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1351 Twin Trees Ln 08-2314 (new constr)/�C # ®7- 2 33 t CITY OF SANFORD PERMIT APPLICATION ApOil tion # Submittal Date v Job Address. l-3Sds Qy<� Value of Work.f$t5« Parcel ID: 32-19-30-5RW-0000— � � Zoning: HistoricDistnct:'( -- No ¢ Z��R Description of Work: -��-� Square Footage: 1&�y Permit Type: Building IN Electrical ❑ Mechanical ❑ Plumbing ❑ Fire Sprinkler/Alarm ❑ Pool ❑ Sign ❑ Electrical: New Service - # of AMPS l0 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 ❑ ow Occupancy Type: Residential W Commercial ❑ Industrial ❑ Occupancy Use Gro p(s): Construction Type: # of Stories: 2 # of Dwelling Units: 1 Flood Zone: (FEMA form required ) ........................................................................................................................ PropertyOwner: Tousa Homes dba Engle Homes Contractor: William Colby Franks Address:11315 Corporate Blvd. , #250 Address: 11301 Corporate Blvd., #303 Orlando, FL 32817 Phone407�249-3500 E-mail: Bonding Company: N/A Address: Architect/Engineer: Residential Design Services Address:3301 Bartlett Blvd., Orlando; 32811 Plan Review Contact Person: V a l e r i e Orlando, FL 32817 Phono407-249-3k License Number: CGC 1507971 Mortgage Lender: N/A Address: Phone407-246-1080 Fax: 407-246-0094 Phone:407-249-31n9:0 313-2142 E-mail: Application is hereby made to obtain a permit to do the work and installations as indicated. 1 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 notifi the owner of the p pert),of ere rements of Florida Lien Law, FS 7 P. �eoe Signature of Owner/Agent Date Signature of Contractor/Agent Date Print Owner/Agent's Name Signature of Notary -State of Florida Date Owner/Agent is _ Personally Known to Me or _ Produced ID APPROVALS: ZONING: UTIL: FD: Special Conditions: Rev 07.07 William Print Con actor/Agent's Nam gnature of of , tate of Florida Date o�v pGB�� Kimberly Kaminer * Correll sion 0 DD425691 Expires May 4, 2009 Contractor/Agent is l fl$Tf�11�4t1 Yrf+IF� 8 "3asa0 19 Produced ID ENG: BLDG: �le FORM; 600A-2004R EnergyGauge® 4.5 1,. FLORIDA ENERGY EFFICIENCY: FFICIENCY CODE FOR BUILDING CONSTRUCTION Florida Department of Community Affairs Residential Whole Building Performance Method A Project Name: TwinLakesTownHomesUnitD Builder: ENGLE HOMES Address: /35-1 0tc.� J2c-tu Permitting Office: City, State:de- Permit Number: Owner: Jurisdiction Number: Climate Zone: C ntral 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 2 _ 5. Is this a worst case? Yes 6. Conditioned floor area (ft') 1209 ft' _ 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) 129.0 ft' b. SHGC: (or Clear or Tint DEFAULT) 7b. (Clear) 129.0 ft' _ 8. Floor types a. Raised Wood R=11.0, 234.0 ft' _ b. Raised Wood, Adjacent R=11.0, 54.0 ft' c. 1 Others 53.0 ft' _ 9. Wall types a. Frame, Wood, Exterior R=11.0, 364.0 ft' b. Concrete, Int Insul, Exterior R=5.0, 209.0 ft' _ c. Frame, Wood, Adjacent R=11.0, 198.0 W _ d. N/A _ e. N/A 10. Ceiling types _ a. Under Attic R=30.0, 818.0 ft' b. N/A c. N/A 11. Ducts _ a. Sup: Unc. Ret: Unc. AH(Sealed):Interior Sup. R=6.0, 122.0 ft b. N/A _ 12. Cooling systems a. Central Unit b. N/A c. N/A 13. Heating systems a. Electric Heat Pump b. N/A c. N/A 14. Hot water systems a. Electric Resistance 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: 0.11 Total as -built points: 13659 PASS Total base points: 14444 I hereby certify that the plans and specifications covered by this calculation are in compliance with the Florida Energy Code. PREPARED BY: 6 `� DATE: I hereby certify that this building, as designed, is in compliance with the Florida Energy Code. OWNER/AGENT: V DATE:. 1 DX Review of the plans and specifications covered by this calculation indicates 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: 1 Predominant glass type. For actual glass type and areas, see Summer & Winter Glass output on pages 2&4. EnergyGauge® (Version: FLRCSB A.5) Cap: 29.0 kBtu/hr SEER: 14.00 Cap: 29.0 kBtu/hr _ HSPF: 8.20 Cap: 50.0 gallons EF: 0.90 04 THE S?9��0� PLOT PLAN DESCRIPTION: (AS FURNISHED) LOTS 161-166, RETREAT AT TWIN LAKES REPLAT AS RECORDED IN PLAT BOOK 69, PAGES 14-20 OF THE PUBLIC RECORDS OF SEMINOLE COUNTY, FLORIDA. I 1 I I ' I LOT 167 I I I 88.75' I 1 GRAPHIC SOr nCALE N89.09 30 E _ I LOT 143 0 15 30 0 10' UTILITY EASEMENT Q 4 � 24.6- i ? r 33.7 t- - - - - - - - - - - - - M N Ir I 4.7' �r LOT 144 �? q 3.5 0 w p .µ I In I r v. 11.0 w w 0 a n I n LOT 145 •. �r o 0 z oa I 0z om I I 11.0' � � z ------------ -- ------------- -------1 V) to la9pOD- 1 M I Co �l.l O`11.0' rn Z p ri ��y U 0+I 0. Cj- 1 N w o� r° (D I z LOT 146 z � M w..., :i � a 5 _ � I� LL0 ,..; 11 ^^ 10 J Y/ .' w ' N n w ------------- o a Z' �.. ''',_ 0 48.67' a 3 I w :'::' w i� LLJW ;o.,� wr 0 0 ?I CD LOT 147 oz �< —1" w zo L.L I M p o + ^__ --^---- 77, I a �r ?' 0 w a Ni n LOT 148 Z 11.0' rj w =0 EL N •. 5.3 ----------'-1-- IL " N = ° °O LOT 149 pa I 33.7' p .0 24.6'- 1 - I 'Go 10' UTILITY EASEMENT 'Go S89'09' 30"W(TYP. ) PREPARED FOR: ENGLE HOMES BUILDING POSITIONED PER 1 LEGEND LAYOUT DRAWING PROVIDED ' — ' — BUILDING SETBACK LINE PSM PROFESSIONAL SURVEYOR &MAPPER MLW MINIMUM LOT WIDTH BY CLIENT. — CENTERLINE POB. POINT ON BOUNDARY — — RIGHT OF WAY LINE POL POINT ON LINE PCC POINT OF COMPOUND CURVATURE PROPOSED ELEVATION_ - POC POINT ON CURVE PROPOSED DRAINAGE FLOW OR OFFICIAL RECORD 1. ELEVATIONS SHOWN ARE FOR LOT GRADING CONCRETE PD PLANNED DEVELOPMENT a DENOTES DELTA ANGLE PLANS PROVIDED BY THE CLIENT. LB LICENSED BUSINESS ARCIH L DENOTES C.B. DENOTES CHORD BEARING - LS LICENSED SURVEYOR PRM PERMANENT REFERENCE MONUMENT PC DENOTES POOINTINTBEAOF CURVATURE PCP PERMANENT CONTROL POINT PI DENOTES POINT OF INTERSECTION THIS PLOT PLAN IS INTENDED FOR PERMITTING PURPOSES ONLY. THIS IS NOT INTENDED FOR THE CONSTRUCTION OF (P) PER PLAT PRC DENOTES POINT OF REVERSE CURVATURE OPT P DENOTES POINT OF TANGENCY THE PROPOSED. HOUSE. REFER TO HOUSE PLAN AND OPTION O MEASURED TYP TYPICAL LIST FOR CONSTRUCTION. (CALL) CALCULATED A/C AIR CONDITIONER ALL BUILDING SET BACK LINES SHOWN HEREON IS PER DATA FND FOUND C/W CONCRETE CEIW CONCRETE BLOCK WALL -POINT FURNISHED .BY CLIENT AND IS FOR INFORMATIONAL PURPOSES WALK S1W SIDEWALK RP RADIUS R RADIUS ONLY, THIS IS NOT A SURVEY cP CONCRETE PAD pa PLAT BOOK CS CHORDS LENGTH SLAB THIS IS A PLOT PLAN ONLY PGS PAGES DE SO, Sou R/W RIGHT-OF-WAY ORB OFFICIAL RECORDS BOOK FT. RELFEET I HAVE EXAMINED THE F.I.R.M, COMMUNITY PANEL 1. THE SURVEYOR HAS NOT ABSTRACTED THE N0. 120294 0040 E DATED 04/17/98 AND FOUND THE LAND `SHOWN HEREON)101ii EASEMENTS, RIGHT SUBJECT PROPERTY APPEARS TO LIE IN ZONE X, z2 OF WAY, RES7RIC'IONS OF-r.F.CORD WHICH OUTSIDE 100 YEAR FLOOD PLANE. MAY AFEEC1`THE 1' T'c`06 6-7:b THE LAND THE THE SURVEYOR MAKES NO GUARANTEES AS TO THE 2. NO UNDER oPO:•:ND IMrr<vV�HEN7S HA ABOVE INFORMATION. PLEASE CONTACT THE LOCAL :T LOCATE 'E-XCFP--T Aa3HONRJ F.E.M.A. AGENT FOR VERIFICATION: S, 3. NOT VALE 1ATHO,UT,TNLTSIGNArupE,AND THE`ORIGINAL BEARINGS SHOWN HEREON ARE BASED 4 RAISEC=SEAL-0F' FLORIDA LICENSb) SUR'�YOR ON THE SOUTHERLY LINE OF LOT 161 AND MAPPE � ' =, BEING S89'09'30"W, PER "PLAT. (FIELD DATE:) REVISED: — U w I� �' N G APPLE: 1" = 30 FEET & MAPPING INC. APPROVED BY: SJ — _ CERTIFICATION OF AUTHORIZATION NUMBER LB#6393 'i,f�,� f JOB NO, VB000289 LOTS 161-166 REVISE PLOT PLAN 7-31-08 1030 N. ORLANDO AVE, SUITE B / r r %' FOR /�T THE PLOT PLAN 3-30 07 DLC WINTER PARK, FLORIDA- 32789 (407) 426-7979 ' ` (� -_; j -Og FIRM DRAWN BY: PRELIMINARY PLOT PLAN ID-iD-05 DLC WWW.AMERICANSURVEYINGANDMAPPING.COM DAVID M. DeFILIPPO PSM #5038 DATE LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: 6LO r I hereby name and appoint: Valerie Firrer an agent of: Engle Homes (Name of Company) to be my lawful attorney -in -fact to act for me to apply for, receipt for, sign for and do all things necessary to this appointment for (check only one option): All permits and applications submitted by this contractor. IR The specific permit and application for work located at: /3 S/ 429zo X4C <� (Street Address) Expiration Date for This Limited Power of Attorney: License Holder Name: William Colby Franks State License Number: I CQC 1507971 Signature of License Holder: STATE OF FLORIDA COUNTY OF Seminole The foregoing instrument was acknowledged before me this L=Yiay o , 200 d , by WILLIAM COLBY FRANKS who is x person y known to me or o who has produced identification and who did (did not) t ke an oath. Signatur (Notary Sea]) 20 �"aY P6e, Kimberly Kaminer * : Commission # DD425691 N Expires May 4, 2009 OF iti Bonded Troy Fain � Insurance, Inc. 800.385.7019 Kimberly Kaminer Print or type name Notary Public -State of Florida Commission No. My Commission Expires: as (Rev. 3/27/07) Q -� 2 CITY OF SANFORD PERMIT APPLICATION Application #: U 8 '��/.J �� Submittal Date: /dkd J !OB Job Address: 35 Gt„i i'i6 �i '46 , Value of Work: $ Parcel ID: Zoning: Historic District: Description of Work: 2syg'a'w Irbe— 1, �AT Square Footage: ......................................................................................................................... .. Permit Type: Building ❑ Electrical 10 Mechanical ❑ Plumbing ❑ Fire Sprinkler/Alarm ❑ Pool ❑ Sign ❑ Electrical: New Service— # of AMPS 150 Addition/Alteration ❑ Change of Service ❑ Temporary Pole ❑ Mechanical: Residential ❑ Non -Residential ❑ Replacement ❑ New ❑ (Duct Layout & Energy Cale. 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 0 Occupancy Use Group(s): Construction Type: # of Stories: #, of Dwelling Units: Flood Zone: (FEMA form required ) ..................................................................................................... • Property Owner: Contractor: DwE Cl �r/ LI �STp4� �iz�. Address: Address: U &V S�8 79 Phone: E-mail: Phone: 461-29Z-2o6Z State License Number: EC.- 000SQJ9 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 NTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF CONEViENCEMENT. 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. ,,� 7 : ,�1= lo�i18 Signature of Owner/Agent Date gnature of Contractor/Agent Date Print Owner/Agent's Name 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: FD: Print Name Contractor/Agent is _ Produced m /0%//09 C. 10 D04811284 .rhea 211/2010 L., ;W thtu (800)4324284L „����Florida..N tarVAm .i�0Im Known to Me or ENG: BLDG: CITY OF SANFORD PERMIT APPLICATION Application # ©S, Submittal Date: 01 Job Address: n r-aq Ln ko Z-- Value of Work: Parcel ID: R Zoning: Historic District: 1 � Description of Work: Square Footage: .......................... ............... ........ ............................................... '......................... Permit Type: Building ❑ Electrcal ❑ Mechanical 0 Plumbing-K Fire Sprinkler/Alarm ❑ Pool ❑ Sign ❑ Electrical: New Service — # of AMPS Addition/AIteration ❑ Change of Service ❑ Temporary Pole ❑ Mechanical: Residential ❑ Non -Residential ❑ Replacement ❑ New ❑ (Duct. Layout & Energy Cale. Required) Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines Plumbing/New Residential: # of Water Closets 3 Occupancy Type: Residential ❑ Commercial ❑ " Industrial ❑ # of Gas Lines Plumbing Repair — Residential ❑ Commercial ❑ Occupancy Use Group(s): Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required) ..................................................................................�'b1%A IV TA G E PLUMBING, INC LUMBING ....................... . Property Owner: n �� ^~�_S Contractor: Address: Address: SANFORp FLORIDA 3-7515 Phone: Bonding Company: Address: Architect/Engineer: Address: E-mail: Phone: State License Number: Mortgage Lender: Address: Plan Review Contact Person: 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. 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 FS 713. Signature of Owner/Agent Date Signature of ntractor/Agent Da e ��,-�L Print Owner/Agent's Name Print Contractor/Agent's Name Signature of Notary -State of Florida Date Signature Owner/Agent is _ _ Produced ID APPROVALS: ZONING: Special Conditions: Rev 02/2007 Personally Known to Me or UTIL: FD: Contractor/Agent Produced ID ENG: MARTHA Y. HALL N01 P0110 • Sfele of Flora My cwm*ft EXPk" Fes t, 20t Commlaalmt 0 00 72=5 BLDG: COUNTY OF SEMINOLE IMPACT FEE STATEMENT STATEMENT NUMBER: 08100002 BUILDING APPLICATION #: 08-10000297 BUILDING PERMIT NUMBER: 08-10000297 UNIT ADDRESS: TWIN TREES LANE 1351 TRAFFIC ZONE:022 JURISDICTION: SEC: TWP: RNG: SUF: SUBDIVISION: PLAT BOOK: PLAT BOOK PAGE: OWNER NAME: ADDRESS: DATE: August 01, 2008 32-19-30-5RW-0000-1620 PARCEL: TRACT: BLOCK: LOT: APPLICANT NAME: TOUSA HOMES dba ENGLE HOMES ADDRESS: 11315 CORPORTATE BLVD. #250 ORLANDO FL 32817 LAND USE: TOWN HOME TYPE USE: WORK DESCRIPTION: CITY-SANFORD SPECIAL NOTES: 1351 TWIN TREES LANE / TWNHM /RETREAT @ TWIN LAKES REPLAT -------------------------------------------------------------------------------- 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 FIRE RESCUE N/A .00 LIBRARY CO -WIDE ORD Condominium* 54.00 1.000 dwl unit 54.00 SCHOOLS CO -WIDE ORD Multifamily 2,450.00 1.000 dwl unit 2,450.00 PARKS N/A .00 LAW ENFORCE N/A .00 DRAINAGE N/A .00 AMOUNT DUE 2,883.00 STATEMENT�� RECEIVED �1,1�1 � � BY: SIGNATURE: (PLEASE PRINT NAME) DATE: "'p a NOTE TO RECEIVING SIGNATORY/APPLICANT: FAILURE TO NOTIFY OWNER AND ENSURE TIMELY PAYMENT MAY RESULT IN YOUR LIABILITY FOR THE FEE. *** DISTRIBUTION: 1-BLDG DEPT 3-APPLICANT 2-FINANCE 4-LAND MANAGEMENT **NOTE** 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 BUILDING 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 FIRST STREET, SANFORD FL, 32771; 407-665-7356. PAYMENT SHOULD BE MADE TO: SEMINOLE COUNTY OR CITY OF SANFORD BUILDING DEPARTMENT 1101 EAST FIRST STREET SANFORD, FL 32771 PAYMENT SHOULD BE BY CHECK OR MONEY ORDER, AND SHOULD REFERENCE THE COUNTY BUILDING PERMIT NUMBER AT THE TOP 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. I loll 10111111 11111111111111111111111111111111111111111111 loll THIS INSTRUMENT PREPARED BY: NAME Valerie Furrer/Engle Homes/Orlando, Inc. ADDR. 11315 Corporate Blvd., 250 MARYANNE MORSEL CLERK OF CIRCUIT COURT Orlando, FL 32817 SEMINOLE COUNTY 053 Gcd 1951; ilpg> N®TICS OF COlVIlVYI;NCENl RKI S # ; �008097589 STATE OF FLORmA RECORDED 08/27/2008 09:29:37 AM COUNTY OF SEMINOLE RECORDING FEES 10.00 TAX FOLIO NO.32-19-30-5RW-0000-1620 PERNniftWED, BY T Smith The UNDERSIGNED hereby gives notice that improvement(s) will be made to certain and real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. Description of property (legal description and street address) Retreat at Twin Lakes Replat, Sec-32, Twsp-19, Rge-30, P13-69, Pages 14-20, Lot # 162 —1351 Twin- Trees Lane in Seminole County CERTIFIED CDPY General description of improvement(s) Single Family Residence Attached 1.r., * I-1 MARYANIvt OURT Owner information CLERK OF CIRCUIT C Name and Address Engle Homes,/Orlando, Inc 11315 Corporate Blvd 250 Orlando FL 32817 r nu�iTY.__FLORIDA Telephone and Fax Number 407-281'-4480 $ NIIIlU Interest in Property Fee Simple ��— Fee Simple Title Holder (if other than owner) Name and Address /} Telephone and Fax Number 2N rtOp v Contractor Name and Address Engle Homes/Orlando Inc 11315 Corporate Blvd 250 Orlando FL 32817 --Telephone and Fax Number 407-281-4480 Surety (if any) Name and Address Telephone and Fax Number Amount of bond $ Lender (if any) - Name and Address Telephone and Fax Number Persons within the State of Florida designated by owner upon whom notice or other documents may be served as provided by Section 713.13(1)(a)7, Florida Statutes. Name and Address Engle Homes/Orlando Inc 11315 Corporate Blvd 250 Orlando FL 32817 Telephone and Fax Number 407-281-4480 In addition to himself or herself, Owner designates the following to receive a copy of Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and Address Telephone and Fax Number Expiration date of Notice of Commencement (the expiration date is one year from date of recording unless a different date is specified.) 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 TEND T OBTAIN FINANCING, CONSULT YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR C RD G UR NOTICE OF COMMENCEMENT. William Colby Franks Si nature of Owner or Owner's Authorized Officer/Director/Partner/Manager Print Name The foregoing instrument was acknowledged before me this day of Au . lst ,-__.2008 by William Colby Franks (name of person acknowledged', who is personally known to m ho has producedc ti-I as identification and who. (did not) take an oath. ( /I! �o L / u . ,� —/),,A I djg°5-. VALERfE L. FURRIER Notary Public Signature Notary Public Name (printed) Expires May 25, 2011 Bonded Thru rmy fain Insurance BOQ 385-7019 My commission expires Verification pursuant to Section 92.525, Florida Statutes. Under penalties of perjury, I declar that I hay read I, foregoing and that the facts stated in it are true to the best of my knowledge and belief'. / Signature of Natural Person Signing Above 13/'J-3/08 :3EKI1<3OLE COUNTY GOVERNMENT PER.1,11T FEES RECEIPT 09-'.-47:20 A PP 1, # Ch--1 - '. 0 () 0 () 2 9 7 0 1, 0 11 R PERMIT # RECEIPT # 025511.3 ✓ J0B ADDR"F`Gz;.-,-' *('"T"' UNASSIGNED .................... . . ........... ......... ...... I ............. .... . ....... .... ....................... --- .. ......... LOT - 1 SCI ROAD AF*�TEF.IALS ......... .. .. .... ..... . ................ ........... I ........... . . .......... .... ..... . ............ 54 . ("i 0 ................ -, .. ........... .. .. ....... . ............. 5 LI . ()C) . ....... .......................... . ... . 00 `CI "-'�:CHOOL�:*; 379.00 379.00 .00 Z LI 5 0. 00 ?LI 50. 00 00 TOTAL FEE;E3 DUL .............. a 3 - 0 - C . ) ... ...... . AMOUNT RECEIVE -I), ......... 2 1 6 .., b ... 3 .. ........ 00 . ............ -Fl .-EPOSITS -.'e :! HEI I I", A Pf--�IOCF- -35ING PEE RE TA NAGE FTR ALL F-,EFUNDS .... ......... . ........ .... ....................... .... ....... .... .. ..... ... . .... .. .... .. .... . .. ...... .............. ..... ... COLLECTED BY: BDJFOI BALANCE - DUE ...... . .......... ... . ............. .... ......... ...... ............ CHECK NIJMFiE. 0. ..... .0 S-'00100006976 CA)li/CflE ,K 0 A 0 li i\1 T -51 2883.00 (-',01-LECTED FROM: ]---"DlCz'I,E HOMES DI STRI BUT 1, ON. U N T Y 2 3 - LI FINANCE to;, .......... ,../ 22 CITY OFSANFORDPERMIT APPLICATION Permit#: o<� �Jl Date: t fob Address: Va -S _ � 11�1f� � ee.� �,� e—`[+ / IpD — WiNY-1 Le Description of Work: TI�Sas c�\� New RVAQ° Sy5 feM 1-0//0tnC — Total Square Footage Ristoric District: Zoning: Value of Work: S QQ Permit Type: Building Electrical Mechanical if Plumbing Fire Sprinkler/Alarm Pool Electrical: New Service - Il of AMPS Addition/Alteration Change of Service Temporary Pole Miechanicai: Residential ✓Non -Residential Replacement New (Duct Layout & Energy Calc. Required) Plumbing/ New Commercial: 4 of Fixtures N of Water & Sewer Lines d of Gas Lines Plumbing/New Residential: # of Water Closets Plumbing Repair - Residential or Commercial DccupancyType: Residential Commercial industrial Construction Type: I/ of Stories: 9 of Dwelling Units: Flood Zone: (FEhtA form required ) )wucrs Name & Address: '--�✓ ` e_ e� qq KS V Phone: contractor Name &Address: D -Alta PAt e' 1 ober . .ter+ r� r 327 Statc L'cca Number: — _` n � L4,$ S 'honc &Fax: ��N a r� �� Contact Person: � Phone_ "407 585-3001 aonding Company: y HIM U \ddress: %tortgage Lender: kddress: \rehitect/Engineer: address: Phone: FaK: application is hereby made to obtain a petmit to do the work and installations as indicated. i certify that no work or installation has commenced prior to the ssuaacc 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 rermit must be seamed for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS. and %IR CONDITIONERS, 'etc.. )WNER'S AFFIDAVIT axtify that all of the foregoing information is accurate and that. all work will be done in compliance with all applicable laws regulating Anstruction and zoning WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING h °WICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONS1d6 WIT H�(OUR LENDER OR AN \TfORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. �/ I �d 40TICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this prop 'that ay be fou the public records of his county, and there may be additional permits required from other governmental entities such as water mama ag `t di icts, slat es, or federal agencies kcceptance of permit is verification that I will notify the owner of the property of the r rrements of Flo ' a Lie w, F 13. Signature of Owner/Agent Date Si of Contractor/Agent Date G. DELLO RUSSO Print OwmedAgent's Name Pririt tractor/Agent's Name Signature of Notary -State of Florida Date Signature of No[ - - - - g ary-State of Florid OwnedAgeat is Personally Known to Me or Produced ID APPROVALS: ZONING: UTIL: pccial Conditions: :ev 03/2006 Contractor/Agent is _ Personally Produced iD FD- ENG: MY COMMISSION # DD 667937 EXPIRES: June 14, 2011 Bonded Thiu Notary, Public Underwriters BLDG: ()30 /00 — a( CJo0 . U.S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency National Flood Insurance Program ELEVATION CERTIFICATE: Important: Read the instructions on pages 1-8. SECTION A - PROPERTY INFORMATION OMB No. 1660-0008 Expires February 28 2009 Al. Building Owner's Name ,ENGLE HOMES. Noucy Numoer A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company NAIC Number 1351 TWIN TREES LANE City - SANFORD State FL ZIP Code 32771 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 162, RETREAT AT TWIN LAKES REPLAY A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL A5. Latitude/Longitude:' LaL 28:79268 Long. -081 32994 Horizontal Datum: ❑ NAD 1927 0 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 1 A8. For a building with a crawl space or enclosure(s), provide A9. For a building with an attached, garage, provide: a) Square footage of crawl space or enclosure(s) 0 sq ft a) Square footage of attached garage 255 sq ft b) No. of permanent flood openings in the crawl -space or b) No. of permanent flood openings in the attached garage enclosure(s) walls within 1.0 foot above adjacent grade 0 walls within 1.0 foot'above adjacent grade 0 c) Total net area of flood openings in A&b-' 0 sq in c) Total net area.of flood openings in A9.b 0 sq in SECTION B - FLOOD INSURANCE RATE MAR (FIRM) INFORMATION B1. NFIP Community Name & Community Number B2. County Name B3. State CITY OF SANFORD 120294 1SEMINOLE FLORIDA B4. Map/Panel Number - B5. Suffix B6. FIRM,Index• B7.,FIRM Panel B8. Flood B9. Base Flood.Elevation(s) (Zone Date Effective/Revised Date Zone(s) AO, use base flood depth) 12117CO065 F 5/28/07 9/28/07 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) B11. Indicate elevation datum used for BFE in Item B9: ❑, NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe) B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)?' ❑Yes ®No `Designation Date N/A ❑ CBRS ❑ OPA SECTION C BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. Building elevations are based on: ❑Construction Drawings` ❑ Building Under Construction` ® Finished Construction I '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, ARlAE, AR/A1-A30, AR/AH, AR/AO. Complete Items C2.a-g below according to the building diagram specified in Item AT Benchmark Utilized; 5124101 ELEV=69.667' Vertical Datum NGVD29 ConversionlComments CONVERTED`TO NAVD 88 WITH CORPSCON (-1.02T) Cr 0 Check the measurement used. a) Top of bottom floor (including basement, crawl space, or enclosure floor)_ b) Top of the next higher floor c) Bottom of the -lowest horizontal structural member (V Zones only) d) Attached garagp.(top of slab) e) Lowest elevation of machinery or equipment servicing the building. (Describe type of equipment in Comments) 0 Lowest adjacent (finished) grade (LAG) g) Highest adjacent (finished) grade (HAG) 62.1 t` ® feet` ❑ meters (Puerto Rico only) 72.9 ® feet ❑' `meters (Puerto Rico only) �V1 N/A. El feet ❑ meters (Puerto Rico only) 61.6 ® feet ❑ meters (Puerto Rico`only) 61.9 ® feet ❑ meters (Puerto Rico only) 61.1 ® feet ❑ meters (Puerto Rico only) 61.5 ® feet ❑ meters (Puerto Rico only) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. 1 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. Certifier's Name DAVID M. DeFILIPPO License Number 5038 Title PROFESSIONAL SURVEYOR & MAPPER Company Name AMERICAN SURVEYING & MAPPING, INC. Address 1030 N. ORLANDO AVENUE City WINTER PARK State FL ZIP Code 32789 Date 3/9/09 Telephone (407) 426-7979 FEMA Form 81-31, February 2006 See reverse side for continuation. Replaces all previous editions IMPORTANT: In these spaces, copy the corresponding information from Section A. For Insurance.ComRan y Jse:, Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number' r 1351 TWIN TREES LANE City SANFORD State FL ZIP Code 32771 Company NAIC Number `I 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 Surveyor is only responsible for Sections A - D. This certificate was requested to satisfy a City of Sanford requirement. Item BA: Community name & number is based on property appraiser's website and the FIRM. Item C2.e: The Elevation given is for the A/C unit. Sod is not yet installed. This document is not valid if photographs are removed or omitted. signature Uate 3/9/U9 ® Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A (without BFE), complete Items El-E5. If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, B, and C. For Items El-E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters. 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, crawl space, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom floor (including basement, crawl space, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the LAG. E2. For Building Diagrams 6-8 with permanent flood openings provided in Section A Items 8 and/or 9 (see page 8 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 Owners or Owner's Authorized Representative's Name Address - City State ZIP Code Signature Date Telephone Comments ❑ Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement used in Items G8. and G9. G1. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. ❑ A community official completed Section E for a building located in Zone A (without a FEMA-issued or community -issued BFE) or Zone AO. G3. ❑ The following information (Items G4.-G9.) is provided for community floodplain management purposes. G4. Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement G8. Elevation of as-builHowest floor (including basement) of the building: _❑ feet ❑ meters (PR) Datum G9. BF E,or (in Zone AO) depth,of flooding at the building site: ❑ feet ❑ meters (PR) Datum Local. Official's Name Community Name Signature Comments Title Telephone Date ❑ Check here if attachments FEMA Form 81-31, February 2006 Replaces all previous editions - L" P— / I r PLAT OF SURVEY - DESCRIPTION: (AS FURNISHED) LOT 162, RETREAT AT TWIN LAKES REPLAT AS RECORDED IN PLAT BOOK 69, PAGES 14-20 OF THE PUBLIC RECORDS OF SEMINOLE COUNTY, FLORIDA. PT n LOT 167 m I GRAPHIC SCALE S89'09'30"W Nes os'3o"E — — — — — — — LOT 143 0 15 30 20.00 10' UTILITY EASEMENT iV n MI z w IM N N W 0 m 01 TAI w w Z ADDRESS: 3.1 #1351 TWIN TREES LANE SANFORD, FLORIDA 32771 FOR THE BENEFIT AND EXCLUSIVE USE OF: ENGLE HOMES NOTES: 1. ALL DIRECTIONS AND DISTANCES HAVE BEEN FIELD VERIFIED, INCONSISTENCIES HAVE BEEN NOTED ON THE SURVEY, IF ANY. 2. PROPERTY CORNERS SHOWN HEREON WERE SET/FOUND ON 03-06-09, UNLESS OTHERWISE SHOWN. 3. THE SURVEYOR HAS NOT ABSTRACTED THE LAND SHOWN HEREON FOR EASEMENTS, RIGHT OF WAY, RESTRICTIONS OF RECORD WHICH MAY AFFECT THE TITLE OR USE OF THE LAND. 4. NO UNDERGROUND IMPROVEMENTS HAVE BEEN LOCATED EXCEPT AS SHOWN. 5. BUILDING TIES SHOWN HEREON ARE TO UNFINISHED FORM BOARD/FOUN DATION AND ARE NOT TO BE USED TO RECONSTRUCT THE BOUNDARY .LINES. 6. ELEVATIONS SHOWN HEREON ARE BASED ON SEMINOLE COUNTY BENCHMARK #5124101 ELEVATION=69.67', NGVD 29 DATUM. 7. THE FINISHED FLOOR ELEVATION OF THE STRUCTURE LOCATED AT THE ABOVE LOCATION LEGAL DESCRIPTION, MEETS OR EXCEEDS THE REQUIREMENTS SET FORTH IN THE CITY OF SANFORD CODE CHAPTER 18, SEC. 18,-4-(A:)._ I HAVE EXAMINED THE F.I.R.M. COMMUNITY PANEL NO. 120294 0065 F DATED 09/28/07 AND FOUND THE SUBJECT PROPERTY APPEARS TO LIE IN ZONE X. OUTSIDE 100 YEAR FLOODPLAIN. THE SURVEYOR MAKES NO GUARANTEES AS TO THE ABOVE INFORMATION. PLEASE CONTACT THE LOCAL F.E.M.A. AGENT FOR VERIFICATION. .11 vo sw1i1 n 11 —1 ON THE SOUTHERLY LINE OF LOT 161 FIELD DATE:) 04-12-07 REVISED: SCALE: 1" = 30 FEET APPROVED BY: SJ JOB NO. VB000289 LOT 162 DRAWN BY: - FINAL 03-06-09/CC FORMBOARD 10-06-08 CC RENSE PLOT PLAN 7-31-08 PLOT PLAN 3-30-07 DLC PRELIMINARY PLOT PLAN 1D-10-05 DLC 60% PI F in I � o J 88.75' I I NR9'09'30"E TWO STORY 0 o �} CONCRETE BLOCK �Z & WOOD FRAME ow RESIDENCE T11.0' t� FINISH FLOOR 4 ELEVATION-63.14' I I — LOT 144 I I LOT 145 w w I — w LOT 146 II ti I I LOT 147 lcI w--- ;. 3 M . LOT 149 .won f— 26.8 N In - +3.1 b 2 '4[ .jr 30.2_ J p p. - V 1 — PARTY WALL 5.3.N Z. 1.7 M S89'09'30"W IS gal 88.75' 3"I n "I LOT 148 M L----0------I� J 9'0910' UTILITY EASEMENT— — — 58'30"W — 88.75' I LEGEND CENTERLINE RIGHT OF WAY LINE EXISTING ELEVATION A/C AIR CONDITIONER BRICK CONCRETE C CHORD LENGTH - C.B. CHORD BEARING CBW CONCRETE BLOCK WALL CP CONCRETE PAD CS CONCRETE SLAB C/W CONCRETE WALK F.E.M.A. FEDERAL EMERGENCY MANAGEMENT AGENCY F.I.R.M. FLOOD INSURANCE RATE MAP ID IDENTIFICATION L ARC LENGTH LB LICENSED BUSINESS LS LICENSED SURVEYOR (M) MEASURED OHIJ OVERHEAD UTILITY LINE t S Aj s � ��'7 !/ nLI �Yn/ U r= 9:::;S lJM1..oli^'��71 �IVJ��Y/ � if �I1V\S.7J 1CMv1 APPONG ONCE. CERTIFICATION OF AUTHORIZATION NUMBER LB#6393 1030 N. ORLANDO AVE, SUITE B WINTER PARK, FLORIDA 32789 (407) 426-7979 WWW.AMERICANSURVEYINGANDMAPPING.COM OFOUND NAIL AND DISC LB #6393 (03-06-09) FOUND NAIL AND DISC LB #6393 (03-06-09) 0 FOUND 1/2" IRON .ROD AND CAP LB #6393 (03-06-09) 0 CENTRAL ANGLE (P) PER PLAT PC POINT OF CURVATURE PCC POINT OF COMPOUND CURVE PCP PERMANENT CONTROL POINT PI POINT OF INTERSECTION PK PARKER KALON POC POINT ON CURVE POL POINT ON LINE PRC POINT OF REVERSE CURVATURE PRM PERMANENT REFERENCE MONUMENT PSM PROFESSIONAL SURVEYOR AND MAPPER PT POINT OF TANGENCY R RADIUS RP RADIUS POINT S/W SIDEWALK TYP TYPICAL UP UTILITY PAD THIS BOUNDARY SURVEY IS NOT VALID WITHOUT TH . S!%NrA`IUnE,;•ND THE ORIGINAL RAISED SI-:AL OF-A,FLORIDA`HOENSED SURVEYOR ACID' MAPPEf:. FOR J� THE FIRM DAVID M. DeFILIPPfl PSM #50 8 DATE Altamonte Springs, Casselberry, Lake Mary, Longwood, Oviedo, Sanford .Seminole County; Winter Springs Date: 3 l o Project Name: ® c��oject Address: / ; S / ae t u XA=nIC4 /6.;?. Building Permit #: L� g ,931 ` - 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. If the jurisdiction hereafter finds that the facility has been occupied before a certificate of occupancy has been issued, the jurisdiction will have the unilateral right to direct the utility to terminate electrical service without notice. Furthermore, we understand and agree that should the jurisdiction exercise such right, the jurisdiction will not be responsible for any damages or costs which may result from the exercise of such right. Also, in the event any third party claims damages from the exercise of such right, we agree to jointly and in 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'l00% 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. cury , bN Fmo1 Ks &I t, ! % Yan/�s ✓Co�� �h�odGj Print Na c o wn /Tenant Print Name of Gen. Contractor Print Name of El. Contractor ig%nature of wner errant Skriature of Gen: Contractor Signature of El. Contractor Gen. Contractor License # EL Contractor License # JURISDICTION EMPLOYEE NAME: JURISDICTION: CALLED INTO: ❑ Progress Energy o Florida Power and Light on (Rev. 3/27/07) 'oo O 2 3 S Application No: / Documented Construction Value: $ Job Address: 3 l I W I 6c S Li} "✓ E Historic District: Yes ❑ No Parcel ID: 1 'Z. Zoning: Description of Work: —T V 3 E7h c S, Plan Review Contact Person: Title: Phone: Fax: E-mail: Property Owner Information -Name h : `e P e *1 e_1 Phone: ` Street: Resident of property? City, State Zip. Contractor Information, Name Gib YT1C'Y" ° 1 e f 1 (, Phone: 40%._. &U(0 Rii 100 A ' Street:A pn Fax: YD7 - UL `L Bq 5f City; State Zip: State LicenseNo.:):�a®(0OI959. Architect/Engineer information Name: Phone: Street: Fax: City,`St, Zip: E-mail: Bonding Company: Mortgage Lender: Address: Address: PERMIT INFORMATION Building Permit ❑ Square Footage: Construction Type: No. of Stories: No. of Dwelling Units: Flood Zone: Electrical Plumbing New Service - No., of AMPS: 0 vat TA E New Construction - No. of Fixtures: 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 NIA.Y 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 maybe found in the public records of this county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. Acceptance of permit is verification that.I will notify the owner of the property of the requirements of Florida. Lien Law, FS 713.' The ,City of Sanford requires payment of a plan review fee. A copy of the executed contract is required in order to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the plan review fee based on past permit activity -levels. Should calculated charges exceed the documented construction value when the executed contract is submitted, credit will be applied to your permit fees when the permit is released. Signature of Owner/Agent . Date Print Owner/Agent's Name Signature of Notary -State of Florida . Date Owner/Agent is Personally Known to Me or Produced ID Type of ID APPROVALS: ZONING: ENGINEERING: COMMENTS: Rev 11.08 LT (TIES: 1 /)0/, 2, —;3/L/a Sign Lureof Contractor/ t - I' Date t� N avekbr Print Contractor/Agent's Name Signature of Notary -State of Florida ` Date °•°•°•° THOMAS M. MILLER °° cam° P`°koZ% NOTARY PUBLIC - STATE OF FLORIDA COMMISSION # DD446174 EXPIRES 6129/2009 ;Pvouv�W.O• • °°°•° °° DE TIJRU 1=&�S-NOTARY1 Contractor;lgent isB�Versonally Known to Me or Produced ID Type of ID ' WASTE WATER: BUILDING: