HomeMy WebLinkAbout250 Magnolia Park Trl (2)I
I
CITY OF SANFORD PERMIT APPLICATION
Permit # : 1 Date: n ?�
Job Address-�%✓l/" l%l/%7
Description -of -Work:
Historic District: Zoning: Value of Work:1-- a . rJ o
Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool
Electrical: New Service - # of AMPS Addition/Alteration Change of Service Temporary Pole
Mechanical: Residential Non -Residential _
Plumbing/ New Commercial: # of Fixtures
Plumbing/New Residential: # of Water Closets
Occupancy Type: Residential Commercial
Construction Type: # of Stories:
Parcel #:
Owners Name & Address:
Contractor Name & Address:
Phone & Fax:
Bonding Company:
Address:
Mortgage Lender: .
Address:
Architect/Engineer
Address
_ Replacement New (Duct Layout & Energy Calc. Required)
# of Water & Sewer Lines # of Gas Lines
Plumbing Repair - Residential or Commercial
Industrial Total Square Footage:
# of Dwelling Units: Flood Zone: (FEMA form required for other than X)
(Attach Proof of Ownership & Legal Description)
Phone: Lj0-7 3 -3 d —% 6
State License Number:
Contact Person: Phone:
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 v fl i n that I1wilnotify the owner of the property of the requirements of Florida Lien Law, FS 713.
Signature w r/Agent Date Signature of Contractor/Agent
Signature of
DEE38°E BLANTON
NY COIv11N;°.Gg10N # DD 188491
EXPIRES: FIVR49 y �5, 2007
,Vlly Known to 0 1
.1.= _ F-_�i is«unt 9 �-o.)
APPLICATION APPROVED BY: Bld Zoning:
P1 i a )
Special Conditions:
Print Contractor/Agent's Name
Signature of Notary -State of Florida
Contractor/Agent is.
_ Produced ID _
Utilities:
(Initial & Date)
Date
Date
Personally Known to Me or
FD:
(Initial & Date) (Initial & Date)
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 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 $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.
I, i A K0 Q z A , 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.
14
Oill
wner ui er Signature Date
Print Owner/Builder Name
Signature of
Owner is _
Produced ID
DUKE BLANTON
MY COIANIISS;ON # DD 188491
EXPIRES: February 25, 2007
BYw ,r_ 1=Z, Discount Assoc. Co.
l�
(P� Printed te`d Jul 29, 2005 @ 11:01) US Department of Housing end Urban Development OMB No. 2507-0265
A. SETTLEMENT STATEMENT
B. Type of Loan
319 990.00 401. Contract sales price 319 990.00
L [ ] FHA 2. [ ] FmHA 3. [X] Conv. Unins.
6. File Number:
7. Loan Number:
1
9,100.94 403.
4. VA 5. Conv. Ins.
05-799
105.
313675
8. Mort a e Ins. Case #:
C. NOTG: This form i fumuhed to give you s natement ofacwm
al settlement costs. Amounts paid to end by the seulemm
ncocd
a
egent ue shown . Items marked POC were paid outside the closing: they we shown here for information
D. NAME AND ADDRESS OF BORROWER/BUYER:
107. County taxes
Judy Ueltschy 413 Virginia Drive Orlando, FL 32803
108. Assessments 7/29/2005 to 12/31/2005
HenryJohn Cardoza ,
109.
E. NAME AND ADDRESS OF SELLER:
110.
Sameer Mohamed Chandoo 1600 Stargazer Terrace Sanford, FL 32771
Ill.
F. NAME AND ADDRESS OF LENDER:
112.
Southern Security Mortgage Company 755 Rinehart Road, Ste 250 Lake Mary, FL 32746
G. PROPERTY LOCATION (Brief Legal): Lot 44 Magnolia Park
1 329 317.46 1420. Gross Amount Due Seller 320 216.52
250 Magnolia Park Tri Sanford, FL 32773
H. SETTLEMENT AGENT:
PLACE OF SETTLEMENT:
Brokers Title of Longwood, LLC Contact: Cham a ne Herman
2015 West SR 434 Longwood, FL 32779
1. SETTLEMENT DATE:
DISBURSEMENT DATE:
7/29/2005
7/29/2005
J. SUMMARY OF BORROWERS TRANSACTION K. SUMMARY OF SELLERS TRANSACTION
Inn f_R(1QQ AW)ITNIT r1[IF For1M Rf1DVAWFD • Ann ,r_DAQQ ANr/IITNr nTTF Trl QGI 1 VD .
101. Contract sales price
319 990.00 401. Contract sales price 319 990.00
102. Personal Property
402. Personal Property
103. Settlement charges to borrower line 1400
9,100.94 403.
104.
404.
105.
405.
Adjustments for items paid by Seller in advance
Adjustments for items paid by Seller in advance
106. Ci /town taxes
406. Ci /town taxes
107. County taxes
407. County taxes
108. Assessments 7/29/2005 to 12/31/2005
226.52 408. Assessments 7/29/2005 to 12/31/2005 226.52
109.
409.
110.
410.
Ill.
411.
112.
1412.
120. Gross Amount Due From Borrower
1 329 317.46 1420. Gross Amount Due Seller 320 216.52
7n0 AMM INT.0 PA In RV OR IN RFA AI.F OF ROR R(1WFR • ;nn Rvnt IrTrr1N.Q IN AM01 TNT 111 IF TO CFi.1.FR
201. Deposit or earnest money
10 000.00
501. Excess deposit see instructions
202. Principal amount of new loans
255 950.00
502. Settlement charges to seller line 1400
21 189.50
203. Existing loans taken subject to
503. Existing loans taken subject to
204.
504. Payoff of first mortgage loan
169 597.86
205,
505. Pa off of second mortgage loan
206.
506.
207.
507.
208.
508.
209.
509.
Adjustments for items unpaid by Seller in advance
Adjustments for items unpaid by Seller in advance
210. Ci /town taxes
510. Ci /town taxes
211, County taxes 01/01/2005 to 7/29/2005
1916.97
511. County taxes 01/01/2005 to 7/29/2005
1,916.97
212. Assessments
512. Assessments
213.
513.
214.
514.
215.
515.
216.
516.
217,
517.
218.
1518.
219.
1519.
220. Total Paid BV/For Borrower
1 267 866.97
520. Total Reduction Amount Due Seller
192 704.33
300. CASH AT SETTLEMENT FROM/TO BORROWER: 600. CASH AT SETTLEMENT TO/FROM SELLER
301. Gross Amount due from borrower line 120 329 317.46 601. Gross amount due to seller line 420 320 216.52
302. Less amounts paid by/for borrower line 220 267,866.97 1602. Less reductions in amt. due seller line 520 192 704.33
303. Cash IXIFrom To Borrower 61 450.49 1603. Cash [X]To From Seller 127 512.19
SUBSTITUTION FORM 1099 SELLER STATEMENT: The information contained in Blocks E,G,H and I on line 401 (or it 401 is asterisked, line 403 and 404) is
important tax information and is being furnished to the Internal Revenue Service. If you are required to file a return, a negligence penalty or other sanction will be
imposed on you if this item is required to be reported and the IRS determines that it has not been reported.
SELLER, you are required by law to provide the settlement agent with your correct taxpayer identification number. If you do not provide the settlement agent with
your correct taxpayer identification number, you may be subject to civil or criminal penalties imposed by law.
Under penalties of perjury, I certify that the number shown on this statement is my correct taxpayer identification number.
Seller(s):
Sameer Chandoo Mohamed by
1 170 Waylnont Court - Lake Mary, FL 32746 • Voice 4U7.688.7631 • FAX 407.688 7691
JLJ
rl ,
1
Lot 44 through 59. MAG OLIA PARK, according to the plat thereof,
as recorded in Plat Rock 63, Pages) 54 through 59, of the Public
Records of Seminole County, FL.
Community nuntber: 120294 Panel. 0045
Soffa: C F.LKM. Date: 411711995 Flood Zane: X
Daft of field work: 712212005 Completion Date: 7/22/2005
Certii led to:
Henry John Cardoza; Judy Uelischy; Brokers Title; Ticor Title
Insurance Company ofFPrida; Southern Security Mortgage Coniits' successors ond/or ass;''.
os6�.
520 �Sb0� LOT 43
a
a AO' s
D.
X00, y�9
1
1l) aN as ko
mss°
/ s3
00
0, �s
0 O
--- �
• 725ryti•
LOT 45 �o LOT 44
o
r.
---->? --------
soIt k / I
t' i✓ ,t P �! I,��y' mss,
,, oy•a 7/
i,r •�...i
47 J as
1141
.fie
SCALE: 1
LOT 46 1
I
� m
Property Address:
250 Magnolia Park Trail
Sanford, FL 3277/
`30r Survevnumber: SI. 57018
LEGEND
GENERAL
NOTES
—O-
Wood Force
W M.
wafer MeterN
T.S.
Nnt to Sale
1, Legal diion
provided try other,
—0-
Wire Fence
IEL
7ebpnalf r.Kilit ins
O.R.
0lilciul R -4s
2. The lends slxvvh
he— -c rot a0stfacied for easements or pow recorded encumbrencet
IF N
sound Nan
C`.'- Covered Area
CIA,$.
Officul RetONS Book
nor shovm o
1 the plat
•
Property Corner
E.R.
Bearing Acscwce
PC.P
Pemtancnt Control Point
3 Undergroun
por,Uws of footings, leundm— or other improvements were not located
A,
Ii
CH
Chord
PR,M.
Permanent Relerencsr Monument
e, wap des are
o the face of the all.
M
Field MancurM
RAD
Radial
PG.
Page
S. Only vVible
a croachmfntt bated.
CL
Clear
N
Non Radial
PVMT
Pavement
6. No denlNla
(qt found can ppVprnY corner, unless noted
EN CA
Enaoacsimcnl
AVC
Air Condaionnr
PB
Plat ecok
7. Dimensions
s vn are plat and measar d unlcu. othpAvise noted
r�
C"'wAine
a Ns
bench Mara
Pot
Point of 8egim-9
S.Flliwtims if
own are based upon N.G.V.D. 1929 umess whervns hotel).
I= Concrete
C
Calmlemd
PO C
Prim of Commencement
g. Adjoining lot
are wsnio me iame block, Vlse pled.
R
Pmpary Line
7.57,2
Block wall
PU.L.
Point on one
10. This is on Af
BUILT 9UAVEV unless
M.
CoKfele M-umcnt
L
Ceutrd An91eiUPlta
PC.
Pnot of Qpvitule
1. Not valid unl
tt SeaINJ w.nn the v9nin9 rue seal.s—d
Imn Rod
D11
Dyed Cook
PRC.
Pon10f Reverse C"".Tirf,
,Flnnd Ppne
ftfrMln>tlent ar! Irow�ddY N, and ar! dnvee tlnM thenund
Iron Papa
D,
DeKriplion or Cced
PT.
Pulnt of TanpcncyMV
hell SOuronce
ailaob to tM s lvirilomfr Ii sn cab of lA re0ed upon .m hood
Right or Way
D H
Will Heli
R.
R,iOius (Radial)
pu
P
m
lei, <iW mry dlflcr (tom ia n Y Ofnt'r5,ge
H&D
Wil d Disk
DAN
Naeway
R,O f
RMI Ovphan0 Euement
L.61 Ina
>13Yv
JW)
Easement
:SMT
Easement
i.I.R.
Set Iwo ACJ 6 CaP
.1,6.
1a. Sepuc tank a
d/a tlrainlieb locn,nn9aro a a NI rue ✓erred q appropat!
E.
Lrclbty Easurnrnt
ELElevedon
SAw
Sidewalk
uillitY loutio
compared.
PD
PNal
Found
Ff.
EC.M.
Rnisned Ploor
Found Con—sn Monument
TO.a.
TYP
Top of Bank
Typica
O M.V.
overhead Utilities
F,IK.
Fenno Parker•R>lon Nail
W.C.
Witness Corned
P.P
Pori Pole
l
Length
10.05
EAULin9 Elavanon
roc•
"
T%
Aantformry
LAC.
Lirnam access Easement
C.O.W.
Edge of water
Ralph SwfrdloP a>aeavad land ;irwesnr ec inn
a..,, ...s-...-. 11u a..1—
AUG-11-2005 08:06 AM P.02
n
PRIM'
�.
OH ��
tut epi rto;l�� 1A�y.�t 5, 2085
tlip7dM9'MINTY
Pt13At,0�B9� ;
FAX 331-MMOO7' ;
1 enryf Cardoze.
,ta a sa B 06'0 molls SPA* Tmvi
P 13 anibrd, Floi�I'�t 3217
RdO
FAX 010 040 ,1107 ' '
sr t•tO,ry: .,.... .
_�rchlto��lrrif !t�evlar�d.i brs 'eft Ita 0 PD :Hc; heovurt6m Asu lation
r351
h8a 'tev . ly �p you -sbb!mitt :. ', AfW hat aP , yatir
E11X T38�i�1-01 N
e Pp
anon •':vllny rie ; 'ttnCent upoh err. . obtain iv alb ns�assary
Y7B aa�ponbeAr 44Y p�ritli�s.
, • i" tk yvu far: kcrt .cva ibn IIS tttta rnatteK; 'yc�i� tts .queWons,
MX4U4 P M oontsd-myvsstit. Lam Ptl®r Y'b1:(4 7) 78 8O extension 278.
goo f* .ud �hFt�ar+eEly,
wrxBB� swIkiftholla PD'ODWriti: ss"asa 't6m.
tcE�uo��, %eVul6 .
uiu ut I_ I it NU fINItrint Propedy &knqjr'O
ndcsures
fA!(944.343-74x!l
WMA,