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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 -