HomeMy WebLinkAbout333 Fairfield Dr (2)Permit # : 0 4 -51(D 9
CITY OF SANFORD PERMIT APPLICATION
• Date: (O' o;� -I ° OS
Job Address: -33 6 EC)c i t Gl e i d 1) V -
Description of Work: nc e to I ujcxJt-_
Historic District: Zoning: Value of Work: $ '350.00
Permit Type: Building X Electrical
Electrical: New Service - # of AMPS
Mechanical: Residential Non -Residential
Plumbing/ New Commercial: # of Fixtures
Plumbing/New Residential: # of Water Closets _
Occupancy Type: Residential Commercial
Mechanical Plumbing Fire Sprinkler/Alarm Pool
_ 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 #: A (Attach Proof of Ownership & Legal Description)
Owners Name & Address: `7eo-in, l i eA SSc_\Ai'(
M3`F7�r�-►elCl'ZY-,,S0.1n Y_d i i�-� 3L�� Phone: yon
Contractor Name & Address:
Phone & Fax:
Bonding Company:
Address:
Mortgage Lender:
Address:
Contact Person:
State License Number:
Architect/Eagineer: Phone:
Address: Fax:
Application is hereby made to obtain a pemut 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 is vp0lication that will n ify the ownerVh�rt of the requirements of Florida Lien Law, FS 713.
'
Si re of Or/ gent j Date Signature of Contractor/Agent
Print Owner/Agent's Name n Print Contractor/Agent's Name
of
ao, :"• •`OV JO ANN M. JOHNSON
A * MY COMMISSION # DD 285622
Owner/Agent
.--Produced
Date
Date Signature of Notary -State of Florida Date
p p Contractor/Agent is _ Personally Known to Me or
0 4. 1'. u8� _ Produced ID
.6. Is u5
APPLICATION APPROVED BY: Bldg: f ior Zoning:
(Initial i ate) (Initial & Date)
Special Conditions:
Utilities:
FD:
(Initial & Date) (Initial & Date)
CITY OF SANFORD BUILDING DIVISION
OWNER/EUILDER 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 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, A,(n % I( , 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.
L tri'.
er/Buil er Signature Date
Print Owner/Builder Name
b zBO's-
gnatiii�ecYf�Notad,y� „�jda Date
*MY COMMI ION # DD 28822
EXPIRES: March 23, 2008rr B'riOwne7erso
Mato Me or has
Produced ID
A. U. S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT
SETTLEMENT STATEMENT
Kampf Title &. Guaranty Corporation
3999 West First Street (SR 46)
Sanford, Florida 32771
407-322-9484 fax: 407-330-5062
�l rrvn -- - - - - - - - - - - - - - - - - - - - - - -
B. TYPE OF LOAN
1. FHA 2. 7 FMFIA 3. 7x CONV. LININS.
4. VA 5. [:] CONV. INS.
6. Pile Number: 7. Loan Number:
62553-A 2109109473
8. Mortgage Ins. Case No.:
;-. ivvi r,: i ms form is jurntsnea to give you a statement of actual settlement costs. Amounts paid to and by the settlement agent are shown. Items marked
(p.o.c.) were paid outside the closing. They are shown here for informational purposes and are not included in the totals
SEAN.D. HILL
D. Borrower: 1155 Roundtable Drive
Casselberry, Florida 32707
E. Seller:
SOUTHSTAR FUNDING, L.L.C.
F. Lender: 400 Northridge Road, Suite # 1000
Atlanta Georgia 30350
333 Fairfield Drive
G. Property: Sanford, Seminole County, Florida 32771
Lot 17 CELERY LAKES PHASE 2 Book 65 Page 29 and 30 Seminole County Florida
H. Settlement Agent: KAMPF TITLE AND GUARANTY CORPORATION
Place of Settlement: 3999 W. First Street (SR 46) Sanford Florida 32771 SEMINOLE County
I. Settlement Date: June 17 2005
J. Summary of Borrower's Transaction K. Summary of Seller's Transaction
100. Gross Amount Due From Borrower:. 400. Gross Amount Due To Seller:
101.
Contract Sales Price
401.
Contract Sales Price
102.
Personal Property
402.
Personal Property
103.
Settlement Charges to Borrower line 1400
989.61 403.
502.
: Adjustments for Items Paid by Seller in Advance:
Adjustments for Items Paid by Seller in Advance:
106.
Ci / Town Taxes
1 406.
Cit / Town Taxes
107.
County / Parish Taxes
407.
County / Parish Taxes
108.
Assessments
408.
Assessments
120.
Gross Amount Due from Borrower:
989.61 420.
Gross Amount Due to Seller: 0.00
200.Amounts Paid by or in Behalf of Borrower:
500. Reductions in Amount Due to Seller: -
201.
Deposit / Earnest Money
501.
Excess Deposit see instructions
202.
Principal Amount of New Loan
37 250.00
502.
Settlement Charges to Seller Line 1400
203.
Existing Loans
503.
Existing Loan(s)
204.
504.
Payoff of First Mortgage to
205.
505.
Payoff of Second Mortgage to
206.
506.
, Purchase Money Mortgage to
Adjustments for Items Unpaid by Seller:
Adjustments
for Items Unpaid by Seller:
210.
Cit / Town Taxes
510.
Ci / Town Taxes
211.
County / Parish Taxes
511.
Count / Parish Taxes
212.
Assessments
512.
Assessments
220.
Total Paid b / for Borrower:
37 250.00
520.
Total Reductions in Amount Due Seller: 0.00
300.
Cash at Settlement from % to Borrower:
600.
Cash at Settlement to / from Seller:
301.
Gross Amount due from Borrower line 120
989.61
601.
Gross Amount due to Seller line 420 0.00
302.
Less Amount Paid by/for Borrower (line 220)
37.250.00
602.
Less Reductions Amount due Seller (line 520) 0.00
303. Cash To Borrower: $36,260.39 603. Cash From Seller: $0.00
CELERY LAKES HOMEOWNERS ASSOCIATION, INC.
ARCHITECTURAL REVIEW BOARD
PROPERTY OWNER: _ Sfao C41
LOT PHASE
PROPERTY ADDRESS:
MAILING ADDRESS (if different) :]_�S�I�
��-�SSeI rjeY�y
TELEPHONE �t' `1141�jZ� tj�J
y �_FAx
�4 0_7i ` co 9 LOD
Architectural Review application for:
Swimming pool Exterior paint colors
Landscaping �_ Fencing
Other:
--------------------I-----------
----------------
ATTACHMENTS FROM PROPERTY OWNER
xwritten request describing addition, change or installation
Ki --property survey showing where addition or installation is to
be located
specifications (copies of plans indicating dimensions,
materials made of, color, etc.)
other (i.e., paint chip color samples, pictures, hrnr_h1ira)
NOTE: Please be advised that work cannot be started until the ARB
has provided a written approval of the application.
FOR USE BY THE ARCHITECTURAL REVIEW BOARD
request recd forwarded to ARB
to owner
The ARB's decision on the plans submitted is as follows:
_ APPROVED with the following comments:
1) must conform to all local zoning and building
regulations.?'�And you must obtain any permits that
are required
2)
DENIED
INFORMATION RECEIVED IS INCOMPLETE --required information is:
BY: a'os
Architectural Review Board date
.:- Easement Line Conc.: Concrete u.... . ____. __ P P.C. Point of Reverse Curve "' "`✓"" "'"
_ Central Angie Const: Construction Pav'l. Pavement
�/y ;Concrete Slab P, C. Point of Cure PRM Pennanen! Reference Monument T.B M. Temporary Bench r
' :Arc Length PSI Point of SUeel Intersection W' With
Block
Elev. ; Elevation P.G.C.: Point of Compound Curve
arV^ SUrvey: v `
Q
U41 z
�s s�t.•Fo C/1/ 373
,jZ.T/�..ilYl�:.��
R r P•�•t.
I' V
I
INS , I v
4-3"
%� � FND • �d y
i / ~2 0 0 r/ I * 2 D D
N6NT
�/ C� 4
L ` •`Z.')
pe4w4&--
F4S--At--AIr
(S'sivr��
'R
r�
A(qP
&0"
\ C�cE,vicer Gr..r6
o 2 ' k/E3 r
5r �pQi � N � 5,
I .
L7.
w.
f',�'r.•���
M•
I
3
40• o'
n
tl
C
Lf- 1 n/9' P[AT it 1-
/V- p 4 J�l'E�Pl ar 110)
/Nor Pv9rr-Eo -�
.s -
r
Aa