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1330 Twin Trees Ln 08-88 (new constr)CITY OF SANFORD PERMIT APPLICATION !o a Application # : D Submittal Date: . / Job Address: 1330 Value of Work: $ y 02 3. 0 0 Parcel ID: 32-19-30—/5RW-0000— �BloO Zoning: Historic District::. No Description of Work: 0-1 --2- / 33� Square Footage: — 1S9ti I L — �a6 7 ......................................................................................................................... Permit Type: Building 101 Electrical ❑ Mechanical ❑ Plumbing ❑ 1Fire Sprinkler/Alarm ❑ Pool ❑ Sign ❑ Electrical: New Service — # of AMPS Addition/Alteration ❑ Change of Service ❑ Temporary Pole ❑ Mechanical: Residential ❑ Non -Residential ❑ Replacement ❑ New ❑ (Duct Layout & Energy Calc. Required) Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines Plumbing/New Residential: # of Water Closets Plumbing Repair —Residential ❑ Commec.cia]]t-❑ Occupancy Type: Resid nti 1 IXI Commercial ❑ Industrial ❑ Occupancy Use Group(s): q` 3� ft 'wG� Construction Type: � # of Stories: 2 # of Dwelling Units: 1 Flood Zone: --k— (FEMA form required) ................................................................................................I........................ PropertyOwner: TOUsa Homes dba Engle Homes Address:11315 Corporate Blvd., #250 Orlando, FL. 32817 Phone407-249-3500 E=mail: Bonding Company: N/A Contractor: William Colby Franks Address: 11301 Corporate Blvd. , #303 Orlando, FT, 32817 Phono407-249-391Al eLicenseNumber:CGC1507971 Mortgage Lender: N/A Address: Address: ArchitectiEngineer: Residential Design Services Phone.407-246-1080 Address: 3301 Bartlett Blvd. , Orlando 32811 Fax: 407-246-0094 Plan Review Contact Person: Valerie or Ke Phone:407-249—.3661:0 313-2142 E-mail: 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 roperty f th equirements of Florida Lien Law, FS 713. /D t�0 Signature of Owner/Agent Date S nature of Contractor/Agent Date William Colby Franks Print Owner/Agent's Name Print Contractor/Agent's Name Signature of Notary -State of Florida Date Signature of Nota •-State of Florida Date ,tin�r VALERIE L. FURRER Commission DD 668238 r Expires May 25, 2011 r( „ti1 EIMM Thru Troy Fain Irmumm 800365-7019 Owner/Agent is Personally Known to Me or Contractor/Agent is X Personally Known to e or Produced ID Produced ID AM APPROVALS: ZONING: '6/ UTIL: FD: ENG: BLDG: I' Special Conditions: Rev 07.07 PLOT PLAN DESCRIPTI(fN: ('A' FURNISHED) LOTS 184-189, RETREAT AT TWIN LAKES REPLAT AS RECORDED IN PLAT BOOK 69, PAGES 14-20 OF THE PUBLIC RECORDS OF SEMINOLE COUNTY, FLORIDA, I ; I I LOT 183 I I I FFiCE { 88.75' N 89'09' 30"E O 10' UTILITY EASEMENT o 25.1' - 4.0 0 33.7' 10 M 30' F— d' od oa o GRAPHIC SCALE 0� z �r 47' p 15 30 .5' o z 4.7' -_ �____-- ------------ 5.ci 3' U o. QLo 000 a M U �z �" z n .., ,::. ---- Co. �— --------- - 11.0'.. 0": w o 0 1 o a " x r� -15.0 ..,. o a r �.� 11.0 :. �', ; z' .. 0 00 l a o W J = 48.67' o `. -.w .. ---- u `------- ------- ---------- -- m o-------------- �> Oro w '777 LLi _ ,� 0 � o v w 11.0 O. - J o': F �' a r o'o o •- n - - p4 ba �OZ � �. N 0 �•. V__ ____ F 11 0 Q------------- p > Ow M w >'• 0 � �..00 ow O N N-j O,.: F 7 21.� W > a O M J d..':o(L U-----`-___ -------------- _____________ 4.7' a .' O w aw:� h ,.na. i•. 10 A=90'51'26" ^ o oo M o W 4.7 o L=42.82' �.— mQ N o a ti,o 33.7' R= 27. 00 15.1. CB=N44'35'13"E-------------------------------- N C=38.47' 15' UTILITY EASEMENT W yJ II Z J 0) Oui O ¢ � w I Lil U 0� 0 Iw3 mo o • Q 9. F7 w� -Z �U II I ------------ 1 N89'59'04"W 61.35' t: — - — - — - — - — -- - LINE CENTEROF RIGHT OF WAY DACE : LONG OAK WAY PREPARED FOR: TPLANS ENGLE HOMES- Eu EAST` REGION - END 0 Is PSM PROFESSIONAL SURVEYOR & MAPPER BUILDING POSITIONED PER B M °'" LW MINIMUM LOT WIDTH PDB POINT ON BOUNDARY . LAYOUT DRAWING ` APPROVED RICF WAY LINE — — RIG HT. OF POL. POINT ON LINE PCC POINT OF COMPOUND CURVATURE BY CLIENT. % PROPOSED ELEVATION POC POINT ON CURVE OR OFFICIAL 'RECORD PROPOSED DRAINAGE FLOW 'RD. -PLANNED DEVELOPMENT CONCRETE 6DENOTES DELTA ANGLE 1. ELEVATIONS SHOWN ARE FOR LOT GRADING - L DENOTES AR'C LENGTH PLANS PROVIDED BY THE CLIENT. - LB LICENSED BUSINESS LS LICENSED SURVEYOR C.B. DENOTES" CHORD BEARING PC DENOTES POINT OF CURVATURE FRM PERMANENT ERENCE MONV%!En,r DENOTES.'P014T OF INTERSECTION'.. THIS PLOT PLAN IS INTENDED FOR PERMITTING PURPOSES PCP PERMANENT CONTROL POINT PRC' DENOTES POINT OF REVERSE CURVATURE ONLY. THIS IS NOT INTENDED FOR THE CONSTRUCTION OF P) PER PLAT ( MEASURED PT DENOTES POINT OF TANGENCY r/C TYPICAL THE PROPOSED HOUSE.' REFER TO HOUSE PLAN AND OPTION - ALC CALCULATED (C) A/C -AIR CONDITIONER LIST FOR CONSTRUCTION. FND FOUND CBW CONCRETE BLOCK,WALL ALL BUILDING SET BACK LINES SHOWN HEREON IS PER DATA C/W CONCRETE WALK RP RADIUS POINT FURNISHED' BY CLIENT AND IS FOR INFORMATIONAL PURPOSES S/W SIDEWALK CP CONCRETE PAD R RADIUS CS CONCRETE SLAB ONLY. THIS IS NOT A SURVEY PB PLAT BOOK PBS PAGES C CHORD LENGTH R/W, RIGHT -Of -WAY THIS IS A PLOT PLAN ONLY NG NATURAL GRADE .ORB So, FT. SQUARE FEET OFFICIAL RECORDS BOOK I HAVE EXAMINED THE`F.I.R.M. COMMUNITY PANEL 'FOUND 1. THE SURVEYOR HAS NOT ABSTRACTED THE HEREON FOR EASEMENTS, RIGHT N0. 120294 0040 E DATE0:95 AND THE , . OF WAY, RESTRICTIONS OF RECORD WHICH ' SUBJECT PROPERTY APPEARSS TO TO LIE IN ZONELAND.SHOWN X, MAY AFFECT THE ,TI IZI 1 R,,USE OF THE LAND OUTSIDE 100 YEAR FLOOD PLANE. "`= 2. NO UNDERGR'UND,IMPROVEM'ENTS HAVE BEEN THE SURVEYOR MAKES NO GUARANTEES AS TO THE LOCATED'4TH1.F1 ti9 S'IOWN%, ABOVE INFORMATION. PLEASE CONTACT THE LOCAL �� r 3. NOT VALID�;YIITh�U1 TrIE SI6NATJRE AND<?SU ORIGINAL F.E.M.A. AGENT FOR VERIFICATION.' RAISED.,EAL 0� A FI CRIDA LI( NSED`3URVEYOR BEARINGS SHOWN HEREON ARE BASED ANDSh APPER ON THE SOUTHERLY TINE OF LOT 189 BEING N89"59'04"W PER PLAT, A M"F—= R 9 CAN (FIELD DATE:) REVISED: a� �+ U w O G I I.. l%:/E'✓ SCALE: 1" = 30 FEET & MAPPING. INC.' APPROVED BY, sJ CERTIFICATION OF AUTHORIZATION NUMBER LB#6393 �'•�. FOR . 1030 N. ORI_ANDO AVE, SUITE B/3'O� THE V8000288 LOTS 1B4-1B9 JOB NO. WINTER PARK, FLORIDA 32789' FIRM PLOT PLAN 3 JO 07 DLC (407) 426-7979 JAMES JAY JfLES PSM #4997 DATE DRAWN BY: PRELIMINARY PLOT PLAN 10-10-05 DLC WNW.AMERICANSURVEYINGANDMAPPING.COM - FORM 60OA-2004R EnergyGauge®,4.5 FLORIDA ENERGY EFFICIENCY CODE. FOR BUILDING CONSTRUCTION Florida Department of Community Affairs Residential Whole Building Performance Method A Project Name: TwinLakesTownHomesUnitC Builder: ENGLE HOMES Address;- 13,30 Permitting Office:. City, State: Permit Number: Owner: ��� L< Jurisdiction Number: Climate Zone: Central 1. New construction or existing New _ 2. Single family or multi -family Multi -family _ 3. Number of units, if multi -family I _ 4. Number of Bedrooms 3 5. Is this a worst case? Yes 6. Conditioned floor area (ftz) 1209 ft2 _ 7. Glass type I and area: (Label reqd. by 13-104.4.5 if not default) a. U-factor:. Description Area (or Single or Double DEFAULT) 7a. (Sngle Default) 121.0 ft2 b. SHGC: (or Clear or Tint DEFAULT) 7b. (Clear) 121.0 ftz _ 8. Floor types a. Raised Wood R=11.0, 231.0 fF b. Raised Wood, Adjacent R=I1.0, 54.0 ft2 _ c. 0 Others 0.0 ft2 9. Wall types a. Frame, Woody°Exterior R=11.0, 364.0 ft2 _ b. Concrete, Int Insul, Exterior_ R=4.1, 209.0 ft2 c. Frame, Wood, Adjacent R=11.0, 198.0 ft2 _ d. N/A e. N/A 10: Ceiling types. a. Under Attic R=30.0, 804.0 ft2 b. N/A c. N/A 11. Ducts _ a. Sup: Unc. Ret: Unc. AH(Sealed):Interior Sup. R=6.0, 93.0 It b. N/A 12. Cooling systems a. Central Unit kBtu/hr _ FF1 14.00 b. N/A c. N/A 13. Heating systems a. Electric Heat Pump Cap: 24.0 kBtu/hr HSPF: 8.20 b. N/A c. N/A 14. Hot water systems a. Electric Resistance Cap: 50.0 gallons EF: 0.90 b. N/A c. Conservation credits (HR-Heat recovery, Solar DHP-Dedicated heat pump) 15. HVAC credits _ (CF-Ceiling fan, CV -Cross ventilation, HF-Whole house fan, PT -Programmable Thermostat, MZ-C-Multizone cooling, MZ-H-Multizone heating) Glass/Floor Area: 0.10 Total as -built points: 16553,'� - ®' Total base points 9k I hereby certify,that the plans and specifications covered by this calculation are in compliance with the Florida Energy Code. PREPARED BY: DATE: I, hereby certify that this building, as designed, is in compliance with the Florida Energy Code. OWNER/AGENT: DATE: IU 3 D,r.., 1 Predominant class Noe. For actual class Noe and areas. see Summer & V sp i i i ovb$� this caI i ates compliance with the Florida Energy Code: Before construction is completed this building will be inspected for compliance with Section 553.908 Florida Statutes. BUILDING OFFICIAL: DATE: &ter Glass output on pages 2&4. EnergyGauge® (Version: FLRCSB v4.5) Permit Number NNkYNNNI MORL;t., t;.t_INK Of GIRGUI:I: (A.1010, Parcel Identification Number„1,�--/9-30-57<< -DOOM - /8( PIINUU COUNTY BK 06832 Pq 14-11; tii,g) Prepared by: Valerie Furrer / Kekalani Vazquez CLERK'S # 2007141623 Re~l(:iROED 1010S12001 10:(�9:19 AtfI REU)NDIN6 1'fI_.; 10.00 Rt°:OI:IItl11:I) sty t1 ntaU�,re Return to: Engle Homes Orlando 11315 Corporate Blvd ste 250 Orlando,FI 32817 NOTICE OF COMMENCEMENT. State of FLORIDA County of SEMINOLE The undersigned hereby gives notice that improvements) will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information .Is provided in this Notice of Commencement. 1. Description of property (legal- description of the property, and street address if available) Retreat at Twin Lakes Replat, Sec-32, Twsp-19, Rge-30, PB-69, Pages=14-20, Lot # 186 - 1330 Twin Trees Lane in Seminole County 2. General description of improvements) Single Family Residence 3. Owner information Name Engle Homes/Orlando Inc. Telephone Number 407-281-4480 Address 11315 Corporate Blvd. #250 Fax Number 407-281-7766 Orlando, FI 32817 Interest in Property: Fee Simple 4. Fee Simple Title Holder (if other than owner shown above) Name Telephone Number Address Fax Number 5. Contactor Engle Homes/Olrando Inc. Name 11315 Corporate Blvd #250 Address Telephone Number 407-281-4480 Orlando,Fl 32817 Fex Number 407-281-7766 6. Surety (if any) Name Telephone Number Address Fax Number Amount of bond $ N/A 7. Lender (if any) Name N/A Telephone Number Address Fax Number, 8. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by §713.13(1)(a)7., Florida Statutes. Name Engle Homes/Olrando Inc. Telephone Number 407-281-4480 Address 11315 Corporate Blvd #250 Fax Number 407-281-7766 Orlando,Fl 32817 9: in addition to himself or herself, Owner designates the following to receive a copy of the Lienor's Notice as provided in §713.13(1)(b), Florida Statutes: Name Telephone Number Address Fax Number 10. Expiration date of notice of commencement (the expiration date is one year from the date of recording unless a different date is specified): Date Signed S nature of Owner Note: per §713.13(1)(g), "owner must sign ...and no one else may be permitted to sign in his or her stead." Sworn to and subscribed before me this c2/ day of ; 20 % by VVILLIAM COLBY FRANKS who is X personally known to me OR produced as identification. nQ ' (l • �--�-- � ��--cam CERTIFIED COPY Signature of Notary (notarial seal to appear below) MARYANnIF ' ' MORSE �..■.�..,.■, CLERK OF ;;(.r 'IT,COURT VALERIE L. FURRIER - SEMINOLE, r �, ` Commission DID 668238 J N:TI, FLORIDA EX irss Form Revised: 12/00 fnr 19_ to 20 ;' °' May 25, 2011 -Hy— J y .„t, �dodmtitmyraininsurer%@*g*mla EPU CF �u UJ N PLAT OF SURVEY DESCRIPTION: (AS FURNISHED) LOT 186, RETREAT AT TWIN LAKES REPLAT AS RECORDED IN PLAT BOOK 69, PAGES 14-20 OF THE PUBLIC RECORDS OF SEMINOLE COUNTY, FLORIDA. PT OA=90'51'26" R=27.00' I LOT 183 I CB=S44'35'13"W C=38.47' I N89'09 30'E 88.75' ---------------- 10' UTILITY EASEMENT N m — — — — — — — — — — — - n I— 00 CO w GRAPHIC SCALE I I w I 0 15 30 U I w 1 Q I� I"- O J 88.75' NOTE: N89'09'30"E THE FINISHED FLOOR ELEVATION OF THE L— PARTY WALL — STRUCTURE LOCATED AT THE ABOVE 27.2' S•3, 30.2' o LOCATION LEGAL DESCRIPTION MEETS OR o M M F- w �F o; , - TWO STORY O�Nw000 EXCEEDS THE REQUIREMENTS SET FORTH IN ro LO c0 00 oa ° FRAOMCE THE CITY OF SANFORD CODE CHAPTER 18, J `- U ©N RESIDENCE FLOOR6.08 SEC. 18-4-(A). 64 o ELEVATIO Z a L --- PARTY WALL N8 *59'04"W ADDRESS: #1330 TWIN TREES LANE SANFORD FLORIDA, 32771 FOR THE BENEFIT AND EXCLUSIVE USE OF: DAVID KOSINSKI ENGLE HOMES / ORLANDO, INC. UNIVERSAL LAND TITLE / FIDELITY NATIONAL TITLE WELLS FARGO BANK, N.A. I\ 00 F- O J 00 00 I- O J Cn F- O J n cI W J M Se • B9 3 � N �} o a Q w N o W .F (if 3 nO 0zx ((y� 1z UK a J � � 15' UTILITY EASEMENTO - n n a ivo7 oa v4 ry 61.35FND NAIL AND DISC �I LB #6393 (10/31/08) o g P) o O N O PI _ 456.03' ml 47.71' _ PI N89'59'04'W � ENTERLINE OF 503.74' NOTE . RIGHT OF WAY 1. ALL DIRECTIONS AND DISTANCES HAVE BEEN FIELD VERIFIED AND ANY INCONSISTENCIES HAVE BEEN NOTED ON THE SURVEY, IF ANY. C, LONG OAK WAY TRACT E 40' PRIVATE ROADWAY 2. PROPERTY CORNERS SHOWN HEREON WERE LEGEND Q FND NAIL AND DISC SET/FOUND ON 10-31-08, UNLESS OTHERWISE LB #6393 (10/31/08) CNTERUNE O SET 1/2" IRON ROD AND CAP 3. THE SURVEYOR HAS NOT ABSTRACTED THE RIGHT OF WAY LINE LB #6393 (10/31/08) FEND LAND SHOWN HEREON FOR EASEMENTS, RIGHT OF 131.24 A/c AI CONDITIONER ornoNER O 1/2" IRON ROD AND CAP LB N6393 (10/31/08) WAY, RESTRICTIONS OF RECORD WHICH MAY `;:�;x`;;�', 0 DENOTES DELTA ANGLE AFFECT THE TITLE OR USE OF THE LAND. CONCRETE (P) PER PLAT C CHORD LENGTH PC DENOTES POINT OF CURVATURE 4. NO UNDERGROUND IMPROVEMENTS HAVE BEEN CBW BEARING CHORD CONCRETEBLOCK WALL PCP POINT OF COMPOUND VT PERMANENT POINT LOCATED EXCEPT AS SHOWN. GNA CORNER NOT ACCESSIBLE PI DENOTES POINT OF INTERSECTION CP CONCRETE PAD PK PARKER KALON 5. BUILDING TIES SHOWN HEREON ARE TO CS CONCRETE SLAB B/W BRICK WALK, POC POINT ON CURVE UNFINISHED FORMBOARD/FOUNDATION AND ARE POL F.E.M.A. FEDERAL EMERGENCY MANAGEMENT AGENCY PPNE POINT ON LINE PRIVATE PERTUAL NON-EXCLUSIVE NOT TO BE USED TO RECONSTRUCT THE FND FOUND FPL FLORIDA POWER AND LIGHT PRC PRM DENOTES POINT OF REVERSE CURVATURE BOUNDARY LINES. N I IDENTIFICATOARC PSM PERMANENT REFERENCE MONUMENT PROFESSIONAL SURVEYOR AND MAPPER LENGTH LB LICENSED BUSINESS PT R DENOTES POINT OF TANGENCY. RADIUS 6. ELEVATIONS SHOWN HEREON ARE BASED ON LS LICENSED SURVEYOR RP RADIUS POINT SEMINOLE COUNTY BENCHMARK #5124101 (M) MEASURED S/W SIDEWALK NGVD29 ELEVATION=69.667 OHU OVERHEAD UTILITY LINE TYP TYPICAL UP U11UTY.PAD I HAVE EXAMINED THE F.I.R.M. COMMUNITY PANEL NO. 120294 0065 F DATED 09/28/07 AND FOUND THE THIS IS A BOUNINU '4 3' LCVEY. NOT VALID SUBJECT PROPERTY APPEARS TO LIE IN ZONE X, WITHOUT ThS'SIGNATURE AND :I?iE ORIGINAL OUTSIDE 100 YEAR FLOOD PLANE. THE SURVEYOR RAISED SEAL. OFA FLORIDA,UCENSED MAKES NO GUARANTEES AS TO THE ABOVE SURVEY,9R.ANU MAPPER. INFORMATION. PLEASE CONTACT THE LOCAL F.E.M.A. `' AGENT FOR VERIFICATION. p* " BEARINGS SHOWN HEREON ARE BASED ON THE SOUTHERLY LINE OF LOT 189�` BEING N89'59'04"W PER PLAT. mp (FIELD DATE:) 04-12-07 ° REVISED: � jF�211�OM(c 0 SCALE: 1 = 30 FEET �L1� �Y/ LG if . Il (m U v U AU"- I!- O II V G O N( C APPROVED BY: SJ FINAL 10-31-o8/CC FOUNDATION 06/21/08.AN CERTIFICATION OF AUTHORIZATION NUMBER LB#6393 FOR THE FORMBOARD 06/06/08 CC JOB N0. VB000289 LOT 186 1030 N. ORLANDO AVE, SUITE B RM ROT PLAN 3-3D-07 DLC WINTER PARK, FLORIDA 32789 AL DRAWN BY: WWW.AMERICA SURVEYINGANDMAPPING.COM PREll1DNARYPLOTPLANID-10-05DLC DAVID M. DeFILIPP PSM 05038 DATE Permit P : Feb Address: CIi'I' OFSANFORD PERMIT APPLICATION - Date: Y Description of Work: New RVM, SV5feM w/ O - Total Square Frroo��tage Historic District: Zoning: Value of Work: $ Permit'Type: Building Electrical [Mechanical i� Plumbing Fire Sprinkler/Alarm Pool Electrical: New Service -!f of AMPS Addition/Alteration Change of Service Temporary Pole Mechanical: Residential t/ Non -Residential Replacement New (Duct Layout & Energy Calc. Required) Plumbing/ New Commercial: tl of Fixtures N of Water & Sewer Lines # of Gas Lines Plumbing/New Residential: !t of Water Closets Plumbing Repair - Residential or Commercial Dccupancy Type: Residential --I/— Commercial Industrial Construction Type: 1/ of Stories: tI of Dwelling Units: Flood Zone: (FEMA form required) :)wncrs Name & Address: 'Er, h 1 P o Phone: contractor Name & Address: ' t� to t W, CO `S f ']7771 State L can Number. O GP n nn3z 8 'hone & Fax: Contact Person: �dl�(S Phonc: 'fo7 53.5=30g'i 300ding Company: X 1 11 kddress: 1Tortgagc Lender. \ddress: Crchitect(Bngineer kddress: Phone: Fax: kpplication is hereby made to obtain a permit to do the work and installations as indicated. ! certify that no work or installation has commenced prior to the ssuance 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 hermit must be secured for ELECTRICAL WORM PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and UR CONDITIONERS, etc, )WNER'S AFFIDAVIT: 4 certify that all of the foregoing information is accurate and that.all work will be done in compliance with all applicable laws regulating instruction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING 'WICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN iTTORNEY BEFORE RECORDING YOUR: NOT[CEOF COMMENCEMENT. 40TICE: In addition to the requirements of this eq permit, there may be additional restrictions applicable to th- grog at may found in the pu c records of his county, and there may be additional permits required from other governmental entities su as water an t distri state agencies, ederal agencies. ,cceptance of permit is verification that 1 will notify the owner of the property of the uiremya ! ri i w S 713- D bE Signature of Owner/Agent Date ure of Contractor/Agent IDate &?' Print Owner/Agent's Name Signature of Notary -State of Florida Date Owner/Agent is _Personally Known to Me or Produced ID &PROVALS: ZONING: UTTL: pecial Conditions: _ :ev 03/2006 FD: 's Signature of Contractor/Agent is,,,-<P" _ Produced [D ENG: MIRINDA C. TURNER MY COMMISSION # DD 667937 . EXPIRES: June14,2011 Bonded Thru Notary Publle Underwriters BLDG: CITY OF SANFORD PERMIT APPLICATION Application # : vim. ' 8— 0- Job Address: _ L� - A) t (,I of-`ex1,-ri ParcelID: Zoning: Submittal Date: Value of Work: $ ;: ; I �U - Historic District: Description of Work: V_)f —) e Eke 0k C. Square Footage: ........................................................................................ ............................... Permit Type: Building ❑ Electrical 91..Mechanical ❑ Plumbing ❑ Fire Sprinkler/Alarm ❑ Pool ❑ Sign ❑ Electrical: New Service — # of AMPS t 1 U 0 Addition/Alteration ❑ Change of Service ❑ Temporary Pole Mechanical: Residential ❑ Non -Residential ❑ Replacement ❑ New ❑ (Duct Layout & Energy Calc. Required) Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines Plumbing/New Residential: # of Water Closets Plumbing Repair— Residential ❑ Commercial ❑ Occupancy Type: Residential ❑ Commercial ❑ Industrial ❑ Occupancy Use Group(s): Construction Type: 1::�?_ # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required ) •Property Owners •��\.l SCi� .{Urn P S •e• • • • • • • • • • • • • , • • , •Contrac<t-orb• (ooc � ( U Address: r 5A-,�LCSD Address: Zia Phone-.k0)7 \ Ate, v(") E-mail: Phone: W" 2U0_ State License Number: (ECxQQ16CI (f)' Bonding Company: Address: 'Architect/Engineer: Address: Plan Review Contact Person: Mortgage Lender: Address: Phone: Fax: Phone: Fax: E-mail: 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. 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 APPROVALS: ZONING Special Conditions: Rev 07.07 UTIL: Signature of Contractor/A�gen/t Date Ocgm Pri o actor/Agent's Name ignature of Notary -State o londa PUB31F%hTF NOT. OF FLORIDA Rebecca Rengifo `: Corninission # DD670027 Expires: JUNE 20, 2008 g,0 ED'PHRU ATLANTIC BONDING CO., INC. Contractor/Agent is Personally Down to Me or Produced ID FD: ENG: BLDG: