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601 W Seminole Blvd 09-783
CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: J Documented Construction Value: $. l n . o r) r) Job Address: w s- 4liyd RL VD ; s� Nf�2 i i=L Historic District: Yes ❑ No ❑ Parcel ID• Zoning: Description of Work: 121- 2oai: Plan Review Contact Person: Title: 6--c Phone: Fax: � }- 5S'� -c>o E -mail: 6�9ccv Flvrv/r'S lrySN CoM Property Owner Information Name Phone: Street: 9 d _ 4 'i- Resident of property? : /Ud hZ) c;4/_ City, State Zip: w, w nY Contractor Information Name Phone: �? - 5�� -�� °� 7 $167 F2 � Street: 7�.-_%o 1 6/-A,7 ... t� ' - 'a Fax: 8�� - s -T� - 00 y City, State Zip:l(t✓1dQ State License No.: CC-C— D S�-7 G 3 o Architect/Engineer Information 4fCL. !3279 L L Name: Phone: Street: Fax: City, St, Zip: E -mail: Bonding Company: Address: Building Permit ❑ Mortgage Lender: Address: PERMIT INFORMATION Square Footage: Construction Type: No. of Stories: 2 No. of Dwelling Units: Electrical ❑ New Service — No. of AMPS: Flood Zone: Mechanical ❑ (Duct layout required for new systems) Plumbing ❑ New Construction - No. of Fixtures: Fire Sprinkler /Alarm ❑ No. of heads: CONSTRUCTION AGREEMENT (Cost Plus Fee) Agreement_ made_ between_ Gelco_De_velopment- USA,_Inc._and— 1. The specific work of this agreement shall consist of: e F _ ,? , F A ; S f eZ2 OL e 31Zb> :�,oN/w2n - ) '-L and shall be in accordance with specifications, drawings, or as reasonably inferable from either or both, and other contract documents. 2. The subcontractor accepts the relationship of trust established by this agreement and warrants to Gelco that he shall supervise and use his best skills, effort and judgment in furthering Gelco interests. The subcontractor herein confirms and assures he or she is insured and bonded, and shall hold harmless Gelco from and against all claims, damages, losses, expenses, legal fees or other costs resulting from this contract. 3. The total price for the job shall be based on the real cost for labor and materials if included, plus administration fee but no more than All materials shall be furnished and supplied by 6 w All labor shall be hired or sub - sub - contracted with and paid by 0 w Alt 2 Final payment shall be made when the work is complete and to owner satisfaction. 4. The cost of the work is herein defined as the cost incurred by the Subcontractor in performing the work under this agreement and shall include: a. Labor directly used in performing the work of this project. b. Costs of materials to be used in the project. c. Payments to subcontractors who perform work on the project. Labor, subcontractors and materials shall be previously listed by the subcontractor and approved by Gelco in writing before commencing the job. This Agreement entered into this 09 day of Sh ,0 LJA Q y Subcontractor: / Gelco: cl"121S A( CONSTRUCTION AGREEMENT (Cost plus Fee) Agreement made between Gelco Development USA, Inc. and ,"11121 s 1. The specific work of this agreement shall consist of, d( 6- ,f1JJ if A 7- a/ f y /2 }� _ )= L tal i` !` /) Al 7 A I) and shall be in accordance with specifications, drawings, or as reasonably inferable from either or both, and other agreement documents. 2. The owner hereby gives authority to Gelco to sign any document or contract in connection to this agreement on his / her behalf, and to bind the owner to that document or contract. 3. The owner accepts the relationship of trust established by this agreement and herein acknowledges that he or she has established a commercial relationship with S f' /-1. , a i /�) 14 ti s i r2iV,- �Es, l l --- -- therefore all materials and / or services are provided on an "as is" basis and all claims from this agreement shall be reverted to 3-s ti )•4a r -f-t'y M /.iu g, C itVr c6 s Except as expressly provided in this agreement, no warranty, condition, undertaking or term, express or implied, statutory or otherwise as to the condition, quality, performance, or durability of the materials or service is given or assumed by Gelco and all such warranties, conditions, undertakings and terms are hereby excluded. The owner agrees that the total aggregate liability of Gelco in respect of all and any legal proceedings, claims or actions brought against Gelco arising out of this agreement, the liability of Gelco shall be limited to the actual monies received by Gelco from the owner. Without prejudice to the foregoing, in the event and notwithstanding that any of the terms here above in respect of limitation of liability be rendered void, illegal or unenforceable, the owner hereby expressly agrees that his / her sole remedy shall be the return of any monies forwarded to Gelco. 4. The total price for the job shall be based on the real cost for labor and materials if included, plus the administration fee of ,! , t( 0,3 °' , to be paid W/MA,/ r z,"? L s I s � The final price shall be no more than ? All materials shall be furnished and supplied by 59 b,1,1e lz aA ,j S 1Y All labor shall be hired or contracted from, and or, by T-- Z I / � ti �� y ,,LJ y GL r 4 vc c e and paid by o lv Itli g_ I -p , fi c 5. The cost of the work is herein defined as the cost incurred in performing the work under this agreement and shall include: Labor directly used in performing the work, costs of materials, payments to subcontractors who perform work on the project. 6. This agreement replaces and supercedes any other docum nt or agreements between both parties. This Agreement entered into this 7� day of �/ 414 n Z, Old _ G � Owner: Gelco: '3o Construction Industry's Recovery Fund Payment may be available from the Construction Industry's Recovery Fund if you lose money on a project performed under contract, where the loss results from specified violations of Florida Law by a State - Licensed contractor. For information about the Recovery Fund and filling a claim, contact a Florida Construction Industry Licensing Board at the following telephone number and address: Florida Construction Industry Licensing Board 1940 Tallahassee, Florida, 32399 Telephone number: (850) 487 -1395 1 1111 II 111 II 111 II 11111111 II 111 II 111 If III II Ill II 1111! III 1 Ill! —, MIS INSTRUNIENT PItIPAI -Lb rid' Cf._ ,#1A PANNE MORSE, CLERK OF CIRCUIT COURT Permit No. ` Z5- (9- 30 -SAG - 3Nog- Oo /D$�`;AE�'nvf�: ✓1�✓ / /G" Tax Folio,No. INt1LE COUNTY AODR. ® -+ `L1 / °s ^� - BK 07115 pg 17341 (lpg) — NO_T_I_CE--Of-00 M MENGEM ENT c�E�j-1�i2i�r�r�2i,fl State of Florida RM6 DED 01/08/2009 12:10[49 PM County of Seminole RECORDING FEES 10.00 RECORDED BY T Smith The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Description of property: (legal description of the property, and street address if available) :� J L ?S- /9- 30- SfiG- 3N01? - 00 /D CERTIFIED COPY 2. General description of improvement: Ry 9 r" PA py - - - r�RSF 3. Owner information: Name: /// ="�/t b. Address: (� 2 A r ,- Uvr x�:n i/?�? P• 0 t, i Interest in property: Name and address of fee simple titleholder (if other than Owner): Name: Address: 4. Contractor Name: yl/) 'S T P ✓t e r,0 o :�. r- I u —) mac. Address: r r> 1 1 - A ti-D LA r' W 5. Surety Name Address: b. Amount of bond: $ 6. Lender: Name: A rlrlrecc- b. Lender's phone number: 7.a. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes: Name: A ddrPCC- 8.a. In addition to himself or herself, Owner designates of to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. b. Phone number of person or entity designated by owner: 9. Expiration date of notice of commencement (the expiration date is 1 year from the date of recording unless a different date is specified) WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRS SPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OP.- A"N`ATTTI BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF Signature of Owner orr ( The foregoing stns authority, ... e,g:O S lgnature of L+j 1 n yl Personally K6 Veriffcaloo urs' 4 the fa state in Signature of Natffral Rev. date 3/2008 Officer/Director/Partner/Manager Signatory's Title/Office ed before me this day of , (year) , by (name of person) as (type of in fact) for (name of party on behalf of whom instrument was executed) . (SEAL) �QRRzt�ueed Identification Type of Identification Produced 52 Florida Statutes: Under penalties of perjury, I declare that I have read the foregoing and that 'b` st of my knowledge and'belief. Person Signing Above 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 tote issuance of a permid -that all work will -be performed -o meet standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and air conditioners, etc. OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713. The City of Sanford requires payment of a plan review fee. A copy of the executed contract is required in order to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the plan review fee based on past permit activity levels. Should calculated charges exceed the documented construction value when the executed contract is submitted, credit will be applied to your permit fees when the permit is released. Signature of Owner /A Date Print Owner /Agent's Name a�4u Signature of Notary-State of Florida Date Owner /Agent is Personally Known to Me or Produced ID Type of ID APPROVALS: ZONING: ENGINEERING: COMMENTS: Rev 11.08 UTILITIES: 19 &A",-`f Contractor /Agent Date sa�m P PlAr Print Contractor /Agent's Name k Al ALA IN �Qm Signature of Notary-S load" °�� e v l0 i� 1 . Contractor /Agent�j, 9;iPerpr1y Known to Me or Produced ID j 61 c`r WASTE WATER: CITY OF SANFORD PERMIT APPLICATION Application No: ®R--� Documented Construction Value: $' Job Address: c>,;24� Sp 5 ' F'L� /t� Historic District: Yes ❑ No ❑ Parcel ID: Zoning: Description of Work:, Plan Review Contact Person: Title: Phone: Fax: E -mail: Property.Owner Information Name 4f X PC- /-F �'ri-r� �i'� -tz�= �-LC• Phone: Street:,'26_5 G Resident of property? City, State Zip: �= L 3-2775 Contractor Information Name Phone: Street: City, State Zip: Name: Street: City, St, Zip: Bonding Company: Address: Building Permit Square Footage: No. of Dwelling Units: Electrical ❑ New Service - No. of AMPS: Fax: State License No.: Architect/Engineer Information Phone: Fax: E-mail: _ Mortgage Lender: Address: PERMIT INFORMATION Construction Type: Flood Zone: Mechanical ❑ (Duct layout required for new systems) No. of Stories: Plumbing ❑ New Construction - No. of Fixtures: Fire Sprinkler /Alarm ❑ No. of heads: 'A 54. ©o City of Sanford Paint Application SUBMIT 2 COPIES OF COMPLETED APPLICATION WITH PAINT SAMPLES ATTACHED , Tax Parcel No: Kd ❑ [Z-1 1E1> �K F5 10 16 © ❑ ®� ER PRINT-OUT FROM THE ^E COUNTY PROPERTY APPRAISER) 1. ADDRESS OF PROPERTYAC���O C._ /'r /V � V 2. STARTING DATE OF PROJECT: �`C • �� % - NO. OF BLDGS: 3. WORK TO BE DONE BY: APPLICANT ❑ CONTRACTOR ❑ OTHER THIS APPLICATION IS SUBMITT D BY: INDIVIDUAL OR OR YING FOR PERMIT: r� �7� Date: 2, `Z Signatur Print Name _T#I Z•" Q J Address: .2 CXQ (9 / ) ►> -) 44!1Z6 �y� Phone: 01 i�) �. Fax !22 J 227 Email: PROPERTY OWNER (If different from above): Signature: Print Name Date: Address: Phone: Fax Email: These requirements shall apply to the exterior of all nonresidential buildings and structures adjacent to arterial roads: SR46, US 17 -92, CR 427, Airport Blvd (SR 46 to Sanford Ave), 25th StICR 46A, Sanford Ave/ Cr 425 (3rd St to 25th St. (See map on reverse side) - A minimum of 2 colors and a maximum of 3 colors are allowed on a building. The predominant color shall be a warm earth tone or pastel. Recommended colors are those from the Benjamin Moore Professional Fan Deck dated 11/1/05 and the Benjamin Moore Regal Soft White collection dated 05/2006, which are on file in both the Planning and Building Departments. Prohibited as predominant business colors and removed from the Benjamin Moore Professional Fan Deck are those colors on page EXT 13, EXT 14, EXT 15, EXT 16, and INT 35 (number 707 - calico blue) and neon, fluorescent, metallic and pearlescent/pearlized colors. Trim/ accent colors shall be limited to ten (10) percent of any fagade with a maximum height of twenty -four (24) inches. Primary and secondary colors, as well as pastels and earth tones, may be used for trim colors AFFIX PAINT AFFIX PAINT AFFIX PAINT CHIP HERE CHIP HERE CHIP HERE Trim Color ` Accent Color Base Color Parapet / Fasciae CLI tndows / Doors / Bands OFFICIAL USE ONLY Application No: Date: *kPPR VED ❑ APPROVED WITH CONDITIONS ❑ DENIED APPROVED BY: DATE: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installatto >Lhas_commenced_prioLtoAhe -issuance -of -a- permit -and -that all - work- will -be- per - formed -to meet standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and air conditioners, etc. OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713. The City of Sanford requires payment of a plan review fee. A copy of the executed contract is required in order to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the plan review fee based on past permit activity levels. Should calculated charges exceed the documented construction value when the executed contract is submitted, credit will be applied to your permit fees when the permit is released. 2 12-2- (6?, Date Print Owner /Agent's Name '7 Signature of Notary-State of Florida Date ,� Qa ; Owner /Agent is ZP& 9onallyyKnownalbl>rc Produced ID APPROVALS: Z(jN i3'. ENGINEERING: COMMENTS: Rev 11.08 UTILITIES: 1' Signature of Contractor /Agent Date Print Contractor /Agent's Name Signature of Notary-State of Florida Date Contractor /Agent is Personally Known to Me or Produced ID Type of ID WASTE WATER: BUILDING: CITY OF SANFORD N.G -&- FIRE- P-RE-V-ENTION- — PERMIT APPLICATION Application No: Z Documented Construction Value: $ c 1 ob 0, D y Job Address: / c� Sr Ate, �, �, - n �� Historic District: Yes Pr No ❑ Parcel ID: Description of Work: h nO )) o n — r; rn Plan Review Contact Person: Phone: Fax: Zoning: f on )ci E -mail: ``Property Owner Information Name " r C,^, a 4 Phone: Title: Re,rj;� Street: ) (>b Resident of property? 00L City, State Zip: yContractor Information Name '3L)_3'-] Ccu( Ae- ectr.c ch ��- �� °�r� , �r� Phone: ��U7 a9 333 U Street: 04 9zs a Fax: City, State Zip: Qr 1 -D . FL- State License No.: EC 1300 3-2-5-3 Name: Street: City, St, Zip: Bonding Company: Address: Building Permit ❑ Square Footage: No. of Dwelling Units: Electrical ❑ New Service — No. of AMPS: Architect/Engineer Information Phone: Fax: E-mail: Mortgage Lender: Address: PERMIT INFORMATION Construction Type: Flood Zone: No. of Stories: Plumbing ❑ New Construction - No. of Fixtures: Mechanical 11 (Duct layout required for new systems) Fire Sprinkler /Alarm ❑ No. of heads: Seminole County Property Appraiser Get Information by Parcel Number Page 1 of 2 Personal-Property_' Please Select Account DAVID JOHNSON, CrA, ASA PROPERTY APPRAISER SEMINOLE COUNTY FL 1101 E. FIRST ST SANFORD, FL 32771.1468 407- 665 -7508 VALUE SUMI VALUES V GENERAL Value Method Co Parcel Id: 25- 19- 30 -5AG- 0303 -001A Number of Buildings Owner: JERNIGAN ROLAND R & JANET M Depreciated Bldg Value Mailing Address: 501 MORNING DOVE CIR Depreciated EXFT Value City,State,ZipCode: LAKE MARY FL 32746 Land Value (Market) Property Address: 106 MAGNOLIA AVE SANFORD 32771 Land Value Ag Facility Name: Just /Market Value Tax District: S3- SANFORD - WATERFRONT REDVDST Exemptions: Portablity Adj Don 1802 -TWO STORY OFFICE BLD Save Our Homes Adj Assessed Value (SOH) Tax Estima 2009 TAXABLE VALUE WORKING ESTIMATE Taxing Authority Assessment Value Exempt Values County General Fund $276,250 $0 Schools $276,250 $0 City Sanford $276,250 $0 SJWM(Saint Johns Water Management) $276,250 $0 County Bonds $276,2501 $0 The taxable values and taxes are calculated using the current years working values and the prior years approved i SALES Deed Date Book Page Amount Vac /Imp Qualified WARRANTY DEED 12/2003 05126 1336 $304,500 Improved Yes QUIT CLAIM DEED 05/2003 04844 0736 $100 Improved No 2008 VALUE SL WARRANTY DEED 03/2000 03818 1344 $135,000 Improved Yes 200_8 Tax Bil WARRANTY DEED 06/1999 03667 1464 $107,000 Improved No 2008 Certified Taxable V QUIT CLAIM DEED 03/1996 03045 0682 $100 Improved No DOES NOT INCLUDE NON -AD VP WARRANTY DEED 10/1994 02843 1179 $80,000 Improved No WARRANTY DEED 10/1994 02836 1228 $60,000 Improved No Find Sales within this DOR Code ... /re web.seminole_county_title? PARCEL= 2519305AG0303001A &coparcel= 1930255AGO;l2/18/2008 Seminole County Property Appraiser Get Information by Parcel Number Page 2 of 2 LEGAL DESCR Land Assess Method Frontage Depth Land Units Unit Price Land Value LEG S 37.65 FT OF LOT 1 & S 37.6: SQUARE FEET 0 0 1,975 5.00 $9,875 LOT 2 BLK 3 TR 3 TOWN OF SANF PB 1 PG 58 BUILDING INFORMATION Bid Num Bid Class Year Bit Fixtures Gross SF Stories Ext Walt Bid Value Est. 1 MASONRY PILAS 1920 10 3,952 2 BRICK COMMON - MASONRY $266,375 Permits (NOTE: Assessed values shown are NOT certified values and therefore are subject to change before being finalized for ad valorem tax p * ** If you recently purchased a homesteaded property your next year's property tax will be based on Just/Market value. ... /re web.seminole county title? PARCEL= 2519305AG0303001A &coparcel= 1930255AG012/18/2008 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. [ anderst—an—d that a separate perms must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and air conditioners, etc. OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713. The City of Sanford requires payment of a plan review fee. A copy of the executed contract is required in order to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the plan review fee based on past permit activity levels. Should calculated charges exceed the documented construction value when the executed contract is submitted, credit will be applied to your permit fees when the permit is released. Signature of Owner /Agent Date Print Owner /Agent's Name Signature of Notary-State of Florida Date Owner /Agent is Personally Known to Me or Produced ID Type of ID APPROVALS: ZONING: ENGINEERING: COMMENTS: Rev 11.08 UTILITIES: FIRE: Signature of Contractor /Agent Date c �T Ya�, . 4n sL� Print Contractor /Agent's Name S' ature of Notary -State of Fl - a Date jo ANN M. JOHNOON * MY COMMISSION # DD 761978 * EXPIRES: March 23, 2012 �fATFOF F��`o! Bondedihru Budget Nolary Services Contractor /Agent is Personally Known to Me or Produced ID _Type of ID F—(- L WASTE WATER: BUILDING: CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: G Documented Construction Value: $ e,er Job Address: Historic District: Yes ❑ No OF— Parcel ID: 121- Ze- '3 % -;� • f "_ s G'2-1 Zoning: Description of Work: ��ll Lf rl � z '4�`�'ri'E f7��1 ` C� � I� "� %��� � _i ' �' %f�i i.%f �,�. �• ��i/ � FCC..= Plan Review Contact Person: Phone: Fax: E -mail: Property Owner Information Name S,{rAi, » -/tii—A F'�C.'? > �yifv= Phone: Title: Street: %!�= ��� r—r�= �lr�1,� �,f� y%' fz��c "Resident of property? . City, State Zip: Contractor Information Name Street: City, State Zip:^ Name: Street: City, St, Zip: Bonding Company: _ Address: Building Permit ❑ Square Footage: No. of Dwelling Units: Electrical ll New Service — No. of AMPS: Phone: Fax: / %� l%'%� % yf State License No.:lI%' %l Architect/Engineer Information Phone: Fax: E-mail: Mortgage Lender: Address: PERMIT INFORMATION Construction Type: Flood Zone: No. of Stories: Plumbing ❑ New Construction - No. of Fixtures: Mechanical ❑ (Duct layout required for new systems) Fire Sprinkler /Alarm ❑ No. of heads: Seminole County Property Appraiser Get Information by Parcel Number DAVID JOHNSON, CFA,ASA APPRAISER SEMINOLE COUNTY FL. 1101 E. FIRS .ST SANFORD. FL3277 1 -1 468 407- 565 -7546 n r- G7 D �Ila Z � `�j M j t7? m L1 aIAF1 M is r JTi GENERAL Parcel Id: 06- 20 -31- 300 - 0010 -1300 Owner: SANFORD ARPRT AUTH /CITY SANFRD Mailing Address: 1 RED CLEVELAND BLD STE 1200 City,State,ZipCode: SANFORD FL 32773 Property Address: 2747 CARRIER AVE SANFORD 32773 Facility Name: Tax District: S1- SANFORD Exemptions: 80 -CITY () Don 8901- MUNICIPAL - AIRPORT Page 1 of 1 VALUE SUMMARY VALUES 2009 Working 2008 Certified Value Method Cost/Market Cost/Market Number of Buildings 1 1 Depreciated Bldg Value $223,775 $223,775 Depreciated EXFT Value $592 $592 Land Value (Market) $28,000 $28,000 Land Value Ag $0 $0 Just/Market Value $252,367 $252,367 Portablity Adj $0 $0 Save Our Homes Adj $0 $0 Assessed Value (SOH) $252,367 $252,367 Tax Estimator 2009 TAXABLE VALUE WORKING ESTIMATE Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund $252,367 $252,367 $0 Schools $252,367 $252,367 $0 City Sanford $252,367 $252,367 $0 SJWM(Saint Johns Water Management) 1 $252,367 $252,367 $0 Countv Bonds 1 $252,3671 $252,3671 $0 The taxable values and taxes are calculated using the current years working values and the prior years approved millage rates. SALES 2008 VALUE SUMMARY 2008 Tax Bill Amount: $0 Deed Date Book Page Amount Vacllmp Qualified 2008 Certified Taxable Value and Taxes Find Sales within this DOR Code DOES NOT INCLUDE NON -AD VALOREM ASSESSMENTS LAND LEGAL DESCRIPTION Land Assess Method Frontage Depth Land Units Unit Price Land Value LEG SEC 06 TWP 20S RGE 31 E BEG 435 FT S & 70 FT E OF INT 26TH ST & CARRIER AVE RUN N 110 FT SQUARE FEET 0 0 28,000 1.00 $28,000 E 132 FT S 110 FT W 132 FT TO BEG BUILDING INFORMATION Bid Num Bid Class Year Bit Fixtures Gross SF Stories Ext Wall Bid Value Est. Cost New 1 STEEUPRE ENG 1956 4 7,740 1 CONCRETE BLOCK - MASONRY $223,775 $559,437 Subsection / Sgft CANOPY/56 Permits EXTRA FEATURE Description Year Bit Units EXFT Value Est. Cost New CONC UTILITY BLDG 1956 143 $400 $1,001 WOOD UTILITY BLDG 1956 80 $192 $480 iNOTE: 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 ear's property tax will be based on Just/Market value. http: / /www. scpafl.org /web /re_web. seminole_county_title ?parcel= 0620313 00001013 00 &cpad = carrier &... 11/26/2008 Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that fo work- or- i- nstallation- has - commenced - prior -to- the - issuance -of -a- permit and -that all- work -wi- 11 -be- per- for>ned-to- meet standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and air conditioners, etc. OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713. The City of Sanford requires payment of a plan review fee. A copy of the executed contract is required in order to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the plan review fee based on past permit activity levels. Should calculated charges exceed the documented construction value when the executed contract is submitted, credit will be applied to your permit fees when the permit is released. Signature of Owner /Agent Date Print Owner /Agent's Name Signature of Notary-State of Florida Date Owner /Agent is Personally Known to Me or Produced ID Type of ID APPROVALS: ZONING: ENGINEERING: COMMENTS: Rev 11.08 UTILITIES: 1' ignature of Co ctor/ pent Date Print Contractor /Agent's Na , e Signature ofNotary- to e_of rid`a 4 0. D4eyu• -�� ,fin. c:F � � :� }t' '• ry - ly Contractor/Agent is � s � NOTAP �yo� to Me or g �f�WW61lj 19 wn Produced ID Type of ID WASTE WATER: BUILDING: CI- T- Y- OF— SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: © "I - -5A-7 Documented Construction Value: $ 600.00 Job Address: 1700 W 1 ST STREET - SANFORD, FL 32771 Historic District: Yes ❑ No ❑ Parcel ID: 26- 19 -30- 510 - 0000 -0010 Zoning: COM Description of Work: HOOK UP SEWER LINE TO CITY TAP Plan Review Contact Person: DAVID MORGAN Title: OPS MANAGER Phone: 352-504-5789 Fax: 352-748-7899 E -mail: INFO @PATTHEPLUMBER.COM Property Owner Information Name SUNIL PATEL LLC Phone: 321 - 662 -1920 Street: 1700 W 1 ST STREET Resident of property? : NO City, State Zip: SANFORD, FL 32771 Contractor Information Name PAT THE PLUMBER - PATRICK WALSH Phone: 352 - 748 -5286 Street: 714 1ST AVENUE Fax: 352 - 748 -7899 City, State Zip: WILDWOOD, FL 34785 State License No.: CFC056952 Architect/Engineer Information Name: N/A Phone: Street: Fax: City, St, Zip: E-mail: Bonding Company: N/A Mortgage Lender: Address: Address: PERMIT INFORMATION Building Permit ❑ Square Footage: Construction Type: No. of Dwelling Units: Flood Zone: Electrical ❑ New Service - No. of AMPS: Mechanical ❑ (Duct layout required for new systems) No. of Stories: Plumbing 9 New Construction - No. of Fixtures: Fire Sprinkler /Alarm ❑ No. of heads: I 53 oD Application is hereby made to obtain a permit to do the work and installations as indicated. certif - thatno work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and air conditioners, etc. OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713. The City of Sanford requires payment of a plan review fee. A copy of the executed contract is required in order to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the plan review fee based on past permit activity levels. Should calculated charges exceed the documented construction value when the executed contract is submitted, credit will be applied to your permit fees when the permit is released. Signature of Owner /Agent Date Print Owner /Agent's Name Signature of Notary-State of Florida Date Owner /Agent is Personally Known to Me or Produced ID Type of ID APPROVALS: ZONING: ENGINEERING: COMMENTS: Rev 11.08 UTILITIES: FIRE: Signature of Contractor /Agent Da e 1047-2c c5C LA .i4 -�- 5 4 Print Contractor /Agent's Name (D�D C� :� � X Signature of Notary-state of Florida Date �� �* DAVID G. MORGAN � Notary Public, State of Florida My comm. expires April 13, 2009 "'R .4S• Comm. No. DD 418359 Contractor /Agent is Personally Known to Me or Produced ID Type of ID WASTE WATER: BUILDING: -jemmoie uounry rroperty Appraiser Uet lntormation by Parcel Number Page 1 of 1 < RI —CE s 'I' ll.. DAVID JOHNSON. CFA. ASA 2 U o COO.0000 W 0121 [0;120 '0119 134.4 i - PROPERTY 2 4 AtPPRA ISER SEMINOLE COUNTY FL � � 0221 L:�ZE1 02-19 0218 _....� 0060 0218 -0000 4K < �� 1101 E. FIRST SC sANForm, Ft_32771 -146.8 407 -665 -7506 VV 4 0322 0319= , aoo0 x321 0320 0319i 0318' - OOAO s �`• -'I ae VALUE SUMMARY VALUES 2009 2008 GENERAL Working Certified Value Method Cost/Market Cost/Market Parcel Id: 26- 19- 30- 510 -0000 -0010 Number of Buildings 1 1 Owner: SUNIL PATEL LLC Depreciated Bldg Value $134,882 $139,329 Mailing Address: 1700 W 1ST ST Depreciated EXFT Value $3,329 $3,329 City,State,ZipCode: SANFORD FL 32771 Property Address: 1700 1ST (& 1702) ST W SANFORD 32771 Land Value (Market) $120,810 $120,810 Facility Name: Land Value Ag $0 $0 Tax District: S3- SANFORD- WATERFRONT REDVDST Just/Market Value. $259,021 $263,468 Exemptions: Portablity Adj $0 $0 Dor: 11- STORES GENERAL -ONE S Save Our Homes Adj $0 $0 Assessed Value (SOH) $2,59,0211 $263,468 Tax Estimator 2009 TAXABLE VALUE WORKING ESTIMATE Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund $259,021 $0 $259,021 Schools $259,021 $0 $259,021 City Sanford $259,021 $0 $259,021 SJWM(Saint Johns Water Management) $259,021 $0 $259,021 County Bonds $259,021 $0 $259,021 The taxable values and taxes are calculated using the current years working values and the prior years approved millage rates. SALES 2008 VALUE SUMMARY Deed Date Book Page Amount Vac limp Qualified 2008 Tax Bill Amount: $4,991 WARRANTY DEED 01/2006 06567 1558 $750,000 Improved Yes 2008 Certified Taxable Val -ue and Taxes. Find Sales within this DOR Code DOES NOT INCLUDE NON -AD VALOREM ASSESSMENTS LAND LEGAL DESCRIPTION Land Assess Method Frontage Depth Land Units Unit Price Land Value PLATS: Pick... SQUARE FEET 0 0 20,135 6.00 $120,810 LOT 1 1700 FIRST STREET PB 72 PG 1 BUILDING INFORMATION Bid Num Bid Class Year Bit Fixtures Gross SF Stories Ext Wall Bid Value Est. Cost New 1 MASONRY PILAS 1961 5 4,000 1 CONCRETE BLOCK - MASONRY $134,882 $296,445 Subsection / Sgft CANOPY / 600 Subsection / Sgft CARPORT FINISHED / 744 Subsection / Sgft UTILITY UNFINISHED / 806 EXTRA FEATURE Description Year Bit Units EXFT Value Est. Cost New COMMERCIAL ASPHALT DR 2 IN 1979 5,328 $1,939 $4,848 POLE LIGHT STEEL 1 ARM 1979 1 $964 $964 WALKS CONC COMM 1979 322 $426 $1,066 1TE: 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 ear's property tax will be based on Just/Market value. http: / /www.sepafl.org /web /re_web. seminole_County_ title ?parcel= 26193051000000010 &c... 12/4/2008 Dec 04 2008 12:45PM 3527487899 P.1 INVOICE# 37469 ICA : rm-o -h 12 -3 -0 Client Name Date Yj u} ` T►' rneV- /70 w bt,F St or4o sniper ; _ y Address FL 32771 pl SRvur n ea _ C state Zip (800) 977 -4728 4 3a 1 -G,( z -i 9zc� Home Phone Secondary Phone W W W.PATTHEPLU MBER. COM s rAN /u 2&, 1 13 LW A-9-9 Y Technician Dispatch Onsite Complete Mileage 13 POINT WATER HEATER CHECKUP SHAMROCK SOCIETY MEMBER ❑ Yes ❑ No: ❑ Accepted ❑ Declined ❑ Accepted ❑ Declined Quantity J cww m. ea. _ $ Quantity x $ C = C yNAc LA,All A o2 W A V C I — n tj 't x $ ea. _ $ Quantity b ea. _ $ Quantity I J ea. _ $ Quantity x $ ea. = $ Quantity x $ ea. = $ Quantity x $ ea. = $ Quantity x S ea. = $ r x $ ea. = $ Quantity x $ ea. = $ Quantity x S ea. _ $ m m x S ea, = $ Quantity x $ ea. = $ Quantity x $ ea. = $ o. E x $ ea. = S Quantity x S ea. = $ Quantity x $ ea. = $ i o x S ea. = S ❑ Po W� ❑ Add'I B r K Sub Total ❑ Gas .a - 0 a� m Y to 0 4a ) It r e f> Home Type: ❑ Mobile ❑ 1 story ❑ 2 Story Bathrooms: ❑ 1 Bath ❑ 2 Bath ❑ 3 Bath Roplpe Type: ❑ Water ❑ Drain ❑ Water & Drain Notes: Quantity x $ cww m. ea. _ $ Quantity x $ ea. = $ Quantity x $ ea. = $ Quantity x $ ea. _ $ Quantity x $ ea. _ $ Quantity x $ ea. _ $ Quantity x $ ea. = $ Quantity x $ ea. = $ Quantity x $ ea. = $ Quantity x S ea. = $ Quantity x $ ea. = $ Quantity x $ ea. = $ Quantity x S ea. _ $ Quantity x S ea, = $ Quantity x $ ea. = $ Quantity x $ ea. = $ Quantity x $ ea. = S Quantity x S ea. = $ Quantity x $ ea. = $ Quantity x S ea. = S ❑ $ ❑ Add'I B r K Sub Total ❑ Gas Payment Options: Payment is duo In full 1 Satisfactory completion of Work: . i Dis etch Fee upon completlon of service. I Client acknowledges that the work described i P I attest that I have the authorization to contract i within this contract has been completed to +Club Payment for the work d es cribad herein. their full satisfaction. Total Ticket j I - Discount shot Sgnetw iuun 19nau,re .Deposit I Total Amount Due Today Method of Payment ❑Visa ❑ MC ❑Amex ❑ Discover Account # Cash Exp. Date Name on Card ACheck# Billing Address Z 2007 Pet the Plumber, Inc— AIIRtghts Reserves C, CITY OF SANFORD PERMIT APPLICATION Application No: ��'J�� Documented Construction Value: $ / 1 0 Job Address: / 76 O W-e -47- ! i ?�-('' Historic District: Yes ❑ No ❑ Parcel ID: Zoning: Description of Work: PL d) 10G S(4p00n7-- Ozyj; 'D e, Fc.(rz I u J_�i ',D�Ac� IaSL Plan Review Contact Person: Title: Phone: Fax: E -mail: Property Owner Information Name 5u r-ill �u i F Phone: q(1? . y71/- Street: 70y C% K Resident of property? : < Ci ty, : State Zi a'^ 7 r Contractor Information Name Phone: Street: Fax: City, State Zip: State License No.: Architect/Engineer Information Name: Phone: Street: Faxi City, St, Zip: E -mail: Bonding Company: Mortgage Lender: Address: Address: �K=?sN i ailA .P�fti .; fel,Xv l 19 AHEM J.iL0 '(WJW t�t7 7 ge.a;� ��teimtaa±�{fr I±FM_� n S 4 4-, •spur' INFORMATION ur.�e,���u��y!Yr��✓' Building Permi ❑ `s' rniirzrua::' ¢'`. „ K 'g i$.11 t6f1Ui)::F9 :i? �).�.::!1*3 •.., v' .tt;� Sf.'Isi H.'i!z ••$, •:° Square Footage: 'vi'JI IZ-) Construction Type: F(2 4 51 No. of Stories: No. of Dwelling Units: 1 Flood Zone: Electrical ❑ Plumbing ❑ New Service — No. of AMPS: New Construction - No. of Fixtures: Mechanical ❑ (Duct layout required for new systems) Fire Sprinkler /Alarm ❑ No. of heads: 1NJ � �1 LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: --- o s e w I hereby name and appoint: an agent of: (Name of Company) to be my lawful attorney -in -fact to act for me to apply for, receipt for, sign for and do all things necessary to this appointment for (check only one option): ❑ All permits and applications submitted by this contractor. The specific permit and application for work located at: Z 7 (0 /?6, Z 6 /y ;,-ei i . 3 7 7/ (Street Address) Expiration Date for This Limited Power of Attorney: License Holder Name: State License Number: Signature of License Holder: STATE OF FLORIDA COUNTY OFc3crn,c-c,L•, The foregoing instrument was acknowledged before me this day ofQtize ,,,\ — 200_�3_, by `�.�. n I who is ❑ personally known to me or ❑ who has produced identification and who did (did not) an �ath . u ature (Notary Seal) e -1-r— L tA�Cks Print or type name , P�;�•� RITA L. HICKS Notary Punic - State or Florida Notary Public - State of �Ro, c', A "isew Expires rNey 30,2010 C No. D SS 7 3'71 Commission M DD 557371 ,° its fronded By Netim N Air A. My Commission Expires: �c_� 3c? F �0) v (Rev. 3/27/07) M MEW - ' l■■■\�■�IrJ�■■■■■■■■■w m u F �■■■■■■■■■■■■■■ ■MU WN■ M ■■r■■ ■`<iwamm■Fio ■■ m A ■ ■ ■ ■ ■W ■ ■ ■ ■ ■■■ ■ ■■t��■ 1■ li�� ■■■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ® ® ■ ■ ■ ■ ■■ ■ail■ ■■ 1■ ■ ■■■ ■ ■ ■ ■ ■ ■ ■MEN ■ ■ ■ ■ ■ ■ ■ ■■■■■■■■■_ Seminole County Property Appraiser Get Information by Parcel Number _j,A l L DAVID JaEmsoN, CFA, ASA SEMINOLE CCUNTYFL- 1101 E. FIRST ST SANFORD, FL 3 277 1 -1 468 407- 565 -7506 2 i, 0'121 x120 1 tare 119 11-F 234.4 4219= 299 0218 d 0218 -44fl4_ a 322 F(H�3-- - 4fl44 as21 0320 0318 A4 GENERAL Parcel Id: 26- 19 -30- 510 - 0000 -0010 Owner: SUNIL PATEL LLC Mailing Address: 1700 W 1 ST ST City,State,ZipCode: SANFORD FL 32771 Property Address: 1700 1ST (& 1702) ST W SANFORD 32771 Facility Name: Tax District: S3- SANFORD - WATERFRONT REDVDST Exemptions: Dor: 11- STORES GENERAL -ONE S Yage 1. of 2 VALUE SUMM/ VALUES W( Value Method Cost Number of Buildings Depreciated Bldg Value $1 Depreciated EXFT Value Land Value (Market) $1 Land Value Ag Just/Market Value $2 Portablity Adj Save Our Homes Adj Assessed Value (SOH) $� Tax Estimatc 2009 TAXABLE VALUE WORKING ESTIMATE Taxing Authority Assessment Value Exempt Values County General Fund $259,021 $0 Schools $259,021 $0 City Sanford $259,021 $0 SJWM(Saint Johns Water Management) $259,021 $0 Countv Bonds $259,021 $0 The taxable values and taxes are calculated using the current years working values and the prior years approved m SALES 2008 VALUE SUN Deed Date Book Page Amount Vac limp Qualified 2008 Tax-Bill j WARRANTY DEED 0112006 .0..6567 _1.558 $750,000 Improved Yes 2008 Certified Taxable Val Find Sales within this DOR Code DOES NOT INCLUDE NON -AD VAL( LAND LEGAL DESCRIF Land Assess Method Frontage Depth Land Units Unit Price Land Value PLATS: Pick... SQUARE FEET 0 0 20,135 6.00 $120,810 LOT 1 1700 FIRST STREE BUILDING INFORMATION Bid Num Bid Class Year Bit Fixtures Gross SF Stories Ext Wall Bid Value Est.( 1 MASONRY PILAS 1961 5 4,000 1 CONCRETE BLOCK - MASONRY $134,882 Subsection / Sgft CANOPY / 600 Subsection / Sgft CARPORT FINISHED / 744 Subsection / Sgft UTILITY UNFINISHED / 806 EXTRA FEATURE Description Year Bit Units EXFT Value Est. Cost New COMMERCIAL ASPHALT DR 2 IN 1979 5,328 $1,939 $4,848 POLE LIGHT STEEL 1 ARM 1979 1 $964 $964 WALKS CONC COMM 1979 322 $426 $1,066 ht(p: / /www.scpafl.org /web /re_web.seminole_county_ title ?PARCEL = 2619305100000001... 12/15/2008 NAME ' SHIP TO f S41M Al ADDRESSd / 7vJ /J7'� ADDRESS CITY, STATE, ZIP CITY, STATE, ZIP ORDER NUMBER DEPARTMENT SALESPERSgN WHEN SHIP TERMS HOW SHIP pqp QUANTITY _ bESC 81PTION PRICE'`., ,d - -- AMOUNT k- —. - - �p 1 / c I J t I.O \ �i fill /61 1 '� / { C> re�0!r� �ocC L -f 1 /r p la L � a �► Ca �U/a d- ia i r - l e CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: Ci " D Documented Construction Value: $ 5 Z Job Address: 1 A ' Cis Parcel ID: 25 - l ck - 7) 0 - 5 A t 0l ' OZ- 0 0 R d Description of Work: 4- tc k k`. <UvG1'ru s Plan Review Contact Person: f` Ac cv; V ,-� Historic District: Yes 0 No ❑ Zoning: Phone: Fax: E -mail: Property Owner Information Name �'� n u / `e.x i 5 %�-e. 0<1 X-C, Street: kAC� City, State Zip: S can Fr, r rdnc, 62u1bli'l, Title: N P n Q r Phone: A 01- I IA - zi '-\ ci'i Resident of property? : City, St, Zip: Bonding Company: Address: Building Permit Square Footage: No. of Dwelling Units: Electrical ❑ New Service - No. of AMPS: E -mail: Mortgage Lender: Address: PERMIT INFORMATION Construction Type: Flood Zone: No. of Stories: Plumbing ❑ New Construction - No. of Fixtures: Mechanical 11 (Duct layout required for new systems) Fire Sprinkler /Alarm ❑ No. of heads: Contractor Information Name Q„c k 2 _k r`, zk - C C�1 SAN rut w'i cit. Uc A4c'u&,- Phone: "A 03-1 - R-� -1_n :� 0S Street: u 5 5 Lvi . t✓i;1 5 l� Fax: 3% G' lz t R S -1 b o City, State Zip: yr can -+-I- 211 State License No. Architect/Engineer Information Name: '[_vkc;,,edtt (hone: `t0-1- q"Z.S`k0Q 2 Street: Fax: LCJ-\ - mot[ -�ta Z City, St, Zip: Bonding Company: Address: Building Permit Square Footage: No. of Dwelling Units: Electrical ❑ New Service - No. of AMPS: E -mail: Mortgage Lender: Address: PERMIT INFORMATION Construction Type: Flood Zone: No. of Stories: Plumbing ❑ New Construction - No. of Fixtures: Mechanical 11 (Duct layout required for new systems) Fire Sprinkler /Alarm ❑ No. of heads: work or i on Is here meet st nstallati by ma must see dads o f n has Code to obtal alr c °hdjttOhered fOrall el Ws reg 1 Peed Ar o emit to ER,s A s, eta ectrical wo on hoe I Work 1, n a al he ih pjD Alglh n III e of d Ins W cOmAlia e w?:• j cerh b�hg, sighs 1 w urisdlp o It and ons as I SULT TO O �V with all ap MY all °i ells' Ao°1S fI tth epst 11 wo kated I Ce Olp L IR TO ENcE R AER- YpUll able lavv. �e foregoih - 4rhaces' Zilerts", at alls� e PC EA rIjEI10R ECTI'EN �,ArG ?' C rLU� gWating anht°rhlatlo beau aratE AN A I SAT IF Y U E C R I - O r�etioh n� acc4rate tah� from o Y that � ditlon to EYBEFONTEND�EDRO� EN NO?'IC 2Oh110 and that all they ay b the RE TO `AND p TS T E O Work Bove e found require RECO OB?, OS?,E O I,O F CO k D U Af en L lance of ental entitine the Aubljcts °f t)V RDINGAI UFjNNc .T ,Pop E Ck rec Ph sY° FS �A3rn�it is Vey f j as yiat r°rds ft Its there R NO?'tCE OP � COONS' t E B N� �A p2ay to Ca1CutY of 941 ICatlOn that I m�iag mlt linty an be addit C01tE?' yj,I1,ORE ?, Cj Cplan ropleate a Alan rFqui", Will nOti� t djst�cts� st here ma nal restriC Aerlh t Ctio Va jee bas cl v' Ch g� hient o fa he °u'rler oft ate agen �beo dditt�nal aAAlicab IS releasee when the p ast I exep Plan reVieW fe e Pr °Ae y o ft r federal ag omits eq�°jrh js �gn xecWed Cor1traa tivi. 1 plz: s h copy o ft he requlremen les ed a re of °`vned4b'egt et IS Stlb17ji �,� hOZIlQ1 S� bmi �d�execRted C is of Florida ' credit alculatedW We reservontract is °`iner�Agept's N `% �L d— Will be apAli barges e the rjght t quired in ame to �- ed to xcee o Cal orde J .YourAe d the doe elate they the fees ulpented y'' ate Of a S�gnahre of Coot When the e �� 3 Fxna._ _ aFk7nD,r,. %' raeter /Agept � J Pant �6t� C9�1IF7-, pr Type o f� OW to S' 2ON�G 117e EN CoIltr , ac nvEE to UrILIT Produ G. ced lD IEs. FIB• Date `}'pe of IQ) 4f ly Wn to AS7E AT d2�s s 7 M r T ER: 'u -� 4r* ,% k., Settlement Statement U.S. Department of Housing , r and Urban Development OMB Approval No. 2502 -0265 (expires 11/30/2009) Type of Loan F1 FHA 2 ❑ RHS 3 ® Cnnv_Unin ❑ VA 5.❑ Conv. Ins. 6. File Number 60963089 mbe ortgage- Insurance- Case - Number Note: This form is furnished to give you a statement of actual settlement costs. Amounts paid to and by the settlement agent are shown. Items marked "(p.o.c.)" were paid outside the closing; they are shown here for information purposes and are not included in the totals. Name and Address of Borrower ALEXIS ACOSTA CINDY ACOSTA 149 LONDON FOG WAY SANFORD, FL 32771 E. Name and Address of Seller COMMERCIAL REALTY GROUP, INC. 140 N. ORLANDO AVENUE, SUITE 150 WINTER PARK, FL 32789 F. Name and Address of Lender REGIONS BANK POST OFFICE BOX 588001 ORLANDO, FL 32858 Property Location 119 S. MAGNOLIA AVENUE SANFORD, FL 32771 S 39.23' OF LOT 9, BLK 3, TIER 2, E.R. TRAFFORD'S MAP OF SANFORD, PB 1, PAGES 56 -64, SEMINOLE SEMINOLE H. Settlement Agent FASSETT, ANTHONY & TAYLOR, P.A. Place of Settlement 1325 WEST COLONIAL DRIVE ORLANDO, FLORIDA 32804 1. Settlement Date 12/05/08 DD: 12/05/08 J. SUMMARY OF BORROWER'S TRANSACTION: K. SUMMARY OF SELLER'S TRANSACTION: )0. GROSS AMOUNT DUE FROM BORROWER 400. GROSS AMOUNT DUE TO SELLER M. Contract sales price 350,000.00 401. Contract sales price 350,000.00 )2. Personal property 402. Personal property )3. Settlement charges to borrower line 1400 8,667.05 403. )4. LIP ACCOUNT 200,000.00 404. )5. 405. Adjustments for items paid by seller in advance Adjustments for items paid by seller in advance )6. Solid Waste to 406. Solid Waste to )7. County taxes 12/05 to 12/31 327.78 407. County taxes 12/05 to 12/31 327.78 18. Assessments to 408. Assessments to i9• 409. 0• 410. 1 • 411. 2• 412. !0. GROSS AMOUNT DUE FROM BORROWER 558,994.83 420. GROSS AMOUNT DUE TO SELLER 350,327.78 10. AMOUNTS PAID BY OR IN BEHALF OF BORROWER 500. REDUCTIONS IN AMOUNT TO SELLER 1. Deposit or earnest money 5,000.00 501. Excess Deposit (see instructions) 2. Principal amount of new loan(s) 283,825.00 502. Settlement charges to seller (line. 1400) 3,790.00 3. Existing loan(s) taken subject to 503. Existing loan(s) taken subject to '4• 504. Payoff of first mortgage loan 218,192.31 _ FIRST COMMERCIAL BANK OF FLORIDA _ i5• 505. Payoff of second mortgage loan 6• 506. 7. SECOND MORTGAGE PROCEEDS 214,933.65 507. 8• 508. 9• 509. Adjustments for items unpaid by seller Adjustments for items unpaid by seller 0. Solid Waste to 510. Solid Waste to 1. County taxes to 511. County taxes to 2. Assessments to 512. Assessments to 3. 513. 2008 REAL ESTATE TAXES 4,443.25 1• 514. 2007 REAL ESTATE TAXES 5,226.82 5. 515. 5. 516. 7. 517. 3• 518. 1 1 Fin 809. LOAN DOC FEE REGIUNS BANK ENVIRONMENTAL FEE REGIONS BANK 'tom.- 410.00 811. 812. i 813. 1 814. 815. ! 900. ITEMS REQUIRED BY LENDER TO BE PAID IN ADVANCE j 901. Interest from to $ /day 902. Mortgage Insurance Premium to 903. Hazard Insurance Premium yrs. to 904. j 905. 1000. RESERVES DEPOSITED WITH LENDER FOR 1001. Hazard Insurance mo. $ / mo. 1002. Mortgage Insurance mo. 04 / mo. 1003. City property taxes mo. $ / mo. 1004. County property taxes mo. $ / mo. 1005. Flood Insurance mo. $ / mo. 1006. mo. $ / mo. 1007, mo. $ / mo. 1008. Aggregate Reserve for Hazard /Flood Ins, City/County City/County Prop Taxes, Mortgage Ins & Annual Assessments 1100. TITLE CHARGES 1101. Settlement or Closing Fee to FASSETT, ANTHONY & TAYLOR, P.A. 200.00 200.00 11102. Abstract or title search to CHICAGO TITLE INSURANCE COMPANY 150.00 1103. Title examination to 1104. Title insurance binder to 1105. Document preparation to 11106. Loan Closing Fee to FASSETT, ANTHONY & TAYLOR, P.A. 275.00 1107. Attorney's fees to j includes above item No: 11108. Title insurance to FASSETT, ANTHONY &TAYLOR, P.A. 925.00 925.00 includes above item No: ) 1109. Lender's coverage 283,825.00 - 25.00 SIMULTANEOUS 1110. Owner's coverage 350,000.00 - 1,825.00 11111. FORM 9 FASSETT, ANTHONY & TAYLOR, P.A. 185.00 11112. 1113. Shipping & Handling Fees FASSETT, ANTHONY & TAYLOR, P.A. 45.00 45.00 11200. GOVERNMENT RECORDING AND TRANSFER CHARGES 1201. Recording fees Deed $ 10.00 ; Mortgage $ 95.00 ; Releases $ 20.00 105.00 20.00, 1202. City/county/stamps Deed $ ; Mortgage $ 1203. State tax/stamps Deed $ 2,450.00 ; Mortgage $ 993.65 993.65 2,450.00 1204. Intangible Tax Deed $ ; Mortgage $ 567.65 567.65 11205. 1 1300. ADDITIONAL SETTLEMENT CHARGES 1301. Survey to HENRICH -LUKE & SWAGGERTY, LLC 385.00 1302. Pest inspection to 1303. RECORD ASSIGN OF LEASES SEMINOLE COUNTY CLERK 44.00 1304. FILE UCC -1 FLORIDA UCC INCORPORATED 37.00 1305. RECORD UCC -1 SEMINOLE COUNTY CLERK 35.50 1306. RECORD & 2 CERTIFIED NOC SEMINOLE COUNTY CLERK 26.50 1307. INSPECTION FEES 5 THIRD PARTY PARTNERS, INC. 1,500.00 1308. 1400. TOTAL SETTLEMENT CHARGES enter on lines 103 and 502, Sections J and K _ r _ 18,667 05 T ^ ,0 03,790.00 WARNING: It is a crime to Knowingly matte raise statements to me unueu states un uus u, any -1 1u, ���„��.. ,�,,,,. �a� �a� „�a� ..N..,, ...... ............ .Section 1001 and Section 1010. is a true and accurate account of this transaction, I have caused or will cause the funds to be dis accordance with the statement. ALEXIS ACO A CINDY ACOSTA COMMEROA EtLTY GROUP, INC. �� -- r FARSETT, ANTHONY &-rAYLOR, P.A. Dale form HUD -1 (3186) ref Handbook 4305.2 Seminole County Property Appraiser Get Information by Parcel Number Page 1 of 2 Ei DAVID JOHNSON, CFA, ASA � Irr _ ��110.0 PROPERTY a APPRAISER Esx °ST `. . SEMINOLE COUNTY FL 1 040 -i- I `� 1101 E. FIRST ST SANFORD, FL 32771 -1468 407 -665 -7506 GENERAL Parcel Id: 25- 19- 30 -5AG- 0302 -0090 Owner: COMMERCIAL REALTY GROUP INC Mailing Address: 140 N ORLANDO AVE STE 150 City,State,ZipCode: WINTER PARK FL 32789 Property Address: 119 MAGNOLIA AVE S SANFORD 32771 Facility Name: Tax District: S3- SANFORD - WATERFRONT REDVDST Exemptions: Dor: 33 -NIGHT CLUB VALUE SUM[ VALUES V Value Method Cc Number of Buildings $244,317 Depreciated Bldg Value City Sanford Depreciated EXFT Value $0 Land Value (Market) $244,317 Land Value Ag County Bonds Just /Market Value $0 Portablity Adj Find Sales within this DOR Code Save Our Homes Adj Assessed Value (SOH) Tax Estima 2009 TAXABLE VALUE WORKING ESTIMATE Taxing Authority Assessment Value Exempt Values County General Fund $244,317 $0 Schools $244,317 $0 City Sanford $244,317 $0 SJWM(Saint Johns Water Management) $244,317 $0 County Bonds $244,317 $0 The taxable values and taxes are calculated using the current years working values and the prior years approved i SALES Deed Date Book Page Amount Vac /Imp Qualified 2008 VALUE SL WARRANTY DEED 06/2001 04115 1888 $375,000 Improved No WARRANTY DEED 09/1984 01579 1161 $175,000 Improved Yes 2008 . Tax_Bil WARRANTY DEED 04/1981 01332 0709 $50,000 Improved No 2008 Certified Taxable V WARRANTY DEED 01/1977 01143 1858 $87,000 Improved Yes DOES NOT INCLUDE NON -AD VP Find Sales within this DOR Code LEGAL DESCR LAND Pick- - PLATS: Land Assess Method Frontage Depth Land Units Unit Price Land Value SQUARE FEET 0 0 4,563 5.00 $22,815 LEG S 39.23 FT OF LOT 9 BLK 3 T PB 1 PG 58 ... /re_web. seminole_county_ title? parcel =25193 05 AG03 020090 &cpad= magn(12/ 10/2008 OWNER BUILDER STATEMENT /AFFIDAVIT Al-tamonte�p- tng- s, -Cassel-be -rry, Labe Wary, Longwood; Oviedo,— S-a- nford, Seminole County, Winter Springs Florida Statutes are quoted here in part for your information to indicate the authority for exemptions for homeowners from qualifying as contractors and to express any applicable restrictions and responsibilities. OWNERS MUST PERSONALLY APPEAR AT THE BUILDING DIVISION TO SIGN THIS DOCUMENT FSS 489.103 Disclosure Statement State Law requires construction to be done by licensed contractors. You have applied for a permit under an exemption to that law. The exemption allows you, as the owner of your property, to act as your own contractor with certain restrictions even though you do not have a license. You must provide direct, onsite supervision of the construction yourself. You may build or improve a one - family or two- family residence or a farm outbuilding. You may also build or improve a commercial building, provided your costs do not exceed $75,000. The building or residence must be for your own use or occupancy. It may not be built or substantially improved for sale or lease. If you sell or lease a building you have built or substantially improved yourself within 1 year after the construction is complete, the law will presume that you built or substantially improved it for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person to act as your contractor or to supervise people working on your building. It is your responsibility to make sure that people employed by you have licenses required by state law and by county oir municipal licensing ordinances. You may not delegate the responsibility for supervision work to a licensed contractor who is not licensed to perform the work being done. Any person working on your building who is not licensed must work under your direct supervision and must be employed by you, which means that you must deduct F.1.C.A and withholding tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, building codes, and zoning regulations. BY SIGNING THIS STATEMENT, I ATTEST THAT: (Initial to the left of each statement) Property Address: V 'ke 0 —syel.— do hereby state that I am qualified and capable of performing the requeWted construction involved with the permit application filed. Signature \ � Date Form of Identification T-L9 L OCj (hffiWl5pTfiV JD) A violation of this exemption is a misdWr$r ofi agree punishable by a term of imprisonment not exceeding 1 year and a $1,000.00 fine ir�gd1ditio' civil penalties. In addition, the local permitting jurisdiction shall withhold final approval, re \,I%% mit, or pursue any action or remedy for unlicensed activity against the owner and any person performing work that requires licensure under the permit issued. (Rev. 4/30107) I UNDERSTAND AND AGREE TO THE EXEMPTION PROVISIONS OF FLORIDA STATUTES 489.103 AS LISTED ABOVE. I HAVE ACCESS TO THE ADOPTED CODES. 1 AM FAMILIAR WITH THE CODE PROVISIONS. _ I HAVE ADEQUATE KNOWLEDGE AND QUALIFICATIONS TO SAFELY PERFORM AND DIRECTLY SUPERVISE THE WORK. _ THIS PROPERTY IS NOT AN APARTMENT, CONDOMINIUM OR RENTAL PROPERTY. v THIS STRUCTURE IS NOT BEING BUILT WITH MY INTENTION TO SELL, RENT, OR LEASE. I UNDERSTAND THAT THERE 1S NOT STATED A TIME FRAME TO SELL, RENT OR LEASE AN OWNER BUILDER STRUCTURE WITHOUT BEING INVESTIGATED. I UNDERSTAND THAT FOR ANY UN- LICENSED PERSON I HIRE, 1 MUST DEDUCT F.I.C.A., WITHHOLDING TAX, AND PROVIDE WORKERS' COMPENSATION INSURANCE. Property Address: V 'ke 0 —syel.— do hereby state that I am qualified and capable of performing the requeWted construction involved with the permit application filed. Signature \ � Date Form of Identification T-L9 L OCj (hffiWl5pTfiV JD) A violation of this exemption is a misdWr$r ofi agree punishable by a term of imprisonment not exceeding 1 year and a $1,000.00 fine ir�gd1ditio' civil penalties. In addition, the local permitting jurisdiction shall withhold final approval, re \,I%% mit, or pursue any action or remedy for unlicensed activity against the owner and any person performing work that requires licensure under the permit issued. (Rev. 4/30107) Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and air conditioners, etc. OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713. The City of Sanford requires payment of a plan review fee. A copy of the executed contract is required in order to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the plan review fee based on past permit activity levels. Should calculated charges exceed the documented construction value when the executed contract is submitted, credit will be applied to your permit fees when the permit is released. vt / / , V - — e c_, c-- �— � /,? Signs re of Owner /Agent D to Signature of Contractor /Agent Date i �, G' �f'��li (s� rr*�� Print Owner /Agent's Name Print Cgtrt actor /A ent's Name �/ Si taryS ate of Florida Date re dNo -State of Florida Date INN RITA L. HICKS RITA L. HICKS •. NpINy Public - StNe of Flo a �;' -. Notary Pubyc - Stece of F►orid� ExpYes Nley 30�12W • �Y Cami fton Expires May 30, 2010 Comt9ssbn � DD 55730 Conte Commies M t DD 557371 goaded ej NMtionat ��;�"tY`' , Bonded By Natbnal Nollwy Assn. er Agent is Personally Known'to Me or Contractor /Agent is ersona y own to Me or Produced ID Type of ID Produced ID �_ Type of ID l� d� r' bc-e -SLO- �5302�55'7 2 /Ll APPROVALS: ZONING: UTILITIES: WASTE WATER: ENGINEERING: FIRE: BUILDING: COMMENTS: Rev 11.08 Application # : q-0 P, Job Address: A l CITY OF SANFORD PERMIT APPLICATION Submittal Date: 1 t Value of Work: S GtC`�. c) Parcel ID: �y���,,,,� ^ Zooning: Historic District: Description of Work: 7nS r !1 nictAJ {� i�EG1 G CC ( C(f Gc.l7 Square Footage: ...........................................,............................................. ............................... Permit Type: Building ❑ Electrical 0_ / Mechanical ❑ Plumbing ❑ Fire Sprinkler /Alarm ❑ Pool ❑ Sign ❑ 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 ❑ Commercial ❑ Occupancy Type: Residential ❑ Commercial ❑ Industrial ❑ Construction Type: # of Stories: # of Dwelling Units: Occupancy Use Group(s): Flood Zone: (FEMA form required ) ........................(............................... ii.................................... ............................... (1 Property Owner: SQ'f'Ocj i4 i r r7a4 Au +k r1 "/ Contractor: (- L,.-) C.l y t Address: 000 t' fd C A f_V e-lQ,'1 Cam+ BiNd • Address: le �+ v r= -3 77 Phone: EE -mail: Phone: State License Number: C A i'3 012100 !� Bonding Company: P Mortgage Lender: X141/9- 1 e Address: Address: Architect/Engineer: (, V Phone: Address: Plan Review Contact Person: Phone: Fax: Fax: E -mail: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and AIR CONDITIONERS, etc. OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other govemmental entities such as water management districts, state agencies, or federal agencies. Ac tance f permit i verification that I will notify the owner of the Lie FS 713. gn re of Owner/ nt Date Signature of C ctor /A t Date tate of Floridl ate Signature ofNbtary- tat DIANA M. MUNIZ -OLSON DIANA M. MU IZ -OLSON ,rRY PL" M MY COMMISSION #DD477605 Y COMMISSION #DD477605 EXPIRES: OCT 02, 2009 t `` EXPIRES: OCT 02, 2009 Bonded through 1st State Insurance `Mtt"190 Bonded through 1st State Insurance Owner gent is _ ersonally Known to Me or Contractor /Agent is _ ersona y own to Me or Produced ID Produced ID APPROVALS: ZONING: UTIL: FD: ENG: BLDG: Special Conditions Rev 07.07 a a i� a a