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1056 Laurel Ridge Ln 11-1984r b IL o1 0t"C-- CITY OF SANFORD BUILDING & FIRE PREVENTION P RMIT APPLICATION Documented Construction Value: Job Address: 10 S to WOTUO la— p.ilbQ_,-[ 1 JUL G 5 .01' Application No: l / - / 9 Parcel ID: Description of Work: Historic District: Yes No Zoning: Plan Review Contact Person: UQpY1nlZ %.ob — Title: Phone: U01— Z•SI-14(0 Fax:401- QOS'S73(0 E-maildoonaddrk incf c l•nf.cowl Property Owner Information Name rAattamu11Phone: Street: Resident of property? City, State Zip: WKWI PAGE f. -32,199 Contractor Information Name ' 1f Phone: (Arj*l" 271 _0 41) Street-, 0 Q Fax: !Aul—QOS- S'13b City, State Zip: Wl1At.- Oak R. 3'2799 State License No.: CGG ISl ZS00 Architect/ Engineer Information i 14 '_M k) E&KWI'f MUE Phone: 601 " 68l — A 11 Fax: E- mail: Bonding Company: MIA- Mortgage Lender: 131h Address: o2 29 t? ' nS d 6 = // / 7,,& 9 y ?Address: PERMIT INFORMATION Building Permit Square Footage: IZItC No. of Dwelling Units: Construction Type: Flood Zone: Electrical O New Service— No. of AMPS: ISO Mechanical 0 (Duct layout required for new systems) 3V3 a No. of Stories: 2 Plumbing O New Construction - No. of Fixtures: Fire Sprinkler/Alarm D No. of heads: 4 4 L).5' i 11W 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. M 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 ofpermit 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. Signatu of Owner/Agent Date l/ 4 wv- L't; Pnnt Owner/Agent's N f LL Signature of No of Florida Date D. A CLARK MYCOMMISSION I EE 092141 EXPIRES: June 27, 2015 7PersonallyOwner/Agent is Known to Me or Produced ID Ajk Type of ID RA APPROVALS: ZONING: ENGINEERING. COMMENTS: a, Signfum of Contractor/Agent Date Prin Contractor/Agent's Signature ofNotary -State of Florida Datr/-// D. A CLARK s * MY COMMISSION I EE0921d, EXPIRES: June 27, 2015 Contractor/Agen°i V4^10'rTWown to Me or Produced ID "A- Type of ID AJ4 . UTILITIES: WASTE WATER: Rev 11.08 JUL 6 t011 CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION ` Application No: / _ / / Documented Construction Value: $ I.j7/god 00 Job Address: 10 S to WATe ja= P-104 ( 'i•U Historic District: Yes No Parcel ID: Zoning: Description of Work: 76M ftKE WAIT UMt 7 Plan Review Contact Person: baphhfZ clads. Title: Phone: I.IC i— Z q Fax:1.40 1— i0s'Si3c E-mail:da!•rr.com Property Owner Information Name Q mu (T&WUM110 Nitta 0 Phone: Street: Resident of property? City, State Zip: PC& FL 32199 Contractor Information Name 14 Phone: 461— 2SI _0 4D Street: OWL 1Ae Fax: !401—cla- S'13b City, State Zip: WUTAT.(' Dal k. Rr .. 327Aq State License No.: CGG 151 ZS00 Architect/Engineer Information Name: W ILLI AK R MkM Phone: 0-1 Bonding Company: MIA- Address: Fax: E- mail: Mortgage Lender: &) A Address: PERMIT INFORMATION Building Permit Square Footage: No. of Dwelling Units: Electrical 0 New Service — No. of AMPS: IM Construction Type: No. of Stories: 2 Flood Zone: Mechanical 0 ( Duct layout required for new systems) Plumbing O New Construction - No. of Fixtures: Fire Sprinkler/ Alarm O No. of heads: _ Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, 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. M 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. Signatut ofOwner/Agent Date l/ NPrrnWt Owner/Agent's No Signature of No of FloridaDate 6 / s°;: 0. • D. A CLAW MY COMMISSION 0 EE 092141EXPIRES: June 27, 2015 Personally BMW Ild NOSY Sew% Owner/ Agent is Known to Me or Produced ID - 4j*6r Type of ID NA APPROVALS: ZONING: UTILITIES. ENGINEERING: COMMENTS: FIRE: Sign re of Contractor/Agent Date Prin Contraotor/Agent's a Signature of Notary -State of FloridaDa D. A CLARK MY COMMISSION I EE0921a EXPIRES: June 27, 201; Contractor/Age>i4`is W ri wn to Me or Produced ID AIA- Type of ID AJ4 . WASTE WATER: BUILDING: Rev 11.08 DEVELOPMENT FEE WORKSHEET CITY OF SANFORD P.O. Box 1788 Sandford, FL. 32772-1788 Project Name: IOcH 19'K6 70w f 00-0%?44 Permit#: Owner/Contact Person: Address: /oS6 1'4VNt R1,66E 4*--'C 9ey Date: -7/7211 Phone: Type of Development: RESIDENTIAL I NON-RESIDENTIAL I LOCATION Total Bldg /units Single Family I Commercial City Resident Multi-Famliy Industrial []County Type of Utilities: WATER Ind. F]Tap 3/409 400 81" 60081.5" 800 [] Tap 2" 975 METER: Master 100 Tap 100 Tap 150 636 Meter Supplied by Contractor SEWER F]4ft depth [:]4.5 - 6ft depth F-16.5 -1Oft depth E1>1 Oft depth ®By Contractor TAPS: 1 000 1 600 3 500 at cost Existing Tap RECLAIM Ind. 3/4" 400 600 800 975 METER: Master Tap 1000 81" Tap 100 B1.5" Tap 150 12" Tap 636 Meter Supplied by Contractor COMMENTS: a Q 6,0 R *M_r WATER SYSTEM IMPACT FEES (Equivalent Residential Connection (ERC) - 300 gallons per day (GPD) RESIDENTI S1.343.00Junit Single or Mufti -Family Structure with Three (3) or more bathrooms (300GPD) 1 .25 /unit Mobile Home or Multi Family Structure with LESS THAN Three (3) bathrooms Estimated usage for such family units on average requires only 225GPD of water and sewer services. COMMERCIAL 1 343.00 /ERU Fixture Unit Schedule from Southern Plumbing Code will be used. One ERU will be assessed for connection & up to twenty (20) Fixture units. Projects with greater than twenty (20) Fixture Units shall be assessed in quarter fractions (0.25) based on the first ERU. Example: Twenty-five (25) fixture units will be rated as 1.25 ERU: twenty-six (26) fixture units will be rated 1.5 ERU. SEWER SYSTEM IMPACT FEES (Equivalent Residential Connection - 270 gallons per day (GPD) RESIDENJB,I,- 3 0 025. D/unit Single or Multi -Family Structure with Three (3) or more bathrooms (300GPD) 2 268.75 /unit Mobile Home or Multi Family Structure with LESS THAN Three (3) bathrooms This is based on judgment/assumption, that such family units on average require 75% of water and sewer service of an average single family unit. COMMERCIAL- Industrial - Institutional 3 025.00 /ERU Fixture Unit Schedule from Southern Plumbing Code will be used. One ERU will be assessed for connection & up to twenty (20) Fixture units. Projects with greater than twenty (20) Fixture Units shall be assessed in quarter fractions (0.25) based on the first ERU. Example: Twenty-five (25) fixture units will be rated as 1.25 ERU: twenty-six (26) fixture units will be rated 1.5 ERU. FEE SUMMARY Water Impact Fees $ / ,3y3 Water Meter $ `f o Sewer Tap $ — Reclm Meter Sewer Impact Fees $ ?* ] S Meter Tap $ Street Cut $ — Meter Tap Other $ Road Bore $ '— Road Bore Signature - Utility Director or Engineer Date Impact Fees Effective: Oct. 1, 2008 Meter Fees Effective: April 1, 2008 Page 1 of 2 r, b L: A CITY OF SANFORD BUILDING S FIRE PREVENTION PERMIT APPLICATION Application No: / - / Documented Construction Value: $ D Job Address: 10 S to LAUkja- (YOU Historic District: Yes No Parcel ID: Zoning: Description of Work: 76Ww a ftKE UMM U t 7 Plan Review Contact Person: baphy1y, Cia(Y.. Title: Phone: U01— UTAAW Fax: 1401— q0S -'&136 E-maikdtaohneddrk inc.(o cal •rf.0060 Property Owner Information Name Q VV1 11 ( Phone: Street: IA Resident of property? City, State Zip: Win .r Pa c FL 32-189 Contractor Information Name :I• Phone: 461- 2S1 _0 4D Street: Fax: t401—cta- S'13b City, State Zip: WtAtLf Aare. FL SIM9 State License No.: CCiL 151 ZS00 ArchitectlEngineer Information Name: W IILI AK K MkE?4 Phone: hot- bit A 17 LWTE IDI- i L1K1 ._ 1 Bonding Company: MIA - Address: Building Permit V( Fax: E- mail: Mortgage Lender: u Address: PERMIT INFORMATION Square Footage: Construction Type: No. of Stories: No. of Dwelling Units: Flood Zone: I CS__1tKEtu_ ) ElectricalO New Service- No. of AMPS: ISO Plumbing -0;- : New Construction - No. of Fixtures: Mechanical 13 ( Duct layout required for new systems) Fire Sprinkler/Alarm 0 No. of heads:— Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and air conditioners, etc. OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. Acceptance of permit is verification that 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. Signatu of Owncr/Agent Date / I IWAJ bie W Pent Uvner/Ageat's N 9? Signature ofNo of Florida Date 0. • ` D. A CLARK MY COMMISSION 9 EE 092141 EXPIRES: June 27,2015 8oj ` - 4 6W4W ft Budge! Nary SWVM Ox%mer/Agent is V Personally Knon to Me or Produced 1D Aj##c Type of ID RA APPROVALS: ZONING: INN h' I - 11 UTILITIES: ENGINES 7.28 1 t FIRE: COMMENTS: ue-2. 1K-VtA"L--- Sign neofConbwtor/Agent Date Prim Contraotor/Ageat's Signature of Notary -State of Florida Date s • MY COMMISSION tEE0921e EXPIRES: June 27 201, Contractor/AgNiF s P Qwn to Me or Produced ID AJA- Type ofID *Q WASTE WATER: BUILDING: Rev 11.08 1 3PW1877 City of Sanford Planning and Development Services Engineering — Floodplain Management Flood Zone Determination Request Form Name:- C (Q r k Firm: Address: y pp +Pw- 4C , ve , S p . City: -1^4 {,v-p Po, r k- Stater Zip Code: 3 27 8 9 Phone: qo7• 157. 6940 Fax:yo7.9yS--5'7J6 Email: Property Address: SOS (, L0.ure &o e L0n e_ Property Owner: t,-A.o a •... a\C.kSo ,,; lie 1 ?Q er s Parcel identification Number: Phone Number: 40-7.25'[ •(.a9 40 Email: The rea 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) OFFICIAL USE W . Flood Zone:_ Base Flood Elevation: N e, Datum: N &V p ' 58 FIRM Panel Number: I 'Z-O 29 ,L{ 00'70 T— Map Date: 9 •'2 8.O '7 The referenced Flood Insurance Rate Map indicates the following: The parcel is in the: floodplain floodway A portion of the parcel is in the: floodplain floodway rThe parcel is not in the: floodplain floodway l The structure is in the: Elfloodplain floodway 5 The structure is not in the: floodplain floodway If the subject property is determined to be flood zone 'A', the best available information used to determine the base flood elevation is: Reviewed b : Date: TAEngr- Files\Elevation Certificate\Flood Zone Determination Request Form.doc Su, V 71 JUL 6 dOf1 CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: / / / Documented Construction Value: $ o Job Address: 10 S to I.A'Qjtj P,1(8(j[% 1'C , Parcel ID: Description of Work: Historic District: Yes No Zoning: Plan Review Contact Person: prong, clarI . Title: Phone: U01- ZSI-6440 Fax: 40"1- g0S'16136 E-mail:dnnhh2cldrk inc ftf l • If+f.com Property Owner Information Name Q tN1 11 l I Phone: Street: Resident of property? City, State Zip: W Il1' .r 00(it FL 32'189 Contractor Information Name :i Phone: rJ'I— ZSI -0 4D Street: L00 Q Fax: 401—QOS- S13b City, State Zip: WtAty.r Palk. R. 32M9 State License No.: CCi 151 ZSOO Architect/Engineer Information Name: W iLLI AK R Me" Phone: W1- 68l -13 11 Bonding Company: MIA - Address: Fax: E-mail: Mortgage Lender: u Address: PERMIT INFORMATION Building PermitV( Square Footage: No. of Dwelling Units: Electrical 0 Construction Type: Flood Zone: New Service— No. of AMPS: Mechanical 0 (Duct layout required for new systems) No. of Stories: 2 Plumbing O New Construction - No. of Fixtures: Fire Sprinkler/Alarm O No. of heads: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, beaters, tanks, and air conditioners, etc. OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. v 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. Signatu ofOwner/Agenl Date KNA r— P Prrnt Owner/Agent's No AVIVSignatureofNoofFloridaDate MY COMMISSION 0 EE 092141 EXPIRES: June 27, 2015 q`d+A' BoMeOINuBudgetNot S es Owmer/Agent is V Personally Knowm to Me or Produced ID AJ& Type of ID PA APPROVALS: ZONING: UTILMES: ENGINEERING: COMMENTS: a:n=2. Sign RofContractor/Agent Date r Prin Contractor/Agent's Signature of Notary -State of Florida llat /// s * MY COMMISSION 0EE09210. EXPIRES: June 27, 2015Contractor/Agen isA»lown to Me or Produced ID AIA- Type of ID A; . WATER: BUILDING. Rev 11.08 LIMITED POWER OF ATTORNEY DATE: I HEREBY NAME AND APPOINT: Daphne Clark, Gustav Botes OF PERMITS PERMITS PERMITS INC EACH AN AGENT OF: MATTAMY HOMES TO BE MY LAWFUL ATTORNEY IN FACT TO ACT FOR ME AND APPLY TO BUILDING DEPARTMENT: FOR A PERMIT FOR WORK TO BE PERFORMED AT LOT NUMBER: !Z SUBDIVISION: PARCEL ID NUMBER ADDRESS: AND TO SIGN MY NAME AND DO ALL THINGS THAT ARE NECESSARY TO THIS APPOINTMENT. GLENN PATRICK KIRWAN NAME OF LICENSED CONTRXCTOR. SIG ATURE OF LICENSED CONTRACTOR. CGC 1512500 CONTRACTOR'S FL STATE LICENSE NUMBER. State of Florida, County ofOrange, The foregoing instrument was acknowledged before me this by Glenn Patrick Kirwan Who is personally known to me, and did not take an oath. ANNETTE HEMPHILL PRINTED NAME OF NOTARY. SIGNATURE OF NOTARY. Verification pursuant to SECTION 92.525, FLORIDA STATUTES. ANNETTE HEMPHILL 5• •E Commission M DD 868645MyCommissionExpires March 11, 2013 Commission #: DD868645 NOTARY SEAL CEIvED D 011 CITY OF SANFORD W 2 DMILDIN & FIRE PREVENTION ERMIT APPLICATION By: Application No: Documented Construction Value: $ q`A9'5_ Job Address: \Q 5(o LVLCf k L dco. L.%Historic District: Yes No Parcel ID: Description of Work: Plan Review Contact Person: Phone: Fax: Zoning: E-mail: Title: Property Owner Information Name 1 1\.a,bQ rW..t t_-& VW-3 Phone: Street: 400 Aw e_ S Sic, 23c) Resident of property? City, State Zip: nk. ( 9c3vA,R _ 3a-)$ "i Contractor Information Name ;)VInLO 6 r"k-d K. d l ab k e4e_ Phone: qtc "1 Street: 61 6SQ Ir_U Or Fax: L-o'? $34 3q..3Es City, State Zip:State License No.:S- Name: Street: Architect/Engineer Information Phone: Fax: City, St, Zip: E-mail: Bonding Company: Address: Building Permit Square Footage: No. of Dwelling Units: Electrical O New Service — No. of AMPS: Mortgage Lender: Address: PERMIT INFORMATION Construction Type: Flood Zone: No. of Stories: Plumbing 9 New Construction - No. of Fixtures: I S Mechanical D (Duct layout required for new systems) Fire Sprinkler/Alarm 0 No. of heads: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and air conditioners, etc. OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713. The City of Sanford requires payment of a plan review fee. A copy of the executed contract is required in order to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the plan review fee based on past permit activity levels. Should calculated charges exceed the documented construction value when the executed contract is submitted, credit will be applied to your permit fees when the permit is released. 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: Signature of Contractor/Agent Date Print Contractor/Agent's Name G112-,/J of MY COMMISSION Y DO 949039 EXPIRES: February 21, 2014 Bonded TAru Notary Public Underwriters Contractor/Agent is x Personally Known to Me or Produced ID Type of ID WASTE WATER: BUILDING: Rev 11.08 Seminole County Property Appraiser Get Information by Parcel Number Page 1 of 1 PARCEL DETAIL K tl DAVID JOHN60N. CFA. ASA Q 41 PROPERTY APPRAISER TRACTAa sE14rNOLE oouwrr FL 1101 E. FIRST ST SANFORD. FL 32771.146a u a e 36 36U 6b 31 3! 3> I',. 407-665,7505 le 14t VALUE SUMMARY VALUES 2011 2010 Working Certified GENERAL Value Method Cosl/Market Cost/Market Parcel Id: 10-20-30-514-0000-0070 Number of Buildings 0 0 Owner: MATTAMY (JACKSONVILLE) PTNRSP Depreciated Bldg Value 0 0 Mailing Address: 400 PARK AVE S STE 220 Depreciated EXFT Value 0 0 City,State,ZlpCode: WINTER PARK FL 32789 Land Value (Market) 7.000 0 Property Address: 1056 LAUREL RIDGE LN SANFORD 32771 Land Value Ag 0 o Subdivision Name: RESERVE AT LOCH LAKE Just/Market Value 7.000 Tax District: Si-SANFORD Portablity Adj 0 0Exemptions: Save Our Homes Adj 01Dor. 0003-VACANT TOWNHOME Amendment 1 Adj 01 Assessed Value (SOH) 7,000 Tax Estimator 2011 TAXABLE VALUE WORKING ESTIMATE Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund 7,000 0 7,000 Amendment f adjustment is not applicable to school assessment) Schools 7,000 0 7,000 City Sanford 7.000 0 7,000 SJWM(Saint Johns Water Management) 7,000 s0 7,000 County Bonds 1 $7,000 s0 s7,000 The taxable values and taxes are calculated using the current years working values and the prior years approved millage rates. SALES 2010 VALUE SUMMARY Deed Date Book Page Amount Vac/Imp Qualified 2010 Tax BIII Amount: Find Comparable Sales within this Subdivision DOES NOT INCLUDE NON -AD VALOREM ASSESSMENTS LAND LEGAL DESCRIPTION Land Assess Method Frontage Depth Land Units Unit Price Land Value LOT 0 0 1,000 7,000.00 $7,000 PLATS: Pick... Permits LOT 7 RESERVE AT LOCH LAKE PB 76 PGS 27 - 33 OTE: Assessed values shown are NOT certified values and therefore are subject to change before being frnahzed for ad valorem tax purposes. ffyou recently purchased a homesteaded property your next ear's property tax will be based on usNMarket value. http://www.scpafl.org/web/re—web.seminole—County_title?parcel=l 0203051... 9/27/2011 rl ni CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: Documented Construction Value: $ `i , DOD Job Address: i igs-?p ! .Au t-fJ _;U Q 9a LAAJa- Historic District: Yes No 4.1 Parcel ID: I Zoning: Description of Work: _:Lvt Yl ao po(,,.P,C' r L' Q _ GO //1--C Plan Review Contact Person: AJ D' Co hyil? r Title: '44v r Phone: -. 2&&, Fax: SS /00Z E-mail: I I Property Owner Information A Name I A'U*W4 IV QY _e0S Phone: Street: Resident of property? City, State Zip: l Contractor Information e( Name Airel eo_4-rIca I Phone: Street: .53l CoeefSC a Lk)Q"j Fax: 140- S Ss' /dD2 City, State Zip: Saka--bo d 4 r-71- _-_22771 State License No.: Name: Street: City, St, Zip: Bonding Company: Address: Architect/ Engineer Information Phone: Fax: E- mail: Mortgage Lender: Address: PERMIT INFORMATION BVjIdinrPU t- O Square Footage: No. of Dwelling Units: Construction Type: No. of Stories: Flood Zone: Electrical Plu_ mbing New Service - No. of AMPS: SD New Construction - No. of Fixtures: Mechanical 0 ( Duct layout required for new systems) 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. Signature of Owner/Agent Date Print Owner/Agent's Name Signature of Notary -State of Florida Date IZ- gn.tur.e of ontractor/Agent Date PATRICIA GUZMA(N Commission # DD 923247 Expires September 8, 2013 WwX4 Nu lioy Fan Inman: W0•J85.7018 Owner/Agent is Personally Known to Me or Contractor/Agent is V---Personally Known to Me or Produced ID Type of ID Produced ID Type of ID APPROVALS: ZONING: UTILITIES: WASTE WATER - ENGINEERING: COMMENTS: FIRE: BUILDING: Rev 11.08 i• i -p • J r rr i CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: - I'"1 ocumented Construction Value: $ 3 342.00 Job Address: l)5 oZ Historic District: Yes No Parcel ID• Zoning: Description of Work: Plan Review Contact Person: Phone: Fax: Title: E-mail: Property Owner Information Name I l Street: City, State Zip: Phone: Resident of property? : Contractor Information , l ( r Name DEL -AIR HEATING & AIR CO.N'D, Phone: (1- 5 y O0 `r 531 CODISCO WAY Fax: q0-7 - 3 - $ `5 3Street: SlA,ni D ,- City, State Zip: State License No.: r.AC032443Name: Street: City, St, Zip: Bonding Company: Address: Building Permit 0 Square Footage: No. of Dwelling Units: Electrical 0 New Service - No. of AMPS: Architect/ Engineer Information Phone: Fax: E- mail: Mortgage Lender: Address: PERMIT INFORMATION Construction Type: Flood Zone: Mechanical ( Duct layout required for new systems) No. of Stories: Plumbing 0 New Construction - No. of Fixtures: Fire Sprinkler/Alarm 0 No. of heads: 1_ o5` r Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and air conditioners, etc. OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713. The City of Sanford requires payment of a plan review fee. A copy of the executed contract is required in order to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the plan review fee based on past permit activity levels. Should calculated charges exceed the documented construction value when the executed contract is submitted, credit will be applied to your permit fees when the permit is released. Signature of Owner/Agent Print Owner/Agent's Name Date Signature of Notary -State of Florida Date Owner/Agent is Personally Known to Me or Produced ID Type of ID APPROVALS: ZONING: ENGINEERING: COMMENTS: UTILITIES: FIRE: tusdoofConaactor/Agent Date T G. rEt.LO M'SSO Print Con for/Agent's Nart N1 1A ( 1 II Signature of Notary -State of Florida Date A"•'iy MIRINDAC.TURNER r. MY COMMISSION 8 EE OWN y. EXPIRES: June 14,2015 170 Bonded ThN Notary Public UndervAem Contractor/Agent is V11— Personally Known to Me or Produced ID Type of ID WASTE WATER: 1 1 Rev 11.08 OAA ttDERS ssouannfy MfD-if:ONlDA Rate t:erlflicelion Lieense'OCAC 032448 11 6 DEL-JA CONDITIONING • HEATING • REFRIGERATION, INC. 531 Codisco Way Sanford: Florida 32771. 4W) 333 Amh uvgcocQ. 407)•031.•' 1 trWOW.. . 407apck 352)- sotrA. 2 .6 6 S ktSALE§,!;SERVICE INSTAC L•i\T'(ON q;':i TO' Mattamy Homes BUS. PHONE: 407-599-2228 ADDRESS: 400 Park Avenue South, Suite 2-20 RES. PHONE: 11/30/2009 ADDRESS: winter Park, FL 32789 DATE: CITY%STATE/ZIP: TOWN OR CITY: JOB NAME: TUSCANY PLACE (Per. Plan & Spec Job) PLAN: JOB LOCATION: PLAN NAME TONNAGE SEER FANS/FAN- PRICE ALTERNATE PRICE WITH 2.0 TON NOTES LIGHT COMBO CAPRI 1.5 14.50 3 / 0 3 886.00 3 838.00 2.04on is 14 seer FLORENCE 1.5 14.50 3/0 3 840.00 3;791.00 2.0-ton Is 14 seer MILANO 2.0 14.00 3/0 3,752.00 n/a SIENA 2.5 14.00 310 4,327.00 n/a VENICE 1 2.5 1 1.4.00 340 4,315.00 n/a PRICES GOOD FOR 6 MONTHS Equipment to be CARRIER heat pump Pricing includes bath fans'. dryer vent box, dryer venting, range ducting, and -programmable thermostat. Option pricing for metal stands, add $65.00. NOTES: Per Plan & Spec job. Ducting to be fiberglass Ilex system. Supply air outlets to be Stamped Metal Grills. Electrical Ilne voltage to equipment by builder. Low voltage wire to equipment and thermostat by DEL -AIR. Concrete pad to support outside unit by builder. Underground 4" chase for air conditioning linen by plumber. Warranty: Includes one year labor service by DEL -AIR. Parts & components warranty per manufacturer's limited warranty. Payment Schedule: 50% due on rough4n, balance on equipment set and•trim out. Net 7 days. a- j accept the terms and conditions of this contract as set forth on tho reverse side of ft'sheel and I do hereby order the installation of the above described equipment. vr EL -AIR HEATING, AIR. CONDITIONING, REFRIGERATION, INC. ATE BUYER'S HILME r DAN! Mattamy Homes SIGNATURE ~_ OFFICE LotI PERMIT # FORM 1100A-08 FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Florida Department of Community Affairs Residential Performance Method A Project Name: Loc Lake MATTAMY HOMES TPTH01 Builder Name: Street: Permit Office: '' City, State, Zip: Sanford , FL , Permit Number: At 78f1 Owner: Jurisdiction: 6 S t Jr0 dDesignLocation: FL, Orlando 1. New construction or existing New (From Plans) 9. Wall Types (640.0 sqft.) Insulation Area 2. Single family or multiple family Multi -family a. Concrete Block - Int Insul, Exterior R=5.0 480.00 ft2 b. Concrete Block - Int Insul, Adjacent R=4.0 160.00 W 3. Number of units, if multiple family 1 c. N/A R= ft' 4. Number of Bedrooms 3 d. N/A R= ft2 5. Is this a worst case? No 10. Ceiling Types (800.0 sqft.) Insulation Area 6. Conditioned floor area (W) 1415 a. Under Attic (Vented) R=30.0 800.00 ft' b. N/A R= ft' 7. Windows(142.0 sqft.) Description Area c. N/A R= ft' a. U-Factor• Sgl, U=0.55 142.00 W SHGC: SHGC=0.60 11. Ducts b. U-Factor: N/A ft2 a. Sup. Interior Ret: Interior AH: Interior Sup. R= 6, 250 W SHGC: 12. Cooling systems c. U-Factor: N/A ft2 a. Central Unit Cap: 36.0 kBtu/hr SHGC: SEER: 15 d. U-Factor: N/A ft' 13. Heating systems SHGC: a. Electric Heat Pump Cap: 30.0 kBtu/hr e. U-Factor: N/A ft2 HSPF: 10 SHGC: 14. Hot water systems 8. Floor Types (618.0 sqft.) Insulation Area a. Electric Cap: 40 gallonsa. Slab -On -Grade Edge Insulation R=0.0 618.00 W EF: 0.95 b. N/A R= ft2 b. Conservation features c. N/A R= ft= None 15. Credits CF, Pstat Total As -Built Modified Loads: 28.13 Glass/Floor Area: 0.100 PASSTotalBaselineLoads: 32.93 I hereby certify that the plk Cl1l c;rt pred by Review of the plans and SHE STgl this calculation are in coaaplia W,t J bg grid I y F specifications covered by this p O, Code. ^ y calculation indicates compliance with the Florida Energy Code. Before is PREPAREDBY: _ _ _ _ _ DATE: _ in construction completed this building will be inspected for V _ a compliance with Section 553.908 I hereby certify that thisr l fi09, aS' 8 Is iF'co iipiance Florida Statutes. with the Florida Energy Co <C: , ' COU WE OWNER/ A E T:_ . t aL tAc BUILDING OFFICIAL: DATE: % _ - _ ! i DATE: 6/ 23/2011 1.17 PM EnergyGaugeO USA - FlaRes2008 Page 1 of 5 IINIloilo ptlp1lMlppplptltlt111p1III 11111 Y- / y f ParcclIDNumber: Prepared By Daphne Clark and Matta,ny Homes Return To: 400 Park Avenue South. # 220 Winter Park, FL 32789 NOTICE OF COMMENCEMENT. State of Florida. County of Seminole. MiRYANNE WWI CLERK OF CIRCUIT COURT SEMINOLE COUNTY BK 07614 Pg 1972; (lpg) CLERK% S 4 2013005344 RECORDED 08/11/2011 01:37:16 PH RECORDING FEES 10.00 RECORDED BY J Eekenroth(all) The undersigned hereby gives notice that improvements will be made to certain real property, and in accordance with Chaptcr 713, Florida Statutes, tic following inforniation is provided in this Notice of Conuncnccmcnt. I. Description of Property: LOT 7 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 : 1056 Laurel Ridge Lane, Sanford, FL 2. General description of improvements NEW TOWN HOME UNIT 3. Owner information : Name Matta my ( 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 Slate 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 Lienor's Notice as provided in 713.13(1)(b), Florida Statutes. N.A. 10 Expiration dale 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 COMMENCEM T. 11. Date Signed : Signature of Owner's Agent: Gle n P Kirwan VP Construction Mattamy Homes Sworn to and subscribed before me this by Glenn P Kirwan who is personally known to me. UNI INLU GUPI MARYANNE MORSE Notary Public CLERK OF CIRCUIT COURT Daphne A Clark SEMINOLE COUNTY, FLORIDA My commission expires: 6/27/2015 Serial No. CC850099 /Ot4a rdy-s ignatur(c: Notary scut DEPUTY CLERK AND - Verification pursuant to Secti 92.525, Florida Statutes. Under penalties of perjury, 1 declare that I ha, eV ad tli*e 201 forcggin andthatthefactstedinitaretruetodiebestofmyknowledgeandbelief. I'M PoSign luon re of perssigmiigin11. above. #+' '¢* MY COMMISSION # EE 092141 EXPIRES: June 27,2015 Bonded Thiu Budge) Nobly Services COUNTY OF SEMINOLE 1 I_ 19 R IMPACT FEE STATEMENT __ STATEMENT NUMBER: 11100003 DATE: August 05, 2011 BUILDING APPLICATION #: 11-10000317 BUILDING PERMIT NUMBER: 11-10000317 4 / UNIT ADDRESS: LAUREL RIDGE IN 1056 10-20-30-5LL-0000-0070 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 2 TYPE USE: WORK DESCRIPTION: CITY-SANFORD SPECIAL NOTES: 1056 LAUREL RIDGE LN_/LOT 7/ BLDG 2 LOCH LAKE FORMERLY RESERVE 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 SCHOOLS CO -WIDE ORD Multifamily 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 fJ 14JtG/ RECEIVEDBY:Vy SIGNATURE: PLEASE PRINT NAME) DAJA DATE: 0LNOTETO RECEIVING SIGNATORY/APPLICANT: FAILURE TO NOTIFY OWNER AND ENSURE TIMELY PAYMENT MAY RESULT IN YOUR LIABILITY FOR THE FEE. *** DISTRIBUTION: 1- BLDG DEPT 3-APPLICANT 2-FINANCE 4-LAND MANAGEMENT NOTE** EISSEMINOLENS ACOUNTYIROADED THFIRRSCUEIS , LIBTRARRYAND/OREDUCATIONOF FEES DUE NAALL THE ISSUANCE OF A BUILDING PEIT. PERSONS ARE ALSO ADVISED THAT ANY RIGHTS OF THE APPLICANT OR OWNER, TO APPEAL THE CALCULATION OF ANY OF THE ABOVE MENTIONED IMPACT FEES MUST BE EXERCISED BY FILING A WRITTEN REQUEST WITHIN 45 CALENDAR DAYS OF THE RECEIVING SIGNATURE DATE ABOVE BUT NOT LATER THAN CERTIFICATE OF OCCUPANCY OR OCCUPANCY. THi REQUEST FOR REVIEW MUST MEET THE RE UIREMENTS OF THE COUNTY LAND DEVELOPMENT CODE. COPIES OF RULES OVERNING APPEALS MAY BE PICKED UP OR REQUESTED, FROM THE PLAN IMPLEMENTATION OFFICE: 1101 EAST FIkk STREET, SANFORD FL, 32771; 407-665-7356. PAYMENT SHOULD BE MADE TO: SEMINOLE COUNTY OR CITY OF SANFORD BUILDING DEPARTMENT 1101 EAST FIRST STREET SANFORD, FL 32771 PAYMENT SHOULD BE BY CHECK OR MONEY ORDER AND SHOULD REFERENCE THE COUNTY BUILDING PERMITNUMBERATTHE 'SOP LEFT OF THIS STATEMENT. THIS STATEMENT IS NO LONGER VALID IF A BUILDING PERMIT IS NOT*** ISSUED WITHIN 60 CALENDAR DAYS OF THE RECEIVING SIGNATURE DATE ABOVE DETAIL OF CALCULATION AVAILABLE UPON REQUEST. CALL 407-665-7356. Herx & Associates Inc. 769 Douglas Avenue Altamonte Springs, Florida 32714 407,788,8808 - 407.788.8762 (fax) January 18, 2012 City of Sanford Building Division P.O. Box 1788 Sanford, Florida 32772-1788 RE: Lot 7 Reserve at Loch Lake, 1056 Laurel Ridge Lane To Whom It May Concern, The finished floor elevation of the structure located at: 1056 Laurel Ridge Lane, Sanford, Florida Legal Description: Lot 7, "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 184(a). Sincerely Yours, t ;ss ociates Darae L. Przemieni Associate Vice Pre:.,...,... DLP/bb U.SIDEPARTMENT OFHOMELAND SECURITY ELEVATION CERTIFICATE OMB No.1660-0008 Federal Emergency Management Agency I Expires March 31, 2012 National Flood Insurance Program Important: Read the instructions on pages 1-9. SECTION A - PROPERTY INFORMATION For Insurance Company Use: Al. Building Owner's Name: Mattamy Homes Policy Number A2 Budding Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. I Company NAIC Number I 1056LaurelRidgeLaneCity Sanford State FI ZIP Code 32773 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Lot 7, 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. 28'45'46.3" Long.-81'18'8.5' 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 221 sq ft b) No. of permanent flood openings in the crawlspace or b) No. of permanent flood openings in the attached garage enclosure( s) within 1 0 foot above adjacent grade 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 & Community Number B2. County Name B3. State City of Sanford & 120294 Seminole County I 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 B10 Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. FIS Profile FIRM Community Determined ® Other (Describe) N/A B11. Indicate elevation datum used for BFE in Item 69: 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, V1-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 4141601 Vertical Datum NAVD 88 Conversion/ Comments. Check the measurement used. a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 48.2 feet meters (Puerto Rico only) b) Top of the next higher floor 58.9 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) 47.9 feet meters (Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the budding 47.7 feet meters (Puerto Rico only) Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) 47.2 feet meters (Puerto Rico only) g) Highest adjacent (finished) grade next to building (HAG) 47.6 feet meters (Puerto Rico only) h) Lowest adjacent grade at lowest elevation of deck or stars, including N/A. feet meters (Puerto Rico only) structural support SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. I certify that the information on this Certificate represents my best efforts to interpret the data available. 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 Title Professional Surveyor and Mapper Company Name Herx & Associates, Inc. Altamonte Springs State FI FEMA Form 81-31, Mar 09 \ \ See reverse side for continuation. Replaces all previous editions IMPORTANT: In these spaces, copy the corresponding information from Section A. For Insurance Company Use: Building Street Address (including Apt., Unit, Suite, and/or Bldg. No) or P O. Route and Box No. Policy Number 1056 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 Emergency Manag ent Agency Letter of Map Revision Based on Fill Case No.: 1 1-04-5767A, Dated 09-27-11 Herx & Associates, Inc. assumes no responsibility for *t al flooding conditions. Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A (without BFE), complete Items E1-E5. If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, B, and C. For Items E1-E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters. E1. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade (HAG) and the lowest adjacent grade (LAG) a) Top of bottom floor (including basement, crawlspace, or enclosure) is feet meters above or below the HAG. b) Top of bottom floor (including basement, crawlspace, or enclosure) is feet meters above or below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9 (see pages 8-9 of Instructions), the next higher floor elevation C2.b in the diagrams) of the building is feet meters above or below the HAG. E3. Attached garage (top of slab) is feet meters above or below the HAG. E4. Top of platform of machinery and/or equipment servicing the budding 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 ofmy knowledge. Property Owner's or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement used in Items G8 and G9. G1 The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. A community official completed Section E for a building located in Zone A (without a FEMA-issued or community -issued BFE) or Zone AO. G3. The following information (Items G4-G9) is provided for community floodplain management purposes. G4. Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued G7 This permit has been issued for: New Construction Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building: feet meters (PR) Datum G9. BFE or (in Zone AO) depth of flooding at the building site: feet meters (PR) Datum G10. Community's design flood elevation feet meters (PR) Datum Local Official's Name Title Community Name Telephone Signature Date Comments Check here if attachments FEMA Form 81-31, Mar 09 Replaces all previous editions Building Photographs See Instructions for Item A6. For Insurance Company Use: Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number 1056 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 1056 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." Rear View REQUEST FOR TUG & PREPOWER AGREEMENT Altamonte Springs, Casselberry, Longwood, Oviedo, Sanford, Seminole County, Winter Springs Datedz Project Name:Lo— c 1 Project Address:_1l j51/ 1_QL, r_cl Building Permit //: I 1-LA N L'•lectrical Permit 9--h In consideration for authorizing the appropriate utility company to energize the facility, we agree with and understand the following: I . This Tug/Pre-power application is valid only for one -and two-family dwellings. 2. The lacilily will not be occupied until a certificate of occupancy has been issued. 3. If 1he 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. 4. Prior to pre -power, 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. 5. 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. 6. This TUG/Pre-power approval is valid for a maximum of 180 days from date of approval. 7. If provided, the fire sprinkler system must be operational with water on the system prior to pre -power. 8. TUG approval is for service and outside GFCI outlets only. 9. Check with the local jurisdiction for fees associated with tugs. ament JURISDICTION EMPLOYEE NAME: JURISDICTION: C 1f1-nn cAy-wo.n Print Name of Gen./Contractor Sighature of Gen. Contractor C t?,CV '-:: S\9 500 Gen. Contractor License 0 Print Contractor i=.0-13003'7 6 El. Contractor License # CALLED INTO: o Progress Energy o Florida Power and Light on / Rev. 4/20/07) Berx # .htssociates Inc. Land SurveyorsOFFICE 769 Douglas Avenue, Altamonte Springs, Florida. 32714 (407)788-8808 Member of the Florida Surveying and Mapping Society and American Congress on Surveying end Mapping Map of Survey PERMIT # ir- is8, LINE TABLE LINE LENGTH I BEARING Lil 30.84 N63 50'57'W InW El.• 47.00 CA shallmar L CURVE TABLE CURVE LENGTH R4DIUS I Delta Cf 22 f2 24.00 5248'09' C2 45.32 47.00 55'14 33' TractA Multipurpose Easement N 46e00'03" E 122.00 00' 20.00' 20,00' 20.00' 31.00' ra rbM - 102.0' Unit Build 79 hd5E unR IREV.. ows 0rr2 WW REV. n; Lot 6 of 7 Lot 8 Lot 9 Lot 10 ss• z : 5 ra N 46e00103" E 127.88 N 46e00'03" E 177.13 c i C Fcp rn N if y rcP J a 49.25pop firEL: 4e15 CIL Laurel Ridge Lane (R/W Varies) Tract A Multipurpose Easement City ofSanford LEGAL DESCRIPTION Lots 6, 7, 8, 9 10, "Reserve at Loch Lake" according to the plat thereof as recorded In plat book at pages) of the public records of Seminole County, Florida. FLOOD HAZARD DATA: The parcel shown hereon lies within flood zone JC' according to the Flood Insurance Rate Map community panel number 120294 007OF dated 09-28-2007. FloodZone determination was performed bygraphic plotting onto Flood Insurance Rate Maps prepared by FEMA. There has been no fieldsurveying performed by this firm to determine this flood zone. This Is the professional opinion of Hem 8 Associates, Inc The lender (ifany) makes the Anal determination as to fhe requirement of Flood Insurance or not. We assume no responsibility for actual flooding conditions. Note: This drawing Is Intended for the purpose ofobtaining a building permit only. Lot specific erchitedum1 plans must be referred to for the delails opOons In construd/on of the structure shown hereon. BEARING BASE., Bearings shown hereon are referenced to (he Southerly plat boundary ofReserve at Lodi Lake as being S 89.182PE. Vertical datum Is based on engineering plans provided by cilent, prepared by Evans Engineering, Inc Job P22501. General Notes: ype j dgj9_1 SEDt. This is a BOUNDARY Survey performed In the field on Legend 2. No aerial, surface or subsurface utility installations, underground improvements or tb Temporory Benchmark O/S O.R.B. offset OfficW Records Book subsurface/credal encroachments, it any, were located. assumed datum) pa Met Book 3. Building ties shown are to the exterior unfinished foundation surface or lormboard. BOW Back of sidewalk PC Point of curvature 4. Elevations shown hereon, it any, are assumed and were obtained from approved CA. Centerline PCC. Point of Compound curvature Construction plans provided by fhe Client unless otherwise noted, and are shown d CALL Centralor (Delta) Angie Calculated P C.l? Permanent ContraPoint on to depict theproposed or actual difference inelevation relative to the assumedonlyP CB ChordBearing PO P.R.M. Page Permanent Reference Monument temporary Benchmark shown hereon. CD Chord PA, Property Une5. The parcel shown hereon is subject to all easements, reservations, restrictions, and C.M. concrete Monument P.O.B. Point of Beginning Rights-ol-way ofrecord whether depicted ornot on this document No search of the EL. or ELEV Elevation (Proposed) P.O.C. Point orcommencement Public Records has been made by this office. FINALEL Elevation (Measured) P.I. Adnt of Intersection 6. TA@'I@ el description Shown hereon !S @3 furnished by Client. 9 Pt PD. Fin. Ft Elev. Found FinibhedFloor Elevation PRC. PT. Point of Reverse Curvature Pomt of Tengency7. Platted and measured distances and directions are the some unless otherwise noted. I.P. Iron Pipe R Radius B. Copies of this Survey may be made for the original transaction only. I.R. Iron Rod RAD R&M Line Denotes W iron rod with plastic cap marked LB4937, or W iron rod with L Arc Length RES. Residence red plastic cap marked 'Witness Comer' unless otherwise noted. LB Licensed Business RAy Rigl;W--way O Denotes P.C.P. (Permanent control point) LS. Mea Lend Surveyor Measured TOM Temporary Benchmark Denotes Permanent Reference Monument NrD(NLD) Ned and Disk Typ V- Typical Pence aymfrd (ties drewlnp) 2011 Herx dAssociates Inc. Allrights reserved N.R. Not Radial X--X- Fence symbol (see drawing) Cortficetion: Not valid without the signsand the original rss Best Drawn by: CM oride licensed surveyor and pe Chocked by. DP ThisaymeetstherequirementnimumTechnicIPreparedforMeffamyHomes StandardscontainedInCAapreSJ1sdminlatrefhroCod . Job Number. 11-0OS-02Sketch ofLegal Description Seafv.1"a40' 8. This is Not a Survey Plot Plan Performed: 07-07-11 William A. He Florida Rsglsfered L Survs o. 3/92 Formboard Survey: FDaree LPrzemlenlecktP.S.M. Registered S yor end pper No. 6030 Final Survey. Marx dAssociatesInc., State of Florida LB 493 Revisions: