HomeMy WebLinkAbout113 Shannon DrbCITY OF SANFORD PERMIT APPLICATION
Permit #: Date:
Job Address: M%%
Description of Work: upga orJa Seamizp-n (S U !'1 ' 1 L[J / /? I4 L , %r1 ry <Z 1 i 42 l! /i3 a + . Historic
District- Zoning: Value of Work: $ 1 749 Permit
Type: Building Electrical -./— Mechanical Plumbing Fire Sprinkler/Alarm Pool Electrical:
New Service - # of AMPS S Addition/Alteration Change of Service _ mporary Pole jeMechanical:
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 or Commercial Occupancy
Type: Residential V Commercial Industrial Total Square Footage: Construction
Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X) Parcel #:
of nao—JCJ —51 / [Ya.Of9 'l(Attach Proof of Ownership & Legal Description) Owners
Name & Address:;aWMAC.DE BEWT7114J Phone: Contractor
Name &
Address: h . f'= , a c-+w-1 = 7 / A) . C tlQ2 t& S W y4 ! 0-1155 e( be'e l lf'Z.J Z70 r State License Number.
EC 000 Z 73 O Phone & Fax: y07- *?
67- 1.q ZS' (107-767-6yntact Person: z/ U Pboae: ZI-N, 35. =092ce Bonding Company: Address: Mortgage
Leader; Address:
Architect/
Engineer: Phone:
Address:
Fart. 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 that all work will be done in compliance with all applicable laws regulating concoction 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 perm' vent
lion th 1 will notify the owner of the property of the requirey jts of F ride Li ZS7 3. -79, O
I
ature
of Owner/
Agent
Date Si azureofContractor/Agent Date oru. . /.yT j • J
f o Print Owner/Agent's
Na Pri ntractor/Agent's Na Signature o otary- rate
of Florida T D ate nature
of
Notary tale o aa•tep.M Y W
Commiaaiwt D0253065 Diot/
eLg
Owner/Agent is X Perso
to Nle Wnb 24, Contractor/Agent is _ nvW r Produced ID.G . ar vU _
Produced ID vi 3 APPLICATION APPROVED BY:
Bldg: Zoning:
Utilities: FD: Initial & Date) (Initial & Date) (Initial &
Date) (Initial & Date) Special Conditions: S
Lc
111. J07 767442i
PO* BUX 3W_127
H-XN PARK .1-1. 32730
N.J. ELECTRIC co.
Riebard DeFa.zio
N. J . Electric Co.
EC-0002730
ELECTRICAL COPMACTORS
w
i
FAX 407 704435
171CYPFXSS WAY
tA l•1JiFItKY. t•1.3?7uT
Date
I bereby grant permission for 2,01
to obtain the Electrical permit for•.tbe property listed at
in. the city of :5'v-y
for wbicb i am sending a signed application.
Tbank you
Ricbard DeFa.zio/N..J. Electric Co.
State of Florida
County of Seminole
The foregoing ins rument was acknowledged before me tbi
day of 20 4 , by
who is personally known by me, and that be being duly autborijgwd
to do so, executed the foregoing instructions for UP purpose
therein contained. /% -
Signature or Notary
My commission ezpi ea.
d XNEFAYYEE igiE
G /1 carn"W 00050177
Expires &21=104" • Fbride NotenwM ry AfBn., M10
A... a u. A. a n.. n u ..... u n n....
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a
11/1NOS 16,16 AM ' nub u
A. U.S. Department of Housing
and Urban Development
Settlement Statement
e. Type of Loan
1.1 ) FHA 2 11 FMHA 3. P9 Cony. UnlrA-
4. VA 5. 11 Conv. in$.
8. File Number
T064127
7, loan Number
a. Mortgage Irv. Case No.
C. Nobs: This Form Is furnished to give you is statement of actual seltlement costa. Amounts paid to and by the settlement
agent are shown. Items marked ('POC") were paid outside the closing: they are shown here for information
e n not indudad In th e
BoD. Hems of rrower. RONALD E. BENTON, 1SO Pinscrast Or„ Sanford, FL 32773
JOHN BROOKS, 155 Pklecreal Dr., Sanford, FL 32773
E. Name of Seller. TIMOTHY J. GREENE, 113 Shannon Dr., Sanford, FL 32771
F. Name of lender:
G. Prop" Location: Lot 3, Block C, SOUTH PINECREST
113 Shannon Of., Sanford, FL 32773
H. Settlement Agent PGA TITLE. INC. (407) 302.6601 TIN:
Place of Settlement 3098 W. Lake Mary Blvd.. Suite 20D, take Mary, FL 32746
1. Sottlement Data: 11/152006 Proration Date: -rill ti12006
J. Summary, of Borr6ver.S;TransacUon "' K; Summary of.- ellers.Transaction
100. Gross amount due from borrower. 400. Gross amount duo to seller.
101. Contract sakes price 135,000.00 401. Contract some price 135,000.00
101 Personal property 402. Personal property
103. Settlement charges to borrower Vine /400 2,074.04 403.
104. 404.
106. • 405.
Adjustments for K": paid by setlgr in 0dy-a- :. +Ad ustrtee)pgo( k, ,aolbr, id advance: tFr+.1'1 q4-'bX
106. CRYltown taxes 406. CilyAown taxes
107. County taxes 407. County tima
108. Assessments 400. Assessments
109. 40L
110• 410.
111. 411,
112. 412.
120. Grose amount due from borrower. 137,874,04 420. Gross amount due to senor, 135.000.00
2D0. Amounts paid bybrin behalf of.lbaborwwer:,; ;' 600.. Red0,660 Dibm'ountdue to seller:
201. Deposit or earnest money 601. Excess deposit (see Instructions)
202. Pfin !pal amount Of now loan 6 SOL Settlement charges to seller 1400 0.00
2011. Existing loan(s) taken subject to 603. Fxistlng toari(o paten subject to
204• 504. Payoff of 6rot Va"Page, ban
205. SOL Payoff of second mange" loan
206. b06.
207. 507.
Zoe. S06.
299. 609,
Adjustments for items un0aid.oy1 MIV.. Adiustments(offter ls"tihpaid by sener. ':. %
210. City/town axes 510. Ci Aown taxes
211, county003 1/1MM to 11/15/2005 58725 N7, Coun taxes 1/112M to 11/15/2OD6 587.25
212. Assessments 612, Assessments
213. 613.
214, 514,
215. 818.
210. 510,
217. 517.
218. 618.
219, 519.
220. Total paid bylfor bomwer., 587.26 520. Total reduction in amount due seller. 587.25
300. Cash at seltlement.61lilto borrgwer. :.. ' ' ' !': 600: • Cash ot'settidmpoC joArari sailer.
301. Gross amount due from borrower Pine 129) 137,674,04 01. prpes amount duo to seller (line a20) 136,000,00
302. Lou amount paid tryflor borrower (line 220) 667.25 502. Lou total reduction in amount duo sollsylino 620) 047.25
303. CASH (X)FROM QTO BORROWER 137,286.78 1603. CASH ()FROM (X)TO SELLER 134,412.75
SUBOTITUTC FORM leaf 3ELLE I STATEMENT- The Inlornmeoll Conti Vd III Bbdm E. 0,14 act I anti on W+e stir (or, S one 401 b oeterbateo. 1100 400 NO 404), 4011, 407 ono
498412 (appfpbte pan of buyers real Oslate tax reponabb 10 dfe IRS) is imporlwn bx InfornoWn end Is being krnished to he lolnrml Revenue Service. a you are required to Fes a
return, a neplipmea penaty or o0w sanction will be Imposed on you it this Warn to regWMd to be mpma and fro IRS deromYnes Not 4 nor net born rogerko.
SELLER INSTRUCTION • If fhb nxl eatak wss your principle residarom ISa Form 2110. Sale Or EWJQW of Pdnelpal Residence, for any gear, mill yow MoOrne mx r4tum., sr other
Irarlsataene, conwlem aI. epp4aWe pmb ortorM 4797, Form 62R erxror 8dredule D (Form 1040).
You we reourrco oy raw to proms rk* I I I Lt, W. t4U1);0U-W*1 wmnYour CanaTaxpayer WnNC&Wn rWMCW. e
you do not provide PGA TITLE, INC, (407) 302-6601 with your CWW Wearer IOenOdcatlei nMnber, you mey be wbjW to dva or mlmrml permioes. coo/
ago1B EnIIZ VDd V999 SOC LOti YYd 90:11T ISJ 90/T0/bT