1033 Laurel Ridge Ln - BR11-001829 - TOWNHOMERECEIVED
JUL 2 b 2011
BY: ITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: r Documented Construction Value: $
Job Address: 10 3 LA"A.&C-L R606E LIQ - Historic District: Yes No LN'
Parcel ID: Lor 14 Zoning:
Description of Work: NFL '"^^yr b
Plan Review Contact Person: Title:
Phone: Fax: E-mail:
Property Owner Information
Name des Phone:
Street: LC*O PAl< -RJg. S Resident of property?
City, State Zip:
Contractor Information
Name (?fL4&5LL- )ZA-11 IfJc, Phone: L(0_7 031 1667
Street: '7 $ ( (3I to 1-kf 4- DX. Fax: l,{c-1 'Oy 3 V o
City, State Zip: UOa bWv90State License No.: CFC- OS(o_l (6C Name:
Street:
City,
St, Zip: Bonding
Company: Address:
Building
Permit Square
Footage: Architect/
Engineer Information Phone:
Fax:
E-
mail: _ Mortgage
Lender: Address:
PERMIT
INFORMATION Construction
Type: rjew r— No. of Stories: z No.
of Dwelling Units: Flood Zone: Electrical
17 New
Service — No. of AMPS: Plumbing
Ca New
Construction - No. of Fixtures: 17 Mechanical
13 (Duct layout required for new systems) 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, 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 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.
Signature ofOwner/Agent Date
Print Owner/Agent's Name
Signature of Notary -State ofFlorida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of D
APPROVALS: ZONING: UTILITIES:
ENGINEERING:
COMMENTS:
Signature ofContractor/Agent bate
Print Contractor/Agent's Name
Si ature of Notary -State of Florida Date
Contractor/
Produced D
BUILDING:
Rev 11OR
owl
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: — Oa Documented Construction Value: $d3 V
Job Address: L—f 1 Historic District: Yes No
Parcel ID• Zoning:
Description of Work: ) 5bprl o
C
Plan Review Contact Person: Title: Pl Phone:
Fax: E-mail: roperty
OwnerInformation Name cvm
e PQS Phone: qM 4 Street: 2D11,
NhLAA- Q- ork2D1 Resident of property? City, State
Zip: t yFb rF Qr 3 Contractor Information
Name e-
1 C o Phone: 4D ] - (D L-) ) D - r) DO
Street: g %
7Q c I i))n n UQ, Fax: Li 0-1 - LD Lf r7 -- City, State
Zip: V V l f la-Y r Pb k rL 32729 State License No.: Architect/Engineer
Information Name: Phone:
Street: City,
St,
Zip: Bonding Company:
Address: Building
Permit
0 Square Footage: _
Fax: E-
mail:
Mortgage Lender:
Address: PERMIT
INFORMATION
Construction Type:
No. of Stories: No. of
Dwelling Units: Flood Zone: Electrical` j
Plumbing 0 New Service —
No. of AMPS: J-50 New Construction - No: of Fixtures: Mechanical 0 (
Duct layout required for new systems) 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, 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 ofthe requirements of Florida
Lien Law, FS 713.
The City of Sanford requires payment of a plan review fee. A copy ofthe 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. Jlle
Signature of 0weer/Agent
Print Owner/Agent's Name
Datc
Signalum of Notary -Slate of Florida Dale
Owner/Agent is Personally Known to Me or
Produced 1D Type of ID
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
Rev 11.08
UTILITIES:
Contractor/Agent's Name
aCS,
Signalura of Notary
Q4.5 Expires
c State of Florida
Temus
sion DD9047277/2013
Contractor/Agent is X Personally Known to Me or
Produced 1D Type of ID
WASTE WATEK
BUILDING:
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: I, j
I hereby name and appoint: u-0—fl d
an agent of:
to be my lawful attomey-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
Street Address)
Expiration Date for This Limited Power of Attorney:
License He
State Licen
V&W c
STATE 01
COUNTY
at:
The foregoing p'uqrument was ackno ledged beforg me this 25 day of Ju
by ](j S v_) QLlIII-Q who is ? personal 13Anown
to me or ? who has produced as
identification and who did (did not) take an oath.
Notary Seal)
vyr . Notary Public $tale of FloridaTemus
MY ornrn„s oeaaz
ExP, 0910
Rev. 327/07)
JAA4imSignatureA_"v '
Odnd olI Tr n vs
Print or type name
Notary Public -State of
Commission No.
My Commission Expires:
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: 2201 Documented Construction Value: S y , C)OD
Job Address: 1.at4Vt, Z 0Ua ZA PLC_. Historic District: Yes No
Parcel ID: Zoning:
Description of Work: yi -% n °l`'LC-_? A-Y` , CQ f! GCS CLywr S` e r )'l_C
Plan Review Contact Person: D' Co Pi v1P r Title: T:_4-t r
Phone: Obi- 3 -.2(de Fax: LID-7- SS /d(Z E-mail:
I ' I
Property Owner Information
Name Ivl.&44toA. 40NCQS Phone:
Street:
City, State Zip:
Resident of property? :
Contractor Information
Name 13c( Air eleo4r af ""GS Phone: 40-7--2LpLQ
Street: 3l CbCf f SC a ['cCy Q"j Fax:
City, State Zip: qa!i-bo -(114 EL --3;2 %-71 State License No.:
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Architect/Engineer Information
Phone:
Fax:
E-mail:
Mortgage Lender:
Address:
PERMIT INFORMATION
BmldinrPeSt-0 -
Square Footage: Construction Type: No. of Stories:
No. of Dwelling Units: Flood Zone:
Electrical 19--"- P_lumhing
New Service - No. of AMPS: 5D New Construction - No. of Fixtures:
Mechanical (Duct layout required for new systems) Fire Sprinkler/Alarm No. of heads:
a
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no
work or installation has commenced prior to the issuance of a permit and that all work will be performed to
meet standards of all laws regulating construction in this jurisdiction. I understand that a separate permit
must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and
air conditioners, etc.
OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will
be done in compliance with all applicable laws regulating construction and zoning.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE
OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE
FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this
property that may be found in the public records of this county, and there may be additional permits required
from other governmental entities such as water management districts, state agencies, or federal agencies.
Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida
Lien Law, FS 713.
The City of Sanford requires payment of a plan review fee. A copy of the executed contract is required in order
to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the
plan review fee based on past permit activity levels. Should calculated charges exceed the documented
construction value when the executed contract is submitted, credit will be applied to your permit fees when the
permit is released.
Signature ol'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
V
Signature ofCont t /Agent Dale
Print Contractor/Agent's Name
Signature ofNotary-State of I Date
PATRICIA GUZMAN
Commission # DD 923247
t,Y. VI 11 FunM rains Tier Fain lnmunw WD-3n.1019
Contractor/Agent is Personally Known to Me or
Produced ID Type of ID
APPROVALS: ZONING: UTILITIES: WASTE WATER
ENGINEERING:
COMMENTS:
FIRE: BUILDING:
Rev 11.08
RECEIVED
e JUL 5 2011
CITY OF SANFORDBY:
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: /I— Documented Construction Value:
Job Address: (], _ XaU rel 65*4 109e Historic District: Yes No
Parcel ID: L0# I4 Zoning:
Description of Work: Tawm ftme Umm
Plan Review Contact Person: baghm CIA Title:
Phone: V0i- ZS~1-69(( Fax: 1401-- DS -s116 E-mail:daohnecldrk ilncftQ- K.com
Property Owner Information
Name &ttarwI Phone:
Street: Resident of property? : NW
city, State Zip: Wtll AV P & FL 32'199
Contractor Information
Name ILi Phone: (A01— 2S1-6a160
street: 0 Fax: 1.4D"1-4oS- S13b
City, State Zip:1AX1n .t' OWL FL 12'W( State License No.: CqG Is 2s00
Architect/Engineer Information
Name: WILLOW M RM%M Phone: 601- U1 A17
street: 222 S ME3MW E MUE Fax:
City, St, Zip: A1.T]'tMDIry- Wok% E-mail:
Bonding Company: Mortgage Lender: Vl'
Address: 3/J"6T) 3S, 0 _ /? 3d.P,% Address:
is a 1 27 /oi, s o _ 1,ra, 7.2.2,,20 i0
Building Permit V
e Square Footage: l0 Y3
No. of Dwelling Units:
PERMIT INFORMATION
Construction Type:
Flood Zone:
Electrical D
New Service— No. of AMPS: ISO
ech4nical I3 (Duct layout required for new systems)
3 O
90 -
Contact: DAPHNE CLARK
407) 257-6940
daphneclarkincUcfl.rr.com
No. of Stories: 2
Plumbing D
New Construction - No. of Fixtures:
Fire Sprinkler/Alarm 0 No. of heads:
O0is .
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.
NOT[CE: 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] 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.
Signo of OwnedAgent Date Si ature of ContraetodAgent Date
k&AJ
Prue Oanv/Agent's Nome
Aa- -1wam
Signature of Notary -State of Florida Date
MY COMMISSION t EE 0921Z
EXPIRES: June 27, 20 i>
va o Battled Thnt 6udgd x,.
O-vtmer/Agent is V/ Personally Known to Me or
Produced 1D N/ Type of ID PA
Prin cMbMaor/AgentName Signamm
of Notary -State of frorida / D.
A CLARK MY
COMMISSION t EE 092`10 EXPIRES:
June 27. 201S 014*%
De i TPersonally Known to Me or Produced ID "
A- Type of ID AJA . APPROVALS: ZONING:
UTILITIES: ENGINEERING: FIRE:
COMMENTS: Rev
11.
08 WASTE WATER:
BUILDING: to (.-
S
RECEIVED
F JUL 5 2011
Y: CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
WApplicationNo: Documented Construction Value: $ /5S q00
Job Address: 3_ / [lQi/ IC./Q'c 14at Historic District: Yes No
Parcel 1D• I4- Zoning:
Description of Work: TOWN_ If ME UNIT
Plan Review Contact Person: badAm, Clark.. Title:
Phone: _UDI - 2.0 -6q40 Fax:1401- q0S -MI6 E-mail:dQDh%1¢C1drk_ in(004
Property Owner Information
Name Q VY1 it M(by Phone:
Sheet: Resident of property? : WW
City, State Zip: W1V)Ttf' 32189
Contractor Information
II ,, Name i Phone: 40— 2S_1 _V 40
Street: 400 !PaN, ue(nue S A+h Fax: L10_1—gOS-S'131b
City, State Zip: W1AtLc Pa(k' R. 3-27Aq State License No.: CqG BSI 2=0
Architect/Engineer Information
i '_i
i y7V : _ 1
Bonding Company: MIA -
Address:
Phone: LO-1— b81 Iq 0
Fax:
E-mail:
Mortgage Lender: t)Ar
Address:
PERMIT INFORMATION - - - - -
Building Permit ` —
Square Footage: 19S3
No. of Dwelling Units:
Electrical D
New Service— No. of AMPS: 150
Construction Type:
Flood Zone:
Mechanical (Duct layout required for new systems)
No. of Stories: 2
Plumbing O
New Construction - No. of Fixtures:
Fire Sprinkler/ rm O No. of heads:
V_^
t
Contact: DAPHNE CLARK
407) 257-6940
daphneclarkinc@cfi.rr.com
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: l 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 ofpermit 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.
i vf K(A—
Signs of Owner/Agent Date Sig azure of ContractorlAgent Date
fT /V P- W
Prue Uwncr/Ageat'a Nome
lwhw
Signature of Notary -State of Florida Date
D. A CLARK
MY COMMISSION 9 EE09211
s EXPIRES: June 27,-20-1 -
F RBMM Thm Budget Owner/
Agent is V Personally Known to Me or Produced
ID i4 Type of ID N-L APPROVALS:
ZONING: ENGINEERING:
COMMENTS:
Rev
11.08 1'
rin Contractor/Agent's Name Signaturc
of Notary-Statc of orida atcj/ 01 °
i i _ _ D. A CIARK -- he
MY COMMISSION 9 EE 09214iNom EXPIRES: June 27. 201`: e=
tr 'R1`ee%1 is "Personalh, Known to Me or Produced
ID AIA- Type of ID AJ- . UTILITIES: /_
WASTE WATER: M
FIRE:
fw4, BUILDING:
PN RECEIVED
JUL 5 2011
42 `D 3Y: CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: + Documented Construction Value: $ IJ Tl / 47OD p
Job Address: 1 3_ xyurzl I id e 14! Historic District: Yes No
Parcel 1D: W# /4 Zoning:
Description of Work: _Taui HOME UNIT
Plan Review Contact Person: bahyw1 CIOrlk- Title:
T
Phone: U01-M-6440 FaxAW1-q0S-s136 E-mail:&DhmQCldrkinc&.Sl•.(Di4
Property Owner Information
Name Aattama (Tabowilk) Paftc&ioPhone:
Street: 4w MAIL AvalW. Resident of property?
City, State Zip: WIIC1'?i.r PA(IG FL 32'I89
Contractor Information
N . ameGImn bPhone: 40- 2S1 '6C 4o Street:
0Pa& Fax: MO—qOS-S1310 City,
State Zip: WIIIA'Li 2& FL. 3T7t9 State License No.: CgG 151 ZSOO Architect/
Engineer Information Name:
Phone: 601- b1i + A (7 Bonding
Company Address:
Fax:
E-
mail: MIA-
Mortgage Lender: IJIA' r
Address:
PERMIT
INFORMATION -- -- -- Building
Permit V Square
Footage: ISS3 Construction Type: No. of Stories: 2• No.
of Dwelling Units: Flood Zone: QQ A v_L @, Electrical
D Plumbing D New
Service- No. of AMPS: New Construction - No. of Fixtures: Mechanical
D (Duct layout required for new systems) Fire Sprinkler/Alarm D No. of heads: Contact:
DAPHNE CLARK 407)
257-6940 daphneclarkinc@cfl.
rr.com
hal
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 die 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.
Signo ofUvner/Agent Date f Sig+mru of Contractor/Agent Date
p: IJAIA/ A
PAM Owner/Agent's Nomc
Signature of Notary -State of Florida Date
D. A CLARK
MY COMMISSION t EE09214
EXPIRESAune 27, 201- - - -
4 .n ncP Banded 7Ant Budges NoLroy Sa:k.
Ov.ner/Agent is V/ Personally Kno,,-,t to Me or
Produced lD NAr Type of ID &A
gaA) & F.4!!1 •
Prin Contractor/Agrntl Name
j/ Signature of Notary -State of orida
D. A. CIARK -- -- - - . -
MY COMMISSION tlEE 09214i
EXPIRES: June 27, 201S
1' etr Rges'%1 is aPersonally Known to Me or
Produced ID "A- Type of ID A!o} .
APPROVALS: ZOTTING: UTILITIES: WASTE WATER:
ENGINEE '7 6 t f FIRE:
COMMENTS:
Rev 11.08
BUILDING:
s
lk
p0 ' City of Sanford
Hlb Planning and Development Services
874 Engineering — Floodplain Management
riuuu LuFle lJVt1dflllllldtlull rXWuUVbt rufllfi
Name:
Address: Lk-,G Gr l<
Firm:a.-fj,,.. I .ac Csahv;e,lidc e S•:
City: Wint6 &,r- k— State: Zip Code: 32Z al
Phone: Jo 7 • Zs 7•(94o Fax: 407,9oS•5'73` Email: Cal r1
Property Address:
Property Owner:{{,h,
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: X Base Flood Elevation:' Datum: KGY a7 29
FIRM Panel Number: 120 29,4 oO7O F Map Date: Q 16 • o7
The referenced Flood Insurance Rate Map indicates the following:
The parcel is in the: floodplain floodway
j;'A portion of the parcel is in the: floodplain floodway
The parcel is not in the: floodplain floodway
The structure is in the: floodplain floodway
ED"' 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: r3F C-- , g
Lo ka- 3ee.t64, Soo. L, 1b.i CQh 04- OC.. z00 I
rio+k It _ to12 a
Date: 7. Co • I l
Certificate\Flood Zone Determination Request Form.doc
lio
Serx it .luociates 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] RADIUS I Delta
C11 14.351 76.00 f0'49'lr
W e KIaW
ie
s 1 to t
2.+h
1 w
2I
I
InNff3• IT.aD
Map of Survey
LINE TABLE
LINE LENGTH BEARING
Lf 21.79 N00'4 f93E
L2 16.62 N:6'0OWE
L3 20.00 S46'00S33'W
LI 20.00 1W6'OOWE
L5 20.00 S46*WV3'W
16 20.W N46'00133E
0 3f.00 1 Nt6'OOWE
L8 9.aw S35'1046'W
L9 7.95 S161OOD3'w
L101 20.001 S46 0093'W
Tract
Multipurpose Easement
L13 L12 L11
129.14 _
N 46e00'03" E 144.38
LINE TABLE
LINE LENGTH BEARING
Lit 20.00 N40VOV3 E
L 12 20.00 S46 OOW W
L 13 20.00 N46W 3E
Lis 3?.14 N46VOWE
Lis 95.00 N43'5937'W
Lis 95.00 N43.59V W
L17 95.00NO S43'5937E
L 16 ON N43 b9S7'W
LIVI 95.00 N43'5957'W
15.24-fPCP
Tract A
Multipurpose Easement
CIL Laurel Ridge Lane 124" RIM
TractA CITY OF SANFORD - BUILDING PLAN REVIEW
Illultipurpose Easement PLANNING NO DEVELOPMENT SERVICES
APPROVED (M U
DATE 3t
LEGAL DESCRIPTION
Lots 11, 12, 13, 14, 15, 16, "Reserve at Loch Lake"
according to the plat thereof as recorded In plat book at pages) ofthe
public records of Seminole County, Ronde.
FLOOD HAZARD DATA: The parcel shown hereon lies ti to Hood zone A'
according to the Flood Insurance Rate Map communffy parcel number
120294 007OF dated 09-282007.
Flood Zone determination was performed by graphic plotting onto Flood
Insurance Rato Maps prepared by FEMA. There has boon no Asid surveying
performed by this firm to determine this flood zone. This Is the professional
opinion ofHem d Associates, Ina The lender (ifany) makes the final
determination as to thei requirement ofFlood Insuranoo or not. We assume no
responsibility foractual flooding conditions.
Note: This drawing Is Attended for thepurpose ofobtaining a building pemtlt
only. Lot sp6dflc architecturalplans must be referred to for the detalls/options In
construction of the structure shown hereon. BEARING
BASE. Bearings shown hereon are referenced to the Southedy plat boundary
of Reserve at Loch Lake as being S 89.1827-E. Vertical
datum I.sbased onengineering plans provided by diont, prepared by Evans
F_ngirroedng, Ina Job # 22501. General
Notes: 1.
This is a BOUNDARY Survey performed in the field on PROPOSED Legend 2.
No aerial, surface or subsurface utility installations, underground improvements or 0 Temporary Benchmarkors O.
R.B. onset
OffsetRecords Book subsurface/
aerial encroachments, it any, were located. essumad datum) Pe Plat Book 3.
Building ties shown are to the exterior unfinished foundation surface or fonmboard. BOW Back of sidewalk PC Point of curvature 4.
Elevations shown hereon, it any, are assumed and wenT obtained from approved GL d
Cedinsnte
Central or (
Delta) Angle PCC. Point of Compound Curvature Construction plans
provided by the Client unless otherwise noted, and are shown CALC Chord red P.C.P. Permanent Control Point on to
depict theproposed or actual difference in elevation miath'eto the assumed I)' P CB Chord Bearing Pr,, P R.
M. Page Permanent
Reference
Monument temporary Benchmarkshownhereon. CD Chord PA. property, Une 5. The
parcel shown hereon is suh,'ect to all easements. reservations, restrictions, and C.M. Concrete Monument P.O.B. Po?nt of abginning Rights -of -
way of record whether depicted or not on this oocument. No search or the EL or cLEV Fievarion (PmWsed) P.O.C. Point of Commencement Public Records
has been made by this office. FINAL EL Elevation (Measured) P.I. Point of intersection el description
Shown hereon is as lumished by Client. 6. ThelegalFO. Fin. FL
Elev. Found Finished
Floor
Elevation PRC. Point of Reverse Curvature 7. Platted
and measured distances and directions are the some unless otherwise noted. I.P. Iron Pipe PT. R
Point
of
Tangency Radius B.
Copies
of this Survey may be made for the original transaction only. I.R. Iron Rod RAO Rader Line Denotes %' iron
rod with plastic cap marked LB4937, or if' iron rod with L Arc Length RES. Residence red plastic
cap marked 'Witness Comer' unless otherwise noted. Le Licensed Business RiW Right -of -Way O Denotes
P.C.P. (Permanent control point) LS. Mee Land
surveyor
Measured Tam
Temporary
Benchmark Denotes Permanent
Reference Monument N/D(N&D) Nail and Disk TYP Typical
Fence symbcr (
see drawing) m 2011HerxttAssociatesInc. All rights reserved N.R. Not Radial X-X- Farce symbol (see drawing) Certification: Not
valid without the signal,", and the oqgffitiraised aeal of a
Florida lcensed Surveyo oppsr rvey meets
the requirerppree roctkat Slender s
confeined in Cttbple b Administr Iva 7 Fe. Derse L Prremieniecki,
P.S.M. iHen 6 Associates
Inc., State of 4937 Mapper No. 6030
Sketchof Legal
Description This is Not
a Survey Drawn by. CM
Checked by. DP
Prepared for. Mattamy
Homes Job Number. 11-
005-02 Scale: 1--40'
Plot Plan Perform
ud. 0&2f-f 1 Fonnboard Survey. Final
Surrey, Revislons:
RECEIVED
JUL 5 2011
1:;
BY:CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: + Documented Construction Value: $ /y/OO Ott
Job Address: 16, 3_ layrel P,l l t laxt Historic District: Yes No
Parcel ID: 10# I4- Zoning:
Description of Work: 76wm Itot-e UNIT
Plan Review Contact Person: badAm, CIOrk. Title:
Phone: UOZ- ZEI-64LO Fax:401- g0S -S116 E-mail:ddnh%xC1drk inced-I ff.G01ti
Property Owner Information
Name &aama (ThWUM116) Paft Phone:
Sheet: Resident of property?
City, State Zip: W%au- 00(4 fL 32189
Contractor Information
Name ILi Phone: (4 1- 2S1 -Vk 4D
Street: LAoo A eFax: !A01—(A0S-S13f NIM'
L City, State Zip: 1A)i 2& ST?k9 State License No.: CqG I5;1 noo Architect/
Engineer Information ii
K M Mt_,
l[ MUE ALTARDLITE WLIa
R,j Bonding Company:
MIA - Address: Building
Permit -
o Square
Footage: /0 S3 No. of
Dwelling Units: Electrical O
New Service-
No. of AMPS: ISO Phone: U-
7 681 - A 11 Fax: E-
mail:
Mortgage Lender:
1316 Address: PERMIT-
INFORMATION - -- - - -
Construction Type:
No. of Stories: Flood Zone:
Mechanical O (
Duct layout required for new systems) 2 Plumbing
O
New Construction -
No. of Fixtures: Fire Sprinkler/
Alarm O No. of heads: — Contact: DAPHNE
CLARK 407) 257-
6940 daphneclarkinc®cfl.
rr.com
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: l 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.
i
Signn ofOwncr/Agent Data f Sig atureorcontraotormgent Date
1/ A—1 /4 W
Prutt Ot%ner/Ageat'a Nome
44& '/' AeAv&
Signature of Notary -State of Florida pate
MY COMMISSION tl EE 09214
EXPIRES: June 27,201
n 7V Bonded Thru Budge Notam Ser,t'.
Owner/Agcnt is V Personally Known to Me or
Produced ID NAr Type of 1D RA
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
Rev 11.08
aaa) A
f'rin contractor/Agent't Name
Signature of Notary -State of f6da I atc
der¢ D.A. CLARK - -- -
MYCOMMISSION 9 EE092141
EXPIRES: June 27, 20%
k etr 'Mg'Al is"Personally Known to Me or
Produced ID /JA - Type of ID A!-4 .
UTILITIES: 7'5- % WASTEWATER:
FIRE: BUILDING:
LIMITED POWER OF ATTORNEY
DATE:
I HEREBY NAME AND APPOINT: Daphne Clark, Gustav Botes
OF PERMITS PERMITS PERMITS INC
EACH AN AGENT OR 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: Z4
a_?
4,
0( 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 CONTRACTOR.
0, V,' Pl"-.A)1-A
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 I t 12 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.
Commission #: DD868645
Verification pursuant to SECTION 92.525, FLORIDA STATUTES.
ANNETTE q Dg68645CommissionTres
MY Commissjon ExP
NOT Morch 11 . 2013
REQUEST FOR PRE -POWER
Altamonte Springs, Casselberry, Lake Mary, Longwood, Oviedo, Sanford, Seminole
County, Winter Springs
Date: (Z f /
Project Name:_ Lock La" Project Address:_ D?v Len (A Ye-1 d L afte -
Building Permit MI I " I ;2q Electrical Permit #
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. Ifthe 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.
Print meXowenant Prnt mAofen. Contractor
ol'-pafore of caner enant Si aturentractor
Qack 1-7ecL
Gen. Contractor License #
SMSDICT10N EMPLOYEE NAME:
JURISDICTION:
El. Contractor License #
CALLED INTO: ? Progress Energy ? Florida Power and Light on / /
Rev. 3R7/07)
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 14 Reserve at Loch Lake, 1033 Laurel Ridge Lane
To Whom It May Concern,
The finished floor elevation of the structure located at:
1033 Laurel Ridge Lane, Sanford, Florida
Legal Description:
Lot 14, "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).
Sincerely Yours,
Associattes In .
Darae L. Przemieniecki , P.S.M
Associate Vice President
DLP/bb
U.S . S. DEPXIRTMENT OF HOMELAND 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 Budding Owner's Name. Mattamy Homes Policy Number
A2 Building Street Address (including Apt., Unit, Suite, and/or Bldg. No) or P.O. Route and Box No. Company NAIC Number
1033 Laurel Ridge Lane
City Sanford State FI ZIP Code 32773
A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
Lot 14, 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°45'45.0" Long.-81°18'9.6" Horizontal Datum. NAD 1927 ® NAD 1983
A6 Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance.
AT Building Diagram Number 1A
A8. For a building with a crawlspace or enclosure(s): A9 For a building with an attached garage:
a) Square footage of crawlspace or enclosure(s) NA sq ft a) Square footage of attached garage 247 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
131 NFIP Community Name & Community Number B2 County Name B3. State 7CityofSanford & 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
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
611. Indicate elevation datum used for BFE in Item B9: NGVD 1929 NAVD 1988 Other (Describe) N/A
B12 Is the budding 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)
C1. 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 AT 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 building 46.6 feet meters (Puerto Rico only)
Describe type of equipment and location in Comments)
f) Lowest adjacent (finished) grade next to building (LAG) 46.2 feet meters (Puerto Rico only)
g) Highest adjacent (finished) grade next to building (HAG) 466 feet meters (Puerto Rico only)
h) Lowest adjacent grade at lowest elevation of deck or stairs, 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.
Douglas Avenu \ Cjty Altamonte Springs State FI
f.— \ >•
11
Date 10-24-11 Telephone 401
WIM
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 U&
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number
1033 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 Management Agency Letter of Map Revision Based on Fill. Case No: I 1-04-5767A, Dated 09-27-11.
Herx & Associates. Inc. assumes nd%4? 0.pnsibility for actuql flooding conditions.
Date 10-24-11
Check here if attachments
SECTION E - BUILDING ELEVATIOWN FORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE)
For Zones AO and A (without BFE), complete Items El-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 building is feet meters above or below the HAG.
E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management
ordinance? Yes No Unknown. The local official must certify this information in Section G.
SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION
The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA-issued or community -issued BFE)
or Zone AO must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge.
Property Owner's or Owner's Authorized Representative's Name
Address City State ZIP Code
Signature Date Telephone
Comments
Check here if attachments
SECTION G - COMMUNITY INFORMATION (OPTIONAL)
The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B. C (or E),
and G of this Elevation Certificate. Complete the applicable item(s) and sign below Check the measurement used in Items G8 and G9.
G1. The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who
is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.)
G2. A community official completed Section E for a budding 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
1033 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
a -
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
1033 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."
Herx * .Issociates 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 R4DIUS I Delta
cil 14.351 76.00 10-49'15-
Pm
Tranfraill
V m
Q Erz MI
O WO1 h.
D
W
h I' obi
U
Culb J
Lot 17
2
Map of Survey
LINE TABLE
LINE LENGTH BEARING
Lf 2f.79 11000'073E
L2 16.62 N46;FUWE
L3 20.00 S46GOWTV
L4 20.00 N46GOAiE
L5 20.00 s46GOA9w
Le 20.00 N46'OOW E
L7 31.W AW6 GOAT E
L8 9.04 S35'1076'W
L9 7.65 S46GOW1W
L 10 R00 S46.00W'W
OWSE 1 0* 3 LINE
TABLE LINE
LENGTH BEARING Lit
20.00 N46 00173E L
12 20.00 S46GOA9'w L
13 20.00 N46'00A7E L14
3214 N46GOWT L
15 95.00 N015937'w L
fe 95.00 N4359SM L171
95.LV543.5957E L1a
05.00N435957w L191
9500 N43'5937w Tract
A Multipurpose
Easement L4
L5 L6 L7 fa
1a b'.. '.
b. b . r
a 6
Unit Suilding Mt2REY.
W*JREV. Ltv1 WdtSEREY.1 FhW$
ddEtnstbn: .0 - &/ Lot
16 1 Lot 15 1 Lot 14 rJ Lot 13 :1 Lot 12 I Lot 11 i
I1 iiCi" Q) Tract
A Multipurpose
Easement 19f
L10 L/L L I I LIV^' L.7 Lot i r4 _
129.
14 _ g /521_e _ N46.000l9-E 144.38 Pep CIL
Laurel Ridge Lane (24' RIW) Tract
Multipurpose
Easement LEGAL
DESCRIPTION Lots
11, 12, 13, 14, 15, 16, "Reserve at Loch Lake" according
to the plat thereofas recorded in plat book 76 st pages) 2743 of the public
records ofSemino is County, Florida. FLOOD
HAZARD DATA: The parcel shown hereon lies within flood zone 9t- according
to Me Federal Emergency Management Agency Letter of Map Revision Based
on Fill, Case No.:1 fOf-5767A, Oared September27,2011. BEARING BASE. Beatings shown hereon are referenced to the Southerly Community
Map panel number 120294 0070F. plat boundary of Reserve at Loch Lake as being S 89.18271E. There
has been no fled surveying performed by this firm to determine Mis flood zone.
Herx 6 Associates, Inc, assumes no responsibility for actual flooding Vertical datum shown hereon Is based upon Seminole County conditions.
The lender (if any) makes the final determination as to the requirement Bend mark 4141601(Elevation 47.984) NA VD W. of
Flood Insurance or not General
Notes: 1 1. This Is a BOUNDARY Survey in the field ce> Q)
Tract
A Multipurpose
Easement 19f
L10 L/L L I I LIV^' L.7 Lot i r4 _
129.
14 _ g /521_e _ N46.000l9-E 144.38 Pep CIL
Laurel Ridge Lane (24' RIW) Tract
Multipurpose
Easement LEGAL
DESCRIPTION Lots
11, 12, 13, 14, 15, 16, "Reserve at Loch Lake" according
to the plat thereofas recorded in plat book 76 st pages) 2743 of the public
records ofSemino is County, Florida. FLOOD
HAZARD DATA: The parcel shown hereon lies within flood zone 9t- according
to Me Federal Emergency Management Agency Letter of Map Revision Based
on Fill, Case No.:1 fOf-5767A, Oared September27,2011. BEARING BASE. Beatings shown hereon are referenced to the Southerly Community
Map panel number 120294 0070F. plat boundary of Reserve at Loch Lake as being S 89.18271E. There
has been no fled surveying performed by this firm to determine Mis flood zone.
Herx 6 Associates, Inc, assumes no responsibility for actual flooding Vertical datum shown hereon Is based upon Seminole County conditions.
The lender (if any) makes the final determination as to the requirement Bend mark 4141601(Elevation 47.984) NA VD W. of
Flood Insurance or not General
Notes: 1 1. This Is a BOUNDARY Survey in the field ce> Legend performedon2.
No aerial, surface or subsurfaceutility installations, underground improvements or Temporery Benchmark Offset suDsurfeceraerial
encroachments. If any, any, were located. assumed datum) OfOfrser Records Book3.
Building ties shown are to the exterior unfinished foundation surface or formboard. BOW Back of sidewelk PB PC
plat
Book Pont
a curvature 4. Elevations shown hereon, if any, are assumed and were obtained from approved Cenremne PCC. Fbint of Compound Curvature Construction
plans provided by the Client unless oMenvise noted, and are shown J Central or (Dolfe) A le gP.C.P. Permanent Control Point on
to depict the ryproposed or actual difference in elevation relative to the assumed CALC ce
Chord tee ChadeearirrpPG. P°o° temporary
Benchmark shown hereon. CD Chord P.R.M Permanent ReferenceMonument 5.
The parcel shown hereon is subject to all easements, reservations, restrictions, and C M. Concrete Monument RA PmpeM Line R
Rights-0f-way of record whether depicted or not on this document. No search of the YEl. or ELEV Elevation (Proposed) P.O B P.
O.C. Point
or commBeginnirrp PointofCommencementPublic
Records has been made by this office. FINAL EL. Elevation (Measured) P,l. point of Intersoc6on 6.
The legal description shown hereon is as furnished by talent FD. Found PRC. Fbinr of Reverse Curvature 7.
Platted and measured distances and directions are the some unless otherwise noted. Fin.Fl Elev. I.
P Finished
Floor Elevation Iron
Pipe PT. Point Of Tangency 8.
Copies of this Survey may be made for the original transaction only. I.R. Iron Rod R ReOus Denotes
X * iron rod with plastic cap marked LB4937, or %" iron rod with L Are LengthRAO Radist Line red
plastic cap marked 'Witness Comer' unless otherwise noted. Le Licensed BusinessRES RAN
Residence
Right -
or -Way ODenotesP.C.P. (Permanent Control point) LS. Lend Surveyor TOM Temporary Benchmark Denotes
Permanent Reference Monument Mee Measured TYR Typical O
2011 Marx 6 Associates Inc. All rights reserved gNID(
160) N
R Nail
and Disk Not
Radial Fence Fencesymbol (see drewirp) Fence
symbol (see drewirrp) Canillcation:
Not valid without the nature an Aa origin I ad seal Drawn by: CM jffAfIorWslicensedSurveyorMorCheckedby: DP brideMinThissureefsthemawChoStandardscontainedinChafFtrT
n' inisfrelive
Pro red for. Mattam Homes PayJob
Number. 11-005-02Scale.
1"a 40' Plot
Plan Performed., 06 2f-11 V4111am
A. Herr, P L. S Fonda Reosf Lend yor No. 3192 Rev. Building Position: 0721-f 1Dares
L Prremiemeeki, P S. M Reprsfe SUrVSYOA#nd Mapper No. 6030 Fotmbtlard Survey: 0725-f fHan
d Associates Inc, Stare of FloridaLS 7 Foundation Survey. 08-03-11 Flnel
Survey. 1020-11
Seri 4t .Issociatesinc.
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
PERMIT #
CURVE TABLE
CURVE I LENGTH I RADIUS I Delta
C11 K351 76.001 f0'48'15'
1.
oci
E 6) A
0W
t:
I JLUt
I
l
rrdrer. nob
Map of Survey
LINE TABLE
LINE LENGTH BEARING
L1 21.79 N00.4193E
L2 16.82 N46'0001iE
L3 20.00 S46'OOV3'W
L4 20.W N46OME
L5 20.00 S46 GM W
L6 20.W N46'00b3 E
L7 31.00 N46VOW E
La 9.04 S35'f0''48'W
L9 7.65 S46'00711w
L10 20.00 S46'00ti31W
Tract A
Multipurpose Easement
L13 L12 L11
129.14 _
N 46e00'03" E 144.38
OFFICE
LINE TABLE
LINE LENGTH BEARING
L1 t 20.00 N46 OOn3E
L12 20.00 S46'OM W
L13 20.00 N46V0V E
L14 32, M N48WWE
L15 95.00 N435937'W
L16 95.00 N43 59' 'W
L17 95.00 S43 5937E
L18 95 00 N43.59'S7'W
Lis 01 % N43'5937Ww
L9 C1 O
15.24 a -- PCP
CIL Laurel Ridge Lane (24' R/W)
TractA
Multipurpose Easement
LEGAL DESCRIPTION ,
Lots 11, 12, 13, 14, 15, 16, "Reserve at Loch Lake"
according to the plat thereof as recorded In plat book at pages) of the
public records ofSeminole County, Florida.
FLOOD HAZARD DATA: The parcel shown hereon lies within flood zone A'
according to the Flood Insurance Rate Map community panel number
120294 007OF dated 09-28-2007.
Flood Zone determination was performed by graphic plotting onto Flood
Insurance Rate Maps prepared by FEMA. There has been no field surveying
performed by thls firm to determine this flood zone. This Is the proiesslonal
opinion ofHerx d Associates, Inc. The lender (ifany) makes the final
detemtination as to (he requirement of Flood lnsumnce ornot. We assume no
responsibility for actual flooding conditions.
General Notes: pRo f'OS D1. This is a BOUNDARY Survey performed in the field on
2. No aerial, surface or subsurface utility installations, underground Improvements or
subsurface/aerial encroachment$, if any, were located.
3. Building ties shown are to the exterior unfinished foundation surface or formboard.
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 (he proposed or actual difference in elevation relative to the assumed
temporary Benchmark shown hereon.
5. The parcel shown hereon is subject to all easements, reservations, restrictions, and
Rights -of -way ofrecord whether depicted or not on 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 some unless otherwise noted.
8. Copies of this Survey may be made for the original transaction only.
Denotes h' iron rod with plastic cap marked L84937, or W iron rod with
red plastic cap marked 'Witness Comer, unless otherwise noted.
O Denotes P.C.P. (Permanent control point)
Denotes Permanent Reference Monument
m 2011 Herx 6 Associates Inc. All rights reserved
Certification: Not valid without the signature and the o kIrmalsed
seal
ofa Florida licensed Survoyo upperThLkrveymeetstherequire ! brideMini= Tal
containedIn Ctrs 7 FI Adminlstr ie.
DareeL. Paemeniecki, P.S.M. I
Marx 6 Associates Inc., State of 4937
Mapper No. 6030
Tract A
Multipulpose Easement
Note: TMs drawing Is Intended for the purpose ofobtalning a building permit
only. Lot spedflc archllectural plans must be referred to for the detallsloptlons
In construction of the structure shown hereon.
BEARING BASE. Bearings shown hereon are referenced to the Southerly plat
boundary of Reserve at Loch Lake as being S 89'1877 E.
Vedl-I datum is based on engineering plans provided by client, prepared by
Evans Engineering, Inc Job # 22501.
Legend
Temporary Benchmark
assumed datum)
BOW Beck of sidewalk
Cal. Centerline
d Central or (Delta) Angle
CALC Calculated
CB Chord Bearing
co Chord
C.M. Concrete Monument
EL. or ELEV Elevation (Proposed)
FINAL EL. Elevation (Measured)
FD. Found
Fin.Fl. Elev. Finished Floor Elevation
I.P. Iron Ape
I.R. IronRod
L An: Length
LB Licensed Business
LS. Land Surveyor
Mee Measured
NO(N&D) Nail and Disk
N R. Not Radial
Sketch of Legal Description
This is Not a Survey
O/S Offset
O.R.B. OfficialRecords Book
PB Plat Book
PC Point of Curvature
PCC. Point ofCompound Curvature
P.C.P. Permanent Control Point
PG. Page
P.R.M. Permanent Reference Monument
PA. Property Una
P.O.B. Point of Beginning
P.O.C. Point ofCommencement
P.I. Point of Intersection
PRC. Point of Reverse Curvature
PT. Pant of Tangency
R Radius
RAO Radial Line
RES. Residence
RNV Rightol-Way
TOM Temporary sombinerk
TYP. Typical
Fence symbol (see drawing)
X-X- Fence symbol (see drewing)
Drawn by. CM
Checked by. DP
Prepared for. Mattamy Homes
Job Number. 11-005-02
Scale. 1-a 40,
Plot Plan Performed., 06?1-11
Formboard Survey.
Final Survey:
Revisions:
COUNTY OF SEMINOLE
IMPACT FEE STATEMENT
STATEMENT NUMBER: 11100002
BUILDING APPLICATION #: 11-10000276
BUILDING PERMIT NUMBER: 11-10000276
DATE: July 19, 2011
UNIT ADDRESS: LAUREL RIDGE LN 1033 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: 1033 LAUREL RIDGE LN_/LOT 14/BLDG 3 MODEL
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
FI N/A
00
LIBRARY CO -WIDE ORD
Condominium* 54.00 1.000 dwl unit 54.00
SCHOOLS CO -WIDE ORD
Muultifamily 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
RECEIDTBY: ® V ci A& 0l- 41GNATURE :
PLEASE PRINT NAME)
DATE: /0,
NOTE TO RECEIVING SIGNATORY/APPLICANT: FAILURE TO NOTIFY OWNER AND
ENSURE TIMELY PAYMENT MAY RREESULT IN YOUR LIABILITY FOR THE FEE. ***
DISTRIBUTION: 1-BLDG DEPT 3-APPLICANT
2-FINANCE 4-LAND MANAGEMENT
NOTE**
PERSONS ARE ADVISED THAT THIS IS A STATEMENT OF FEES DUE UNDER THE
SEMINOLE COUNTY ROAD FIRE/RESCUE, LIBRARY AND/OR EDUCATIONAL
ISSUANCE OF A BUILDNG PERMIT.
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. THE 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 FIRbT 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 REFERENCETHECOUNTYBUILDINGPERMITNUMBERATTHE 'POP 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.
11111111101111111111111111111110 111111 IN a III 11111 Parcel
ID Number: 1 0— Z 0 —3 P%-S- 0000 - 01 y 0 Prepared
By Daphne Clark and
Maltamy Homes Rclurn "
ro : 400 Park Avenue South, # 220 Winter
Park, FL 32789 NOTICE
OF COMMENCEMENT. State
of Florida. County
of Seminole. MARYWVNE
MIASE, CLERK OF CIRCUIT CURT SEMINOLE
COLWY BK
07603 Pg 03V; llpg) CLERK'
S it 201110761156 RECORDED
07/19/2011 01%00t02 PM RECORDING
FEES 10.00 RECORDED
BY J Eckenroth(all) The
undersigned hereby gives notice U1at improvements will be made to certain real properly, and in accordance with
Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1.
Description of Property: LOT 14 . 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 33 Laurel Ridge Lane, Sanford, FL 2.
General description of improvements NEW TOWN HOME UNIT 3.
Owner information : Name Maltamy ( 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 desigrualed 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 rcccivc a copy of the Licnor's Notice as provided in
713.13(1)(b), Florida Stalules. N.A. l
u. 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. 11.
Date Signed : d' ' 0! Signature of Owner's Agent : , Y44, Inn
P Kirwan Construction
Mattainy Homes Sworn
to and subscribed before me this by Glenn P Kirwan who is personally known to me. Notary
Public * * MY COMMISSION I EE 092141 Daphne
A Clark EXPIRES: June 27, 2015 My
commission expires: 6/27/2015 '+andr>°+ t abednweudpet rau rse vvices Serial
No. CC850099 Notary Signature: Notary seal: AND-
Verificalion
pursuant to Section 92.525, Florida Statutes. Under penalties of pequry, I declare that ( have read the foregoin
and Ural the fa s staled in it are true to file best of my knowledge and belief. 6tKI WItU GUM t
MARYANNE
MORSE CLERK
OF CIRCUIT COURT Sig
ature of person signing in 11. above. SEMINOLE COUNTY. FLORIDA DFPI
PW CLFRIK
NIATTANW HOMES U.S. GROUP
July 19, 2011
City Manager
City of Sanford
300 N. Park Avenue
Sanford, Florida 32771
RE: ESTOPPEL LETTER
Loch Lake
11-1829
This ESTOPPEL LETTER is provided to the City of Sanford for reliance upon by the City of
Sanford and as the basis for issuance of Permit No. I 1-1829 for the following work:
Construction of a multi -family townhome building [Mattamy Homesl, hereinafter referred to as the "
Owner," recognizes that issuance of Permit No. 11-1829 will be made with numerous limitations
as more particularly set forth herein. The Owner recognizes that this approval does not exempt
us from complying with any applicable building codes, land development regulations, Comprehensive
Plan requirements, or exempt our site or building(s) from any applicable development
regulations. By
issuing Permit No. 11-1829, the City does not guarantee approval of any other development orders
or development permits. The Owner acknowledges and agrees that no Certificate of Occupancy
will be issued by the City for the Townhome Unit until all required land development approvals
have been obtained and all required improvements have been installed, inspected and authorized
for use by the City. The Owner hereby grants the City the right to deny use of the townhome
unit for occupancy until all of the above referenced project is in compliance with all applicable
development regulations. The
Owner hereby agrees to indemnify and hold the City and its officers, employees and agents harmless
for any and all losses, damage, injuries and claims in any way relating, directly or indirectly,
to the permitting or construction of the above referenced project or the issuance of Permit
No. I 1-1829. The Owner also agrees to the following as additional conditions for Permit No.]
1-1829: The
Owner hereby agrees to disclose the contents of this document to any and all of our successors
in interest, contractors, subcontractors and agents. The undersigned further warrants that
he or she is authorized to bind the Owner and has been duly authorized to sign this document. OWNER)
th
Si
eadrurca1X.
2 Printed/Typed
Name n F
GA s-t-avc'.Ir NrA) Title Printed/
Typcd
Name 400 S
PARK AVENUE, SUITE 221t, WINTER PARK, FL(>RIDA 32789 T (407)
599-9994 F (407) 599-9998
NIATTAMY HOMES U.S. GROUP
STATE OF FLORIDA
COUNTY OF SEM INOLE
The foregoing instrument was acknowledged before me this q_ day of
by Onjr7rlrl 1(
as_VDoC tDCOLO.Ckictn for
Awho is personally known to me or o who produced their Flond river's License as identification.
C .tea ry
tary Public. Sfalc of F orida
AMANDA ALISE TIBBS Print Name: q ia P 9tT11 176
My Commission Expires - MY 'c MY COMMISSION q EE063835 Ott 15two
EXPIRES February 13, 2015
F•pnpeN.. gerv cs.oan407)9984)153
44)0 PARK A\'I:.\UI-. S()UI'I I, SUITE 220, WIN'1'1;1( PARK, FLORIDA 32789
T (407) 599-9994 F (407) 599-9998
PERMIT # //- le-e p OFFICE
FORM 1100A-08
FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION
FloridaDpayt rn 22t of Community Affairs Residential Performance Method A Project
Name: Loch Lake TTAMY HOMES TPTH02 Street:
b
Builder Name: [ Permit
Office: v 4 City, State, Zip: Sanford , FL , Permit Number: Owner.
Jurisdiction: Design
Location: 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 ft' b.
Concrete Block - Int Insul, Adjacent R=4.0 160.00 ft' 3.
Number of units, if multiple family 1 c. N/A R= ft' 4.
Number of Bedrooms 3 d. N/A R= ft' 5.
Is this a worst case? No 10. Ceiling Types (835.0 sqft.) Insulation Area 6.
Conditioned floor area (fl') 1475 a. Under Attic (Vented) R=30.0 835.00 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 ft' SHGC:
SHGC=0.60 11. Ducts b.
U-Factor: N/A fl' a. Sup: Interior Ret: Interior AH: Interior Sup. R= 6, 250 ft' SHGC:
12. Cooling systems c.
U-Factor: N/A ft' 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 ft' HSPF: 10 SHGC:
14.
Hot water systems 8.
Floor Types (640.0 sqft.) Insulation Area a. Electric Cap: 40 gallons a. Slab -On -Grade Edge Insulation R=0.0 640.00 W EF: 0.95 b.
N/A R= ft' b. Conservation features c.
N/A R= ft' None 15.
Credits CF, Pstat Glass/
Floor Area: O.Q9 i t
l /Total As -Built Modified Loads: 28.86 PASS PNJHONYpqs/ i/ Total Baseline Loads: 34.19 O
I
hereby certify thaTtl*g plansd s tioris *vered by Review of the plans and 4THE S74T 0,,,, thiscalculationareincompliax@FloridaEntigyspecificationscoveredbythiszCode. - - calculation
indicates compliance s,. 'O
with theFloridaEnergyCode. fin„ PREPARED BYE_
DATE: r0' _
Before construction
is completed this building
will be inspected for y a FCORtD \' Gam\
compliance with Section 553.908 I hereby
certify that this si Incomp Nance Florida Statutes. with the
Florida Energy Co4di / DU W'E OWNER/AGENT:_
4 BUILDING OFFICIAL: DATE: -,E.
7_ - DATE: 6/23/
2011 1:20 PM EnergyGauge® USA - FlaRes2008 Page 1 of 5
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: V tDocumented Construction Value: $ Z /'7 I -GU Job
Address: i Historic District: Yes No L0+ 14 Parcel
ID: Description
of Work: Plan
Review Contact Person: Phone:
Fax: Zoning:
axv_
l t,
J Title:
E-
mail: Property
Owner Information Name
hf) Street: (
5 'qJ 4Y'Yt _ P City,
State Zip: W Ty—+e CL,r F't_ 5;>-_7 " Phone:
Resident
of property? : Contractor
Information Name
DEL -AIR HEATING & AIR CON'D, 531
COD.ISCO WAY Street:nrr=nhs,, c6 - City,
State Zip: Name:
Street:
City,
St, Zip: Bonding
Company: Address:
Building
Permit O Square
Footage: No.
of Dwelling Units: Electrical
0 New
Service — No. of AMPS: Phone:
go— - 004 Fax:
q0-7 - 3,s3 — $ 5 3 Q
E it \ J 50State
License No.: CA0032443 Architect/
Engineer Information Phone:
Fax:
E-
mail: Mortgage
Lender: Address:
PERMIT
INFORMATION Construction
Type: Flood
Zone: No.
of Stories: Plumbing
O New
Construction - No. of Fixtures: Mechanical
13 (Duct layout required for new systems) Fire Sprinkler/Alarm 0 No. of heads:
w
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, a right to calculate the
plan review fee based on past permit activity levels. Should calculated charg e e the do;7en ted
construction value when the executed contract is submitted, credit will be applied, y r e it fees the
permit is released.
Signature ofOwner/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: UTILITIES:
ENGINEERING:
COMMENTS:
Signatu ntraciror/Agent Date
08ERT G. DEL! 0 RUSSQ
Pri t Contractor/Agent' Name
Signature ofNota -State ofFlorida Date
MIRINDA C. TURNER
JAY COMMISSION d EE 080798
EXPIRES: June 14,2015
Bonded ThN Notary Peblio Underwriters
Contractor/Agent is rPersonally Known to Me or
Produced ID Type of ID
WASTE WATER:
I 1
Rev 11.08
oMU,,VE s
ss0rIATJON
M105F V1VlDA
tate orUflcation'tacense #CAC 032448
a
DEL —AIR
AIR CONDITIONING • HEATING • REFRIGERATION, INC.
531 Codisoo Way
Sanford, Florida 32771.
fam) 333
seroneCe
famje3t.••
UOa..7oCa.
tom) M7 -
vmo"21, moos
iSAIE§i! SERVICEz
INSTAILAI'fOrJ'S
TO, Mattamy Homes BUS. PHONE:. 407-599-2228
460 Park Avenue South, Suite 220ADDRESS: 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
FAN5/FAN-
PRICE
ALTERNATE
PRICE WITH 2.0
NOTES
LIGHT
CO BO TON 7
CAPRI 1.5 14,50 3 / 0 3 886.00- 3 838.00 2.0-ton Is 14 seer
FLORENCE 1.5 14.50 310 3 840.00 3 791.00 2.0-ton Is•f4 seer
MILANO 2.0 14.00 3/0 3,752.00 n/a
SIENA 2.5 14.00 3 / 0 4 327.00 n/a
VENICE 2.5 14.00 3•/0 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 flex system. Supply air outlets to be Stamped Metal Grills.
Electrical line 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 lines by plumber.
Warranty: Includes one year labor service by DEL -AIR. Parts & components warranty per manufacturer's
limited warranty.
Payment Schedule: 50% due on rough -In, balance on equipment set and trim out. Net 7 days.
hp-4by accept the terms and conditions of this contract as set forth on the reverse side of Oils sheet and I do hereby order the installation of the abovo described equipment.
t
EL -AIR HEATING, AIR CONDITIONING, REFRIGERATION, INC.
IY I`chl SIrada
BMWs NAME
DATE act! amy RO es
ATE SIGNATURE