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Home My WebLink About415 S PalmertoCITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION OCT 17 2016 / - A 7 -7ApplicationNo: Documented Construction Value: Job Address: S ' /m GffU Historic District: Yes eNo Parcel ID: Residential Q Commercial Type of Work: New Addition Alteration Repair Demo Change of Use Move Description of Work: Plan Review Contact Person: Title: Phone: Fax: Email: Property Owner Information Name Phone: 6 y-a— T ary— iaio? y S Street: -G Resident of property? City, State.Zip:. Contractor Information Name JGofiT /^'o'" C24._ Phone: Street: V, Fax: City, State Zip: State License No.: tee- Architect/Engineer Information Name: Phone: Street: Fax: City, St, Zip: E-mail: Bonding Company: Mortgage Lender: Address: 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: 5th 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 Law, 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 z g. Signature of Owner/Agent Date Signa re of Contract. 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 Print Contractor/Agent's Name Signature of Pie ti pyc' DEBBIE BLANTOwoo MY COMMISSION # FF '178648 EXPIRES: February 7.i, ^019 tit, Bonded Thru Notary Publio Contractor/Agent is Personall own to Me or Produced ID Type of ID L 0 1 Cil 11 BELOW IS FOR OFFICE USE ONLY Permits Required: Building Electrical Mechanical Plumbing[] Gas Roof Construction Type: Total Sq Ft of Bldg: Occupancy Use: Min. Occupancy Load: New Construction: Electric - # of Amps, Fire Sprinkler Permit: Yes No # of Heads APPROVALS: ZONING:z I o- UTILITIES: ENGINEERING: COMMENTS: FIRE: Flood Zone: of Stories: Plumbing - # of Fixtures Fire Alarm Permit: Yes No WASTE WATER: BUILDING: Revised: June 30, 2015 Permit Application PLUMBING QUA Water house plumbing Inc. Estimate P O Box 1046 Sanford , fl 32772 440 State Cert # CFC 1427534 0 ' ' Thank you Total $2,400.00 nu ALTA Settlement Statement - Combine American Land Title Association Adopted 05-01-201 File No./Escrow No.: 166214 First Signature Title, Inc. Print Date & Time: 10/11/16 3:56 PM ALTA Universal ID: Officer/Escrow Officer: Holly Allison 330 Waymont Court Settlement Location: First Signature Lake Mary, FL 32746 Title, Inc. perty Address: Lot 14-15, Block 6, Plat Book 1, Pa 415 S. Palmetto Ave. Sanford, FL 32771 er: Barbara Tighe ler: Susan Lapp and Robert Lapp, wife and husband Lender: HomeBridge Financial Services, Inc. ISAOA/ATIMA Settlement Date: 10/13/2016 Disbursement Date: 10/13/2016 Additional dates per state requirements: Financial Deposit $1,000.0 Loan Amount $185,576.0 189,000.00 Sale Price of Property $189,000.00 Prorations/Adjustments 808.62 City Property Taxes from 01/01/2016 thru 10/13/2016 808.62 1,323.00 Portion of Doc Stamps Paid by Seller 1,323.0 5,354.99 seller paid cl costs 5,354.99 Loan Charges to HomeBridge Financial Services, Inc. ISAOA/ATIMA appliation Fee 75.00 doc prep fee 550.00 Prepaid Interest ($19.07 per day from 10/13/2016 to 11/01/2016) 362.25 underwriting Fee 599.00 appraisal Fee to MMC 600.00 credit report to Credit Plus 16.53 flood cert to Settleright, LLC 10.00 MIP to FHA 3,191.74 Survey to Swerdloff & Perry Surveying, Inc. 250.00 Impounds oovrie t 2015 American Land Title Assoaation Me 1bb214 All rights reserved. Page 1 of 3 Printed on: 10/11/ib 3:5b NM 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 First Signature Title, Inc. to cause the funds to be disbursed in accordance with this statement. A /U w3 lE b111/k, Barbara Tighe U Date Susan Lapp Date Robert Lapp Dat Holly All son Date Copyright 2015 American Land Title Association File # 166214 All rights reserved. Page 3 of 3 Printed on: 10/11/16 3:56 PM