16500 Stonebrook Dr - (mail kiosk)PERMIT ADDRESSGt ili--
CONTRACTOR _ WINTER PARK CONSTRUCTION
221 CIRCLE DR.
ADDRESS MAITLAND, FL 32751
407)644-8923
PHONE NUMBER
PROPERTY OWNER _
AIMCO, INC
2180 W. HWY 434
ADDRESS LONGWOOD, FL 32779
407) 682-7227
US IS 01)N I 1010 111-1111
ELECTRICAL CONTRACTOR -Tr'i - C + 0 e c
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MECHANICAL CONTRACTOR
PLUMBING CONTRACTOR
MISCELLANEOUS CONTRACTOR 'F'C0(c'\K"
FEE
MISCELLANEOUS CONTRACTOR
PERMIT NUMBER FEE
SUBDIVISION
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PE42pr# " DATE f,l
PERMIT DESCRIPTION
PERMIT VALUATION
SQUARE FOOTAGE
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CITY OF SANFORD PERMIT APPLICATION
Permit No.: 7
Date: Alto -- G
Job Address:
Parcel No.: Attach Proof of Ownership & Legal Description)
Description of Work: 4f t
Type of Construction: Flood Zone: I
Valuation of Work: $ Occupancy Type: Commercial —Industrial
Number of Stories: Number of Dwelling Units: Zoning: Total Square Footage:
Owner:
egg=
State:
Fax No.:
M
Contractor: V 0,
Address:
City: —CL)CC"(:> State: Zip: 9 l (a State License No.: 3-
Phone No.: Fax No.:
Contact Person: Phone No.:
Title Holder (If other than Owner):
Address:
Bonding Company:
Address:
Mortgage Lender:
Address:
Architect:
Address:
Phone No.:
Fax No.:
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. 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.
Z,
Signature of Owner/Agent Date SignatL4irc lo 'actor/Agentont Datecot
Print Owner/Agent's Name
Signature of Notary -State of Florida Date
Owner/Agent is — Personally Known to Me or
Produced I D
APPLICATION APPROVED BY:
ntractor/Agent'-ss Name
teofNoo, late of Florida Date
Dawn E. CrandallAlCOMUIL-4011 # DD 0 1 05W
EXAM APffl 241,2WS
BoWid Thm
lull' Bondtng Co. Lae-
Contractor/Agent is X— Personally Known to Me or
Produced ID
Date:
Special Conditions:
CITY OF SANFORD ELECTRICAL PERMIT APPLICATION
Permit Number. Date: zcz
The undersigned hereby applies for a permit to install the following plumbing:
Owners Name: PI 2,J
AddressofJob:
Electrical Contractor
Residential: --
I,,,— Non -Residential: x
Number Amount
Addition, Alteration, Repair (Residential & Non -Residential) F>
New Residential:
AMP Service
New Commercial:
AMP Service
Change of Service:
From AMP Service to AMP Service
Manufactured Building
Other:
Description of Work: LL,
r
LIZ
Applicatioh Fee: 10.00
TOTAL DUE.
By Signing this application I am stating that I am in compliance with City of Sanford Electrical Code.
Applicant's Signature
State License Number
CITY OF SANFORD PERMIT APPLICATION
Permit No. :--"'rz Date:
Job Address:
Parcel No.: Attach Proof of Ownership & Legal Description)
Description of Work:
Type of Construction: Flood Zone:
Valuation of Work: $ Occupancy Type: Residential —Commercial —Industrial
Number of Stories: Number of Dwelling Units: _ Zoning:._ Total Square Footage:
Owner: 1 T1,)7CO -
Address: 4 '
City: AJ6 Weod ---- State: zip: 7
Phone No.: e -7 7 Fax No.:
Contractor:
Address:
City: State: 14 6 zip: 3444A -';T !- State License No,: --/,?
Phone No.: Fax No.: / 6z,-
Contact Person: LZ Iria-jcz- L11`------- Phone No.:
Title Holder (If other than Owner):
Egg=
Bonding
Address:
Mortgage Lender:_ — ------
Address:
Architect. IUMATM
Address: -0 ate— Fax No.:
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. 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 pennit, 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 711
Owner/Agent is _
Produced ID
Personally Known to Me or
Signature of Ca a car
Print Contractor/Aaent's N
it
J 11`
18665
Date
Date
Contractor/Agent is Personally Known to Me or
Produced ID
11F "
V
APPLICATION APPROVED BY: Date:
Special Conditions-
F. .
LEGAL DESCRIPTION:
TRACT
a'
C", PLACID LADE AS RECORDED IN PLAT BOOK 43
PAGE a THROUGH 10 OF THE PUBLIC RECORDS OF
aF SEMINOLE COUNTY, FLORIDA.
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FEDERAL EMERGENCY MANAGEMENT AGENCY
NATIONAL FLOOD INSURANCE PROGRAM
ELEVATION TU 8 T CERTIFICATE
Important: Read the instructions on pages 1 - 7.
Expires July 31, 2002
SECTION A - PROPERTY OWNER INFORMATION For Insurance Company Use:
BUILDING OWNER'S NAME ";
f—
Policy Number
BUILDING STREET ADDRESS (Including 6Lpt,,-Unit, Suite, and/or.Bldg. No,) OR P.O. RbUTE AND 13OX NO, Company NAIC Number
oTr`~^ STATE ZIP CODE
PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
BUILDING WSE (e.g., Residential, Non-residential, Addition, Accessory, etc, Use a Comments area, if necessary.)
SECTION 6 - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
Bl. N I UNITY NAME & COMMUNITY NUMBER B2. COUNTY NAME BTSTATE
34, MAP AN[
NUMB[
SUFFIX
I
B6. FIRM INDEX
AT
07, FIRi
EFFECTIVE/F
138. FLOOD
ZONE(S)
9BASE FLOOD ELEVATION(S) Zone
AO, use depth of floo di ng) un.
Indicate the source mthe iBase Flood Elevation(UFE) data mbase flood depth entered m29, L_/F|
SProfile L_|F|RK« KI CommunityDoteminnd LOther __ _____________ ____________________ Ill. Indicate the
elevation datum used hz,UnoBEE inD9:^^r..m GvD183O 1__|mAVD1988 L_IOUher(Deocribo):_____________________ 112. Is the building
located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? |_IYon pc+w* Dea|gnnoon u o___________---_---_--_-___
SECTION C - BUILDING ELEVATION
INFORMATION (SURVEY REQUIRED) 1. Building elevations are
based on: 1-1 Construction Drawings* ](JBuilding Under Construction* -n A new Elevation Certificate
will be required when construction of the building is complete. 2. Building Diagram Number (
Select the building diagram most similar to the building for which this certificate is being completed - seo pages 6and 7. |fnodiagram
accurately represents the building, provide asketch orphntogm»h.) 3.Elevations - Zones A1`AJ0, AE.xH.
A(with BFE).VE.V1-V3O V(with DFE).AR, AFVA.8Rm.E.8RV\1-A3U.ARK\H.AR/AxO- Comp|eteUemaC3.a-ibm|owaouovdioq|o\haboi|
dingdiogomuponifivUinVomC2. State the datum used. Uthe datum indifferent from the datum used for the BFE in Section
B, convert the datum to that used for the BFE. Show field measurements and datum conversion calculation. Use the space provided or the Comments
area of Section D or Section G, as appropriate, to document the datum conversion. Datum V&k8_qA Conversion/Comments --- __---------------------------------------------- _-____________________ E|uvpUvn,
o(oronuema,kunod_,z JJ/g_
z4_;_____Doeomaw|evuVon,akarencema,kuoeooppcpron/^mF|RKxY |__|Y*o |~-'No n}Top u(bottom floor (including basement orenclosure)
nL(m> b)Top o/next higher floor unn) J
4Bottom o[lowest horizontal structural member (Vzones
only) k(m> d)Attached garage (top u|slab) K.(m)c e>
Lowest e|evaVvnpfmapWoeryand/or equipment servicing the building (
Describe
inoComments area) m) VLowest adjacent (Oniskwu) grade (
LAG) 41--I-U.(m) Z J g>
Highest adjacent (8ninhed)grade (HAG) t_k.(m) Ll h) No,
of permanent openings (flood vents) within 1 ft. above adjacent
grade _ 0 U Cl i>Total area o[all permanent openings (flood vents) inC3.h----- sq.
in. (sq.nm) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed
and sealed by a land surveyor, engineer,
or architect authorized by law to certify elevation information, certify that Ihe information it) Sections A, B, and C on this certificite
represents my best efforts to interpret the data available. understand that any false statement inay be punishable by fine tinder 88S.Code,
Section 1001. FNAA Fnrm 81-31-JUL. 00 SEE REVERSE SIDE FOR CONTINUATION REPLACES ALL
PREVIOUS EDITIONS
Is
12
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
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
K attachments
SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AID AND ZONE A (WITHOUT BFE)
For Zone AO and Zone A (Without BFE), complete Items E 1. through E4. If the Elevation Certificate is intended for use as supporting
information for aLONIAorLQwm-r.Section Cmust oecompleted. El.
Building Diagram Number ----- (Select the building diagram most similar to the building for which this certificate is being completed see
pages 6 and 7. |(nodiagram accurately oapnaxen(v/hobuik8nO.pmvidemoka*hv,pho(ogrnph.) E2.The
top nrthe bottom floor (including basement nrenclosure) of the building is LL_|n(m)L-L|in(o'4 L_|xmvovr L_|be|mw check one) the highest
adjacent grade. (Use natural grade, i,uvpi|ama.> _ E3. For Building Diagrams
6-8 with openings (see page 7), the next higher floor or elevated floor (elevation b) of the building is L-|n,(m)L-
L-|(on}above the highest adjacent grade. Complete Items Oa.hand CJjonfront n/form. E4. For Zone AO only:
If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's certifyfloodplainm,iti,igementorditiince?[--I Yes
J___JNo j____JUnknown. The local official must hi 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, C (Items C3,h and C3J only), and E for Zone A without a FEMA-issued or
community -issued BFE) or Zone AO must sign here. The statements in Sections A, D, C, and E are correct to PROPERTY OWNER'S OR OWNER'
3 AU I I-JURIZED REPRESENTATIVE'S NAME ADDRESS CITY STATE ZIP CODE
SIGNATURE DATE TELEPHONE COMMENTS I—
J 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.0(or
E).and s,fthis Elevation Certificate. Complete the applicable item(s) and sign below. G1, The information in Section C
was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, v,architect who |uauthorized uystate
o,local law mcertify elevation information, (Indicate the source and date pythe elevation data inthe Comments area he|mw.) G2.|_Acommunity
official completed Section Efor abuilding located inZone & (without
oFEWx,iosvwdo,community-issued BFE)ur Zone AO. Q3.L_The following information (Items G4'Gn)inprovided for community Ooudp|
oinmanagement purposes.
G7. This permit has been issued for: J__J New Construction J__J Substantial Improvement G8.
Elevation o{as-built lowest floor (including basement) ofthe building is: ----------------- ft.<m>Dm|um:------ ______
Gg.DFEor(inZonoAO)doyihofUomJinqa(/hebui!dinguiteio: ______-_---_.--_k.(m) Datum: _____________ LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE
COMMENTS Check here if attachments P17PLACES ALL PREVIOUS FnITI(')
NS