HomeMy WebLinkAbout112 Golfside Cir - P17-003009 - WATER HEATERt
a
CITY OF SANFORD
ING & FIRE .
PERMIT APPLICATION
Application No: / t) - 300
Documented Construction Value: $ M51 g,/ /
Job Address: 112 Golfside Cir Historic District: Yes No
Parcel ID: 04-20-30-513-0000-0450 Residential X Commercial
Type of Work: New Addition Alteration Repair 0 Demo Change of Use Move
Description of Work: Remove and replace electric water heater
Plan Review Contact Person: Rhonda Ke
Phone: 386-775-0909 Fax: 386-774-0048 Email:
Property Owner Information
Name ysm-G'eu KeW, Ric, (- c'-S Phone:
Title:
rkelley@fgplumbi
Street: i / A q'0/74i3O -t.- Resident of property?
Ij
City, State Zip: 4 Sc.,4V '-C/,
Contractor Information
Name virst uuainy riumt)ing
Street: 746 N. Volusia Avenue
City, State Zip: Orange City, FL 32763
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Phone: 386-775-0909
Fax: 386-774-0048
com
State License No.: CFC050566
Architect/Engineer Information
Phone:
Fax:
E-mail:
Mortgage Lender:
Address:
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.
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.
FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 51" Edition (2014) Florida Building Code
Revised: June 30,2015 Permit Application
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 Late, FS 713.
The City of Sanford requires payment of a plan review fee at the time of permit submittal. A copy of the executed contract is required
in order to calculate a plan review charge and will be considered the estimated construction value of the job at the time of submittal.
The actual construction value will be figured based on the current ICC Valuation Table in effect at the time the permit is issued, in
accordance with local ordinance. Should calculated charges figured off the executed contract exceed the actual construction value,
credit will be applied to your permit fees when the permit is issued.
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.
Signature of Owner/Agent
Print Owner/Agent's Name
Date
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
s OCT 81 2617
Signature ofContractor/Agent
Gary W. Evers
Print Contractor/Agent's Name
Date
3 :l 2012
SANDRA M. L1 USIER
MY COMMISSION # FF 099402
EXPIRES: July2, 201B
Bonded Thru Notary Public Undetwtfters
Contractor/Agent is X Personally Known to Me or
Produced 1D Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building Electrical Mechanical Plumbing Gas Roof
Construction Type: Occupancy Use: Flood Zone: _
Total Sq Ft of Bldg: Min. Occupancy Load:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes No # of Heads
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
Revised: June 30, 2015 Permit Application
Techn
Date Scheduled:
j
EAST. VOLUSIA (386) 76d-2226
WEST VOLUSIA (386) 775-0909
Caw- 11229177A-nfUR
MELBOURNE (321) 253-3939
ORLANDO &
ON CALL
SERVICE
GAS
I ] WARRANTY
AREAS
NAME: DATE: Io 6
ADDRESS: 1 t3. .. G-x7{ '. : , rfk PHONE: Lf v
CITY: LC,vr-'A ZIP: s i
JOB LOCATION:
n,rZ.
PO #
QUANTITY DESCRIPTION EACH TOTAL
r s f (, ov r 1
ACCEPTED TOTAL l 1 o a
LICENSED & INSURED #CF-0050566
746 N. VOLUSIA AVENUE ā¢ ORANGE CITY, FLORIDA 32763
1 112% PER MONTH ((10% PER ANNUM) ON BALANCE OVER 30 DAYS
REV 5/2 7
SEMINOLE COUNTY MULTI%URISDICTIONAL
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, winter Springs
Date: 10/31 /17
I hereby name and appoint: Rhonda Kelley
an agent of: First Quality Plumbing
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.
Or
The specific permit and application for work located at:
112 Golfside Cir
Street Address)
Expiration Date for This Limited Power of Attorney:
License Holder Name: Gary W. Evers
State License Number: CFC050566
Signature of License Holder: -,7ā.,
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged before me thisi Lday of O C 9 0 P--,(
20 \1 by _n, n X \K\ , LyQ xR who is Pirsonally known to me or
0 who has produced as identification
and who did (did not) take an oath.
Signature of Notary
SANDRAM. LAUSIER
MY COMMISSION#FF09W2
EXPIRES:July2,2018 Jā
o- Nt h GC I
Print or type Notary name
Notary Public - State of C/ -
Commission No.--
My Commission Expires:
American Land Title Association ALTA Settlement Statement - Combined
Adopted 05-01-2015
FileNo./Escrow No.: FA17-493
Print Date & Tlme:9/28/2017 @ 2:25 PM
Officer/Escrow Officer: Berry J. Walker, Jr.
Settlement Location:
225 South Westmonte Drive, Suite 2040
Altamonte Springs, Florida 32714
Walker & Tudhope, P.A.
225 South Westmonte Drive, Suite 2040
Altamonte Springs, Florida 32714
Property Address: 112 Golfside Circle, Sanford, Florida 32773
Buyer: Kevin Andre Harris and Sophia L. Gomes-Harris, husband and wife
Seller: JSM Group Inc., a Florida corporation as Trustee for Trust H15-2995, a Florida land trust
Lender: Bank of England Mortgage
Settlement Date: 9/29/2017
Disbursement Date: 9/29/2017
Additional dates per state requirements:
z -
Seller Description Borrower/Buyer
Debit Credit Debit Credit
Financial
270,000.00 Sales Price of Property 270,000.00
Deposit including earnest money 3,000.00
Loan Amount 216,000.00
Lender Credit 1,130.00
3,100.00 Seiler Credit 3,100.00
Title - Insurance Seller Credit 1,425.00
1,425.00 Title - Insurance Seller Credit
Prorations/Adjustments
82.41 HOA Dues from 9/29/2017 to 12/31/2017 82.41
2,980.33 County Taxes from 1/1/2017 to 9/28/2017 2,980.33
Loan Charges to Bank of England Mortgage
Underwriting Fees 895.00
Prepaid Interest ( $21.75 per day from 9/29/2017 to 10/1/2017)
to Bank of England Mortgage 43.50
Other Loan Charges
Appraisal Fee to Broad Street Valuations, Inc. (POC by Borrower:
460.00)
5D.00
Impounds
Homeowner's Insurance 244.74
Property Taxes 669.02
Aggregate AdJustment 497.67
Copyright 2015 American Land Title Association. Pagel of 3 File M FA17-493
All rights reserved.
American Land Title Association ALTA Settlement Statement - Combined
Adopted 05-01-2015
Title Charges & Escrow / Settlement Charges
375.00 Title - Closing Fee to Walker & Tudhope, P.A. 375.00
Title - Endorsement 5.1 to First American Title Insurance
Company
25.00
Title - Endorsement 8.1 to First American Title Insurance
Company
25.00
Title - Endorsement FL Form 9.to First American Title Insurance
Company
167.50
Title - Lender's Coverage Premium to First American Title
Insurance Company
1,155.00
185,00 Title - Title Search to First American Title Insurance Company
Title - Owner's Coverage Premium (Optional) to First American
Title Insurance Company
520.00
Commisslon
6,750.00 Real Estate Commission (Buyer) to Orlando Urban Realty, LLC
6,750.00 Real Estate Commission (Seller) to Sand Dollar Realty Group
Transaction Fee to Orlando Urban Realty LLC d/b/a Keller
Williams Classic Realty V
299.00
Government Recording & Transfer Charges
Recording Fees to Clerk of the Circuit Court 130.50
1,890.00 Transfer Taxes - Deed State to Clerk of the Circuit Court
Transfer Taxes - Intangible Tax to Clerk of the Circuit Court 432.00
Transfer Taxes - Mortgage State to Clerk of the Circuit Court 756.00
Miscellaneous
2,106.26 2016 Real Estate Taxes to Seminole County Tax Collector
100.00 HOA Estoppel to Mayfair Club HOA, Inc.
235.00 Municipal Lien Certificate Fee to PropLogix
Homeowner's Insurance Premium to Florida Specialty Insurance 979.00
Property Taxes to Seminole County Tax Collector 4,014.00
Survey Fee to Swerdloff & Perry 250,00
Seller Description Borrower/Buyer
Debit Credlt Debit I Credit
25,896,59 1 $270,082.41 Subtotals 280,615.00 1 $227,635.33
Due From Borrower 52,979.67
244,185.82 Due To Seller
Copyright 2015 American Land Title Association. Page 2 of 3 File V: FA17-493
All rights reserved.
American Land Title Association ALTA Settlement Statement - Combined
Adopted 05-01-2015
Acknowledgement
We/I have carefully reviewed the ALTA Settlement Statement and find it to be a true and accurate statement of all receipts and
disbursements made on my account or by me in this transaction and further certify that I have received a copy of the ALTA Settlement
Statement. We/I authorize Walker & Tudhope, P.A. to cause the funds to be disbursed In accordance with this statement.
Borrower:
Kevin Andre Harris
Borrower:
Sophia L. Gomes-Harris
Seller:
JSM Group Inc., a Florida corporation as Trustee for
Trust fl15-2995
Samson Munshi, President
I have reviewed the Closing Disclosure, the settlement statement, the lender's closing instructions and any and all other forms
relative to the escrow funds, Including any disclosure of the Florida title insurance premiums being paid, and I agree to disburse the
escrow funds in accordance with the terms of this transaction and Florida law.
Escrow Officer
Copyright 2015 American Land Title Association. Page 3 of 3 File M FA17-493
All rights reserved.
TSXNFORD
FIRE OEPARTMENT
PERMIT NO. ISSUE DA
CONTRACTOR:
6
JOB ADDRESS:
TYPE OF WORK:
Building & Fire Prevention Division
Residential Permit Card
b1"
Post this permit in a conspicuous location outside
Approved plans must be posted with permit for inspection
Leave all work uncovered until inspected and approved
Permit expires 6 months from date of issue or last approved inspection
PROTECT FROM WEATHER
BUILDING
INSPECTION TYPE APPROVED RFJECTED INS'PP_CTOR
ELECTRICAL
INSPECTION TYPE APPROVED REJECTED INSPECTOR
FOOTER INSPECTION ELECTRIC UNDERGROUND
STEMWALL FOOTER/SLAB STEEL BOND
FORMBOARD SURVEY T.U.G. / PRE POWER
SLAB / MONO -SLAB ELECTRIC ROUGH
LINTEL / TIE BEAM ELECTRIC FINAL
SHEATHING - ROOF MECHANICAL
INSPECTION TYPE APPROVED REJECTED INSPECTORSHEATHING - WALLS
FRAME MECHANICAL ROUGH 4INSULATIONROUGHINMECHANICALFINAL
DRYWALL/SHEETROCK PLUMBING
INSPECTION TYPE APPROVED REJECTED INSPECTORLATHINSPECTION
FINAL STUCCO/SIDING UNDERGROUND ROUGH
FIREWALL SCREW TUB SET
FIREWALL FINAL SEWER
INSULATION FINAL PLUMBING FINAL
FINAL SFR GAS INSPECTIONS
INSPECTION 7YPE APPROVED REJECTED INSPECTORROOF
INSPECTION TYPE APPROVED REJECTED INSPECTOR GAS UNDERGROUND PIPE
ROOF DRY -IN GAS ROUGH -IN
FINAL ROOF GAS FINAL
MISCELLANEOUS / FINAL INSPECTIONS
INSPECTION TYPE APPROVED REJECTED INSPECTOR INSPECTION TYPE APPROVED REJECTED INSPECTOR
FINAL DEMO FINAL DOOR
FINAL SOLAR PANELS FINAL WINDOW
FINAL POOL SCREEN FINAL SCREEN ROOM
FINAL UTILITY BUILDING FINAL BUILDING OTHER
MOBILE HOME TIE -DOWN MOBILE HOME FINAL
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 FBC 105.3.3
REVISED: 4-17 Inspection Line: 407.792.6069 or 855.541.2112
TO SCHEDULE AN INSPECTION:
Dial 407.792.6069 or 855.541.2112
Provide the items requested during the message
The type of inspection requested must be scheduled under the appropriate permit type
Follow the prompts
To Schedule Fire Inspections: Please call 407.562.2786 ***
PLEASE NOTE: Inspections scheduled by 5:00 p.m. will be conducted the next business
day. If you experience difficulty, please call 407.688.5150 Monday - Thursday 7:30 am -
5:30 pm for assistance.
AUTOMATED INSPECTION SYSTEM CODES
BUILDING ELECTRICAL
FOOTER 104 ELECTRIC UNDERGROUND 211
STEMWALL 102 FOOTER / SLAB STEEL BOND 221
FORMBOARD SURVEY 147 T.U.G. 216
SLAB / MONO -SLAB 103 PRE POWER FINAL 218
LINTEL / TIE BEAM 105 ELECTRIC ROUGH 212
SHEATHING - ROOF 106 ELECTRIC FINAL 213
SHEATHING - WALLS 115 MECHANICAL
FRAME 109 MECHANICAL ROUGH 409
INSULATION ROUGH -IN 110 MECHANICAL FINAL 410
PLUMBINGDRYWALL / SHEETROCK 131
LATH INSPECTION 132 UNDERGROUND ROUGH 322
FINAL STUCCO / SIDING 130 TUB SET 312
FIREWALL SCREW 120 SEWER 311
FIREWALL FINAL 143 PLUMBING FINAL 313
GASINSULATIONFINAL113
FINAL SFR 138 GAS PIPING UNDERGROUND
GAS ROUGH -IN
328
314ROOF
ROOF DRY -IN 116 GAS FINAL 315
FINAL ROOF III
FINAL DEMO
FINAL SOLAR PANELS
FINAL POOL SCREEN
FINAL UTILITY BUILDING
MOBILE HOME TIE -DOWN
Miscellaneous Notes:
MISCELLANEOUS / FINAL INSPECTIONS
126 FINAL DOOR 136
134 FINAL WINDOW 137
139 FINAL SCREEN STRUCTURE 127
124 FINAL BUILDING - OTHER 112
145 MOBILE HOME BUILDING FINAL 146
REVISED: 4-17 Inspection Line: 407.792.6069 or 855.541.2112
FIRE INSPECTIONS CITY OF SANFORD
407.562.2786 BUILDING & FIRE PREVENTION
BUILDING INSPECTIONS 300 N PARK AVE
855.541.2112 SANFORD FL 32771
DRIVEWAYS -SIDEWALK 407.688.5080
Page 2
Application Number . . . . . 17-00003009 Date 11/01/17
Property Address . . . . . . 112 GOLFSIDE CIR
Parcel Number . . 04.20.30.513-0000-0450
Application description . . . PLUMBING PERMIT
Subdivision Name . . . . . .
Property Zoning . . . . . . . PUD
Permit . . . . . . PLUMBING PERMIT-ALTER/ADD/FIX
Additional desc . .
Phone Access Code 1010669
Permit pin number 1010669
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
1000 313 PL05 PLUMBING FINAL / /