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HomeMy WebLinkAbout1311 Kaya Ave.1 �d CITY OF SANFORD PERMIT APPLICATION Permit #.: (0) $ Date: ----Tob Address: // C&L . '.gQiN I- a fr. Ekdcription of Work: TotalSquare Footage /7 o* historic District: Zoning: a of Work: S I -p 9 �• Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool Electrical: New Service - # of AMPS Mechanical: Residential Non -Residential Plumbing/ New Commercial: # of Fixtures Plumbing/New Residential. # of Water Closets Occupancy Type: Residential Commercial Addition/Alteration Change of Service Temporary Pole _ Replacement New (Due( Layout & Energy Calc. Required) # of Water & Sewer Lines # of Gas Lines Plumbing Repair - Residential or Commercial _ Industrial Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required) — N tr ners Name & Address: f��t� l ✓ ' C/ Phone: Yo%777- .. * _S'owactor Name & Address: Fie . V f r Stale Licenseen Number: C CSC O r6 % Z r Phone & Fax: �/o ��' Z "—�% Z yS� Contact Person: Phone: y0 % ► 'Z • 7 Z. `L Bonding Company: Address: Mortgage Lender. Address: Architect/Engiaeer: Phone: Address: Fax: Application is hereby made to obtain a permit to do the work and installations as indicated. 1 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 drat 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 permi�iC22 n that 1 will notify the owner of the property of the requirements o Florida Lien La�. / 67-1t1- s(. A% / Signature of Owner/Agent Dale gnal= of Contractor/Agent Date' /All .,.mss ltle-lW oo a Print r/Agent's Name Print Con JWtor/Agent's Name 69�_!/- ac. a -//- af► ature of Notary -State of Florida Daten e of Notary -State of Florida Date Clyde A. W6110W clyd. A. Wallace My co mwsaim DOV30M • My Comrtwasim DD2Y=1« Expkea Deoantber 07 zoos Owner/Agent is _/Person g�6W W 2007 Contractor/Agent is _ Personally Known to Me or Produced ID Produced ID APPROVALS: ZONING: UTIL: FD: ENG: BLtK'iAfl-ab Special Conditions: Rev 03/2006 Ear. ri�`•+v "/, Pte'"^' STAT E0 eLa-V�_46L_ COUN TY OF: �e�,el�le� Vv NOTICE OF COMMENCEMENT , ru, is 446 a t::i u .a to a a ar::i aid A jail L? ::: a"raw I litl KARYW IVJW;Ev' MEW OF CIE. MIT t SEIIINDLE Clem AK 063'0 Fag 0�7; (Ipg) E"CKII&I 10925 REfIRM 07/111M 09%4.-A A91 RE1*01M Fas !10.00 R ON&" by t holdeva THE UNDERSIGNED hereby gives notice that improvement will be made to certain real accordance, with Cf apter..713; -.Florida-Statutes; -the following -information is provided i Commencement. Description of pro rty: (tegai description of property, and street address if available t CtA'44' !�'a4i &1d 2. General description of improvement:.��too� 3. Owner information: I . a. Name and Address: lYllC�°��s l Y�7 �p-wtgt.�•z b. Interest in property: C. Name and address of fee simple titleholder (if other than owner): 4. Contractor: (name and address) �5. Surety: a. Name and address: b. Amount of bond--- 7/ $ 6. Lender. (Name and Address) URTIFiED"COPY'OR y 1 ,R PIC LORI _o • v. I nn ��`r MIII►!<<ti��t` ��- • �Z7 rt0sa Pot 3 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by section 713.3 (1) (a) 7., Florida Statutes: (name and address I 8. In addition to himself, Owner designates the following person(s) to receive a copy,I of the Lienor's Notice as provided in Section 713.13 (1) (b), Florida Statutes: (name and address] I i 9. Expiration date of notice of commencement (the expiration date is one (1) year from the date of recording unless a different date is specified) Sworn and subscribed before me this day of ad.. 20 D100, 6 (Signature of Notary. Public T,4,VlC, K �?0CpD,4�Y •'' '• Janice K. ogdany �Y Commission # DD462441 :?:= Expires August 16, 2009 �01h` Bonded Troy Fain .Inwrance Inc 800.385.1019 (Signature of Owner) (Owner's Name) AN (Owner's Address) 3Z_7S� ' 07/11/2006 08:02 4078621082 HOUSES PAGE 01 A. V. S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT TYPE OF LOAN SBTT1 EMENT STATEMENT PCS Title I. []ORA 2. ?MHA 1.%, CONY. UNINs. 501 East South Street, Suite B 4. [_]VA s, [] COW INS. Orlando, Florida 32801 a. R.N. dW 407.447.9100 fax: 407.770-0200 P06-0331 t. MontM< Iw. cro NO, C. N15Y6: �('Iitt jorm is�urnf7h�d to give yov a tlatement oJoctva tNdemenl toast, .lmowtls paid to and 6y the seit luded Ent in the tot l art Shawn. INmJ mar t _�iot) wt atrl ouUiie eheytcloset . The are own here or N rman� o of p 6. r rs and�a�e�ot included m the rota/t -1351;h till u , 7l9eM�k�4411.�•'�SI �ITJ: L. :'! a. i. .. LWL �i�t �.. .wl R. Seller: P. O. Box 198 Sanford, Seminole County, Florida 32771 G. Propel` LEG SEC 36 TWP 19S ROE 30E S 54.3 FT OF N 426 FT OF W 179 FT OF NE 1/4 OF NW 1/4 Seminole County Floridr^ :. y . t�.� _ _ Ir-�L Y 1- nt Dau: July 5, 2006 -- Summary of Borrower's Transaction K, Summary of Seller's Transaction w.. err _ 501 kxctss uepoalL.F _ 201 osn /Earnest Monte _�_ _ S Sd4ttNi►mrit(Lme_1490) - 284'► QO _. Loans _ o f Stcond PayoffMo a — _ 205 - Sdu+ Mo eo 5] 0 Clty / T own Taxes T 210 City/Town Taxes .70 Jet iifiWi runb ^ !.. 06 u1w 39i11i i i —. L 3$I#6 211 2gi16 -�----'j---'-'� .... -- ——a- 512. Assessments 512.-- —. 212. Assessments - —' .-r-. _-- -- Total Redactions in Amount Due 3,041,66 220. Total Paid by / for Borrower: 79,394.66 520. Seller: - _ "e�--- — 45 125.00 Gross Amount due Brom Borrower (lips 55,683 56 60 t Oross Amount due to Seller (line 420) -- 301, 120) .... _ 'LaM t il�111191fatl$ot1%tar piny 79i3t1+4y GbZ tlessiAe3a$41 °^ 3, 406 0 342. -�— _ $23 711.10 1603. Cash To Seller: r $42,083.34 303. Cash To Borrower: OMR No. 2502-0265 14UD•1 June 2006 RESPA handbook 4305.2 July 5, 2006 1:41 PM 07/11/2006 08:02 4078621082 HOUSES PAGE 02 Setdemcnt Date:July 5,2006 Pile Number. P06-0331 OMU No. 2502-0265 HUD -1 June 2006 RESPA handbook 4305.1 July 5, 2006 1:19 PM AFFIDAVIT REGARDING ROOF DRY -IN AND FLASHING INSPECTIONS Company: /' License #: Cc C D A4AC4 Project Information Owner:l�Permit #: _ name .Z /" Subdivision: address D '7— 7% 2 O Lot #: phone affiant, hereby affirm that I am the duly licensed contractor of record for the above eferenced permit, that all the foregoing information is true and accurate, and that the dry -in, flashings at the above referenced address or lot has been installed in accordance with the applicable codes and standards. Contractor: X)'" signature printed name STATE OF FLORIDA COUNTY OF This instrument was acknowledged before M day of , 200 4 'by the above referenced individual, ,,��// , who a nowl Aged that he/she is a duly licensed contractor with o e , and who acknowledged that he/she was authorized to execut this document. He/ a is either personally known to me or produced �y e%, 1) 1° i J? as valid identification. WITNESS my hand and seal this day of 26D -4p QNIE�� Notary Public DEBBIE B NTON MY COMMISSION* tO 1881 EXPIRES: February 25.2007 414oW0_1VW40TARy FL Notary gaoa+M � . Co.