HomeMy WebLinkAbout1311 Kaya Ave (2).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
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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.