1360 Twin Trees Ln 08-86 (new constr)v p� CITY OF SANFORD PERMIT APPLICATION
Application # : ['O OMB► Submittal Date: /S/,,O//'7
Job Address: `��y �`— �� Value of Work: $ `f . D v
P®
ParcelID:32-19-30-5RW-0000— Zoning: Historic District:' No
Description of Work: &"—a % 0�33� Square Footage:
.........................................................................................................................
Permit Type: Building U Electrical ❑ Mechanical ❑ Plumbing ❑ Fire Sprinkler/Alarm ❑ Pool ❑ Sign ❑
Electrical: New Service — # of AMPS Addition/Alteration ❑ Change of Service ❑ Temporary Pole ❑
Mechanical: Residential ❑ Non-Residetit.ial ❑ 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 ❑ Comme cia ❑
Occupancy Type: Residential W Commercial ❑ Industrial ❑ Occupancy Use Group(s): "'� � �
Construction Type: —3 # of Stories: 2 # of Dwelling Units: 1 Flood Zone: _X_ (FEMA form required)
........................................................................................................................
Property Owner: Tousa Homes dba Engle Homes
Address:11315 Corporate Blvd., #250
Orlando, FL. 32817
Phone407-249-3500 E-mail:
Bonding Company: N/A
Address:
Contractor: William Colbv Franks
Address: 11301 Corporate Blvd., #303
Orlando, FL 32817
Phono407-249-3 License Number: CGC 1507971
Mortgage Lender: N/A
Address:
Architect/Engineer: 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:407-249-369.0 313-2142 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 1 will notify the owner of the r rope y of ie re rements of Florida Lien Law, FS 7'3.13.
Lev LnZ le-)11 7
Signature of Owner/Agent Date S fnatLTre of Contractor/Agent Date
Print Owner/Agent's Name
Signature of Notary -State of Florida Date
Owner/Agent is _
_ Produced ID
Personally Known to Me or
` IC( APPROVALS: ZONING: W UTIL: FD:`�
Special Conditions:
Wi
Print Contractor/Agent's Name
-M?� 61-e- dt. /,9///,9 -/
Signature of Notary -State of Florida Date
VALERIE L. RER
ComFUR
DmissixD 668238
xnpiresPM5,20' 1n1a '#J§l9dnTby
Fain tnSufff10 W-
Contractor/Agent is X_ eronayo a or
_ Produced ID
ENG: BLDG.
Rev 07.07
� �,J �-),) �'
PLOT PLAN
DESCRIPTION: (AS 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 LOT 183 I OFFOICE
I I
I
88.75'
N 89'09' 30"E
10' UTILITY EASEMENT 00
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L=42.82'
R=27.00'
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C=38.47'
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4.= PER MASTER FILE
t pZ
� 4.7' :;.. ' PERMIT: -23 2
vw m /
N ` I ENGLE HOMES/ MODEL A - ABACO
N
o
NJ
15' UTILITY EASEMENT
N 89'59'04"W
61.35'
�CENTERIINE OF
RIGHT OF WAY
LONG OAK WAY
PREPARED FOR' TRACT E
ENGLE HOMES -
EAST REGION
FLA11
ffik
ND
EfY
BUILDING POSITIONED PER
—
-�— B DI
PSM
MLW
PROFESSIONAL SURVEYOR & MAPPER
MINIMUM LOT WIDTH
LAYOUT DRAWING APPROVEDITY
IG 0
Sfi�fi TE NE
PDB
POL
PCC
POINT. ON BOUNDARY
POINT ON LINE
POINT OF COMPOUND CURVATURE
BY CLIENT.
OSE N
POC
OR
POINT DN CURVE
OFFICIAL RECORD
PROP A OW
PD
PLANNED DEVELOPMENT
CONCRETE
6
DENOTES DELTA ANGLE
1. ELEVATIONS SHOWN ARE FOR LOT GRADING L DENOTES ARC LENGTH
LB LICENSED BUSINESS C.B. DENOTES CHORD BEARING
PLANS PROVIDED BY THE CLIENT, LS LICENSED SURVEYOR or DENOTE=_ rc!NT OF CURVATURE
FRM PERMANENT REFERENCE MONUMENT PI DENOTES: POINT 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 PT DENOTES POINT OF TANGENCY
THE PROPOSED HOUSE. REFER TO HOUSE PLAN AND OPTION (M) MEASURED rYP TYPICAL
(CALC) CALCULATED A/C AIR CONDITIONER
LIST FOR CONSTRUCTION. FND FOUND COW 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 R RADIUS
CP CONCRETE PAD CS CONCRETE SLAB
ONLY, PB PLAT BOOK C CHORD LENGTH
THIS IS NOT A SURVEY PCs PAGES R/W RIGHT-OF-WAY
THIS IS A PLOT PLAN ONLY 50. FT. SQUARE`FEET°E ORB OFFICIAL RECORDS BOOK
I HAVE EXAMINED THE F.I.R.M. COMMUNITY PANEL 1. THE SURVEYOR HAS NOT ABSTRACTED THE
NO. 120294 0040 E DATED 04/17/95 AND FOUND THE LAND SHOWN HEREON FOR EASEMENTS, RIGHT
SUBJECT PROPERTY APPEARS TO LIE IN ZONE X, OF WAY, RES7�RIG17,1NSlT2)F(I,,RECORD WHICH
OUTSIDE 100 YEAR FLOOD PLANE. MAY AFFECT,YHE- TIT E OR USEC•OF THE LAND
THE SURVEYOR MAKES NO GUARANTEES AS TO THE 2. NO UNDERGROUI�D�WOR6iEPIFNTS'HAVE BEEN
ABOVE INFORMATION. PLEASE CONTACT THE LOCAL LOCATED lLXCFP;AS SHOWN: �
F.E.M.A. AGENT FOR VERIFICATION. 3. N07 VALID)WITHOUI THF.(S1tNVA�URE nNO„ IE ORIGINAL
- A �FLORIDA I !"'NSED SURVEYOR
ON THE SOUTHERLY LINE OF LOT 189
FIELD DATE: )
SCALE: 1" = 30 FEET
APPROVED BY: SJ
JOB N0. VB000289 LOTS 154-189
DRAWN BY:
a� RAISED SEAL Qr �
AND MAPPER.
SURVEYING
a MAPPING INC.
_ CERTIFICATION OF AUTHORIZATION NUMBER L8#6393 FOR
1030 N. ORLANDO AVE, SUITE B 3 O THE
WINTER PARK, FLORIDA 32789 FIRM
PLOT PUN 3-30-07 DLC (407) 426-7979
PRELIMINAff PLOT PUN 10-10-05 DLC WWW.AMERICANSURVEYINGANDMAPPING.COM JAMES JAY JILES PSM #4997 DATE
REVISED:
1 / 1
FLORIDA . ENERGY EFFICIENCY CODE
FOR BUILDING CONSTRUCTION
Florida Department of Community Affairs
Residential Whole Building Performance Method A
Project Name: Twin LakesTownHomesUnitA Builder: ENGLE HOMES
Address: /,3610 Permitting Office:
City, State: Permit Number:
Owner: ,tGYt 'e'_ 1 0121-e- Jurisdiction Number:
Climate Zone: Central
1.
New construction or existing
New _
12. Cooling systems
2.
Single family or multi -family
Multi -family _
a. Central Unit
Cap: 35.5 kBtu/hr _
3.
Number of units, if multi -family
I _
SEER: 14.00 _
4.
Number of Bedrooms
3 _
b. N/A
_
5.
Is this a worst case?
Yes
6.
Conditioned floor area (W)
1415 ft' _
c. N/A
7.
Glass type 1 and area: (Label regd. by 13-104.4.5
if not default)
_
a. U-factor:
Description Area
13. Heating systems
(or Single or Double DEFAULT) 7a. (Sngle Default) 220.0 ft' _
a. Electric Heat Pump
Cap: 35.5 kBtu/hr _
b. SHGC:
HSPF: 8.20 _
(or Clear or Tint DEFAULT) 7b.
(Clear) 220.0 ft' _
b. N/A
_
8.
Floor types
-
a. Slab -On -Grade Edge Insulation
R=0.0, 0.0(p) ft _
c. N/A _
'FIC"'m
b. Raised Wood, Adjacent
R=11.0, 299.Oft' _
_
c. N/A
_
14. Hot water systemovo
9.
Wall types
a. Electric Resistanc
Cap: 50.0 gallons _
a. Frame, Wood, Exterior
R=I 1.0, 620.0 ft' _
EF: 0.90 _
b. Concrete, Int Insul, Exterior
R=5.0, 607.0 fe _
b. N/A
_
c. Frame, Wood, Adjacent
R=11.0, 284.0 ft' _
d. N/A
_
c. Conservation credits
_
e. N/A
_
(HR-Heat recovery, Solar
10.
Ceiling types
_
DHP-Dedicated beat pump)
a. Under Attic
R=30.0, 918.0 ft2
15. HVAC credits
_
b. N/A
_
(CF-Ceiling fan, CV -Cross ventilation,
c. N/A
_
HF-Whole house fan,
11.
Ducts
_
PT -Programmable Thermostat,
a. Sup: Unc. Ret: Unc. AH(Sealed):Interior
Sup. R=6.0, 129.0 ft
ea:V1b. EWE"'
N/A
-
AN
P L e &V% a
% a ki ; (Al,
F%
W
Glass/Floor Area: 0.16 Total as -built points: 19774 PASS
Total base points: 20239
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.
OWNERIAGENT:
DATE: 0131,07
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 v4.5)
v°4ZgE STgl�peo
Permit Number I MARVIN* MURt3Ej ULLNK OF Ulficulf CUIJRT
Parcel Identiflcatton Number 3,1 / = 30 -570o0--14YVZbkM1N0LE COUNTY
BK OW2 t''4 14/41 Upq)
Prepared by: Valerie Furrer / Kekalani Vazquez CLERK'S 1# 2oo7141 F,2E,
Aft
RECtlitlllNi, (�E:i':; 1U.UU
RI CtAWEU HY H I1eVve
Return to: Engle Homes Orlando
11315 Corporate Blvd ste 250
Orlando,Fl 32817
NOTICE OF COMMENCEMENT
State of FLORIDA
County of SEMINOLE
The undersigned hereby gives notice that Improvement(s) will be made to certain real property, and in accordance
with Chapter 71$, Florida Statutes, the following information is provided in this Notice of Commencement.
2.
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 # 189 - 1360 Twin Trees Lane
in Seminole County
General description of Improvement(s)
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.
Contractor Engle Homes/Orlando Inc.
Name Address 11315 Corporate Blvd #250
Orlando,Fl 32817
6. Surety (if any)
Name
Address
7.
Q
Lender (if any)
Name N/A
Address
Telephone Number 407-281-4480
Fax Number 407-281-7766
Telephone Number
Fax Number
Amount of bond $ N/A
Telephone Number
Fax Number
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/Orrando Inc. Telephone Number 407-281-4480
Address 11315 Corporate Blvd #250 Fax Number 407-281-7766
Orlando,FI 32817
In addition to himself or herself, Owner designates the following to receive a copy of.the Lienor's Notice a$
provided in §71313(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):
1,,2-10
Date Signed Si 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 02'' =fday of 0 D 7 by
WILLIAM COLBY FRANKS
who Is X personally known to me OR produced
as Identification.
URTMED�.CDp°f Signature of Notary (notarial seal to appear below)
Y:A t
CLEiiK OF it
Form Revised:12100 for 19 to 2o_ SEN'P LE rP
I
SY
RER238
2011CC R VA:RE L. FUR
FLORIDA CAnMISSion DD 668
EXPIss May 25, ,� , 90n�a��AruiroyFah,kiaurm��pon386•mie
_RK
ru'
PLAT OF
SURVEY
bI-
"DESCRIPTION: (AS
FURNISHED)
LOT
189, 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"
L=42.82'
I
LOT 183
R=27.00'
I
I
CB=S44'35'13"W
C= 38.47'
88,75'
N8909'30"E _
— _ _ — — — — _ — —
10' UTILITY EASEMENT
m
—
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GRAPHIC SCALE
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0 15 30
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NOTE:
I W
a
THE FINISHED FLOOR ELEVATION OF THE
o
( > o
STRUCTURE LOCATED AT THE ABOVE
I�!
DO I N
LOCATION LEGAL DESCRIPTION MEETS OR
EXCEEDS THE REQUIREMENTS SET FORTH IN
THE CITY OF SANFORD CODE CHAPTER 18,
SEC. 18-4-(A).
7
ADDRESS: 0
#1360 TWIN TREES LANE
3
SANFORD FLORIDA, 32771
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N 89'09' 3,
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— _ _ _ _ .
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FOR THE BENEFIT AND 15' UTILITY EASEMENT
EXCLUSIVE USE OF:
RAFAEL PIETRI-RAMIREZ
ENGLE HOMES/ORLANDO, INC. N89'59'04"W
UNIVERSAL LAND TITLE/FIRST AMERICAN TITLE INSURANCE COMPANY 61.35'
WELLS FARGO HOME MORTGAGE COMPANY
PI
N89'S9'04"W
NOTE:
1. ALL DIRECTIONS AND DISTANCES HAVE
BEEN FIELD VERIFIED AND ANY
INCONSISTENCIES HAVE BEEN NOTED ON THE
SURVEY, IF ANY.
2. PROPERTY CORNERS SHOWN HEREON WERE
SET/FOUND ON 10-31-08, UNLESS OTHERWISE
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/FOUNDATION AND ARE
NOT TO BE USED TO RECONSTRUCT THE
BOUNDARY LINES.
6. ELEVATIONS SHOWN HEREON ARE BASED ON
SEMINOLE COUNTY BENCHMARK #5124101
NGVD29 ELEVATION=69,667
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 FLOOD PLANE. THE SURVEYOR
MAKES NO GUARANTEES AS TO THE ABOVE
INFORMATION. PLEASE CONTACT THE LOCAL F.E.M.A.
AGENT FOR VERIFICATION.
BEARINGS SHOWN HEREON ARE BASED
ON THE SOUTHERLY LINE OF LOT 189
(FIELD DATE:) 04-12-07
REVISED:
SCALE: 1" = 30 FEET CERTS 11-17-08 RP
APPROVED BY: Si FINAL 10-31-OB/CC
JOB NO.VB000289 LOT 189
DRAWN BY:
FOUNDATION 06/21/08 AN
FORMBOARD 06/06/08 CC
PLOT PLAN 3-30-07 DLC
PRELIMINARY PLOT PLAN 10-10-05 DLC
See
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214'
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FND NAIL AND DISC
LB #6393 (10131108)
456.031\
\CENTERLINE OF
LONG OAK WAY RIGHT OF WAY
TRACT E
40' PRIVATE ROADWAY
47.71' _
503, 74'
0640
W
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LEGEND
LBD#NAIL 6393 (110/31 /08)
CENTERLINE
O
SET IRON CAP
RIGHT OF WAY LINE
LB #6393(10/31/08)AND
O
FIND 1/2" IRON ROD AND CAP
LB #6393 (10/31/08)
A/C
AIR CONDITIONER
0
DENOTES DELTA ANGLE
CONCRETE
(P)
PER PLAT
C
CHORD LENGTH
PC
DENOTES POINT OF CURVATURE
C.B.
CHORD BEARING
PCC
POINT OF COMPOUND CURVE
CBW
CONCRETE BLOCK WALL
PCP
PERMANENT CONTROL POINT
CNA
CORNER NOT ACCESSIBLE
PI
DENOTES POINT OF INTERSECTION
CP
CONCRETE PAD
PK
PARKER KALON
CS
CONCRETE SLAB
POC
POINT ON CURVE
B/W
BRICK WALK
POL
POINT ON LINE
F. E. M. A.
FEDERAL EMERGENCY MANAGEMENT
AGENCY PPNE
PRIVATE PERTUAL NON-EXCLUSIVE
FIND
FOUND
PRC
DENOTES POINT OF REVERSE CURVATURE
FPL
FLORIDA POWER AND LIGHT
PRM
PERMANENT REFERENCE MONUMENT
ID
IDENTIFICATION
- PSM
PROFESSIONAL SURVEYOR AND MAPPER
L
ARC LENGTH
- PT
DENOTES POINT OF TANGENCY
LB
LICENSED BUSINESS
R
RADIUS
LS
LICENSED SURVEYOR
RP
RADIUS POINT
(M)
MEASURED
S/W
SIDEWALK
CHU
OVERHEAD UTILITY LINE
TYP
TYPICAL
UP
UTILITY PAD
A Ivl E R I c�.I�I
SUFRS/I-YING
& MAPPING INC.
CERTIFICATION OF AUTHORIZATION NUMBER L13(j6393
1030 N. ORLANDO AVE, SUITE B
WINTER PARK, FLORIDA 32789
(407) 426-7979
WWW. AMERICANSUR VE'(INGANDMAPPING. COM
THIS IS A BOUNDARY SURVEY NOT VALID
WITHOUT THE SIGNATURE AND THE ORIGINAL
RAISED SEAL OF A FLORIDA LICENSED
SURVEYOR AND MAPPER...
FOR
u'. sli 7-THE
. `�1n8 FIRM
DAVID M. DeFILI'PPO. PSM #5038 DATE
CITY OF SANFORD PERMIT APPLICATION
Permit H.LJ V r U 111 Date: 6 t
rob Address:
Description of Work: -Tk\ New 1- VAQ S>�(S eM / �tnC �" Total Square Footage
Historic District: Zoning: Value of Work: $
Permit Type: Building Electrical Mechanical ✓ Plumbing fire Sprinkler/Alarm Pool 0�,SL/
Electrical: New Service - 9 of AMPS Addition/Alteration Change of Service Temporary Pole
Wechanical: Residential i/ Non -Residential Replacement New (Duct Layout & Energy Cale. Required)
Plumbing/ New Commercial ti of Fixtures # of Water & Sewer Lines # of Gas Lines
Plumbing/New Residential #'of Water Closets Plumbing Repair - Residential or Commercial
Dccupancy Type: Residential ---A/— Commercial Industrial
Construction Type: tl of Stories: # of Dwelling Units: FloodZone: (FEhtA form required )
owners Name'& Address: C" (J L-
Phone:
::oatractor Name & Address: D A11, KA
j0
p.pn ` r' "a+97i1 State L"cen Number: 0 G'r U.
� �$
'hone & Fax: Contact Person: Qc fc, Phone- 4 `S`=ii3fy
3onding Compauy:
\ddress:
%lortgage Leader:
\ddress:
\rchitect/Eagineer: Phone:
\ddress:
Fax:
\ppGcation is hereby made to obtain a pemtit to do the work and installations as indicated. i certify that nosvork or installation has commenced prior to the
ssuance of a permit and that alt work will be performed to meet standards of all laws regulating construction in this jurisdiction. I understand that a separate
retmit must be secured for ELECTRICAL WORK, PLUMSING,•SiGNS, WELLS -POOLS, FURNACES, BOILERS, HEATERS, TANKS and
\IR CONDITIONERS, etc,
)WNER'S,AFFIDAVIT: [ certify that all of the foregoing:information is accurate and that all work will be done in with all applicable laws regulating
biistruction and,zoaing 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
\TTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
40TICE: ln�addition to the requirements of this permit, there maybe additional restrictions applicable to.tt is pr ertg may be found the public records of
his county, and there may be additional permits required from other governmental entities such as water m districts„state ` es; or federal agencies_
\cceptance of permit is verification that will notify the owner of the property of the requ ments rid ien US 713
SignatureofOwner/Agent Date Sign eofContractor/Agent Date
Print Owner/Agent's Name
Signature of Notary -State of Florida Date
OwnedAgent is Penally Known to Me or
Produced ID
rPPROVALS: ZONING: UTIL: FD:
pecial Conditions:
;ev 03/2006
ROBERT G. DELLO RUSSO
Pr' t Contractor/Agent. Nan
Signature of NotaryState of Florida Date
rQnpr rp�F
MIRINDR C. TURNER
*; MY COMMI5510N # DD 667@37
< EXPIRES: June 14, 2tlt 1
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Contractor/Agent i PersonallyKno�
Produced ID
ENG: BLDG:
CITY OF SANFORD PERMIT APPLICATION
Application # : Submittal Date:
Job Address: _' � VLF t ri Y 2� ���.Ii'Q, Value of Work: L
Parcel ID: 1 Zoning: Historic District:
Description of Work: W\+ 2. �L�'�- N)LI 1 tm. Eke Oyn L Square Footage:
........................................................................................................................
Permit Type: Building ❑ Electrical ff Mechanical ❑ Plumbing ❑ Fire Sprinkler/Alarm ❑ Pool ❑ Sign ❑
Electrical: New Service — # of AMPS j1,50 Addition/Alteration ❑ Change of Service ❑ Temporary Pole W/
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: C� # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required )
.......................... .. .......................................................................................... ..
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Property Owner: 1 �LACvi a C� l {� Contractor: L� K L" , 'G e c:�Qr � cc),
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Address: 3�� f POIZA& ,G� `7wv�ZC3 j Address:�to-;;��
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Phone: � \- E-mail: Phone: 4' -MO, State License Number: EC b0(.,1��j� �D
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 711
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: UTIL: FD:
Special Conditions:
Rev 07.07
Signature of Contractor/Agent Date
Pri ntractor/Agent's me
6,?dd6
ignature of Notary -State of on C STATE OF FLORIDA
NOTARY Rebecca fiengifo
_ Commission#DD&M27
Expires: JLINE 20, 2008
LNC
BONDED THRIl ATLANTIC BONDING CO., L"1C.
Contractor/Agent is _11 Personally Known to Me or
Produced ID
ENG: BLDG: