HomeMy WebLinkAbout101 N Elliot AveCITY OF SANFORD PERMT APPLICATION
Permit No.: t 2 Date: tP •!'% •Z
Job Address: 10/
Permit Type: Building Electrical Mechanical Plumbing Fire Alarm/Sprinkler
Description of Work: 3 /1 -
t
Additional Information for Electrical & Plumbing Permits
Electrical: _Addition/Alteration _Change of Service Temporary Pole New AMP Service (# of AMPS )
Plumbing/Residential: Addition/Alteration New Construction (One Closet Plus Additional)
Plumbing/Commercial: Number of Fixtures Number of Water & Sewer Drainage Lines Number of Gas Lines
Occupancy Type: Residential _Commercial _ Industrial Total Sq Ftg: 1-i Value of Work: S
C
7J
Type of Construction: Flood Zone: Number of Stories: Number of Dwelling Units:
Parcel No.: r YJ Ci 3/'54/ _ OSOd 1'J(Of4 _ (Attach Proof of Ownership & Legal Description)
P.O . 9714! 95 9 Al Gi r `J 32 7 .9 y State License Number: U6 0 3Z q CIO
Contact Person: Ini , fir G r" h Phone & Fax Number:
Title Holder (If other than Owner):
Address:
Bonding Company:
Address:
Mortgage Lender:
Address:
Arch itect/Engineer
Address:
Phone No.:
Fax No.:
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 perfoiiried 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 o permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law,;FS 713.
Ignature of er/Agent Date Signature of Contractor/Agen Date
Q.,M,* Mf ttu,ri
Print Owner/Agent'
t!2 i-7 oz
SignatureofNptAteBilflfllfM Date Notary
Public, State of Florida My
comm. exp. May 5, 2006 Comm.
No. DD 114748 Owner/
Agent is -/ Personally Known to Me or Produced
ID MM
C'
Contractor/
Agen Signature
of Notary- tate of Fl rida Date J
DEBRA
A. BANNICK Notary
Public, State of Florida My
comm. exp. May 5, 2006 Comm.
No. DD 114748 Contractor/
Agent is ` Personally Known to Me or Produced
ID APPLICATION
APPROVED BY: Dni Date: 6 V 1—
Special
Conditions:
LIMITED PO WER OF A TTORNEY
JUNE 14, 2002
I, William H. Nelson, authorize Mary Wallace to sign my name or whatever is necessary
under my State License #CCC 032490 in order to obtain a permit for a re -roof at 101 N.
ELLIOT A VE. SANFORD, FL. 32771. FROM THE CITY OF SANFORD.
William H. Nelson, V.P.
STATE OF FLORIDA
COUNTY OF ORANGE
Subscribed and Sworn Before Me This
6114102 By William H. Nelson who is
Personally Known to Me and did not
Take an Oath.
Seal DEBRA A. BANNICK
Notary Public, State of Florida
My Comm, ev. May 5, 2006
Comm. No. DD 114748
Permit #
I MN IN INI N NNI N NN M NN NI MI NI N s m"Nl ll so M NI I logo
Parcel I.D. #30-19-31-504-0050-006A
Prepared by: Bill Nelson
P.O. Box 941959
Maitland, F132794
State of Florida
County of Orange
NAR MW NORSE, CLERK OF CIRCUIT COURT
MNINOLE COUNTY
BK 04440 PG 0578
CLERK'S N 2002897303
RECORDED 06/20/2002 090006 AN
RECORDING FEES 6.00
RECORDED BY N Nuldm
NOTICE OF COMMENCEMENT
The undersigned hereby gives notice that improvements(s) will be made to certain real property, and in accordance
with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement.
1. Description of property:
101 N. ELLIOT AVE. LEG S %: OF LOT 6 & ALL LOT 7 BLK 5 MAYFAIR PB 3 PG 35
SANFORD, FL 32771
2. General description of improvement(s):
RE -ROOF
3. Owner information:
Name: RALPH MATTEINI
101 N. ELLIOT AVE.
SANFORD, FL 32771
4. Interest in property: 100%
5. Fee Simple Title Holder (if other than above):
6. Contractor:
Tip Top Roofing Co., Inc. Phone: (407) 660-2212
v P.O. Box 941959
Maitland, F132794
7. Surety(if any):
8. Lender (if any):
9. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served
as provided by SS713.13(1)(a)7., Florida Statutes.
Owner
10. In addition to himself, Owner designates the following to receive a copy of the lienor's notice as provided in
SS 713.13(1)(b), Florida Statutes.
Owner
11. Expiration date of Notice of Commencement (the expiration date is one year from the date of recording unless
A different date is specified)
IN'o — rn.
Date Signed Signature of Owner.
t
Sworn to and subscribed before me this 14TH day of June, 2002 byUM m1
1*1' /
who is personally
CERTIFIED COPY
MARYANNE MORSE
CLERK OF-CIROUIT COURT
SEMMWLE COUNTY. FLOWN
eal
A. BANNICK
Notary Public, State of Florida
My comm. exp.-May 5, 2006
Comm. No. DD 114748
JUN 2 0 2002
nue Lin ft- .- ^'
A.
U.S. DEPARTMENT OF HOUSING & URBAN DEVELOPMENT
SETTLEMENT STATEMENT
B. TYPE OF LOAN:
1.QFHA 2.QFmHA 3.QCONV. UNINS. 4.[]VA 5.QCONV. INS.
6. FILE NUMBER:
623308A-NR
7. LOAN NUMBER:
8. MORTGAGE INS CASE NUMBER:
C. NOTE: This /orm is /umished to ghre you a statement o/actual settlement costs. Amounts paid to and by the settlement agent are shown.
Items marked %POC)' were paid outside the closing; they are shown here for Informational purposes and are not included in the totals.
1.0 yse s2-330eA-NPA233Q8A-Nw1,
D. NAME AND ADDRESS OF BUYER:
RAOUL J. MATTEINI and
CAROL A. MATTEINI, HUSBAND AND WIFE
101 N. ELLIOTT AVE
SANFORD. FLORIDA 32771
SSN: IW22-3229 /54.32-7716
E. NAME AND ADDRESS OF SELLER:
CHRISTOPHER KALLENBERGER and
COLLEEN A. KALLENBERGER, HUSBAND AND W
6 HAMILTON DRIVE
LEXINGTON, VA 24450
SSN: 396-84-3179 589-94-6349
F. NAME AND ADDRESS OF LENDER:
G. PROPERTY LOCATION:
101 N. ELLIOTT AVE.
SANFORD, FL 32771
Seminole County, Florida
Lot 7, and the South 1/2 of Lo
MAYFAIR
30-19-31-504-0500.006A
H. SETTLEMENT AGENT: 59-3508965
Sunbelt Title Agency
I. SETTLEMENT DATE:
June 11, 2002
PLACE OF SETTLEMENT
240 Crown Oak Centre Drive
Longwood, FL 32750
J. SUMMARY OF BUYER'S TRANSACTION K. SUMMARY OF SELLER'S TRANSACTION
100. GROSS AMOUNT DUE FROM BUYER: 400. GROSS AMOUNT DUE TO SELLER:
101. Contract Sales Price 160 000.00 401. Contract Sales Price 160,000.00
102. Personal 402. Personal Property
103. Settlement Charges to Buyer Line 1400 671.00 403,
104, 404.
105. 405,
Adjustments For Items Paid By Seller In advance Adjustments For Items Paid By Seller in advance
106. City/Town Taxes to 405. CAlyrrown Taxes to
107. County Taxes to 407. County Taxes to
108. Assessments to 405. Assessments to
109. 409.
110, 410.
111. 411.
112. 412.
120. GROSS AMOUNT DUE FROM BUYER 160,671.00 420. GROSS AMOUNT DUE TO SELLER 160.000.00
200. AMOUNTS PAID BY OR IN BEHALF OF BUYER: 500. REDUCTIONS IN AMOUNT DUE TO SELLER:
2011. Deposit or earnest money 3,000.00 501. Excess Deposit See Instructions
202, Principal Amount of New Loans
203. Existing bans taken subject to
502. Settlement Charges to Seller Line 1400
503, Exlstln loan a taken subject to
12,065.50
204,
205•
504. Payoff of first MoM a
a to HOMECOMINGS FINANCIAL
505. Pa ff of second e
101.610.05
206, 506.
207• 507.
208, 508.
209. 509.
Ad ustments For Items Unpaid By Seller Adjustments For Items Unpaid By Seller
210. CI/Town Taxes to 510. G /Town Taxes W
211, County Taxes 01/01/02 to 06/11/02 934.96 511. County Taxes 01101/02 to 06/11/02 934.96
212. Assessments to 512. Assessments b
213. 513.
214. 514.
215, 515.
216. 516.
217. 517.
215. 518.
219. 519.
220. TOTAL PAID BYWOR BUYER 3,934.96 520, TOTAL REDUC77ON AMOUNT DUE SELLER 114.610.51
300. CASH AT SETTLEMENT FROMITO BUYER: 600. CASH AT SETTLEMENT TOIFROM SELLER:
301. Gross Amount Due From Buyer (Une 120
302. Less Amount Paid By/For r Une 220
160 671.00
3,934.86
601. Gross Amount Due To Seller Une 420
602. Less Reductions Due Seller (Line 520)
160.000.00
114,610.51
303. CASH ( X FROM) ( TO) BUYER 156,736.04 603, CASH ( X TO) ( FROM) SELLER 45.389.49