HomeMy WebLinkAbout1514 S Summerlin DrPermit #
Job Address: < U s s,v -_. _ cc L -
Description of Work:
Historic District:
Zoning:
C Itui'S P<*A"'t,
CITY OFSANFOR4'PERMIT APPLICATION
i
Dale:
Total Square Footage
0
Value of Work: S J00
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 Replacement Nev (Duct Layout & Energy Calc. Required)
Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines
Plumbing/New Residential. N of Water Closets Plumbing Repair — Residential or Commercial
Occupancy Type: Residential Commercial Industrial
Construction Type: N of Stories: # of Dwelling Units: Flood Zone: (FEMA form required)
Owwn�ers ame &
Contractor Name & Address:
Phone & Fax:
Bonding Company:
Address:
Mortgage Leader.
Address:
Arcbitect/Eagineer:
Address:
L
Contact Person:
a f.
_ Phone:
State License Number:
Phone:
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. 1 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: 1 certify that all of the foregoing information is accurate and dial 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 time 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 1 will notify the owner of the property of the requirements of Florida Lien Law, FS 713.
L--?O-C;e
Signature of Owner/Agent Date Signature of Contractor/Agent Date
V` �A•.0 C-- �''iLG
Print Owner/Agent's Name Print Contractor/Agent's Name
(n Ob
re of Notagr;jof F nda .. Date Signature of Notary -State of Florida Date
? % Ju MN M. JCAiNSON
# * MY COMMISSION # DD 285622
EXPIRES: March 23, 2008
�WW 4r
+'�eov0y Bonded Thru Budget Notary Services
Owner/Agent is Penally 14tiom to Me�pr ^-� p Contractor/Agent is _ Personally Known to Me or
_,�ffroduced 6' (O • 4 -L -N • /1-0116) _ Produced ID
APPROVALS: ZONING:
Special Conditions:
Rev 03/2006
UTIL: FD:
ENG:
BLDG: � 1
Y
Company:
AFFIDAVIT
REGARDING ROOF DRY -IN AND FLASHING INSPECTIONS
License M
Project Information
Owner:' Permit M
name
L ) �_ 1\� S. �i,,r.,c1-�.Subdivision:
address SSt_c L `ice
% Lot M
phone
I, affiant, hereby affirm that I am the duly licensed
contractor of record for the above refehenced 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.
-�se�a�tor:
signature 1�
printed name
STATE OF FLORIDA
COUNTY OF Se►M h o ��
This instrument was acknowl�ed before me this 30 day of ,�u-Kt , 20CfP, by the
above referenced individual, Jc=UP S , who acknowledged that he/she is a
duly licensed contractor with , and who acknowledged that
he/she was authorized to execute this document. He/she is either personally known to me or
produced tom( C as valid identification.
WITNESS my hand and seal this
0 day of Ze.e.--e_ ,
o ublic c' %�'tiJ „f. J4F1N50►i► L
+ * MY COM!AI;sION 0 DD2M2
EXPIRES: March 23
BW4d Thou BWM N fty, ;0w
CITY OF SANFORD BUILDING DIVISION
OWNERIBUILDER 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. II
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, ' 'tom• -t 1�� , do hereby state that I am qualified and capable of performing the
requested construction involved with he 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.
OwnebBAder Signature Date
Print Owner/Builder Name /
G, '3G'a6
nature of Notary—State oUlorida Date
Ar
M,; MYC�pM�jN/DDSOwner is Personally Known to Me or has ,V EXPIRES. Maw
Produced ID G �--1� L �"`� B0 ThNNow ti�ry
A. U. S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT 8. TYPE OF LOAN
SETTLEMENT STATEMENT
Exceptional. Title Insurance Agency, Inc. I- LJFHA i. []FMHA 3. Fz] CONV.UNINS.
2500 Maitland Center Parkway, Suite 105
Maitland, Florida 32751 <. ]VA s. n CONV. INS.
321-274-0701 lux: 321-274-0709 6. Fik Number: --�— —_— — 7. Loon Nung cr
_16123_ ,
!. Monga6e Im. Can Nu. ---- —
C, NU%'G: 1las furui Is,/in"nshed to give you a stateutent ujocnial settle nsent costs.-Intowits lxtkl to Find GIS fhe set tie inent agent are shomt. Heins uurrketl
__ (pocJ were pnirl uutside the closing. l h y are shown here for informallona! purposes and are not included hi the totnls.
James Edward Hartley
D. Borrower: 8678 Brackenwood Drive
Orlando, FL 32829
Donald Montgomery, Trustee of the Sunimerlin Ave Trust #1514 dated 1/13/06
E. Seller: - P.O. Box 941942
Maitland, FL 32794-1942
Bobof Orlando, Limited Partnership and William Moore and Ceres Solutions, Inc
F. Lender: 151 Southhall Lane, Suite 130
Maitland, Florida 32751 -
1514 Summerlin Ave
M. Property: Sanford, Seminole County, Florida 32771
_Seminole County, Florida
H. Settlement Agent: Exceptional Title Insurance Agency, Inc. -
_ Place of Settlement: 2500 Maitland Center Parkway, Suite 105, Maitland, Florida 32751 Orange County- — -
1. Settlement Date: June 16, 2006 -
J. Summary of Borrower's Transaction I K. Summary of Seller's Transaction
,vv. cross Amount Uue From Borrower:
101. Contract Sales Price
400. Gross Amount Due To Seller: _
401. Cones Price_— _ - --
tract_Sal-
I
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