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HomeMy WebLinkAbout2200 S French Ave (2)J CITY OF SANFORD PERMIT APPLICATION Permit # : 01-%4 Job Address: 01 ro eHck Ae Date: % 1 ?? 6G Description of Work: /Ce /M7' &CJ Total uare Footage Historic District: Zoning: Value of Work: S 74` Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool Electrical: New Service — # of AMPS Addition/Alteration Change of Service Temporary Pole Mecbanical: 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 Commercial Industrial Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required) Bonding Company: Address: Mortgage Lender: Address: ArehiteeMugineer: Address: Phone: Fax: 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 INIPROVEMENTS 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 managemen/ty i\•,+cts, state agencies, or federal agencies. w Acceptance of Per t is verification that I will notify the owner of the prroperty, of the requirements of Floridglz 71 I ' 4 Sigma of Owner/Agent Date Signa of Co or/Ag • ' cOMMiss C 0 14nary 6 Print Own Agent' Name Print Contractor/Agent' Ns® • o a/ _. r Gs y "- loc1 S' a o No -State of Florida to CYNTHIA G. W No'-State o T Date Wres540=100`\ i IpsMpWyllpn..lnc i • Ijll!111` Owner/Agent is _ P.7tl Known to Me or oniracior%gent Personal a or ID Produced %% / _ Produced _ Produced ID APPROVALS: ZONING: UTIL: FD: ENG: BLDG: Special Conditions: Rev 03/2006 Ililt i1Inu1nuIN11Clonluniauluu011Is1111llilt Permit Number y Parcel Identification Number Jj ('3D -50 -MM D3Td Prepared by: /f av0ff44_4 yr / Return to: Ton Wev) li (GP 41 s Ft -V 76/ NOTICE OF COMMEN El NT State of Flo' ` 04 County of+ MARYANNE MORSE, CLERK OF CIRCUIT COURT SEMINOLE COUNTY 8K 06502 Pg 07701 QPB) CLERK' S # 2006189542 RECORDED 12/01/eN6 12152121 PM RECORDIND FEES 1044 RECORDED BY t holden CERTIFIED' COPY MARY// NNE<<. OR! CLERKLOF C,1/"'I4`W CLERK UEY • yrr 00 The undersigned hereby gives notice that improvement(s) 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. 1. Descn tion of prope y (le al des riptio jj of the property, and street jaddress if available) 2. 7neral des nption of improvement(s) e 3. Owner infor a ' n Name IL ( -0 K Telephone Number 7 73s 7g7 Address 1Q&11 A %tq 1jetr i /- Fax Number Dy; o o FL 3&76,5— Interest in Property: 4. Fee Simple Title Holder (if other than owner shows above) Name Telephone Number Address Fax Number 5. Contracto / Name 11ark A14fAq Telephone Number Y2 7W 6 yd Address 7b nWeed / Fax Number5 s, S. f•- 7 0 l q6,, Surety (if any) Name ' Telephone Number Address Fax Number Amount of bond $ 7. Lender (if any Name Telephone Number Address Fax Number 8. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by 713,13(1)(a)7, Florida Statutes. Name Telephone Number Address Fax Number 9. In addition to himself or herself, Owner designates the following to receive a copy of the Lienor's Notice as provided in 713.13(1)(b), Florida Statutes. Name Telephone Number Address Fax Number 10. Expiration date of notice of commencement (if expiration date is one year from the date of recording unless different date is specified): , 16 ol b Date Signed Signatur'6 of Owner (Note: per 713.13(1)(g), "owner must sign ... and no one else may be permitted to sign in his or her stead." and subscribed before me this day of VOJIM L 4--:- by aj f c 6k,) o /'i) who ispersonally known to me OR Notary produced 0 L ' as identification. Comm* DDO5S" Expires & 24rAjo Flo WNoWyAan.. rie 23- 20 (9/04) A. U. S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT SETTLEMENT STATEMENT Lawrence R. Steiner, P.A. 797 Douglas Avenue Altamonte Springs, Florida 32714 407-774-7500 fax:407-774-6422 B. TYPE OF WAN 1. FHA 2. FMHA 3. CONY. LIMNS. 4. []VA 5. nCOW INS. a. I & NWAW, 7, Lem NwAv 06MCCONN s. Mon~ m. can No... C. NOTE: This form is furnished to give you a statement of actual settlement costs. Amounts paid to and by the settlement agent are shown. Items marked poc) were paid outside the closing. They are shown here for informational purposes and are not included In the totals. PAUL MCCONNON D. Borrower: 2412 Tumberry Drive Oviedo, Florida 32765 SUSAN G.LEBIS FEUERBACHER and JAMES FEUERBACHER E. Seller: 460 W. Highbanks Road DeBary, Florida 32713 F. Lender: 2200 French Avenue G. Property: Sanford, Seminole County, Florida Lot 37 & 39, BONAVENTURE and 1/2 of Vacated Alley of West.... Book 5, Page 85, Seminole County, H. Settlement Agent: Lawrence R. Steiner, P.A. Place of Settlement: 797 Douglas Avenue, Altamonte Springs, Florida 32714 Seminole County 1_ Settlement Date: November 28. 2006 J. Summary of Borrower's Transaction K. Summary of Seller's Transaction 100. Gross Amount Due From Borrower: 400. Gross Amount Due To Seller: 101. Contract Sales Price 225,000.00 401. Contract Sales Price 225,000.00 102. Personal Property 402. Personal Pro 103. Settlement Charges to Borrower line 1400 2,515.00 403. Adjustments for Items Paid by Seller in Advance: Adjustments for Items Paid by Seller in Advance: 106. City / Town Taxes 406. City / Town Taxes 107 County / Parish Taxes Nov 28, 2006 thru Dec 31, 2006 375. 07 407. County / Parish Taxes Nov 28, 2006 thru Dec 31, 2006 375. 07 108, Assessments 408, Assessments 120. Gross Amount Due from Borrower: 227,890.07 420. Gross Amount Due to Seller: 225 75.07 200. Amounts Paid by or in Behalf of Borrower: 500. Reductions in Amount Due to Seller: 201. Deposit / Earnest Money 501. Excess Deposit see instructions 202. Principal Amount of New Loan 215,000.00 502. Settlement Charges to Seller Line 1400 6,179.50 203. Existing Loans 503. Existing Loan(s) 204. 504. Payoff of First Mortgage to 205. 505. Payoff of Second MortMe to 206. 506. Purchase Money Mortgage to SUSAN G.LEBIS FEUERBACHER and JAMES FEUERBACHER 215, 000.00 Adjustments for Items Unpaid by Seller: Adjustments for Items Unpaid by Seller: 210. Cit / Town Taxes 510. City / Town Taxes 211. County / Parish Taxes 511. County / Parish Taxes 212. Assessments 512, Assessments 213. 513, 2006 Taxes 4,026.46 220. Total Paid b / ror Borrower: 215,000.00 520. Total Reductions in Amount Due Seller: 225,205.96 300. Cash at Settlement from / to Borrower: 600. Cash at Settlement to / from Seller: 301. Gross Amount due from Borrower line 120 227,890.07 601. Gross Amount due to Seller line 420 225,375.07 302. Less Amount Paid by/for Borrower line 220 215,000.00 602. Less Reductions Amount due Seller line 520 225,205.96 303. Casb From Borrower: 12,890.07 603. Cash To Seller: 169.11 1 have carefully reviewed the HUD-1 Settlement Statement and to the best of my knowledge and belief, it is a true and accurate statement of all receipts and Jisbursements made on my account or by me in this transaction. 1 further certify that 1 have received a copy of HUD-1 Settlement Statement. SUBSTITUTION FORM 1099 SELLER STATEMENT: The information contained in Blocks E,G,H and 1 on line 401(or if 401 is asterisked, line 403 and 404) is important tax information and is being furnished to the Internal Revenue Service. If you are required to file a remm, a negligence penalty or other sanction will be imposed on you if this item is required to be reported and the IRS determines that it has not been reported. SELLER, you are required by law to provide the settlement agent with your correct taxpayer identification number. If you do not provide the settlement agent with PAUL MCCONNON D,Bontower: 2412 Turnberry Drive Oviedo, Florida 32765 SUSAN G.LEBIS FEUERBACHER and JAMES FEUERBACHER E. Seller: 460 W. Highbanks Road DeBary, Florida 32713 F. Lender: 2200 French Avenue G. Property: Sanford, Seminole County, Florida Lot 37 & 38, BONAVENTURE and 1/2 of Vacated Alle West.... Book 5, Page 85, Seminole H. Settlement Agent: Lawrence R. Steiner, P.A. Place of Settlement: 797 Douglas Avenue, Altamonte Springs, Florida 32714 Seminole County 1 eente,. nt rust&• . Wnvernher 28. 2006 J. Summary of Borrower's Transaction K. Summary of Seller's Transaction 100. Gross Amount Due From Borrower: 101. Contract Sales Price 225,000.00 400. Gross Amount Due To Seller. 401. Contract Sales Price 225,000.00 102. Personal Property 402. Personal Property 103. Settlement Charges to Borrower line 1400 2,515.00 403. Adjustments for Items Paid by Seller in Advance: Adjustments for Items Paid by Seller in Advance: 106. 107. City / Town Taxes County / Parish Taxes Nov 29, 2006 thru Dec 31, 2006 375.07 406. 407. City / Town Taxes 2006 County / Parish Taxes Nov 28, 2006 thru Dec 31, 375.07 108. 120: Assessments Gross Amount Due from Borrower: 227,890.07 408. 420. Assessments Gross Amount Due to Seller. 225,375.07 200. Amounts Paid by or in Behalf of Borrower: 500. Reductions in Amount Due to Seller: 20). 202. Deposit / Earnest Money Principal Amount of New Loan 215,000.00 50). 502. Excess Deposit see instructions Settlement Charges to Seller Line 1400 6,179.50 203. Existing Loans 503. Existing Loan(s) 204 504. Payoff of First Mortgage to 205. 206. 505. 506. Payoff of Second Mortme to Purchase Money Mortgage to SUSAN G.LEBIS FEUERBACHER and JAMES FEUERBACHER 215,000.00 Adjustments for Items Unpaid by Seller: Adjustments for Items Unpaid by Seller: 210. Cit / Town Taxes 510. Ci / Town Taxes 211. Count / Parish Taxes 511. County / Parish Taxes 212. 213 Assessments 512. 513. Assessments 2006 Taxes 4,026.46 220. Total Paid b / for Borrower: 215,000.00 520. Total Reductions in Amount Due Seller: 225,205.96 300. Cash at Settlement from / to Borrower, 301. Gross Amount due from Borrower (line 120) 302. Less Amount Paid by/for Borrower line 220 227,890.07 215,000.00 600. Cash at Settlement to / from Seller: 601. Gross Amount due to Seller line 420 602. Less Reductions Amount due Seller line 520 225,375.07 225,205.96 303. Cash From Borrower: 12,890.07 603. Cash To Seller: 169.11 1 have carefully reviewed the HUD -I Settlement Statement and to the best of my knowledge and bclief, it is a true and accurate statement of all receipts and disbursements made on my account or by me in this transaction. 1 further certify that I have received a copy of HUD-1 Settlement Statement. SUBSTITUTION FORM 1099 SELLER STATEMENT: The information contained in Blocks E,G,H and I on line 401(or if 401 is asterisked, line 403 and 404) is important tax information and is being furnished to the Internal Revenue Service. If you are required to file a return, a negligence penalty or other sanction will be imposed on you if this item is required to be reported and the IRS determines that it has not been reported. SELLER, you are required by law to provide the settlement agent with your correct taxpayer identification number. if you do not provide the settlement agent with your correct taxpayer identification number, you may be subject to civil or criminal penalties imposed by law. Under penalties of perjury, I certify that the number shown on this statement is my correct taxpayer identification number. Borrower: Seller. `,`; - PAUL MCCONNON SUSAN G.LEBIS FEUERBACHER Seller. JAMES FE RBA HER The HUD-1 SeNemeni S have prepared is a true and accurate account of this transaction. 1 have caused or will cause the funds to be disbursed in accordance with this sta t Date: November 28, 2006 Settlement Agen File No.: 06MCCONN 1 \l/ AI!-'R C'TFr1JFR P