HomeMy WebLinkAbout700 Laurel Ave (3)t
Permit #: c s V�
Job Address:
Description of Work:
Historic District:
Permit Type: Building
Zoning:
Electrical
Electrical: New Service — # of AMPS
Mechanical: Residential Non -Residential
Plumbing/ New Commercial: # of Fixtures
CITY OF SANFORD PERMIT APPLICATION
Plumbing/New Residential: # of Water Closets
Occupancy Type: Residential Commercial
Date: 5'—'16 —
Value of Work: $
Mechanical Plumbing Fire Sprinkler/Alarm Pool
Addition/Alteration Change of Service Temporary Pole
_ Replacement New (Duct Layout & Energy Calc. Required)
# of Water & Sewer Lines # of Gas Lines
Plumbing Repair — Residential or Commercial
Industrial Total Square Footage:
Construction Type: 1# of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X)
Parcel #: //-�� (Attach Proof of Ownership & Legal Description)
Owners Name & Address: �Jlh r 6�/L Lf (/ 1711"— L� q
Pho e: 9���—� 1�/—�3�
Contractor Name & Address:
State License Number: /—J J 7 -6
Phone & Fax: Contact Person: �X:7'W A (J Phone: '!?4)
Bonding Company:
Address:
Mortgage Lender' 'c%
Address: _
Architect/Engineer:
Address
Phone:
Fax:
Application is hereby made to obtain a pennit to do the work and installations as indicated. 1 certily that no work or installation has commenced prior to the
issuance of a pen -nit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction. 1 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 mrd 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 pennits required from other governmental entities such as water management districts, state agencies, or federal agencies.
Acceptancrrit is verification that 1 will notify the owner of the property of the requirements f Florida Lien Law, FS 713
Signature of O mer/Agent Date rgnatu'e Contractor/Agent Date
Print wn r/ genVsNane'Pri ntrac r/A encsAName �-� Signatu f NotaM. KELLEY � DLEH Signature pji- tae F o *d Date
Notary Public, State of Floridar� ,y comm. expires Nov. 11, 2008 DE.63131E BLANTONNo. DD 371185 �_,+ H I C, i ^rtiSSION # DD 188491Owner/Agent is``�-7 Contracto Agent tsi Person3lly,(Cm3b, i3r
roduced IDl �` C� ' Prod ce�tDDs-r!t ` 'i ri" s v Dis unt (3
APPLICATION APPROVED BY: Bldg: » Zoning: Utilities:
(Initia ate) (Initial & Date) (Initial & Date) (Initial & Date)
Special Conditions:
FD:
11HIS INSTRUMENT PREPARED BY,
NAME 1 TICE OF COMMENCEMENT
Permit No -AD R. l �%� jJ%2,'j Tax Folio No.
State of Florida f
County of SuSimi r 0
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.
of property: (legal description of the property and street address if available) %J
'%a 4a77 �Z o rr1 f �/
2. General description of i
60
Owner information
a. Name and address
b. Interest in property
c. Name and address of fee simple titleholder (if other than Owner)
4. Contractor
a. Name and address
b. Phone number d ?Zf
ffl Fax number
5. Surety
a. Name and address 11111 II IIB 111111111111 IN ill II 111111110 1111111 01 11 11 11 111 1 181
b. Phone number Fax nun*MA 1E b9[iH��9liT f'ri11RT
C. Amount of bond SEMINULE CUUNTY
6. Lender IBK 05908 PG 1412
a. Name and address _�CLERK'S # 2005160362
REWNDED 09/16/2005 03:514:30 PM
b. Phone number Fax numUNllINU FEES 10, 00
7. Persons within the State of Florida designated by Owner upon whom noticW ' R@Pmay be served as
provided by Section 713.13(1)(a)7., Florida Sta tes:
a. Name and address - e6A c,r
rw N
&2&��j zuL
b.Phone numberFax number
8. In addition to himself or herself, Owner designates of
to receive a copy of the Lienor's Notice as provided in Section
713.13(1)(b), Florida Statutes.
a. Phone number Fax number
9. Expiration date of notice of commencement (the expiration date is 1 year from the date of recording unless a different
date is specified)
a Si afore of Owner
Sworn to (or wined and subscribed before me this _ 5 =' day of S nghej- , 20 �S b
��� T� , y
Personally Known OR Produced Identification
Type of Identification Produced
Signature o otary Public, State of Florida -ENu
Commissi Expires: �� °mHANDLERate of Florida Nov. 11, 200871185
A. Settlement Statement
U.S. Department of Housing
and Urban Development
06%
OMB No. 2502-0265 al
B. Type of Loan
_ ------ - �-
-. ..- -� --
--
•, 1 FHA 2. FmHA 3. COnv. Unins.
-- --
6. File Number
05.2872
- --
7. Loan Number
8. Mortgage
Insurance Case Number
4. u VA 5. ❑ Conv. Ins.
112,O1C,00 420. GROSS AMOUNT DUE TO SELLER
-1---_-----�.._
-`----_ -...E_11_c"i000AU
X201.
202.
OF BORROWER
Depos4 or gamest money - - -
Pnnc�pal amount o/ new loan(s)
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
- -
masked "(p.o.c.)' were paid outside the Dosing; they are shown here for Information purposes and are not Included in the totals.
203.
D. -Name and Address of Borrower
r`E. Name and Address of Seller - F. Name and Address of Lander �-
-T-VICTOR
MICHAEL J. MEW
VenDarLEENDEN
8,759.37
DOROTHY V. MEW
i EILEEN M. VanDorLEENDEN
_T-_
�_
2816 Summer Brooke Lane
1012 Forest Circle
T -
I Casselberry, FL 32707
Winter Springs, FL 32708
G. Pt'operty Location
H. Settlement Agent -
--- -
700 S. Laurel Avenue
James A. Barks, Attorney at Law
f-_
j Sanford, FL 32771�_-
._._-_------Y----------------�
_-_ --70 ,
_ _
FOR 2004 ARE PREPARED, THE PARTIES AGREE TO HANDLE SAID RE -PRORATION BETWEEN 1NEhtSEI'VES.
I
�
Place of Settlement
---�-�
I i. Settlement Date
1120 West First Street, Suite B
VICTOR VanDerLEENOEN
Sanford, Fkxtda 32771
09/12;05
EILEEN M. VanDerLEENDEN
_ J. SUMMARY OF BORROWER'S TRANSACTION; �K�SUMMARY OF SELLER'S TRANSACTION:
y�
--^
�1100. GROSS AMOUNT DUE FROM BORROWER
101. Contrad sales price
j 102. PersonalProp�-
Li 03, Settlement charges to borrower line 1400)
400. GROSS AMOUNT DUE TO SELLER
- 112.000.00 401. Contract sales once
402. Personal-_
- --_ ----
A _ -
12,000.00
I
104.
-10.00 403. -
- -
! 1
_-f
-- _ 404.
405.- - __ „----------..
Ad'ustments for !tams ald b seller in --- - - -
_
-` ------
- ---1 ---1'---Y- advance
_ _ Adlusbnonts for Items paid by seller in advance
106. Citynown taxes to
- - - -----
!
406. Ci Mown taxes-
407. County taxes ----
-
�'---i
L-108. Assessments to
to-�
Assessments -- --
- �- - - ---
-
110_
-----8, to
4' -
409,
�.-
----
410.
„t--
�
21?. �- -
M.
120.
200.
GROSS AMOUNT DUE FROM BORROWER
AMOUNTS PAID BY OR IN BEHALF
112,O1C,00 420. GROSS AMOUNT DUE TO SELLER
-1---_-----�.._
-`----_ -...E_11_c"i000AU
X201.
202.
OF BORROWER
Depos4 or gamest money - - -
Pnnc�pal amount o/ new loan(s)
5W, REDUCTIONS IN AMOUNT t0 SELLER --
-T--- 500.00 501. Excess Do osd see Instructions
- 1L_S�__.-L__
502. Settlement chargee to
- -
-�
_
203.
Exisun� loen(s) taken subject to
_
_ seller (line 1400
_-_)_._�..------
_
8,759.37
204'---
--
_T-_
�_
503. Existing loans taken subject to
1112,000.0!
T -
-
504. Payoff of first mortgage loan
--- -
205.
S03 CASH- - -- -PROM BORROWER
f-_
-.-..�wne os..-"-`----''-- --._`..
._._-_------Y----------------�
_-_ --70 ,
_ _
FOR 2004 ARE PREPARED, THE PARTIES AGREE TO HANDLE SAID RE -PRORATION BETWEEN 1NEhtSEI'VES.
508.
menta for items unpaid by sellar Adjustment!
m faxes - to
_ 510. C! ltoym tax
taxes 01101 ^ to 09/12 - 715.07 511. County taxes
ments to 512 Aann.s, t.
for items unpaid by seller
01101 to
715.07
216.--
--
21?. �- -
M.
517. i --------
518 -- -.---- ----•-- --
-
- - -___ - --_
- -----r--
-
519.
--
�
_ _-
220. TOTAL PAID BY !FOR BORROWER_ _
F
^,1-__-__•
1�215�07 520. TOTAL REDUCTION A_MO_UN_T OUE SELLER
9,474.4
300. CASH AT SETTLEMENT FROM OR TO BORROWER
__
800. CASH AT SE'PTLEMENT TO OR FROM SELLE__R
--L_-_
t3Gt . Gross amount due !torr, borrower (Ilne 120)
�--
_ _
112,010.00.601. Groan amount due to sellar (lits 420)-�--�-_
1112,000.0!
302. Less amounts paid oy/lor borrower Itna 220 ^T�---_---
------
-��- '- -""' '
- -
--- -
9.474.41
S03 CASH- - -- -PROM BORROWER
110,784.83 1603. CASH SELLER
102�525.5e
1N THE EVENT VVRE-PPORATIQN OF THE TAXES IS NECESSARY WHEN THE TAX BILLS
_-_ --70 ,
_ _
FOR 2004 ARE PREPARED, THE PARTIES AGREE TO HANDLE SAID RE -PRORATION BETWEEN 1NEhtSEI'VES.
*DORCT11.
VICTOR VanDerLEENOEN
EILEEN M. VanDerLEENDEN
09-09-2005 at 1:46 PM
-
RESPA, HB 4305.2 -REV. HUD1(3/86)
File Number: 05-2972
SETTLEMENT STATEMENT
PAnF 2
L. SE�17L_EM�NT CHARGES:
ii�6 FROMPAID
00
FROM
SELLER'S
00
TOTAL SALES/BROKER'S COMMISSION based
ce $
112,000.00 &00 6,720.00
FRROWER'S
Uf,03 AT
SETTLEMENT
FUNDS AT
SETILEMEN7
Divis,on of commission (line 700) as follows:
Egg
701
702.
3 6.72000 to
S to
Porzig Realty
Ha and n
1002. M Insurance
2qa3_qe_
mo.
03,
L704,
rcmmission paid at. Settlement—____
_A_L03_21t�r
mo.
112 4 QMLt �,o rl
800
ITEMS PAYABLE IN CONNECTION WITH LOAN
P.O.C.
,L6ul._
_802
Loar. Origination Fee
Loan Discount
%
Mo.
Mo.
803,
Appraisal Fas
to
I x6
804.
Credit
to
80e,
Mtg. Ins. Application Fee
to
807.
803
Assum tion Fee
to
; Reserve for.HazardiFlood Ins, Ci!y County Prop Texas, N12qpga Ins & Annual Assessments
LI!20 TLTWE CHARGES
all
812,
J
_IE4 Settlement or clusin lea
to James A. Barks
Abstract or titie search
Inc.
1- 504.
1000. RES RVES DEPOSlTBENDER
rt001
Egg
Ha and n
1002. M Insurance
2qa3_qe_
mo.
I mo.
_A_L03_21t�r
mo.
112 4 QMLt �,o rl
1005. Annual Assessments
Mo.
Mo.
I x6
Mo.
Imo.
F
Mo,
; Reserve for.HazardiFlood Ins, Ci!y County Prop Texas, N12qpga Ins & Annual Assessments
LI!20 TLTWE CHARGES
_IE4 Settlement or clusin lea
to James A. Barks
Abstract or titie search
Inc.
-.----Lo--Aqc�.7Ley!Lli!!�-ini�ir—a,)ca
—Fund
00
1.103. Tive examination
1104, Title insurance binder
to James A, Barks
to
1 105
to
1_1106. Now
to
__325.001j
_1107 A�ttx s teas
to Jam.es A. Barks
i (includes above item No:
1108, Title insurance
to James A. Barks
555 3
(incudes above item No:
1110. Owners coverage 112,000,00 — 635.qP_1aA!treissue credit c! $79.63
5117.
1112
200, GOVERNMENT RECORDING AND TRANSFER CHARGES__
1201 Re Dead $
110,130m2Ar,
1202. City/county/stamps Dead $
Mortgage $
1201 State tayistamps Deed $
784.00Mortgage$
1 1204. intangible Tax
j 1205.
I300_.___ADDTI0NAL SETTLEMENT CHARGES
1301. Survey
to Noneo
—___--
1302 Peat ins paction
to None coded
1304
1305.
1307.
1308
4130. TOTAL SE rTLEMENT CHARGES (slier on lines 103 and 502, Sections J and K) 10.00
8.7,59.37'
. .��J,
have of IY vi wed t K -1 Settlement Statement and to the best of my knowledge and belief, it Is a true and accurate islamill6rit of ail receipts and disbursements made on my in his
trot i•r t I have received 0- ament,rte If h, I
t SHA Pi DO OTHY V ME ,lry me
W ICTOR VanOorLEENDEN nO
W HUD_ I e ad is 0 true 8W 006&618 account of this transaction. I have caused Will cause thu-jurWit-to be disbursal in accordance witrt trus siaternwit
If 2. c [JQ
James A Ha;ks, Anome at Law
VVARWNG: r! Is a cnme to Knowingfy mak& false staterner" to the United States on this or any other similar tom. Ferialties upon conviction can include a firlo or mpasonment. For details see: Title 18 U &
Code Section 1001and Section 1010.
139.09-200; at 1:45 PM kESPA, H8 430&3 - REV. Hijol(W"I -