
1
POOL SHAPE:
POOL SIZE: length width S:
Area sq ftp
Water depth S L toC:::� I
THE GENE AL TERMS. CONDITIONS AND WARRANTIES ON THE REVERSE SIDE ARE PART OF THIS AGREEMENT.
19. Start-up w/ "pool school" instruction Inc.
POOL PLUMBING AND FILTRATION
1. t sq. ft. cartridge filter
b A I VII engineered for maximum
performance with minimum electrical use.
On a pre -formed support pad. . . . . . .Inc.
2. One (1) Skimmer, large capacity and
self-adjusting w/double main drains and
3 returns (no reg. returns . . . . . . Inc.
4. Automatic Chlorinator. . . . . . . . . Inc.
5. Easy set Time clock. . . . . . . . . . Inc.
DELUXE THERAPEUTIC SPA
1. Spa - sq.ft. with ts. .
2. Standard white/LED Light
3. Spillway
4. Heater - type / NAT size -
5. Other
1. Electric Hook-up for all equipment
listed on this agreement Inc.
2. ENLARGING OR CHANGING EXSISTING
ELECTRICAL PANEL BOX OR RELOCATION -\
OF OVERHEAD WIRES, IF REQ. BY LOCAL
CODE. By Owner
3. Add. Electrical Hook-up for lights,
fans, etc . . . . . . . . . . . . . By Owner
4. Natural Gas Plumbing . . . . . . . By Owner
5. Propane Tank leasing, renting,
buying, set-up and burying are the
responsibility of owner . . . . . By Owner
OPTIONAL EQUIPMENT•'
1. Water Purification - type
2. Pool light - type _
3. Automation Controls -
4. Automatic Cleaner
5. Water Features -
6.
7.HEATING ^
8. EQUIPMENT
1. Heater - type LP / NAT / HP
CIRCLE ONE
size
2. Solar, Panels se forget valve
DECKING
1. Acrylic Decking
color
2. Coping Type
3. Acrylic Banding - color
4. Steps _
5. Raised Walls
6. Turn downs
7. Retaining Walls
1. Type - O Dome O Gable D Mansard
2. Two (2) Doors, gutters where required
3. Color - O hite / O Bro
4. Elite Roof
5. Fan Beam
:CONSTRUCTION SPECIFICA
1.
PLANS:
Champagne Pools to supply pool
blueprint and engineering plans. . . .
Inc.
2.
BUILDING PERMIT:
CP to act as Owners agent to
obtain building permit only
Inc.
3.
SITE PREPARATION:
a. Access fence removed by Owner O
CP
b. Access fence replaced by Owner O
CP
Not Applicable
O
c. Trees in access and pool site
areas to be cut down so that
stumps will not exceed 3' in
height . . . . . . . . . . . . . By
Owner
d. CP to uproot 3' high x 18" dia.
min. stumps at time of excavation
in access and pool area only.
# of stumps . . Yes O
No!
e. Stumps hauled away. Yes O
No.
f. Concrete cut and hauled. . . Yes, O
No
g. Sprinkler cut off by . . Owne
h. Sprinkler re-routed . . . . By
Owner
4.
EXCAVATION:
CP to excavate pool and remove
dirt on day of excavation only.
Inc.
a. Additional fill dirt if required
is not included in contract . . By
Owner
b. CP to include sufficient grading
for preparation of site.
Inc.
c. CP IS NOT RESPONSIBLE FOR ACCESS
INTO YARD, RE-ROUTING SPRINKLERS,
REDOING LANDSCAPING, RESODDING
OR TRANSPLANTING OF PLANTS. By
Owner
5.
Engineered Steel Reinforcing
complies with ASTM # A615 . . . . . .
Inc.
6.
Electrical Bonding of shell and
equipment . . . . . . . . . . . . . .
Inc.
7.
Pneumatically applied concrete shell
(commonly referred to as Gunite or
Shotcrete) . . . . . . . . . . . . . .
Inc.
-314
a. OWNER TO WATER CURE GUNITE SHELL
FOR 10 DAYS . . . . . . . . . . By
Owner
8.
Temporary construction fence . . . . .
Inc.
9.
in shallow end . . . .
Three (3) stVnch-
Inc.
����,e�ps
+
10.
Love Seat: ft. �
Inc.
11.
Extended ��
12.
Raised Beam with standard tile
13.
TILE: CP Standard swimming pool tile
a. Only one row of tile at water line
Name: YesX
No O
b. Special order and/or larger size'' \\
not bid on this contract. . . . Not Inc.
c. Step Inlays:
# Color YesK
No O
:4.
INTERIOR. FINISH: CP to hand :rowel a
har a�taste nils�y]j/�
1
Typ I 1.�=oto Yl�'IIt(,i,iL
a. R IS RESPONSIBLE FOR FILLING
POOL WITH WATER AND BRUSHING DOWN
POOL TWICE A DAY FOR TWO WEEKS
AFTER IT IS FILLED. . . . . . . .By
Owner
oa S
Inc.
".6.
Public liability, negligent property
damage and workmen's compensation
insurance during construction . . .
Inc.
17.
No additional cost to customer for rain
damage to pool during construction
Inc.
-18.
Deluxe cleaning equipment and water
test kit . . . . . . . . .. . . . . . .
Inc.
19. Start-up w/ "pool school" instruction Inc.
POOL PLUMBING AND FILTRATION
1. t sq. ft. cartridge filter
b A I VII engineered for maximum
performance with minimum electrical use.
On a pre -formed support pad. . . . . . .Inc.
2. One (1) Skimmer, large capacity and
self-adjusting w/double main drains and
3 returns (no reg. returns . . . . . . Inc.
4. Automatic Chlorinator. . . . . . . . . Inc.
5. Easy set Time clock. . . . . . . . . . Inc.
DELUXE THERAPEUTIC SPA
1. Spa - sq.ft. with ts. .
2. Standard white/LED Light
3. Spillway
4. Heater - type / NAT size -
5. Other
1. Electric Hook-up for all equipment
listed on this agreement Inc.
2. ENLARGING OR CHANGING EXSISTING
ELECTRICAL PANEL BOX OR RELOCATION -\
OF OVERHEAD WIRES, IF REQ. BY LOCAL
CODE. By Owner
3. Add. Electrical Hook-up for lights,
fans, etc . . . . . . . . . . . . . By Owner
4. Natural Gas Plumbing . . . . . . . By Owner
5. Propane Tank leasing, renting,
buying, set-up and burying are the
responsibility of owner . . . . . By Owner
OPTIONAL EQUIPMENT•'
1. Water Purification - type
2. Pool light - type _
3. Automation Controls -
4. Automatic Cleaner
5. Water Features -
6.
7.HEATING ^
8. EQUIPMENT
1. Heater - type LP / NAT / HP
CIRCLE ONE
size
2. Solar, Panels se forget valve
DECKING
1. Acrylic Decking
color
2. Coping Type
3. Acrylic Banding - color
4. Steps _
5. Raised Walls
6. Turn downs
7. Retaining Walls
1. Type - O Dome O Gable D Mansard
2. Two (2) Doors, gutters where required
3. Color - O hite / O Bro
4. Elite Roof
5. Fan Beam
WARNING DANGER WARNING
1. DO NOT DIVE INTO THIS POOL.
2. DO NOT INSTALL A SLIDE ON THIS POOL.
3. DO NOT INSTALL A DIVING BOARD OR DIVING
ROCK ON THIS POOL.
Whether financed through other sources or paying cash the owner agrees to pay the total price of this contract, less the deposit
at the following intervals and in the percentages stated below. Change orders or addendums must be accompanied with full
payment. t�
' A. Deposit ......... upon signing of this contract TOTAL CONTRACT PRICE $ W
lB. 40% ............ day of dig
C. 40% ............ day of shooting of the gunite shell DEPOSIT $
D. 20% ............ day of deck installation
E. $500.00 .........upon start-up of pool BALANCE $ Z7
t
OFFER AND AGREEMENT: This Contract shall be deemed as an offer to Champagne Pools of Central Florida, Inc. and
shall be null and void unless accepted by a duly authorized officer of the contractor within ten business days of the contract
date. The salesman has no authority to bind the contractor. All agreements and understandings are contained in this contract
and the Owner warrants that there are no agreements or understandings other than are set forth in this document. Acceptance
of the terms of this contract by Contractor is to be communicated to the Owner by transmitting a copy of this contract to them
showing acceptance by the sellers by the execution of a duly authorized officer of the Contractor or by commencing
construction.
THE UNDERSIGNED JOINTLY AND SEVERALLY AGREE THAT THE TERMS AND CONDITIONS ON THE REVERSE SIDE
ARE PART OF THE AGREEMENT AND THAT THIS WRITING CONTAINS THE ENTIRE AGREEMENT BETWEEN THE
OWNER AND CHAMPAGNE POOLS, AND FURTHER ACKNOWLEDGES THAT EACH OF THEM HAS READ AND
UNDERSTOOD THIS ENTIRE CONTRACT.
A scale drawing of your swimming pool showing its location, shape, other details and equipment location shall be attached to
this contract within 10 business days and incorporated herein by reference. The drawing shall be signed by any one of the
Owners whose name appears as a signatory herein. The Owner understands that embellishments on the drawing such as
umbrella tables, lawn chairs and plants are not part of the pool contract. Owner should receive a copy of the drawing.
No additional work shall be done without prior written authorization of Owner, and any such authorization shall be on a
"CHANGE ORDER FORM" or an "ADDENDUM" form showing the agreed terms and shall be approved by Champagne Pools
and shall be signed by any one of the Owners whose name appears as a signatory and addendum must be accompanied with
payment in full, if applicable.
CAUTION: If pool is not approved for diving (under 8" depth, see front) you should not install or use a diving board or jump
board. Do not dive into this pool. If pool is approved for diving, exercise caution by always diving into center of the deep end
with hands out in front of your head and steer up. Do not permit or practice fancy dives, stunts, or horseplay.
ALL POOL USERS SHOULD BE INSTRUCTED IN THESE LIMITATIONS. NEVER DIVE INTO SHALLOW AREA.
Owner acknowledges receipt of a duly executed duplicate copy of this agreement at the time of its execution, with all blank
spaces filled in to the extent it is applicable to this project.
NOTICE TO PURCHASER
DO NOT SIGN THIS AGREEMENT BEFORE YOU HAVE READ IT OR IF IT CONTAINS ANY BLANK SPACES
You, the Owner, may .cancel this transaction at any time prior to midnight of the third business day after the date of this
transaction. See attached Notice of Cancellation form for an explanation of this right.
DATE: 0 DAY OF 20 `
Salesperson: _;��� Owniely
Accepted by Champagne Pools of Central Florida, Inc.
Authorized
THIS CONTRACT IS NOT AN ESTIMATE
X- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NOTICE OF CANCELLATION
DATE:
You may cancel this transaction, without any penalty or obligation, within throe business days from the above date.
If you cancel, any property traded In, any payment made by you under contract or sale, and any negotiable Instrument executed by you will be returned
within 10 business days following receipt by the Seller of your cancellation notice, and any security Interest arising out of the transaction will be
cancelled.
If you cancel, you must make available to the seller at your residence, In substantially as good condition as when received, any goods delivered to you
under this contract or sale: or you may, if you wish, comply with the instructions of the seller regarding the return shipment of the goods at the sellers
expense and risk.
If you do make the goods available to the seller and the seller does not pick them up within 20 days of the date of your Notice of Cancellation, you may
retain or dispose of the goods without any further obligation. If you fall to make the goods available to the seller or if you agree to return the goods to
the seller and fail to do so, then you remain liable for performance of all obligations under the contract.
To cancel this transaction, mail or deliver a signed and dated copy of this cancellation notice or any other written notice, or send a telegram to
Champagne Pools of Central Florida. Inc. 5497 Benchmark Lane. Suite # 101 Sanford, Florida 32773.
NO LATER THAN MIDNIGHT ON
, I HEREBY CANCEL THIS TRANSACTION
DATE: OWNER'S SIGNATURE TO CANCEL:
(Only sign if you are canceling this transaction)
Cruey, Joshua & Ksenla
RANDOM T - 3 SIZES
Deck Edge Type BULLNOSE BRICI(`4X8
2152 Lillpetal Court
18.5 X
26.5
Sanford 32771 Permit Office: City Of Sanford
407-435-0306
5
POOL perimeter
Tuska Place - North
Entry Code:
NIA
Access
Type Dig ?I Dig and Haul
& •
Dirt Rmvl?F--1
ii
area
rs 50
Deck Drains For Pave -771
TOTALS perimeter F-8-1-1 area
H.O. TO PROVIDE ADEQUATE ACCESS - STD. DIG
FENCE UP AND DOWN BY C/P
Total Lft
Tree Removal ?
Stump Removal ?
Plani.Removal ?
Concrete Removal ?
Saw Cut ?
#
##
##
Sqft
Lft
-0ne
Owne
Owne
Owne
Owne
Sprinkler System Capped Off ?
Sprinkler System Reinstalled ?
Sod Removal ?
BARRIER FENCE? No Lft 0
ALUMINUM POST COLOR ?
MESH COLOR ?
ALARM SYSTEM ? YES # H.O.
Home owner must be present for final Co. inspection
Window Glaze ? NO # 0
CHANGE ORDERS
DESCRIPTION DATE Is C.O.#
ac
.irl v i V. `, .0-- . I
•. •
Spill Over Type
2" Main Drains
Spa Light Color
Spa Light White
Therapy Jets Air Blower
Pre Plumb Jets
Heater Type
_.PEOPERrUINE_______--_—
BRICK COPING
LED
3 ft [I., 26 ft. 6 in.
L
® A
FLOOR RETURNS
5FT DEEP
— 3UMT
45
Ic ire -"W°
BRICK PAVER DECK
.c
v
CO
3FT DEEP
�o
e e Yrn�v w.r�.. w.n....cn
o The pool will be Isolated from access to home by an
1b o o enclosure that meets the pool barrier requirements of
0 o Floride Statute 515 29 - This Is responsibility 6 bolt of
o ��1 homeowner.
RANDOM T - 3 SIZES
Deck Edge Type BULLNOSE BRICI(`4X8
POOL SIZE
18.5 X
26.5
POOL DEPTH
3 X
5
POOL perimeter
81 area
358
SPA perimeter
area
Sqft
Fountain perimeter
area
rs 50
Deck Drains For Pave -771
TOTALS perimeter F-8-1-1 area
358
Swim Outs # 1
Total Lft
6
Steps Lft 21
SunShelf Sqft
35
ft
Pool Gallons 10,740
Pool Equipment
Timer w/remote
PUMP TYPE Jandy
314
H.P.
FEATURE PUMP? (
)
H.P.
FEATURE PUMP? (
)
H.P.
FEATURE PUMP? (
)
H.P.
FEATURE PUMP? (
)
H.P.
Filter Type ( )
Filter Type ( 1 )
Jandy CS100
Automation Std. Timer Only
Main Drains
White
4' apart
Skimmer 1
White
Returns 3
White IN
FLOOR
Pool Light Color (1)
100 FT
Pool Light White
Pool Grout Color White
•. •
Spill Over Type
2" Main Drains
Spa Light Color
Spa Light White
Therapy Jets Air Blower
Pre Plumb Jets
Heater Type
_.PEOPERrUINE_______--_—
BRICK COPING
LED
3 ft [I., 26 ft. 6 in.
L
® A
FLOOR RETURNS
5FT DEEP
— 3UMT
45
Ic ire -"W°
BRICK PAVER DECK
.c
v
CO
3FT DEEP
�o
e e Yrn�v w.r�.. w.n....cn
o The pool will be Isolated from access to home by an
1b o o enclosure that meets the pool barrier requirements of
0 o Floride Statute 515 29 - This Is responsibility 6 bolt of
o ��1 homeowner.
CHLORINATOR
Manual Vacuum, Telescopic Pole, Leaf Net
Brush, Water Test Kit & Start up Chemicals
Hand Rails- Fig 4 No Other
'-- YVater Features — Fountain
Spill over Light
Sconce?
•
Heat Pump Elect Run it
Solar Panels # Size
Set & Forget Controls
Booster Pump by Solar Co.
Water Surface Solar Cover
Pavers CASTLESCAPE - 3 PCS.
Pattern
RANDOM T - 3 SIZES
Deck Edge Type BULLNOSE BRICI(`4X8
Concrete Deck
Sqft
Existing Lanai
Sqft
Coping Lft 81 ULLNOSE
Sqft -
Pavers Thick or Thin THICK 372
Sqft
Existing Patio Thick or Thin NIA
Sqft
Pool & Patio Total Including 372
Sqft
Paver Boarder - This is Induded in Sqft Above
Lft
rs 50
Deck Drains For Pave -771
Lft
Raised Decks,e. Downs—
Raised I.D. Beam At 6' Increments
Lft
Tile Notes For I.D.
Step Risers At 6" Increments
ft
Riser Info
Tum Downs 10" Lft 16" Lft 22"
Or
8" Screen Footer Lft Pilasters
Cleaners & Chlorinators
Chemical service for 1 Months
Pool Cleaner Type VAC PORT ONLY
Chlorinator Type NANO SALT
CHLORINATOR
Manual Vacuum, Telescopic Pole, Leaf Net
Brush, Water Test Kit & Start up Chemicals
Hand Rails- Fig 4 No Other
'-- YVater Features — Fountain
Spill over Light
Sconce?
•
Heat Pump Elect Run it
Solar Panels # Size
Set & Forget Controls
Booster Pump by Solar Co.
Water Surface Solar Cover
Pavers CASTLESCAPE - 3 PCS.
Pattern
RANDOM T - 3 SIZES
Color
STONE HARBOR
Bullnose 4x8
CREME
Tile color
NSHC 636
Step & Bench
SAME
Tile Distributor
NOBLE
Grout color
WHITE
Interior finish
PEBBLE TEC
CARIBBEAN BLUE
ceci
so ua
3„ EXISTING
COV'D PATIO
r—
r4�f- GP REMOVE DOOR PAD (LEA VE AS ISJ
*0..
Q
STD. EQUIPMENT OIG d HAUL
H.O. RESPONSIBLE FOR ADEQUATE ACCESS
FENCE UP AND DOWN BY GP
V3
HOMEOWNERS
JOSHUA AND KSENIA CRUEY
2152 LILI PETAL COURT
SANFORD, FLORIDA 32771
(407) 435-0306
IMPERVIOUS CALCULATION:
LOT AREA 6.600 S.F. (50% = 3,300 S.F
HOUSE FOOTPRINT 1,696 S.F.
DRIVEWAY & WALKWAY 506 S.F.
A/C PAD 21 S. F.
COVERED LANAI 163 S.F.
2,386 S. F.
PROPOSED POOL W1 DECK 811 S.F.
3,197 S.F.
W
Designed by:
TERI SMATHERS
DESIGN CONSULTANT
(407) 461-9168
Champagne
�86 ~& 110 Champagne Pools & Spas
(407) 330-5049
An aquatech`Builder CPCO32557
Scale: 1/8"_1.8..
E
OF.i%14% ,r.
BOUNDARY SURVEY Descilptiqn:
RUAR0 FOR - Ldt 44, TUSCA PLACE - NORM PERMIT 1.2 —
MERCEDES HOMES, INC. according to the plat theieof as recorded in Plat Book 72 pages 69 and 70 in the
LCT 44 IS ON PAGE 70 public records of Seminole County, Florida.
TRACT "B"
DROfflAGE; RETENTION
AM RECREATION
S 891150,10" w 60.00'
9"t 61,
r
a_xl� 11-0,)_J
LOT 43 ITS, 0 C4
17.1' LOT 45
Cd
.0 0
IZI,
M =Ry
1st CONC BLOCK
ra J
U, 2nd FOOD RAW
J
0
J;
O c I COVERED
CON
ENTRY
18.7'
0 0
C'
.0 A. U. 21.3! 16
C!
Z
W
-Z
J."
4! CONC
WALK
0 0
TELEPHONE
CABLE RISER RISER
_T
TELEPHONE w n 10- U.C.) -CABLE RISER
'RISER
—/
=p'
60.00
.8 CONC 8 5
CONCRETE ADDRESS:
C;S. 2152- 9 C4
CURB INLET LU PETAL COURT
- — - — - - — - - — - - — - — -
(j
N 88 50'10' E P.I.(FOUND)
4 P.K. NAILS NO NUMBER
AROUND MANHOLE
NOTLPS:
.1. BEARINGS ARE BASED ON THE CENTERUNE
OF' uu.PETAL COURT: BONG Nmoim
2. * UNDERGROUND IMPRqVEMEMT% ROOF
201 -OVERHAMOVAND vwTUC5 HAVE NOT FLOOD CERTIFICATION
:.r I ::BEEN LOCATED..BASED ON -THE FEDERAL-EMERGkNCY
PLENATION
SrARE-810:.ON NATIONAL MANAGEMENT AGENCY FLOOD INSURANCE RATE
'1'9- T20 OEODETICIVOITICAL -OF 1929. MAP. THE STRUCTURE. SHOWN NEREON DOES
:6UILDIMO.=�±!M �Rr NOT LIE WITHIN 7111E 100 YEAR FLOOD'HAZARD
%K USED 70
ONSTRUCT DE=Wi D UNM AREA.
0 THIS STRUMRE LIES IN ZONE ')r.
6.%kARIN0SAMD;DI9M SHOWN HEREON
ARE MEASURED -AN ED PLAT NO. 120289 b090 F
** T
iIINESS
R
=VEfDPTL
-UNLOS OTNERWISE.N
MAP RE-AMON GATE -SEPTOASM-28, 2007
RADIUS" -
(SUBJECT TO CHANCE)
*01*AL ANGLE
THE UNDERSIGNED AND C : AVONE. INC. LAND SURVEYORS and MAPPERS MAKE NO RESERVATIONS OR GUARANTEES AS TO THE INFORMATION REFLECTED
,qF,q)RVATURE
4..% 1 TAIN(Or7NCY ....HEREON. PERTAINNO TO.PW4NTS, RIGHTS' OF WAY. SMACK LINES. AGREEMENTS AND OTHER MATTERS, AND FURTHER THIS INSTRUMENT IS NOT
INTENOM.TO REFLECT OR SET' FORTH ALL SUCH MATTERS SUCH INFORMATION SHOULD ITE' OBTAINED AND CONFIRMED SY OTHERS THROUGH APPROPRIATE
INti•OF. INTERSECTION TITLE -VERIFICATION.
0
FOUND 4 ' IRON PIPE; (LS 2005) 0 FOUND IRON ROD 0 FOUND IRON ROD FOUND CONCRETE MONUMENT
MACE a; UTILITY% F .
. : . '. - THIS SURVEY NOT VAL/O UNLESS EWBOSSED REWRON DATE
WTH
VOLAE INC°A FL DA- LICE'NSE'D SURWYUR AND MAPPER
IJ U
.7 %AWSURVOYORS AND MAPPERS ff!'
SOUTH Rlill"
300 ''REAQAM BOULEVARD
ENT
Lwow000.1n.0RIDA 3VW5499
7ELD449M (407)830-9060 DOMIA>pf F.
FLORID( SI MAPPER NUMBER ?DOS
FAX No. 339-3035
U., I ; , -1 : - I STAKE LOT 11-10-2008
E-;MA1U`TAV0W19 CFLRFLCOM UODISED GUS11.SSS NUMBER L6.5073
W.O. FORM CHECK :2ooa-2sIj
-W.'0.:,STAKE: U)T.- -20011-!2�95 W.O. STAKE HOUSE 2008-Y493
MRAII6012004,3679' W.O. FINAL 2009-171O-171
W.ORECERT 2010-377
4�. PUCE - NbMVX-".D*G' LOT bjK ----
RECENTIRED
4-20-2010
FINAL, LOCA170H
3-5-2009
7WR3XTffl LOCATION.
12-10-2665
FORMBOARD L.~W
11-24-2006
STAKE HOUSE
71-10-2006
U., I ; , -1 : - I STAKE LOT 11-10-2008
E-;MA1U`TAV0W19 CFLRFLCOM UODISED GUS11.SSS NUMBER L6.5073
W.O. FORM CHECK :2ooa-2sIj
-W.'0.:,STAKE: U)T.- -20011-!2�95 W.O. STAKE HOUSE 2008-Y493
MRAII6012004,3679' W.O. FINAL 2009-171O-171
W.ORECERT 2010-377
4�. PUCE - NbMVX-".D*G' LOT bjK ----
OFFICE
PERMIT # Permit#
Residential Swimming Pool,
Spa and Hot Tub Safety Act
Notice of Requirements
I (We) acknowledge that a ne swimming p of spa or hot tub will be constructed or installed
at U nd hereby affirm.that one of the following
VWUe ftM SVW
methods will be used to meet the requirements of Chapter 515, Florida Statutes.
(please initial the method(s) to be used for your pool)
The pool will be isolated from access to the home by an enclosure that meets the
pool barrier requirements of Florida Statute 515.29;
The pool will be equipped with an approved safety pool cover that complies with
ASTM F1346-91 (Standard Performance Specifications 'for Safety covers for
�wimminq Pools, Spas and Hot Tubs);
All d0brs and windows providin9 direct access from the home, to the pool will be
equipped with an exit alarm that has a minimum sound pressure rating of 85
decibels at 10 feet;
All doors providing direct access from the home to the pool will be equipped with
self-closing, self -latching devices with .release mechanisms placed no lower than
54" above the floor or deck;
I understand that not having one of the above installed at the time of final inspection, or when
the pool is completed for contract purposes, will' constitute a violation of Chapter 515, F.S.
and will be considered as committing a misdemeanor of the second dogree, punishable by
fines up to -$500 and/or up to 60 days in jail as established in Chapter 775, F.Sr
\�.z CL!a
OWNER'S SIGNATURE DATE
Michael D. Manley. Ksttj (A acvEV
CONTRACTOR'S NAME (PLEASE PRINT) OWNER'S NAME (PLEASE PRIN )