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HomeMy WebLinkAbout110 W 13 Stc ' RECEIVED JUN 0 8 2011 CITY OF SANFORD r` BUILDING & FIRE PREVENTION4 BY: BUILDING APPLICATION j ` uD Application No: I I / (i& 1 Documented Construction Value: $ Job Address: /10 W, 1,1 J 51• Historic District: Yes ' No Parcel ID: a-5' 19-30 -: A6- ) Li011 ' 01 Oil Zoning: R- l _ Description of Work: 12e ` ( , PAW - jQr Plan Review Contact Person: Jzv/ Fl-,vz Title: Nc"" e: Phone: dal -a" -6Qor Fax: ` 107-S©-7-9/ E-mail: Property Owner Information Name 3 -1 Fmce/L Street: Wt, ( Pakma-C- City, State Zip: 094"., WO 3 Name 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: Phone: 30Y 49"— 6 9" "Y' Resident of property? : o k,4ha-,_ Contractor Information Phone: 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: 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 ofpermit 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. Si O ent Date J w/ FfA Z / 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: UTILITIES: ENGINEERING: COMMENTS: Signature ofContractor/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: Rev 11.08 OWNER BUILDER STATEMENT/AFFIDAVIT Altamonte Springs, Casselberry, Lake Mary, Longwood, Oviedo, Sanford, 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 BY SIGNING THIS STATEMENT, I ATTEST THAT: (Initial to the left of each statement) I understand that state law requires construction to be done by a licensed contractor and have appitea ror an owner -builder permit under an exemption from the law. The exemption specifies that I, as the owner of the property listed, may act as my own contractor with certain restrictions even though I do not have a license. I understand that building permits are not required to be, signed by a property owner unless he or she is responsible for the construction and is not hiring a licensed contractor to assume responsibility. I understand that, as an owner -builder, I am the responsible party of record on a permit. I understand that I may protect myself from potential financial risk by hiring a licensed contractor and having the permit filedinhisorhernameinsteadofmyownname. I also understand that a contractor is required by law to be licensed in Florida and to list his or her license numbers on all permit and contracts. I understand that I may build or improve a one -family or two-family residence or a farm outbuilding. I may also build or improve a commercial building if the costs do not exceed $75,000. The building or residence must be for my own use or occupancy. It may not be built or substantially improved for sale or lease. If a building or residence that I have built or substantially improved myself is sold or leased within1yearaftertheconstructioniscomplete, the law will presume that I built or substantially improved itVinforsaleorlease, which violates this exemption. I understand that, as the owner -builder, I must provide direct, onsite supervision of the construction. I understand that I may not hire an unlicensed individual person to act as my contractor or to supervise persons working on my building or residence. It is my responsibility to ensure that the persons whom I employ have the licenses required by law and by city ordinance. I I understand that it is a frequent practice of unlicensed persons to have the property owner obtain an owner -builder permit that erroneously implies that the property owner is providing his or her own labor and materials. I, as an owner -builder, may be held liable and subjected to serious financial risk for any injuries sustained by an unlicensed person or his or her employees while working on my property. My homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an owner - builder and am aware of the limits of my insurance coverage for injuries to workers on my property. I understand that I 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 my building who Is not licensed must work under my direct supervision and must be employed by me, which means that I must comply with laws requiring the withholding of federal income tax and social security contributions under the Federal Insurance Contributions Act (FICA) and must provide workers' compensation for the employee. I understand that my failure to follow these laws may subject me to serious financial risk. Rev. 9.14.2009 I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all applicable laws and requirements that govern owner -builders as well as employers. I also understand that the construction must comply with all applicable laws, ordinances, building codes, and zoning regulations. I am of aware ofconstruction practices and I have access to the Florida Building Codes. I understand that I may obtain more information regarding my obligations as an employer from the Internal Revenue Service, the United States Small Business Administration, the Florida Department of Financial Services, and the Florida Department of Revenue. I also understand that I may contact the Florida Construction Industry Licensing Board at 1-850-487-1395 or at www.myflorida.com/dbpr/pro/cilb/ for more information about licensed contractors. I am aware of, and consent to, an owner -builder building permit applied for in my name and understand that I am the party legally and financially responsible for the proposed construction activity at the address listed below. I agree to notify the building department immediately of any additions, deletions, or changes to any of the information that I have provided on this disclosure or in the permit application package. Licensed contractors are regulated by laws designed to protect the public. If you contract with a person who does not have a license, the Construction Industry Licensing Board, the Department of Business and Professional Regulation and the building department may be unable to assist you with any financial loss that you sustain as a result of a complaint. Your only remedy against an unlicensed contractor may be in civil court. It is also important for you to understand that, if an unlicensed contractor or employee of an individual or firm is injured while working on your property, you may be held liable for damages. If you obtain an owner -builder permit and wish to hire a licensed contractor, you will be responsible for verifying whether the contractor is property licensed and the status of the contractor's workers' compensation coverage. Property Address: 110 w, l 3 *0 sT ;CZ 2 --,? ;;? 7 I, e. 1,AZt qW'L , do hereby state that I am qualified and capable of performing the requested construction involved with the permit application filed and agree to the conditions specified above. ate Form of Identification_ F6arl- 996 - 00 - 08Z-1—d Must be Photo ID) 6 /&1Z- / A violation of this exemption is a misdemeanor of the first degree punishable by a term of imprisonment not exceeding 1 year and a $1,000.00 fine in addition to any civil penalties. In addition, the local permitting jurisdiction shall withhold final approval, revoke the permit, 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. 9.14.2009 i •ill' Settlement Statement (HUD-1) AYG t u A SefltamentShtament B.TyptofLoan First American Title Insurance Company Final Statement I.S. LoanTypo: s File Number 2)47.25iw57 T. LoanNumber: 6. MortgagelnsurameCut Number; C. Nola: 1liw lmnis0srhluJto)pre)1m a slstnauoofam lsmkr worts. Ammstu[tot. a adby rkexsdrpant'aea arasbasn, hems Mwkod'If()Cr%" ra4l wane Ncekamr' dwy'arc aluwr hockrnekuatakondptup6,rs adxr noL ncWJN rethemoS. 0. Name of Borrower. Jay Frazier 3406 Potomac Crock CI., Orlando. fL 32837 E Nmo of Seller. Federal Nmidma) Mortgage Ascocialioo AD9OD9M 1422I DaLlas 10vav, SWe I D00, 035;, TX 75254.2916 fendef: F. None of L G. Property Location: 110 W 13TI1 ST Sa\'FORD, SANFORD, n 327i l H. SattlenlerltAgent: l"rel American Title Insmransc Company (904Pi56-92D0 Address: 3563 Phillips Hishauy.116khng ESuhc 504.Juckson%ik L•'L 32207 L Sthlernent Date: 051270) ) Print Dote: 05,2420) I, 2:08PM Disbursement Date: 03=2011 Signing Data: Place of Settlement Address: 3563 Phillips trishouy, Building E Suite 504, Jacksonville. R 32207 J. Suramary of Borrowr's Transat:Wn 1 K. Summary of8aitar'sTransacdon100, Gross Amount Due Mom Borrower 400 Gross AmountDun toSeller101. car&wtSolcV Pncc 12J)DOV 40L Contact saki price L,ORM102. Pcrzonalprolwiry 40L rcrso;iMlj,,OPC,1Y 103. Sadammtaitarpc.l0bwoutrO=10)) 1:53.50403, TaL11h 0stnt ID4. 404. 105. 40L Adjutbunts for items A by saby in advance stmtms for (term paW by selkrin advance 106. Ciry:wvaten'a 406. C' vmus 107. Counlyacres 407. Countyraes I Asscsrmcrh 408. Atsx netts 109. 409. 110. 410. 111. 411. 112. 412. Ill. 413. 114. 414. Its. i)3_ 120. Gross Amount DuofromBorrower 12A53.60 426. Gross Amount Due to Seller 12,000.00 200. Arrownts PM by or on lf of Bgriggr 500. Reductions In Amount Duo to Sell" 201. Dwon orca "money 1500.0050). Exc x+d povt(.+ve itsauccons) 202. principal mnm-AOfoevloae(s) 02. Scldcmcmc 1asc2cr(fxc 1400) 2M0.00 203. Udine looms) takca sbiccl 303. loae(O taken subject 204. Soo. Pm1l of W mans , boo M. 505, P vFo.vcccWmonab.n 206. 96. 207. 507• nbbvscd os Proceeds 151500.001 208. Sail. 209. 509. Adjustmenis for Items u ald by ceder AcliuLiments for kerns unpaidby seller210. Cuyaoan wsa 310. Cacnowwtares 21I. Counk Lacs 011DOI w03.27114'$1964.351yr78736 311. Couety'laus 01.1UM1 to05,1271Irg'S1968394.r 7813b 212. Asscoraw6e 11 Asses. rrnfs 213. S13. 214. 514. 215. 515. 216. 310, 21T. 317. 2". 31S 219. 519. 220. Total Pe)db Ror Borrower 2.67.36 S20. Total Reduclion Amount Due Seller 31687.38 300, Cash at Settlementf oa ffa Borrower 600. Cash at Settlemom loffrom Sdw 301. Gros.nmmr+duefrom W,)wfklea1201 12.453.S0 601. (lns9,9amnwttJaumwllarlinc420) I$000.00 02, kxt aawrca {sd0 M.Yor barwwcrt4m.22U) 21287.10 RS. Lsxa fedacLlOny in amtvnLs JIw scion tiff 326) 3AX730 303. Cash ( K From) ( To) Borrower 1 e.164.14 603. Gala {X To) { R.) Sellet 6,312 i4 rmww ea tasa ansarc otete. Scciuppiemcnial pugc for dctos. •' PaA w Bchalfuf Burma. POC-B{Borrow'crX MC S (Sc6crk POC•L (Lorded: MAID (Wrtgagc Bwkch. The M!L Repoang Dunknfor dtcc rallcccon or inkra)aum is es6roalcd at 35 minutes pet response for cvtecdng, mievia0. andreporung the dais. This ayrncy may not called the utlunnat imL and wuarc not rqukcd to complete this km udess a displays a canctatg ?ad ONM eonto) mm bar. No eottitdedaity is ass=d; dds d'ockuw is mandatary. This u tksiped to proa6k the panics as RkSPA eosvmd tmnsacwn wvh kiwraaliun &nhr6 d)osadcinerr poems. P.Vp 1 3',6 An_ 2147-1549651L. Settlement Char as TOO. Total Real Estate Broker Fees Paid From Paid From D' Wmrofcon rr%4:6mr (Ime700) as fo0oos Bonowar'sFunds betllemonl Severs Funds el beClamant Worn 70).SIAWDOtoWR .Inc. 702. 31,0WO 10 MUM Rcul ,lnc. at 703. Comms im pdd of seaktnenl3.000.00 707. Sn RemDems Payable inConnection with Lwn 801.Oarmi•inationehata ( eamGFRAl) 802. Your vedit a claw (polo} Ibrihe,yrcc&- incctt.•s7 Tate chosen (easeGFG 521 903. Yo..u... r xljnssedaw" than char...,..............................,...........d.......... ..r......_._.... Ur••ont GFF. A) ..e. -- 804. AprAaMficc fmmGFF: e7) S05.Ctudit re $ roar GFL• * 806.Taasenicc (60nrGFE161 807. flood cmakatba (' ram GFF.Ali SOS. NIA. CIO. Nil. 000. Items Rptdtod by Lander to Be Paid (n Advance 901. (kuh• intm- m clnr cs from (f(wn GFF.410) 402. (tra t GFF: 01903.Ilamowt=s insurance ymm GFF.AI I) 904. 905. 906. 1000. Reserves De eked with tartar 1001. h ifol it fm'eouresctow occoum (Nsprt GFk: eS{ 1002. 11ts k" Iefs nsuran(tl 1003.Mon8a, msrance 1004. Prepert9 runes 1005. 1006. 1007. Aj! pepte Ad' scram1100. This Char I lol. Tale senfcea and Icndds tide inst0anw (kom GFFa4) 300.00 IMI. Seakmenwrck»is fee $31)0.00 smo b ForAmerican Title: hammfce C=VanY 1103.'owncs fa4 naa snce- Fitsl American TaWbtuutuace Ctmt IYwr GFF.ASI 1104.1. xlcfsEric nsumme 1105. LcralrY s elk poig Fmit S0.001106.0smeistiie @ray S 12. 000.00 I ]07.A cm's rlion u(dre dYai tideinstran(c cmirrm S 100.00 1108. UadcnttBa's on oct o'toul Gdc irrmarrcuo0s'a S 0.00 I IW). Seatch Fec • to ramAmrkan 11de la(aunccConyrany I50.00 1110. I111. 1112. 1200.3ovemment Romiling and Transhr Charges I201,Gov=m1mrCcordn (lorpts (6antGFEA71 69.50 i-IM.Rec ' lees: Ded SN)SOMt aSOAORelease$O.D(I 1203. Transfer LOOS (from GFF 48) 144.00 M204.citkotm tursiartt : l20S.SmtetaslcStr : Deed 384.00A4)Ir . eS0.00 1206. 1207. 1208, 12tW. 1210. AddltbnslSeWenantCharA! a..._.... a..........._.............._.,........._._....., ....................... 301. R uaedsetsi- thatroucansho fnr ((rornCFF66) 1302, Cb CoanOmdan Fec ro FAAt" b I $D.00 130.1. 1301. 1305. 1306. 1307. 1308. 13w. I310. 1400. Total 5, ill mein CharOea ( enter on lams 103, Section.) and $04 Gallon K) 45M MIN Sec suppk1ty nmi Pays rot act=. •• nuuonuenasm5orrarrcr. . -u tuuna.a.r. • .- s-n-, • - • w- &+ PJSC 2 CbaW That in Total CannotIncrease MoreThan10% Gtrcemmealrecofftchaies 9 1201 Ttic s uvieoaoral k-WWs411C insmaacc1101 r d d M S out Increase bdaen GFE andHUD-1 Charges Charges ThatCanChantlnial & TAWN Sur your c=mw acauunt e' IOill Dastyimatcstchorses S 901 Ilmncunnet' s insurance d 903 8 8 Fde No. 2147-254%57 369. 50 5369. 50 or NIA Good FaithEallmata hVD-1 COD 0. 00Your Initialbanmount is0.00 Yow last tam is yeals Your Initial irem"t rateisyaw Initial monthly amount owed torprinclo,interest and any S utciwlcs mortgage Insurance Is Mpd-dpal wens Atantagc4rsmence Can your Interestrate tile? No. t__I Ycs, u cnnrite b u maxbmmn d*Y,. The frst orange vitl be on and can ch:myc ago= eery after. Every change dote. your mil raw caninacase or+lmcrease by%, Over dw life uftkoban yourmtc nraa$uaraokedtcatvabcloatrihanl5 o hiyha thhpaanny! 4. Even 1f yountaM payments on time, W yew toes balance rise? Na' 1fr _ 1 Ycs, tt can t4a to o maximum of S . Evan it youmakepayments on time. can yaw mordhly amotadI1 LJNO, L - Ycs.lhc llml incrcasc can be on and the membly nmount awed for principal, hkrast,and MOV9ebavranotr1w? owed amfi:wtoS. TIC maxfmtan k can ova rife to is S . Does your loan hive a prepayment pan Ity? to. Yes,pournaxhn=prtraymeutpenallyirl. No, Yea. you kavea balloonpaymenlofSduo in Doesyour ban have a balloon payment? years Car . Total monthly amount awed inckxWgescrowaceountpayments CWl1'ouderraxhaveauwrmtyesttoapa}memfOrde,MSSuch.(uslacpenry•saxes-ad I10MCMTwT snsurance. You Mutt Tray these oclns ditcody younnAYou have as adkional maaddy cu w payment of Sdrat rawks n a ioW bnitia' monthly anusrrs oaW of$ . This inchulcs pMcipad. imaest. urry mortgage mwtnnee and any items checled below. Elrroreuytaxas Q Haneonners astaanae Flood irsuraace I Lv. ill 0 ED Note'. If you have any questions about me netuemeru c:narges ana won rams 1131ca on MM Imam. ps w1auu ywe ,a — Puac3 File No. Supplemental Page 2147.2549657 HUD-1 Settlement Statement First American Title Insurance Company Low No. Final Statement Settlement Date: 0512712011 Borrower Nano & Address; Jay tlrazier 3406 Pmorrmc Crcck Ct.. Orlando. FL 32637 Soller Nam &Address: Fe(krrlNaiamalMortgage ,Asbmiaion A09DD9M 14221 Dallas Parkway, Suite 1000, Dallas, 7X 75254.2916 Paid From I aid From Section LSettloment Charges continuedBorrower's FindsI Seller's Fundset Settlement etSettlenxM 1163. 5uppL-=nwSummery I1emiratlonotUne1103Charges: „ 100.00_ a. O wiresroc Pdicy Pfcm-mnl:5100.a0 Pfom,: SI00.00 I I OD.00 The following Section is restated from th Seltlement Statement Page 1 SOD. Cash at Settlement frOMADBorrowerBoo, Cash M 6elllemid few Seller Sot. Gmss=wmidue 5ombmwftr(riae1201 12A53SO 601. CsToss amaum duc ; O I12AW 0 302, Lessamauaupa: dbylforbwm u(Eae220) 2,287.36 602, Less reductmsinamou=duesecr(be 5201 3,6%7.36 303. Cash jXFrom) jTo)Borrower 19,166.14 6D3. Cash(XTo)( Frm)SeBer U1214 I have carefully reviewed the HUD4 Settlement $Mleftrd and to the bestof my knowhdgr and 16 h Is t and_ 4feu tra l>fnl ofallreceiptsanddlsbibutionsmadaonreyaccowriorbymeInthtsewsaction.Ifurthercortifythatlbaaert a ot i HUt r19e0 SUismerd. BUYER(S): Jay Fraser Federal Kirsten C. Gilc May 25. 2011 Bykborized signer of National Delaudt REOServices, A Delaware Urnited LlahifM Cormoonv dba First American Asset aosmg Services (' FAACS"), as Attorney in tact a . T&maT. r5eekr Steacuariu61h$%ep,cp.redie4wedeca wa —bud agig 4uaffctrm.IefrceShHdorniaamdIbctuodfwkdflnrttdisacrminueuilbcisaftcmne lhlcsi' I P. Se4 t Settlement Statement (HUD-1) First American Title Insurance Company Final Statement le: iK5lorta alunsneCt79^v'Yrouavatc+ism of ybral semeircn cosis. Nneunt7P a ertill5COlenI011 egml nannMiorlal pwpoxs and are rtXaK4ded n Ixrush Name of Borrower. Jay FrdzO 3406 Potomac Creek Q., Orlando, FL 32837 1.6. Loan Type: 6. File Number. 7147.2s49657 7. LoanNumber. 6. Mortgage, Imurance Cos* Number: n cams awXcU'n'oQ' uivCM1 ouwde dasUolarJ. diet' areibvam a. property Location: 110 IN 13111 a I bRNr VKU, zR—wnu. r I L H. SettlenlenPAgent: FirSl American Ti0e Insurance Company 32207 2207 00 6ettlemad Date: OW720ii Address: 3563 Phitlips Hghvray, BUiklng E Suite504, Jacksonv0le, Prinl Date: D524112 2.t9 PMDisburaoomDalnoFJ1720t1PlaceofSettlementAddress3563Ptul6psHighway, Bu0dmg E Sude 504Signing Doll. The Public Reporting Bu den for lhs collection of mtormaton is esumaled w 35 Mnmos Pa IesPoma rw cuww y „"—v, to 011DIMbon. andyouarenotrequcedwcomPktelhlsPormuNes"cirsplaysacurenlryIMI(JO Bconuolnumbs.Nocon(4eN13bylsassved popIJned provide the Parties to a RESPAcmaed uansacbon r+an mtomiatan durmg No sddewnt process. r 1,@kn ',147.649h57 L. SettismentCharps 700, TotalReal Estate Broker Fen Paid From Paid From Dmsgn o1 commiwon (une 7W) as follows Borrower's Setters 701, SLOW 0010 Drscdm Rea , Inc, funds Settlement Funds Settlement 702. S1.0W.Wto Dnwm Realty, Irc M at 703. Commissar pail at setllenlcrn 2,W0 W 704, BOD. hems Pairable inCortn=Wnwith Loan 801.0uror rnuoncharge (hamGFE l) 802. Yourredor charge ems) For the Spedic aeeresl rate chosen Orwn GFE r2) 003. Your adjusted or roarer char s (kanGFE A) OD4.Appranal fee OromGFEa3) 805. Credit ropon Oroa (IfEF'3) 806 Tax s=Ko ((ranGFEr3) 807. Flood certdicahDA (trom GFE 03) sm. 809. 810. BIT. 900. hems Required by Lendarto Be Paid In Advance 901. Dal interest charges kom @onGFE 010) 9D2. ifromGFE ail 903. Ibmeowrers rttaance IkonGFE Of) 904. 905. 906. 1000. Reserves De had with Lender 1001.ImlaldepDSkfor JOIHescmwarsouM ((mmGFEA) 1002. Homeowners insurance 1003. MorIgBite enumnm ID04. Property taxes 1W5. 1006. 1007. Aggrcgale Ad)usblerlt 11M.Titlechoraft 1101. TRIO Saw%andlendersIaID nsvrance OrosGFE e4) 300A0 1102.SM9emCMaclosin fee $300 OD 5W•00 to Fist Amman 10 insurance CAMWYIY 1103: 'Owners u.nwrance • Frst'Arnerkan Tale bsuance Con Omm GFE K) de 1WW 1104. Lender'stdk Itlaarce 1105. LcrKWSWO 141% S 0.00 1106.Ownef'stitiopollcyll, S 1Z.00000 1107. `its poon ofthe total into insurance pfcmvm S 1DD.00 1too. Underwa4cis ifortion attotaluilo hsurerlco prorrwm S 000 1109. Search Fee' to First Ameman Tab )trance Corr4)anY 150•00 11/0 1111 1112 12o0.Government Record and TronsferChews 1201.GomnmDMrecord" Owlies (komGFE17) 69.501202. Records fees: Deed 569.50Mo a $0.00Reb3so $000' 1203. Tronsler taxes (kom GFEr8) 8400 1204. Ctlykourgy toxhtamps- 1205. Slate t9xlsWrics: Dc6d S84A0 50.00 1206. 1207. 1208: 1209. 1210 130D. AddtionalSahkmentC ea 1301. Reamedsawesthat you can sWfor (komGFE16) 1302. Cb CoadinauonFee toFAACS 150W1303. 1304. 1305 1306. 1307 M. 1309. 1310. 1311. 1400. 70tal Settlement ChArM (enter on lines 103. Section J and 502, Section K) 1`'3.60 9000D wppremenw, royu ru, u -wa 1-1- o..,.,...,..... .... Page 2 ChargesThatIn ToutCannotIncrease More Than10% Government te wo charges 1201 TNCservices arid kYtdw'sliknsurance 1101 ToW Increase betweenGFE and HUD-1 Cher Charges That Can Change trAw depsitfw Your escrow account r 1001 Daily Intere5lcharges 901 Homeowner' s insurance 903 t J a 369. 50 S36950 or fUA Good Falth EsOmale HW-1 000 000 Your Initial I=anmouril is S 000 Your ban term is yew Yourklal interval tale isYourbldal monlhy aowunlowed forprinelpat, Interest, and any S ncludes mortgagelnsuince Y Ej prinopal inwast MortgagoInsurance Can your Interest rate rise? No Yes. n can raseb a masrnum of % TIo Irst change will boon and can change aganeveryafterEvery changedate. your merest rate can Increase or detroMe by w over thea1C of theloan, yourrtlefesl rate is guaranteed to never be lowerawn % wIagnor than %. Even H you makepaymentsonVale, Canyourloan balance rise? No. Yes, k can rlso ba nlaorrUrn ofS. EvanHyou makepaymentsonVim, can yourmonthly amount No. Yes, the trsl ine(easecanbo onand io monthly amountowedfor principal, bmerest, and mortgage insurance rise? owed can mso to S . The manmum 9 can over rnob rs S . Does your ban havea pepaymant penally'.+ No. O Yes, you mao(num prepayment penalty is s No Yesyou have a batoon paynont al S Dre o boas your loan'hava a balloon payment? yearson . Yotal monthly amountowed lncluding escrow accountpayments F1Youdonothave a monthly escrowpayment for tems, such as popery lams and homeown rS RISU anee. You must pay Dose gems directly yowsCHYouhave an addagnal monthly escrow paymem of S that results In a total uWal monthly amours owed of S . This Includes pfbopaL rnerML any reengage issuance and any cams chocked below, property lams Hwndoxrc Snsurance Flood msurance O Q a o Note: u youhave any questionsabout the beinemern tata%ges are Coen r eam mreu urn enssums, p,caac -1- lw, ,c - Rtge 3 f- File No. Supplemental Page 2147-2649657 HUD-1 Settlement Statement First American Title Insurance Company LW" No' Final Statement Settlement Dale: 05f27JY011 Borrower Name;,& address: ley Frazier 3406 Potomac Creek Cl.. Orlando. FL 32837 Setter Name & Address: Federal Nauonal Mortgage Association A090D9M 14221 Dallas Parkway. Su'de 1000, Dallas, TX 75254.2916 Paid From Paid From Section L. Settlement Charges continued Borrower's Funds al'Settle em Seller's Fundo at Settlement 1103. SupplementalSummary Itemization ofLim 1103Charges: 100.00 a.'Owner'sink Policy Premnen• flo000 Rom. $100.00 100 00 Thefollowing Section Is restated from the Settlement Statement Page 1 300. Cash at Settlement from/to aonower I Goo. Cash at SeHlemenl lothom Seller 30).Gross amountdue from borrow JMO120) 12.46350 601 Gross9nawduemseUK(fne-42M 12.000.00302. Less amounts pad Aot borrower (dae 220) 228736 602. LOSS nedMOS in OmalaaS duo Soler (line 520) 3,687.36 3M. Cash (XFrom) ( To)Borrower 10,1661/ 603. Cash (XTo) ( Ftom)Wer 8Al2.64 I havecarefully reviewed fhe HUD•l Settlement Slalemenl and to the best ofmy knowledge andbelief, it is a trueand accurateatatememof an receipts and distributions made on T!7 account or by me Inthis transaction. 1 pother cenlly thatI have received acopy of theHUD-1 SeUWMnt Sstement. BUYER(S); SELLER( S): Federal National Mortgage Association By: Tne HUD- 1Srsscnwr4SU* Mninthrltmpmpdednauuesaccumeacc&Aofan Casacam. I1uhc aysndof wilGuse Us: hM& mto dishned inatzaM= wonUnS RMAFirsican Title Insurance Company B n mt- Ore_ Oavm Janson Page 4 He No. Supplemental Page 2147-2549657 HUD-1 Settlement Statement First American Title Insurance Company Loan No. Final Statement SnNkmentDalai 0512712011 Borrower Name&Address: JayFYazier 3406 Potomac Crock 0. (Mande, FL 32837 Seger Name 6 Address: Federal National Idongage AssocWlm A09OD9M 14221 Dallas Pmi:uay, Suitc 1000. Dallas, TX 75254.2916 Paid From Pal" from Section L fiddersent Charges conlinuad BorrowreI sFunds stSsttkmeM rmin Funds atS*Ukn*.nt 1103. EtQpkmemal Summary Ilemizetlon of Line 1103 Glarges: ,_.. 100.00 ....,_.......,....._ _ u. O m,6Title Polity PrcmhLix S 100.M Prom- SlDOM 100.00 The following Section is restated from the Settlement Statement Page 1 300. Cash a Settlement bnmrlo Borrows: 600. Cash atSetaemanttogromSoYer301. Grossamoum due from bamwct(mc 120) 1 12,453.50 601. CToss asswm due ro se er(l c 420) I2.0003f0 3DL Lmsasmuampaid k4orbamsrter (Inc 220) 12,217.36 602. Less redu tims mamma; doescSa(lex5?0) 3,09736 303. CashQ( From)t To)Borrawar 1 10,116.14613. Cash((To)I Froas)Selw 6,312.66 Ihave carefully reviewed the HUD-ISettlement Slaitmarand tothe beg ofmylmowkdyl and)lel,kk Ir andyEcu h1otailreceiptsand distributions made on my amountor by eta In this transaction. I fUdher certify that I have ra c of lah 1 E Elite UM BUYER(S): Jay Frazier Federal Kirsien C. May 25, 2011 DYAutttorized signer of National Default REO Services, A Delaware LamedLtabty Cormoanv dba Firs American Asset Closing Services ("FAACS"), as Attorney in fact The H1J0.1 Strleaw-d Sm: rerm :techI lu,epepstair mxd a+t,rse ermsnN ais taafotttttm. 16ne eausea a n7aue rb<C.o,b wk dalnnte m>a+dauee nia, eisau rorne Pagc4 Prepared by Dawn Janson, an employee of First American Title Insurance Company 3563 Phillips Highway, Building E Suite 504 Jacksonville, Florida 32207 904)858-9200 Return to: Grantee File No.: 2147-2466045 SPECIAL WARRANTY DEED THIS SPECIAL WARRANTY DEED is made on k. ? l t between Wells Fargo Bank, NA having a business address at: 110 W 13TH ST SANFORD, SANFORD, FL 32771 Grantor"). and Federal National Mortgage Association having a mailing address of: 950 E. Paces Ferry Road, Suite 1900, Atlanta, GA 30326 Grantee"), WITNESSETH, that the said Grantor, for and in consideration of the sum of TEN AND NO/100 DOLLARS 10.00) and other valuable considerations, receipt and sufficiency of which is hereby acknowledged, has granted, bargained, sold, remised, released, conveyed and confirmed unto said "Grantee", it's successors and assigns forever, following described land, situate, lying and being in the County of Seminole, State of Florida, to -wit: The East 52.50 feet of Lot 10 in Block 14 of TIER 4, E.R. TRAFFORDS MAP OF THE TOWN OF SANFORD, according to the Plat thereof, as recorded in Plat Book 1 at Pages 56 through 64, inclusive, of the Public Records of Seminole County, Florida. Tax Parcel Identification Number: 25-19-30-SAG-1404-0100 SUBJECT, however, to all reservations, covenants, conditions, restrictions and easements of record and to all applicable zoning ordinances and/or restrictions or requirements imposed by governmental authorities, if any. TOGETHER with all the tenements, hereditaments and appurtenances thereto belonging or in anywise appertaining. TO HAVE AND TO HOLD the same in fee simple forever. Page 1 of 2 2147 - 2466045 AND Grantor hereby covenants with said Grantee that Grantor is lawfully seized of said land in fee simple; that it has good right and lawful authority to sell and convey said land; and that said land is free of all encumbrances except taxes accruing subsequent to 2009. That it hereby fully warrants the title to said land and will defend the same against the lawful claims of all persons claiming by, through or under Grantor, but against none other. Wells Fargo Bank, NA Signed, sealed and delivered in our presence: r QiV Witnes Signature - 1l Print Name: Top 1'{. 10/1 +5 State of County of Corporate Seal) Witness signature Print Name: l ,i1f16F'1PY"1P THE FOREGOING INS RUTfNT WAS ACKNOWLED D before me on tj-z% on behalf of We Fargo Bank, NA, existing under the laws of the State of b ,, i, who is/are personally known to me or who has/have produced a valid driver's license as identification. 1ii il' Printed Name) My Commission expires: oOT, ANNE NI fdELSON 4Commission Number 716748 MyCommis3ion Expires May 28, 2011 Page 2 of 2 2147 - 2466045 Prepared by and return to: First American Title Insurance 3563 Phillips Hwy, Bldg E, Ste 504 Jacksonville, FL 32207 File Number: 2549657 Consideration Amount: $12,000.00 Space Above This Line For Recording Data] Special Warranty Deed This Special Warranty Deed made thisJL4 day of May, 2011 between Fannie Mae a/ka/ Federal National Mortgage Association whose post office address is 14221 Dallas Parkway, Suite 1000, Dallas, TX 75254-2916, grantor"), and Jay Frazier, whose post office address is 3406 Potomac Creek Ct., Orlando, FL 32837 ("grantee"): Whenever used herein the terms grantor and grantee include all the parties to this instrument and the heirs, legal representatives, and assigns of individuals, and the successors and assigns of corporations, trusts and trustees) Witnesseth, that said grantor, for and in consideration of the sum TEN AND NO/100 DOLLARS ($10.00) and other good and valuable considerations to said grantor in hand paid by said grantee, the receipt whereof is hereby acknowledged, has granted, bargained, and sold to the said grantee, and grantee's heirs and assigns forever, the following described land, situate, lying and being in Sanford(city), Seminole(county), to -wit: Lot 10, Block 14 of E R TRAFFORDS MAP OF THE TOWN OF SANFORD, according to the Plat thereof as recorded in Plat Book 1, Page(s) 56-64, of the Public Records of Seminole County, Florida. Also Known As: 110 W 13t° St., Sanford, FL 32771 RE#25-19-30-5AG-1404-0100 Subject to taxes for 2011 and subsequent years; covenants, conditions, restrictions, easements, reservations and limitations of record, if any. Grantor is exempt of documentary stamps pursuant to 12 U.S.C. 1723 ac (2) for conveyance of subject property. Grantee herein shall be prohibited from conveying captioned property for a sales price of greater than $14,400.00 for a period of 3 months from the date of this deed. Grantee shall also be prohibited from encumbering subject property with a security interest in the principal amount of $14,400.00 for a period of 3 months from the date of this deed. These restrictions shall run with the land and are not personal to grantee. This restriction shall terminate immediately upon conveyance at any foreclosure sale related to a mortgage or deed of trust Together with all the tenements, hereditaments and appurtenances thereto belonging or in anywise appertaining. To Have and to Hold, the same in fee simple forever. And the grantor hereby covenants with said grantee that the grantor is lawfully seized of said land in fee simple; that the grantor has good right and lawful authority to sell and convey said land; that the grantor hereby fullywarrantsthetitletosaidlandandwilldefendthesameagainstthelawfulclaimsofallpersonsclaimingby, throughorundergrantors, but against none other. In Witness Whereof, grantor has hereunto set grantor's hand and seal the day and year first above written. Signed, sealed and delivered in our presence: Fannie Mae a/k/a Federal National Mortgage Association By: Printed Na Title: C* r of First American National Default e ernce , a division of First American Title Insurance Company as Attorney in fact and/or agent. State of County of The forninlnt was acknowledged befor a notary public this O day of May, ZUII, byJJasofFannieMaea/k/a Federal National Mortgage Association, who is personally known to me. My commission expires: Notary Publi , State of Printed Name: Seal or Stamp) BRITTANI PEACE Notary Public, State of Texas My Commission Expires Mareh 07, 2015 t i O r CITY OF SANFORD HISTORIC PRESERVATION BOARD APPLICATION FOR A CERTIFICATE OF APPROPRIATENESS P.O. Boa 1788, Sanford, FL 32772-1788 Phone: 407.688.5145 * Fax: 407.688.5141 Answer all the questions on this form and submit all required attachments. Incomplete applications will not be reviewed. If you have questions about application requirements contact the Historic Preservation Officer at 407.688.5145 to ensure your application is complete. A building permit may be required for the activity detailed below. Please contact the Building Department at 407.688.5150 for more information. Failure to obtain a building permit may result in fines and/or double permit fees. 1. GENERAL INFORMATION Downtown Commercial Historic District f; Residential Historic District)( is this a retroactive request? it Yes f1 No Is this application filed in response to a Notice of Violation from the Code Enforcement Department? * Yes it No Property Address: //0 w, 13T4' S4. SA.,u-('.a,A FL ?a7:l Property Owner Information Print Name: .)6Z'1 HfnZ1FP. Mailing Address: 3Z/1_1rL1 P0-06 AC Ct2ee CT oRtann90 i=Z 3a817 Phone: 3o"7/~a 8" .9dg Fax: G/07- tOL t?S / Email: Azf 12 A'zit2 C? Adl, C:,.-t S ignature: Applicant/Ag n form on Print Name: Mailing Address: Phone: Fax: Email: Signature: 1 certify that all information contained in this application is (rue and accurate to the best of my knowledge. Applicant/Owner Signature: I 1 Would you like to receive emails regarding Historic Preservation and Community Planning within your community? 2. APPLICATION CATEGORY (Check all that apply) Proposed improvements will affect the following elevations: 13 North I] South 1'i East >eo'West a=s Site Improvements/Driveway/Walkway G Storage Shed D Replacement Siding/Floor/Porch Replacement Windows or Doors :l Underskirting S:i Signs/Awnings 1 New Construction/Additions 0 Paint 1:) Fences/Gates/Pergolas D Roofs/Gutters/Downspouts D AC/Mechanical 2('Other 3. DESCRIPTION OF PROPOSED WORK Completely describe the entire scope of work, including changes in material and color, and methods that will be used to accomplish the proposed work. For large projects an itemized list is required. Use the reverse side if necessary. F%.X 6/nj5 :.V W,hrkW. RAw k 4-1,e h rsL . r .Y 0AAAJr4A t ro,%A e" 4I,n geolk,bk Ole Aay$4XIV- C.. : e: -':.<e. ciFFI- AI -'•USE ON Pp 1Flis is re eniaiion f3oa `Mee_-iri' D•'te:` to . .rd. t ..9 a - roved • ' D Cii ' 0 end't os o ed Belo R 1n .iV t P xc i 2 Si' nature: DaEe P, 4, I T t. AQPROVQL IS' VA ID FOR SiX MONTHS°U,NLESS._OTHERWISE NOT.ED.).'-:: ;_- THISCERTIFICATE MUST BE PROMINENTLY DISPLAYED ON THE SITE WHEN WORK IS IN PROGRESS. **** scs Ss4 Y}ryil' kF}ti 6/7/2011 o, y southwestern flair 3006-8C Le Fonda Ecru 5007-813 La Fonda feal 4004_4C La Fonda Midnight 2002-56 La Fonda Tile Red 2006-7A La Fonda Santa Fe Brown 5004-2C La Fonda Territory Green 60064A a Fonda Wild West Green 2003-7C ta Fonda Terra Cotra 1005-10A La Wrida Sonoran 2002-5A La Fonda Antique Red La Fonda, circa 1922, Santa Fe, NM. At the center of the historic Plaza, the La Fonda hotel is known for its award -winning Spanish -Pueblo architecture and decor, an inviting ambiance and warm hospitality. La Fonda embodies the rich history and art of Santa Fe. Invite ambiance and warm hospitality into your home with shades of rich, vibrant red, deep blue, earthy brown and terra cotta inspired by pueblo -style Spanish architecture and decor, 1!e`e estilo del suroeste La Fonda, afirededor de 1922, Santa Fe, NM, Al centre do la hist6rica Plaza, el hotel La Fonda es conoddo pear su arquitectura y decoracicin de pueblo espal)ol merecedora de reconocimientos y urea atrTi6sfera acogedora de c6lida hospitaidad. La Fonda materializa la rica histora y el arte de Santa Fe. Cree la atrretisfera.y1a c6licia hosialtq'iclad on su hogar con las tonalidades de los foJize intensos y vibrantei, los azles brofundoz los marrones de Berra y los terracotas inspirBidos per 1a1,uitect , ra y decorad6n estilo pueblo espanol. JUG NATIONALTRUST FOR HISTORIC PRESERVATION'