1021 Laurel Ridge Ln 11-1826JUL 5 CITY OF SANFORD
Y.
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
600
Application Nd:` `' Documented Construction Value: $4; n00 es ,
Job Address: ( (2i I (QL!l G//ie L II Historic District: Yes No
Parcel ID: AtA Zoning:
Description of Work: 'TOWN_ ROME UNLT
Plan Review Contact Person: Title:
Phone: Fax:1.401 _ W-'4116 E-mail:da nhWC1drk incftfl-rK.com
Property Owner Information
Name &ttamal Ntm&iA Phone:
Street: Resident of property?
City, State Zip: WTI kr O W4 f. 32,199
Contractor Information
Name 14 Phone: LAIl- 2S1-6° a)
Street: Fax: 1.401—cla- S'13b
City, State Zip: W I ty- Pak R. 32'19 State License No.: CqG Is ZS00
Architect/Engineer Information
Name: WILLI AK M RMM.I Phone: h0-1. 68, — A 11
WOWQ A' IMAT; Fax:
E-mail:
Bonding Company: A- Mortgage Lender: I) A'
Address: 'L/ fi dd = Address:
1/0
PERMIT INFORMATION
Building Permit
Square Footage: 2 Z
No. of Dwelling Units:
Electrical O
New Service - No. of AMPS: 150
Construction Type: No. of Stories: 2
Flood Zone:
Mechanical 0 (Duct layout required for new systems)
5 O aE- g ° 0
F - lad, / . (P (0
Contact: DAPHNE CLARK a 9 • L'
407) 257-6940
daphneclarkinc®cfl.rr.com
Plumbing D
New Construction - No. of Fixtures:
Fire Sprinkler/Alarm O No. of heads:
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no
work or installation has commenced prior to the issuance of a permit and that all work will be performed to
meet standards of all laws regulating construction in this jurisdiction. I understand that a separate permit
must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and
air conditioners, etc.
OWNER'S AFFIDAVIT. I certify that all of the foregoing information is accurate and that all work will
be done in compliance with all applicable laws regulating construction and zoning.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE
OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE
FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this
property that may be found in the public records of this county, and there may be additional permits required
from other governmental entities such as water management districts, state agencies, or federal agencies.
Acceptance of permit is verification that 1 will notify the owner of the property of the requirements of Florida
Lien Law, FS 713.
The City of Sanford requires payment of a plan review fee. A copy of the executed contract is required in order
to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the
plan review fee based on past permit activity levels. Should calculated charges exceed the documented
construction value when the executed contract is submitted, credit will be applied to your permit fees when the
permit is released.
44-p Lt't-
Fignat of ownedAgtnt Da of
4 WN kheW
Prue Owner/Agent's Namt
vim
Signature of Notary -Slat Florida Date
n
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MY COMMISSION i EE 092141
EXPIRES: June 27, 2015
i1''
Ea c` Bonded iMu Budget Ilataiy Services '
Ommer/Agent is V Personally Known to Me or
Produced ID *41 Type of ID N
APPROVALS: ZONING:
COMMENTS:
Rev 11.08
Z 0 •44,A---
Sipatuil;?
tJ1
ofConUnator/Agent Datt
PrinfCcnb ttor/Ageni
Signature of Notary-Statc of Florida Date
YP
D. A CLARK
MY COMMISSION 4 EE W141V."Or EXPIRES: June 27, 2015
Balled ilru Budge) Wr sp=
Contractor/Agent is Personally Known to Me or
Produced ID AW Type of ID N.
UTILITIES:
ENGINEERING: FIRE:
WASTE WATER:
BUILDING: 2
D JUL 5 20 CITY OF SANFORD
Y • BUILDING & FIRE PREVENTION
Y: PERMIT APPLICATION
Application Nd:` `' Documented Construction Value: $
Job Address: `((I CQuy j(A7,j*jZ.. Historic District- Yes N.0
Parcel ID: GOG 'Zoning:
Description of Work: TawN It KF_ UMM
Plan Review Contact Person: b qh"y' CIO Title:
Phone: UDI— UI -( 440 Fax:401 QOSfl E-mail:donhn¢ctdrk inc la cEIL f.com Property
Owner Information Name
WattamQ clabumilk)Phone: Street:
Resident of property? City,
State Zip: Win .r Po(1. fL 32'189 Contractor
Information Name "
Phone: LArj 2S1 'pcl4D Street:
r
Fax:
L}D1-qOS- $13f0 Rm+h City,
State Zip: wt1A1.f Oak R. 32-19 State License No.: CMG 151 U0O Bonding
Company: MIA - Address:
Building
Permit Architect/
Engineer Information Phone:
U-7 -68i —Ji 1 Fax:
E-
mail: Mortgage
Lender: bih Address:
PERMIT
INFORMATION Square
Footage: Z/4Z Construction Type: No. (of Stories: 2 No.
of Dwelling Units: Flood Zone: Al, (See 4GSc1.Q l) Electrical
O New
Service— No. of AMPS: 1513 Mechanical
I3 (Duct layout required for new systems) Contact:
DAPHNE CLARK 407)
257-6940 daphneclarkinc®
cfl.rr.com Plumbing
O New.
Construction - No. of Fixtures: Fire
Sprinkler/Alarm 17 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.
4hA,P kux'-
Signal of OwnerlAgent
4M,17
Date
4jWN W
PAM Ouncr/Agent's Nome
Signature of Notary -Star Florida Date
D. A. OAK
MY COMMISSION i1 EE 09201
EXPIRES: June 27.2015
gptM Tiuu Budget NdM Semites
Owner/Agent is V Personally Kno%-.-n to Me or
Produced lD 111*4• Type of ID RA
Signatu • of Contractor/Agent 6LADato4wj
I'
rinfContraotor/Agcn1 •e Signature
of Notary -State of Florida Datc YP
r
MV
COMMISSION 0 EE 092141EXPIRES:
June 27,2015 Fl
dBalled11uu Budgd No" Semites Contractor/Agent
is Personally Knoxim to Me or Produced ID /
yi4 T)-pc of ID /V/4 . APPROVALS: ZONING:
0114 1- S'L UTILITIES: WASTE WATER: ENGINEE FIRE:
BUILDING: COMMENTS: Rev
11.
09
e
0 ' City of Sanford
Planning and Development Services
871 Engineering — Floodplain Management
Flood Zone Determination Request Form
Name:- Q,;, Firm:i`'o.-1 . 6aa I Q,)`D ck,e1
Address: tl.pp G•(' k<
City: W, n4.Vt I- f 6-- State: Zip Code: 32T 8li
Phone: lei I-2S7.(A4D Fax: 407,9oS•5736Email: ek,.e e•t•.Cad
Property Address: 10 2
Property Owner:
Parcel identification Number:
Phone Number: Email:
The reason for the flood plain determination is:
New structure Existing Structure (pre-2007 FIRM adoption)
Expansion/Addition Existing Structure (post 2007 FIRM adoption)
Pre 2007 FIRM adoption = finished floor elevation 12" above BFE
Post 2007 FIRM adoption = finished floor elevation 24" above BFE (Ordinance 4076)
Flood Zone:Base Flood Elevation::; Datum: KG Y 29
FIRM Panel Number: 120 29 %4 o O -r e) F Map Date: Q 28, • o 7
The referenced Flood Insurance Rate Map indicates the following:
The parcel is in the: floodplain floodway
K A portion of the parcel is in the: 21floodplaiin floodway
The parcel is not in the: floodplain floodway
The structure is in the: floodplain floodway
The structure is not in the: floodplain floodway
If the subject property is determined to be flood zone W, the best available information used to
determine the base flood elevation is: ME= c I- U.ie L o
Lak._ 3es164,- No,%.,, S4c.,A, es ot- C -'top I
t,z h
TAEngr-Fi elFE'levation CertificateTlood Zone Determination Request Form.doc
Seri * eAsociatieslnc.
Land Surveyors
769 Douglas Avenue, Altamonte Springs, Florida. 32714 (407)788-8808
Member of the Florida Surveying and Mapping Society andAmerican Congress on Surveying and Mapping
CURVE TABLE
CURVE I LENGTH I RADIUS I Delts
C11 1,(.351 76,00 f0.4975-
y
W
a
U
Map of Survey
LINE TABLE
LINE LENGTH BEARING
L 1 21.79 N001193E
L2 16.82 N46VOWE
L3 20.00 S46ro0n3w
L4 20.00 N46'00113E
L5 20.00 S46'o9ww
L6 20.00 N46'00WE
L71 31.001 IWVVOWE
L6 9.04 S35'10'46w
L9 7.V s4e10on3w
L101 20.00 S46'OOA3w
Lot 171
L2 L3 L4
I
700 L 14
Tract A
Multipurpose Easement
L5 L6
LINE TABLE
LINE LENGTH BEARING
Lf1 20.00 N46100 9E
L12 20.00 S46VMW
L 13 20.00 N46 OOV3E
L14 32.f4 N46'00173E
L15 95.00 N43'59'57 W
L 16 95.00 N43595M
L171 21001 S43'S937E
Val 9S00 1 M375937w
Lip[ 05.00 N43'5937'W
L7
Lot 16 Lot 15 Lot 14 Lot 13 Lot 12 Lot 11
cryrnsm*r im a
6 Unit Buildingr
A UNt6E k*J 0*2REV. UW3REV. LW 1 t/nk5ERW
M rzd~ A rViamwiftw 1
J; t11.a 54.6ro
17
A
r
I 4 a
I1.1 197 e
to
O)
LU
h
h
v
L13 L12 L11 L10ti L9 C1 L8 _
129.14 _ 811524
N 46a00'03" E 144.38 PCP
Tract
Multipurpose Easement
CIL Laurel Ridge Lane (24' R/W)
Tract A
Multipurpose Easement
CITY OF SANFORD - BUILDING PI.P'' 7)"'W
PLANNING ANTI DEVELOPMENT
LEGAL DESCRIPTION APPRDVEDLk(
Lots 11, 12, 13, 14, 15, 16, "Reserve at Loch Lake" DATE
according to theplat thereof as recorded Inplat book atpages) of he
public records ofSeminole County, Florida.
FLOOD HAZARD DATA: Theparcel shown hereon lies within Roodzone A'
according to the Flood Insurance Rate Map communitypanel number 120294
007OF dated 09-28-2007. Flood
Zonedetermination teas parf6mted by graphicplotting onto Flood Insurance
Rate Maps prepared by FEM4. Thom has been no field su: veying performed
by this firm to determine this flood zone. This Is the professional opinion
of Herx 8 Associates, Inc. The lender (ifarly) makes the final determination
as to the requirement of FloodInsurance or not. We assume no responsibility
for actual flooding conditions. General
Notes: 1',QOroSEQ 7. This is a BOUNDARY Survey perlorrned in the field on Z
No aerial, surface or subsurface ulifity installations, underground improvements or subsudsce/
aerial encroachments, if any, were located. 3.
Building ties shown are to the exterior unfinished foundation surface or fomlboard. 4.
Elevations shown hereon, if any, are assumed and were obtained from approved Construction
plans provided by the Client unless otherwise noted, and are shown only
to depict the proposed or actual difference in elevation relative to the assumed temporary
Belrchmark shown hereon. 5.
The parcel shown hereon is subject to oil easements. reservations. restrictions, and Rights-
ol-way of recordwhether depicted or not or, this document No search of the Public
Records has been made by this office. 6.
The legal description shown hereon is as furnished by client. 7.
Platted and measured distances and directions are the seine unless otherwise noted. 8.
Copies of this Survey may be maoe for the original transaction only. 0
Denotes W iron rod with plastic cap marked L84937, or W iron rod with red
plastic cap marked 'W tnessComer, unless otherwise noted. O
Denotes P.C.P (Pennonent control point) Denotes
Permanont Reference Alonument m
2011 Herx d Assoc/cites .'nc. Wl nghts reserved Certification:
Not validwithout the signature and the origibtl raised sealof
a Florida I:cvnsad Survoyo ees',fopper jbtummey
meats the requrre"tUpf 1he-ELoriia Minimu Toc 'cal Derae
L. Przemieniecki, P.S.M Regis red Su and Mapper No. 6030 Herx
6 Associates Inc, State orFhnda4937 Note:
This drawing Is Intended for the purpose of obtalrlinga building permit only.
Lot specific archRecture/ plans must be referred to for thedetalls/opgons in
construcilon of thestructure shown hereon. BEARING
BASE. • Bearings shown hereon are referenced to the Southerly plat boundary
of Reserveat Loch Lake as being S 89'1827 E: Vertical
daturn Is basod on engineering plans provided by client, prepared by Evans
Engineering, Inc Job # 22501. Legend
9
Temporary Benchmark O/S O.
R.B. Offset
Official
Records Bookassumed
datum) PE Plat Book BowBackofSidewalkPCPointoCurvatureColCentedneP. C. Point off wei Curvature d Centralor (Delta) Angle P.C.P. Perermanentnt Control Fbint CALC Calculatedv89eCBChordbearingR. M P RPermanent. rnanenf Rel9renceMonument CD Chord
PA. Properly Line CD ConcreteMonumentP.O.B. Point of Beginning EL orELEVElevation (Proposed) P O.C. point of Commencement FINAL ELEievation (Measured) P.I. ion Point ofIntersectionFO. FoundPT. Point
of Reverse Curvature rm.F1. Elev. Finished Flow Elevation PT. Point of Tenponcy I.P. Iron Pipe R Radius I.R.
Irort Rod PAD Radial Line L Aw
Length, REV. Re e LB Licsnred
Business Right-of-WayLS Land SurveyorTmporeryBenchmarkempMeeMeasuredTYRTOMTypicalNrO(N&
V) Ned and Disk11- Fence symbol (see drawing) N.R. Not Radial X-X- X-X- Fence symbol (seedrawing) Sketch of
Legal Description This is
Not a Survey Drawn by:
CM Checked by:
DP Prepared for.
Madamy Homes Job Number:
11.005-02 Scale: 1"
940' Plot f"
Ien Performed: 06 21-11Formbourd Survey:
Final Survey:
Revisions:
CEIVED
D JUL 5 2011 CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application Nd:` OA (.0 Documented Construction Value: S /& Wo IT
Job Address: (i I /LQUI [G!#g `Q/% Historic District: Yes No
Parcel ID: GOG Zoning:
Description of Work: 76wm it HE IN T.
Plan Review Contact Person: Dagi "y' _ QfiC.. _ Title:
Phone: U01"2.0 -6140 Fax: U01ADS-MI(o E-mail:&0hneC1dr1Cincia-Al•r%com
Property Owner Information
Name Wattawiq Udduuwilk)( Phone:
Street: Resident of property?
City, State Zip: Wi nfitr pa(I. F. 32189
Contractor Information
Name :i Phone: L01— 2S1 _Mo
street: 0 e
r
Fax: W1—(10M13b
RCity, State Zip: W,At - Pak . n7tci State License No.: Cqc is ZS00
Architect/Engineer Information
WILLIAK K '_L
IqE&KWI'F MUe
Bonding Company: MIA -
Address:
Building Permit
Square Footage: 2/4Z
No. of Dwelling Units:
Electrical O
New Service — No. of AMPS: Mo
Phone: U-7 681— A
Fax:
E-mail:
Mortgage Lender: &)A
Address:
PERMIT INFORMATION
Construction Type:
Flood Zone:
Mechanical O (Duct layout required for new systems)
IN
s 10 , /L
Contact: DAPHNE CLARK
407) 257-6940
daphneclarkinc@cfl.rr.com
No. of Stories: 2
Plumbing O
New Construction - No. of Fixtures:
Fire Sprinkler/Alarm O No. of heads: —
l
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no
work or installation has commenced prior to the issuance of a permit and that all work will be performed to
meet standards of all laws regulating construction in this jurisdiction. I understand that a separate permit
must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and
air conditioners, etc.
OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will
be done in compliance with all applicable laws regulating construction and zoning.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE
OF- COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB- SITE BEFORE THE
FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this
property that may be found in the public records of this county, and there may be additional permits required
from other governmental entities such as water management districts, state agencies, or federal agencies.
Acceptance of permit is verification that 1 will notify the owner of the property of the requirements of Florida
Lien Law, FS 713.
The City of Sanford requires payment of a plan review fee. A copy of the executed contract is required in order
to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the
plan review fee based on past permit activity levels. Should calculated charges exceed the documented
construction value when the executed contract is submitted, credit will be applied to your permit fees when the
permit is released.
4h,4w,-T &it4-4
Signat of Owner/Agent Date
G A/ r. 6-
PrIat OtmcdAgent'a ?Name /
vim
Signature of Noiarv-Stet Florida Date
64,W- 0.
Signaturf ofContmotor/Agent Date
a"a) lt(t A
PrinfContractor/Agent'a '
Signaturc of Notary -State of Florida Date
nr vac D. A CLARK
MY COMMISSION t EE 092141 so`;p P°4. D. A CLARK
EXPIRES: June 27.2015 MYCOMMISSION 0 EE092141
WMTh111BudgelNo" Sw*a m, EXPIRES: June 27, 2015
Fora '.,,d1 Banded Thtu Budget Notary Services
Oxvner/Agent is V/ Personally Known to Me or Contractor/Agent is Personally Knowii to Me or
Produced ID -NAPAP Type of lD IJA Produced ID " Typc of ID N. .
APPROVALS: ZONING: UTILITIES: -------JWASTE WATER:
ENGINEERING:
COMMENTS:
Rev 11.08
T
FIRE: BUILDING:
CEIVED
p• JUL 6 2011 CITY OF SANFORD
BUILDING & FIRE PREVENTIONEY. PERMIT APPLICATION
Application Nd:l — `' Documented Construction Value: $ /& goo o,
Job Address: (t ( Q P/d kdW, `ZOM, Historic District: Yes No
Parcel ID• kx // — Zoning:
Description of Work: T6M ROME UNIT
Plan Review Contact Person: bQ_qhV1iL_ Title:
Phone: W— 2-S-i—bg4D Fax:401- qDS -UNo E-mail:daohh¢cldrk ineiftFIM-Com
Property Owner Information
Name YktamQ (T&du(mj,1k) Paft&ipPhone:
Street: Resident of property?
City, State Zip: W%d tr Park. rL 32199
Contractor Information
Name 'IVlii Phone: 1401— 2S1 -6c( 4D
Street: 0 a C Fax: l p"1—qOs-S-13b
City, State Zip: LAMUT Pak R S27r-i State License No.: CqG is 250O
Architect/Engineer Information
WILLIAK R '_M
M%KU;TF ID14UF,
i ltl V :: 1
Bonding Company: MIA -
Address:
Building Permit
Square Footage: W42—
No. of Dwelling Units:
Electrical O
New Service — No. of AMPS: ISO
Phone: 601- bb — A 11
Fax:
E-mail:
Mortgage Lender: I, A
Address:
PERMIT INFORMATION
Construction Type
Flood Zone:
Mechanical 17 (Duct layout required for new systems)
Contact: DAPHNE CLARK
407) 257-6940
daphneclarkinc®cfl.rr.com
No. of Stories: 2
Plumbing O
New Construction - No. of Fixtures:
Fire Sprinkler/Alarm D No. of heads:
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no
work or installation has commenced prior to the issuance of a permit and that all work will be performed to
meet standards of all laws regulating construction in this jurisdiction. I understand that a separate permit
must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and
air conditioners, etc.
OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will
be done in compliance with all applicable laws regulating construction and zoning.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE
OF COMMENCEMENT MUST BE RECORDED AND -POSTED ON THE JOB SITE BEFORE THE
FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this
property that may be found in the public records of this county, and there may be additional permits required
from other governmental entities such as water management districts, state agencies, or federal agencies.
Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida
Lien Law, FS 713.
The City of Sanford requires payment of a plan review fee. A copy of the executed contract is required in order
to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the
plan review fee based on past permit activity levels. Should calculated charges exceed the documented
construction value when the executed contract is submitted, credit will be applied to your permit fees when the
permit is released.
4hAI P - 9tt-- - -4L4*171
Signs of Owncr/Agcm Date
4aM-J E14 1,)AAI
Pr nt Otmd/Agent's
1;9
Signature of Norery-Star Florida Date,
A;.°;'eta D. A. MARK
MY COMMISSION i EE 092141
r EXPIRES: June 27, 2015
Thru Budget NdM SW*OeatLBraided
O,%%mer/Agent is V/ Personally Known to Me or
Produced ID NAr Type of ID RA
APPROVALS: ZONMG:
COMMENTS:
Rev 11.08
Signatu of Contractor/Agent Date
1t r,J-iU
1'rin Contractor/Agent's '
Signature of Notary -State of Florida Date
D.A.CLARK
MY COMMISSION 0 EE 092141
EXPIRES: June 27, 2015
kdw Thm Budge) Now Services
Contractor/Agent is Personally Kno%vn to Me or
Produced ID AIA- Type of ID A #4 .
UTILITIES. ' / WASTE WATER:
ENGINEERING: FIRE: I:1i111171It1
LIMBED POWER Of ATTORNEY
DATE: 417
1 HEREBY NAME AND APPOINT: Daphne Clark, Gustav Botes
OF PERMITS PERMITS PERMITS INC
EACH AN AGENT OP MATTAMY HOMES
TO BE MY LAWFUL ATTORNEY IN FACT TO ACT FOR ME AND APPLY TO
BUILDING IDEPARTMENT:
FOR A PERMIT FOR WORK TO BE PERFORMED AT
LOT NUMBER:
SUBDIVISION:
ADDRESS:
AND TO SIGN MY NAME AND DO ALL THINGS THAT ARE NECESSARY
TO THIS APPOINTMENT.
GLENN PAIL TRICK KIRWAN
State of Florida, County ofOrange,
CGC 1512500
CONTRACTOR'S FL STATE LICENSE NUMBER.
The foregoing Iinstrument was acknowledged before me this 12— L t (--by Glenn Patrick Kirwan
Who is personally known to me, and did not take an oath.
Verification pursuant to SECTION 92.525, FLORIDA STATUTES.
ANNETTE HEMPHILL
PRINTED NAME OF NOTARY.
I %
TORE OF NOTARY:
issionIC DD868645
ANNETTE HEMPHILL
e Commission N DD 868645
y c My Commission Expires
L. March 11, 2013
Application No:l 1-
Job Address: (-,bo-'i L,
Parcel ID:
Description of
Plan Review C
Phone:
Name V I UX
Street: Lbn
City, State Zip
ork:
Person:
0
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Documented Construction Value: $ -7 0 7 O.O-D
lel Historic District: Yes No 0 Zoning:
Title:
Fax:
E-mail: Property
Owner Information Phone:
e
Resident of property? Contractor
Information Name
DEL -AIR HEAT _ Phone: `-t0 - 7— y 00 1531 COD
ISCO WAY Fqd7 - 333 - $ 5 Su. 3 Street:
NFOPI ,
Fax: 50 City, State
Zip.,
State License No.: CAr-032443 Name: Street: Architect/
Engineer
Information
Phone: Fax: City,
St,
Zip:
I E-mail: Bonding Company: Address:
Mortgage Lender:
Address:
PERMIT INFORMATION
Building
Periit Square
Footage: Construction
Type: No. of Dwelling
Units: Flood Zone: Electrical New Service -
I
No. of AMPS: Mechanical 13 (Duct
layout required for new systems) No. of Stories:
Plumbing New Construction -
No.
of Fixtures: Fire Sprinkler/Alarm
No. of heads: o5sy
4
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 c s #xethe documented
construction value when the executed contract is submitted, credit will be plied..t ynit fees when the
permit is released. 114,
Signature ofOwner/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:
UTILITIES:
FIRE:
Date
ROBERT- G. DELLO RUS50
Print Contractor/Agent's me ^)
bI1) 16, , -
Signature of Notary -State of Floes- Date
1
Y1i:N FAIRINDAC.TURNER
r. MY COMMISSION it EE 080798
0. EXPIRES: June 14, 2015
R do' Bonded Thru Notary Public Undemailers
Contractor/Agent is personally Known to Me or
Produced ID Type of ID
WASTE WATER:
BUILDING:
Rev 11.08
1407)333-
GD
wrf ro, .
OMW".
DEL -AIR 0,a,0).
mow,
AIR CONDITIONING • HEATING • REFRIGERATION, INC. vwwocc 2 6 6 5
Stato CertificIWM www.delair.com
531 Codisco WaySALESAGREEMENTSanford, Florida 32771
I
S;
4
ATTAMY HOMES
BUS. PHONE:
407-620-2500
ADDRESS PARK AVENUE SOUTH
RES. PHONE:
ADDRESSg DATE:
CITY UITE 220 TOWN OR CITY: 08/26/11
JOB NAMEWINTER PARK. FL 32789 REVISED
JOB LOCATION
PLAN:
i.och Lake Sales Model- plan & epee Loel Lalce Sales Model- plan & al
FOR COIELM13 CHI TRAL HEATING AND AIR CONDITIONING, ACCORDING TO OTIMS DUCT DESIGN AND BQtUME NT DRAWINGS.
I
EO[1IPl R
CONTROLS:
2 PROGRAMMABLE THERMOSTATS WILL BE PROVIDED.
WATTS AUX WATTS
ZONE I BRAND NAME TONS SEER HSPP AFUE HEATING HEATING BTU'S
1 HEATPUMP AirHnadler Cen iefr 3.3 10
ICondenser Cagier 3.S 14.00 8.00
2 HEATPUMP AirHondler Carrier 1.5 5
Condenser Carrier 1.5 14.50 8.00
DUCTING TO BE FIBERGLASS FLEX SYSTEM. SUPPLY AIR OUTLETS TO BE STAMPED METAL. DEL AIR TO
PROVIDE 1
i
SUPPLIES AND 5 RETURN(&).
TOTAL, CONTRACT INCLUDING TAX: $7,07&00
SPECIAL NOTES: ***PER PLAN & SPEC JOB; PRICING INCLUDES (1) DRYER VENT BOX, (2) METAL STANDS,
AND (2) PROGRAMMABLE THERMOSTATS.
OPTION PRICING TO ADD RANGE DUCTING, ADD $123.00 EACH.
THIS REVISED CONTRACT DUE TO CHANGES MADE TO TONNAGE AND SEER PER THE
BUILDER'S PLAN & SPEC LAYOUTS. •00
LOW VOLTAGE WIRE TO EQUIPMENT AND THERMOSTAT BY DELAIR
ELECTRICAL LINE VOLTAGE TO EQUIPMENT BY BUILDER.
PLATFORM TO SUPPORT FURNACE (OR AIR HANDLER) WITH MINIMUM 3/4 INCH PLYWOOD TOP, BY OTHERS.
CONCRETE PAD TO SUPPORT OUTSIDE UNIT, BY OTHERS.
UNDERGRQUND 4" CHASE FOR AIR CONDITIONING LINES, BY PLUMBER.
DEL -AIR TO PROVIDE LIQUID LINE SUCTION LINE CONDENSATE DRAIN LINE
BATH FANS AND DUCTING BY DELrAIR.
3 FANS WILL BE PROVIDED.
DRYER DUCTING THROUGH ROOF BY DEL -AIR.
RANGE HOOD DUCTING NOT INCLUDED. JENNAIRE DUCTING ABOVE GROUND NOT INCLUDED.
A50% DUE ON ROUGH -IN. BALANCE ON EQUIPMENT SET & TRIM OUT. NET 7 DAYSLL INVOICES BEYOND 7
DAYS WILL BE CHARGED 2% INTEREST PER MONTH.
WARRANTY:
INCLUDES ONE YEAR LABOR SERVICE BY DEL -AIR. PARTS &
COMPONENTS PER MANUFACTTURER'SLIMIEDWARRANTY. f%
wrir^wci J I
hereby accept the terms and conditions of this contract as set forth on the reverse side of this sheet and I do hereby order the installation of the above described equipment. DEL -
AIR HEATING, AIR CONDITIONING, REFRIGERATION, INC. By
MICHAEIJ STRADA BUYER'
S NAME MATTAMV
190MRA DATE
DATE
SIGNATURE. DUCTING
TO BE FIBERGLASS FLEX SYSTEM. SUPPLY AIR OUTLETS TO BE STAMPED METAL. DEL AIR TO PROVIDE
1 i
SUPPLIES
AND 5 RETURN(&). TOTAL,
CONTRACT INCLUDING TAX: $7,07&00 SPECIAL
NOTES: ***PER PLAN & SPEC JOB; PRICING INCLUDES (1) DRYER VENT BOX, (2) METAL STANDS, AND (
2) PROGRAMMABLE THERMOSTATS. OPTION
PRICING TO ADD RANGE DUCTING, ADD $123.00 EACH. THIS
REVISED CONTRACT DUE TO CHANGES MADE TO TONNAGE AND SEER PER THE BUILDER'
S PLAN & SPEC LAYOUTS. •00 LOW
VOLTAGE WIRE TO EQUIPMENT AND THERMOSTAT BY DELAIR ELECTRICAL
LINE VOLTAGE TO EQUIPMENT BY BUILDER. PLATFORM
TO SUPPORT FURNACE (OR AIR HANDLER) WITH MINIMUM 3/4 INCH PLYWOOD TOP, BY OTHERS. CONCRETE
PAD TO SUPPORT OUTSIDE UNIT, BY OTHERS. UNDERGRQUND
4" CHASE FOR AIR CONDITIONING LINES, BY PLUMBER. DEL -
AIR TO PROVIDE LIQUID LINE SUCTION LINE CONDENSATE DRAIN LINE BATH
FANS AND DUCTING BY DELrAIR. 3
FANS WILL BE PROVIDED. DRYER
DUCTING THROUGH ROOF BY DEL -AIR. RANGE
HOOD DUCTING NOT INCLUDED. JENNAIRE DUCTING ABOVE GROUND NOT INCLUDED. A
50% DUE ON ROUGH -IN. BALANCE ON EQUIPMENT SET & TRIM OUT. NET 7 DAYSLL INVOICES BEYOND 7 DAYS
WILL BE CHARGED 2% INTEREST PER MONTH. WARRANTY:
INCLUDES
ONE YEAR LABOR SERVICE BY DEL -AIR. PARTS & COMPONENTS
PER MANUFACTTURER'S LIMIEDWARRANTY. f%wrir^
wci J I hereby
accept the terms and conditions of this contract as set forth on the reverse side of this sheet and I do hereby order the installation of the above described equipment. DEL -AIR
HEATING, AIR CONDITIONING, REFRIGERATION, INC. By MICHAEIJ
STRADA BUYER'S
NAME MATTAMV 190MRA
DATE DATE
SIGNATURE.
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: 1 ( — 1 '9 2_& Documented Construction Value: $ `f , DOD
Job Address: 1 O2 ( %.aUV e- I O(0'•e Lk) Historic District: Yes No
A &6t 1 Zoning:
Description of Work: J4 !-4 ( h eA-) eol t'Ar, C_a ! I GO ctyu p _<e r//1--C.
Plan Review Contact Person: A:T D' Cc>PltylL_ r Title:
Phone: Un - 3 - a2CnCe_ Fax: L/D77- Sg S- /QQZ E-mail:
A _ f' _ r
Property Owner Information
Name IvI,A`tryyq fy UYk-QS - Phone: Street:
City,
State Zip: Resident
of property? : Contractor
Information Name '
be( Air 91 eoJr l ea t Phone: Street:
aloC2 f SC D ['C") a", Fax: City,
State Zip:yi-Or Q , L 32 %-7 State License No.: C 13D1 3-7/s Name:
Street:
City,
St, Zip: Bonding
Company: _ Address:
Building
Permit Square
Footage: No.
of Dwelling Units: Electrical __*__
Architect/
Engineer Information Phone:
Fax:
E-
mail: Mortgage
Lender: Address:
PERMIT
INFORMATION Construction
Type: Flood
Zone: New
Service - No. of AMPS: I SD Mechanical (
Duct layout required for new systems) No.
of Stories: Plumbing
New
Construction - No. of Fixtures: Fire
Sprinkler/Alarm No. of heads:
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no
work or installation has commenced prior to the issuance of a permit and that all work will be performed to
meet standards of all laws regulating construction in this jurisdiction. I understand that a separate permit
must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and
air conditioners, etc.
OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will
be done in compliance with all applicable laws regulating construction and zoning.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE
OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE
FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
NOTICE: In addition to the requirements of this pen -nit, 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 pen -nit activity levels. Should calculated charges exceed the documented
construction value when the executed contract is submitted, credit will be applied to your permit fees when the
pen -nit is released.
Signaturc of Owner/Agent
Pnnt Owner/Agent's Name
Date
signature of Notary -State of Flonda Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
SignatureofCont ctor/Agent Date
Jar,
Pnnt Conlnctor/Agent's N
Signature of Notary -Slate of FI rid Dale
iy •. PATRICIA GUZMAN
Commission # DD 923247
as Expires September 8. 2013Vf.::;;;,o•'' WftdTMuliWFan1W4anw800.3W7019
Contractor/Agent is Personally Known to Me or
Produced ID Type of ID
WASTE WATER:
BUILDING:
Rev 11.08
4
yD CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: I -) 8 a LP Documented Construction Value: $ 4401w
Job Address: a.lo-( V4 dot, Historic District: Yes No11)
Parcel ID:
Description of Work: 1 5
Plan Review Contact Person:
Phone:
Name m
Street: a D
City, State Zip: A trip r
Zoninr:
Property Owner Information
W- S Phon
Resident of property? : . j\(D
Contractor Information
Name 0Phone: 4O7 - LD L-) ) D - Street: '
O C%is fir-- Fax: -i .. City,
State Zip: W l 1 1-!',r' k , rL 3a729 State License No.: '(qi r/ Q— Architect/
Engineer Information Name:
Street:
City,
St, Zip: Bonding
Company: Address:
Building
Permit O Square
Footage: No.
of Dwelling Units: Electrical
New
Service - No. of AMPS: 1 5" Phone:
Fax:
E-
mail: Mortgage
Lender: Address:
PERMIT
INFORMATION Construction
Type: Flood
Zone: Mechanical
O (Duct layout required for new systems) No.
of Stories: Plumbing
O New
Construction - No. of Fixtures: Fire
Sprinkler/Alarm 0 No. of heads:
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no
work or installation has commenced prior to the issuance of a permit and that all work will be performed to
meet standards of all laws regulating construction in this jurisdiction. I understand that a separate permit
must be secured. for electrical. work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and
air conditioners, etc.
OWNER'S AFFIDAVIT: 1 certify that all of the foregoing information is accurate and that all work will
be done in compliance with all applicable laws regulating construction and zoning.
WARM G TO OWNER: YOUR FAILURE TO RECORD A i`iOTICE 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 ofthe property ofthe 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 Qwncr/Agent
Print Owner/Agent's Name
Date
Signature of Nulary-Slate of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
APPROVALS: ZONING:
COMMENTS:
Rev 11.08
UTILITIES:
7
Date
tmotor/Agent's Name
17 ct, s,
Signature of
Nm9f] c State of FloridaemusionD09047277/2013
Contractor/Agent is X Personally Known to Me or
Produced ID Type of ID
WASTE WATER --
ENGINEERING: FIRE: BUILDING:
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: 7i—;bj -
I hereby name and appoint: S-LQ Lo— fl LI
an agent
to be my lawful attorney -in -fact to act for me to apply for, receipt for, sign for and do all things
necessary to this appointment for (check only one option):
All permits and applications submitted by this contractor.
The specific penpit and located at:
Addrem)
Expiration Date for This Limited Power of Attorney`\
License Holder Name:1 cna) d 6. T'1'C_ y a d
State License Numbe
W.-i--at- 1 of License
STATE OF A
cob -IN] OF
The foregoing 14rurnent was aclmoI dged befor¢¢ me this day of C
by a . 1 it y Qtr C7 who is ? personal nown to
me or ? who has produced as identification
and who did (did not) take an oath. Notary
Seal) Syr •
WON Punk State of nofwa pame
a S Temua 4 * MY Commission OD904727 o
Expires
Oa 07f2073 Rev.
327/07) Signature
Q V, Jlk nX'L'D M-
rJ rxs --kf nvs Print or
type name Notary Public-
State of Porlaa- Commission No.
My Commission
Expires:
RECEIVES-
JUL 25 2011
I. BY' NFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: ( " g O Documented Construction Value: $
Job Address: [b1 l R.lpok L-N - Historic District: Yes No IDI
Parcel ID: LOT I( Zoning:
Description of Work: N'"y 1''" 15tJl0
Plan Review Contact Person: Title:
Phone: Fax: E-mail:
Property Owner Information
NamekguE< Phone: Street:
4*0 PA-,(' .4 tl , s • Resident of propertyI : V40 City,
State Zip: Contractor
Information Name
ga'("Lf 1z r t o c - Phone: 'f 01 9) oy7 Street:
71( 0(b (Afg I)?-- Fax: 40-1 $01 3Uco, City,
State Zip: b `^ °'r (
f L . State License No.: Name:
Street:
City,
St, Zip: Bonding
Company: Address:
Building
Permit Ei Square
Footage: No.
of Dwelling Units: Electrical
O New
Service - No. of AMPS: Architect/
Engineer Information Phone:
Fax:
E-
mail: Mortgage
Lender: Address:
PERMIT
INFORMATION Construction
Type: No. of Stories: Z Flood
Zone: Plumbing
19( Mechanical
13 (Duct layout required for new systems) New
Construction - No. of Fixtures: too Fire
Sprinkler/Alarm 13 No. of heads:
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no
work or installation has commenced prior to the issuance of a permit and that all work will be performed to
meet standards of all laws regulating construction in this jurisdiction. I understand that a separate permit
must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, 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 ofthe 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 ofOwner/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:
UTILITIES:
FIRE:
gnature of Contractor/Agent Date
Print Contractor/Agent's
7,r 07-1 7k1 -- -tf, S
Signature ofNotary- of Florida Date
Personally Kn wn to Me or
e of ID F
rip. WATER:
RPv 11 OR
REQUEST FOR PRE -POWER
Altamonte Springs, Casselberry, Lake Mary, Longwood, Oviedo, Sanford, Seminole
County, Winter Springs
Date: iO i 2- 2o 1
Project Name:_ L.00-% L0-k-0— Project Address:_ l0Z1 Low elm d,e LQAA—
Building Permit #: i L— I e ,C_,( %) Electrical Permit # 1 l 1 9 Z (D
In consideration for authorizing the appropriate utility company to energize the facility, we agree with and
understand the following:
1. The facility will not be occupied until a certificate of occupancy has been issued.
2. If the jurisdiction hereafter finds that the facility has been occupied before a certificate of occupancy has
been issued, the jurisdiction will have the unilateral right to direct the utility to terminate electrical service
without notice. Furthermore, we understand and agree that should the jurisdiction exercise such right, the
jurisdiction will not be responsible for any damages or costs which may result from the exercise of such
right Also, in the event any third party claims damages from the exercise of such right, we agree to jointly
and individually indemnify and hold harmless the jurisdiction from all such damages and costs, including
attorney's fees.
3. The building or structure shall be weather tight and secure. The electrical wiring in the area designated for
pre -power shall be complete and in safe order. All electrical services associated with the area will be 100%
complete unless specifically approved by the electrical inspector.
4. Interior electrical rooms shall be lockable, if electrical panels are in an area that cannot be locked by doors,
the panels shall be equipped with a locking mechanism (approved by the AHJ). The licensed electrical
contractor or his licensed representative shall hold the keys(s) for such access to electrical panels to prevent
energizing circuits other than those that are safe.
5. If provided, the fire sprinkler system must be operational, per the local AHJ requirements, with water on
the system prior to pre -power.
6. This pre -power approval is valid for a maximum of 180 days from date of approval.
7. Check with the local jurisdiction for fees associated with pre -power.
C*jy, P-,IA-yirN IC.1rWa r. jc k birpw&'-
Print lAme of n r/Tenant NOrux-Print ame of Gen. Contractor Print Name of El. Contractor
S1ature of er ant I a re of en. tractor Signature o I. o tractor Q2
150600 tZ(11300311 15 Gen.
Contractor License # El. Contractor License # JURISDICTION
EMPLOYEE NAME: JURISDICTION:
CALLED
INTO: ? Progress Energy ? Florida Power and Light on / / Rev.
3/27/07)
Herx & Associates Inc.
769 Douglas Avenue
Altamonte Springs, Florida 32714
407.788.8808 - 407.788.8762 (fax)
October 24, 2011
City of Sanford Building Division
P.O. Box 1788
Sanford, Florida 32772-1788
RE: Lot 11 Reserve at Loch Lake, 1021 Laurel Ridge Lane
To Whom It May Concern,
The finished floor elevation of the structure located at:
1021 Laurel Ridge Lane, Sanford, Florida
Legal Description:
Lot 11, 'Reserve at Loch Lake", according to the Plat thereof, as recorded in Plat
Book 76 at pages 27 through 33 Public Records of Seminole County, Florida.
Meets or exceeds the requirements set forth in the City of Sanford Code Chapter 18,
Section 18-4(a). r\
Sincerely Yours,
Ilerx Associates I
a&CA
Darae L. Przemienif
Associate Vice Pres
DLP/bb
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
1021 Laurel Ridge Lane
City Sanford State FI ZIP Code 32773 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 Item C2e refers to Air Conditioner slab elevation.
Flood Zone is based upon Federal Em cy ManagemerkAgency Letter of Map Revision Based on Fill. Case No.: 1 1-04-5767A, Dated 09-27-11
Herx & Associates, Inc. assumes no resftpsiDW4y for actual ftgoding conditions.
Date 10-24-11
Check here if attachments
SECTION E - BUILDING ELEVAIVN IKORMATION (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.
El. 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 Stale 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 infonnation (Items G4-G9) is provided for community floodplain management purposes.
G4. Permit Number I G5. Date Permit Issued I G6. Date Certificate Of Compliance/Occupancy Issued
G7. This permit has been issued for: New Construction Substantial Improvement
G8. Elevation of as -built lowest floor (including basement) of the building: feet meters (PR) Datum
G9. BFE or (in Zone AO) depth of flooding at the building site, feet meters (PR) Datum
G10. Community's design flood elevation feet meters (PR) Datum
Local Official's Name Title
Community Name Telephone
Signature Date
Comments
Check here if attachments
FEMA Form 81-31, Mar 09 Replaces all previous editions
U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008
Federal Emergency Management Agency I Expires March' 31, 201'1
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- Mattamy Homes Policy Number i
A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company NAIC Number i
1021 Laurel Ridge Lane
City Sanford State FI ZIP Code 32773
A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
Lot 11, Reserve at Loch Lake, Plat Book 76 Pages 27-33 Seminole County, Florida
A4. Building Use (e.g, Residential, Non -Residential, Addition, Accessory, etc.) Residential
A5. Latitude/Longitude• Lat. 28'45'44.3" Long.-81'18'9.9" Horizontal Datum. NAD 1927 ® NAD 1983
A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance.
A7. Building Diagram Number 1A
A8. For a building with a crawlspace or enclosure(s), A9. For a building with an attached garage:
a) Square footage of crawlspace or enclosure(s) NA sq ft a) Square footage of attached garage 352 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 NA within 1.0 foot above adjacent grade NA
c) Total net area of flood openings in A8 b NA sq in c) Total net area of flood openings in A9.b NA sq in
d) Engineered flood openings? Yes ® No d) Engineered flood openings? Yes ® No
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP Community Name 8 Community Number B2. County Name B3. State
City of Sanford 8 120294 Seminole County FI
B4 Map/Panel Number B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) (Zone
12117CO070 F Date Effective/Revised Date Zone(s) AO, use base flood depth)
9/28/2007 9/28/2007 X N/A
1310. 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) N/A
B11. Indicate elevation datum used for BFE in Item B9: NGVD 1929 NAVD 1988 Other (Describe) N/A
B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? Yes ® No
Designation Date 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, VI-V30, V (with BFE), AR, AR/A, AR/AE, AR/A1-A30, AR/AH, AR/AO. Complete Items C2.a-h
below according to the building diagram specified in Item A7. Use the same datum as the BFE.
Benchmark Utilized Seminole County BM 4141601Vertical Datum NAVD 88
Conversion/Comments.
Check the measurement used
a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 47.0 feet meters (Puerto Rico only)
b) Top of the next higher floor 57.7 feet meters (Puerto Rico only)
c) Bottom of the lowest horizontal structural member (V Zones only) N/A. feet meters (Puerto Rico only)
d) Attached garage (top of slab) 46.7 feet meters (Puerto Rico only)
e) Lowest elevation of machinery or equipment servicing the budding 46.6 feet meters (Puerto Rico only)
Describe type of equipment and location in Comments)
f) Lowest adjacent (finished) grade next to building (LAG) 46 feet meters (Puerto Rico only)
g) Highest adjacent (finished) grade next to building (HAG) 46.6 feet meters (Puerto Rico only)
h) Lowest adjacent grade at lowest elevation of deck or stairs, including N/A. feet meters (Puerto Rico only)
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation
information. I certify that the information on this Certificate represents my best efforts to interpret the data available
I understand that any false statement may be punishable by fine or imprisonment under 18 U. S. Code, Section 1001.
Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a
licensed land surveyor? ® Yes No
Certifier's Name Darae L. Przemieniecki License Number PSM 6030
rveyor
Altamonte Springs State FI ZIP Code 32714
Signature J__ , 0,,, r- - • V_ Date 10-24-11 Telephone 407
EMA Form 81-31, Mar 09 \ \ See reverse side for continuation. 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
1021 Laurel Ridge Lane
City Sanford State FI ZIP Code 32773 Company NAIC Number
If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two building photographs below according to
the instructions for Item A6. Identify all photographs with: date taken; "Front View" and "Rear View", and, if required, "Right
Side View" and "Left Side View." If submitting more photographs than will fit on this page, use the Continuation Page on the
reverse.
Front View
Building Photographs
Continuation Page
For Insurance Company Use:
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number
1021 Laurel Ridge Lane
City Sanford State FI ZIP Code 32773 Company NAIC Number
If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all
photographs with: date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View."
41,
Rear View
Serx * a4mociates Inc.
Land Surveyors
769 Douglas Avenue, Altamonte Springs, Florida. 32714 (407)788-8808
Member of the Florida Surveying and Mapping Society and American Congress on Surveying and Mapping
CURVE TABLE
CURVE I LENGTH I RADIUS Delta
ctl K351 76.00 10'49'fr
Map of Survey
LINE TABLE
LINE LENGTH BEARING
L 1 21.79 N001/337
L2 16.82 N46 OMT
L3 20.00 S46OOWW
L4 20.00 N46O010./S
L5 20.00 S46VOW W
LB 20.00 N46 0owv
L71 3f.00 1 N46VOWT
L8 904 S35'fa48w
L9 7.55 S46vow1w
00 20.00 1 S4600ww
LINE TABLE
LINE LENGTH BEARING
L1 f 20.00 N46 00WS
L12 20.00 S46vow1w
L13 20.00 N46O0173S
L14 32.14 N46 00035
L15 95.00 AW :i93794'
061 9500 N43 S937W
L E 95.00 S43 5837E
L18 95.00 M3'539
09 9500 N433937w
Tract
1
1
Lot 17
Transformer L2
Multipurpose Easement
L3 L4 o L5 L6 L7
oa T r .10, bra. bra: 'FYI o bra O
ra. .
I'
i
f a
ro T 6 Unit uilding b
CO C7
VE 3 WZREV.. 0*3RW.. LMr VM'5EREY.L
FhfaMOORtoW
ENveEbc .O q
y
J
Ci
J V wLa o^i I Lot 16 Lot 15 Lot 14 Lot 13 sLot 12 Lot 1; Tract AIWIe.s :
r
Multipurpose Easement
to
I for id fd f. ' 66.0t
vi
u 0
N
Z Trenslamer
H c1 -
129.14- S±L1
N 48'00W Pry
CIL Laurel Ridge Lane (24' R/W)
Tract A
Multipurpose Easement
LEGAL DESCRIPTION
Lots 11, 12, 13, 14, 15, 16, "Reserve at Loch Lake"
according to the plat thereofes recorded In plat book 76 at pages) 27-M of the
public reowds of Seminole County, Fiodda.
FLOOD HAZARD DATA: The parcel shown hereon lies wilhin flood zone r
according to the Federal Emergency Management Agency Lefler ofMap Revision
Based on Fill, CaseNo.:11-04-5767A, DatedSeptember27,201f. BEARING BASE. Bearings shown hereon are referenced to the Southerly
Community Map panel number 120294 007OF. plat boundary ofReserve atLochLake as being S89.182rE.
There has been no fled surveying pedLvrned by this firm to determine this flood
zone. Herr 6 Associates, Inc assumes no responsibility for actual flooding Vertical datum shown hereon is based upon Seminole County
conditions. The lender ('deny) makes Me Anal determina0on as to the requirement Benchmark 4141601(Elevetion 47.984) NA VD 88.
ofFlood Insurance or not
General Notes:
1. This is BOUNDARY Survey in field Legendaperformedtheon
2. No aerial, surface or subsurface utility installations, underground improvements or Temporary Benchmark D R B. OfiD/S Oftet
Records Booksubsurfacelsertalencroachments, N any, were located. assumed detum) Pe Plotaf Boook
3. Building ties shown are to the exterior unfinished foundation surface or formboard. bow Back ofsidewalk PC Point of Curvature
4. Elevations shown hereon, it any, are assumed and were obtained from approved c1t confB'one PCC Point of Compound Curvature
Construction plans provided by the Client unless otherwise noted, and are shown J Central or (Delta) Angle Permanent Control Point
only to depict the proposed or actual difference in elevation relative to the assumed
CALC
Ce _
CalculatedP.C.P.
Chord Bearing PG. Page
temporary Benchmark shown hereon. - CD Chord
P R M Permanent Reference Monument
5. The parcel shown hereon is subject to all easements, reservations, restrictions, and C.M. Concrete Monument PA
P o B
Properly Line
FeintofBeginningRights -of -way of record whether deplcietl or not on this document. No search of the EL. or ELEV Elevation (Proposed) P.O. C Pointof Commencement
Public Records has been made by this office. FINAL EL Elevation (Measured) P.I. Point of lntersecb"
6. The legal description shown hereon is as furnished by client. FO
Fin.Fl. Elev.
Found
Finished Floor Elevation PRC. Point ofReverse Curvature
7. Platted and measured distances and directions are the same unless otherwise noted. I.P. ken Pipe PT Point of Tdn9e^c7
8. Copies of this Survey may be made for the original transaction only. IR. Imn Rod R Radius
Denotes X' iron rod with plastic cap marked L84937, or X' iron rod with 1. Arc Length RAD
RES.
Reside Una
Residence
red plastic cap marked 'Witness Comer, unless otherwise noted. LS Licensed Business R/W Right -of -Way
O Denotes P.C.P. (Permanent control point) LS Land Surveyor TBM TemporarySendrmark
Denotes Permanent Reference Monument Mee Measured TYR Typical
2011 Hent d Associates Inc. All rights reserved9
NID(N&D)
N.R.
Ned end Disk
Not Radial
r Fence symbol (seedrawing)
X-X- Fence symbol (see drawing)
corimcauon: Not valid without the ftneturo en hs origin I ed see/ Drawn by: CMbrfdslicensedSurveyorrCheckedby: DPThissumeetstherequire9brideMinumTnr
Standards contained in Cho er f F inrstrative Prepared for. Matiamy Homes
Job Number 11-005-02
Scale: 1"a 40'
Plot Plan Performed: 0& 21-11
William A. Herz, P.L.5 Fends Rapist Lend rveyor No 3182 Rev. Building Position: 07-21-1It
Derse L Pltemrenreclrr, P S M Reprste Surve nd Mapper No. 6030 FOrn 608M Survey.- 07,?5-11
Herr 8 Associates Inc, State ofFonda LB 7 Foundation Survey: 08-03-11
d • Z-- . I I Final Survey: 10-20-11
STOCKING AND TRAINING PERMIT APPLICATION
INDEMNITY AND HOLD HARMLESS AGREEMENT
Altamonte Springs, Casselberry, Longwood, Oviedo, Sanford,
Seminole County, Winter Springs
BUILDING PERMIT NUMBER: 1I" IFi
PROJECT NAME:-CJe/'v e- a i fpC-A le Ae.
PROJECT ADDRESS:
AP Plumbing Inspector App
y Mechanical Inspector Al
R Electrical Inspector App.
0
Fire Inspector Approval:
Tg Building Inspector Appr,
In consideration for the Stocking Permit fee, the JURISDICTION and the OWNER, CONTRACTOR and TENANT listed below agree to the following:
I. The OWNER, CONTRACTOR and TENANT agree to indemnify and hold the JURISDICTION free and harmless from any and all claims, causes of action, damages,
bodily injury(including death), losses, penalties or costs, including, but not limited to, all attorneys fees (whether from litigation or administrative proceeding, including
cost and fees on appeal), with respect to any person or government authority arising our of, either directly or indirectly, the construction, operation, training or stocking at
the premises covered by the above listed Building Permit number, whether the liability, loss or damage is caused by, or arises out of, the negligence of the
JURISDICTION or of its officers, agents, employees, or otherwise.
2. Ifthe JURISDICTION shall be subject to any claim, demand or penalty or become a party to any suit or other judicial or administrative proceeding by reason of any
claimed act or omission by any party, or by reason ofany act occurring on the subject premises, or by reason ofany omission with respect to the construction or operation
on the subject premises, the OWNER, CONTRACTOR and TENANT shall indemnify and hold the JURISDICTION harmless against all judgments, settlements,
penalties, and expenses, including attorney's fees, court costs and other expenses of litigation or an administrative proceeding, incurred by or imposed on the
JURISDICTION in connection with the investigation of defense relating to such claim or litigation or administrative proceeding, and at the election of the
JURISDICTION, the OWNER, CONTRACTOR or TENANT shall also defend the JURISDICTOON.
3. It is understood and hereby acknowledged between the parties hereto that the JURISDICTION shall not be liable for any act, debt, or other obligation to the OWNER,
CONTRACTOR or TENANT.
4. It is understood and hereby acknowledged between the parties hereto that this permit is for stocking and training ofemployees only for the structure or space covered by
the above listed permit number. This permit does not allow any occupancy of the structure for purposes beyond stocking, training of employees or completion of
outstanding construction work authorized by this or another permit. It is understood the structure or space shall not be occupied by the public until a Certificate of
Occupancy has been issued by the JURISIDCTION.
5. This INDEMNITY AND HOLD HARMLESS AGREEMENT will terminate upon the issuance of a Certificate of Occupancy for property covered by the above listed
permit number. However, thi agreement shall remain in effect for all events occurring prior to the issuance of the Certificate of Occupancy.
wilding Owner Signature and Date Printed Owner Name
Contracto$iRrAtuureand Date Printed Contractor Name
Tenant Owner Signature and Date Printed Tenant Name
JURISDICTION APPROVED:
Signature and Date
Rev. 4/20/07)
L-0—
I — (g Z- (.p
Application No:
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Documented Construction Value: $ R, 5 I -7 .0p
Job Address• • a C. Ll
Parcel ID: u-ao _,' rJ ° ' ("I+" (%0
Description of Work: 9
Historic District: Yes No,K
Zoning:
1-1V119
Plan Review Contact Person: D es VjG? fSDYI v Title: OWr PJt
Phone: aZ-b7'3' /b Fax: a(-`''29g7 E-mail.
Property Owner Information ' (
p
Name )M OY vt Phone:
tL1O-7 -5 -1QqI - q 7 O
Street:1-1m S. ar , Ave *rrzZC> Resident of property?:'
City, State Zip: W%f\- X-?rlf ri1l32173 Contractor
Information Name
SC sw n Phone: 350-1 - `PbaG/-zz ` ` A"d Street: R rJ
VA e., of r'-O e_ Fax: - L1,33 -:2q341 City, State Zip:
ay laNl? State License No.: a Name: Street:
City,
St,
Zip:
Bonding Company: Address:
Building Permit
Architect/
Engineer Information
Phone: Fax: E-
mail:
Mortgage
Lender: Address:
PERMIT INFORMATION
Square
Footage: Construction
Type: ;s' i ' 1n No. of Stories: No. of Dwelling
Units: Flood Zone: Electrical New Service -
No.
of AMPS: Plumbing..-6o" New
Construction - No.
of Fixtures: Mechanical 0 (Duct
layout required for new systems) Fire Sprinkler/Alarm 0 No. of heads:
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no
work or installation has commenced prior to the issuance of a permit and that all work will be performed to
meet standards of all laws regulating construction in this jurisdiction. I understand that a separate permit
must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, beaters, tanks, and
air conditioners, etc.
OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will
be done in compliance with all applicable laws regulating construction and zoning.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE
OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE
FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this
property that may be found in the public records of this county, and there may be additional permits required
from other governmental entities such as water management districts, state agencies, or federal agencies.
Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida
Lien Law, FS 713.
The City of Sanford requires payment of a plan review'fee. A copy of the executed contract is required in order
to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the
plan review fee based on past permit activity levels. Should calculated charges exceed the documented
construction value when the executed contract is submitted, credit will be applied to your permit fees when the
permit is released.
Signature of owner/Agent
Print Owner/Agent's Name
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
APPROVALS: ZONING:
1140"M:t"11, mop
COMMENTS:
UTILITIES:
FIRE:
7ture of Contractor/Agent Date
1S mes M . k-)ociSCX)
Prin Contractor/Agent's Name
I—YT4,-) On A1
of Florid OMBERLY A. PHIWPSs
MY COMMISSION f EE 077469
r EXPIRES: April 4, 2015
Bonded Thm Notary Pu* Wennitm
Contractor/Agent is / Personally Known to Me or
Produced ID Type of ID
WASTE WATER:
BUILDING:
Rev 11.08
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18 2-
COUNTY OF SEMINOLE
IMPACT FEE STATEMENT
STATEMENT NUMBER: 11100002 DATE: July 19, 2011
BUILDING APPLICATION #: 11-10000273
BUILDING PERMIT NUMBER: 11-10000273
14 d-
UNIT ADDRESS: LAUREL RIDGE IN 1021 10-20-30-513-OA00-0000
TRAFFIC ZONE:022 JURISDICTION:
SEC: TWP: RNG: SUF: PARCEL:
SUBDIVISION: TRACT:
PLAT BOOK: PLAT BOOK PAGE: BLOCK: LOT:
OWNER NAME:
ADDRESS:
APPLICANT NAME: MATTAMY HOMES ORLANDO
ADDRESS: 400 PARK AVE SOUTH, STE 220 WINTER PARK FL 32789
LAND USE: TOWNHOME BLDG 3 MODEL
TYPE USE:
WORK DESCRIPTION: CITY-SANFORD
SPECIAL NOTES: 1021 LAUREL RIDGE LN/LOT ll/BLDG 3 MODEL
LOCH LAKE FORMERLY KkSERVE 0 SANFORD
FEE BENEFIT RATE UNIT CALC UNIT TOTAL DUE
TYPE DIST SCHED RATE UNITS TYPE
ROADS-ARTERIALS CO -WIDE ORD
Condominium* 379.00 1.000 dwl unit 379.00
ROADS -COLLECTORS N/A
Condominium*.00 1.000 dwl unit 00
FIN/A 00
LIBRARY
CO -WIDE ORD Condominium*
54.00 1.000 dwl unit 54.00 SCHOOL$
CO -WIDE ORD 2,
450.00 1.000 dwl unit 2,450.00 PARKS
N/A 00
LAW
ENFORCE N/A 00 DRAINAGE
N/A 00
AMOUNT
DUE 2,883.00 STATEMENT
RECEIVED
BY: J SIGNATURE: E
PRINT NAME) Z' DATE: NOTE
TO RECEIVING SIGNATORY/APPLICANT: FAILURE OTIFY 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**
IACNTITHFEIARRND/
DUE THE SEMNOLEOUNTYROADIR/
RESCUELIBRARY AND/OR EDUCATIONAL NjL ISSUANCEOF
A BUILDING PERRMMIT. PERSONS ARE
ALSO ADVISED THAT ANY RIGHTS OF THE APPLICANT OR OWNER, TO APPEAL
THE CALCULATION OF ANY OF THE ABOVE MENTIONED I(4PACT FEES MUST BE
EXERCISED BY FILING A WRITTEN REQUEST WITHIN 45 CALENDAR DAYS OF
THE RECEIVING SIGNATURE DATE ABOVE BUT NOT LATER THAN CERTIFICATE OF
OCCUPANCY OR OCCUPANCY. THS REQUEST FOR REVIEW MUST MEET
THE REQUIREMENTS OF THE COUNTY LAND DEVELOPMENT CODE. COPIES OF
RULES GOVERNING APPEALS MAY BE PICKED UP OR REQUESTED, FROM THE
PLAN IMPLEMENTATION OFFICE: 1101 EAST FIRST STREET, SANFORD FL,
32771; 407-665-7356. PAYMENT SHOULD
BE MADE TO: SEMINOLE COUNTY OR CITY OF SANFORD BUILDING DEPARTMENT
1101 EAST
FIRST STREET SANFORD, FL
32771 PAYMENT SHOULD
BE BY CHECK OR MONEY ORDER AND SHOULD REFERENCE THE COUNTYBUILDINGPERMITNUMBERATTHE170PLEFTOFTHISSTATEMENT. 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.
I IIII IIIII1111111No1111IlitIIn1111111III1111111III1IIII
Parcel ID Number: 1 Q --Z0— 30-6--00(30 —011 0
Prepared By Daphne Clark
and Mattamy HomesGReturnTo: 400 Park Avenue South # 220
Winter Park, FL 32789
NOTICE OF COMMENCEMENT.
State of Florida.
County of Seminole.
MttARYANNE KORSE, CLERK OF CIRCUIT COURT
SEMINOLE CMINTY
BK W603 Rg 0359; tlpg)
CLERKI S ll 201 107E-1 53
RECORDED 07/19/011 01;04:02 PH
RECORDING FEES 10.00
RECORDED BY J Eckenioth(all)
The undersigned hereby gives notice that improvements 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.
I Description of Property: LOT 11
Legal Description: RESERVE AT LOCH LAKE, according to the plat thereof,
as recorded in Plat Book _, Page , of the public records of
Seminole County, Florida.
Address : 10 21 Laurel Ridge Lane, Sanford, FL
2. General description of improvements NEW TOWN HOME UNIT
3. Owner information : Name Mallamy ( Jacksonville) Partnership
Address 400 Park Avenue South, # 220, Winter Park, FL 32789
4. Fee Simple Title Holder: N.A.
5. Contractor name and address: Name Mattamy Homes.
Address 400 Park Avenue South, # 220, Winter Park, FL 32789.
Surety : N.A.
7. Lender: N.A.
8. Persons within the State of Florida designated by the Owner upon whom notices or other documents may
be served as provides by 713.13(1)(a)7., Florida Statutes: N.A.
9. In addition to himself, Owner designates the following to receive a copy of the Licnors Nolicc as provided
in 713.13(1)(b), Florida Statutes. N.A.
10. Expiration date of notice of commencement: One year from the date of recording.
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 IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTENT TO OBTAIN FINANCING, CONSULT
YOUR LENDER OT ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
1. Date Si red : i Y ' 1 Si nature of Owner's Agent: 1, g
GI• m P Kirwan
VP Constriction Mattamy Homes
Sworn to and subscribed before me this by Glenn P Kirwan who is personally known to mc.
Notary Public ` ;e, 0.I.MW
Daphne A CI:uI: t * MY COMMISSION I EE 092141
My commission expires: 6/27/2015 1 0EXPIRES: June 27, 2015 Serial
No. CC850099 Notary Signature: Notary BMW AmBU* tomnSWAM AND -
Verification
pursuant to Secti n 92.525, Florida Statutes. Under penalties of perjury, I declaredliatllttlhav ea theforegoinglidthatthefactscitedinitaretruetothebestofmyknowledgeandbeliefIVIAM
IrNNIE MORSECLERK
OF
CIRCUIT COURT Signs ire
of person signing in 11. above. SEMINOLE COUNTY. FLORIDA 0 _ DEPUTY
CLERK
UL 19
2011