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1222-1230 Sandstone Run - BC04-002818 (GREYSTONE TOWNHOMES) (5 UNIT SFR ATTACHED) DOCUMENTSPERMIT ADDRESS\\T-'::,b CONTRACTOR ADDRESS Morrison Homes 151 Southhall Ln #200. Maitland, FL 32751 407-257-6940 CRC 041929 PHONE NUMBER PROPERTY OWNER ADDRESS PHONE NUMBER ELECTRICAL CONTRACTOR MECHANICAL CONTRACTOR PLUMBING CONTRACTOR MISCELLANEOUS CONTRACTOR PERMIT NUMBER FEE MISCELLANEOUS CONTRACTOR PERMIT NUMBER FEE SUBDIVISION PERMIT # CJA' DPj\b DATE 1\9 ` PERMIT DESCRIPTION f L )'. S CU PERMIT VALUATION ybq))Qcp) SQUARE FOOTAGE \ A d b 3 t+7 1 CERTIFCATE OF OCCUPANCY REQUEST FOR FINAL INSPECTION 5 Unit Single Family Attached Residences **** DATE: PERMIT #: ADDRESS: CONTRACTOR: PHONE #: 03/15/05 04-2818 1222 —1230 Sandstone Run Morrison Homes - Greystone Fred 407-383-5024 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. nginee oS— TFire Public Works' Utilities Licensing CONDITIONS: (TO BE COMPLETED ONLY IF APPROVAL IS CONDITIONAL) s C,- -k CERTIFCATE OF OCCUPANCY REQUEST FOR FINAL INSPECTION 5 Unit Single Family Attached Residences **** DATE: PERMIT #: ADDRESS: CONTRACTOR: PHONE #: 03/15/OS 04-2818 1222 —1230 Sandstone Run Morrison Homes - Grevstone ( ry Fred 407-383-5024 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. . 9 Engineering ublic Works JU IWA An Z Fi rp 1Zoning Licensing CONDITIONS: (TO BE COMPLETED ONLY IF APPROVAL IS CONDITIONAL) 11 CERTIFCATE OF OCCUPANCY REQUEST FOR FINAL INSPECTION 5 Unit Single Family Attached Residences **** DATE: PERMIT #: ADDRESS: CONTRACTOR: PHONE #: 03/15/05 04-2818 1222 —1230 Sandstone Run Morrison Homes - Greystone Fred 407-383-5024 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. Engineering ir Public Works (Zoning JUtilities Licensing CONDITIONS: (TO BE COMPLETED ONLY IF APPROVAL 1S CONDITIONAL) 1 I 1 I CERTIFCATE OF OCCUPANC Ca i i i i i REQUEST FOR FINAL INSPECTIPN 5 Unit Single Family Attached Residences- =_ 2 E 1 I 1 1 1 1 1 I 1 1 1 1 1 1 1 1 03/15/05DATE: to 1 PERMIT #: ADDRESS: 1222 —1230 Sandstone Run c ,. ii r v CONTRACTOR: Morrison Homes - Greystone w C 1 p PHONE #: Fred 407-383-5024 The building division has prepared a Certificate of Occupancy for the abovelocationandisrequestingfinalinspectionbyyourdepartment. After yourinspection, please sign off and date the C. O. or submit addendum if it hasbeendeniedorapprovedwithconditions. Your prompt attention will beappreciated. Engineering TFire Public Works lZoning Licensing CONDITIONS: (TO BE COMPLETED ONLY IF APPROVAL IS CONDITIONAL) LMBC1001 CITY OF SANFORD Address Misc. Information Inquiry 3/17/05 08:42:30 Location ID . . . . . . . Parcel Number . . . . . Alternate location ID . . Location address . . . . . Primary related party . . Type options, press Enter. 5 Vier detail Opt Description CUSTOMER SERVICE NOTES CUSTOMER SERVICE NOTES CUSTOMER SERVICE NOTES CUSTOMER SERVICE NOTES CUSTOMER SERVICE NOTES 273585 1227 SANDSTONE RUN Free -form information LOT 165 **************** SW DEV FEE $1700.00 WA DEV FEE $650.00 BP04-2817 PD 8-20-04 SEE REC#7342 3/4"WA METER SET FEE $190.00 PD 12-3-04 REC#7342 F2 Address F3=Exit F5=Special Notes F12=Cancel LMBC1001 CITY OF SANFORD Address Misc. Information Inquiry 3/17/05 08:36:31 Location ID . . . . . . . Parcel Number . . . . . Alternate location ID . . Location address . . . . . Primary related party . . Type options, press Enter. 5 View detail Opt Description CUSTOMER SERVICE NOTES CUSTOMER SERVICE NOTES CUSTOMER SERVICE NOTES CUSTOMER SERVICE NOTES CUSTOMER SERVICE NOTES 273545 1226 SANDSTONE RUN Free -form information LOT 19 **************** SW DEV FEE $1700.00 WA DEV FEE $650.00 BP04-2818 PD 8-20-04 SEE REC#7338 3/4"WA METER SET FEE $190.00 PD 12-3-04 REC#7338 F2 Address F3=Exit F5=Special Notes F12=Cancel LMBC1001 CITY OF SANFORD Address Misc. Information Inquiry 3/17/05 08:36:24 Location ID . . . . . . . Parcel Number . . . . . . Alternate location ID . . Location address . . . . . Primary related party . . Type options, press Enter. 5 View detail Opt Description CUSTOMER SERVICE NOTES CUSTOMER SERVICE NOTES CUSTOMER SERVICE NOTES CUSTOMER SERVICE NOTES CUSTOMER SERVICE NOTES 273595 1225 SANDSTONE RUN Free -form information LOT 166 **************** SW DEV FEE $1700.00 WA DEV FEE $650.00 BP04-2817 PD 8-20-04 SEE REC#7343 3/4"WA METER SET FEE $190.00 PD 12-3-04 REC#7343 F2 Address F3=Exit F5=Special Notes F12=Cancel LMBC1001 CITY OF SANFORD Address Misc. Information Inquiry 3/17/05 08:36:15 Location ID . . . . . . . Parcel Number . . . . . Alternate location ID . . Location address . . . . . Primary related party . . Type options, press Enter. 5 View detail Opt Description CUSTOMER SERVICE NOTES CUSTOMER SERVICE NOTES CUSTOMER SERVICE NOTES CUSTOMER SERVICE NOTES CUSTOMER SERVICE NOTES 273535 1224 SANDSTONE RUN Free -form information LOT 18 **************** SW DEV FEE $1700.00 WA DEV FEE $650.00 BP04-2818 PD 8-20-04 SEE REC#7337 3/4"WA METER SET FEE $190.00 PD 12-3-04 REC#7337 F2 Address F3=Exit F5=Special Notes F12=Cancel LMBC1001 CITY OF SANFORD Address Misc. Information Inquiry 3/17/05 08:36:00 Location ID . . . . . . . Parcel Number . . . . . . Alternate location ID . . Location address . . . . . Primary related party . . Type options, press Enter. 5 View detail Opt Description CUSTOMER SERVICE NOTES CUSTOMER SERVICE NOTES CUSTOMER SERVICE NOTES CUSTOMER SERVICE NOTES CUSTOMER SERVICE NOTES 273605 1223 SANDSTONE RUN Free -form information LOT 167 **************** SW DEV FEE $1700.00 WA DEV FEE $650.00 BP04-2817 PD 8-20-04 SEE REC#7344 3/4"WA METER SET FEE $190.00 PD 12-3-04 REC#7344 F2 Address F3=Exit F5=Special Notes F12=Cancel LMBC1001 CITY OF SANFORD Address Misc. Information Inquiry 3/17/05 08:35:42 Location ID . . . . . . . Parcel Number . . . . . Alternate location ID . . Location address . . . . . Primary related party . . Type options, press Enter. 5=Vier detail Opt Description CUSTOMER SERVICE NOTES CUSTOMER SERVICE NOTES CUSTOMER SERVICE NOTES CUSTOMER SERVICE NOTES CUSTOMER SERVICE NOTES 275525 1222 SANDSTONE RUN Free -form information LOT 17 **************** SW DEV FEE $1700.00 WA DEV FEE $650.00 BP04-2818 PD 8-20-04 SEE REC#7336 3/4"WA METER SET FEE $190.00 PD 12-3-04 REC#7336 F2 Address F3=Exit F5=Special Notes F12=Cancel Herx & Associates Inc. 769 Douglas Avenue Altamonte Springs, Florida 32714 407.788.8808 - 407.788.8762 (fax) February 28, 2005 City of Sanford Building Division P.O. Box 1788 Sanford, Florida 32772-1788 RE: Lot 21 Greystone Phase 1, 1230 Sandstone Run To Whom It May Concern, The finished floor elevation of the structure located at: 1230 Sandstone Run, Sanford, Florida Legal Description: Lot 21, "GREYSTONE PHASE 1", according to the Plat thereof, as recorded in Plat Book 65 at pages 75 through 82, Public Records of Seminole County, Florida. Meets or exceeds the requirements set forth in the City of Sanford Code Chapter 6, sec 6-7(a). Sincerely Yours, Herx & Associates I lkQ. Q . Darae L. Przemieniecki , P.S. Associate Vice President DLP/bb FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077 NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 2005 ELEVATION CERTIFICATE Important: Read the instructions on pages 1- 7. SECTION A - PROPERTY OWNER INFORMATION For Insurance CaMiny Use: BUILDING OWNER'S NAME Policy Number MORRISON HOMES BUILDING STREET ADDRESS (Including Apt, Unit Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO, Company NAIC Number 1230 Sandstone Run CITY STATE ZIP CODE SANFORD FL 32771 PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 21, "GREYSTONE PHASE 1 " PLAT BOOK 65 PAGES 75— 82 PUBLIC RECORDS OF SEMINOLE COUNTY BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, eta Use a Comments area, if necessary.) RESIDENTIAL LATITUDEILONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: GPS (Type): W - *W - ##.##' or ##.##>i ) ® NAD 1927 NAD 1983 USGS Quad Map ® Other. Plat SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP COMMUNITY NAME 8 COMMUNITY NUMBER B2. COUNTY NAME B3. STATE CITY OF SANFORD / 120294 SEMINOLE FLORIDA B4. MAP AND PANEL B7. FIRM PANEL 99. BASE FLOOD ELEVATION(S) NUMBER B5. SUFFIX B6. FIRM INDEX DATE EFFECTIVEIREMSED DATE B8. FLOOD ZONE(S) Zone AD, use depth of flooding) 12117CO040 E 4-17-95 4-17-95 X 43 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9. FIS Profile FIRM Community Determined ® Other (Describe): Development Engineering Plans B11. Indicate the elevation datum used for the BFE in B9: ® NGVD 1929 NAVD 1988 Other (Describe): i B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? Yes ® No Designation Date_ SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: Construction Drawings' Building Under Construction' ® Finished Construction A new Elevation Certificate will be required when construction of the building is complete. C2. Building Diagram Number 1(Select the building diagram most similar to the building for which this certificate 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, V1-V30, V (with BFE), AR, ARIA, ARIAE, ARIA1-A30, ARIAH, ARIAO Complete Items C3.-a4 below according to the building diagram specified in Item C2. State the datum used. 9 the datum is different from the datum used for the BFE in Section B, convert the datum to that used for the BFE. Show 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. Datum Same as BFE Conversion/Comments Elevation reference mark used On -Site BM Does the elevation reference mark used appear on the FIRM? Yes ® No o a) Top of bottom floor (including basement or enclosure) o b) Top of next higher floor o c) Bottom of lowest horizontal structural member (V zones only) o d) Attached garage (top of slab) o e) Lowest elevation of machinery and/or equipment servicing the building (Describe in a Comments area) o f) lowest adjacent (finished) grade (LAG) o g) Highest adjacent (finished) grade (HAG) o h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade NA o i) Total area of all permanent openings (flood vents) in C3.h NA sq. in. (sq. cm) 47. 0 ft.(m) NA. _ft.(m) 0 0 46. 7 t(m) E g wM 46. 2 ft.(m) AC Service E E c 46. 1 ft.(m) i 0 V46. 3 ft m) " X--f Fl. Professional Surveyor and Mapper No. 6030 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, B, 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 Darae L Przemieniecki LICENSE NUMBER PSM 6030 TITLE Professional Surveyor and Mapper COMPANY NAME Herx R Associates, Inc. ADDRESS CITY STATE ZIP CODE 769 Douglas Avenue ( n Altamonte Springs FL 32714 RE V-' .,J DATE TELEPHONE V,_)O—A, ` (—02-28-05 407-788MW FEMA Form 81-31, January 2003 See reverse side for continuation. Replaces all previous editions IMPORTANT: In these spaces, copy the corresponding information from Section A For Insurance Compa v Use: BUILDING STREET ADDRESS (Induding Apt, Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Poky Nurnber 1230 Sandstone Run CITY STATE ZIP CODE Company NAIL Number SANFORD FL 32T71 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 - NGVD datum assumed from on site Temporary Benchmark (TBM) provided by contractor from approved engineering development plans. TBM's not verified. Note: Item C3 a on page 1, refers to Air conditioner Service slab. 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 information 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. If no diagram accurately represents the building, provide a sketch or photograph.) E2. The top of the bottom floor (including basement or enclosure) of the building is _ ft.(m) _in.(cm) above or below (check one) the highest adjacent grade. (Use natural grade, if available). E3. For Building Diagrams 6-8 with openings (see page 7), the next higher floor or elevated floor (elevation b) of the building is _ ft.(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 and/or equipment servicing the building is _ ft.(m) _in.(cm) above or below (check one) the highest adjacent grade. (Use natural grade, if 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 oommunity'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, C (Items C3.h and C3.i only), and E for Zone A (without a FEMA4ssued or community - issued BFE) or Zone AO must sign here. The statements in Sections A, B, Q and E are correct to the best of my knowledge. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME ADDRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE COMMENTS Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the oommunity's floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) aid sign below. G1. The information 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 or local 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 FEMAAssued or communityAssued BFE) or Zone AO. G3. The following information (Items G4-G9) is provided for community floodplain management purposes. G8. Elevation of as -built lowest floor (including basement) of the building is: _ft.(m) Datum: G9. BFE or (in Zone AO) depth of flooding at the building site is: — _ ft.(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 Herx 4* associates Inc: Land Surveyors 769 Douglas Avenue, Altamonte Springs, Florida. 32714 (407)788-8808 Member of the Florida Surveying and Mapping Society and American Congress on Surveying and Mapping CUR VE DEL TA ANGLE RAD I US MaRR(SUrveyANGEN T CHORD CHORD BEARING C I 90e 13 ' 44 - 23. 00 ' 36. 22 ' 23. 09 ' 32. 59 ' S 45 a 09 ' 5 / -W LINE BEARING DISTANCE LINE BEARING DISTANCE L I N 89e43'17-W 22.46' L 7 S 89e43'17-E 30.00' L 2 N 89e43'I7-W 30.00' L 8 S 89e43'17-E 5.16' L 3 N 89e43'17-W 30.00' L 9 S 76e26'17-E 10.00' L 4 N 89e43'17-W 30.00' L /0 S 89e57'01-E 15.11' L 5 N 89e43'17-W 40.00' L ll S 89e57'0I-E 30.00' L 6 S 89e43'17-E 40.00' L 12 S 89e57'0I-E 45.16' s.0'- Fo #.R. A CA LB e7Z79 0 O O O LOT 16 y: W7 rVWrh Q W` 3a 00 00 2 6' VINYL FENCE FO 4.4 C.Y. I.R.Y. 1.0' PLAT CORNER L 7 L r:9 L IO LOT 17 LOT 18 LOT P LANAI 14. 330.0' l0.O' IS 7' o eELIZE OELIZE UNIT of UNIT of FINISHED FLOOR ELEV. 47.00 O O KIM 4.7' 4.7' MIT of 5. 2• 7. 0' 7.0' al.' 6' 6.3'FINI 1 o 19. 7 0 19. 0. 2LJ -- Fli - 10.2' S 00'16'43-W 97.77' LOT 22 S 00.16'4J-W L I I L12 T. 0 LOT 21 AU7TRIA " 6. 0 UNIT Al - z. 3' 3.6, 4. J' j CUNII. J' TYEcl p 4. z' •7' O 0 4.3 10' 4. 7' SHED FLOOR c 4 7• r9.7' ELEV.• 47.2 REFERENCED REARING C/- :41. DGE OF N 89_4J'17-W _ ?7l.1/ _ _ _ _ _ AVEYENI c.. C/ L SANDSTONE RUN TRACT A (32' R/W) I to uu LEGAL DESCRPTION.' Lots 1 7. 1 8. 19. 20. 6 2 1 GREYSTONE PHASE 1 - occord69 to the plot thereof as recorded in Plot Book 65 of pages 75 - 62 of the Pubic Records of Seminole County. Florida. FLOOD HAZARD DATA: The Parcel shown hereon ies within Fbod Zone W. occordng to the Fbod hstrance Rote Map Corrmir ity Panel Nxnber 120294 0040E .Doted 04117195. Fbod Zone deferrllnotion was performed by gcptrc pbtt, from Fbod hstralce Rate Mcps provided by FEMA. No field su-veyig was perllarmed by this Fi•m to dwerrme tlrs Zane. The exoct zone bcation ccr orgy be deterrmed by on elevation study. We osslme no responsUry for octud good"9 condtions concerrwg this parcel General Notes: F E B 2 2 2005 t. This is a BOUNDARY Survey performed in the field on 2. No aerial, surface or subsurface utility installations, underground improvements or subsurfacelea rial encroachments, if any, were located. 3. Building ties shown are to the exterior unfinished foundation surface or rormboard. 4. Elevations shown hereon, if any, are assumed and were obtained from approved Construction plans provided by the Client unless otherwise noted, and are shown only to depict the proposed or actual difference in elevation relative to the assumed temporary Benchmark shown hereon. 5. The parcel shown hereon is subject to all easements, reservations, restrictions, and Rights - of -way of record whether depicted or not on this document. No search of the Public Records has been made by this office. 6. The legal description shown hereon is as furnished by client. 7. Platted and measured distances and directions are the same unless otherwise noted. 8. Copies of this Survey may be made for the original transaction only. 0 Denotes W iron rod with yellow plastic cap marked L84937 or LS3IBZ or W iron rod with red plastic cap marked 'Witness Corner, unless otherwise noted. O Denotes P.C.P. (Permanent control point) Denotes Permanent Reference Monument 2005 Herz d Associates Inc. All rights reserved 1 11. C Wr Wcaflon: Not valid without the signature and the original raised seal I d licensed 1s•d Surveyor Bird Hopper his y meats the requirements of the Florida i^:mum Technical Sfa aids as,c/onnleiin/e d inChapter6 f7-C d Administrative Cods. barge L. Pr:emieniecki,'P.S.M. Registered Surveyor and Mapper No. 6030 William R. Herx, P.S.M. Registered Surveyor and Mapper No. 6092 FEB Hera 6AssociatesInc., State of Florida LB 4937 f Legend so. o• 7. 89 ' I 1 Z' CURB L. C. C/L EL : 44. 0 Note: Boor' gs shoRn her ore referenced to the C/L of SAI DSTOIE RUN 03 beig S 89 a 43 ' 17 F. Vertical daturn is based on NGVD/OCVD per Engineering construction PPIons by Ned Hier Engineering, Inc. Fie Nome : Cireystone Temporary Benchmark assumed datum) BOW Back of sidewalk C/L Contorting d Central or (Delta) Angle CALC Calculated CB Chord Bearing CD Chord C.M. Concrete Monument EL. or ELEV Elevation (Proposed) FINAL EL. Elevation (Measured) FD. Found Fm.Fl. Elev. Finished Floor Elevation I.P. Iron Pipe I.R. Iron Rod L Arc Length LB Licensed Business LS. Land Surveyor Mee Measured N/O( N90) Nail and Disk N.R. Not Radial O S Offset O.R. B. Official Records Book JOB Plat Book PC' Point of Curvature PCC. Point of Compound Curvature P.C. P. Permanent Control Point PG. Page P.R. M. Permanent Reference Monument Pit Property Line P.O. B. Point of Beginning P.O. C. Point of Commencement P.I. Point of Intersection PRC. Point of Reverse Curvature PT. Point of Tangency R Radius RAO Radial Line RES. Residence R/W Right -of -Way Tam Temporary Benchmark TYP. Typical Fence symbol ( see drawing) X--X- Fence symbol (see drawing) Drown by: Be Checked by: OP Prepared For: MORRISON Job Nvaber: OJ 018-02 Scale . 1-• 40' Plot plan performed: 05.20.04 Propose LOT 22. 08-05-04 Foundation Serwoy: 02-22-05 Finol Sur ray: 02-22-05 I Herx & Associates Inc. 769 Douglas Avenue Altamonte Springs, Florida 32714 407.788.8808 - 407.788,8762 (fax) February 28, 2005 City of Sanford Building Division P.O. Box 1788 Sanford, Florida 32772-1788 RE: Lot 20 Greystone Phase 1, 1228 Sandstone Run To Whom It May Concern, The finished floor elevation of the structure located at: 1228 Sandstone Run, Sanford, Florida Legal Description: Lot 20, "GREYSTONE PHASE 1", according to the Plat thereof, as recorded in Plat Book 65 at pages 75 through 82, Public Records of Seminole County, Florida. Meets or exceeds the requirements set forth in the City of Sanford Code Chapter 6, sec 6-7(a). Sincerely Yours, Herx & Associates In . at a.Q Uvn L- Darae L. Przemieniecki , P. . Associate Vice President DLP/bb FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077 NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 2005 ELEVATION CERTIFICATE Important: Read the instructions on pages 1- 7. SECTION A - PROPERTY OWNER INFORMATION For Insurance Company Use: BUILDING OWNER'S NAME Policy Number MORRISON HOMES BUILDING STREET ADDRESS (Including Apt, Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIC Number 1228 Sandstone Run CITY STATE ZIP CODE SANFORD FL 32771 PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 20, "GREYSTONE PHASE 1 "PLAT BOOK 65 PAGES 75 — 82 PUBLIC RECORDS OF SEMINOLE COUNTY BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, etc. Use a Comments area, if necessary.) RESIDENTIAL LATITUDEILONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: 0 GPS (Type): W - ##' - ##.W or ##.t#k###°) ® NAD 1927 NAD 1983 USGS Quad Map ® Other. Plat SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP COMMUNITY NAME & COMMUNITY NUMBER I BS22. COUNTY NAME FLORIDTCITYOFSANFORD / 120294 B4. MAP AND PANEL B7. FIRM PANEL B9. BASE FLOOD ELEVATIONS) NUMBER 55. SUFFIX B6. FIRM INDEX DATE EFFECTIVE/REASED DATE B8. FLOOD ZONE(S) Zone AO, use depth of flooding) 12117CO040 E 4-17-95 4-17-95 X 43 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9. FIS Profile FIRM Community Determined ® Other (Describe): Development Engineering Plans 611. Indicate the elevation datum used for the BFE in B9: ® NGVD 1929 NAVD 1988 Other (Describe): 612. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? Yes ® No Designation Date SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: Construction Drawings' Building Under Construction' ® Finished Construction A new Elevation Certificate will be required when construction of the building is complete. C2. Building Diagram Number 1(Select the building diagram most similar to the building for which this certificate 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, V1-V30, V (with BFE), AR, ARIA, AR/AE, AR/A1-A30, AR/AH, ARIAO Complete Items C3: a4 below according to the building diagram specified in Item C2. State the datum used. if the datum is different from the datum used for the BFE in Section B, convert the datum to that used for the BFE. Show 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. Datum Same as BFE Conversion/Comrrents Elevation reference mark used On -Site BM Does the elevation reference mark used appear on the FIRM? Yes ® No o a) Top of bottom floor (including basement or enclosure) 47. 0 ft.(m) o b) Top of next higher floor NA. _ft.(m) o c) Bottom of lowest horizontal structural member (V zones only) NA . _ft.(m) 00 o d) Attached garage (top of slab) 46. 7 ft.(m) w - . o e) Lowest elevation of machinery and/or equipment servicing the building (Describe in a Comments area) 46. 2 ft.(m) AC Service E - o f) Lowest adjacent (finished) grade (LAG) 46. 1 ft.(m) i L, OLI' o g) Highest adjacent (finished) grade (HAG) 46. 3 ft m) o h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade NA o i) Total area of all permanent openings (flood vents) in C3.h NA sq. in. (sq. cm) R. Professional Surveyor and Mapper No. 6030 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, B, 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. CERTIFIER'S NAME Darae L Przemieniecki LICENSE NUMBER PSM 6030 TITLE Professional Surveyor and Mapper COMPANY NAME Herx & Associates, Inc. ADDRESS CITY STATE ZIP CODE 769 Douglas Avenue Altamonte Springs FL 32714 SIG RE DATE TELEPHONE rw A a t? C n /rrm r,r,. I _ 02-28-05 407-788-8W8 FEMA Form 81-31, January 2003 See reverse side for continuation. Replaces all previous editions IMPORTANT: In these spaces, copy the corresponding information from Section A For Insurance Company Usa: j BUILDING STREET ADDRESS (Indudmg Apt, Unit Suite, andlor Bldg. No.) OR P.O. ROUTE AND BOX NO. Poky Number 1228 Sandstone Run CITY STATE ZIP CODE Company NAIC Number SANFORD FL 32771 SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agenUcornpany, and (3) building owner. COMMENTS NGVD datum assumed from on site Temporary Benchmark (TBM) provided by contractor from approved engineering development plans. TBM's not verified. Note: Item C3 a on page 1, refers to Air conditioner Service slab. 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 information 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. If no diagram accurately represents the building, provide a sketch or photograph.) E2. The top of the bottom floor (including basement or enclosure) of the building is _ ft.(m) _in.(cm) above or below (check one) the highest adjacent grade. (Use natural grade, if available). E3. For Building Diagrams 6-8 with openings (see page 7), the next higher floor or elevated floor (elevation b) of the building is _ ft.(m) _in.(=) above the highest adjacent grade. Complete items C3.h and C3.i on front of form. E4. The top of the platform of machinery andlor equipment servicing the building is _ fl.(m) _in.(cm) above or below (check one) the highest adjacent grade. (Use natural grade, if 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 oommunity s flocdplain management ordinance? Yes No Unknown. The local official must ortfy 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, C (Items C3.h and C3.i only), and E for Zone A (without a FEMA-issued or community - issued BFE) or Zone AO must sign here. The statenm* in Sections A, A C, and E are correct to the best of my knowledge. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME ADDRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE COMMENTS Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the oommunitys 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. G1. The information 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 or local 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 FEMA4sued or community4ssued BFE) or Zone AO. G3. The following information (Items G4-G9) is provided for community floodplain management purposes. G5. DATE PERMIT ISSUED ISSUED G7. This permit has been issued for. New Construction Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building is: — _ft.(m) Datum: G9. BFE or (in Zone AO) depth of flooding at the building site is: — _ ft.(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 Herx * .4ssociates Inc. Land Surveyors 769 Douglas Avenue, Altamonte Springs, Florida. 32714 (407)788-8808 Member of the Florida Surveying and Mapping Society and American Congress on Surveying and Mapping CUR VE DEL TA ANGLE RAD I US MaRR% SurvejfANGEN T CHORD CHORD BEARING C 1 90w13'44- 23.00' 36.22' 23.09' 32.59' S 45°09'51'W LINE BEARING DISTANCE LINE BEARING DISTANCE L I N 89'43'17'W 22.46' L 7 S 89w43'17-E 30.00' L 2 N 89°43'17-W 30.00' L 8 5 89w43'17'E 5.16' L 3 N 89°43'17'W 30.00' L 9 5 76°28'17'E 10.00' L 4 N 89043'17-W 30,00' L l0 5 89'57'01-E 15.11' L 5 N 89043'17-W 40.00' L lI 5 89w57'0I-E 30.00' L 6 S 89043'17-E 40.00' L 12 S 89w57'01-E 45.16' 6' VINYL FENCE S DO' 16'43'W 97.77' FO 4.4 C.U. LOT 22 S. 0' ILATUjNE I' D S 00' 16 ' 43 "W 7. 89 ' 6 os L7Z97L10 L11 L12 e.00' F I.R. CAI l7 LOT LOT 2/T LOr l9 LOTo20 o o LANAI II.J' 10'1 J0.O• J0.0' 17.0. \ O J0.0' a 1++ Qp15.7' BELIZEUNITII BELIZE ^ AUITRIA UN,T al UNIT AI 7 cc 3o o FINISHED FLOOR ELEV. 47.00 J.a* I.J, a LOT 16 yip : o 0 0 0 0 CAPE VERDE I.J 0 o e 1! uNtT cl o S 7 W 2N 7 Oe O^ O ni J.O W OENW 1.7' 7' I.J' W: R UNIT TT 01 y 5.2, N ij Q, I Q 6.J' 0 6.J'FINISHE FLOOR ELEV. -47.2 it : w a 00 1.2 V o I 10.J• 19.7' Ie.7' - 19. 7' 19.7' J0.0' I0o o o REFERENCED BEARING NAD 4.16LU7' g DOE ofC-- CURB N 89'43 l7'W 271. I I ' I AVENENr r.c.r. c. iv I CIL SANDSTONE RUN cn EL:••.o r TRACT A (32' R/W) VtoY LEGAL DESCRPTION.• Lots 17 1 8. 19. 20, d 2 1 GREYSTOAE PHASE I - according to the plot thereof as recorded in Plot Book 65. at Pages 75 - 62 of the Pubic Records of Seminole County. Florida FLOOD HAZARD DATA: The Porcel shown hereon ies withal Flood Zone X. occor-&q to the Flood hsuronce Rote Map Cormitnity Panel Number 120294 0040E .Doted 04117195. Flood Zone deter cation was performed by gcphic Part, from Food hsurcme Rote Mops ovided by FEMA Ala field su-veyny was performed by this Frm to doferlme Its Zone. The exact zone location can a+ be derennned by m elevation study. We assure no responsbhy for actual fiOod"9 condrions concermg this parcel General Notes: FEB 2 2 10051. This is a BOUNDARY Survey performed in the field on 2. No aerial, surface or subsurface utility installations, underground improvements or subsurface/aerial encroachments, if any, were located. 3. Building ties shown are to the exterior unfinished foundation surface or formboard. 4. Elevations shown hereon, if any, are assumed and were obtained from approved Construction plans provided by the tllent unless otherwise noted, and are shown only to depict the proposed or actual difference in elevation relative to the assumed temporary Benchmark shown hereon. 5. The parcel shown hereon is subject to all easements, reservations, restrictions, and Rights -of -way of record whether depicted or not on this document. No search of the Public Records has been made by this office. 6. The legal description shown hereon Is as furnished by client. 7. Platted and measured distances and directions are the same unless otherwise noted. 8. Copies of this Survey may be made for the original transaction only. Denotes 34-iron rod with yellow plastic cap marked LB4937 or LS3182, or W iron rod with red plastic cap marked -Witness Corner' unless otherwise noted. O Denotes P.C.P. (Permanent control poinq Denotes Permanent Reference Monument 0 2005 Herx 6 Associates Inc. All rights reserved r l tq C i cotion: Not valid without the signature and the original raised seal I da Mcensod Surveyor and Mapper his y mauls the requirements of the Florida nimum Technical Sta arts as =1#ined in Chapter 6A17.6 f id,Administrative Code. 14JA144-J barge L. Prromieniecki. P.S.M. Registered Surveyor and Mapper No. 6030 William R. Ham, P. S. M. Registered Surveyor and Mapper No. 6092 FEBBHerr & Associates Inc., State of Florida LB 4937 f G Note: Be'i shown her are referenced to the C/LofSAZSTWRUVosbeilgS89 - 43 ' 17 F Vertical doturn a based on NGVD/OCVD per Engineeraxq construction plans by Ned Wer Engineering, hc. Fie Nome : Greystone Legend 0 Temporary Benchmark assumed datum) BOW Back of sidewalk GL Centerline d Central or (Delta) Angle CALC Calculated CB Chord Bearing CD Chord C.M. Concrete Monument EL. or ELEV Elevation (Proposed) FINAL EL. Elevation (Measured) FD. Found Fin. FL Elev. Finished Floor Elevation I.P. Iron Pipe I.R. Iron Rod L Arc Length LB Licensed Business LS. Land Surveyor moo Measured WNW Nail and Disk N.R. Not Radial CVS Offset O.R.B. Official Records Book PB Plat Book PC' Point olCurvature PCC. Point of Compound Curvature P.C.P. Permanent Control Point PG. Page P.R.M. Permanent Reference Monument P/L Property Line P.O. B. Point of Beginning P.O. C. Point of Commencement P.1. Point of Intersection PRC. Point of Reverse Curvature PT. Point of Tangency R Radius RAD Re" Line RES. Residence RAN Right -of -Way TOM Temporary Benchmark TYR Typical Fence symbol (see drawing) X-X. Fence symbol (see drawing) Drown by: Be Chocked by: DP Prepared For: MORRISON Job No bar: OJ-018-02 Scale : 1"- 40' Plot plan performed: 05-20-04ProposeLop22: 08-05-04 Fovndotion Svrvey: 02.22-05 Final Svr ay: 02-22-05 Herx & Associates Inc. 769 Douglas Avenue Altamonte Springs, Florida 32714 407.788,8808 - 407.788.8762 (fax) February 28, 2005 City of Sanford Building Division P.O. Box 1788 Sanford, Florida 32772-1788 RE: Lot 19 Greystone Phase 1, 1226 Sandstone Run To Whom It May Concern, The finished floor elevation of the structure located at: 1226 Sandstone Run, Sanford, Florida Legal Description: Lot 19, "GREYSTONE PHASE 1", according to the Plat thereof, as recorded in Plat Book 65 at pages 75 through 82, Public Records of Seminole County, Florida. Meets or exceeds the requirements set forth in the City of Sanford Code Chapter 6, sec 6-7(a). Sincerely Yours, Herx & Associat C. Darae L. Przemieniecki , M Associate Vice President DLP/bb FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077 NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 2005 ELEVATION CERTIFICATE Important: Read the instructions on pages 1- 7. SECTION A- PROPERTY OWNER INFORMATION For Insurance CompenyUse: MORRISON HOMES BUILDING STREET ADDRESS (Including Apt, Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO, Company NAIC Number 1226 Sandstone Run CITY STATE ZIP CODE SANFORD FL 32771 PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 19, "GREYSTONE PHASE 1 "PLAT BOOK 65 PAGES 75 — 82 PUBLIC RECORDS OF SEMINOLE COUNTY BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, etc. Use a Comments area, if necessary.) RESIDENTIAL LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: GPS (Type): W or ##.## ® NAD 1927 NAD 1983 USGS Quad Map ® Other. Plat SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP COMMUNITY NAME & COMMUNITY NUMBER B2. COUNTY NAME B3. STATE CITY OF SANFORD / 120294 SEMINOLE FLORIDA B4. MAP AND PANEL B7. FIRM PANEL B9. BASE FLOOD ELEVATION(S) NUMBER B5. SUFFIX B6. FIRM INDEX DATE EFFECTNWEASED DATE B8. FLOOD ZONE(S) Zane AO, use depth of fbodirg) 12117CO040 E 4.17-95 4-17-95 X 43 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9. FIS Profile FIRM Community Determined ® Other (Describe): Development Engineering Plans B11. Indicate the elevation datum used for the BFE in 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_ SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: Construction Drawings' Building Under Construction' ® Finished Construction A new Elevation Certificate will be required when constriction of the building is complete. C2. Building Diagram Number 1(Select the building diagram most similar to the building for which this certificate is being completed - see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) C3. Bevations—Zones Al-A30, AE, AH, A (with BFE), VE, V1430, V (with BFE), AR, ARIA, AR/AE, AR/A1-A30, AR/AH, ARIAO Complete Items C3.-a4 below according to the building diagram specified in Item C2. State the datum used. If the datum is different from the datum used for the BFE in Section B, convert the datum to that used for the BFE. Show 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. Datum Same as BFE ConversionlComments Elevation reference mark used On -Site BM Does the elevation reference mark used appear on the FIRM? Yes ® No o a) Top of bottom floor (inducing basement or enclosure) 47. 0 ft.(m) o b) Top of next higher floor NA . _ft.(m) v' o c) Bottom of lowest horizontal structural member (V zones only) NA. _ft.(m) o 0 o d) Attached garage (top of slab) 46. 7 ft.(m) E w o e) Lowest elevation of machinery and/or equipment t/ servicing the building (Describe in a Comments area) 46. 2 fL(m) AC Service E15 o f) Lowest adjacent (finished) grade (LAG) 46. 1 fL(m) o g) Highest adjacent (finished) grade (HAG) 46. 3ft m) Uf onal o h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade NA o i) Total area d all permanent openings (flood vents) in C3.h NAsq. in. (sq. c m) Surveyor and Mapper No. 6030 SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. I certify that the information in Sections A, B, 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 Darae L Przemieniedci LICENSE NUMBER PSM 6030 TITLE Professional Surveyor and Mapper COMPANY NAME Herx & Associates, Inc. ADDRESS CITY STATE ZIP CODE YAJQouglas Avenue Altamonte Springs FL 32714 SIGNA RE DATE TELEPHONE i n A a 0 CrM r r m1 .A L, 02-2&05 407-788MM FEMA Form 81-31, January 2003 v See reverse side for continuation. Replaces all previous editions IMPORTANT: In these spaces, copy the corresponding information from Section A. For Insurance Company Use: BUILDING STREET ADDRESS (Including Apt, Unit Suite, ardor Bldg. No.) OR P.O. ROUTE AND BOX NO. Poky Number 1226 Sandstone Run CITY STATE ZIP CODE Company NAIC Number SANFORD FL 32771 SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agenUcompany, and (3) building owner. COMMENTS NGVD datum assumed from on site Temporary Benchmark (TBM) provided by contractor from approved engineering development plans. TBM's not verified. Note: Item C3 a on page 1, refers to Air conditioner Service slab. 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 information for a LOMA or LOMR-F, Section C must be completed. El. Building Diagram Number _(Select the building diagram most similar to the building for which this certificate is being completed — see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) E2. The top of the bottom floor (inducting basement or enclosure) of the building is _ ft.(m) _in.(cn) above or below (check one) the highest adjacent grade. (Use natural grade, if available). E3. For Building Diagrams 6-8 with openings (see page 7), the next higher floor or elevated floor (elevation b) of the building is _ ft.(m) _in.(crm) above the highest adjacent grade. Complete items C3.h and C3.i on front of form. E4. The top of the platform of machinery and/or equipment servicing the building is _ ft.(m) _in.(c m) above or below (check one) the highest adjacent grade. (Use natural grade, 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 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, C (Items C3.h and C3.i only), and E for Zone A (without a FEMAassued or community - issued BFE) or Zone AO must sign here. The statements in Sections A, B, C, and E are cared to the best of my knowtedge. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVES 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 (a E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. G1. The information 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 or local 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 community4ssued 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 COMPLIANCEIOCCUPANCY ISSUED G7. This permit has been issued for. New Construction Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building is: _. _%(m) Datum: G9. BFE or (in Zone AO) depth of flooding at the building site is: — _ ft.(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 Herx .Issociates Inc. Land Surveyors 769 Douglas Avenue, Altamonte Springs, Florida. 32714 (407)788-8808 Member of the Florida Surveying and Mapping Society and American Congress on Surveying and Mapping CUR VE DEL TA ANGL E RAD I US MapRIf SurveyANGENT CHORD CHORD BEARING C 1 90'13'44' 23.00' 36.22' 23.09' 32.59' S 45'09'51-W LINE BEARING DISTANCE LINE BEARING DISTANCE L I N 89' 43 ' 17'W 22. 45 ' L 7 S 89' 43 ' 17 -E 30. 00 ' L 2 N 89'43'17'W 30.00' L 8 S 89'43'17-E 5.16' L 3 N 89'43'17'W 30.00' L 9 S 76'28'17-E 10.00' L 4 N 89'43'17'W 30.00' L l0 S 89'57'01-E 15.11' L 5 N 89'43'17'W 40.00' L ll S 89057'01-E 30.00' L 6 S 69'43'17-E 40.00' L 12 S 89'57'01-E 45.16' INYL FENCE S 00' 16'43-W 97.77' FD 4.4 C.U. LOT 22 6_ LATNaORNER I 0 00' 16'43 W 7.89 0.!' L 7 L o.7• C 9 LIO L I 1 L 12 6.00' 1FOI. LB •7779R.. CA LOT 17 LOT 18 LO19 TLOT. 20 „LOT 2/ 1. 31 LANAI 1/.1- 10'' 30. 0' J0.0' 17, 0' q . O 30.0' _ O W Q O015.7' •' aEL IZE NELIZE UNIT a UNIT al w =' AUSTRIA •' UNIT AI 7 Ck: 3 oOFINISHEDFLOORELEV. 47.00 2.J: I, J• 8 N LOT 16 s ,• x=u' ., o o ti^ p o CHIT CRC I. J,. o S 7 n2 W 1 Z„ Y o • a S.0' W y, W7eve DENIIARR 1. 7' 1.7' 1. 7' 1.7• J' W UNITDIiW O is UO - 7.07 a' 7.0' 7.0' 6 3' 0.TFINISHE FLOOR ELEV. •47.2 oo a 1.7 I Q 1 10.!' 19.7' 19.7' 19.7' 19.7' J0.0' N REFERENCED BEARING Nap.. NAO 0. 7' 0.J' 1I 0.2' g 0.7' C7- : 11. I SVE OF 2 tune 1 N 89'43'!7'W 7l.1/' A TENENT P.P. rcr CIL SANDSTONE RUN C/t Et :11,0 TRACT A ( 32' R/W) to V LEGALDESCRPTION.• Lots 1 7. 1 8. 1 9 20. d 2 1 GREYSTOW PHASE 1 - OccorCkg to the plot thereof as recorded In Plot Book 65, of pages 75 - 82 of the Pubic Records of Semitole County. Florida FLOOD HAZARD DATA: The Parcel shown hereon ies within Flood Zone W. occordR9 to the Flood hsuronce Rote Mcp ComrsKni y Panel Nirber 120294 0040E . Doted 04117195. Food Zone deterrimhon was performed by 9-cp is plott' from Flood hslronce Rote Mopsprovided by FEMA. No field survey1 was perllarmed by Fri Frm to derernrle thi Zone. The exact zone location con only be deterniled by on e4volion study. We ossune no responsbhy for ocrud fload"g condtions concerrig this parcel General Notes; FEB 2 2 2005 1. ThisisaBOUNDARYSurveyperformedinthefieldon2. No aerial, surface or subsurface utility installations, underground improvements or subsurfacelaerial encroachments, if any, were located. 3. Building ties shown are to the exterior unfinished foundation surface or formboard. 4. Elevations shown hereon. N any, are assumed and were obtained from approved Construction plans provided by the t;l)ent unless otherwise noted, and are shown only to depict the proposed or actual difference in elevation relative to the assumed temporary Benchmark shown hereon. 5. The parcel shown hereon is subject to at/ easements, reservations, restrictions, and Rights -of - way of record whether depicted or not on this document. No search of the Public Records has been made by this office. 6. The legal description shown hereon Is as furnished by client. 7. Platted and measured distances and directions are the same unless otherwise noted. 8. Copies of this Survey may be made for the original transaction only. e Denotes W iron rod with yellow plastic cap marked L84937 or LS318Z or X' iron rod with red plastic cap marked 'Witness Corner", unless otherwise noted. O Denotes P.C.P. (Permanent control point) Denotes Permanent Reference Monument O 2005 Herx d Associates Inc. All rights reserved Cylificstlon: Not valid without the signature and the original raised seal e1 a la da d/tensed Sun•eyor and Mapper his y meets the requirements of the F a 'nimum Technical Sfa Ards as con(pi in CMpfer 6 /7.6 Administrative Code. Daree L. Pnremieniecki, P.S.M. Registered Surveyor and Mapper No. 6030 William R. Henn, P.S.M. Registered Surveyor and Mapper No. 6092 FEB 2 3 Her: dAssociatesInc., -State of Florida LB 4937 Note: Bear' g shown hereon ore referenced to the CIL of SANDSTONE RIAV as being S 89 ' 43 ' 17 F Vertical dotun is based on NGVD/OCVD per Engneerng construction pans by Ned Hiner Engneerng. hc. File Nome : i5reystone Legend D Temporary Benchmark assumed datum) BOW Back of sidewalk C/L Centerline d Central or (Della) Angle CALC Calculated CB Chord Bearing CD Chord C. M. Concrete Monument EL. or ELEV Elevation (Proposed) FINAL EL. Elevation (Measured) FO. Found Fin.Fl. Elev. Finished Floor Elevation I.P. Iron Pipe 1. R. Iron Rod L Arc Length LB Licensed Business LS. Land Surveyor Mee Measured N/D( N6D) Nail and Disk N.R. Not Radial CVS Offset O.R. B. Official Records Book PB Plat Book PC' Point of Curvature PCC. Point of Compound Curvature P.C. P. Permanent Control Point PG. Page P.R. M. Permanent Reference Monument PA Property Line P.O. B. Point of Beginning P.O. C. Point of Commencement P.1. Point of Intersection PRC. Point of Reverse Curvature PT. Point of Tangency R Radius RAD Radial Line RES. Residence RNV Right - of -Way TOM Temporary Benchmark TYP. Typical 41-//- Fence symbol (see drawing) X-X• Fence symbol (see drawing) Drown by: 68 Checked by: OP Prepared For: MORRISON Job Number: 03-018-02 Scale : 1-• 40' Plol plan performed: 05-20-04 Propose LoT 22: 08-05-04 Foundation Survey: 02-22-05 Final Sur Way: 02-22-05 Herx & Associates Inc. 769 Douglas Avenue Altamonte Springs, Florida 32714 407.788.8808 - 407.788.8762 (fax) February 28, 2005 City of Sanford Building Division P.O. Box 1788 Sanford, Florida 32772-1788 RE: Lot 18 Greystone Phase 1, 1224 Sandstone Run To Whom It May Concern, The finished floor elevation of the structure located at: 1224 Sandstone Run, Sanford, Florida Legal Description: Lot 18, "GREYSTONE PHASE 1 ", according to the Plat thereof, as recorded in Plat Book 65 at pages 75 through 82, Public Records of Seminole County, Florida. Meets or exceeds the requirements set forth in the City of Sanford Code Chapter 6, sec 6-7(a). Sincerely Yours, Herx & Associates l Darae L. Przemieniecki P. .M Associate Vice President DLP/bb FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077 NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 2005 ELEVATION CERTIFICATE Important: Read the instructions on pages 1- 7. SECTION A - PROPERTY OWNER INFORMATION For Insurance Company Use: BUILDING OWNER'S NAME Policy Number MORRISON HOMES BUILDING STREET ADDRESS (Including Apt, Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIC Number 1224 Sandstone Run CITY STATE ZIP CODE SANFORD FL 32771 PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 18, "GREYSTONE PHASE 1 "PLAT BOOK 65 PAGES 75 - 82 PUBLIC RECORDS OF SEMINOLE COUNTY BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, etc. Use a Comments area, 'd necessary.) RESIDENTIAL LATITUDEILONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: 0 GPS (Type): W - #IF - ##.#N' or ##.#####°) ® NAD 1927 NAD 1983 USGS Quad Map ® Other. Plat SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP COMMUNITY NAME & COMMUNITY NUMBER B2. COUNTY NAME B3. STATE CITY OF SANFORD 1120294 SEMINOLE FLORIDA B4. MAP AND PANEL B7. FIRM PANEL B9. BASE FLOOD ELEVATIONS) NUMBER B5. SUFFIX B6. FIRM INDEX DATE EFFECTIVEIREVISED DATE B8. FLOOD ZONE(S) Zone AD, use depth of Wing) 12117CO040 E 4-17-95 4-17-95 X 43 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9. FIS Profile FIRM Community Determined ® Other (Describe): Development Engineering Plans B11. Indicate the elevation datum used for the BFE in 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 SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: Construction Drawings' Building Under Construction' ® Finished Construction A new Elevation Certificate will be required when constriction of the building is complete. C2. Building Diagram Number 1(Select fhe building diagram most similar to the building for which this certificate 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, ARIAE, ARIA1-A30, ARIAH, ARIAO Complete Items C3.-a+ below according to the building diagram specified in Item C2. State the datum used. If the datum is different from the datum used for the BFE in Section B, convert the datum to that used for the BFE. Show field measurements and datum oonversion calculation. Use the space provided or the Comments area of Section D or Section G, as appropriate, to document the datum conversion. Datum Same as BFE Conversion/Comments Elevation reference mark used On -Site BM Does the elevation reference mark used appear on the FIRM? Yes ® No o a) Top of bottom fkxx (including basement or enclosure) o b) Top of next higher floor o c) Bottom of lowest horizontal structural member (V zones only) o d) Attached garage (top of slab) o e) Lowest elevation of machinery and/or equipment servicing the building (Describe in a Comments area) o f) Lowest adjacent (finished) grade (LAG) 47. 0 ft.(m) NA . _ft.(m) NA . _ft.(m) 46. 7 ft.(m) v y 0 O a E c w m n 2 1 - 06-1 c\ y o g) Highest adjacent (finished) grade (HAG) 46. 3 ft m) o h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade NA o i) Total area of all permanent openings (flood vents) in C3.h NA sq. in. (sq. cm) Fl. Professional Surveyor and Mapper No. 6030 SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION 46. 2 ft.(m) AC Service 46. 1 it(m) This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. I certify that the information in Sections A, B, 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 Darae L Przemieniecki LICENSE NUMBER PSM 6030 TITLE Professional Surveyor and Mapper COMPANY NAME Herx & Associates, Inc. ADDRESS CITY STATE ZJP CODE 769 Douglas Avenue Altamonte Springs FL 32714 e'SSIGWAI%JRE _ DATE TELEPHONE U— CItA nQQCrff r ofn ( _ - 02-28-05 407-788MW FEMA Form 81-31, January 2003 — See reverse side for continuation. Replaces all previous editions IMPORTANT: In these spaces, copy the corresponding information from Section A For Inauance Company Use: BUILDING STREET ADDRESS (Including Apt, Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Pokey Number 1224 Sandstone Run CITY STATE 7JP CODE Company NAIC Number SANFORD FL 32T71 SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agenUoompany, and (3) building owner. COMMENTS NGVD datum assumed from on site Temporary Benchmark (TBM) provided by contractor from approved engineering development plans. TBM's not verified. Note: Item C3 a on page 1, refers to Air conditioner Service slab. 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 information 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. If no diagram accurately represents the building, provide a sketch or photograph.) E2. The top of the bottom floor (including basement or enclosure) of the building is _ft.(m) _in.(cm) above or [:]below (check one) the highest adjacent grade. (Use natural grade, if available). E3. For Building Diagrams 6-8 with openings (see page 7), the next higher floor or elevated floor (elevation b) of the building is _ ft.(m) _in.(crn) above the highest adjaont grade. Compete items C3.h and C3.i on front of form. E4. The top of the platform of machinery and/or equipment servicing the building is _ ft.(m) _in.(cm) above or below (check one) the highest adacent grade. (Use natural grade, if 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 community's floodpain 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 competes Sections A, B, C (Items C3.h and C3.i only), and E for Zone A (without a FEMAassued or community - issued BFE) or Zone AO must sign here. The statements in Sections A, B, C, and E are conect to the best of my knowledge. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVES NAME ADDRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE COMMENTS Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local offical who is authorized by law or ordinance to administer the community's floodpain management ordinance can compete Sections A, B, C (or E), and G of this Elevation Certificate. Compete the applicable item(s) and sign below. G1. The information 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 or local law to oertify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. A community official competed Section E for a building located in Zone A (without a FEMAAssued or eommuniVAssued BFE) or Zone AO. G3. The following information (Items G4-G9) is provided for community floodpain management purposes. G8. Elevation of as -built lowest floor (including basement) of the building is: — _ft.(m) Datum: G9. BFE or (in Zone AO) depth of flooding at the building site is: — _ NMI) 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 Herx A!1 6I880ciates Inc. Land Surveyors 769 Douglas Avenue, Altamonte Springs, Florida. 32714 (407)788-8808 Member of the Florida Surveying and Mapping Society and American Congress on Surveying and Mapping CUR VE DEL TA ANGLE RAD I US MaRR(SurVejrANGENT CHORD CHORD BEARING C I 90w 13 ' 44 - 23. 00 ' 36. 22 ' 23. 09 ' 32. 59 ' 5 45 w 09 ' 5 I -W LINE BEARING DISTANCE LINE BEARING DISTANCE L I N 89w43'17'W 22.46' L 7 S 89w43'17-E 30.00' L 2 N 89°43'17'W 30.00' L 8 5 89°43'17"E 5.16' L 3 N 89°43'17-W 30.00' L 9 S 76w28'17'E I0.00' L 4 N 89w43'17"W 30.00' L 10 5 89°57'0/"E 15.11' L 5 N 89w43'17-W 40.00' L 11 5 89w57'01"E 30.00' L 6 S 89043'I7-E 40.00' L 12 5 89w57'01-E 45.16' S 00' 16'43-W 97.77' 6' VINYL FENCE FO 4.4 C.Y. LOT 22 S. ILRTYCORNER I 0 S 00. 16'43 W 7.89 6 o.s' L 7 L 9 0.2 C LIO L l I L l 2 e.00• FO 1. La .7ne a CA LOT 17 LOT 18 LOT l9 LOTo20 P LOT 21 10.1 LANAI I4.J• JBEL 17.0, u ry o. 0 I QQe15.7' IEL IZE UNIT of IZE UNIT a1 TRI• UNIT At O FINISHED FLOOR ELEV. 47.00 j:e. a o o CAPE VERDE UNIT CI P 7 W Lu• LOT 16 zu o 0 0 o e o o Wa 2"r Mi S.OM v v o o S.0' iW I pENMRR 1.7• 4.7• I.J' UNIT 01 Z`W o 5.2• 5.2• I.Q 6.3' 6.J:F/NISHE FLOOR!, ELEV.•47.? oo 1.71 U 10.7' REFERENCED BEARING N600.7' 0.1. 0.7' 44 M60 I O.Z. LEOOE OF - 2' cvae I N 89'4J'17'W 71.11' vEYENi r.c.. Ic1 CIL SANDSTONE RUN CIL EL:44.0 TRACT A (32' R/W) 1 VtoV LEGAL DESCRPTION.' Lots 17 1 8. 19. 20. d 2 1 GREYSTOAE PHASE I " according to the plot thereof as recorded in Plot Book 65. at pages 75 - 82 of the Public Records of Seminole Comfy. Florida. FLOOD HAZARD DATA: The Porcel shown hereon les within Flood Zone X according to the Flood hsuronce Rate Mcp Comrsv ity Panel N fiber 120294 0040E .Dated 04117195. Flood Zone deterlmation was performed by FgAx plot, from Flood iairance Rate Mcpsprovided byy FEM& No field su-veyrng was perl"ermed by the Frm to determne tFrs Zone. The exact zone location can a# be determi4d by cr elevotion study. We assume no respolab8y for actual Rood"9 condtiora concerning this parcel Note' Bearim shown hereon ore referenced to the C/L of SANDSTONE RLN as being 5 69 w 43 ' 17 E. Verticol datum is based on NGVD/OCVD per Engineering construction plans by Ned Wer Engineering. hc. Fie Nome : Greyslone General Notes: F E 8 2 2 20051. This is a BOUNDARY Survey performed in the field on Legend 2. No aerial, surface or subsurface utility, installations, underground improvements or Temporary Benchmark O/S O.R.B. Onset Official Records Book subsurfacelaerial encroachments, if any, were located. assumeddetum) pa Plat Book 3. Building ties shown are to the exterior unfinished foundation surface or formboard. BOW Back of sidewalk PC • Point or Curvature 4. Elevations shown hereon, if any, are assumed and were obtained from approved C/L G Centerline Central or (Deis) Anpb PCC• Point or Compound Curvature Construction plans provided by the Client unless otherwise noted, and are shown CALC Calculated P.C.P. Permanent Control Point only to depict the proposed or actual difference in elevation relative to the assumed CB Chord Bearing PG. P.R.M. Pape Reference MonumentPopertytemposBenchmarkshownhereon. temporary CD Chord P/L LiPropertyLine 5. The parcel shown hereon is subject to all easements, reservations, restrictions, and C. M. Concrete Monument P.O.B. Point or Beginning Rights -of -way of record whether depicted or not on this document. No search of the EL. or ELEV Elevation (Proposed) P.O.C. point of Commencement Public Records has been made by this office. FINAL EL. Elevation (Measured) P. 1 Point of intersection 6. The legal description shown hereon is as furnished b client. P Y FO. Fin. FL Elev. Found Finished Flow Elevation PRC, Point of Reverse Curvature 7. Platted and measured distances and directions are the same unless otherwise noted. 1.P. Iran Pipe PT. Point or Tangency 8. Copies of this Surveymay be made for the original transaction onY I.R. Iron Rod R RAD Radius Radial line Denotes t6• iron rod with yellow plastic cap marked LB4937 or LS318Z orYePIP L Arc Length9 RES. Residence SS• iron rod with red plastic cap marked "Witness Corner*, unless otherwise noted. LB Licensed Business R4V Right-o•way, O Denotes P.C.P. (Permanent control point) LS.TOM Mae Land Surveyor Measured Temporary Benchmark Denotes Permanent Reference Monument N/D(N6D) Nail and Disk TYR 41-11 Typical Fence symbol (see drawing) 0 2005 Herx 6 Associates Inc. All rights reserved N.R. Not Radial X--X- Fence symbol (see drawing) w1wJ/cation: Not valid without the signature and the original raised seal e Flada Ilcansad Surveyor andMapperiymeetsthersquiremonfaoftheFloridainimumTechnical tards as conWned in Chapter 51 17.6r ;h Administrative Code. a\ o Darae L. Przemlemocki, P. S.M. Registered Surveyor and Mapper No. 6030 William R.Ham,'P.S.M. Registered Surveyor and Mapper No. 6092 FEB 2 3Hera6AssociatesInc., State of Fknids LS 4937 Drown by: 8B Checked by: DP Prepared For: MORRISON Job Number: 03-018-02 Scale : 1-• 40' Plot pion ppwrforwwd: 05-20-04 Proposw LoT 22: 08-05-04 Foundorion Survey: 02-22-05 Final Survey: 02-22-05 Herx & Associates Inc. 769 Douglas Avenue Altamonte Springs, Florida 32714 407.788,8808 - 407.788.8762 (fax) February 28, 2005 City of Sanford Building Division P.O. Box 1788 Sanford, Florida 32772-1788 RE: Lot 17 Greystone Phase 1, 1222 Sandstone Run To Whom It May Concern, The finished floor elevation of the structure located at: 1222 Sandstone Run, Sanford, Florida Legal Description: Lot 17, "GREYSTONE PHASE 1 ", according to the Plat thereof, as recorded in Plat Book 65 at pages 75 through 82, Public Records of Seminole County, Florida. Meets or exceeds the requirements set forth in the City of Sanford Code Chapter 6, sec 6-7(a). Sincerely Yours, Herx & Associates In Darae L. Przemieniecki , P. Associate Vice President DLP/bb FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM O.M.B. No. 3067-0077 Expires December 31, 2005 ELEVATION CERTIFICATE Read the instructions on pages 1- 7. SECTION A - PROPERTY OWNER INFORMATION For Insurance Company Use: BUILDING OWNER'S NAME Policy Number MORRISON HOMES BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO, Company NAIC Number 1222 Sandstone Run CITY STATE ZIP CODE SANFORD FL 32771 PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, eta) LOT 17,-GREYSTONE PHASE 1- PLAT BOOK 65 PAGES 75 — 82 PUBLIC RECORDS OF SEMINOLE COUNTY BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, etc. Use a Comments area, if necessary.) RESIDENTIAL LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: GPS (Type): Mf - Or - ##.#N' or ##. ) ® NAD 1927 NAD 1983 USGS Quad Map ® Other. Plat SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP COMMUNITY NAME b COMMUNITY NUMBER B2. COUNTY NAME B3. STATE CITY OF SANFORD / 120294 SEMINOLE FLORIDA B4. MAP AND PANEL B7. FIRM PANEL B9. BASE FLOOD ELEVATION(S) NUMBER B5. SUFFIX B6. FIRM INDEX DATE EFFECTNWEASED DATE B8. FLOOD ZONE(S) Zone AD, use depth of flooding) 12117CO040 E 4-17-95 4-17-95 X 43 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9. FIS Profile FIRM Community Determined ® Other (Describe): Development Engineering Plans B11. Indicate the elevation datum used for the BFE in 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_ SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: Construction Drawings' Building Under Construction` ® Finished Construction A new Elevation Certificate will be required when construction of the building is complete. C2. Building Diagram Number 1(Select the building diagram most similar to the building for which this certificate 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, V1-V30, V (with BFE), AR, ARIA, ARIAE, AR/A1-A30, AR/AH, AR/AO Complete Items C3: a4 below according to the building diagram specified in Item C2. State the datum used. If the datum is different from the datum used for the BFE in Section B, convert the datum to that used for the BFE. Show field measurements and datum conversion calculation. Use the space provided or the Comments area Section D or Section G, as appropriate, to document the datum conversion. Datum Same as BFE ConversiDrXomments Elevation reference mark used On -Site BM Does the elevation reference mark used appear on the FIRM? Yes ® No o a) Top of bottom floor (including basement or endosure) 47. 0 ft.(m) o b) Top of next higher floor NA. _ft.(m) j„ o c) Bottom of lowest horizontal structural member (V zones only) NA . _ft M o o t/ o d) Attached garage (top of slab) 46. 7 ft.(m) E g o e) Lowest elevation of machinery andlor equipment 00 servicing the building (Describe in a Comments area) 46. 2 fL(m) AC Service E m o f) Lowest adjacent (finished) grade (LAG) 46. 1 t(m) d .` o g) Highest adacent (finished) grade (HAG) 46. 3 ft m) o h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade NA o i) Total area of all permanent openings (food vents) in C3.h NA sq. in. (sq. an) Fl. essional Surveyor and Mapper No. 6036 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, B, and C on this certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by tine or imprisonment under 18 U.S. Code, Section 1001. CERTIFIERS NAME Darae L Przemieniedd LICENSE NUMBER PSM 6030 TITLE Professional Surveyor and Mapper COMPANY NAME Herx & Associates, Inc. ADDRESS CITY STATE ZJP CODE I§a Douglas Avenue Altam rite Springs FL 32714 SIGNATWRE DATE TELEPHONE l9 n 02-28-05 407-788MW FEMA Form 81-31, January 2003 See reverse side for continuation. Replaces all previous editions IMPORTANT: In these spaces, copy the corresponding information from Section A. For Insuranoe Company usd: BUILDING STREET ADDRESS (Indu ft Apt, Unit, Suite, andlor Bldg. No.) OR P.O. ROUTE AND BOX NO. Poky Number 1222 Sandstone Run CITY STATE ZIP CODE Company NAIC Number SANFORD FL 32771 SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agenVoompany, and (3) building owner. COMMENTS NGVD datum assumed from on site Temporary Benchmark (TBM) provided by contractor from approved engineering development plans. TBM's not verified. Note: Item C3 a on page 1, refers to Air conditioner Service slab. 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 information 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. If no diagram accurately represents the building, provide a sketch or photograph.) E2. The top of the bottom floor (including basement or enclosure) of the building is _ ft.(m) _in.(cm) 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 _ ft.(m) _in.(crn) above the highest adjacent grade. Complete items C3.h and C3.i on front of form. E4. The top of the platform of machinery and/or equipment servicing the building is _ ft.(m) _in.(cm) above or below (check one) the highest adjacent grade. (Use natural grade, if 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 oommunity's floodplain management ordnance? 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, C (Items C3.h and C3.i only), and E for Zone A (without a FEMA4ssued or community - issued BFE) or Zone AO must sign here. The statements in Sections A, B, C, and E are correct to the best of my knowledge. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVES 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 items) and sign below. G1. The information 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 or local 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 oommunitymissued BFE) or Zone AO. G3. The following informalion (Items G4-G9) is provided for community floodplain management purposes. G4. PERMIT NUMBER I G5. DATE PERMIT ISSUED I G6. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY ISSUED G7. This permit has been issued for. New Construction Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building is: _ _fL(m) Datum: G9. BFE or (in Zone AO) depth of flooding at the building site is: _ _ ft.(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 Herx 4* 9Issociates Inc. Land Surveyors 769 Douglas Avenue, Altamonte Springs, Florida. 32714 (407)788-8808 Member of the Florida Surveying and Mapping Society and American Congress on Surveying and Mapping CUR VE DEL TA ANGLE RAD I US MaRRf SUrveyANGEN T CHORD CHORD BEARING C I 90" 13 ' 44 - 23. 00 . 36. 22 ' 23. 09 ' 32. 59 ' 5 45" 09 ' 51 -W LINE BEARING DISTANCE LINE BEARING 0/STANCE L 1 N 89"43'17-W 22.46' L 7 S 89043'17-E 30.00' L 2 N 89"43'17"W 30.00' L 8 5 89"43'I7-E 5.16' L 3 N 89043'17-W 30.00' L 9 5 76"28'17-E 10.00' L 4 N 89"43'17-W 30.00' L l0 S 89057'01-E 15.11' L 5 N 89043'17-W 40.00' L 11 5 89"57'01-E 30.00' L 6 5 69"43'I7"E 40.00' L 12 5 89"57'01-E 45.15' 6' yINrL FENCE S 00.16'43'W 97.77' FD 4j6l*Nflt LOT 22 r '.'T., S 00' 16 ' 43 -W 7.89L7o. 7F3Ll0LIlLI2LeI. A 777a LOT LOT l9 LOTo20 „LOT 2l LANAI II.J' J0.0' J0.0' 10'I O BELIZE BELIZE UNIr II UNIT BI O FINISHED FLOOR ELEV. 47.00 LOT 16 o o 0 0 ti n LU e o 5.0 OElWRRUNITDI 20' INISHIe.7':: 75 A3... w ^ AUS Tit IA e.0 UNIT Al LJ' LJ'ICAPEavEROEti1. J',+ UNIT CI = 0 1. 7' E FLOOR P ELEV. •47.2 a_7 REFERENCED BEARING C LfDGE EOFNN89' 4J * 17 -W _ 271. l I A _ _ _ _ _ AVEwEN c. CIL SANDSTONE RUN TRACT A (32' R/W) I Iou u LEGAL DESCRPTION.' Lots 17 1 8. 1 9 20, d 2 1 GREYST%E PHASE I - occoraing to the plot thereof as recorded in Plat Book 65. of pages 75 - 82 of the Pubic Records of Seminole County. Florida FLOOD HAZARD DATA: The Parcel shown hereon ies within Flood Zone X. according to the Flood hstronce Rote Map Commerty Panel Nyrlber 120294 0040E .Doted 04117195. Flood Zone deternnation was performed by graphic plot? n,g from Flood kmrcnceRateMcpsprovidedbyFEWNorollstrveyngwospe11medbythisFi-m to deterrme this Zane. The exact zone locorion can only be deternned by an elevation study. We ossum no responsUry for octud Rood^9 condrions concermg this percel General Notes: FEB 2 2 20051. This is a BOUNDARY Survey performed in the field on 2. No aerial, surface or subsurface utility installations, underground improvements or subsurface/aerial encroachments, if any, were located. 3. Building ties shown are to the exterior unfinished foundation surface or formboard. 4. Elevations shown hereon, if any, are assumed and were obtained from approved Construction plans provided by the Client unless otherwise noted, and are shown only to depict the proposed or actual difference in elevation relative to the assumed temporary Benchmark shown hereon. 5. The parcel shown hereon is subject to all easements, reservations, restrictions, and Rights -of --way of record whether depicted or not on this document. No search of the Public Records has been made by this office. 6. The legal description shown hereon is as furnished by client. 7. Platted and measured distances and directions are the same unless otherwise noted. 8. Copies of this Survey may be made for the original transaction only. Denotes %" iron rod with yellow plastic cap marked L84937 or LS318Z or iron rod with red plastic cap marked "Witness Comer", unless otherwise noted. O Denotes P.C.P. (Permanent control point) Denotes Permanent Reference Monument m 2005 Herx 6 Associates Inc. All rights reserved Y Cy Ir flon: Not vend without the signature and the original robed seat ql a 71 da licensed Surveyor and Mappe% Admn, This r y meets the requirements of the Fnimum Technical Sta ands as cojn t in/sd myC,h bpter 6 f 7-6sfrefive Code. Dares L. Pr[emieniecki, P.S.M. Registered Surveyor and Mapper No. 6030 Wdlism R. Herx, P. S. M. Registered Surveyor and Mapper No. 6092 FEBBHen16AssociatesInc., State of Florida LB 4937 f L Legend I Wu I 3 5.2 w tia I W= Ri Z r I r>c U J oo_ V I I I I 2' CURB LP. C. C/L EL:11.0 Note: Beerr'gs shown hereon ore referenced to the C/L or SANDSTOM1E RLIN as beeg S 89 " 43 ' 17 E Vertical dofun is based on NGVD/OCVD per Engineering construction by Ned Wer Engineering. hc. File Nome : Greysione Temporary Benchmark assumed datum) BOW Back or sidewalk CA. Centerline d Central or (Delta) Angle CALC Calculated CB Chord Bearing co chord C. M. Concrete Monument EL. or ELEV Elevation (Proposed) FINAL EL. Elevation (Measured) FD. Found Fin.Fl. Elev. Finished Floor Elevation I. P. Iron Pipe I.R. Iron Rod L Arc Length LB Licensed Business LS. Land Surveyor Mee Measured N10(N6D) Nail and Disk N.R. Not Radial O/S Offset O.R.B. Oftiol Records Book PB Plat Book PC' Point or Curvature PCC. Point or Compound Curvature P.C.P. Permanent Control Point PG. Page P.R.M. Permanent Reference Monument P/L Property Line P.O. B. Point of Beginning P.O.C. Point of Commencement P.I. Point of Intersection PRC. Point of Reverse Curvature PT. Point of Tangency R Radius RAD Radial Line RES. Residence R/W Right -of -Way TOM Temporary Benchmark TYR Typical Fence symbol (see drawing) X—X- Fence symbol (see drawing) Drown by: Be Checked by: OP Prepared For: MORR/SON Job Number: 03-018-02 Scale : 1'• 40' PIoI pion pperformed: 05-20-04 Propose loT 22: 08-05-04 Foundation Survey: 02-22-05 Finof Survey: 02-22-05 CITY OF SANFORD PERMIT APPLICATION Job Address: ma - , u(:Q aa*p- Lot#: 03-0 Description of Work: Historic District: Zoning: Value of Work: S Permit Type: Building Electrical X Mechanical Plumbing Fire Sprinkler/Alarm Pool Electrical: New Service — # of AMPS VO= 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 Wafer Closets Plumbing Repair — Residential or Commercial Occupancy Type: Residential Commercial Industrial Total Square Footage: Construction Type: # of Stories: # of Dwelling Units-t.Q Flood Zone: (FEMA form required for other than X) Parcel Attach Proof of Ownership & Legal Description) Owners Name & Address: Morrison Homes 151 Southhall Lane, Suite 200 Maitland, FL 32751 Phone: 407-629-0077 Contractor Name & Address: Approved Electric Co. of Florida 4874 S. Orange Avenue Orlando, FL 32806 State License Number: EC0002494 Phone & Fax: Fax 407-851-1226 Contact Person: John Findlay Phone: 407-851-1220 Bonding Company: Address: Mortgage Lender: Address: 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. 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, for federal agencies. Acceptance of permit is verification that I will notify the owner of the property of the requirements 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 13. Charles W. Cannon Print Contractor/Agent's Name Signature of Notary -State of Florida ate p' srr PATRICIAA.KADLAC j Contractor/Agent is Personal] Ks dt - ttc W MMISSION* DD013206 Produced ID Tor n Q EXPIRES: Marcb 2s, 20W FL Notary SwWce 3 aond. k+c APPLICATION APPROVED BY: Bldg: Zoning: Utilities: FD: Initial & Date) (Initial & Date) (Initial & Date) (Initial & Date) Special Conditions: CITY OF SANFORD PERMIT APPLICATION Permit #: O`"I — t? O —1 Date: Job Address: \ 1,Q; Lot Ld-1 — k Description of Work: Historic District: Zoning: Value of Work: S Permit Type: Building Electrical X Mechanical Plumbing Fire Sprinkler/Alarm Pool Electrical: New Service — —# of AMPS L_-_VC 5D 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 or Commercial Occupancy Type: Residential Commercial Industrial Total Square Footage: Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X) Parcel #: (Attach Proof of Ownership & Legal Description) Owners Name & Address: Morrison Homes 151 Southhall Lane, Suite 200 Maitland, FL 32751 Phone: 407-629-0077 Contractor Name & Address: Approved Electric Co. of Florida 4874 S. Orange Avenue Orlando, FL 32806 State License Number: EC0002494 Phone & Fax: Fax 407-851-1226 Contact Person: John Findlay Phone: 407-851-1220 Bonding Company: Address: Mortgage Lender: Address: 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. 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 3xKa]301`OWLels1A, 10P)lIletwre],9L0 uluM @;13VM,l!g 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 w federal agencies. Acceptance of permit is verification that I will 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 _ Personally Known to Me or Produced ID Date D v.o y Charles W. Cannon Print Contractor/Agent's Name 94ature of Notary -State of Flon Date y PATRICIA A. KADLAC Contractor/Agent is Perso a P g1AASSION• DD013za Produced ID ' .. a : Mareb yg, 1 D03NOTARY FL Notary Service s Bond% bw. APPLICATION APPROVED BY: Bldg: Zoning: -Utilities: FD: Initial & Date) (Initial & Date) (Initial & Date) (Initial & Date) Special Conditions: C010HI y ()I. I., L- Vt V161001H momyl 04105006 DAGO MAY 21, 20011, K==6 APFLICAFIGH 9: QA 10000601 0110 I"EkNIT N!"HE his 00 10000601 TANDSTOKF PIN 31121120110 11... ji-19 in 010 0000 000" Ic: "'UN,iso2s juRlbDICIluma WN I FLAf PCOK; A A! pKIT,visk: hLuCK: KOT:-. N41 Its&" HAN fi =RfSON APOREssa LATI" NATIVANO pps"& LOIS J/ 21 1GAKLv I I R61P kFAII f'm c: IN11 TOTAV DU; psr 11A. 1'V'l dj";.; t l ?00. 01.! do ':- 1 .t it 1. li:' 41. 01" dw! unit hAl A ; O"A 4.0"? Owl unit VOY5.00 AMOUNT rAAF- 5,730.0c) In if i Tvp 0 Ki 0 IAI i K07fFY QWrV:R ANO Y MAY RESIA I TH 10jLYANILH f VON THE FEE Wi 1"?19IRfRlJTC0V4v I-OLCO DHPf !jrFLI1QKHI vN0vK*# NP517NO ANE ADV19EO hHqI IHIS IS A GTAILIK= LW FLEW 100 UA&P Ilk 01•1*-' L v coum Y ROAD, v IRE mv mun t I parRy mulm vaut Al Inpal 11"Aw" 41 OP A poll. DINO PIPIN11'. IRNICHS ARE ALSO ADVI&ED !PAT AkN PfUHTS GF INE =011 10 6LVIA ! IT LQU4KI-AT10d 07 Voly Cg 14T, AfpjVE pq"K1j0A4p :V ACT Aw VQV BE EXERCIEED BY FILANG A WRIIIEN %GLYST WTTHfN 05 CCL=Q Yb Ck THE R&MVING SMIATURI DATE ABOVE ' DUY NCO LAIEN fHA!-,1 K KlTrTCAIE CF GCCUPANCY QR OCCUPANCY. l-'A PKMI N7F1 140. RIOPIRE MENT5 OF YVE COVIATY LAWD bLVEb0"&VQT 1:OD2.1 VOPfES CF RULES Gq41E1•'NYN6 APPEALS MAY KV PICVED ), UP R[XN A:91A A00, f 1HK AON1KOLENENIATJOW02FICEn1101EAOTr [PITAT, f!' v! , 31111; 110y VASA I =1 1 Apq I Th vp 1 11 KXK4 1. 10 " f Co 1*i'( y ORDI R. 005 sn PA r Llv dp. i-'.-,hAbrvG rERMYT NUMBER AF fHR TOP LOA! 'A: 111fK 51AIKKTif 1 f" T16r: bliflQ1% 041 W HD L oyhy.p = Lp IF A BUIL DINO ppphitT Is NO! WAK&D WITHIN 60 CtLVNA&R DAIS QI:;' f DETAIL or CALCULATION AVAILABLE UPON REUIJEST. CALL 407-665-7356. CITY OF SANFORD PERMIT APPLICATION Permit#: Date: Description of Historic District: Zoning: Value of Work: $ Permit Type: Building Electrical X Mechanical Plumbing Fire Sprinkler/Alarm Pool Electrical: New Service — # of AMPS l 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 or Commercial Occupancy Type: Residential Commercial Industrial Total Square Footage: Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X) Parcel Attach Proof of Ownership & Legal Description) Owners Name & Address: Morrison Homes 151 Southhall Lane, Suite 200 Maitland, FL 32751 Phone: 407-629-0077 ' Contractor Name & Address: Approved Electric Co. of Florida 4874 S. Orange Avenue Orlando, FL 32806 State License Number: EC0002494 Phone & Fax: Fax 407-851-1226 Contact Person: John Findlay Phone: 407-851-1220 Bonding Company: Address: Mortgage Lender:_ Address: Architect/Engineer: Address: Phone: 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. 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 a Sn gig, or federal agencies. Acceptance of permit is verification that I will notify the owner of the property of the requirements 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 Charles W. Cannon Print Contractor/Agent's Name Contractor/Agent is Produced ID APPLICATION APPROVED BY: Bldg: Zoning: Utilities: FD: Initial & Date) (Initial & Date) (Initial & Date) (Initial & Date) Date PAT UCIA A. KADALAC NlyrmIMISSION.^ t;Ocu--ee gex9rr Es: March 2& 205 senvicii & rcrd-.% Ix. Special Conditions: P a 8- ao-v'-f CITY OF SANFORD FIRE DEPARTMENT FEES FOR SERVICES PHONE # 407-302-1091 * FAX #: 407-330-5677 DATE: t- PERMIT #: Cry a rv B \ BUSINESS NAME //PROJECT: (-7-1re_k.4 S_ i AIMC ADDRESS: / a `' o PHONE NO a Jpp7 7 FAX CONST. INSP. [ ] C / O INSP.:[ ] REINSPECTION [ ] PLANS REVIEW [ ] F. A. [ ] F.S [ 1 HOOD [) PAINT BOOTH [ 1 BURN PERMIT [ ) TENT PERMIT ] TANK PERMIT [ ] OTHER [ ] TOTAL FEES: $ c 1AG (PER UNIT SEE BELOW) COMMENTS: Address / Bldg. # / Unit # Sauare 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 will comply with all applicable codes and ordinances of the City of Sanford, Florida. r Sanford Fire Prev ntion Division X; 0/ 9,6WApplican ' s Signature P E110/I6LY-lY rsrati' CITY F A 'F RD PERMIT APPLICATION --- — C O S )\ O f Permit # : , Date: Job Address: Z Z Z6 Z "A Description of Work: 114Y 45;*FI1A Historic District: Zoning: Value of Work: S = 1C>% C• Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool Electrical: New Service —# of AMPS Addition/Alteration Change of Service Temporary Pole Mechanical: Residential Non -Residential Replacement New (Duct Layout & Energy Calc. Required) Plumbing/ New Commercial: # of Fixtures of Water & Sewer Lines # of Gas Lines Plumbing/New Residential: # of Water Closets Plumbing Repair —Residential or Co ercial Occupancy Type: Residential Commercial Industrial Total Square Footage: Construction Type :,& # of Stories: 2 of Dwelling Units: Flood Zone: X (FEMA form required for other than X) Parcel #: Attach Proof of Ownership & Legal Description) Owners Name & Address: I (A PUSMI HOM S ISI SD11THi>tA" AM HW WD,t 7S3Z/ fPhone:/W71 27p -0O ! 7a Contractor Name & Address: (/ lU/ JtA k. 1 Num bevr: C 044 C129 Phone & Fax: 6Z9t077 . 1U ont ct erE n. nSt ate+L•jce n ia 7 nRom/!/ ; G 6-_ PhoneP%S/ 7 d Bonding Company: Address: A! uLtr Mortgage Lender: Address: kA Architect/Engineer: i i Phone: 07)1— 177 eceeAddress: Z375t ANTE IaGTW1 I 3G" Fax: Application is hereby made to obtain a permit to do tllb work .1 i llitrons 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. 1 understand that a separate permit must be secured for ELECTRICAL WORk,`KOMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and AIR CONDITIONERS, etc. OWNER'S AFFIDAVIT: 1 certify that all of the foregoing information is accurate and that all work will be done in compliance with all applicable laws rogutating 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 pe s verification that I will notify the o perty of the requirerrr of Florida Lien Law, FS 713. ' f1l• Signs Owner/Agent LAMM Signature of Contractor/Agent ate c MA eEK Print Contracto t' me dPrintOwner/Agen ` rii n, d Nw'517e% . ,E 7 c W Signature of Notary -State of Florida ate Signature ota -State of Florida ate mot Owner/Agent is Persogqally Known to Me or 49 Contractor/ Agent is Personally Known to Me or 'vl ;• A _ Produced ID N ii _ Produced ID — APPLICATION APPROVED BY: BId 8 Zoning: Utilities: FD: .+ initial & Date) (Initial & Date) (Initial &Date) / ''Initial &:Dat t Special Conditions: alq, Ohne c/arkl;? c Oc 4/ rr. con, 61I1\IX4 City Manager City of Sanford 300 N. Park Avenue Sanford, FL 32771 r Re: ESTOPPEL LETTER ,. qMI ME TOLOIA "WES This ESTOPPEL LETTER is provided to the City of Sanford for reliance. upon by the City of Sanford and as the basis for issuance of Permit No. Oy — for tbpp owing work: NW %Xv/7 b0446 017 I0 1)IJ bZr -- - The name of the owner), hereinafter reffered to as the "Owner", recognizes that issuance of Permit No. will be made with numerous limitations as more particularly set forth herein. The Owner recognizes that this approval does not exempt us from complying with any applicable building codes, land development regulations, Comprehensive Plan requirements, or exempt our site or building(s) from any applicable development regulations. By issuing Permit No. , the City does not guarantee approval of any other development orders or development permits. The Owner acknowledges and agrees that no Certificate of Occupancy will be issued by the City for the 0400 0000 until all required land development approvals have been obtained and all required improvements have been installed, inspected and authorized for use b the City. The IIOwnerherebygrantstheCitytherighttodenyuseoftheAmin Ic for occupancy until all, of the above- referenced project is in compliance with all applicable development regulations. The Owner hereby agrees to indemnify and hold the City and its officers, employees and agents harmless for any and all losses, damages, injuries and claims in any way relating, directly or indirectly, to the permitting or construction of the above- referenced project or s/7AA94 Page 2 the issuance of Permit No. .,The Owner also agrees to the following as additional conditions for Permit No. The.Owner hereby agrees to disclose the contents.of this document to any and all of our successors in interest, contractors, sub- contractors and agents. The undersigned.. further i•{; warrants that he or she is authorized to bind the Owner and has been duly authorized to sign this document. r' WITNESSES: Sign ture lwufim Printed / Typed Name Sig ture ` Fi 11 0o1*S Printed / Typed Name STATE OF FLORIDA ) COUNTY OF SEMINOLE ) OLeer) Signature Printed / Typed Name 1/. P FiNAA49 Title MWJAA) #00455 The foregoing instrument wa acknowledged before me this day of by 0An.4 adi!/? as . A Irm*1C for Q%'ld07'1 GYYIw vg'who is personally known to me or Xwho produced their Florida Driver's License as identification. Notary Public Print Name: r4 iE pc •` . My Commission Expires: H`dHA_ENG\Dept_(orms\estoppel_ctr LIMITED POWER OF ATTORNEY DATE: I HEREBY NAME AND APPOINT: DAPHNE CLAIM GUSTAV BOTES, EACH AN AGENT OF: MMRISON HOMES TO BE MY LAWFUL ATTORNEY IN FACT TO ACT FOR ME AND APPLY TO THE BUILDING DEPARTMENT OF: FOR A RESIDENTIAL PERMIT FOR WORK TO 13E PERFORMED AT LOT NUMBER : SUBDIVISION: ADDRESS: AND TO SIGN MY NAME AND DO ALL THINGS THAT ARE NECESSARY TO THIS APPOINTMENT. MAREK BAKUN NAME OF CONTRACTOR.) i SIGNATURE OF CONTRACTOR.) STATE CERT. # CRC 1327062 CONTRACTOR'S STATE REGISTRATION NUMBER.) The foregoing instrument w ack wledged before me this DATE: BY: MAREK BAIAJA Who is personally known to me and did not take an oath. STATE OF FLORIDA COUNTY OF ORANGE. LAURA K HOBSON SIGNATURE OF NOTARY: NOTARY SEAL. Commissiwra OD0143651 Expires &20/2008FclxAM2.vio Bonded through t000432-4254) Florida Notary Assn.. Inc. Prepared By Daphne Clark and Morrison Homes Return To: 151 Southhall Lane # 200 Maitland, FL 32751 NOTICE OF CONIIVIENCENIENT. State of Florida. County of Seminole. NARYANNE NORM, MW OF CIRCUIT COURT SENIN XE MUIITY BK 05315 PG isle CLERK'S tl 2904079590 RECORDED 65/MEW/3138184 PN RECORDING FEES L84 RECORDED 8Y 8 O'Kelley The undersigned hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Description of property: LOTS Legal Description G reystone hasel, accordin to the plat thereof, as recorded in Plate8P 8 Book Pages - , of the public records of Seminole County, Florida. Parcel ID # Addresses: 6 01-&W 2. General description of improvements: TOWN OME WITH _a_ UNITS 3. Owner information : Name Address 4. Fee Simple Title Holder: 5. Contractor name and address Addr;& 6. Surety . 7. Lender. Morrison Homes 151 Southhall Lane # 200 Maitland, FL 32751 N.A. Morrison Homes 151 Southhall Lane # 200 Maitland, FL 32751 N.A. N.A. CERTIFIED COPY tYaAl1YE'.Mp @RERKp COURT OU ORIDI 8. Persons within the State of Florida designated by the Owner upon whom notices or other documents may be served as provides by 713.13(lxa)7., Florida Statutes: NA. 9. In addition to himself , Owner designates the following to receive a copy of the Lienor's Notice as provided in 713.13(1)(b), Florida Statutes. N.A. 10. Expiration date of notice of pommencement :One year from the date f recording. Date Signed : Signature of Owner's Agent: Merck B V.P. Finances Morrison Homes. Sworn to and subscribed before me this by Merck Bakun who is personally known to me. w * IN COMMISSIDN # DD 214611 EXPIRES: June 27, 2007 Notary Public EXPIRES: June Daphne A Clark My commission expires: 6/27/2007 Serial No. CC850099 otary Signature: Notary seal: May 13, 2004 Russell Gibson Director of Planning and Community Development City of;Sanford 300 N.Park ave. Sanford FL 32772 r . Dear Mr. Gibson: • Thank you very much for meeting with Morrison Homes this week to discuss our Greystone project. The project has been a fantastic success for us in terms of sales. To date we have sold 38 townhomes and have a waiting list of 50 additional buyers. Unfortunately, we have had to stop sales to allow the project development and construction to catch up. We are starting to experience some buyer dissatisfaction and anxiety on both the sold townhomes as well as with the people who are still waiting to sign a contract. Of particular concern is our ability to have these customers in their new townhome before the December holiday season. To that end, we are very grateful that you will allow us to start the permitting process for nine of our buildings prior to plat and Certificate of Completion. As you correctly pointed out in your email, Morrison Homes has not kept up the standard of construction that you would expect in our Venetian Bay project. Your photographs hit home with us and have caused us to reexamine the way we do business in all of our Orlando communities. Naturally, we will address the issues you pointed out in Venetian Bay immediately. In additicn, we are now speaking with Alpha Environmental Management Corporation to negotiate a contract to maintain all of our communities to the standards that you would expect from any builder. In closing, I would again like to thank yourself and all of your staff for working with us to make this project a success and to have happy homeowners in the City of Sanford. Your understanding and cooperation is greatly. appreciated. Sincerely, L Richard A. Fadil Orlando Division President CC: DanFlorian Building Official _ City of Sanford OVJVl tpa',Tandrj6o3 mPh4xvwries. Ph 407-629-0077 • Fx 407-629-5282 • www.morrisonhomes.com ATLANTA AUSTIN CENTRAL VALLEY DALLAS DENVER HOUSTON JACKSONVILLE ORLANDO PHOENIX SACRAMENTO SARASOTA TAMPA Herz 46 .4ssociates Inc. Land Surveyors 769 Douglas Avenue, Altamonte Springs, Florida. 32714 (407)788-8808 Member of the Florida Surveying and Mapping Society and American Congress on Surveying and Mapping CUR VE DELTA ANGLE RADIUS C I 90w l 3 ' 44 - 23. 00 LINE BEARING L l N 89w43'I7-W L 2 N 89w43'17-W L 3 N 89143'17-W L 4 N 89w43'17-W L 5 N 89w43'17-W L 6 S 89w43'17-E LOT /6 : L6 T 17 MaPAO Survd)ANGENT 36.22" 23.09 DISTANCE LINE 22.46' L 7 30. 00 ' L 8 30. 00 ' L 9 30. 00 ' L l 0 40. 00 ' L l l 40. 00 ' L 12 i.R.M. ILAT CORNER L7 L8 Zg L l0 T 18 LOT. 19T Ir OEL-IIE aEL17E UNIT at UNIT al FINISHED FLOOR ELEV. 47.00 0 0 e o DENWRR 1.7 1,7 UNIT DI 60 D 3.17.0•• 150' W e O L5 REFERENCED BEARING N 89_4J'17•W - 171.11'- - I; v L4 LEGAL DESCRPTION.' Lots 17 16 . 19. 20. d 21 GREYSTONE PHASE I - occordng to the plot thereof as recorded io Plot Book of pages - of the Public Records of Seminole Coln y. Florida. 1.7 1.7 3.7' 7.0' FINI CHORD CHORD BEARING 32.59' 5 45w09'51-W BEARING DISTANCE 5 89w43'17-E 30.00' 5 89143'17-E 5,16' S 76w28'17-E 10.00' 5 89w57'01 'E 15. 11 ' S 69w57'01-E 30.00' S 89057'01-E 45,16' 5 00'16'43•W 97.77' LOT 22 S 00'16'4J'W L I I J L12 LOTo20 LOT 21 17.0'. .O JO.a' AUSTRIA B.0 UNIT AI J.e CUNT vERDE I.J T CI Ip/cl p O O 1. 7' 1. a A FLOOR 91 III ELEV.•47. 7.89' 1 C/L SANDSTONE RUN C/L EL:44.o TRACT A 132 ' R/W) PLANS REVIEWED CITY OF SANFORD FLOOD HAZARD DATA: The Parcel shown hereon fes within Flood Zone X" occording to the Flood Insurance Rote Mop Corrmuuty Panel Nxber 120294 0040E .Dated 04117195. Flood Zone determinotion wos performed by gr0phic plottn'q from Flood hstronce Rote Mcps ovided by FEMA. No Held su-veyng was perrormed by this Fi-m to determne this Zone. The ex., zone locorion cm ody be determined by an elevotion study. We assure no respowUty for octud floocbg condtions concerring this porcei General Notes: PROPOSED . 1. This is a BOUNDARY Survey performed in the field on 2. No aerial, surface or subsurface utility installations, underground improvements or subsurface/aerial encroachments, if any, were located. 3. Building ties shown are to the exterior unfinished foundation surface or formboard. 4. Elevations shown hereon, if any, are assumed and were obtained from approved Construction plans provided by the Client unless otherwise noted, and are shown only to depict the proposed or actual difference in elevation relative to the assumed temporary Benchmark shown hereon. 5. The parcel shown hereon is subject to all easements, reservations, restrictions, and Rights -of -way of record whether depicted or not on this document. No search of the Public Records has been made by this office. 6. The legal description shown hereon is as furnished by client. 7. Platted and measured distances and directions are the same unless otherwise noted. 8. Copies of this Survey may be made for the original transaction only. 0 Denotes A' iron rod with yellow plastic cap marked LB4937 or LS3182, or 7x" iron rod with red plastiCcap marked "Witness Corner' unless otherwise noted. O Denotes P.C.P. (Permanent control point) Denotes Permanent Reference Monument O 2004 Herx 6 Associates Inc. All rights reserved Certification: Not valid without the signature and the original raised seal of a Florida licensed Surveyor and This survey meets the requlrsm0 f $he F ida imum Technical Slsndards as contained In Chapf IG17.8 Florida dmilisfrafiw Coy4 Jo.c L3 L2 Ll Fire Dept Final Insp. L Date re: Bearin ggss shown hereon ore referenced to the CIL of SANDSTONE RL" os beilg S 89 ' 43 .17 F. Vertical datum is based on NGVD/OCVD per Engineering construction plans by Ned Hller Engineering. Inc. Fie Nome : Greystone Legend Temporary Benchmark assumed datum) BOW Back or sidewalk C4 Cenfergne A Central or (Dena) Angle CALC Calculated CB Chord Bearing CO Chord C.M. Concrete Monument EL. or ELEV Elevation (Proposed) FINAL EL. Elevation (Measured) FD. Found Fin.F1. Elev. Finished Floor Elevation I.P. Iron Pipe I.R. Iron Rod L Arc Length LB Licensed Business LS. Land Surveyor Mea Measured MD(NdD) Nag and Disk N.R. Not Radial U J(JI IG Q 1 (im Sketch of Lego/ Description Wiliam A. Harx, P.L.S. Florida Register La Surveyor No. 3182 This is not a Survey Oaras L. Pr7smian/ack1, P.S.M. Registered Rluri9yor and Mapper No. 6030 Wiliam R. Herx, P.S.M. Registered SurveyoWd Mapper No. 6092 Herx 9 Associates Inc., State of ftiVa LB 4937 OrS Offset O.R.B. Offlcla/ Records Book PB Plot Book PC Point or curvature PCC. Point of Compound Cumsfure P.C.P. Permanent Control Pbhf PG. Page P.R.M. Permanent Reference Monument P/L Property Line P. O. B. Point of Beginning P.O.C. Pohl of Commencement P.I. Point of Intersection - PRC. Point of Reverse Curvature PT. Point of Tangency R Radius RAD Radial Line RES. Residence R/W RlgNW--Way TSM Temporary Benchmark TYP. Typical Fence symbol (see drawing) X-X- Fence symbol (see drawing) Drown by: BB Checked by: OP Prepared For: MORRISON Job Number: 03-010-02 Scale . 1'- 40' Plor Ion performed: 05-20-04 Found orion Surrey: Final Surrey: Revisions . DEVELOPMENT FEE WORKSHEET CITY OF SANFORD UTILITY — ADMIN P.O. BOX 1788 SANFORD, FL 32772-1788 Project Name: 6R4YS—r6r16-- Date Z c Owner/Contact Person: Phone: Address: / 23 $ GOT Z/ Type of Development: Vim/ r 4 / 1) RESIDENTIAL Type of Units (single family or multi -family): IA7. F. Total Number of Units: Type of Utility Connection individual connections or central water meter & common sewer tap): AV-0 Water Meter Size (3/4", 1", 2", etc.): REMARKS: 2) NON-RESIDENTUL 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 (3/411 1", 2", etc.) REMARKS: CONIVECHON FEE CAL CULATION.• W67&k 1'6A?),r T f44 — (Sn S w R lh f}c7 fEE /700 7/y " /`74-TdA S&7 _ - / 70 106P0S#7 +- s/c /oo Name - Signature - Date arinorn rrma DEVELOPMENT FEE WORKSHEET CITY OF SANFORD UTILITY — ADMIN P.O. BOX 1788 SANFORD, FL 32772-1788 Project Name: GREYS-rd--'c Date Gl-C b y Owner/Contact Person: Phone: Address: Type of Development: . l) RESIDENTL4L STDX-1'q_r v.c,? c/ Type of Units (single family or multi -family): F. 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: Z) NON-RESIDENTL4L 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: ovrnorn VIM* CONNECTIONFEE CALCULATION.• Wl " iMIN-T f4E — lost sEw 2 rhPf}c7 fE1 —l70 3/ y It I7c7& i _, /)o 1J66Posi" T +- s/c — '/ao Name - Signature - Date L y DEVELOPMENT FEE WORKSHEET CITY OF SANFORD UTILITY — ADAUN P.O. BOX 1788 SANFORD, FL 32772-1788 Project Name: 6'R Y S d vC Tvw 06E5 Date Owner/Contact Person: Phone: Address: FiJ Type of Development: Uti T 2s/ l) RESIDENTIAL Type of Units (single family or multi -family): F, Total Number of Units: Type of Utility Connection individual connections or central water meter & common sewer tap): AV-0 Water Meter Size (3/4", 1", 2", etc.): REMARKS: 2) NON-RESIDENTL4L 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: CONAEC77ONFEE CALCULA770N.• Wj-" /h,°/+cT AEE S' w rhOf}c7 fEE ^/700 3/ y of 7iCT" SST '" / o Name - Signature - Date ocworn N a I / /l DEVELOPMENT FEE WORKSHEET CITY OF SANFORD UTILITY - ADMIN P.O. BOX 1788 SANFORD, FL 32772-1788 Project Name: GREYS-raVVC # C,4rk 5 Date Owner/Contact Person: Phone: Address: Type of Development: I) 2) 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: f NON-RESIDENTLAL 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: K CONNECTIONFEE CAL CULA7YON.• f Avb - SEw z rhPgc7 f — / 700 7/y of ^ E-r" S& T - / 7 O 4A-PG.S,7 +- s/c f /co N e - S'guatur - Date oc nvrr ma DEVELOPMENT FEE WORKSHEET CITY OF SANFORD UTILITY — ADMIN P.O. BOX 1788 SANFORD, FL 32772-1788 Project Name: GRGYS o C inwNlf chi g Owner/Contact Person: Address: / 2 Z 2- Type of Development: l) 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", 177 27', etc.): REMARKS: 2) NON-RESIDE1VTI4L 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", 173', 2"2 etc.) lever A d. 7/4 It Date Z6 Phone: OAJ T d / REMARKS: COAWEC77ONFEE CALCULA770N.• WJ-7U /60*C7 A44 SEw&4 ALE 3/y It Vr" ame - Signature - Date o o ar"norn 8-0002 e> lob •\duress: C-,lJ I.1— ()I; IO , m& RI) PEli ISIIT APP1.1('ATION 0 I u W"A Dille: Descripliun of Work: Low, r I li.. un is DisU ice: Vuluc of N'ork: Zoning: Cna 'JC\ 1 at 11crntil •1 . pc: Building Electrical _ Mcchanictd Plumbing _—_, Fire Sprinkler/Alarm _ Pool I:Iccu' iral: New Service - q ul•AMPS ---_ Addition/Allcruliun --_ Change ol'Service Tcmporury Pole lerh;utical: Rc;idcnliul Nun-Residemial __ Replacement New . (I)ucl layout & Energy Cale. Required) I'lumbinr/ \ cw Commercial: 11 ofTi.\lures __—•— li of Water & Sc\vcr Lines---- H oi•(ias Lines __— I'lunlhili+ k' 14 1 Sir - Residential of. Commercial Plumbing/\ew Resiticnlial: !1 0l•\\'titer (•lusets.—_..__—.._ i • ceyp upj,,%:) e: Residential --.,Z C'ummcrci;tl ---•- lutlusuial _-- Total Square Fnutagc: —• — mi,iruciion Type: q of Sturics: _ i! of 1)welling IInits: _-- l"loud Zone: (FF.m,\ form required for other than N, 1'ao'wwl a Altach PruururOwnership & I e> al Description) t)w tier; Na file J; Address. t Ir s s I.Jl 1 •-ri -1'J e __ _ „ r I r, _ Ala _sir t.1 cl.. •i tGll^11'i Pbune: ii? (Po C:O"- mAve•• Building Company. ddn•.i lun a> c Lwndcr ddre.i rrhitrrtlF:nginrcr Phone: Fax. AIII)h;: won is hcrch)• made to obtain a penrat to du the work and mmAlmions as ,ndicaled. I cenily than no ,work or installation has commenced prior it) the u:u11w of a1wromandthatallworkwillbyIminrincdinmeetsi;nwlards ul' ull laws regulating construction in this jurisdiction. I understand that a stparate p;nn,l MUNIhwircmtdI•or I'VECTRICAL WORK, PLUMBING. SIGNS. WFI.I.S, POOLS. 17IJRNACES, BOILERS. HEA'rERS.TANKS, and II( l'UNOITIONERS, etc. t)\\ SLR S \ITIQAVIT. I cenil'y that all of the loregoing infunti;niun is accurate and ihal all work will he dune in compliance with all applicable laws regulating ton;tiu;iwn andtuning. WARNING '1'0 OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING I'\\ 1l'li FORIMPROVI:MFN•1'S TO YOUR PROPERTY IF YOU IN'rFND TO OBTAIN FINANCING, CONSUI_'I' WfrN YOUR L[ NUf:R OR AN I It il(Nlil' 1IFFORFRI:('ORDINGYOt)RNOTICE 01 CUMml::NC•I.'.MI:NI' t , i il'I hi addnwln is the rcgturcirnnu ul'thu pcnnn, then may b: addniunal rcrincuuns apphcablc to thii prnptny that may bC found m ihr public l aevis s tti,> :,num . and there im). he additional penrtils required 1'rum ultiwr goveri ownuil entities such us water inanngcmcm disiricis, stair agencies. or Itdtraa¢rncii c)a:ui:w of lxnnit is vcrilication thus I w'dl notily IN uwncr of Ihw property of the requirements of Florida Lien Law, FS 713. o y Si_nanoc of 6wreriAgriil I):nr Signauirc ul'l un+t tct gem 'Daft Ih t-yJa•c lyJa d Prim (h,nrr/Agent'sN• umc ..... Print Sun •iorrAgcmb Namr S anaturr ui Nota State ul' Flnnda Date Signaittre of N State of Flonda Date G Y UwncvAgtnt I$ Personally Knuwn 10 Me or m'; It X1,10N, •\I'PROVI': D BY: Bldg Innlal & U310 Sllw; tail l onduluni Tp;v Bonny G Loom Contraclor! Agrni is Personally Knoor Pruduced 11) _...... _ Y Comml&&lon DD201551 Expire& Nley 17 2007 Zoning Utihlics FD — Initial & Dale) (Initial & Dolt) (Initial & D' alcI Iil) I'Hlifill'I' \PPI ICA'FIONIt) OP tiANh y Dale: _ , a —,/-- 0 " r^ c 1C'M P I l C1 Loa- fit' all Job \ddress: I)cicripliun of \fork: LA>L-: I lislorie Districl: %oning: Value of Work: Y I'ermil I pc: Building I:lecirical [— Mcchanicitl Plumbing ___• Fire Sprinkler/Alarm Pool 1•:Iccu'ical: New Service - N ol'AMPS Addition/Alterulion ChonFe ul S rvice 'lemporury Pole IcvIi;wicnl: Re.identiul Non- Residential __ Replacement New _—• (I)ticl l.uyout & Energy Calc. Required) I'lumhin/ \cii Comnicrcial: N ol• hi.\ttotis __ _ !i of \Voter & Sewer Lines---_ N ol'Gas Lines _— I'lumhin;/\c\i Rcsidcnliul: N oMaicr C'luseu.—__••__`- Plumbing Repair - I(csitlenlial or C'onmiiercial l)ct upanc)' l ypc: Residential Conoocrciul __._ lutluso•iul ___ Total Square Footage: `• — un:u uction'f)'pe: q of Sturics: _ !! of Ihecllink+ limits: Flood %.one: form required for usher than X , Attach Pruurof Ownership & I egal Description) 1'areel a 1 1 Uiiners N:unr& Address. HO, i i`.wf CIYXfJ -- Cl,.s:f1(1 cr) I'hunc: .?1 f%C_•l - till, Stair l.iccnscNumber. GrlJ Thum• h'a\\ 5'.tl•>t, /yam e539 - O 7(:umoci Person: I` I(Idi='Io U IIAICuVIS: Phone: JI04 00 Ilunding Company. ddrt•ii thlrcv IahU11C: rrliiircUF.nginccr Fax ddresa ppl,;auon is hcrehy made to uhlaui a permit to do the work and installations as indicaled. 1 ccnily' thin no work or installation has commenced prior it) the e of a Ixnlut alId Ihta all work will be perlornwd in inert situalards ul'all laws regulooI understand that a separat ngconstructioninthisjurisdiction. e p; rnui moil tic• secured for fiLfiC'T'ItICAI. WORK. PI.UMIIING. SIGNS. WI:I.I.S, POOLS. I:IJRNACES, BOILERS, HEATERS, TANKS, and Ili l'vDl'I1gNIiliS, etc. U\\ I I[R'i AFFIDAVIT: I cenily that all olihe foregoing inli)nntaiun is accurate and 11131 all work will he dune in compliance with all applicable laws regulating on;ou;oun and zoning. WARNING'I'OOWNER: YOUR FAILURE TORECORD A NOTICEOF COMMENCEMENT MAY RESULT IN YOUR PAYING I'\\ 10: FOR !MPROV17MENTS TO YOUR PROPERTY IF YOU INTEND •fOOBTAIN FINANCING. CONSULTWITH YOUR LENDER OR AN I'!%)RNli\' IIIiPORF REL'ORDING YOUR NOTCCI:01:L'OM'.\il:NCI'MIiNT 1 a'I In aJdniun to the requirements Ul Thu permit, there nr,q I>. additional restrictions applicable w Ihii property that may be lound in the public rrcurus t)l Ili.. ;cunt,. and then• Ina) (w additional pcnnns icquirco I}um oth;r gowniniental entities such us water ma„agemcni dislncis, stoic ogoncles, Of federal auen.rci ptan;e ui 1wrinil is vcroication shut I will nnul'), the u,vner of the property o1'the requirements of Florida Lien Law, FS 713. Slenanue ui t)\ cncr%Aecm Dale Signature ufCunuactur!Agcn! Dole Ihcry?G: yJard Prim Ui\ner/ Agent's Name Print l ctor/Agt:mb Name 0000, o /o y Signature ul Nut: yq`Suuc of hlonda Uaic Signature u' ary•SIa1e ul Florida Dale M''r Bonny G Logan thuler:Agent is Personally Known to Me or Con)raelor'Ageni is I'crsorially Kno%vrA Produced ID......_..._.. _........ Pruduccd 11) _.......... ................. MY Commlasion DD201651 t» n Expires May 17 2007 i•I'l Ii*:\'I ION •\PI'ROVI D BY: Illdg Initial & Ualc) Spv< j:d Conditions Zoning. thrhlics FD: — Initial & Dale) (Initial & Dole) (Initial & Dale) Date: 001 lob \ddress --'— Description of Work: 1-L3l.v Y[71i-_ L - Ji'f'r-(11%mil I lisun is Disu ict: %oninK: Value of Work: Y/ I'ermil •f)pc: Building I.1curical _ Meehanicul Plumbing _-_, Fire Sprinkler/Alarm ._ Pool I:Iccu ical: Nc\\' Scrvicc - H ol•AMI'S ---- Addilioni/Alicrution -_ Chungc ol•Service Tcmporury Pole --- Iccliaoical: Rcaidenlial Nun -Residential —_ Replacement New _-. (Duct Luyuut & Energy Cale. Required) 1'11lmhinCommercial: 11 of Fixtures __._ 1,4 of \Vatcr & Sewer Lines---_ H of(ias Lines Plumbing/\ ew Residential: 11 ul' \1'atcr (•lurch .--.___ Plumbing Repair - Residential or Commercial _ Ociupallcy' fype: Residential Commercial-_-__ Industrial total Square Footage: -. onsu• uclion 1)'pe: N of Stories: _ it of Dwelling Units: _-- I'luu(I %,one: ll'F:\1:\ form required for ulhcr ilian X I' arcl•I 4 Atlach PruurorOwner'ship & I.egel Description) Uw nrc:.Vlunr & I I-'- e,L, ')1Y1 rVl Ct •Llrrflrl 7,)9 4 571 Phone ' UI (0- l unr:n•tur:\:noes :\ddress. JV•ttil.t ^1 'ta r' v — •/- r s„ •_ r\ l __.,.- /.; ,/kr ,' •t% Sure Liccnsc Number: G Y LJLil1Ll3_I _ Potion• h'xs.=iC jx'(•=s7lN.y({ j3Q • Ob J (:orlxct Pcrsun: fQncher\c 1 Lp rCuVl Phone: C7-c i IlundinK (: ompxny. ddresi lun>; ar<c Linder ddresi rrbiteetlh: ngineer Phone: Fox ddress pennn io du the work and tilslallaiions is indicated. I cerlil'y that no work or installation his commenced prior it)c tlnppit;;won is hercM made 1a obtain u ofa1wrntil •rid that all work will bt: perl'nnncd to o,"I standards of all laws regulating construction m this jurisdiction. I understand that a separate p;It,m most tx. wcored for ELECTRICAL WORK, PLUMI)ING. SI(;NS, WELLS. POOLS. FURNACES, BOILERS, HEA'rERS,TANKS, and Ili l \ NDI fIONIiRS, e1c. t)\\ NI'R_S AFFIDAVIT: I cenify that all ol'the foregoing infurm:Ilitill is accuruic and that all work will be dune in compliance with all applicable laws regulating on:nru:uon and zoning. WARNING TO OWNER: YOUR FAILURE TORECORD A NOTICE OF COMMENCEMEN'r MAY RESULT IN YOUR I'AYINIG I'\\ It.'F VOR IMPROVFMFNTS TO YOUR PROPERTY. IF YOU INTr.ND TOOBTAIN FINANCING. CONSUL:I' WITH YOUR LF.NUr:R OR AN I It il(\lit' III:Ft)RI•: RF(*ORDING YpUR NOTICE 01 COMI\il:N('I MI.N'I t t i , In addition to the requucmcnts ul ibu pennn, Ihcre mac I)::iddinonal restrictions nppheuble to ibis propery ihal may be lound in the pubhC reCurUi of 1h• ;, nnu\.:uid 11,%je ma) he additional pcnntls required from 011:I 6ovcromenial eniwcs such as water manxgvinum dictrieis, state agencies, or federal agrnCici of Ixrnnil is verification that I will notify the owner ill Il,t: property ul'the requirements of Florida Livn Law, FS 713. o Bate Signature ul Comr gem Date jtnalUrt: oft ncmrt 5yJar'd Prim lhcner/ Agent's Nume ... Prim ctoMgcmb Nam.cgnature ul' aryaDates !r s O,uier: Agenl is Personally Known to Mc or Produced ID i'I• I IC'ATION .\PI'ROVI:D HY: Bldg Conditions tlnnial & U310 ewmy G Lopan Contricior.'A& vni isPersonally Know"' MyCommisslonDD201651 Expires May 17 2007 Zoning Utihtics FD: Initial & Date) (Initial & Dale) (Initial & Daly) SANFORD PERMITAPPLICATION ATION7, 1 Ci. Dale: F t'I'lll ll A :••• ltib •\ JJrcsS: Ucscripiiun of \\'ork: Lz o -4cm ' I listin is Disrr•ict: 7oniny: Value or Work: S I' el•Illil T\lm Building lilecirical,_ Mcl:hanlcul Plumbing I irr Sprinkler/Alarm P001 I: Icru ical: Nett. Svrvicc -N ul'AMPS __- Addilium//\Itcrution Clwnge oiService Temporary Pole __. Iceh; nlical: Residential Non- Residential __ Replacement New _—. (Duel buyout & Energy Culc. Required) Ilumbing/ Nett Commercial: 11 ul'Fi.\Iw1S __— It ol'\Vater & Sewer Lines---_ N ol'(ias Lines _— Pill III h;ng/\e\\ Residential: 11 ill, Water ('lout+.—_,.___—_ Plumbing Rcpait- - Itcsidenlial or Commercial _ Occupancy Type: liesidVillial Cunmlercial Industrial ___ 'Total Squart• Fnolage: un.< u urlinn'I') pc: I of Sluries: _ i1 ul' 1)tvclling Ilnils: hloutl %.uric: lft:r\1,\ form required for uthrr III to X , Allach I'ruurorOwnership & Legal Description) I': u'crl n Omncr: \ anlr S::\ddross. 1% 1 Y7)wi-lf1 V-,CA11i -, _5i2oZ ii I C(j;Llrwr rl I'hunc (06• C:0 4- lionding Company ddrv, i Iurlga Kc LVIIIlet' Wdrv\ rchitvcl/ F,nginver I \ t III Thuile: Fit). ddrrs> A1, I)l ;:won is hcrrhy made to obtain a permit to do the work and tivstallutions as indicated I ccnil'y that no work or Installation has commenced prior to the ofapermitandThalallworkwillbeperl'nrmed to meet standards ul';dl laws regulating construe otill In this jurisdiction. I understand that a separate p;nn,t mu>I he secured for ELI'il'1'RICAI. WORK, I'Ll1MIIING• SIGNS, WGI.I.S, POOI.S. FURNACES, IIQII.F,RS. HEA-rERS.TANKS. and Ilt l'ttNDFI'll)NIiRS.etc. t)\\ N:FR'S AFFIDAVIT: I cenify that all orthe foregoing inli,ro::lion is accurate and that all work will he dune in compliance with all applicable laws regulating on:uu:tiun and zoning. WARNING TO OWNER: YOUR FAILURC TO RECORD A NOTICE OF COMMENCEME•N'r MAY RESULT IN YOUR PAYING I'\\ k'I: FOR IMPROVr.Ml:'NTS TO YOUR PROPI:R'1'Y IF YOU INTEND'I'O OBTAIN FINANCING. CONSULT W i i YOUR LFNUr:R OR AN I I I U(Nl:Y BEFOKI: Rli('Oltl)ING YOUR NOTICli OF COMMENCEMENT t I tt'I In addutun Io the rcqutiemems Ill, tills permn, there may b: addhtonal restrictions apphcablu w Ibis property that may be round in the public recuras of th> ; trout. and (here may t\e adJntunal permnrs required fruit, Owl Governmental entities such us water inanngcmcm districts, stoic agencies, or federal aevn:Ies, ptan: c of Immil is verlicuoon that I \cIll notify the uwim of the property of the requirements of Florida Lien Law. FS 713. O O Stenaitirr Uate Signalun ul' unuaelur Agem lncrrar yJa•d Pion OmnerlAgem's Name I not Cu raeturM taws Nana Signanue ul' N`ly,),State of Florida Date Signature lary•Stxte of Florida ale y 0\ tncr:Agcnl Is Personally Known to Me or I' rnduced ID,._.._...._..._...... i' I•; K':\•I•ION APPROVED BY: 1114 spc< I:II Conditions Initial & Datc) Comraetor.' Agem is. _....+ Personally Kno\.p*ib" orBOnnyGlOpen Produced 11) _ ............... _ ......y .My Commission DD201551 j w Expires May 17 2007 Zoning. Utilities FD: Initial & Date) (Initial & Date) (Initial & Dale) jub Address: 1QQ I tir\NI;()RD PERMITAPPI.I('.\' ION n 0111c: __/ o — /—_a n 1C I A Ci LU-1-T Dcscripliun of Work: L Lt.`s '4171it:C Ilimm- icDistricl: Zoning: Valucuf l'ork:l' / Permit ' 1•\pc: Building Electrical _ Mecb:nlicul Plumbing --_, hire Sprinkler/Alarm _ Pool I': Icru seal: New Service - q ol'AMPS Addition/Alterulion __ Change ul'Scrvive •funporary Pole —_- Yleeh: ulieal: Rrsidcnliul Nun -Residential Rrplucemen( New _—, (I)ucl I-uyoul &Energy (ale. Required) I' lumhini-/ Commercial: N of Fi.xtuNs __ _ )i of \Vutcr & Sewer Lines---- q ol'(ias Lines _-- I' lumhin;/\c\\ I' lumbing. Repair. - Residential or Commercial Residential: lkcupancv' Type: Residential I/— Commercial Industrial --- Total Square Footage: _.. — utisU• uclitin'I)'pc: q of Slurics: _ d of Dwelling Unils: __— flood %.uric: O'F.,NM form required for other than .\ ; Park- cl a Attach Proof urOwnership & Legal Description) Uw nets \anti J::\ddress: tarry.._ji l..._ n r I n.._ ,le'!Y ILiC(.: 1 ICAf-)C1 3G 1'hune: ki(-; 1) wtding Company. WtIrv. s Iury; aKr I.vndcr Ihlress rrhia• cl/Engincrr dtti• vsa Phone Fah. nppll;: uton is hcrehv made to uhlam a permit to do the work and installations as indicated. I ccnil-y that no work or Installation has commenced prior w the u:In;c of a 1wrntil and that all work will be perforncd to nncl standards ul' all laws regulating eonstntcuun inIhls jurisdicuun. I understand that sepuraw IxrinnanvilhesecuredforIil.FL'TRICAL WORK. PLUMBING. SIGNS. WELLS. POOLS. I:IJRNACES, BOILERS, I•IEATERS,TANKS, and IR I,'%Nl)ITI0N1:RS, etc. t)\\ N:F:R'S AFFIDAVIT: I cenny that all 0I'IIR• foregoing Inuit m,til111 is ncellrate and that all work will he dune In compliance with all applicable laws regulatine onstiu;tion and zoning. WARNING TOOWNER: YOUR FAILURETO RECORU A NOTICEOF COMMENCEMENT MAY RESULT IN YOUR PAYING I'\\ Il'I: FOR IMPROWMF.NTS TO YOUR PROPERTY. IP YOU IN•r1.ND'I'OOf3'I'AIN FINANCING, C:ONSUI.T wrm YOUR LENDER OR AN I It IKNIFY 111TORI: RECORDING YOIJI( NO'I'IC'li OP l'OA1 11'?NC'I MIiN'I' rI !i'I In aJdnnln to the rcqutrenlcnls (jl'thls pernn• there nla\ b: additional restiictiuns apphcablc to this propcny that may be found in the pubhc recurds of iiu. ;ounll and theremaybeaddilmnalpermisIcquiredI'rum INII;r govcrunenlul entities such us water manngcmcnl dl5lrelS, state agencies. or federal aacncics rpt:mce ai Iternlii Is verification that I will nmify the uwner uI'Ihe property of the requirements ul'Florida Lien Low. FS 713. SI_nalure of 6wileriAgcnt Date Signature al C untractur/Agent Dale IhcnM 5 LIJG,-d Pant Oluler/Agent's Name I rim CO clot Ag e00 nl s Name Signautrc of Noturr).Slatc of Florida Date Signature of State of Florida Date is t)l,ncr: Agenl I$ „_-,- Personally Knum, to Me or Produced ID....._ ...--- _.._.... i'l•; ICATION APPROVIiD 13Y: I)Idg Initial & D81e) SIx; lal Cundnluni Contractor! Agcnl Is ••_••• Personally Known to Me BormyGLopn PnlduccdlU_•„•_„•. ......................_....•. a My commlwmiDD201561 FdP Expires Mhr 17 MT 7.onulg. Ulihres FD: Initial & Dale) (Initial & Dale) ( Initial & DaleI a it v ter'+''{• , ' J Y. L121 d!_Ma•U Job Atl&ess: 17i•!i7?¢ i'iii-iCQ: Lhflir7' V CIIt/V Permit. Type; SuildinE EIechical tvio. a ,a r r.,._ _ _ G ___ -, , EltWt'ical: JNC',/ of Al'>1PS AdditJon/.0mOvo Change es 5i,-wice T ermpvx'ar,;r Pok lsdes:harltalt! Residentia " Mon-Fcevideniiai 7 ep Fdr it La out a F eaY CESYK R41 ift d) VIUMbIlIgI New Cor"Wercial: # of P'ixtvrss of 1VatrR? tk 9esre; L;? dfQz Lb)CV ' FlumbtnvNeve Residential: # of V93d6oscis piam' Wag Repair— Residemial or Cwwn7cia) '• Ocsuponcy Type: Residential 6"' Cons iercial lndussrial ToW Square Footage: µ - - CQnatructien Tyoe: # of Stories: V of Ihrelhag Units: F`logt Zone: (FE7YiA fortm reqrlreti Fairurbra' Wr,ri, Parcel tf: ram, Ariach 1Proof, of COwnership,& Ltgal: D escriptiom) Owners Name & Address: Contractor Name & Address: Phone& Fei: 7, RF Rl rs--` rap Bonding Company: Address Nlorigaoe Lender: Address: - A rchiiec(/Engineer: A. ddress•- • Phony: Licen3t SumberPIO Y1 d Y ii 1 €?,'/7rJ` / P ).,, OI Y.. ((i' /Y F''.- aSX l,.ld! Phone: Fa—.:_ - Applicapom is hereby Wade to obtain a pernvt to do the work and installations as indicated. 1 certify t) --t no v;ork or installation has corrm'rtnr.ed prior to thr. issuanceofaper, nit and that all work will be ,cant.- to meet standatds of all laws rePulating rand; uctivn in NS jurisdiction. 1 unders(znd Thai a to permit must be secured for ELECTRICAL WORK, PLUMBITJG, SiGNT, WELLS, POOLS, FURNACES, BOILER—', HEATERS, TANKS, and AIRCONDITIONERS, tic. OWNEW5 AFFIDAVIT: ) cerii that a)) of the foregoing information is accurate grid that all viosit cri)) be done in cornnlianct eviih s11 applieat.l,: Construction and coning. 'V0\-FNjjgC- TO OWT!ER `:'OUP FA?LUr F170 RECOiv A 1'40T) )CE OF CCtfoj,,J—F 4CE)v.E'i-) T 1: A'r r..—rUL) il•I YI rl Ii Tt'r)CE FOP. FI PRO'./E1/EiiTS'f0 `/OUR PRO; EPTf..IT-'"OU MIT —END TO OB T f:lid FI IA'tyC t".G, CONSULT WiTY YOUR LENDER OR Aj-J hTTORT?EY BEFORE RECORDI FNG :'OUR NOT)CE OP COMMENCEMENT. iqTI : i;, addition to the requiremtnis of U,is ? „ it, 11 ere ,tea; be additional rest7ielil-5 applicau)e this county, and ihere myy be additional pe-n it required i Cm other govc-nm io) entitcs such zs Acceptant( of pertnrt is "e fuziion Thai 1 till notify the owner of the property of the require LS J> %`nanr, e of Owner/Agent I'nnt Own(;r/Agent'% Name i. ,alulc of Notary-$Iatr of Flonda Date me} b^ ' d t Uic public. txorri of cts, s' ease :irs, rn f, dr.ra.? eteulcita 1-,.,Deo g Z004 jjiCiurc O Tuul.eclVr;flgent Date ROBERT G, D-ELW-RUSSOP ni Co tT; I .A •er" 1 amc DEC SI- MOUrC of NOW_- -' 't of Flonda 9 004 JIa rDat, O','n, r/Agent is _ Peraonalli, ono„n to r%ie or Contractor/ALe- :i 'Crionai,, Known to Mt or I rodueedIDProduce; ION APPJ10VFU Ail': IsWg Zoning U. _ »R Inn,al & Del.i (Initial tC Datr) nit 1nDAC,WRWrjS1 D MY60%j: AS510ti#DD212893 C%iu 414 Bcnow Thru k'ary Public Und¢rwr,rora riJ n. r Ft.rrdr,I tv i Job Atldtes-5% fIirwk vise iet: gyp,- Permit Tyne._ Building Electrical I 3eshEtr+iaal ° Pltarabirtg Fir%.Sp inkier/Alarm El€ctrical: NOW Service - 4 of AMPS A:Idititril I"io i Chaftge Es li€,-ice Tetx>ro rr FE,Ie -' - Iyleclsanlrta!*! Residential - . t Non -Residential rAgPko nit New (Lhw,% Layout P- _Eaeagy Ckk,, Required) PhIMbing! New Commercial: # of pittwes ti o' 1tlat f & Ec'rsr Limes V cia Gs;+ Lies Plumbing/NeNr Residential: # of V92d6vms Plumbing i!3,epaif- Resident ial or cormweial . Occtipaitcy Type: Residential Conw-mcial Industrial it i Sgnate Footage: Cpntstrttetiun Type. # ai Stones: # ef)9rralling Uaittr: flatir Zoe: (ran toner re a'Ired for oritr:c Gtir,t3 Parcel M: Owners Name t& Address: Contractor Name t& Address: Q Phoned: Fax: Bonding Company: Address Mort.gage Lender: Address: Architect/Engineer: AWdress:' ' Anse% Proof of Ossnership & Legal Description) Phone: 08 ALL7u'J Phone: F. - Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has eonin'ttricrA prim, ti, titcissuanceofapermitandthatallworkwillb, pnforn-od to meet standards of all laws regulating construction in this jtsrisdiclion. ! undt!sfznd that a scpar icpermitmustbesecuredforELECTRICALVVORY., PLUMBWG,.5IGN5, WE AIR CONDITIONERS, etc. LS, POOLS FUMACE;, BOiLERy, HEATERS, TFJdxS, and OWNER'5 AFFIDAVIT: I certify that ali of the foregoing inforrmtion is accurate and that all work will be done in compliance with all applicat:lr: i:,W.. ,r.P,tlntingcohstructionandrasing. WARNING TO OWNER. YOUR FAILURE TO RECORD A NOTICE OF CO NCEW1E1gT MAYU-,UL i il`I 'r'r / 1 A' 1'/•, • .U4GTWICEFOP. IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINA115, 1 V3ULT YOUR DER 31t /1) tATTORNEYBEFORERECORDINGYOURNOTICEOFCOMMENCEMENT. NOTICE: In addition to the requirements of this permit, there may be additi/ttstrictionsablt this county, and there may be additional permits required from other governAcceptanceofpermitisverificationthat.Iwill notify the owner of the propcof Signature of Owner/Agent Date of Print Owner/Agent's Name Signature of Notary -State of Flonda Date Owner/Agent is _ Pernonall, Known to Me or Produced ID AN'LICATION APPROVED BY: Bldg, Initial & Date, J rtC 5t l Jndttions'• PROBER that may 6 in the publir. records of listriix jaiiiets, te; aAcricirz, e,r (t dra nl ateeJrcres 713. Pn Contractor agent a -- r , DEC Signature of f o_7-State of Monde Date Contractor/ Ater.::$ Ve'llersonalr_' Known to Me or Produce 0 9 2004 0 9 Z004 Zoning. L :::e3, 1'D: bridal & Date) (Tuial'R!Daf Rr?fta : 1 IMY CC,RIrfISSION qD 2R2893 s 31": i S 3vndedThruNotarvPuu'N:Undt:rwrilirs Ff.rFr h Jon tjcrt e: I1ess'riptia?n of ""1=r1;; Yhfu+,fyr:aKR.FY rS A"` _ IN: p itst tas` >tgvnct: Z,rt?lr3g: VasiNe Permit Type:. Building .Electrical Meshloical r y1wr M F'irc,SP-;ink?er/P.larin 1FEri Elecirlcil, NIDW Service — 4 of AMv Addition-Allerttiosa hem iv c1 &-1 vise Tempnfi ;r Pole,,a MeshanleaJ Residentii? _ Non -Residential Tepittret fesit ]+fear (Utty; Lsyoui a EA g+j C6. Rer uirtsd) Pltlrtmbitlg! New Commerdal: # of Fi:ctitres P.F. fi o; Wtitter & 89WW Lutes ? dfCia-, Lkins, Piumbir V'New .gesidedtlal: N of W Closets Fhsitnbing Reps f— Residential or Cot weereial 0aupancy Type: Residential Cotrirsaetcial industrial TOW Ssjttare Footage: -- _ Constrvetlon Type: # of Stories: of Ihaellia Units: l9aoti 7.®4e: Fib fetrpr rbgerFred fbr aYb<:t flir,o- Parcel W. AttaKk Frvof of Ownership & %.egat ZroeseriFtioarj Owners Name & Address: Phony: Contractor Name & Address: Phone & Fax: Bonding Company: Address Mortgage I ender: Address: ~ Architect/Engineer Address t:tr Lisease'4amber Rum" - Fhnno Fin -:- Application is hereby made to obtain a permit to do the work and installations as indicated. l certify That no work or installation has cornn'ienr ed prior u, ttir, issuance of a. permit and that all work will ba perfotrned to meet standards of all laws regulating contrive on in this jurisdiction. I understand than a separatepermitmustbesecuredforELECTRICALWORE, PLUMBING, SIGNS, WELLS, POOL5, FUMACE5, BOILERS, HEATERS, TANKS, andAIRCONDITIONERS, etc. OWNER'5. AFFIDAVIT: 1 certify that all of the forgoing ir±fometion is accurate and that, all woBt trill be done in compliance with ail applicat.le i:w. i r.y;,d tirtgconstructionandtoning. tn'AP.7 ILVG TO OWNER: YOUR FAILURE TO RECORD A -NO-1 lCE OF COMP NCEWjEj 1T MAY UL"f J19 •i: r l ATVr10EFOP. iMPROV$A9EAt7S TO YOUR PROPERTY. iF YOU ?raT15n TO OBTAM "NAT'lICING C 7UL WTiN YOUR LENDER 31t /1j ATTORNEY BEFORE RECORfNDG YOUR NOTICE OF COMMENCEMENT./ / NOTICE: In addition to the requirements of this permit, there may be additional restrictions Itcable to this county, and there may be additional permits required from other governmental enti/i uch at wat Acceptance of permit is verification that.I Will notify the owner of the property of th equire of Flo Signature of Owner/Agent Print Owner/Agent's Name Signature of Notary -State of Florida 0 ner/Agent is _ Pemmnall. Known to Me or Produced ID APPLICA1ION APPROVED BY: Bldg- Initial & Date) Date / / Signature 713. found in the publir recprds of agenciev, to f(.dr•.) agtncies 0 9 Zi - Print Contractor .AgentCs Name DEC 0 g Z004 Date Signature of of Flonda Date ContraCtor/Ace-.::; _ Personal.\' Known to Me or Produee Zoning. Li. ::a: _ p Initial & Date) (I hnl,.!C0l onditionj'. MY COb1MSSION # DD 212893 9011410 Thu R)tary Pubfc UrCsnyriters Ci 7 :% :lF' F.t s ';;•3!13'y' 1 ;tC.ls'7'e'sr'~ F'et-aq .:... IIII111 III: Ilk ll s£xipE?ex! c'711-A,1 y-iister%n dig. ict; z. n' ,tsue`- 6 1 Sri Y ODV 4 e Z 717 *,9" IL - Permit Type; Building Eimb-ical Meshr'k17t3ai ' f rlta*tt5it Fixc Q;ink}e /Alan— MW-t'ieil: Ne'l- Sf i vice - W of AMPS — Acj lit`ffY!'Ali&iikifi? i7aj)g€ Oi e €y36 T 6?7iEFiis. r iE•` is t'sltanleal,' Residential _ Non -Residential 3-, De , Lftyout a FACISy i6JlF_•. F wui'rtud') plumbilig/ Iva" Cormereial: V of Fixtures F..S V o1 TVaw & Sew97 Lim t off Lkpe& ' Plambing/Nim >FResldeti$ial: #+ of 4d,. rCloset*. x"' piumbin t i?eEicleniial or EomriereFz) f- Ocswpancy Type. Residential &" e COUTMOiall TOW Square Foo$age: CE+fIE$ritl'$lQtl Type: # Of Stories: t of Dwelling ilYal$E: Flood Zone: (F'iF7aiA form regwired fbr ut'bc.r tiir,nt, Parcel F. Attas'h Free: of Eisrnerchi)v dr Legal Veseriptioat) Owners Alatnc Address. Contractor Name & Address: V_ Phone & Faa: C• ` I'aRY EfD Bonding Company: Address Mortgage Lender: Architect/Engineer: Address' - Phony: 4 .atr Lieensr''amberw. RUSK . MIA Phone: Fo _ Applicapon is hereby made to obtain a t to do the work and installations as indicated. l certify that no work or installation has corarrlenr.ed prior tr, duissuanceofaPCIandthatallworkevillb: reotmed to rr,17 standards of all laws regul:Hng c=z..uc&n in this jurisdiction. I undessfand that a separattPermitmustbesecuredforELECTR_tCAL WOR} , PLUMBNG, SIGNS, WELLS, POOLS, F-OMACE.`-,, l3OIL.ERy, HEATERS, WONK!, andAIRCONDITIONERS, etc. 01N7IER'S AFFlDAyI T : I ctrtiz that a!i of the going n3oZii'Ji r is acrumie aid ihn., 0 ciortc will be dune in co rn ranee with a?ieonstuctionaidtoning. 'f0NNEvG TO O\ri;rr; r qi; _ , 1 apphul.l,: ;,w:. rr p.,J.iinhY %'OU= . U i :F COiLi f1 iOTlCE Cir Cn1niJ lEi.iCElviFFl? T/ 1/ r. SULl'- i %"9CL- FFOP, IiAPRO'. VAtEN' j, TO •iOU< nR O?F zTi , L YOU :I^: Irt•;D TO OF -TAM i AtlFti'yCfiFlC3, r ULT' ! !1 YOU.' ! -r_' \`r tDJ ` l 01 z nja v AT7QRj•'EY BEFOM RECORDFNG YOUR iJGTiCL- C. F C Givli;ENCc1\9EiJT . , NOTiU: ir, addition to thc'requimmenL. of U-.is sdditional ;estricticns a li vle to d rr/ pD pe, r that ,Tr2Y b i r put,i;r rvoru; oribisCoon ,: and There may be addiiienal pe tiL rectuirtd i c, . otltec r.ctie , m t l entities sue as avair menage t dis> cu, c a enr:i,;, r, L ci,, Acceptancr of pe Tnii is •,e7fication Thai 1 . ,II r.ot Tv the ov.,e; of rLe Invpem oft! rr. iremr of 11 Lien ]a $ 71 S'WlartreOfOwner+'A6eut - " --- —0-9 Z004LiacnatureOfCont-ecior/A ew R BER DELLO RUSSOPnntGwner/Agent`s IJamr I'nnr Cipwraclol gent • Na Signature of Notery-Slate of f lond't Date S,?narure of `' 9 Z004 Oc•'ner/Agent is 'Pen;onah, ono,-, to,%Ji Oi Produced ID 11'I'LI( AI JOv APPIiOvf_D [3)': 13tdg LO,nr,g. In,ual t Dari) ondmonj'. --- OnrraCror/AL,e .> Pcrsonair.Known to 1 1t or Producrc. .7) Inival,C Datrl _yp`'(7„i aal c DaMjR,'NDAC.TkIMAE-SI & a M" COMMISSION # DD 212693A; EXPI'lES Jt,nl,14 . not n,'u NoWry P, UrGan•ilers 1'.Y F F-/ti 2•'Ul' tI:1Cr+13T' f_`X'_ 2:7L1i.e} o7$h l!)rJtr s: — ilew ip±ter of dtrri:: 17¢:ri.n vn•t.2C(: Frt77ii.T3pe:. BLiklir,8 Electrical I hZ{ical ' f Ylit'15iGT sire•Sytinkler/f!larr, MW-Fic0l; NCW Service — tf of AMPS Additiori/4319tRijOy .k Chehge of SeTvirr:e Terre s frarr t s•!e _. - Metha7ticall Residential _ • j lvn•Resideatiai r T•;e s (EkWI, skr otri EraexY Sy G*,y Re:itcirtd) 1`1117tlbliiV New Corntnercial; # of Fixtutss # of MUats? Serer Li6w V dfGa Lim f'lvmbttig/Ve r Resfdetitial: # of W CloSeis Pirsrtlbing ideffait—Fcesidenf zl vt Crrxtrr(ercial OFsopanep Type: Residential „ cial Ia,dusv-ia1 Total Square Fcilota€.e: CQtistrnetic+73 Type: # of 5tvr3r: V of 1itrdl1iob Units: Flaoti Zoe: (FEW form r"WIrcd For (slier awrx,) Parcel P: At2ch P"Of of Or+nership A Loge Ve"ptiosr) Owners Nome &Address: _ may,/ / f7_/ Contractor Name & Address: Phones Fes: Sunding Company: Address Mortgage Lender: address: Arehiiect/Engineer Phony: License XvmberQBW RUM 3 S %i Phone: Fm- Application is hereby made to obtain a permit, to do the cork and installationsas indicated. I comity th^.t no work or installation has corantcn(,ed prin, to tile' issuanceofapermitandthat, all work will b: performed to meet standatds of all laws re3vlatin8 constructiorl in this jurisdiction. ! unde.sfane that a sepamic permit, must be secured for ELECTR]CAL ivORY., PLU1NBrJs.G, SIGNS, WELLS, POOLS, FUMACES, BOILERS', HEATERS, TFJgl(S, and AMCOINID)TIONERS, etc. 0V1i- 1ER'5 AFF1DAyTT: ! ccrkiny that al) of the foregoing i, fo:ZiiOn is acru2te and that .J) .,o;k cri11 be dune in corplianee evith aft appliczr:h: consl*ucyon and : oning. '"Ai`t+frNG TO Op 1!r_r' YOUR FAILU E- T ORECO;I7 A i'+O T!CE OF CCfni]w1Ei`•!C !rA MTY AZESUL f DQ Y(A T;' )v.. ,'D-!Cy T'„`)CE FOR V)PRObEP1ENT-, TO YOUR PROrE2•? Y. 9'• YOU :!4 0ND TO GETArN r`•TMA,iiCf')F,G, ro,,,3 A1POI eVr!; Y L c LENDER r5!t FYBEFORERECORDIrNGYOUR1dOT )Ct OF COMMENCE-MEiv7. NOl' iCF: i;, addition so the requirements of this T,ermii, thre ,; be addiCulal resir)cticns apH ihliseuun;;,, end ihme may be additional penruC; required fro O'iher go-cr meta) entities such Acccpiznc( of pernti is -1,ficaiion that I trill not, for owner of the proprnt• of the re.qui m,c g7iitutc of Ow,,(;,/Agent Duic nett OwntT/Agent's Namc sigtnatu, r of NotarY•$talc of Flonda Date O- ner/Agent ,s _ Peraon' all non 10 Mc or Produced ID VIV(: I ION APPROVFS) I3Y: Bldg Zoning imual Dati) tiffs pr e% that ay be sound in Uie puldir. nxp-. i of nr d, cts, state agenci, • ,,, f, d, ,•.I ;%c ,cier. Ya'w, f$713. L DEC p 9 Zop Si}.-r' ., c of Conc-e for/A,geni a Date ROBERT G. DELLO RUSSO Pn pnlr- aCinl •+tCri glIfFlor,6; I-SrlcDanCC0 9 1nf1 OniroClOr/Ape- :> I'ersonai, • Known 10 Mt Or P,oducc:: 7) htitial,l Date) (In, ,L,)-K4ih) MIR:fi'QAS-AI9iNER 9MY COMICSSION 8 DD 212893 as EXPIRESJurr 20Q7 of ` ZJnrk p7 rtt JfV..Ary7('jIIC Ur.den%Vers