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900 Lexington Green Ln - BC03-001211 (NEW MEDICAL PLAZA) DOCUMENTSu PHONE NUMBER PROPERTY OWNER ADDRESS LIC PHONE NUMBER ELECTRICAL CONTRACTOR MECHANICAL CONTRACTOR PLUMBING CONTRACTOR MISCELLANEOUS CONTRACTOR PERMIT NUMBER MISCELLANEOUS CONTRACTOR FEE PERMIT NUMBER FEE Les. SUBDIVISION It 48111 PERMIT # O DATE ,*- 4p 93" 03 PERMIT DESCRIPTION PERMIT VALUATION 4 1% . SQUARE FOOTAGE ?Acl(:o C7 t7 w tm in w d H CERTIFCATE OF OCCUPANCY REQUEST FOR FINAL INSPECTION NEW COMMERCIAL BUILDING **** DATE.. $04ZZ PERMIT #: ^Ti • 12,11 ADDRESS: CONTRA( PHONE #: The building division has prepared a Certificate of Occupancy for the above location and is requesting final inspection by your department. After your inspection, please sign off and date the C. O. or submit addendum if it has been denied or approved with conditions. Your prompt attention will be appreciated. 7 0NOMP-W 7 0 Public Works Utilities 0 Fire 0 Zoning _ OLicensing CONDITIONS: (TO BE COMPLETED ONLY IF APPROVAL IS CONDITIONAL) A 1 CERTIFCATE OF OCCUPANCY REQUEST FOR FINAL INSPECTION NEW COMMERCIAL BUILDING **** DATE. Z Z 004 PERMIT #: ( Z ADDRESS: CONTRACTOR: PHONE #: 16W • 70M The building division has prepared a Certificate of Occupancy for the above location and is requesting final inspection by your department. After your inspection, please sign off and date the C. O. or submit addendum if it has been denied or approved with conditions. Your prompt attention will be appreciated. DEngineering OPublic Works DUtilities O Fire 2 v OLicensing CONDITIONS: (TO BE COMPLETED ONLY IF APPROVAL IS CONDITIONAL) CERTIFCATE_ OF OCCUPANCY REQUEST FOR FINAL INSPECTION NEW COMMERCIAL BUILDING **** DATE: oq` PERMIT'#:'03 - ) a \ r ADDRESS: L CONTRACTOR: L PHONE #: The building division has prepared a Certificate of Occupancy for the above location and is requesting final inspection by your department. After your inspection, please sign off and date the C. O. or submit addendum if it has been denied or approved with conditions. Your prompt attention will be appreciated. Engineer27 OPublic Works O Fire OZoning OUtilities OLicensing CONDITIONS: ( TO BE COMPLETED ONLY IF APPROVAL IS CONDITIONAL) I - ra4.,V CERTIFCATE OF OCCUPANCY REQUEST FOR FINAL INSPECTION NEW COMMERCIAL BUILDING **** DATE: \ c9d - 0' PERMIT'#: C 'j -• I a \\ ADDRESS: 17A Qn _Qk 0n CONTRACTOR: am,_, 6 PHONE #: The building division has prepared a Certificate of Occupancy for the above location and is requesting final inspection by your department. After your inspection, please sign off and date the C. O. or submit addendum if it has been denied or approved with conditions. Your prompt attention will be appreciated. OEngineering OFire 0wo " Ef17fgm6 L` s 1OZonin g OUtilities OLicensing CONDITIONS: (TO BE COMPLETED ONLY IF APPROVAL IS CONDITIONAL) OF'OCCUPANCCERTIFCATE REQUEST FOR FINAL INSPE I s a •. 1 1 1 a - 1 1 NEW COMMERCIAUBUILDINGPE* 10 ar s, 4 r , i s •. J N a r L = . 1 1 .1 1 1 1 ; 1 1 1 1 1 Z ; Z ,O 1 1 1 DATE: a •. ZPERMIT #., 1 v 1 r CS y aQ '1 r i • r 1 w o ADDRESS: 4 o N, rib i t . 4 r, n L± 1 CONTRACTOR: J f' r i I oS' .70 jLL-`QVMO IOOPHONE ': The -building division,has prepared,a Certificate,of.Occupancy for the above locatinand is'requesting fnal inspection,byyour,,department.cAfter your inspection; please sign off and.date.the C,O. or submit addendum if it has been denied or,approved.with 'conditions. our prompt attention will'be appreciated. DEngineering V OFir + DPublic W ks DZoning tili ` DLicensingNE 0 , J. ri Nr,r}•L 1M,N.yQ.Ypiaylr,M•. Z•vrw.• •. w• s.0, .M rr.. :.K: +y•. •. .w.«r y,. Mo-yry b,,; ry .. 6t. •'T :.. . r CERTIFCATE OF :OCCUP nl = REQUEST FOR FINAL• INSPE I6lR 15 1 W COMMERCIAL BUILDING F *40 4 1 1 1 1 r r' +' :ri 1 1 1 1 1 A 1 1 1 1 1 DATE. - % :Z O o 1 c tq PERMIT I ADDRESS: t , Z..... 7 CONTRACTORS' t' LA- 1 i CERTIFCATE OF OCCUPANCY REQUEST FOR FINAL INSPECTION NEW COMMERCIAL BUILDING ****= DATE: \—o9C)-0A PERMIT #: C? - a \ W C ADDRESS: . : J C. c N t7 C 02 U CONTRACTOR: CJ S_ 41 1U PHONE #: The building division has prepared a Certificate of Occupancy for the above location and is requesting final inspection by your department. After your inspection, please sign off and date the C. O. or submit addendum if it has been denied or approved with conditions. Your prompt attention will be appreciated. OEngineering O Fire OPublic Works OZoning Utilities/ , m - OLicensing CONDITIONS: (TO BE COMPLETED ONLY IF APPROVAL IS CONDITIONAL) LMBCQ401 CITY OF SANFORD Address Misc. Information Maintenance Location'ID ' . . . . . . : 252575 Parcel Number . . . . . : 25.19.30.5QL-0000-0050 Alternate location ID . : Location address . . . . : 900 LEXINGTON GREEN LN Primary related party . : Type information, press Enter. Sequence Code(F4) App Free -form information 1.00 _ T.7u _ S-79 _ 4. UU _ 5.n _ 7.07 _ ru-. _9U 2/02/04 16:52:45 Special Date notes More... Address F3=Exit F5=Notes display F6=Change display F9=Parcel Notes O=Subdivsion Notes F12=Cancel CERTIFCATE OF OCCUPANCY r 4 REQUEST FOR FINAL INSPECTION NEW COMMERCIAL BUILDING ****= 3 Q DATE: \ - o9CO.Ok4 1 PERMIT'#: O` ^ a \ W 3 v" E ADDRESS: 7 m 1 6 y C C9 C 1 U CONTRACTOR: ; T a a 1 PHONE #: a lL u_ W ii V r J The building division has prepared a Certificate of Occupancy for the above location and is requesting final inspection by your department. After your inspection, please sign off and date the C. O. or submit addendum if it has been denied or approved with conditions. Your prompt attention will be appreciated. OEngineering OPublic Works Utilities CONDITIONS: OFire OZoning U 1 OLicensing BE COMPLETED ONLY IF APPR v-tq/ 8- AL IS CONDITIONAL) 1 - S I CERTIFCATE OF OCCUPANCY REQUEST FOR FINAL INSPECTION 1 VVV NEW COMMERCIAL BUILDING **** "' ' I Imo- 1 i 1 1 i 1 1 1 I 1 DATE: Oq Q, PERMIT #: C-)? - E ADDRESS: ; Q x a _ 1-1 C. 1 7- o, CONTRACTOR: — PHONE #: The building division has prepared a Certificate of Occupancy for the above location and is requesting final inspection by your depa ent. After your inspection, please sign off and date the C. O. or submit ad endum if it has been denied or approved with conditio s. Your prom tte do will be appreciated. OEngineering 0Fir OPublic Works IN OZoning Utilities&9/ - OLicensing Ur CERTIFCATE.OF OCCUPANCY REQUEST FOR FINAL INSPECTION NEW COMMERCIAL BUILDING **** DATE: \ c9CO-Oq (p ¢ 4 33S PERMIT ADDRESS: QC) L_C CONTRACTOR:.. PHONE #: The building division has prepared a Certificate of Occupancy for the above location and is requesting final inspection by your department. After your inspection, please sign off and date the C. O. or submit addendum if it has been denied or approved with conditions. Your prompt attention will be appreciated. OEngineering 1 5 / 0Public Works OZoning OUtilities OLicensing CONDITIONS: (TO BE COMPLETED ONLY IF APPROVAL IS CONDITIONAL) 1=1 tAll Me-W!V L h-t-S AtuO E*143(SNS A -re. rN nlAy • A1O Aw-er zc 13:s1Qi11k M IC44 CERTIFCATE OF OCCUPANCY REQUEST FOR FINAL INSPECTION NEW COMMERCIAL BUILDING **** DATE: \ _ ad - oil PERMIT `#: O'3 -) a \\ ADDRESS: CONTRACTOR: ,,i PHONE #: The building division has prepared a Certificate of Occupancy for the above location and is requesting final inspection by your.department. After your inspection, please sign off and date the C. O. or submit addendum if it has been denied or approved with conditions. Your prompt attention will be appreciated. OEngineering OFire OPublic Works ing Ls' \ 3 b 0 Utilities OLicensing CONDITIONS: (TO BE COMPLETED ONLY IF APPROVAL IS CONDITIONAL) V14e L"--- F FtUtKALtMtKUI=Rt:T MANAUtMtNI AUtNUY O.M.B. No. 3067-0077 NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 200E ELEVATION CERTIFICATE Important: Read the instructions on pages 1.7. 0-125818 SECTION A - PROPERTY OWNER INFORMATION I ForinsuramoeComparry Use Waterford Development Corporation BUILDING STREET ADDRESS (including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIC Number 900 Lexinsrton Green Lane CITY STATE ZIP CODE Sanford FL 32771 PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Lot 5, l eAngton Park BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, eta Use a Comments area, if necessary.) Non -Residential LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: GPS (Type): Ar - ##r - ##.##- or ##. °) ® NAD 1927 NAD 1983 ® USGS Quad Map Other. SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 81. NFIP COMMUNITY NAME 8 COMMUNITY NUMBER BZ COUNTY NAME 83. STATE 120294 CilyOf Sanford Seminole IndependerdCity FL B4. MAP AND PANEL B7. FIRM PANEL 89. BASE FLOOD ELEVATIONS) NUMBER 85. SUFFIX B6. FIRM INDEX DATE EFFECTNEIREVISED DATE B8. FLOOD ZONE(S) Zone A0, use do0 of Ibodrg) 12117CO045 E 4117/1995 4/17/1995 X 10 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9. FlS Profile 0 FIRM Community Determined Other (Describe): B 11. Indicate the elevation datum used for the BFE in 89: ® NGVD 1929 NAVD 1988 Other (Describe): B I Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? Yes 0 No Designation Date na SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C 1. Building elevations are based on: Construction Drawings' Building under ConstrucW 0 Finished Construction A crew Elevation Certificate will be required when construction of the building is cornplete. C2. Building Diagram Number 1(Select the building diagram most similar to the building for which this oWiate is being completed - see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) C3. Elevations — Zones Al-A30, AE, AH, A (with BFE), VE, V1430, V (with BFE), AR ARIA, ARIAS, ANA1,A30, AP/AH, ARIAO Complete Items C3.-a4 below ao=dM to the building diagram specified in Rem C2. State the datum used. If the datum is dent from the datum used for the BFE in Section B, convert the datum to that used for the BFE. Shore field measurements and datum conversion calculation. Use the space provided or the Comments area of Section D or Section G, as appropriate, to document the datum conversion. Dadra 1929 ConversimCommernts na Elevation reference mark used SBK Does the elevation reference mark used appear on the FIRM? Yes ® No o a) Top of bottom floor (including basement or enclosure) 15. 10 ft.(m) o b) Top of red higherfloor na. _t(m) o c) Bottom of bNest hormontal slrtwtural member (V zones only) na. o d) Attached garage (top of slab) na. _ft.(m) E'S o e) Lowest elevation of machinery and/or equipment w /0 servicing tthe building (Describe in a Comments area) 14.87 fL(m) E o f) Lowest W *W (finished) grade (LAG) 14.5 ft.(m) i o g) Highest mWent (finished) grade (HAG) ' 14. 8 t m) . - 8 yrr `-/ ,,.1 .,.{-1oh) No. of permanent openings (flood vents) within 1 ft, above adaoent grade 0 o ) Total area of all pemnanent openings (flood vents) in C3.h 0 sq. in. (sq. cm) , • r I n t r [ t 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 in Sections A, 8, and C on this certificate represents my best efforts to interpret the data available. 1 understand that any false statement may be punishable by fine or imprisonment under 18 U. S. Code, Section 1001. CERTIFIERS NAME Carl M. Smith LICENSE NUMBER # 3762 TITLE Land Surveyor COMPANY NAME First Financial Surveyors, Inc, ADDRESS CITY STATE Z1P CODE 950 South Winter Park, 2nd Floor, Su' Casselberry FL 32707 SIGNATURE DA TELEPHONE 407 977 7010 FEMA Form 81-31, January 2003 BwAverse side for continuation. Replaces all previous editions IMPORTANT: In these spaces, copy the corresponding information from Section A For kurdnoe Company Use:: - BUILDING STREET ADDRESS (Indudrg Apt, Unt Suite, andbr Bldg. No.) OR P.O. ROUTE AND 1304140. Pob/ Number 9W Le)dngtpn Green Lane CITY STATE ZIP CODE Campany NAIL Number Sanford FL 32771 SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Cie for (1) cornmi unity official, (2) insurance agenUoompany, and (3) buffing owner. COMMENTS 0-125818 Ce3 AtC slab Cronin of the mad 13.7 Check here if attachments SECTION E • BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zone AO and Zone A (without BFE), complete Items E1 through E4. If the Elevation Certificate is intended for use as supporting irriomration for a LOMA or LOMR-F, Section C must be completed. E1. Building Diagram Number _(Select the building diagram most similar to the building for which this certificate is being completed — see pages 6 and 7. fl no diagram acauately represents the building, provide a sketch or photograph.) E2. The top of the bottom floor (inducing basement or enclosure) of the building is _ ft.(m) _in.(=) above or below (check one) the highest adjacent grade. (Use natural grade, if available). E3. For Building Diagrams 6$ with openings (see page 7), the next higher floor or elevated floor (elevation b) of the building is _ fL(m) _in.(cm) above the highest adacent grade. Complete items C3.h and C3.i on front of form. E4. The top of the platform of machinery andfor equipment servicing the building is _ ft.(m) _in.(cm) above or below (check one) the highest adjacent grade. (Use natural Wade, I available). E5. For Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the cormmuniys floodplain management ordnance? Yes No Unknown. The local offal must oertity this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who cortrpletes Sections A, B, C (Items C3.h and C3.i only), and E for Zane A (without a FEMA4ssued or oommunq- issued BFE) orZone A0 must sign here. The statements in Sections A, B, C, arrd E are coned to the best ofmy tvuowtedgru: PROPERTY OWNER'S OR OWNERS AUTHORIZED REPRESENTATIVE'S NAME ADDRESS CITY STATE ZJP CODE SIGNATURE DATE TELEPHONE COMMENTS t% r r SECTION G - COMMUNITY INFORMATION (OPTIONAL) Check here iFattachments The local oFiciai who is aullr Azad by law or ordnance to administer the com munitys floodplain management ordnance can complete Sections A, B, C (or E), and G of this Elevation Certificate . Crxnplete.t oapplicable flenm(s) and sign below. LG1. • The Dr bmWm in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by state N or low law to oertify elevation information. (Indicate to source and date of the elevation data in the Continents area below.) G2. A eo mrry;; y oifidal completed Section E fora bulling located in Zone A (without a FEMA4ssued orco mxunity4ssued BFE) or Zane AO. 63: .The folli:49'inkxrmation (Items G4-G9) is provided for cornet unity floodplain management purposes. G4: PFJiMT NUMBER G5. DATE PERMIT ISSUED M DATE CERTIFICATE OF CONPUPJV k=CUPANCY ISSUED G7. This permit has been issued for: New Construction Substantial Improvement G8. Elevation of a&Wik bNestfl= (including basement) of the building is: _. _ft(m) Datum: G9. BFE or (n Zone AO) depth of flooding at the building site is: _ fL(m) Datum: LOCAL OFFICIAL' S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE DATE COMMENTS Check here if attachments FEMA Form 81-31, January 2003 Replaces all previous editions And Affiliated Companies Wednesday, February 18, 2004 City of Sanford Building Division P.O. Box 1788 Sanford, FL 32772-1788 RE: Lot 5, 900 Lexington Green Lane, Sanford, FL 32771 To Whom It May Concern: The finished floor elevation of the structure located at Lot 5, 900 Lexington Green Lane, Sanford, FL 32773-meets oi'exceeds the requirements set forth the City of Sanford Code Chapter 6, sec. 6=7 (a). Siiicerely; ' ''- Carl Michael Smith P-LS'#3762, , Central Florida • 950 S. Winter Park Drive #230 9 Casselberry • Florida 9 32707 Ph: (407) 977-7010 / (800) 787-8266 9 Fax: (407) 977-7020 / (800) 787-8260 q 3 Go wac2 Caa.1 plbawcy GR n OL r V S-C.• PRoVv_r,-rY C—a as fc. r 0 N W E S SL Aim : ZO is PLOT PLAN THIS DRAWING IS SCHEMATIC CINtY NOT FOR CONSTRUCTION ' PURPO5 SEE CONSTRUCTION PLANS. PRIOR FLOOD CERTIFICATION (MAP DATED APRIL 17. 1995)- TO ANY FIELD WORKThisistocertifythatIhaveconsultedthe.Federal Insurance Flood Hazard Boundary Map and found the BELOW named property IS NOT located in.a special'. flood hazard area. according to Community Panel Map No. 12117CO03SE Map Panel 35_ of 260, ZONE 'X'.. FLOr FLAN THIS IS NOr A ROU) THE INTENDED USE OF THIS OOCIRIFM IS TO OBTAIN A BUDDING POWIT.. ANT USE OTHM THAN. THE ONE MVISSED IS OOW SO.ELY LEGAL DESCRIPTION:. AT usER / HIS Amlr(s HERLOT5, LEXINGTON 'PARK ACCORDING TO A PLAT IN LOT DIMENSIONS AND/OR ILEVAnONS SHORN EON ARE FROM RUM INFO1WTTOH OR FILE DARIN AND ARE SUBJECT TO AN ALQRAIE PLAT BOOK 60, PAGES 79 AND 8 0. OF THE PUBLIC FIELD s1RYET. MNIWj ANo WLDING SETBALIC INFORMATION SF1 o HEREON WERE OBTAINED VFRBIt.LY AND 2VU BE VERIFIED BY THE APPROPRIATE RECORDS OF SEMINOLE COUNTY, FLORIDA. GOVEiIN WAI. AMC. BUILDING OINENSIOIIi. LOT 6PAOING. FINISH FLOOR ELEVATIONS. LOCATION AND SIZE OF DRIVEWAYS. SIDEWALKS. PATIOS. ETC. SHUN Ho M ,ARE SUBORDINATE TO THE ACM BUDDING 1TE PLANS AND SH&L BE VERIFIED BEFORE COMlENff W OF LOT CLEARING AIO/(R OOLLSTVJCTIOK . BLACKWELL &.' ASSOCIATES LAND SURVEYORS, INC 'PLOT PLANMODEL - GO M N c R-GI P F-- P.CLBOX 1013 x ORANGE CITY, FL 995 V. VCR_USIA AVE. x DE.LAND, FL x PH@ (904)-734-8050 GARAGE:, OPTIONS: PLOT PLAN FOR: WATERFORD bEVELOPMENT CORPORATION- v15cc> TO F;64e LDC- Date: :TAv0A2 3 2003 W.O. No.: Drawn By: File No.: S.-oq,« CITY OF SAI ;FORL'PERwr APPLICATION Permit No.:_0-) - 0 , ` Date: Job Address: UO Permit Type: ilding Electrical Mechanical Plumbing Fire Alarm/Sprinkler DescOption,of Work: M> cP.,-iry cA-- uf,.— - Additional Information for Electrical & Plumbing Permits Electrical: Addition/Alteration Change of Service Temporary Pole _New AMP Service (# of AMPS ) Pluuibing/Residential: Addition/Alteration New Construction (One Closet Plus Additional) Plumbing/Commercial: Number. of Fixtures Number of Water & Sewer Drainage Lines Number of Gas Lines Occupancy Type: _Residential _00 lmercial _ Industrial Total Sq Ftg: 3 Y 9 Co Value of Work: S '/ 3)0 0,0 Type* -of Constructiou:Co ^ unA e Ik_ Flood Zone:X Number of Stories: f Number of Dwelling Units: Parcel -No.: 05- - I 7 - 30 - 51), L - 00 00- D OSa (Attach Proof of Ownership & Legal Description) U l k_ `C. 3 U I -State License Number: CRC %a._Q(oa / Contact Person: i ( XI00) Phone & Fax Number: 3 g bn (o (, V - 7 0U O X / 00 - Title Holder (If other than Owner): — r na xi - 3 7-7 - C Address: —' Bonding Company: Address: nacrtgnaP bander: — Address: Architect/Engineer Phone No.: 3 Y(o - 7 '7 Y- S- 3 V y Address: (o / 5- %U .y. S ( 7 sl 2- FL3.) -7 r 3 Fax No.: _ 3 Ir (o - y-7 / 3 / 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, )here may be additional restrictions applicable to this property that may be found in the public regords 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. DD ` Signatur6 of Owner/Agent Date Signature A6f CA ct /A Date Pa //.a e 'rtY', DA rt r l r' O Print s Name Signature o otary--State of Florida Date Melissa Dunklin Commission #0163723 Expires: Dec 20, 2005 FF Bonded Thru Atlantic Bonding Co•.Inc. Owner/Agent is Produced ID Agent's Name Date KIMBERL NN REDDY 0F Flo KIMBERLEY ANN REDDY h r o0C j .,, (cmm Exp. 3/23/ 2003 Contractor/Agent is ally own 14M% or Produced ID Q1 0nyh (pawn r r n., , n APPLICATION APPROVED BY: Date: o?S_-5 Personally Known to Me or Special Conditions: POWER OF ATTORNEY Date: /-1 y-v3 I, nq S csz, , do hereby authorize U'Q. to pull the (°,®-w,,,, -eA c i.c--Q permit for type of permit address Personally known *+'+P or drivers license # State of Florida, County of • f ,S% on / Y day of J-b n+,Lr.j I , 2005. OF FCo KIMBERLEY ANN REDDYNOTARYoN,. COMM Exp. 3/23/2p03 IPtIBUCa No. CC 812949 I. 1 ? as.nalty 14 owr I) OVw I.D. ..dn...,,., . 1 N-Master (c) COMMERCIAL HEAT LOSS / GAIN Based on ACCA MANUAL N MANUAL N Copyrighted (c) 1988 by ACCA Project name : Office G3 - Unit A I Address : Lot 5 Lexington Park City/State : 1 Owner : I Builder : Waterford Quaity Homes HVAC contr.: Mid -Fla Air 1 COOLING PARAMETERS Geographical Location ----> State FLORIDA City : Sanford North Latitude / Elevation 1 28 ° / 14 Ft. Above Sea Level Relaltive Himidity 1 50 S Grains / Lb.(inside) ( 63 Outdoor Dry Buld (Deg F°) I 93 ° Outdoor Wet Bulb (Deg F° ) I 76 ° Indoor Dry Bulb (Deg F°) I 75 ° Indoor Wet Bulb (Deg F°) I 61.3 ° Outdoor Humidity Ratio I 110 Daily Range I 16 ° Peak Load Time 1 1600 Hours Temperature Differance (Td) (Deg F°) I 18 ° Cooling Load Td Correction (Deg F°) 1 30(+) HEATING SUMMARY COOLING SUMMARY TOTAL LOSS : 30226.63 TOTAL SENSIBLE 56352.4 LATENT GAINS 11670.4 TOTAL GAIN : 68022.8 SENSIBLE OVERSIZE @ 20% 11270.48 HVAC Equipment Heating Manufacturer Htg System COP/HSPF Cooling Clg System S) EER Air Handler @ cfm HTG AIR FLOW FACTOR = .094158 CLG AIR FLOW FACTOR = .050505 ZONE CFM = 742.6689 ZONE CFM = 2846.078 SENSIBLE HEAT RATIO = .83 A GLASS SOLAR -------------------- TYPE GLASS FACES AREA Sc U-VALUE LOSS/BTUH GAIN/BTUH DOUBLE CLEAR East 40.2 .9 892.4401 1338.66 DOUBLE CLEAR South 32.4 .9 719.2801 729 DOUBLE CLEAR West 50.4 .9 1118.88 8164.8 GLASS CONDUCTION ---------------------------------------------------------- DOUBLE CLEAR 40.2 6 340.68 331.39 DOUBLE CLEAR 32.4 6 275.16 267.66 DOUBLE CLEAR 50.4 6 426.36 414.73 WALLS-------------------------------- WALL FACES AREA R-VALUE U-VALUE LOSS/BTUH GAIN/BTUH East 295.48 4.2 15 1639.91 1595.59 TYPE :8in.CONC.N/W BLK South 434.1 4.2 15 2409.26 1758.11 TYPE :8in.CONC.N/W BLK West 219.44 4.2 15 1217.9 691.24 TYPE :8in.CONC.N/W BLK West 45.32 it 07 117.38 66.62 TYPE :Wood Frame WALL SUB TOTAL 5384.45 4111.56 DOORS----------------------------------------------------------------------- DOOR FACES AREA R-VALUE U-VALUE LOSS/BTUH GAIN/BTUH West 21 n/a 36 945 120.96 TYPE :STEEL CEILINGS--------------------------------------------------------------------- AREA R-VALUE U-VALUE LOSS/BTUH GAIN/BTUH TYPE :WD TRUSS W/VENT. ATTIC WITH STANDARD CEILING ROOF COLOR: DARK 1800 19 05 3330 6570 FLOORS--------------------------------------- ------------------------------ SLAB PERIMETER 122.03 0 81 3953.772 000.00 STRUCTURAL SUB TOTALS 17404.02 22066.27 OTHER SENSIBLE GAINS r PEOPLE 16 N/A 4000 FLOUR/LIGHTING 3600 Watts N/A 12446.28 ICAND/LIGHTING 0 N/A 0 INTERNAL GAINS N/A 9000 VENTILATION 240 CFM 8880 4665.6 ROOM SENSIBLE 26284.02 52178.15 DUCT LOSS 6 GAIN 1 3942.603 4174.252 TOTAL SENSIBLE 30226.63 56352.4 LATENT GAINS PEOPLE N/A 4000 VENTILATION N/A 7670.4 TOTAL LOAD 30226.63 68022.0 OUTSIDE AIR CALCULATION - per ASHRAE 62-89 ,Table 2 Medical Office 16 people cfm = 15 16 people x 15 cfm = 240 cfm TOTALS 240 cfm 240 cfm required 240 cfm provided N-Master(c) COMMERCIAL HEAT LOSS / GAIN Based on ACCA MANUAL N MANUAL N Copyrighted (c) 1988 by ACCA Project name : Office G3 - Unit B 1 Address : Lot 5 Lexington Park I City/State : I Owner : I Builder : Waterford Quaity Homes I HVAC contr.: Mid -Fla Air 1 COOLING PARAMETERS Geographical Location ----> State FLORIDA City : Sanford North Latitude / Elevation I 28 / 14 Ft. Above Sea Level Relaltive Himidity 50 $ Grains / Lb.(inside) 1 63 Outdoor Dry Buld (Deg F°) I 93 ° Outdoor Wet Bulb (Deg F°) 76 ° Indoor Dry Bulb (Deg F°) I 75 ° Indoor Wet Bulb (Deg F°) 1 61.3 ° Outdoor Humidity Ratio I 110 Daily Range I 16 ° Peak Load Time I 1600 Hours Temperature Differance (Td) (Deg F°) I 18 ° Cooling Load Td Correction (Deg F°) I 3°(+) HEATING SUMMARY COOLING SUMMARY TOTAL LOSS : 30226.63 TOTAL SENSIBLE 55704.8 LATENT GAINS 11670.4 TOTAL GAIN : 67375.2 SENSIBLE OVERSIZE @ 20% 11140.96 HVAC Equipment Heating Manufacturer Htg System COP/HSPF Clg System S) EER Air Handler @ cfm HTG AIR FLOW FACTOR = ZONE CFM Cooling 093076 CLG AIR FLOW FACTOR = .050505 742.6689 ZONE CFM = 2813.371 SENSIBLE HEAT RATIO = .83 5 . GLASS SOLAR --------------------- --------------- TYPE GLASS FACES AREA Sc U-VALUE LOSS/BTUH GAIN/BTUH DOUBLE CLEAR North 32.4 9 719.2801 845.64 DOUBLE CLEAR East 40.2 9 892.4401 1338.66 DOUBLE CLEAR West 50.4 9 1118.88 8164.8 GLASS CONDUCTION ---------------------------------------------------------- DOUBLE CLEAR 32.4 6 275.16 267.66 DOUBLE CLEAR 40.2 6 340.68 331.39 DOUBLE CLEAR 50.4 6 426.36 414.73 WALLS----------------------------------------------------------------------- WALL FACES AREA R-VALUE U-VALUE LOSS/BTUH GAIN/BTUH North 434.1 4.2 15 2409.26 1041.84 TYPE :8in.CONC.N/W BLK East 295.48 4.2 15 1639.91 1595.59 TYPE :8in.CONC.N/W BLK West 219.44 4.2 15 1217.9 691.24 TYPE :8in.CONC.N/W BLK West 45.32 11 07 117.38 66.62 TYPE :Wood Frame WALL SUB TOTAL 5384.45 3395.29 DOORS----------------------------------------------------------------------- DOOR FACES AREA R-VALUE U-VALUE LOSS/BTUH GAIN/BTUH West 21 n/a 36 945 120.96 TYPE :STEEL t CEILINGS-------------------------------------------------------------------- AREA R-VALUE U-VALUE LOSS/BTUH GAIN/BTUH TYPE WITH STANDARD CEILING ROOF COLOR: DARK 1800 19 05 3330 6570 FLOORS---------------------------------------------------------------------- SLAB PERIMETER 122.03 0 81 3953.772 000.00 STRUCTURAL SUB TOTALS 17404.02 21466.64 OTHER SENSIBLE GAINS PEOPLE 16 N/A 4000 FLOUR/LIGHTING 3600 Watts N/A 12446.28 ICAND/LIGHTING 0 N/A 0 INTERNAL GAINS N/A 9000 VENTILATION 240 CFM 8880 4665.6 ROOM SENSIBLE 26284.02 51578.52 DUCT LOSS & GAIN 3942.603 4126.281 TOTAL SENSIBLE 30226.63 55704.8 LATENT GAINS PEOPLE N/A 4000 VENTILATION N/A 7670.4 TOTAL LOAD 30226.63 67375.2 OUTSIDE AIR CALCULATION - per ASHRAE 62-89 ,Table 2 Medical Office 16 people cfm = 15 16 people x 15 cfm = 240 cfm TOTALS 240 cfm 240 cfm required 240 cfm provided DEVELOPMENT FEE WORKSHEET CITY OF SANFORD UTILITY - ADMIN. P. O. BOX 1788 SANFORD, FL 32772-1788 LfkiA!& OV P927 Project Name: %7`Q C/L Off- c OFfrci 3 Dade : Owner/Contact Person: Phdv : Address: "'Oo G/kMK41 L1j1V4 Type of Development: 1) RESIDENTIAL Type of Units (single family or multi -family): Total Number of Units: Type of Utility Connection individual connections or central water meter & common sewer tap): Water Meter Size (3/4", 1", 2", etc.): REMARKS: 2) NON-RESIDENTIAL Type of Units (commercial, industrial, etc.): Total Number of Buildings: Number of Fixture Units each building): Type of Utility Connection individual connections or central water meter & common sewer tap): Water Meter Size (3/4" 1", 2", etc.) REMARKS: 02 F-/jGl4 CONNECTION FEE CALCULATION: 1. . CovS . y Y\/9-74A /y6 7,4Z StW&J /AV0,Jc-7 F,l6 _ 3 d z 5-. JS.2 6r 7. s c Name !- Signature Date. 0 REVISED ia/97 1) water nlcm ImPoe t Pr:_e.• f•.quivnL:nt Itesidenti.al f'nnnecriun F:ItC ( ) - 't0U Gnllonr: 1•c l' U,, (GPIr) Rentdcnlial - Sr.:O/llniC - in,Ilc Camtly s[ruc[ur,c. nr rmrlti-f..,ily „nit S487.50/Unit - conlntninq three (3) bedrooms or more. Multi -family unit or Mobile home unit containinglessthanthree (3) bedrooms. (This cate,jory is based on judgement/assumption, estimation that such family units on average require 751 - 225 GPD of the water and sewer service of an average single family unit.) Tw• Commercial - 5650/ERU - Fixture unit schedule from Southern Plumbing Codewillbeused. One ERU will be charged for connection and up to twenty (2) fixture units. For projects having more than twenty (20) fixture units the Impact Fee will be determined by increments of 251 based on multiples of five (5) fixture units above the twenty (20) fixture unit - base for the first ERU. (Example: twenty-five25) fixture units will be rated as 1.25 eru; twenty-six (26) fixture units will be rated as 1.5' ERU.) 2) Sewer System Impact Fees Equivalent Residential Connections - 270 Gallons Per Day (GPD) Residential - 1700 Unit - Single family structure, or multi -family unit 1275/Unit - containing three (3) bedrooms or more. Multi -family unit or Mobile (tome unit containinglessthanthree (3) bedrooms. (This category is based on judgement/assumption/estimation that such family units on average require 751 of water and sewer service of an average single family unit.) Commercial - Industrial - Institutional 1700/ERU - Fixture unit schedule from Southern Plumbing Codewillbeused. One ERU will be charged for connection and up to twenty (20) fixture units. For projects having more than twenty (20) fixture units the Impact Fee will be increments of 251 based on multiples of five (5) fixture units above the twenty (20) fixture unit base for the first ERU. (Example: twenty-five (25) fixture units will be rated as 1.25 ERU; twenty-six (26) fixture units will be rated as 1.5 ERU.) 2.- 27's 20 Q). 4 Ll l 1. TABLE 7D9.1 DRAINAGE FIXTURE UNITS FnR FIYTuaFc amn r_anlloe FIXTURE TYPE AIIIUIIIaIiI' Chllhta N';IShCr\, CUIIIIt1CfC1:11'r AtilommiC clollieS wa.Olers. resitlellllal DRAINAGE FIXTURE UNIT —VALUE AS LOAD FACTORS 2 MINIMUM SIZE OF TRAP (inches) 2 2 Bathroom group cunSiMilig of wafer closet, lavatory, bidet andhalhtuborshower 6 Bathtub (with or without overhead shower or whirlpool attachments; 2 I1 / Bidet 2 Combination sink and tray 2 11/ 2IDentallavatory1 11/4Dentalunitorcuspidor 1 11/4Dishwashingmachine," domestic 2 1 /2Drinkingfountain Emergency floor drain 2 X ']_ = 11/ 2 2Floordrains 2 2Kitchensink, domestic Kitchen sink, domestic with food waste grinder and/or dishwasher 2 2 1 /2 11/2Laundrytray (I or 2 compartments) 2 11/2 Lavatory 1 k = I /4Showercompartment, domestic 2 2Sink Urinal Urinal. I gallon per flush or less Wash sink (circular or multiple) each set of faucets 2 )c 0 = 4 2° 2 20 11/2 Footnoted Footnote d 11/' Water closet, flushomcter tank, public or private Water closet, private installation Water closet, public installation P—St- 1;neh-)CA._ 4° 4 — 6 Footnote d Footnote d Footnote d a For traps larger than 3 inches, use Table 709.2. n A showerhead over a bathtub or whirlpool bathtub attachments does not increase the drainage fixture unit value. See Sections 709.2 through 709.4 for methods of computing unit value of fixtures not listed in Table 709.1 or for rating of devices with intermittent flows. d Trap size shall be consistent with the fixture outlet size. For the purpose of computing loads on building drains and sewers, water closets or urinals shall not be rated at a lower drainage fixture unit unless the lower valuesareconfirmedbytesting. TABLE 709.2 DRAINAGE FIXTURE UNITS FOR FIXTURE DRAINS OR TRAPS FIXTURE DRAIN OR TRAP SIZE Inches) DRAINAGE FIXTURE UNIT VALUE 11/4 11/2 I 2 2 3 21/2 4 3 S 4 6 Standard Plumbing Code401997 CITY OF SANFORD PLANS REVIEW COMMENT SHEET DATE 6) - 4-1-3 PROJECT: ADDRESS: qo Q CONTRACTOR: W OWNER: V: IL . PLANS REVIEWED BY: CO NTS``: t. 1 h WQ •'t w. F '_h ad a le w A —q cit ar c. 5$ C•r 1 C J •e p r 4i ! 4 L. 1 S c: ' • t9 : f c c gk - do,. n.. ... J . rz--- A. - Z a w 9 O J k a u w a y - 1 O •Z . \. z r [ - s e-,%., Wet U Ool o chiP-e ( p . ( up I. — A s C-a ZxC-( ( 0- aY.• c w a CO C.l, d4? yd s r/ _ ..- S-•$'. J •fie .r fv e r r l 6 0 loaj ktv"` a..'Wi Nl PERSON NOTIFIED: DATE: i 3 B 6 •- ` b' ^ v - PHONE: FAX: NO ONE NOTIFIED: DATE RESPONSE RECEIVED: cl o-iu i- i myo o: a,N-M r KUM V_ I CITY OF SANFORD PLANS REVIEW COMMENT SHEET DATE 62 - Y-.3 PRQJECT: CONTRACTOR: OWNER: W4 1. f S.ow., cAi ACORD. CERTIFICATE OF LIABILITY INSURANCE 02/27i2003 PRODUCER (386)428-6448 FAX (386)427-7811 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Jennings Insurance Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 109 Magnolia Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P. 0. Box 250 New Smyrna Beach, FL 32170-0250 INSURED Waterford Development Corporation DBA Waterford Quality Homes 301 N Pine Meadow Drive DeBary, FL 32713 COVERAGES INSURERS AFFORDING COVERAGE INSURER A: Great American Insurance Cc INSURERB: Hartford Accident & Indemni INSURER C: INSURER D: INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/YY POLICY EXPIRATION DATE MM/DD1YY LIMITS GENERAL LIABILITY 2-GL-000088579 08/01/2002 08/01/2003 EACH OCCURRENCE 1,000,000 X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Any one fire) S 50,000 CLAIMS MADE M OCCUR MED EXP (Any one person) excl PERSONAL & ADV INJURY 1,000,000A GENERAL AGGREGATE 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG 2,000,000 POLICY PRO- JECT LOC AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT Ea accident) BODILY INJURY Per person) ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY Per accident) HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT S OTHER THAN EA ACCANYAUTO SAUTOONLY: AGG EXCESS LIABILITY EACH OCCURRENCE OCCUR CLAIMS MADE AGGREGATE S DEDUCTIBLE RETENTION $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 38 WBG DX7827DV 04/01/2002 04/01/2003 X I TORYLAUNTS ER E.L. EACH ACCIDENT S lOO, OOO E.L. DISEASE - EA EMPLOYEE 100,000 E.L. DISEASE - POLICY LIMIT 500,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFIC ffE HOLDER ADDITIONAL IN RED: INSURER LETTER: CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL City of Sanford 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Att • Building Department BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY P 0 • Box 1788- OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENT Sanford, FL 32772-1788 AUTHO91ZEDREPRESENTATI FAX: (407)3,3AK-5677 / ©ACORDCORPORATION _: April 8, 2003 City of Sanford Building Dept Sanford, FL AIERFO.ft OMES POWER OF ATTORNEY I, Matthew J. Joyce, Contractor of Waterford Quality Homes hereby name and appoint Pellegrino Damelio to be my lawful attorney in fact and to act for me and sign my name and do all things necessary to this appointment. Matthew J. Joyce, Contractor Sworn to and subscribed before me this 8 day of , 2003 4& sz' Notary Public, State of Florida My Commission Expires 0111111".. Theresa DiBiase Fof' ;d• A0ff* B="B Inc. Waterford Quality Homes 301 North Pine Meadow Drive DeBary, Florida 32713 386) 668-7000 • FAX (386) 668-4023 A Division of Waterford Development Corporation www.WQH.com c'V 12 pri >" April 8, 2003 City of Sanford Building Dept Sanford, FL OMES POWER OF ATTORNEY I, Brian W. Breedlove, Owner of Waterford Quality Homes hereby name and appoint Pellegrino Damelio to be my lawful attorney in fact and to act for me and sign my name and do all things necessary to this appointment. Brian W. Breedlove Signature Sworn to and subscribed before me this Pday of , 2003 Notary Public, State of Florida Theresa D38i= My Commission Expires cca oae>o tP.9t 7•21MITIM Bcoft cg, ma ' Waterford Quality Homes 301 North Pine Meadow Drive DeBary, Florida 32713 386) 668-7000 • FAX (386) 668-4023 A Division of Waterford Development Corporation www.WQH.com CITY OF SANFORD FIRE DEPARTMENT FEES FOR SERVICES PHONE # 407-302-1091 * FAX #: 407-330-5677 1 DATE: j0d Q "Ck3 PERMIT #:0a- \ ` BUSINESS NAME / PROJECT: ADDRESS: PHONE NO.: OR FAX NO.: CONST. INSP. [ ] C / O INSP.:[ ] REINSPECTION [ ] PLANS REVIEW F. A. [ ] F.S. [ ] HOOD [ ] PAINT BOOTH [ ] BURN PER IT [ ] TENT PERMIT TANK PERMIT [ ] OTHER TOTAL FEES: $ G 1 Ofa PER UNIT SEE BELOW) Address / Bldg. # / Unit # Sguare Footage Fees per Bldg/ Unit 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. Fees must be paid to Sanford Building Department, 300 N. Park Ave., Sanford, FI. 32771 Phone # -407- 330-5656. Proof of Payment must be made to Fire Prevention division before any further services can take place. I certify that the above is true and correct and that I will comply with all applicable codes and ordinances of the City of Sanford, Florida. Sanford Fire Prevention Division Applicant's Signature I oil 1111111111111111111111111111111111111111111111111111 NOTICE OF COMMENCEMENT 14ARYANNE HORSE, CLERK OF CIRCUIT COURT SEMINOLE COUNTY State f Florida BK 04772 PG 1475 CLERK'S # 2003058701CountyofVolusiaRECORDED04/08/2003 12:58:38 PM In 1 RECORDING FEES 6.08 Permit No D r RECORDED BY G Harford Tax Parcel Number 25-19-30-5QL-0000-0050 The UNDERSIGNED hereby gives notice that improvement 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 is available.) LOT 5 OF LEXINGTON PARK, ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 60, PAGE(S) 78-79, OF THE PUBLIC RECORDS OF SEMINOLE COUNTY, FLORIDA 2. General description of improvement: OFFICE BUILDING FOR CLERK'S OFFICE USE ONLY 3. Owner information: Name and address: WATERFORD DEVELOPMENT CORP 321 N. PINE MEADOW DRIVE DEBARY, FLORIDA 32713 b. Interest in property: FEE SIMPLE c. Nam and address of fee simple titleholder (If other than owner) 4. Contractor: Name and address: WATERFORD DEVELOPMENT CORP a. Phone number( Fax number ( j S. Surety: Name and address a. Phone number(_) Fax number (_) b. Amount of bond $ .00 6. Lender: Name and address First Community Bank 21 S. Charles Richard Beall Blvd. DeBary, Florida 32713 a. Phone number ( 386) 668-6440 APR 8 2003 Fax number ( 386) 668-7482 7. Persons:within the State of Florida designated by Owner upon whom notices'or other documents may be served as provided by Section 713.13(1)(a)7.,Florida Statutes: a. Name and address First Community Bank CUMED COPY 21 S. Charles Richard Beall Blvd iRYpJ,IljE MORCE DeBary, Florida 32713 W MK OF CIRCUIT U b. Phone number (386) 668-6440 Fax number (386) 668-7482 ! E COON Fl0 l 8. In addition to himself, Owner designates of '-' n `gym` to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b);'Florida Statutes a. Phone number( Fax number ) 9. Expiration date of Notice of Commencement (the expiration date is 1 year from the date of recording unless a different date is specified) Signature of Owner Print Name of Owner STATE OF FLORIDA COUNTY OF Affirmed a s b/scribed tpfore me this day of ' vJ " 2003 by r K n r• r cwd (e+ o. -J, who is rs ly known to me or who has produced of ID) as identification. nF i Klhi ii :EUDY 0 I::: r'L t.Y :.r1N REWY..'aR_ F.4•r Coin; I ':3/2003 Sign a No ry P lic tote of Florida Noy=• ':?='003 prig t, Type or Sta ame f Notaryrug:,.: Notarial, Seal_- y KIMBERLEY AN COUNTY OF S|l1INOL[ IMPA(T FEE STATEM[N|' STATEMENT NUMBER: 03100002 DATE: March 04, 200J BUILDING APPLICATION W: 03-10000210 DUILDIN8 PERMIT NUMBER: 03-10000218 UNIT ADDRESS: LEXINGTON GREEN LANE 900 TRAFrIC ZONE:022 JURISDICTION: SEC: TWP: RNGx SUF: nUDDIVISION: PLAT BOOK: PLAT BOON PAGE: OWNER N#M[: ADDRESS:: APPLICANT NAME: UATERFORD DEVELOPMENT CORP. ADDRESS: 301 N PINE MEADOW DR DEBARY TRACT: BLOCK: LOT: LAND USE: MEDICAL OFFICES TYPE USE: WORK DESCRIPTION: CITY-SANFORD SPECIAL NOTES: Medical Offices LOT 5 Lexington Park FEE BENEFIT RATE UNIT CALC UNIT TOTAL DUE TYPE DIST SCHED RATE UNITS TYPE F)AD-A TERIALS CQ-WIDE ORD Medical Office ROADS,COLLECTORS NORTH ORD Medical Office FIRE RESCUE NIA LIBRARY N/A SCHOOL-S N/A PARKS' N/A LAW [NF-E N/A DRAINAGE N/A 2,540.00 3.496 1000gsft 8,879.84 514.00 3.496 1000gsft 1,796.94 00 WOO 00 0( 00 AMOUNT DUE 10,676.78 STATEMENT RECEIVED BY:~/___=-_ PifAS[ PRINT NAME) A-' 0 DATE: NOTE TO RECEIVING SIGNATORY/APPLICANT: FAILURE TO NOTIFY OWNER AND ENS0R[ TIMELY PAYMENT MAY RESULT IN YOUR LIABILITY FOR THE FEE. *** xkRIBUTION: 1-BLDG CEPT 3-APPLICANT 2-FINANCE 4-LAND MANAGEMENT NOTE** PLRSONS ARE ADVISED THAT THIS IS A STATEMENT OF FEES DUE UNDER THE SEMIHOLE COUNTY ROAD FIRE/RESCUE,LIBRARY AND/OR EDUCATIONAL ISSUANCE OF A A"PERM. PERSONS ARE ALSO ADVISED THAT ANY RIGHTS OF THE APPLICANT OR , 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. COPJES OF RULES GOVERNING APPEALS MAY BE PICKED UP OR REQUESTED, FROM THE PLAN IMPLEMENTATION OFFICE: 1101 EAST FIRoT STREET, 8ANF8RD FL, 32771; 407-885-7356. PAYMENT SHOULD BE MADE TO: SEMINOLE COUNTY OR CITY BUILDING DEPARTMENT 1101 EAST FIRST STRE[l 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 STATE THIS STATEMENT IS NO LUMBER VALID IF A BUILDING PERMIT IS NOT*f* ISSUED WITHIN 60 CALENDAR DAYS OF THE RECEIVING SIGNATURE DATE ADOV[ DETAIL OF CALCULATION AVAILABLE UPON REOUEST. CALL 407-665-7356. Seminole County Property Appraiser Get Information by Parcel Number Page 1 of 1 PARCEL DETAILIN leiof ul w* tmint lrC' outktxra aa 3aF,Crzyv a ttsrr Z tiff l'it[3 fi" • I I if 1 11. Fiat `!. sauhtfd 4!f 9_(s 6_? SI h 2003 WORKING VALUE SUMMARY GENERAL Value Method: Market S3-SANFORD Parcel 25-19-30-5QL- Tax District: WATERFRONT Number of Buildings: 0 000-005 REDVDST Depreciated Bldg Value: $0 Owner: WATERFORD emptions: Depreciated EXFT Value: $0 DEV CORP Land Value (Market): $180,000 s: 301 N PINE MEADOW DR Land Value Ag: $0 City,State,ZipCode: DEBARY FL 32713 Just/Market Value: $180,000 Property Address: 900 LEXINGTON GREEN LN Assessed Value (SOH): $180,000 Facility Name: Exempt Value: $0 Dor: 1001-VAC OFFICE PROFESSIO Taxable Value: $180,000 SALES 2002 VALUE SUMMARY Deed Date Book Page Amount Vac/Imp 2002 Tax Bill Amount: $509 WARRANTY DEED 02/2003 04772 1467 $216,000 Vacant 2002 Taxable Value: $24,054 Find Comparable Sales within this DOR Code LAND LEGAL DESCRIPTION PLAT Land Assess Method Frontage Depth Land Units Unit Price Land Value LOT 5 LEXINGTON PARK PB 60 PGS 78 & 79 SQUARE FEET 0 0 3,600 50.00 $180,000 NOTE: Assessed values shown are NOT certified values and therefore are subject to change before being finalized for ad valorem tax urposes. If you recently purchased a homesteaded property your next ear's property tax will be based on Just/Market value. http://www.scpafl.org/pls/web/re_web.seminole_county_title?parcel=2519305QL000000508 4/18/2003 4F CITY OF 22 SANFO\RD ELECTRICAL PERMIT -APPLICATION Permit Number: a' 1 Date: 3 The undersigned hereby applies for a permit to install the following electrical: Owner's Name: c Z Qo l Address of Job: Q.* N g G e.e• 1 A n.t- . 0___ Electrical Contractor: Residential: Non -Residential: Number Amount Addition, Alteration Repair Residential & Non -Residential New Residential: AMP Service New Commercial: Y00 AMP Service I i7hAxc- Z OV od Change of Service: From '• AMP Service to. AMP Service: Manufactured Buildingf Other: Descri tion of Work: All i.o".014q- ammier f Al EC , Application Fee: 10.00 TOTAL DUE: D. By Signing this application I am stating that I am in compliance with City of Sanford ctri al Code. Applicant's Signature CC000 / Sit 2 Stale License Number Permit # : 0 -) + 1 d N\ Ge.w tip, q$pit of Work: Historic District: Zoning: ll!er- @Phype: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm PoQI.. Electrical: New Service — # of AMPS Addition/Alteration Change of Service Tempotliiy Pole Mechanical: Residential Non -Residential Replacement New (Duct Layout & En CW* Required) AS rmbing/ New Commercial: # of Fixtures # of Water & Sewer Lines ' r # of Gas Lines 7 AMUInbing/New Residential: # of Water Closets Plumbing Repair— Residential or Commercial `' 9eeu ancy Type: Residential Commercial t/ industrial Construction Tyne: Parcel #: T i% % - !me Q G aCotra 'ot-R32110&'Address: Ph nt. Fax: Bonding Company: Address: Mortgage Lender: Address: of Stories: # of Dwelling Units: Total Square Footage: Flood Zone: (FEMA form required for other than X) Proof of Ownership & Legal Description) Architect/Engineer: Phone: Address: _ Fax: 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. 1 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 AFFIDAVff: 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. N TI E: 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 %ill notify the owner of the property of the Signature of Owner/Agent Date Print Owner/Agent's Name Signature of Notary -State of Florida Date Owner/Agent is _ Personalh Known to Me or Produced ID APPLICATION APPROVED BY: Bldg:Uw3w J Zoning: tln• ial & ) Specia! Conditions: ion 3ctor7XTert GDeV t- a I o_ry-State of Florida Date Contractor/Age-.: is 'L:rsonal;y Known to Me or Producrt .- . FD: - initial & Dale) (Initial & Date) (h- pal & Datc REVISIONS PERMIT # (D-3 - 12 (j ADDRESS CONTRACTOR DATE S— I.9-o3 P H # 3% -7om ,Q,&-- f FAX # I DESCPRITION OF^REVISION: UTILITIES 61K " or lo 51 FIRE Q B L D G M-11 Ems 110 11A MEMO USINE55 11owl CARPET MIN OW(4W 5FREAK C,,4Rf=E T 2 5.1/ - 31-3 P.5F 03 - 124 G" 900 EN'TRUN"AWIR&I 11 MeRNWAUINIVAINalm I V- 4' 5 4 25 8'-0* HD a I EM: -2 gramMR" J I I I _ EXAM NURSE ,• =- - -' - .< EXAM 2 -- 3' G d1 9 -s GLG. VINYL TILE ado CARPET e'-4" CLG-. 0 I-2" I VINYL TILE Ij 1 PASS BOX 1 EXAM 3 I E T 5CAL 5115 MANG. i = 'a'-4*CLG 1 VINYL TILE 9'-4' CLG. ' f- - _ 4' CAR=-=T i I cp x24 5K9 ' i ai Y" `` r- I Gi CD ILITE UPPER CAB. 0c0 — , I 5 2° :• OVER SINK 4' I - - - - B ONLY Li DRINK ING I 7 i 1 FOUNT IN 3'-10" 2' I a' 4' - ' I -3' Im'-4" W A LAB Z BUSINESS i I CARPET I- r- Q 3 REF , W 9'-4' CLG-. cv BLW. 1 CARPET I 3068 PKT. Cal 1 W I 3LLAllI I I i - c\iIIL, n r ' T1 E Q i RO IN t 10L D. 4 . 4. 4 4coo8' - 4' I BREAK CLG. 1 I I 5' 25 i I I CARPET 25.Ii-213 PSF 25.1/-313 P5F 1 9'- if I i if ii I GLG a CL G. 55 3C:t GLG.\ 51G' - I i -- - it f ; O 9'-='CLG. LR U - i® I .^ i i, r-iCOI G; (EXIT -1 ! I z EM, w i 300a F"G• T. ll I Ig-!.-.- 1 T —— — I I Lu 7 tl I I I t\ p! St- I EXIT---- 3- V i t B'-4• '-LG . I , ` sS 9'-4' CLC I i Pass a0X FIRE 9'-4' CLG. I EXT. O CLG' I I 9' - 3' GLG. co 18YI-1) LA T W FI I .. I 1 I I EXIT> GFI DRINKI 'G i9'-4' CLG FOUNT N I I I I I 9'-4 CLG-. f REF.G=I W EXI 3 L aLW. IS•r}-I 3Oo8 f=<T. Id I I IL ` lL 1a•rN)' I I 1 y cry, . I' i i L 'T • I GLG. GLG. I 1 13•r) i EXIToil I• I tip. A fit ,t rillI I OCR SLC= FLANT r",!X CC 25010 F.S! ;' TWIC< WIT:: FIE3_ REIN= CRCE,-1:ENT OVER TER•^1IT: . SOIL W:T'; rc MIL. FOLYETI-IYL=' ARRIE R OV=R COM!ZA_C TEC OR Wi_ = LOOK SL =3 OF FL,4NT IMIX. CC 2500 F.S.I. TNICK WIT:a &x& C C 14-GE REIN=CRCING "'.AT. WIT!-, COVER. TERMITE TREATED 5C 6 MIL. FOLYET!-IYLENE VAPOR i 5iN< I SII K OVER COrIFACTEC CLEAN FIL; I J Q I Q OILL'- O' i FINISuE17 FLOOR I w C BRICK Z Z LL IKliSINK ! El AV rll i I i I 4 41 N PILL. r I - TRIER I I I `t - 6. I ( t--Y LL ILL 5IN< IL OT I r; -7 CITY OF SANFORD MECHANICAL APPLICATION PERMIT NO. C73 I A l DATE: THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO INSTALL THE FOLLOWING MECHANICAL EQUIPMENT: OWNER'S NAME Cheat@ rforJ Qs.- IXIs 14nel es ADDRESS OF JOB q 00 Im, A, reen I ,. // MECHANICAL CONTRACTOR: IK / n F L . /` le - RESIDENTIAL COMMERCIAL 1/ Subject to rules and regulations of Sanford Mechanical Code By Signing this application I am stating that Mechanical Code. J Applicant mature Glee-o 5() Y-2 2 States Licewe