HomeMy WebLinkAbout311 W 10 StCITY OF SANFORD PERMIT APPLICATION
flet -mit #:
Jo` -b Address:
Des-cri t�➢on.of�Work: —P'� C
I F=�L_
5-1 2-0S'
Historic District:
Zoning:Valuk:
$
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Permit Type_ ldin�
Elecrncal" Mechanical
Plumbing
Fire Sprinkler/Alarm Pool
Electrical: New Service — # of AMPS
Mechanical: Residential Non -Residential
Plumbing/ New Commercial: # of Fixtures
Plumbing/New Residential: # of Water Closets
Occupancy Type: Residential Commercial
Addition/Alteration Change of Service Temporary Pole _
_ Replacement New (Duct Layout & Energy Calc. Required)
# of Water & Sewer Lines # of Gas Lines
Plumbing Repair — Residential or Commercial _
Industrial Total Square Footage:
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X)
Parcel #: _ 1� / (Attach Proof of Ownership &Legal Desc1r ption)
%
SLY �SC� (�- ✓ C;.0 PI. ne!�
Contractor Name & Address
Phone & Fax:
Bonding Company:
Address:
Mortgage Lender:
Address:
- - Architect/Engineer:
Address:
Contact Person:
State License Number:
Phone:
Fax:
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the
issuance of a permit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction. I understand that a separate
permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and
AIR CONDITIONERS, etc.
OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of
this county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies.
Acceptance of permit i
will notify the owner of the property of the requirements of Florida Lien Law, FS 713.
Agent Date Signature of Contractor/Agent Date
J
Print Contractor/Agent's Name
(. p pe. /
Signaturp_S *5,w ARS DD 164280 Date Signature of Notary -State of Florida
EXPIRES: November 12, 2006
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R, .-ry,._ry ces
Owner/Agent is _ Pers pally FMC40r Contractor/Agent is .
Produced ID ��'� rA -.� _ Produced ID _
APPLICATION APPROVED BY: Bldg: Zoning: 6� 5 I' �lities:
ilial k )ate) (Initial & ate
Special Conditions:
Date
Personally Known to Me or
FD:
(Initial & Date) (Initial & Date)
CITY OF SANFORD BUILDING DIVISION
OWNER/BUILDER AFFIDAVIT
CONSTRUCTION CONTRACTING
Owners of property when acting as their own contractor and providing direct, onsite supervision
themselves of all work not performed by licensed contractors, when building or improving farm
outbuildings or one -family or two-family residences on such property for the occupancy or. use of such
owners and not offered for sale or lease, or building or improving commercial buildings, at a cost not to
exceed $25,000, on such property for the occupancy or use of such owners and not offered for sale or
lease. In an action brought under this part, proof of sale or lease, or offering for sale or lease, of any such
structure by the owner -builder within 1 year after completion of same creates a presumption that the
construction was undertaken for purposes of sale or lease. This subsection does not exempt any person
who is employed by or has a contract with such owner and who acts in the capacity of a contractor. The
owner may not delegate the owner's responsibility to directly supervise all work to any other person
unless that person is registered or certified under this part and the work being performed is within the
scope of that person's license. For the purposes of this subsection, the term "owners of property"
includes the owner of a mobile home situated on a leased lot. To qualify for exemption under this
subsection, an owner must personally appear and sign the building permit application.
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 providedirect,
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 $25,000. 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 or municipal licensing ordinances. You may not delegate the responsibility for supervising
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.I.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.
LID-, , do hereby state that I am qualified and capable of performing the
requested construction involved with the permit application filed.
I will assume full responsibility as an Owner/Builder Contractor, and will personally supervise all work
allowed by law on the permitted structure.
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Owner/Builder Signature Date "e,
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Print Owner/Builder Name
Sign e of Notary—State of Florida Date
Owner is Personally Known to Me or has
Produced ID�_�
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This Instrument Prepared By.,
After Recording ReturnTo:
J/li W _S;jS " 1 •• r. IIT
11011 )001 A IM118-911011111111 f• 1't:
.:INS, ..
•iS- Ii 4
Above This Line For Recording Octal
. VIN: 1.0.005352.50310.88131
DEFINITIONS
Words used in multiple secdons.of.this document are defined below and. other. words are. defined in Sections 3, 11,
13, 18, 20. and 21. Certain rules regarding the usage of words used I a this .document are also.provided in Section 16.
(A) "Security Instrument"..means ibis document, which is dated .MAY 4, 2005 , together
with all hiders to this. document,
(B) "Borrower" is WILLIAM C. FROST, AND .:TER SA .M. FROST, HUSBAND. AND
WIFE AS JOINT..TENANTS..WITH.RIGHT OF S VIVORSHIP
Borrower is the mortgagor under this Security Instrument.
(C) "MFRS" is Mortgage Electronic Registration Systems, .Inc
solely as a nominee for.Lender.and Lender's.successors.and assign
Instrument..MERS.is organized and existing under the laws of De
of P.Q. Box.2026,.Flint, Ml 48501-2026.. tel. (888) 679 -MFRS.
(D) "Lender" is. IMPAC : FUNDING. CORPORATION c
Lender -is a CALIFORNIA CORPORATION
and existing under. the laws of CALIFORNIA
Lender's address is 1401. DOVE STREET, NEWPORT
(E) "Note" means the promissory note signed by Borrower and d
The Note states that Borrower owes Lender ONE HUNDRED.
HUNDRED AND. 00/10.0 Dollars (U
Borrower has promised .to pay this .debt..in regular Periodic Paye
JUNE 1, 2035
(F) "Property" means.the property that is described below under
FLORIDA --Single Family -Fannie
Form 3010 1/01
1 of
MERS is a separate corporation, that is acting
MFRS. Is the. mortgagee under this Security
ware, and has an address and telephone number
IMPAC.LENDING:.GROUP
organized
, CALIFORNIA 92660
ed MAY 4, 2005
HIRTY-SIX:THO.USAND TWO
.$ 136, 2 00. 0 0 ) plus interest.
-nts and to pay the debt.in full not later than
heading "Transfer of Rights in the.Property."
..i
i
TRANSFER.OF RIGHTS IN THE PROPERTY
This Security Instrument secures to Lender: (1) the repayment of the La
of the Note; and (ii) the performance of Borrower's mvenants and We
For. (his purpose,.Borrower does hereby mortgage, giant and convey to
successors and assigns) :and to the successors and assigns of MERS, d
COUNTY of
[Type of Recording Jurisdiction]
THE.:EAST 50'FEET OF LOTA 6 AND 7, BLOC
MAP OF THE:.TOWN OF SANFORD;,ACCORD.ING
RECORDED::IN PLAT BOOK1, PAGES.5.6.THOUG
SEMINOLE .COUNTY; FLORIDA.
A.P.N. #: C.050378MW
which currently has. the address of 311 10TH.. STREET
SANFORD
[city]
TOGETHER WITH all the improvements now or hereafte
appurtenances, and fixtures. now..or hereafter apart of the propert
covered by.this Security Instrument. All of the foregoing is referred
Borrower understands and agrees that HERS holds only legal title to.
Instrument, but, if necessary to comply with law or custom, MERS.
and assigns) haste right: to exercise any or all of those interests, in
and sell the Property; and to take any action required, of Lender inch
this Security. Instrument.
BORROWER COVENANTS that Borrower is lawfully. seises
to mortgage, grant .and convey. the Property and that the Propert)
record.. Borrower.wamats and will defend generally the title to the
to any encumbrances of record.
THIS SECURITY INSTRUMENT combines uniform. covenant
limited variations by jurisdiction to constitute' a uniform security in
Form 3010 1
MaefF.reddfe.Mac UNIF0RM INSTRUA
Page 3 of 15
an, and all renewals, extensions and: modifications
mems, under this Security Instrument and .the Note.
WERS (solely as nominee for Lender and Lender's
following described property located in the.
SEMINOLE.
[Name. of Recording Jurisdictiaa)
K 12,7IER6f'E..R. .TRAFFORDS
TO THE. PLAT.., THEREOF
H 64, PUBLIC RECORDS..OF
T
[Street]
32°771 ("Property Address"):
[Zip Cade]
erected; .on .the property, and all. easements,
All. replacements.and additions.sbali.also be
u to this Security Instrument.as the '.'Property."
ie interests granted by Borrower in this Security
is nominee:for Lender and.Lender's.successors
udiug, but, not limited to, the right to foreclose .
ting, but not limited to, releasing and canceling
.of the estate.hereby conveyed and.has.the right
is unencumbered, except.for encumbrances of
?roperty against all claims and demands, subject
for national use and non -teniform covenants with
trument covering.reai property.
-: MERS Do~0W9W 8MO49.1862
. www.doenWoe.com