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130 Keyes Ct - BC03-002356 (INTERIOR FINISH) DOCUMENTS
PERMIT ADDRESS SUBDIVISION CONTRACTOR PERMIT OOG • a lkdlw:;#P DATE 07'p ADDRESS —Almay PERMIT DESCRIPTION ainA c r) 5b PERMIT VALUATION PHONE NUMBER 461 3 " SQUARE FOOTAGE L4 PROPERTY OWNER 1MM 1 at"LL . ADDRESS J i PHONE NUMBER ' `A fV4ft ELECTRICAL CONTRACTOR c MECHANICAL CONTRACTOR (? PLUMBING CONTRACTOR' V MISCELLANEOUS CONTRACTOR PERMIT NUMBER FEE MISCELLANEOUS CONTRACTOR PERMIT NUMBER FEE I d a CERTIFCATE OF OCCUPANCY REQUEST FOR FINAL INSPECTION NEW COMMERCIAL BUILDING**** DATE: 8 • - C j PERMIT #: 03 G a3 ADDRESS: CONTRACTOR: ,_ uvr,, -n-1 L12_1, . PHONE #: LAC17) The building division has prepared a Certificate of Occupancy for the above location and is requesting final inspection by your department. After your inspection, please sign off and date the C. O. or submit addendum if it has been denied or approved with conditions. Your prompt attention will be appreciated. DEngineering Fire Public Works 1 > Zoning Utilities DLicensing CONDITIONS: (TO BE COMPLETED ONLY IF APPROVAL IS CONDITIONAL) O.M.B. No. 3067-0077 Expires July 31, 2002 FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM ELEVATION'CERTIFICATE InVoftt Read the inftdions On PSW I.7. SECTION A - PROPERTY OWNER INFORMATION For h urwas Co WV Uaz BUILDING OWNER'S NAME Policy Number LAKE MARY BELTWAY COMMERCE PARK BUILDING STREET ADDRESS (Including Apt, Uri Suite, ardor Bldg. No) OR P.O. ROUTE AND BOX NO. Companry NAIC Number 130 KEYES COURT CITY STATE ZIP CODE SANFORD F1 32773 PROPERTY DESCRIPTION (Lot and Blood Numbers, Tax Parcel Number, Legal Description, at.) LOT 2, LAKE MARY BELTWAY COMMERCE PARK PLAT BOOK 61, PAGE 53 BUILDING USE (e.g., Residential, Non4eidentkd, Addbon, Aaoessory, eic. Use a Commerce area, if necessary.) COMMERCIAL LATffUDEILONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: El GPS (Type): Of - AA' - #lRtlgr or W A#01f) NAD 1927 NAD 1983 USGS Quad Map Odw. SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 131. NFtP COMMUNITY NAME 8 COMMUNITY NUMBER B2 COUNTY NAME B3. STATE CITY OF SANFORD 120294 SEMINOLE FL 84. M14P AND PANEL B5. SUFFIX 137. FIRM PANEL B9. BASE FLOOD ELEVATIONS) NUMBER B6.FIRM INDEX DATE EFFECTrrEF VISEDDATE 9B.FLOODZONE(S) ZbwAO,=dVhdffooft 12117C 0045 E APRIL 1995 APRIL 1995 X NA B10. Indicate the source of the Base Flood Elevation (BFE) data or base Rood depth entered in B9. FIS Profile E FIRM Communly Determined Other(Desorbe): B11. Indicate the elevation datum used for the BFE in B9: E NGVD 1929 NAVD 19% Other (Desabek B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? Yes E No Designation Date SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: Construdon Drarungs" Building Under ConStrUGliOn' E Finished Construdion A new Elevation CertAicaale w1 be required when construction of the building is oomplete. C2 Bukkig Diagram Number 1(Select the building diagram most similar to the building forwhich 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, V1 V30, V (with BFE), AR AR/A, APIAE, ARIA1-AX, ARIAH, AR/AO Complete IOems C3.a4 below according to the building diagram spedl'ied in Item C2. Stale the datum used. If the datums dKererd from the datum used for the BFE in Section B, convert the datum to that used forte BFE Show field measurements and datum aonversion calculation. Ilse the spaoe provided or the Comments area d Section D or Section G as appropriate, to document the datum conversion. Datum NGVD29 CmversionlOwments Bevation reference mark used Does the elevation reiereruoe mark used appear on the FIRM? []Yes END O a) Top ofbomomtloor(rndudingbasementorendosure) 48. Ot(m) 0 b) Top of ne)d hgherloor O c) Bottom of lowest hoxiaonlal slnnural member (V zones only) AA . Mm) 0 d) Attached garage (top of slab) NA. km) E t> O e) Lowest elevation of machinery ardor equipment serv& g the building (Describe in a Comments area) 47. 6 fL(m) O Q Lowest ad*errl (finished) grade (LG) 47. 1 fL(m) g) Highest adooent (finished) grade (HAG) 47. 4 fL(m) ate• r _; h) No. of permanent openings (flood vents) within 1 tt above adjacent grade NA O ) Total area of al permanentopenings (Rood vents) in C3.h _sq. in. (sq. dam) " I ': • SECTION D- SURVEYOR ENGINEER, OR ARCHITECT CERTIFICATION This oertifrcation 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, 8, and C on this certificate represents my best efforts to interpret the data available. 1 understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. CERTIFIERS NAME R BLAIR KITNER LICENSE NUMBER P.S.M. 3382 TITLEPRESIDENT COMPANY NAME KITNER SURVEYING, INC. ADDRESS CITY STATE ZIP CODE 2597 S. SANFORD AVENUE _ /' SANFORD FL 32773 jy •`yi ... , . +.'",1"" . : n . Roy a'M:frysw4 ti:t'R j!..• .':s:'ra,9la•,a!,w CITY OF•SANfORD. FL UTILITIES DEPARTMENT REQUEST FOR FINAL REINSPECTION DATE ADDRESS CONTRACTOR S o G THE BUILDING. DEPARTMENT HA FOR THE ABOVE LOCATS PREPARED A C.OF O.. ION AND.THE INITIAL INSPECTION WAS' DENIED DUE :O. UTILITY RELATED ITEMS. THE CONTRACTOR IS.R&EQUESTiNG A REINSPECTION OF RELATED ITEMS AND IS NOV:' AS FOLLOWS. C. C 4 INSPECTOI ti- t,.+,,,.v . r}j4? y-• w' :r'"xr.,,yrTaLT+r..a!;? 's"+7 . .. J'-- :,,: a •cr.;rres.,. : MM• 1_-.. ..:...--:.•..: ' .. ......- .-..v=::--- _. _.:.:._...., r_''.. t_.- - S;_'.7'!+?!_'Z-.a;S i yz_%.:./.-: .. ;+•.. CERTIFCATE OF OCCUPANCY REQUEST FOR FINAL INSPECTION NEW COMMERCIAL BUILDING**** DATE:B' PERMIT #: ADDRESS: CONTRACTOR: Ql' Q PHONE #: yL i ` \-- kAb The building division has prepared a Certificate of Occupancy for the above location and is requesting final inspection by your department. After your inspection, please sign off and date the C. O. or submit addendum if it has been denied or approved with conditions. Your prompt attention will be appreciated. DEngineering DFire D Public Works D Zoning 3' ' tilities C'C,- DLicensing r CONDITIONS: (TO BE COMPLETED ONLY IF APPROVAL IS CONDITIONAL) LMBC0401 CITY OF SANFORD Address Misc. Information Maintenance r Location ID ' . . . . . . 24297, 5' ' Parcel Dumber . . . . . ' Alternate location ID . . Location address . . . . . 130 KEYES CT Primary related party . . Type information, press Enter. Sequence Code(F4) App Free -form information Date 1.00 CSVC UT SW DEV FEE $2125.00 WA DEV FEE $812.50 71803 CSVC UT BP - PD 7-1 SEE REC -7 8/06/03 15:32:19 Special notes More... F2 Address F3=Exit FS=Notes display F6=Change display F10=Subdivsion Notes F12=Cancel LMBC0401 CITY OF SANFORD Address Misc. Information Maintenance 8/06/03 15:32:08 Location ID/8ubdivision 1'67615' Parcel Number . . . . 12.20.30.510-'0000-0130 Alternate location ID . . Location address . . . . 130 KEYES CT Primary related party LAKE MARY BELTWAY COMMERCE PRK Type information, press Enter. Sequence Code(F4) App Free -form information Date 1.00 CSVC UT SW DEV FEE $1700.00 WA DEV FEE $650.00 52203 CSVC UT BP - PD 5-lF-T3 SEE REC Special notes More... F2 Address F3=Exit F5=Notes display F6=Change display F9=Parcel Notes F10=Subdivsion Notes F12=Cancel F16=Related pty data A CERTIFCATE OF OCCUPANCY REQUEST FOR FINAL INSPECTION NEW COMMERCIAL BUILDING**** DATE: 8 - 0 - ff PERMIT #: 03 -- ADDRESS: CONTRACTOR: ,( , G PHONE #: The building division has prepared a Certificate of Occupancy for the above location and is requesting final inspection by your department. After your inspection, please sign off and date the C. O. or submit addendum if it has been denied or approved with conditions. Your prompt attention will be appreciated. Engineering Public Works Utilities zl9 h 1)3 Sw 1 g/-7/o3 D Fire DZoning Licensing CONDITIONS: (TO BE COMPLETED ONLY IF APPROVAL IS CONDITIONAL) p>ecssrs 0 , CERTIFCATE OF OCCUPANCY REQUEST FOR FINAL INSPECTION NEW COMMERCIAL. BUILDING**** DATE: 8 PERMIT #: 03 -- g ADDRESS: CONTRACTOR: ,1 La L'. PHONE #: The building division has prepared a Certificate of Occupancy for the above location and is requesting final inspection by your department. After your inspection, please sign off and date the C. O. or submit addendum if it has been denied or approved with conditions. Your prompt attent'on will be appreciated. DEngineering DPublic Works 7jUtilities ire O G, Ilo l DZoning Licensing CONDITIONS: (TO BE COMPLETED ONLY IF APPROVAL IS CONDITIONAL) T.N. Davis Consulting Engineer 180 County Road 427 S. Suite 104 Longwood, Fl. 32750 Florida Civil Engineer #7857 (407) 339 4422 Florida Threshold Inspector #0927 August 5, 2003 City of Sanford Building Dept. Sanford, Fl. Re: Commercial Building 130 Keyes Ct. Permit # 03-00001823 This letter is to certify the pre-engineered building for the above referenced project has been erected in accordance with the approved manufacturer's plans and specifications and MBMA Standards. In addition to the above, the following requirements have been addressed. 1. The pre-engineered steel erection is in substantial compliance with approved structural plans and applicable AISI code. 2. Field welding meet Structural Welding Code. 3. The assembly and inspection of high strength bolts conforms with approved plans and ASTM,A235 and A490. Sincerely, 4fM T.N. Davis; P.E. CITY 0Alr.' S ORD AUG o 7 rom m RECEIVED FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077 NATIONAL FLOOD INSDRANCE•PROGRAM CERTIFICATE Expires July 31, 2002 ELEVATION Importaft Read the instructions on pages 1. 7. SECTION A - PROPERTY OWNER INFORMATION For Insuanoe CmM Use: BUILDING OWNER'S NAME Policy Number LAKE MARY BELTWAY COMMERCE PARK BUILDING STREET ADDRESS (Including Apt, Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIC Number KEYES COURT CITY STATE ZJP CODE SANFORD R 32773 PROPERTY DESCRIPTION (Lot and Block Numbers, Taos Parcel Number, Legal Description, etc.) LOT 2, LAKE MARY BELTWAY COMMERCE PARK, PLAT BOOK 61, PAGE 53 BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, etc. Use a Commends area, 'd necessary.) COMMERCIAL LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: GPS (Type): f-#9-##.#ff' or 0.090) NAD 1927 NAD 1983 USGS Quad Map Other. SECTION B - FLOOD INSURANCE RATE MAP (RIM INFORMATION B1. NF1P COMMUNITY NAME & COMMUNITY NUMBER B2. COUNTY NAM_ B3. STATE CITY OF SANFORD 120294 SEMINOLE FL B4. MAP AND PANEL B5. SUFFIX B7. FIRM PANEL B9. BASE FLOOD ELEVATIONS) NUMBER B6. FIRM INDEX DATE EFFECTNEIREVISED DATE B8. FLOOD ZONE(S) tare AO, use depth oftl ft) 1211700045 E APR 1995 APR 1995 X NA B10. Indicate the source of the Base Flood Elevation (BFE) data or Lase flood depth entered in B9. FIS Profile ® FIRM Community Determined Other(Descnbe): _ B11. Indicate the elevation datum used forthe BFE in B9: ® NGVD 1929 NAVD 1988 Other (Desatbe): B12, Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? Yes ®No Designation Date SEC11ON C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: Constndon Drawings* ® Building Under Construction* Finished Construction A new Elevation Certificate will be required when oonsh dion of the building is complete. C2. Building Diagram Number 1(Select the building diagram most similar to the building for which this eefiricate is being completed - see pages 6 and 7. If no diagram accurately, represents the building, provide a sketch or photograph.) C3. Elevations — Zones AlA30, AE, AH, A (with BFE), VE, V1-V30, V (with BFE), AR ARIA, ARIAE, AR/Al A30, ARIAH, 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 NGVD29 Conversion/Comments Elevation reference mark used Does the elevation reference mark used appear on the FIRM? Yes ®No D a) Top of bottom floor (including basement orendosure) 48. t(m) b) Top of ne)d highertloor NA, _ft(m) c) Bottom of lowest horizontal structural member (V zones only) NA , -A(m) d) Attached garage (top of dab) NA . ft(m) E e) Lowest elevation of machinery and/or equipment servicing the building (Describe in a Comments area) NA , —A(m) E f) Lowest adjacent (fines grade (LAG) ft (m) g) Highest adjacent (finished) grade (HAG) h) No. of permanent openings (flood vents) within 1 ft above adjacent grade NA Total area of all permanent openings (flood vents) in C3.h _sq. in. (sq. cm) 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. l 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 fine or imprisonment under 18 U. S. Code, Section 1001. CERTIFIERS NAME R. BLAIR KITNER LICENSE NUMBER P.S.M. 3382 TITLEPRESIDENT COMPANY NAME KITNER SURVEYING, INC. ADDRESS CITY STATE ZIP CODE 2597 S. SANFORD AVENUE SANFORD FL 32773 SIGNATURE DATE TELEPHONE 4 AUG 2003 407-M-2000 CERTIFCATE OF OCCUPANCY REQUEST FOR FINAL INSPECTION NEW COMMERCIAL BUILDING**** DATE:' J PERMIT #: 03 — O 1 ADDRESS: CONTRACTOR: PHONE #: The building division has prepared a Certificate of Occupancy for the above location and is requesting final inspection by your department. After your inspection, please sign off and date the C. O. or submit addendum if it has been denied or approved with conditions. Your prompt attention will be appreciated. DEngineering Public Works J Utilities J Fire Zoing Licensing 1 CONDITIONS: (TO BE COMPLETED ONLY IF APPROVAL IS CONDITIONAL) dame I T N E R S U R V E Y I N G 23 September 2003 City of Sanford Building Department 300 North Park Avenue Sanford, Florida 32771 Re:130 Keyes Court To Whom It May Concern: This is to certify that the finished floor elevation of the new building constructed at the above site meets or exceeds the requirements of Section 6- 7 of the City of Sanford Building Code. Should you have any questions or need additional information, please do not hesitate to call. Sincerely, R. Blair Kitner P.S.M. No. 3382 P.O. BOX 823 - SANFORD, FLORIDA 32772-0823 - (407) 322-2000 p. CITY OF SANFORD FIRE DEPARTMENT IFEESFORSERVICES ¢ PHONE # 407-302-1091 * FAX #: 407-330-5677 0 DATE: J PERMIT #: BUSINESS NAME / PROJECT: rt ADDRESS: 44.,i cci 40PHONEN .: c .?/'i GC6 FAX NO.: CONST. INSP. [ ] C / O INSP.:[ ] REINSPECTION [ ] PLANS REVIEW [ ] F. A. F.S. [ ] HOOD [ ] PAINT BOOTH BURN PERMIT [ ] TENT KPRMIT ] TANK PERMIT [ ] OTHER 4 c' y t i TOTAL FEES: $ (PER UNIT SEE BELOW) COMMENTS: Address / Blde. # / Unit # Sauare Footage Fees per Bldp-. / Unit 2. 3. 4. 5. 6. 7. 8. i p 9. 10. 11. 12. 13. 14, _ 15. T 16. 17. 18. 19. 20. Fees must be paid to Sanford Building Department, 300 N. Park Ave., Sanford, Ff. 32771 Phone # -407- 330-5656. Proof of Payment must be made to Fire Prevention division before any further services can take place. I certify that the above is true and correct and that I will comply with all applicable codes and ordinances of the City of Sanford, Florida. ice d1-- f C z') D j / Sanford Fire Prevention Division Applicant's Signature a,,,,,r .,',:. 1 dr.-i(:...y: ;t'fa,Y„ti;+, '{'h:':;e .....a °'` ."iiti"'t'"W.. .. d,,n.e`.. >:: *t w a': •_',.bpi i a CITY OF SANFORD FIRE DEPARTMENT FEES FOR SERVICES HONE # 407-302-1091 * FAX #: 407-330-5677 DATE: © PERMIT #: BUSINESS NAME / PROJECT: Y&) Sit +jf.=5 ADDRESS: 1< ` `T— PHONE NO.: FAX NO.: CONST. INSP. [ ] C / O INSP.:[ } REINSPECTION [ ] PLANS REVIEW [ ] F. A. [ ] F.S. HOOD [ ] PAINT BOOTH [ ] BURN PERMIT [ ] TENT PERMIT f ] TANK PERMIT [ ] OTHER [ ] TOTAL FEES: $ PER UNIT SEE BELOW) COMMENTS: f /%_ r rJ ya Address / Bldia. # / Unit # Sauare Footaize Fees t)er Bldg. / Unit 2. 3'. 4. ! 5. 6. 7. 9 . 9. 10. 12. _ 13. (' 14."— a 15. 1. 17. rwr tj 18. c.. - 19. J I I 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. Sanford Fire Prevention Division Applicant's Signature I * :11 CITY OF SANFORD FIRE DEPARTMENT FEES FOR SERVICES PHONE # 407-302-1091 * FAX #: 407-330-5677 DATE: Ca. PERMIT #: BUSINESS NAME PROJE CT: ADDRESS: 1 1 /36) / 5 14, 74-7- PHONE NO.: FAX NO.: CONST. INSP. C 0 INSP.:[ REINSPECTION PLANS REVIEW F. A. [ ] F.S.HOOD PAINT BOOTH BURN PERMIT TENT PERMIT TANK PERMIT OTHER TOTAL FEES: $ (PER UNIT SEE BELOW) COMMENTS: Address Bldp,. Unit I 2. 3. 4_-- c_ 5: * 6. 7. 8. 9. 10. 12. 13. 14: 15 16 17 18. 19. 20. Square Footage F= ttene /j, V L/ Fees per Bldg. / Unit, Fees must be paid to Sanford Building De partment, 300 N. Park Ave., Sanford, Fl. 32771 Phone 4 -407- 330- 5656. Proof of Payment must be made to Fire Prevention division before any further services can take place. I certify that the above is true and correct and that I will comply with all applicable codes and ordinances of the City of Sanford, Florida. Sanford Fire Prevention Division, Applicant's Signature CITY OF SANFORD PERMIT APPLICATION Perini[#:` `Date: PAO Job Address: 130 KEYEs .o 2T 44,Aortb Description of Work•r 4Se 1a - A1JP2oxyy000 S F igfGaow. ti ita+s h' SI p oo OFf=1Ce TiIST,Ci 6oVQ.') Historic District: No -Zoning: ,1 Value of Work: $ BOO Permit Type: Building x 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 Commercial Occupancy Type: Residential Commercial Industrial x Total Square Footage: IMC*i_ i Jl R to t Construction Type)-- # of Stories: k # of Dwelling Units: Flood Zone: (FEMA form required for other than X) Parcel #: 0,' d D - 30 " 6-10 — 0 coC) - 00'?, 0 (Attach Proof S N4 o7f Ownership & Le al Description) f Owners Name & Address: I_PrV%E IMCY Be_- -T A-i ommeKC2. Re-r- 1 (lSKIe"eTxe a , IS -A Contractor Name & Address: Phone & Fax: * 1U Bonding Company: Address: Mortgage Lender: ; Address: Architect/ Engineer: Address: ' ao 1. hi / - T_ nl . JDA 0 s wODD 3a7So - 6.2 Phone: 107- 33?- O.Z2 Fax: *0 7^ 3 3 ! - 3 / D `% Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and AIR CONDITIONERS, etc. OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN.YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. of pe ' s verification that I will n net of the property of the requir is of F rida Lien Law, FS 7 ig ature wner ,genet Date Sign re of Contracto ent Date A . f415 a) I l_ c D J A . of F1 E J6 Si`gtSa' ture of Notary -State of Florida Date Signature of Notary -State of Florida Date BRIAN P. EWS J BRIAN P. EWS MY C SION # DD 041892 = ,`' 1 is my to M r Contr / nttb wiai 1 AwQe d IR EXPIRES: Jul 15 2005 Bonded ThruNotary PWNcUndem riters QJ tt' 3 G _) APPLICATION APPROVED BY: Bldg: d-tJ3 Zoning:lb-0_ ` Utilities: I FD: ---- Initial & Date) (Initial & Date) (Initial & Date) (Initial & Date) Special Conditions: 0 I,vtkus` o r bL idOLJ 0 d.9-J b la• . c:F t.u.o.e w (L.i S emi-nole County Property Appraiser Get Information by Parcel Number Pace I of I PARCEL 6ETAIL 1 7We K- - Lh14i"k ti s*.. m in ot t C ou nly V WA-, y Ay GENERAL 2003 WORKING VALUE SUMMARY Value Method: Market Parcel Id: 12-20-30-512-0000-0020 Tax District: SANFORD Number of Buildings: 0 Owner: LAKE MARY BELTWAY Exemptions: Depreciated Bldg Value: $0 COMMERCE Depreciated EXFT Value: $19,966 Own/Addr: PARK Land Value (Market): $61,018 Address: 1175 SPRING CENTRE SOUTH BLVD Land Value Ag: $0 City,State,ZipCode: ALTAMONTE SPRINGS FL 32714 JustlMarket Value: $80,984 Property Address: KEYES CT Assessed Value (SOH): $80,98.4 Facility Name: Exempt Value: $0 Dor. 2801 -PARKING LOT Taxable Value: $80,984 SALES 2002 VALUE SUMMARY Deed Date Book Page Amount Vaclimp 2002 Tax Bill Amount: Find Comparable Sales within this DOR Code 2002 Taxable Value: LAND LEGAL DESCRIPTION PLAT Land Assess Method Frontage Depth Land Units Unit Price Land Value LOT 2 LAKE MARY BELTWAY COMMERCE PARK SQUARE FEET 0 0 35,893 1.70 $61,018 PB 61 PG 53 EXTRA FEATURE Description Year Bit Units EXFT Value Est. Cost New DRIVE 4 IN CONC 2002 10,160 $19,812 $20,320 POLE LIGHT CONCRETE 2002 1 $154 $154 NOTE: Assessed values shown are NOT certified values and therefore are subject to change before being finalized for ad valorem tax purposes. If you recently purchased a homesteaded property your next year's property tax will be based on Justmarket value. http://,,vw v.scpafl.orglplslweblre—web.seminole_coun-ty—title?PARCEL=1220305120000002... 4/10/03 Division of Corporations Page 1 of 2 Florida Non Profit LAKE MARY BELTWAY COMMERCE CENTER MAINTENANCE ASSOCIATION, INC. PRINCIPAL ADDRESS 1175 SPRING CENTRE SOUTH BLVD. ALTAMONTE SPRINGS FL 32714 MAILING ADDRESS 1175 SPRING CENTRE SOUTH BLVD. ALTAMONTE SPRINGS FL 32714 Document Number FEI Number Date Filed N95000005061 593408289 10/23/1995 State Status Effective Date FL ACTIVE NONE Reizistered Agent Name & Address MUNFIELD, JOHN A. 1175 SPRING CENTRE SOUTH BLVD. ALTAMONTE SPRINGS FL 32714 Name Changed: 06/19/1996 Address Chanced: 06/19/1996 Officer/Director Detail Name & Address Title MUNFIELD, JOHN A 1175 SPRING CENTRE SOUTH BLVD. PSTD ALTAMONTE SPRINGS FL 32714 SMITH, FRED S 2260 S. DIXIE HWY. D COCONUT GROVE FL 33133 SMITH. GERRY 2260 S. DIXIE HWY FD http://www.sunbiz.org/scripts/cordet.exe?al =DETFIL&nl=N95000005061 &n2=NAMFWI... 7/ 10/2003 Division of Corporations Page 2 of 2 11 COCONUT GROVE FL 33133 1L_1 Annual Reports Report Year Filed Date 2001 05/18/2001 2002 05/28/2002 2003 01/13/2003 Previous Filing Return,fo ListANext Filing No Events No Name History Information Document Images Listed below are the images available for this filing. 01/13/2003 -- COR - ANN REP/UNIFORM BUS REP 05/28/2002 -- COR - ANN REP/UNIFORM BUS REP 05/18/2001 -- ANN REMNIFORM BUS REP 04/17/2000 -- ANN REP/UNIFORM BUS REP 02/11/1999 -- ANNUAL REPORT 03/11/1998 -- ANNUAL REPORT 02/28/1997 -- ANNUAL REPORT 06/19/1996 -- 19.96 ANNUAL REPORT THIS IS NOT OFFICIAL RECORD; SEE DOCUMENTS IF QUESTION OR CONFLICT i E i http://www.sunbiz.org/scripts/cordet.exe?al=DETFIL&nl=N9500000506I &n2=NAMFW]... 7/10/200-3 F• a r :+ DEVELOPMENT FEE WORKSHEET CITY OF SANFORD UTILITY - ADMIN. P. O. BOX 1788 SANFORD, FL 32772-1788 Project Name: L/9 E %7fj Y aFc7w9y CoFRct /990T Date:— Owner/Contact Person: Phone: Address: / 3 L /1,L7 4,S CT C LOT 13 Type of Development: 1) RESIDENTIAL Type of Units (single family or multi -family): Total Number of Units: Type of Utility Connection individual connections or central water meter & common sewer tap): Water Meter Size (3/4", 211, etc.) • REMARKS. a 2) NON-RESIDENTIAL Type of Units (commercial,''" industrial, etc.) :--------------- Total Number of Build ings: Number of Fixture Units each building): V. Type of Utility Connection • .... ••• -,:r; individual connections J••t or central w •'' , i::.•r •..- ater meter & . .•: '.';;,'`'•h' commonc sewer tap) : /,ud j_ •;.^ `l Water Meter Size (3 4" i r 1"• 2", etc.) / ? j; REMARKS::= CONNECTION FEE CALCULATION: It 7 Gll'7E Q 'f iP•c.7 fff ,; ••• "';r' •. TO.79L REVISED iJ Name /— Signature 7 Date. ll Water System Imlact 1..•_•:. Equivalent Residential Conci.:ction (E:RC) - 300 Cnll.W.•. P.•. I4•: ((.Pal Residential - 650/Unit - :;inglc family structure, or multi-f.I..11y WILL containing three (3) bedrooms or more. 487.50/Unit - Multi -family unit or Mobile Home unit containing less than three (3) bedrooms. (Thi:: caLegory is based on judgement/assumption, estimation that such family units on average require 751 - 225 GPD iofthewaterandsewerserviceofanaverage single family unit.) Commercial - 650/ERU - Fixture unit schedule from Southern Plumbing Code will be used. One ERU will be charged for , connection and up to twenty (2) fixture units. For projects having more than twenty (20) fixture units the Impact Fee will be determined by increments of 251 based on multiples of five (5) fixture units above the twenty (20) fixture unit base for the first ERU. (Example: twenty-five 25) fixture units will be rated as 1.25 eru: twenty-six (26) fixture units will be rated as 1.5 ERU.) 2) Sewer System Impact Fees Equivalent Residential Connections - 270 Gallons Per Day (GPD) Residential - 1700 Unit - Single family structure, or multi -family unit containing three (3) bedrooms or more. 1275/Unit - Multi -family unit or Mobile Nome unit containing less than three (3) bedrooms. (This category is based on judgement/assumption/estimation that such family units an average require 751 of water and sewer service of an average single family unit.) Commercial - Industrial - Institutional 1700/ERU - Fixture unit schedule from Southern Plumbing Code will be used. One ERU will be charged for connection and up to twenty (20) fixture units. For projects having more than twenty (201 fixture units the Impact Fee will be increments of 251 based on multiples of five (5) fixture units above the twenty (20) fixture unit base for the first ERU. (Example: twenty-five.(25) fixture units will be rated as 1.25 ERU; twenty-six (26) fixture units will be rated as 1.5 ERU.) L-L l: -i; 1.21 4 Co S0 'c I. Z S Z 6( I. S 1 70O '\v TABLE 709.1 DRAINAGE FIXTURE UNITS FOR FIXTURES AND GROUPS FIXTURE TYPE All omatic (:lothcs N%;1NIICfS, C4tllmcrcla133 DRAINAGE FIXTURE UNIT VALUE AS LOAD FACTORS MINIMUM SIZE OF TRAP (inches) 1. 2 Autonl-,Hic cln(hcs washers, residential 2 X 1 = Z 2 Bilthruom group consisting of water closet, lavatory, hider and halhtuh of shower 6 Bathtubb (will, or without overhead shower or whirlpool al!achn•: nts,' 2 11/2 Bidet 2 11/4 Combination sink and tray Dental lavatory Dental unit or cuspidor 2 1 I 11/2 11/4 11/4 Dishwashing machine c domestic Drinking fountain 2 2 11/2 11/4 Emergency floor drain 0 2 Floor drains 2 2 Kitchen sink, domestic Kitchen sink, domestic with food waste grinder and/or dishwasher 2 2 11/2 11/2 Laundry tray (I or 2 compartments) 2 11/2 Lavatory q 11/4 Shower compartment, domestic 2 2 Sink 2 x 1 _ 2 11/2 Urinal 4 k 1 _ Footnote d Urinal. I gallon per flush or less 2c Footnote d Wash sink (circular or multiple) each set of faucets 2 Water closet, flushometer tank, public or private 4e Footnote d Water closet, private installation 4 k3 = 11 Footnote d Water closet, public installation 6 Footnote d rur ar L I'll— = --9 mm, I gallon = 3.153 L. Z For traps larger than 3 inches, use Table 709.2. b A showerhead over a bathtub or whirlpool bathtub attachments does not increase the drainage fixture unit value. See Sections 709.2 through 709.4 for methods of computing unit value of fixtures not listed in Table 709.1 or for rating of devices with intermittent flows. d Trap size shall be consistent with the fixture outlet size. c For the purpose of computing loads on building drains and sewers, water closets or urinals shall not be rated at a lower drainage fixture unit unless the lower values are conftrtlled by testing. I TABLE 709.4 DRAINAGE FIXTURE UNITS FOR FIXTURE DRAINS OR TRAPS FIXTURE DRAIN OR TRAP SIZE inches) DRAINAGE FIXTURE UNIT VALUE I1/J I 11/2 2 2 3 1 21/2 4 3 S 4 St: was tF •: `>i+ 3 '1 ' '' For Sh`=1 iricd = 25.4 Rur 3 E 'i 9:` i}1< .iit slS7biGjIM-1 +b 0 SANFORD FIRE DEPARTMENT T FIRE PREVENTION DIVISION 300 N. Park Ave., Sanford, Fl. 32771 / P. O. Box 1788, Sanford, Fl. 32772 407 302-2520 / FAX (407) 330-5677 Pager (407) 918-0395 Plans Review Sheet Date: July 2, 2003 Business Address: 130 Keys Court Occ. Ch.38 Business/Storage#42 Business Name: Jack Munfield Building Ph. (407) 339-5481 FAX not given Contractor: Sun Span Structures Ph. (407)339-4422 Fax (407) 339-3984 Architect: T.N. Davis P.E. Ph. (407) 339-4422 Fax.(407) 339-3984 Reviewed 11 Reviewed with comment [IQ Rejected [l Reviewed by: Timothy Robles, Fire Protection Inspector/plans Examiner/ Comment: Plans reviewed as Business/Storage Occupancy. FD reserves right to require applicable code requirements if occupancy use changes. Storage area in rear of structure shall lable all walls in Red stencil saying " No storage beyond 12' per the Sanford Fire Department" Application — New Building. 4, 000 sq, ft. interior office build out. 1.1 Mixed — N/A 1.2 Special Definitions — Meets F.F.P.C.- 6.1.11.1 (Record keeping/Business transactions/ Storage). 1.3Classification of Occupancy, Business & Storage per F.F.P. C. 1.4 Classification of Hazard of Contents — Ordinary/6.2.2.2. 1.5 Minimum Construction — N/R 2.2 Means of Egress Components — ok, VAITFORD'7 D P. FIRE PREVENTION DIVISION 300 N. Park Ave., Sanford, Fl. 32771 / P. O. Box 1788, Sanford, Fl. 32772 407 302-2520 / FAX (407) 330-5677 Pager (407) 918-0395 2.3 Capacity of Egress — One person per 100 sq ft (50 or more occupants shall comply with 44' isle ways) 2.4 Number of Exits — O.K. ( 3 separate exits) 2.5 Arrangement of Egress — O.K., will field verify 2.6 Travel Distance — ok 2.7 Discharge from Exits — O.K., 2.8 Illumination of Means of Egress — O.K.; will field verify 2.9 Emergency Lighting — will field verify 2.10 Marking of Means of Egress — O.K.; will field verify, F. D. will disconnect power and test under battery back up. 2.11 Special Features —N/A 3.1 Protection of vertical Openings - Shall be constructed as a smoke barrier with degree of compartments 3.2 Protection from Hazards — NIN 3.3 Interior Finish - Class "A "or ' B " 3.4 Detection, Alarm and Communications Systems All duct detectors over 2,000 C M.1 shall be tied into main fire alarm panel. Required 3.5 Extinguishing Requirements — as per NFPA 10 — Two Q 2A rated, are extin igushs required in this building mounted at 36from floor to bottom. One 4A rated f e ex inguisher in warehouse area. One 2A rated fire extinguisher required in office, area 3.6 Corridors - 4 Special Provisions 5 Building Services 5.1 Utilities - shall comply with N.F.P.A . #70 2 SANFORD FIRE DEPARTMENT T FIRE PREVENTION DIVISION 300 N. Park Ave., Sanford, Fl. 32771 / P. O. Box 1788, Sanford, FI.32772 407 302-2520 / FAX (407) 330-5677 Pager (407) 918-0395 5.2 HVAC - shall comply with N.F.P.A. # 90 A & #90B over 2000 C.F.M. duct detectors required 5.3 Elevators, Escalators, Conveyors: N/A 5.4 Rubbish Chutes, Incinerators, and Laundry Chutes — N/A Sanford City Code — Chapter 9 Fire SprinklersrlReviewed as Ordinary Hazard stock shall not exceed 12 ft. Monitoring: Required Other: NFPA 1 3-5.1 Fire Lanes — Required if building is more than 1 SO' from street; 3-6.1 Key Box — Required 3-7.1 Bldg. Address Number Posted and Legible - Required; if not on outside of building already k3 Aif ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Florida Department of Community Affairs EnergyGaugeFlaCom v1.22 FORM 40OB-2001 Component Performance Method for Commercial Buildings Jurisdiction: SANFORD, SEMINOLE COUNTY, FL (691500) Short Dese: Munfield Building Project: Munfield Building Owner: Jack Munfield ` Address: Lot 13 Lake Mary Beltway Commerce Park City: Sanford State: FL Zip: 32773 Type: Office (Business) Class: New Finished building PermitNo: 0 Storeys: l GrossArea: 4743 Net Area: 4743 Max Tonnage: 5 (if different, write in) Compliance Summary Component Design Criteria Result ENVELOPE 149.40 169.80 PASSES Other Envelope Requirements - B PASSES LIGHTING POWER 10,000.00 10,433.50 PASSES LIGHTING CONTROLS PASSES EXTERNAL LIGHTING PASSES HVAC SYSTEM PASSES PLANT PASSES WATER HEATING SYSTEMS PASSES PIPING SYSTEMS PASSES Met all required compliance from Check List? Yes/No/NA IMPORTANT NOTE: An input report Print -Out from EnergyGauge F1aCom of this design building must be submitted along with this Compliance Report RECEIVED J U N 3 0 2003 5/ 13/2003 EnergyGauge FlaCom FLCCSB v1.22 COMPLIANCE CERTIFICATION: 4 i r I hereby certify that the plans and specifications covered by this calculation are in compliance with the Florida Energy Efficiency Code. PREPARED II DATE: I hereby certify with the Florida OWNER AGENT DATE: Review of the plans and specifications covered by this calculation indicates compliance with the Florida Energy Code. Before construction is completed, this building will be inspected for compliance in accordance with Section 553,908, F.S. BUILDING OFFICIAL: DATE: If required by FloridaKavA I'here6y certify (') that the system design is in REGISTRATION compliance with the Florida Energy Code. No X,. ARCHITECT: T. N. Davis, P.E. V #7857' t.' r,- ELECTRICAL SYSTEM DESIGNER T. N. Davis, P.E. #7857 L LIGHTING SYSTEM DESIGNER: T. N. Davis, P.E. - . #7857; a MECHANICAL SYSTEM DESIGNER: T. N. Davis, P.E. #7857.' PLUMBING SYSTEM DESIGNER: T. N. Davis, P.E. #7857 r1 C;r.r,!„rn ;c rnn„irad whom Pinrirh I nw rant firprz desinn to he nerformed by reaistered design Drofessionals. Typed names and registration numbers may be used where all relevant information is contained on signed/sealed rACH 1b. Project: Munfield Building Title: Munfield Building Type: Office (Business) Location: SANFORD, SEMINOLE COUNTY, FL (691500) WEA File: Orlando.TMY Envelope Compliance Design Load Criteria Zone Heating Cooling Heating Cooling Zone 1 (CONDITIONED) 0.00 149.40 -17.91 151.89 Total Loads: Desien=149.403 Criteria=169.802 PASSES 5/ 13/2003 EnergyGauge FlaCom FLCCSB v1.22 2 Project: Munfield Building Titre: Munfield Building Type: Office (Business) Location: SANFORD, SEMINOLE COUNTY, FL (691500) WEA File: Orlando.TMY Other Envelope Requirements Item Zone Description Design Limit Meet Req. Zone 1 %_Skylight - Max % Limit 0.00 6.70 Ceiling Zone 1 Exterior Roof - Max Uo Limit 0.05 0.07 Meets Other Envelope Requirements Yes Project: Munfield Building Title: Munfield Building Type: Office (Business) Location: SANFORD, SEMINOLE COUNTY, FL (691500) WEA File: Orlando.TMY External Lighting Compliance Description Category Allowance Area or Length ELPA CLP W/Unit) or No. of Units (W) (W) SqR or ft) Ext Light 1 Entrance (without Canopy) 30.00 Design: 0 (W) L PASSES Allowance: 0 (W) Project: Munfield Building Title: Munfield Building Type: Office (Business) Location: SANFORD, SEMINOLE COUNTY, FL (691500) WEA File: Orlando.TMY Lighting Power Compliance Space Ashrae Description Area Height No. of AF Design Effective Allowance ID (sq.ft) (ft) Spaces (W) (W) (W) Space 1 32 Offices (Partitions<3.5 ft 4.743 9.0 1 1.00 10000 10000 10,434 below ceiling) Open plan offices 900 ft or larger with partitions higher esign : 10000 (W) 1%ctive: 10000 (W) llowance: 10433.5 (V 1 PASSES II 5/13/2003 EnergyGauge FlaCom FLCCSB v1.22 3 411 Project: Munfield Building Title: Munfeld Building Type: Office (Business) Location: SANFORD, SEMINOLE COUNTY, FL (691500) WEA File: Orlando.TMY Lighting Controls Compliance Acronym Ashrae Description ID Area No. of Design Min Compli- sq.ft) Tasks CP CP ance Space 1 32 Offices (Partitions<3.5 ft below ceiling) Open plan offices 900 R 4,743 1 8 7 PASSES or larger with partitions higher PASSES Project: Munfield Building Title: Munfield Building Type: Office (Business) Location: SANFORD, SEMINOLE COUNTY, FL (691500) WEA File: Orlando TMY System Report Compliance PrOSyl System 1 Constant Volume Air Cooled No. of Units Split System < 65000 Btu/hr 1 Component Category Capacity Design Eff Design IPLV Comp- Eff Criteria IPLV Criteria liance Cooling System Air Cooled < 65000 Btu/h 10.00 10.00 8.00 PASSES Cooling Capacity Air Handling Air Handler (Supply) - 0.80 0.80 PASSES System -Supply Constant Volume PASSES Plant Compliance Description Installed Size Design Min No Eff Eff Design Min Category Comp IPLV IPLV liance None 5/13/2003 EnergyGauge FlaCom FLCCSB v1.22 iL Water Heater Compliance Description Type Category Design Min Design Max Comp Eff Eff Loss Loss liance None Piping System Compliance Category Pipe Dia Is Operating Ins Cond Ins Req Ins finches] Runout? Temp (Btu-iu/hr Thick linj Thick lin] Compliance IF] .SF.F) None Project: Munfield Building Title: Munfield Building Type: Office (Business) Location: SANFORD, SE Other Required Compliance Category Section Requirement (write N/A in box if not applicable) Check Infiltration 406.1 Infiltration Criteria have been met System 407.1 RVAC Load sizing has been performed Ventilation 409.1 Ventilation criteria have been met ADS 410.1 Duct sizing and Design have been performed T & B 410.1 Testing and Balancing will be performed Electrical 413.1 Metering criteria have been met Motors 414.1 Motor efficiency criteria have been met Lighting 415.1 Lighting criteria have been met O & M 102.1 Operation/maintenance manual will be provided to owner Roof/Ceil 404.1 R-19 for Roof Deck with supply plenums beneath it Report 101 Input Report Print -Out from EnergyGauge FlaCom attached? 5/13/2003 EnergyGauge FlaCom FLCCSB v1.22 ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Florida Department of Community Affairs EnergyGauge FlaCom v1.22 INPUT DATA REPORT Proiect Information Project Name: Murfield Building Orientation: North Project Title: Murfield Building Building Type: Office (Business) Address: Lake Mary Beltway Commerce Park Building Classificatio New Finished building Lot 13 No.of Storeys: 1 State: FL Zip: 32773 GrossArea: 4743 Owner: Jack Murfield Zones No Acronym Description Type Load Profile Area Multiplier Total Area sal IS11 I Zone 1 Zone I CONDITIONED Uses Building Load 4742.5 l 4742.5 Profile 5/12/2003 EnergyGauge FlaCom FLCCSB v1.22 1 Spaces J No Acronym Description Type Depth Width Height Multi Total Area Total Volume IN IN Iftl plier sfl Icfl In Zone: Zone 1 1 Space 1 Space l Offices (Partitions<3.5 ft 70.00 67.75 9.00 1 4742.5 42682.5 below ceiling) Open plan offices 900 ft or larger with partitions higher Lighting No Type Power Control Type No.of IWI Ctrl pts In Zone: Zone I In Space: Space 1 1 Recessed Fluorescent - No vent 10000.00 Manual On/Off 8 Walls No Description Type Width H (Effec) Multi Area DirectionConductance Heat Dens. R-Value ft l (ftl plier [sfl Btu/hr. sf. F] Capacity Ilb/cfl [h.sEF/Btul Btu/sEFl In Zone: Zone 1 1 north wall 8"CMU/3/4"ISO 67.75 9.00 1 609.8 North 0.2642 9.6960 62.72 3.79 BTWN24"oc/5/8 Gyp 2 south wall 8"CMU/3/4"ISO 67.75 9.00 1 609.8 North 0.2642 9.6960 62.72 3.79 BTWN24"oc/5/8 Gyp 3 west wall 8"CMU/3/4"ISO 70.00 9.00 1 630.0 North 0.2642 9.6960 62.72 3.79 BTWN24"oc/5/8 Gyp 5/12/2003 EnergyGauge FlaCom FLCCSB vl.22 4 east wall 0.5 Pol/35/8" Md 70.00 9.00 1 630.0 North 0.0732 0.5408 7.94 13.66 std@24"oc/R11/0.5" Gyp Windows No Description Type Shaded UCen SC Vis.Tr W H (Effec) Multi Total Area Btu/hr sf F[ tit] ft] plier [sf] In Zone: Zone 1 In Wall north wall 1 north windows SINGLE CLEAR No 1.0018 0.95 0.88 4.00 5.00 5 100.0 In Wall south wall 1 south windows SINGLE CLEAR No 1.0018 0.95 0.88 4.00 5.00 5 100.0 In Wall west wall I west windows SINGLE CLEAR No 1.0018 0.95 0.88 4.00 5.00 4 80.0 2 entry glass door SINGLE CLEAR No 1.0018 0.95 0.88 6.00 7.00 1 42.0 Doors No Description Type Shaded? Width H (Effec) Multi Area Cond. Dens. Heat Cap. R-Value IN (ft[ plier sf[ [Btuthr. sE F[ (Ib/cf[ [Btu/st F[ [h.sEF/Btul In Zone: Zone I In Wall: north wall I north personnel d Polyurethane core No 3.00 7.00 1 21.0 0.3849 0.00 0.00 2.60 24 ga steel) 1 In Wall: east wall 1 . east personnel do Polyurethane core No 3.00 7.00 1 21.0 0.3849 0.00 0.00 2.60 24 ga steel) I Roofs No Description Type Width H (Effec) Multi Area Tilt Cond. Heat Cap Dens. R-Value IN IN plier sf( deg[ [Btu/hr. SE F[ Btu/sE F[ (Ib/cf[ (h.sEF/Btu[ In Zone: Zone I 6.92 21.29ICeilingCeiling, exposed to 70.00 67.75 1 4742.5 0.00 0.0470 0.87 attic, R-20 cellulose 5/12/2003 EnergyGauge FlaCom FLCCSB v1.22 Skylights No Description Type UCen Shading Vis.Tran W H (Effec) Multiplier Area Total Area Btu/hr sf F] Coeff IN [ft] Sf] [Sl] In Zone: In Roof: a Floors No Description Type Width H (Effec) Multi Area Cond. Heat Cap. Dens. R-Value IN [ft] plier sf] [Btu/hr. sf. F] [Btu/s[ F] (Ib/cf] h.sEF/Btu[ In Zone: Zone 1 1 Floor Concrete floor, 70.00 67.75 1 4742.5 0.5987 9.33 140.00 1.67 carpet and rubber pad Systems PrOSyl System 1 Constant Volume Air Cooled Split No. Of Units 1 System < 65000 Btu/hr Component Category Capacity Efficiency IPLV 1 Cooling System (Air Cooled < 65000 Btu/h Cooling Capacity) 2 Air Handling System -Supply (Air Handler (Supply) - Constant Volume) 60000.00 10.00 8.00 1500.00 0.80 Plant Equipment Category Size Inst.No Eff. IPLV 5/12/2003 EnergyGauge FlaCom FLCCSB v1.22 Water Heaters W-Heater Description Capacit Cap.Unit 1/P Rt. EMcienc Loss Ext-lighting Description Categories. Area/Len/No. of units sf/ft/Noj Wattage W] 1 Ext Light 1 Entrance (without Canopy) 0.00 0.00 Piping No Type Operating Insulation Temperature Conductivity IFj I Btu-in/h.sf.F[ Nomonal pipe Diameter inj Insulation Is Runout? Thickness inj Fenestration Used Name Glass Type No. of Glass SC VLT Frame Frame Panes Conductance Conductance Absorptance Btu/h.sE FI [Btu/h.sE FI ApLbWndI SINGLE CLEAR 1 1.0018 0.9500 0.8810 0.4340 0.7000 5/12/2003 EnergyGauge FlaCom FLCCSB vl.22 5 Materials Used Only R-Value RValue Thickness Conductivity Density SpecificHea Mat No Acronym Description Used h.sEF/Btu[ IN Btu/h.ft.F[ lb/cfl t 18 Mad18 2 in. Wood No 2.3857 0.1670 0.0700 37.00 0.3900 264 Mat1264 ALUMINUM, 1/16IN No 0.0002 0.0050 26.0000 480.00 0.1000 214 Mat1214 POLYSTYRENE, EXP., No 5.2100 0.1042 0.0200 1.80 0.2900 1-1/41N, 187 Mad 187 GYP OR PLAS No 0.4533 0.0417 0.0920 50.00 0.2000 BOARD,1/2IN 206 Mat1206 CELLULOSE,FILL,5.51N,R- No 20.8318 0.4583 0.0220 3.00 0.3300 20 151 Mat1151 CONC HW, DRD, 140LB, No 0.4403 0.3333 0.7570 140.00 0.2000 4IN 178 Mad178 CARPET W/RUBBER PAD Yes 1.2300 265 Mat1265 Soil, 1 ft No 2.0000 1.0000 0.5000 100.00 0.2000 48 Mat148 6 in. Heavyweight concrete No 0.5000 0.5000 1.0000 140.00 0.2000 123 Mat1123 CONC BLOCK No 1.7227 0.6667 0.3870 53.00 0.2000 MW,8IN,HOLLOW 159 Mat1159 CONC No 0.3202 0.3333 1.0410 140.00 0.2000 HW-UNDRD-140LB-4IN 57 Matl57 3/4 in. Plaster or gypsum No 0.1488 0.0625 0.4200 100.00 0.2000 72 Matl72 AIR LAYER, 3/4IN OR Yes 0.9000 LESS, VERT. WALLS 267 Mat1267 0.75" stucco No 0.1563 0.0625 0.4000 16.00 0.2000 266 Mat1266 2x4@16" oc + Rl 1 Batt No 8.3343 0.2917 0.0350 9.70 0.2000 215 Mat1215 POLYSTYRENE, EXP., No 8.3350 0.1667 0.0200 1.80 0.2900 2IN, 105 Mad105 CONC BLK HW, 8IN, No 1.1002 0.6667 0.6060 69.00 0.2000 HOLLOW 256 Mat1256 WOOD, SOFT, 1-1/2IN No 1.8939 0.1250 0.0660 32.00 0.3300 268 Mat1268 0.625" stucco No 0.1302 0.0521 0.4000 16.00 0.2000 42 Mat142 8 in. Lightweight concrete No 2.0212 0.6670 0.3300 38.00 0.2000 block 269 Mat1269 75" ISO BTWN24" oc No 2.2321 0.0625 0.0280 4.19 0.3000 86 Matl86 BRICK, COMMON, 4IN No 0.8012 0.3333 0.4160 120.00 0.2000 5/12/2003 EnergyGauge FlaCom FLCCSB v1.22 6 211 Matl211 POLYSTYRENE,EXP.,1/21 No 2.0850 0.0417 0.0200 1.80 0.2900 12 Mad 12 N, 3 in. Insulation No 10.0000 0.2500 0.0250 2.00 0.2000 218 Mat1218 POLYURETHANE,EXP.,1/2 No 3.2077 0.0417 0.0130 1.50 0.3800 23 Mat123 IN, 6 in. Insulation No 20.0000 0.5000 0.0250 5.70 0.2000 4 Mat14 Steel siding No 0.0002 0.0050 26.0000 480.00 0.1000 271 Mat1271 2x4@24" oc + RI I Batt No 10.4179 0.2917 0.0280 7.11 0.2000 272 Mat1272 Panel with 7/16" panels Yes 0.9044 273 Mat1273 Hollow core flush (1.375") Yes 1.2777 274 Mat1274 Solid core flush (1.375") Yes 1.7141 275 Matl275 Panel with 7/16" panels Yes 1.0019 1.375") 276 Mat1276 Hollow core flush (1.75") Yes 1.3239 277 Mat1277 Panel with 1-1/8" panels Yes 1.7141 1.75") 278 Mat1278 Solid core flush (1.75") Yes 1.6500 279 Mat1279 Solid core flush (2.25") Yes 2.8537 280 Mat1280 Fiberglass/Mineral wool core Yes 0.8167 281 Mat1281 Paper Honeycomb core Yes 0.9357 282 Mat1282 Solid Urethane foam core Yes 1.6500 283 Mat1283 Solid mineral fiberboard core Yes 1.7816 284 Mat1284 Polystyrene core (18 ga steel) Yes 2.0071 285 Mat1285 1 Polyurethane core (I8 ga Yes 2.5983 steel) 2 286 Mat1286 Polyurethane core (24 ga Yes 2.5983 steel) 1 287 Mat1287 Polyurethane core (24 ga Yes 4.1500 steel) 2 288 Mat1288 Solid Urethane foam core Yes 4.1500 81 Matl81 ASPHALT -ROOFING, Yes 0.1500 ROLL 244 Mat1244 PLYWOOD, 1/21N No 0.6318 0.0417 0.0660 34.00 0.2900 185 Mad185 CLAY TILE, PAVER, 3/81N No 0.0301 0.0313 1.0410 120.00 0.2000 82 Matl82 ASPHALT -SHINGLE AND Yes 0.4400 SIDING I I Mad 11 2 in. Insulation No 6.6800 0.1670 0.0250 2.00 0.2000 5/12/2003 EnergyGauge FlaCom FLCCSB v1.22 7 47 Matl47 2 in. Heavyweight concrete No 0.1670 0.1670 1.0000 140.00 0.2000 95 Matl95 CONC BLOCK No 0.7107 0.3333 0.4690 101.00 0.2000 HW-4IN-HOLLOW 248 Matl248 ROOF GRAVEL OR No 0.0500 0.0417 0.8340 55.00 0.4000 SLAG 1/2IN 94 Matl94 BUILT-UP ROOFING, No 0.3366 0.0313 0.0930 70.00 0.3500 3/8IN Constructs Used Simple Massless Conductance Heat Capacity Density RValue No Name Construct Construct [Btu/b.st FI Btu/sEF[ Ib/cf[ h.sEF/Btu[ 1003 Ceiling, exposed to attic, R-20 cellulose No No 0.05 0.87 6.92 21.2851 Layer Material Material Thickness Framing No. ft[ Factor 1 187 GYP OR PLAS BOARD,1/2IN 0.0417 0.00 2 206 CELLULOSE,FILL,5.5IN,R-20 0.4583 0.00 Simple Massless Conductance Heat Capacity Density RValue No Name Construct Construct [Btu/b.sEF[ Btu/sEF[ lb/cf[ h.sEF/Btu[ 1004 Concrete floor, carpet and rubber pad No No 0.60 9.33 140.00 1.6703 3 Layer Material Material Thickness Framing No. ft[ Factor 1 151 CONC HW, DRD, 140LB, 4IN 0.3333 0.00 2 178 CARPET W/RUBBER PAD 0.00 5/12/2003 EnergyGauge FlaCom FLCCSB v1.22 Simple Massless Conductance Heat Capacity Density RValue No Name Construct Construct Btu/h.sEFI Btu/sEF[ Ib/cfl h.sEF/Btul 1014 8"CMU/3/4"ISO BTWN24"oc/5/8 Gyp No No 0.26 9.70 62.72 3.7856 Layer Material Material Thickness Framing No. ftl Factor 1 105 CONC BLK HW, BIN, HOLLOW 0.6667 0.00 2 269 75" ISO BTWN24" oc 0.0625 0.00 3 187 GYP OR PLAS BOARD,1/21N 0.0417 0.00 Simple Massless Conductance Heat Capacity Density RValue No Name Construct Construct Btu/h.sEF[ Btu/sEF[ Ib/cf[ h.sEF/Btu] 1016 0.5 Pol/35/8" Mtl std@24"oc/R11/0.5"Gyp No No 0.07 0.54 7.94 13.6610 Layer Material Material No. 1 218 POLYURETHANE,EXP.,1/2IN, 2 12 3 in. Insulation 3 187 GYP OR PLAS BOARD,1/2IN No Name Simple Massless Construct Construct 1035 Polyurethane core (24 ga steel) 1 No Yes Layer Material Material No. 1 286 Polyurethane core (24 ga steel) 1 Thickness Framing IN Factor 0.0417 0.00 0.2500 0.00 0.0417 0.00 Conductance Heat Capacity Density RValue Btu/h.sEFI Btu/sEF[ lb/cf[ [h.sEF/Btul 0.38 2.5983 Thickness Framing IN Factor 0.00 5/12/2003 EnergyGauge FlaCom FLCCSB vI.22 9 REVISIONS PERMIT # 03-o?,24-0 go ADDRESS_ CONTRACTOR PH # 410 7-- S?9- 6- ft / FAX # DESCPRIITION OF REVISION: I UTILITIES FIRE B L D G. 0 T.N. Davis 180 County Road 427 S. Consulting Engineer Suite 104 A V I S Longwood, FL 32750 Florida Civil Engineer #7857 Telephone (407) 339-4422 Florida Threshold Inspector #0927 Fax (407) 339-3984 F c rcm %-f -# 03- Z3 5 6 Lor 13 LAKE MAoV r 9EL TWA Y CO^f",rgCE rg7AMK 8 A;j-rust 2003 To the City of Sanford Building Department~ Please note the 2" vent stack for the plumbing a the ladles room, meets or exceeds the minimum design criteria for the State of Florida Plumbing Code. Please allow the change from a 3" vent, to a 2" ven* as originally permitted. If i can be of further assistance , call me at your convenience. thank You. A qr/ S Sincerely, lyO.c ek, sqN F40Fo*o T.N. . N. Days, p.e. Stote of Fla.#7857 LAKE MARY BELTWAY COMMERCE PARK 1175 Spring Centre South Boulevard Suite 100 Altamonte Springs, Florida 32714 407-869-8054 Fax: 407-869-8435 August 7, 2003 City of Sanford Dan Florian, Building Official P. Sanford, Florida 32772-1788 Re: Pre -Power Inspection Request for 130 Keyes Court, Sanford, Florida To Whom It May Concern: This letter is written to request a Pre -Power Inspection for the address referenced above. Please be advised that such building will not be occupied until the Certificate of Occupancy has been released. VQx truly yours, Lak Mary Beltway Commerce Park State of. Florida County of. Seminole . Subscribed and s to before a this Z day of Jy V .F ,2003 Notary Public,: My commvssi expires: ll' Mho BRIM! P. EWS 4: .- MY COMMISSION II DD 041892 go„d,d n,Iru Masryulyl5u 2. nfl 1111111111Ulm 1111111191INSIR 110111111meIII 1oil MARYANNE MDRSE, CLEF OF CIRCUIT COURT Permit Number: SEMINOLE COUNTY BK 04896 PG 1396 Tax Parcel Number: 12-20-30-510-0000-0020 CLERK'S # 2003115901 RECORDING FEES 6. 00 Address of Job: 130 Keyes CourtSanford Florida RECORDED BY L McKinley NOTICE OF COMMENCEMENT State of Florida County of Seminole THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. Description of Property: 130 Keyes Court, Sanford Florida 2. General Description of Improvement: Phase II — Interior Improvements 3. Owner Information: i) Name & Address: Lake Mary Beltway Commerce Park 1175 Spring Centre South Boulevard Suite 100 Altamonte Springs Florida 32714 b) Interest in Property: Owner c) Name & Address of fee simple titleholder (other than Owner): 4. Contractor's Name and Address: Sunspan Structures, Inc. 180 County Road 427 Longwood, Florida 32750 5. Surety Information: a) Name & Address N/ A b) Amount of Bond: N/A Lender's Name & Address: N/A 6. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(l)(A)7, Florida Statutes: Name & Address: N/A 7. In addition to himself, Owner designates of to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Expiration date of Notice of Commencement (the expiration date is one (1) year from the date of recording unless a different date is specified): i2 Signature of Owner: jJohnA. Munfield, General Partner Sworn to and subscribed be a me This day of e% , 2003 BROWP EWs h MY COMMISSION 4DO 041892 of EXPIRES: July 15, 2005 Bwdod Thm Naery Publk UnO w bm Prepared by: John A. Munfield l l75 Spring Centre South Boulevard, Suite 100 Itamonte Springs, FL 32714 Permit # : Job Address: Description of Work: Historic District: CITY OF SANFORD PERMIT APPLICATION Date: /0 3 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 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 #: Contractor Name & Address: Phone & Fax: Bonding Company: Address: Mortgage Lender: Address: Architect/Engineer: Address: Attach Proof of Ownership & Legal Description) Phone: Lf State License Number: _ Contact Person: /i ., wig Phone: — 9Z,ll Phone: Fax: Application is hereby made to obtain a permit to do the work and installations as indicated. 1 certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and AIR CONDITIONERS, etc. OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. 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 ag *ies,pr federal agencies. Acceptance of permit is verification that 1 will notify the owner of the property of the Signature of Owner/Agent Date Signalkie of ontractor/ gent , Print Owner/Agent's Name nNotary-State meme Signature ofNotary-State of Florida Date f orida Owner/Agent is _ Personally Known to Me or Produced ID APPLICATION APPROVED BY: Bldg: Initial & Date) Special Conditions: Zoning: f112-.-03 Date %,,,,, Contractor/Agent is Personally Known to Me or Aff-Produced ID Initial & Date) Utilities: FD: Initial & Date) (Initial & Date) s C W 9 W= H `".rA CL g rs x d Q v N a n CPO U. PO ZR OF ATTORNBY Date • .c , I-) — ,Zo0'3 I hereby name and appoint 5—o N A. Ma Zvi-, g/ of I& Aj A ,e& Anal Ash 04 es to be my lawful attorney in fact to act for me and apply to the C, -4 Building Department for a ly \ j permit S for work to be performed at a location described as: Section Township Range ! Lot Block Subdivision ss o r, 777,y Oiiner of Property and Address) and to sign my name and do all things necessary to this appointment. Type of Print name of Certified Contractor Signature of Certified Contractor The foregoing instrument was acknowledged before me this & 1/O 3 by P'AJkz who is personally known to me/who produced as identification and who did not take oath. State of Florida County of Seminole Commission # Notary) My commission Expires: H • ' • GWEND MY COMMISSION +r CC985M d EXPIRES Februwy27 2M BOnaeo inru Nowy Pupnc Underwr0erg COUNTY OF SEMINOLE IMPACT FEE STATEMENT STATEMENT NUMBER: 03100007 BUILDING APPLICATION #: 03-10000729 BUILDING PERMIT NUMBER: 03-10000729 UNIT ADDRESS: KEYES COURT 130 TRA[FIC ZOHE:O22 JURISDICTION:: SEC: Tto, : RNG: SUFo SUBDIVISION: PLAT BOOK: PLAT BOOK OWNER NAME: ADDRESS: DATE: July 17, 2003 12- 20-30-512-0000-0020 PARCEL: TRACT: BLOCK: LOT: APPLICANT NAME: LAKE MARY BELTWAY COMM PARK ADDRESS: 1175 SPRING CTR S BLVD STE 100 ALTAMONTE SPRINGS LAND USE: OFFICE FROM WAREHOUSE TYPE USE: WORK D[SCRIPTIONn CITY-SANFORD FL 32714 FEE BENEFIT PATE UNIT CALC UNIT TOTAL DUE TYPE DIST SCHED RATE UNITS TYPE ROADS- ART[RIALS CO -WIDE ORD Office < 100K Square Feet 1,545.00 2.990 1000gsft 4,619~55 ROADS - COLLECTORS NORTH ORD Office < 100K Square Feet 312.00 2.990 1000gsft 932.88 FIRE RESCUE . N/A 0O LIBRARY N/A 0(} SCHOOLS N/A \ 00 PARKS N/A X) LAW ENFORCE N/A 00 DRAINAGE N//\ 00 x CREDIT FEES: SCI ROAD ARTERIALS Warehousing* 3p8.00 2.99O 1000gsft 1,19O~O2' SCI ROAD COLLECTORS NORTH Warehousing* 80.011) 2.990 239.20- AMOiNT DUE 4,123.21. RECEIVED BY: ---------- PLEASE PRINT NAME) DATE: ............. NOTE TO RECEIVING SIGMATORY/APPLICAAT: FAILURE TO NOTIFY OWNER AND . ENSURE TIMELY PAYMENT MAY RESULT IN YOUR LIABILITY FOR THE FEE. *** DISTRIBUTION: 1-BLDG DEPT 3-APPLICANT 2- FINANCE 4-1 A1,41) MANAGEMENT NOTE** PERSONS ARE ADVISED THAT THIS IS A STATEMENT OF FEES DUE UNDER THE SEMINOLE COUNTY ROAD FIRE/REGCUE, LIBRARY AND/OR EDUCATIONAL ISSUANCE OF A BUILDInS PERMIT. PERSONS ARE ALSO ADVISED THAT ANY RIGHTS OF THE APPLICANT, OR OWNER, TO APPEAL THE CALCULATION OF ANY OF THE ABOVE MENTIONED IMPACT FEES MUST BE EXERCISED BY FILING A WRITTEN REQUEST WITHIN 45 CALENDAR DAYS OF THE RECEIVING SIGNATURE DATE ABOVE BUT NOT LATER THAN CERTIFICATE OF OCCUPANCYOR OCCUPANCY. THE REQUEST FOR REVIEW MUST MEET THE REQUIREMENTS OF THE COUNTY LAND DEVELOPMENT CODE. COPIES OF RULES GOVERNING APPEALS MAY BE PICKED UP OR REQUESTED, FROM THE PLAN IMPLEMENTATION OFFICE: 1101 EAST FIRST STREET, SANFORD FL, 32771; 407-665-7356. PAYMENT SHOULD BE MADE TO: SEMINOLE COUNTY BUILDING DEPARTMENT 1101 EAST FIRST STREET SANFORD, FL 32771 OR CITY OF SANFORD PAYMENT SHOULD BE BY CHECK OR MONEY ORDER AND SHOULD REFERENCE THE COUNTY BUILDING PERMIT NUMBER AT THE fOP LEFT OF THIS STATEMENT. THIS STATEMENT IS NO LONGER VALID IF A BUILDING PERMIT IS NOT*** ISSUED WITHIN 60 CALENDAR DAYS OF THE RECEIVING SIGNATURE DATE ABOVE DETAIL OF CALCULATION AVAILABLE UPON REQUEST. CALL 407-665-I356~ CITY OF SANFORD FIRE DEPARTMENT FEES FOR SERVICES PHONE # 407-302-1091 * FAX #: 407-330-5677 nn DATEPERMIT #: o BUSINESS NAME / PROJECT: r'Aa,e ADDRESS: PHONE NO %? - '9' -FAX NO.: (C 07) 3 37W CONST. INSP. [ ] C / O INSP.:[ J REINSPECTION [ ] PLANS REVIE F. A. [ ] F.S. [ ] HOOD [ ] PAINT BOOTH [ ] BURN PE IT [ ] TENT PERMIT TANK PERMIT [ 1 OTHER ! TOTAL FEES: S ((PER UNIT SEE BELOW) COMMENTS: Address / Bldp,. # / Unit # 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. Fees per Bldg. / Unit Fees must be paid to Sanford Building Department, 300 N. Park Ave., Sanford, FI. 32771 Phone # -407- 330- 5656. Proof of Payment must be made to Fire Prevention division before any further services can take place. I certify that the above is true and correct and that I will comply with all applicable codes and ordinances of the City of Sanford, Florida. /—\ Sa ford Fire Pr ntion Division Applicant's Signature 0 t %e Permit # : k J -` t Job Address: Description of Work: Historic District: CITY OF SANFORD PERMIT APPLICATION Date: 1:Z_ Q 7 r S - d Zoning: Value of Work: $ 7K 5 0• 45) U Permit Type: Building Electrical Mechanical )4- Plumbing Fire Sprinkler/Alarm Pool Electrical: New Service — # of AMPS `1Addition/Alteration Change of Service Temporary Pole Mechanical: Residential Non -Residential 7 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 X Industrial Total Square Footage: Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X) Parcel #: Owners Name & Address: Phone & Fax: - Bonding Company: Address: Mortgage Lender: Address: Architect/Engineer: Address: Attach Proof of Ownerskip & Legal Description) Phone: Contact Person: J 1 VlA Y05 F. ITT Phone: f 9 1'Lk- C 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: 1 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 th property_that may be found in the public records of this county, and there may be additional permits required from other governmental entities suc as water man nrdisin ta agenc' s, or federal agencies. Acceptance of permit is verification that 1 will notify the owner of the property of the requireme L of Florida 'en Law, F 711 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 APPLICATION APPROVED BY: Bldg: rs Zoning: nit ial & ate) Special Conditions: Signature of Contracto ge Date 5n\fin t'S _. ' Oil nature of Notary-Stq4e of Florida + : ate FLORENICE A DE GRAVE MY COMMISSION i DO 164280 EXPIRES: November 12, 2006piaBW*d Tluu Budget Notary Ses Contra y nown to Me or 42, ProducedID Utilities: FD: Initial & Date) (Initial & Date) (Initial & Date) r BP200I08 CITY OF SANFORD Application Receipts Inquiry Application nbr . . . . . . : 03 00001823 Property . . . . . . . . . . 130 KEYES CT Cashier . . . . . . . . . . . FIFIELDJ Receipt nbr, date, time . . : 0031158 7/15/03 Payment type, amount . . . : CK 40.00 Check number . . . . . . . . 1346 Fee Cls Type Amt paid Credited amt Structure Permit A AM 10.00 .00 P PF 30.00 .00 000 000 MCHC 00 Press Enter to continue. F3=Exit F12=Cancel 8/11/03 15:40:26 1 Void Inspection Status Bottom 8/11/03 15:41:39 BP703UO3 CITY OF SANFORD Cash Receipt Corrections - Void Payment Cashier: JOHNSON Application nbr . . . 03 00001823 Property . . . . . . 130 KEYES CT 12.20.30.510-0000-0130 Cashier, receipt date FIFIELDJ Receipt amount, date, time 40.00 7/15/03 1 Type information and options, press Enter. 4=Void payment Receipt number . . 0031158 Payment type (F4) . CK Check number . . . 1346 Fee Fee Opt Class Type Amt paid Credited amt Structure Permit 4 A AM 10.00 00 4 P PF 30.00 00 000 000 MCHC 00 F3=Exit F4=Prompt F12=Cancel Inspection BP703U04 CITY OF SANFORD 8/11/03 Cash Receipt Corrections - Confirm Void Payment 15:41:51 Type information, press Enter to confirm choices for 4=Void payments Press F12=Cancel to return to change your choices. Cashier ID to use on transaction 1 1=Current user 2=0riginal cashier Fee Fee Opt Class Type Amt paid Credited amt Structure Permit Inspection 4 A AM 10.00 .00 4 P PF 30.00 .00 000 000 MCHC 00 F3=Exit F12=Cancel BP700U10 CITY OF SANFORD Cash Receipt Posting - Receipts Entry Cashier . . . . . . . . . . JOHNSON Application number . . . . 03 00001823 Property Address . . . . . 130 KEYES CT Parcel Number . . . . . . . 12.20.30.510-0000-0130 Credit amount . . . . . . . .00 Type information, press Enter. Total received 40.00 Amount Fee to apply Type Trans amt Amount due Structure Permit PF 1167.00 00 000 000 BLCA 00 PF 39.00 00 000 000 PLCM 00 PF 75.00 00 000 000 NCOM 00 30.00 PF 30.00 30.00 000 000 MCHC 00 PN 151.50 00 RA 50.50 00 RD 4827.80 00 8/11/03 15:42:59 Inspection More... F3=Exit FS=Receive all fees F7=View 2 F12=Cancel F24=More keys BP703UO3 CITY OF SANFORD 8/11/03 Cash Receipt Corrections - Void Payment 15:44:07 Cashier: JOHNSON Application nbr . . . . . . . 03 00001823 Property . . . . . . . . . . 130 KEYES CT 12.20.30.510-0000-0130 Cashier, receipt date . . . . JOHNSON Receipt amount, date, time 40.00 8/11/03 15:43:32 Type information and options, press Enter. 4=Void payment Receipt number . . . . . . 0031158 Payment type (M . . . . . CK Check number . . . . . . . 1346 Fee Fee Opt Class Type Amt paid Credited amt Structure Permit Inspection 4 A AM 10.00 .00 4 P PF 30.00 .00 000 000 MCHC 00 F3=Exit F4=Prompt F12=Cancel BP703U04 CITY OF SANFORD 8/11/03 Cash Receipt Corrections - Confirm Void Payment 15:44:14 Type information, press Enter to confirm choices for 4=Void payments Press F12=Cancel to return to change your choices. Cashier ID to use on transaction 1 1=Current user 2=0riginal cashier Fee Fee Opt Class Type Amt paid Credited amt Structure Permit Inspection 4 A AM 10.00 .00 4 P PF 30.00 .00 000 000 MCHC 00 F3=Exit F12=Cancel BP700U10 CITY OF SANFORD Cash Receipt Posting - Receipts Entry Cashier . . . . . . . . . . JOHNSON Application number . . . . 03 00002356 Property Address . . . . . 130 KEYES CT Parcel Number . . . . . . . 12.20.30.510-0000-0130 Credit amount . . . . . . . .00 Type information, press Enter. Total received 40.00 Amount Fee to apply Type Trans amt Amount due AF 10.00 00 10.00 AM 10.00 10.00 AP 10.00 00 F2 80.00 00 PF 447.00 00 PF 33.00 00 30.00 PF 30.00 30.00 8/11/03 15:45:08 Structure Permit Inspection BLCA 00 PLCM 00 MCHC 00 More... F3=Exit F5=Receive all fees F7=View 2 F12=Cancel F24=More keys CITY OF SANFORD PERMIT APPLICATION Permit # : 3 — Z -3 S & Date: 6-7-63 Job Address: A:fF rs Co Description of Work: A"old T.G- lFxX Historic District: Zoning: Value of Work: 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 d # of Water & Sewer Lines # of Gas Lines 'b 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) powners Parcel #: .,% NS ( Attach Proof of Ownership & Legal Description) Name & Add ,tress:G"/ FX,&Z Phone: ontractor Name & A/dd ress: C s q s C/• % L t7++t/ (.v7OC M C State License Number: fC © /l 7 Phone & Fax. Bonding Company: i Address: Mortgage Lender: _ Address: Contact Person: Phone: 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, state agencies, or federal agencies. Acceptance of permit is verification that 1 will notify the owner of the property of the requirementhof Florida Lien La FS 713. Signature of Owner/Agent Date Signatu of Contractor/Agent Date Rodr. V- ^91<SC-AVWX0? Print Owner/Agent's Name Signature of Notary -State of Florida Date lint ContractoQr/A a is la;R-- 11 oia /FI ig na We,,g k Notaff AAp a VLRAVE Date 4 * MY COMMISSION t DO 164280 Owner/Agent is _ Personally Known to Me or CoA"E geoIRES: NOVBInbBr 12, 20%E E6ed Produced ID - I Produced ID _ fZiAPPLICATION APPROVED BY: Bldg: Zoning: Utilities: Initial (Initial & Date) Special Conditions: O IIIIIf. M6-*n to Me or FD: Initial & Date) ( Initial & Date)