HomeMy WebLinkAbout1810 W 3 StCITY OF SANFORD PERMIT APPLICATION
Application
Job Address:
Parcel ID: 26" 1 11 — 30 — 5 kG - C Lk o'� I WBckoning:
Description of Work: 6e (T10\ 6ilb 31 �*_ --6mk' �A �l l
Submittal Date: d � "ECEIVE
Value of Work: �; d^ ,FEB 2 07
Historic District:
Footage:
............................................. ...................... *a -c .......... .... .............. .............. .......... .....
Permit Type: Building ❑ Electrical ❑ Mechanical ❑ Plumbing ❑ Fire Sprinkler/Alarm ❑ Pool ❑ Sign ❑
Electrical: New Service — # of AMPS Addition/Alteration ❑ Change of Service ❑ Temporary Pole ❑
Mechanical: Residential ❑ Non -Residential ❑ Replacement ❑ New ❑ (Duct Layout & Energy Calc. Required)
Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines
Plumbing/New Residential: # of Water Closets
Plumbing Repair —Residential ❑ Commercial ❑
Occupancy Type: Residential ❑ Commercial ❑ Industrial ❑ Occupancy Use Group(s):
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required )
............................................................................................................. ...............
Property Owner. e 0.��e� (1 Contractor. ezla, tna Ut_. y ` l
Address: F Address:
Phone: 0 ]-4Q4- WF mail: P� ela �fi3-�Q1�o State License Number. 900\7
Bonding Company: Mortgage Lender:
Address:
Architect/Engineer:
Address:
Plan Review Contact Person:
Address:
Phone: Fax:
Phone:
Fax:
E-mail:
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 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 }bfITH YOUR LENDER OR Aj
ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
NOTICE: In addition to the requirements ofthis permit, there may be additional restrictions applicable to
this county, and there may be additional permits required from other governmental entities such as w" i
Acceptance of permit is verification that I will notify the owner of the property of the
Signature of Owner/Agent
Ili
Print Owner/Agent's Name
Signature of Notary -State of Florida Date
Owner/Agent is _ Personally Known to Me or
Produced ID
APPROVALS: ZONING:
Special Conditions:
Rev 02/2007
UTIL: FD:
that may be found in thepfrblicr cords of
%ism j agencies oyf agencies.
lien Lx%. FS 713.
Date
Signature -6f Notary -State of Fl Date
,04-to,"
tir Nikkilifig
Commission #DD325882
-Expires: Jun 03, 2008
s•,.cF f`o BondedThr�u^�
Contracio`#Xgent isAgantip�$ -6ACto Me or
Produced ID
ENG:
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has
BUILDING DEPARTMENT - Re: 1810 W 3rd Street 1
From: SUZAN BEHRENS
To: BUILDING DEPARTMENT
Date: 2/19/2007 1:37 pm
Subject: Re: 1810 W 3rd Street
Utilities cleared. Okay to sign off on per Utilities.
Suzan Behrens
Utility Billing Coordinator
City of Sanford Utility Dept
Tel # 407-330-5634
Fax # 407-328-7367
>>> BUILDING DEPARTMENT 2/13/2007 1:30 pm >>>
Jody, Samsula Waste 386.423.6769
BUILDING DEPARTMENT - Re: 1810 W 3rd Street 1
From:
CATHY LOTEMPIO
To:
DEPARTMENT, BUILDING
Date:
2/15/2007 4:43 pm
Subject:
Re: 1810 W 3rd Street
Approved Jeff Davis 2.15.07
Cathy J. LoTempio
Customer Service Rep
Public Works Department
407-330-5627
fax# 407-330-5601
>>> BUILDING DEPARTMENT 2/13/2007 1:30 pm >>>
Jody, Samsula Waste 386.423.6769
BUILDING DEPARTMENT - Re: Fwd: 1810 W 3rd Street 1
From: HALLIE WILLIS
To: BUILDING DEPARTMENT
Date: 2/27/2007 11:18 am
Subject: Re: Fwd: 1810 W 3rd Street
Approved -patrol 5 -Lt. Del Rosso
>>> BUILDING DEPARTMENT 2/27/2007 10:58 am >>>
NEED A REPLY PLEASE
>>> BUILDING DEPARTMENT 2/13/2007 1:30 pm >>>
Jody, Samsula Waste 386.423.6769
HUD -1 U.S. Department of Housing
A. Settlement Statement and Urban Development OMB No. 2502-0265
S. Type of Loan
() 1. FHA '. ; 1. FmHA
(j 3. Come. Unins.
6. File Number
7. Loan Number
8. Mortg. Ins. Case Num.
() 4. VA. () 5. Cony. Ins.
103. Far I -e t eanram In le -o- 0dna 1460)
ILYE2007
104.
•
105,
106. CAyrtown lues
ID:
G. NOTE:Tn1S form Is fOml3hed to give you a statement of actual settlement costs. Amounts paid to and by the settlement agent are shown. Items
marked "(p.o.e.)" were paid outside the closing; they are shown here for informational purposes and are not included in the totals.
D. NAME OF BORROWER:
Israel Y 6psreln, a mauled man
Address of Borrower:
3074 Dooms Cove Road, Windermere, Florida ;14786
E. NAME OF SELLER:
lames J. Lannin, an unmarried miOn
Address of Seller:
27601 CR 44A, Eustis, Florida 32736 TIN:
F, NAME OF LENDER:
Address of Lender:
G. PROPERTY LOCATION: 1810 W 3rd Strect, Sanford, Florida 32771
H. SETTLEMENT AGENT: Law Office orJeffrey A. Sheer, PSA. TIN: 20-1236347
Place of Settlement: 7009 Dr. Phillips Blvd.. Suite 270, Orlando, Florida 32819 Phone: 407.352-1055
I. SETTLEMENT DATE: 2/8/07 DISBURSEMENT DATE: 2/8/07
I
i
1 100. Gross amount duo from bore owor:
IDL C4.1-(y4lespdoe
1 r . Grossamount due to seller:
29,500.00 401. Contract galas prize
29s0a,00
102. Pcntmnl property
402.. Petsonrel property
103. Far I -e t eanram In le -o- 0dna 1460)
140.50 405.
104.
404,
105,
106. CAyrtown lues
405.
406. CiryRown coca
107. County I.vtos
407. County taYea
108. Aausarrnrxlts
408. Assessments
107.
409.
110.
410.
III.
411.
112.412.
130. Gross nmololtdue from borrower:
r.
201. Deposit or earnest money
Lv,bas.rU 420, Grinenmountdue toselkt-
r . ReCIL1010115 illarnOUnt due to seller:
501. Exacts deposit (see instructions)
27j00.00
202. Principal amolmt of new loan(%)
502, Sealement charges to seller (line, 1400)
2,916,87
203, Existing lo,m(s) taken subject to
SO.8xist n t loan(%) tnken 40jW to
204. Nricipal alsonsit ofsetond mmtedue
504. Payefrnf fire mmtoEe 1-
205.
505. Payoff of second snongage loan
206,
506, .NpoAs held. by seller
20'r.!'nncspal ami of mortgage acrd by sauar
Sol. Fri neipal amt ofolortgago hold by seller
208.
506.
209.
Adjustments fOr items unpaid by seller:
210. City/towa taxu
1509.
Aditestmcntr� for itCM5 Unpaid by seller:
51 D. City/town taxes
211. County taxes item 01 /01/07 to 02/08/07
85.45 511. County taxes from 01/0 1/07 to 02/08/07
115,45
212, Aseelsrhenl5
S 12. AggesstnenU
213.
513.
214.
314.
215.
515.
216. .._... _._.. .. _...
217.
516. _.
1517.
21t.
5111,
31p.
1519.
220. Total paid by/for 4orrawor:
Ir
301, Grose amount due f m borrWMr
(line 120)
smd 520. Total reductions in Ansotmt due sdkr:
28,643.50 601. Gros& amount duo to seller
(lint 420)
3,012.32
29,500.00
M7 I axe amNrtlf Pain hyRnr thA hAff-iir
(line 220)
ts6A&) 802. Less total reductions In amount due sellor
(line 520)
(3,012.:2)
3o3. Cash ( Z From FJ To ) Borrower
29.665.05 ane r.Aah ( ISI To I I From ) Se4lrrr:
2A'AA7.r41
Substitute Form 1099 Seller Statement: The information Contained in blocks E, G. H, and I and on line 4D1 Is Important tax Information and Is being
ruiriiallesd tc Ilia IRS. Ir yuu aie requlnadi to file a return, a negilgence penalty or other sanction will be Imposed on you It this Item Is required to be reported and
the IRS determines that It hoe not been reported.
Seller Instructions: If this real estate was your principal residence, file Form 2119, Sala or Exchange of Princlpal Residence, for any gain, with your tax
return; for other transactions, complete the applicable parts of Form 4797, Form 6262 and/or Schedule D (Form 1040).
Double 11merN
ul in U.S. Deoartment of Houaina and Urban Oelrelooment Page 2
700, Total Saics/BmIccia Can baud on pricy
701, 1,000.00
702,
$29.500.0D -
%to Total Realty Services, LLC
%to
%. 1,000.00
Paid from
Borrower's
Funds at
Settlement
Paid from
Sellers
Funds at
settlement
703, Contusion paid at Uttlement
1,000,00
704.
101. Igen oriostion fee
to
%to
802. Linn diwwnl
9410
803. Appraisal fee
to
606. Credit report
805. Lcndces inspection fie
to
to
806. Mortgage h nmmce application fee
to
807. Assumption Fee
to
808.
to
609.
to
BID.
to
111.
901. )ntemstfrom
to
to Q
/day
902. Morraslle I."-- Premium fu ruoau w
903. Haard insurance premium for
years to
904, rood insre itce premium for
rears ro
905.
1001. HesarO unuwicc
yelps to
corms d0
vv, u,vnw
1002. Wnplgc idsr-mnee
months Q
permonth
100.3. 01y ft Wity t"m
mnnlha QI
Prr mnntl
I oOd. County property Maes
months Q
per month
1005. Annual Itnessmcnts
months d0.
permonat
1006. Floodinuflmm
months
permonth
1007,
months Q
permonh
1008.
months @
per moot[
1009. Aggregate accounting a ustmeal
1101. Seldment or closing fee
to Law Office of Jeffrey A. Sheer, P.A.
100,00
100.00
1102. Abstract or tide teach (Rrimhurselnmt)
to Isnol Y Epstein
125.00
1103. Tills exarlsload
to Law Office orlcffrey A. Sherr, P.A.
100.00
1104. Title itlsuranec binder
to
1103. Udcument prtWil iod
to LOW Olrloe of JoMy A. Sheer, PA.
130.00
1106. Notary fees
to
1107. Aunm.yr r-
to
(includes above item numbers:
1108. Tiao[nsurareac
to Law Ofiec ofJcrfmy A. STccr, PA.
169.63
(inolvd., 4ov6 item eo [t :
1109. Lcndtrs oovhaae (Prtmium):
)
1110, Owrcrs eo.stcle (Ommlum); 929300.00 (1109.63)
Ml. Endorse:
'
1112.
In
1113. CourierMandling/Ovemigly Fee
1201. Kccomtng ices Deed
to Law ORloe OFJeO}ey A, Sheer, P.A.
118.00 Mcrtsagc(s)
Releases
25.00
16,50
25.00
1202. Oly/ernmty tWstamps Deed
Marta-se(s)
1701. Gorr•. tsr/t4mPe L14sd
S7nd Sn Mortpage(s)
)OR. 41)
1204.
It,
1205.
1301, Survry
to
In
1102. Pestrnspcatmn
to
1303. 20D5 Tnx Certificate
in Scninole County Tru Collector
204.26
1304. 2006 Property Tax, cs
to Suninale County T.v1 Colleetor
8dt,48
1503,
It,
1306.
to
1307.
to
1306.
to
1309,
r
( Enter on Imes 103, Secdon J and 5D2, Section K)
143.501
2,926.87
DoubleTlmeO
NOTICE OF COMMENCEMENT
Permit No. �O
Parcel ID: a;7_.1 - C0 � NCS O1 -1i
State of Florida
County of Seminole
The undersigned hereby gives notice that improvement 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.
111111111111111111111111111111111111111111111111111 II 1111 Illi
MARYANNE MORSE, CLERK OF CIRCUIT COURT
SEMINOLE COUNTY
BK 06605 Pg 1845; Opg)
CLERK'S # 2007031 166
RECORDED 02/28/2007 04:20:55 PM
RECORDING FEES 10.00
RECORDED BY H DeVore
CERTIF*b et7PY
-WAR IYANNK3 �Ar)RSE
'r' -)RT
'CLERK Of CIR r l FL a'DA
�EMINO� CC
`
of property: (legal description of the property and street address if available) 2001
�-
t oS f T nP ntNi %la'R, l_K �+ 'R `2 i ii?v. tc C F v A Q FCS
2. General description of improvement: der'"- fl rynr-
3. OwnerName and address:
9 4
n
a. Interest in property
b. Name and address of fee simple titleholder (if other than Owner)
Contractor Name and address:
5. Surety
a. Name and address
b. Amount of bond
6. Lender Name and address:
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as
provided by Section 713.13(1)(a)7., Florida Statutes:
a. Name and address
8. In addition to himself or herself, Owner designates
713.13(1)(b), Florida Statutes.
to receive a copy of the Lienor')&otice as provided in
9. Expiration date of notice of commencement (the expiration date is 1 year
date is specified)
Signature of Owner
of
different
Swor�to (or affirmed) and sub cribed before me this Z 6y day of 9 .20 by
n
ersonally o or Produced Identification
Type o enfiTic hon Produced THIS INSTRUMENT PREPA ED BY.
Signatule of Notary Pub , State of iprida
Commission Expires:
\' 0�1 * W 1hri 7
-V � C®�ission #DD32!02
pST2008
BondedThru
ter
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F F\``.,atlantic Bonding Co., In°•
NAME , vz
ADDR.
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