HomeMy WebLinkAbout2016 S Holly AveCITY OF SANFORD PERMIT APPLICATION
Applicatio;r #: 1 V `7- sz) Submittal Date:
Job_Address;_ �D O �� Value of Work: $" 3p CO
Parcel ID: Zoning: Historic District:
"^ Description of Work: Square Footage:
.........................................................................................•.............................•
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 O 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: Contractor:
Address: SOI Address:
Phone. 3 3�1 E-mail: Phone: State License Number:
Bonding Company: Mortgage Len er:' ' `
Address: Address:
Arch itect/Engineer: I Phone:
Address:
Plan Review Contact Person:
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, MATERS, 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 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.
Accept perm is verification I ill notify a owner of the property of the requirements of Florida Lien Law, FS 713.
1,s _ Z3 -01
ign re of Owner/Agent Date Signature of Contractor/Agent Date
L-,- V-
of Notary -State of Florida
01
"COMMISSION # D'29096
�j EXPIRES: F&,=
eb, 25, 2011
� OTARY FI. N iscount
1D1
APPROVALS: ZOIbRNQ;�_
Special Conditions:
Rev 02/2007
TIL: FD:
Print Contractor/Agent's Name
Signature of Notary -State of Florida Date
Contractor/Agent is _ Personally Known to Me or
_ Produced ID
ENG: BLDG:
CITY OF SANFORD BUILDING DIVISION
OWNER/BUILDER AFFIDAVIT
ELECTRICAL & FIRE ALARM SYSTEMS
An owner of property making application for permit, supervising, and doing the work in connection with
the construction, maintenance, repair, and alteration of and addition to a single-family or duplex residence
for his or her own use and occupancy and not intended for sale or an owner of property when acting as his
or her own electrical contractor and providing all material supervision himself or herself, when building
or improving a farm outbuilding or a single-family or duplex residence on such property for the
occupancy or use of such owner and not offered for sale or lease, or building or improving a commercial
building with aggregate construction costs of under $75,000 on such property for the occupancy or use of
such owner and not offered for sale or lease. In an action brought under this subsection, proof of the sale
or lease, or offering for sale or lease, of more than one such structure by the owner -builder within 1 year
after completion of same is prima facie evidence that the construction was undertaken for purposes of sale
or lease. This subsection does not exempt any person who is employed by such owner and who acts in
the capacity of a contractor. For the purpose of this subsection, the term "owner of property" includes the
owner of a mobile home situated on a leased lot. To qualify for exemption under this subsection, an
owner shall personally appear and sign the building permit application.
State law requires electrical contracting to be done by licensed electrical 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 electrical contractor even though you do not have a license. You may install electrical
wiring for a farm outbuilding or a single-family or duplex residence. You may install electrical wiring in
a commercial building the aggregate construction costs of which are under $75,000. The home or
building must be for your own use and occupancy. It may not be built for sale or lease. If you sell or
lease more than one building you have wired yourself within 1 year after the construction is complete, the
law will presume that you built it for sale or lease, which is a violation of this exemption. You may not
hire an unlicensed person as your electrical contractor. Your construction shall be done according to
building codes and zoning regulations. It is your responsibility to make sure that people employed by you
have licenses required by state law and by county or municipal licensing ordinances.
?requested—construction
, do hereby state that I am qualified and capable of performing the
involved with permit application filed.
sume full responsibility as an er/Builder Contractor, and will personally supervise all work
allowed by law on the permitted structure.
Owner/Builder Signature Date-
Print
atePrint Owner/Build r Name
Signature of Notary—State of Florida Date 'JDEBBIE1
MY COMMISSI # DDG 4096
Owner is fimm r, w s
Produced ID FI.Notary Dism t Assam. Co. `'
Seminole County Property Appraiser Get Information by Parcel Number Page 1 of 1
.../re_web.seminole_county_title?PARCEL=36193052000001730&cdor=&cm,5/23/2007
127
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189.0
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161-4 (—
188.0
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DAVID JOHNSON, CFA, ASA
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162 lE1.0
-
PROPERTY
170.(,
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190.0
191
130
192.0
APPRAISER
13i173.0
, s2
SEMINOLE COUNTY FL.
1"5 --jt? i
1'{��
3
1101 E. FIRST sT
SANFORD,FL32771.1468
407-665-7506
11
59
1.0
2007 WORKING VALUE SUMMARY
GENERAL
Value Method: Market
Parcel Id: 36-19-30-520-0000-1730
Number of Buildings: 0
Owner: BLAIR LARRY D
Depreciated Bldg Value: $0
Mailing Address: 407 W 25TH ST
Depreciated EXFT Value: $0
City,State,ZipCode: SANFORD FL 32771
Land Value (Market): $34,216
Property Address: SANFORD 32771
Land Value Ag: $0
Subdivision Name: PINEHURST
Just/Market Value: $34,216
Tax District: S1-SANFORD
Assessed Value (SOH): $34,216
Exemptions:
Exempt Value: $0
Dor: 01 -SINGLE FAMILY
Taxable Value: $34,216
Tax Estimator
2006 VALUE SUMMARY
SALES
2006 Tax Bill Amount: $589
Deed Date Book Page Amount Vac/Imp Qualified
2006 Taxable Value: $29,939
Find Comparable Sales within this Subdivision
DOES NOT INCLUDE NON -AD VALOREM
ASSESSMENTS
LAND
LEGAL DESCRIPTION
Land Assess Method Frontage Depth Land Unit Land
Pick...
Units Price Value
PLATS:
FRONT FOOT &
S 38.52 FT LOT 173 & ALL OF LOT 174
91 129 .000 400.00 $34,216
DEPTH
PINEHURST PB 3 PG 71
NOTE: Assessed values shown are NOT certified values and therefore are subject to change before being finalized for ad
valorem tax purposes.
"' If you recently purchased a homesteaded property your next ear's property tax will be based on Just/Market value.
.../re_web.seminole_county_title?PARCEL=36193052000001730&cdor=&cm,5/23/2007
film
FLORIDA DEPARTMENT OF REVENUE Approval code LT8610141299
RETURN FOR TRANSFERS OF INTEREST IN REAL PROPERTY PHOTOCOPIES OF DR219
(PLEASE READ INSTRUCTIONS ON THE BACK OF THIS FORM BEFORE COMPLETING) THIS FORM NOT R.07/9e,
ACCEPTABLE LTFL
1. Parcel Identification, Number
If Parcel ID not available
please call County. P;ppperty 36-19-30-520-0000-1730
Appraiser's Office)
2. Mark(x) all Multi -parcel Transaction is a split Property was improved
that apply transaction? or cutout from with building(s) at time X
another parcel? of sale/transfer?
3. Grantor (Seller) LARRY D. BLAIR and ELLEN C. BLAI R
407 West 25th Street, Sanford, FL 32771
4. Grantee (Buyer) ROBERT L. SCHWIERKING
2016 Holly Avenue, Sanford, FL 32771
5. Date of Sale/Transfe'r Sale/Transfer Price
05 / 16 / 2007$140,00000 Property County Code
. Located I n 6 9
Month Day Year (Round to the nearest dollar)
6. Type of Document Contract/Agreement Other 7. Are there any mortgages on the property? If'Yes', YES / X NO
for Deed outstanding mortgage balance:
X Warranty Quit Claim
$0.00
8. To the best of your knowledge,were there unusual circumstances or conditions to the sale/transfer?
such as: Forced sale by court order? Foreclosure pending? Distress Sale? Title defects? Corrective Deed? Mineral right? YES / X NO
Sale of a partial or undivided interest? Related to seller by blood or marriage?
9. Was the sale/transfer financed? YES X / NO If'Yes' pleaseindicate type or types of financing:
Agreement or
Conventional Seller Provided X Contract for Deed Other
Institutional/
10. Property Type: Residential Commercial industrial Agricultural Miscellaneous Government Vacant Acreage Timeshare
Mark(x) all X
that apply,
11, To the best of.your knowledge, was personal property,
included in the sale/transfer? If'Yes', please state the YES / X NO
$0.00
amount attributable to: personal property: (Round.to the nearest dollar)
12. Amount of Documentary. Stamp Tax $980.00
13. If no tax is due in number 12, is deed exempt from Documentary Stamp Tax under s. 201.02(6), Florida Statues? YES 1 X NO
Under penalities of perjury, (declare that I have read the foregoing return and that the facts stated in if are true. If prepared by someone
other than the taxpayer, his/her declaration is based on all information of which he/she has any knowledge.
Signature of Grantor or Grantee of Agent Date 05/16/07
WARNING: FAILURE TO FILE THIS RETURN OR ALTERNATIVE FORM APPROVED BY THE DEPERTMENT OF REVENUE SHALL
RESULE IN A PENALTY OF $25.00 IN ADDITION TO OTHER PENALTY IMPOSED BY THE REVENUE LAW OF FLORIDA.
(To be completed by the Clerk of the Circuit Court's Office) Clerk's Date Stamp
O.R. Book
and
Page Number
and
File Number
Date Recorded
Month Day Year
COPY TO DEPARTMENT OF REVENUE OFFICE . COPY TO PROPERTY APPRAISER
Se lament Statement U.S. Department of Housing
A7 -
and Urban Development
-irs�
nnna N� ')rno n)ac
IN THE EV A R R701,07E TAXES 'IS NE ESSARY WHEN THE TAX BILLS FOR 2007 AR PREPARED, THE PARTIES A EE T D SAID RE-PROhtATION BETWEEN THEMSELVES.
.. _
t
RdKRfL. SCHWIE I - D. B R ..
J,i :..F It ,l :r:,,• .. . ... ..i
05-15.2007 at 3:01 PM • -- -•= " RESPA, HB 4305.2 - REV.. HUD1(3/86)
1:0 FHA ❑
2• ❑ .FmHA ... 3. Conv. Unlns. _._ .
arr
4. ❑ VAS " 5. ❑ Conv. ins.
8. File Number
073524
7. Loan Number
8. Mortgage Insurance Case Number
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'(p.o.c.)`ware paid 'outside the closigg; they are shown here for Information purposes and are not Included In the totals.
D. Name and Address of Borrower
ROBERT L: SCHWIERKING
2016 Holly Avenue - '
Sanford,. FL 32771 -' " '
_ae ,
E. Name and Address of Seller
LARRY D. BLAIR
407 West 25th Street
Sanford, FL 32771
F. Name and Address of Lender
LARRY D. BLAIR
407 West 25th Street
Sanford, FL 32771
G. Property Location
2016 Holly Avenue
Sanford, FL 32771 '
"•'
H. Settlement Agent
James A. Barks, Attorney at Law
Place of Settlement
1120 West First Street, Suite B
Sanford, Florida 32771
I. Settlement Date
05/16/07
- J. SUMMARY OF BORROWER'S TRANSACTION:
K. SUMMARY OF SELLER'S TRANSACTION: '
100. GROSS'AMOUNT DUE FROM'BORROWER ^ '"" '•
-
400. GROSS AMOUNT DUE TO SELLER
141. Contract sales price• -- - • "
140,000.00
401. Contract sales price
140,000.00
102. Personal 7o a
402. Personal property
103. Settlement charges to borrower line 1400
0.00
403.
104.
404.
105.
405.
Ad ustments for Items paid b seller In advance
Ad ustments for Items paid by seller In advance
106. Ci /town taxes '' to
406. CI /lown'taxes to
107. County taxes ` to "
407. County taxes to
108. Assessments' to
408. Assessments to
109.
409.
110.
410.
111.
411.
112.
;......
412.
120. GROSS AMOUNT DUE FROM BORROWER
"140,000.00
420. GROSS AMOUNT DUE TO SELLER
140,000.00
200. AMOUNTS PAID BY OR IN BEHALF OF BORROWER -
500. REDUCTIONS IN AMOUNT TO SELLER
I
201. Deposit or earnest money
500.00
501. Excess Deposit see instrucllons
500,00 a
202.' New Loan and Note
109 500.00
502. Settlement charges to seller line 1400
3,015_25
203. Ex stin loans taken subject to
503. Existing loans taken subject to
204.
"' ` ^"
504. Payoff of first mortgage loan
205. "
-
505. Payoff of second mortgage loan
206.
506. New Loan and Note
109,500.00
207.
507.
208.
508. Principal Reduction -Wendell & Sharon Agee
29 000.00
209.
509..
Adjustments for items unpaid by seller
-
Adjustments for Items unpaid by seller
210. Ci /town taxes to
510. CI /town taxes to .
211. County taxes 01/01 to 05/18
" ""'"' 209.25
511. County taxes 01/01 to 05/16
209.25
212. Assessments" " " to
512. Assessments to
213. .,.. - •_',
�..:. .:' ..,l .. ..
513. ... ...
214.
514.
215.
515:.. .
216.
516.
217.
517. '
218.
518.
219.
519.
220. TOTAL PAID BY I FOR BORROWER -' ' •
110 209.25
520. TOTAL REDUCTION AMOUNT DUE SELLER
142,224.50
300. CASH AT SETTLEMENT FROM OR TO BORROWER
600. CASH AT SETTLEMENT TO OR FROM SELLER
301. Gross amount due from borrower (line 120) -
140 000.00
601. Gross amount due to seller (line 420) ""' `' `'
140,000.00 ,
302. Less amounts paid by/for borrower (line 220)
110 209.25
602. Less reduction amount due to seller (tlna 520)
142,224.50 j
... ..,..,_,.,_ ,... ,. ... ..:...... .........
SH .... FROM ..... BORROWER 5
CA29790.7
603. CASH FROM SELLER
2 224.50
IN THE EV A R R701,07E TAXES 'IS NE ESSARY WHEN THE TAX BILLS FOR 2007 AR PREPARED, THE PARTIES A EE T D SAID RE-PROhtATION BETWEEN THEMSELVES.
.. _
t
RdKRfL. SCHWIE I - D. B R ..
J,i :..F It ,l :r:,,• .. . ... ..i
05-15.2007 at 3:01 PM • -- -•= " RESPA, HB 4305.2 - REV.. HUD1(3/86)
PLAT OF BOUNDARY SURVEY
for
LARRY D. BLAIR
Legal Description
THE SOUTH 38.52 FEET OF LOT 173 AND ALL OF LOT 174, PINEHURST, according to the
as recorded in Plat Book 3, Page 71, of the Public Records of Seminole County, Florida.
163
Co w 001
Plat thereof
POWER
POLE j 172 ; , 30.00'
i
--------------------
--- ----- ------------ ------------------------1 o m
NORTH LINE OF THE SOUTH 38.52' OF LOT 173 ;o I
I 128.69' C. I
48. 1�� I
�9' 173 roti i
Ln P 51.45'
� W
m
N
D 10 1� �1 �o9pr
---
-
N
N
174 �F �
M
N I
- ----------TI I
RON
SET
CAP I(133 2) 128.70' SET IRON k
N CAP (/3382)
O
O
------------------------------(�- SPa;U G--QTR-EE-T------------------------
SCALE: 1"=30'
SURVEY NOTES:
1) The street address of the above-described property is HOLLY AVENUE.
2) The above-described property lies in a Flood Zone X.
SURVEYOR'S CERTIFICATE
This is to certify that I have made a Survey of the above described property and that the plat hereon delineated
is an accurate representation of the same. I further certify that this Survey meets the Minimum Technical
5tandards set forth by the Florida Board of Land Surveyors pursuant to Section 427.027 of the Florida Statutes.
CORRECT TO:
R. BLAIR KITNER - P.L.S. NO. 3382
Post Office Box 823, Sanford, F1. 32772-0823
( 40'7) 322-20M
PROJECT NO: �6. 32-? a) SURVEY DATE: ZL3 jwAfC- Za%,,
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