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Home My WebLink About125 W Jinkins CirPermit # 432 ` Job Address: 141, ,Tiivd..r Description of Work: Historic District: a CITY OF SANFORD PERMIT APPLICATION Date: Zoning: Value of Work: $ 500 .Fib Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool Electrical: New Service — # of AMPS Addition/Alteration Change of Service Temporary Pole Mechanical: 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: R Construction Type: Commercial Industrial Total Square Footage: of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X) Parcel #: j ~ fX — O (Attach Proof of Ownership & Legal Description) Owners Name & Address: io6elf-f r 6 , Phone: Contractor Name & Address: State License Number: Phone & Fax: Contact Person: t3 ' /s- //i Phone: J32-/ ^ 9,4 W—AD Bonding Company: Address: Mortgage Lender: Address: Architect/Engineer: Phone: Address: 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 theissuanceofapermitandthatallworkwillbeperformedtomeetstandardsofalllawsregulatingconstructioninthisjurisdiction. 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 regulatingconstructionandzoning. 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 ofthiscounty, and may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. Acceptance of it' veri ti that 1 "II notify the own of the ropetty of the requirements of Florida Lien Law, FS 713. m N Signature f Owner/Agent a Date Signature of Contractor/Agent Date L. Cl( Z. P ' t Ow r/Age 's Na Print Contractor/Agent's Name c .. E Si re of Nota -S to of Florida Date Signature of Notary -State of Florida Date W IL Owner/A ent is _ Persope I Kn t ora ,( Produced LIG(/( yJl•v APPLICATION APPROVED BY: Bldg: DhwZoning: Initial & Date Special Conditions: Contractor/Agent is _ Personally Known to Me or Produced ID Initial & Date) Utilities: initial & Date) FD: Initial & Date) A. Settlement Statement U.S. Department of Housing A I and Urban Development nMR kl., B. Type of Loan 1.0 FHA 2.0 FmHA 3.O Conv. Unins. 6. File Number 7. Loan Number 8. Mortgage Insurance Case Number 4.0 VA 5.0 Conv. Ins. 203-543A C. NOW: This form is fumished to give you a statement of actual settlement costs. Amounts paid to and by the settlement agent are shown. Itemsmarked '(p.o.c r were paid outside the dosing; they are shown here for information purposes and are not included in the totals. D. Name and Address of Borrower E. Name and Address of Seller F. Name and Address of Lender ROGER L REID JOHN D HUGUENARD LONNY REID 1793 PINEVIEW CIRCLE 531 HEATHER BRITE CIRCLE WINTER PARK, FLORIDA 32773 APOPKA, FLORIDA 32712 r G. Property Location H. Settlement Agent 125 W JINKINS CIRCLE LAWYERS ADVANTAGE TITLE GROUP, INC. SANFORD,FLORIDA 32773 Place of Settlement 1. Settlement Date 8W Concourse Parkway Souk 11/14/03Suite100 Maitland, Florida 32751 DD: 11/14/03 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 102. Personal Property 38,76TA7 401. Contract sales price 402. Personal Property 38,767.47 103. Settlement charges to borrower pine 1400) 658.55 403. 104. 404. 105. PROCEEDS 6,582.53 405. Adjustments for items paid by seller in advance 106. City/town taxes to Adjustments for items paid by seller in advance 406. City/bwn taxes to 107. County taxes 11/14 to 12/31 95.17 407. County taxes 11/14 to 12/31 108. Assessments to 408. Assessments to 95.17 109. 409. 110. 410, 111. 411. 112. 412. 120. GROSS AMOUNT DUE FROM BORROWER 00. AMOUNTS PAID BY OR IN BEHALF OF BORROWER 46,103.72 420. GROSS AMOUNT DUE TO SELLER 38,862.64 500. REDUCTIONS IN AMOUNT TO SELLER 501. Excess Deposit (see instructions) 502. Settlement charges to seller (line 1400) 0.00 503. Existing loans taken subject to 504. Payoff of first mortgage loan 01. Deposit or earnest money V2. Principal amount of new loan(s) 03. Existing loan(s) taken subject to 04' 05. 505. Payoff of second mortgage loan 06. 506, D7. 507. D8. 508. D<J. Adjustments for items unpaid by seller 509. Adjustments for items unpaid by seller 10. City/fawn taxes 10 510. City/town taxes to 11. County taxes to 511. County taxes to 12. Assessments to 512. Assessments to 13. 513. 14. 514. 5. 515. 1 CITY OF SANFORD BUILDING DIVISION "h OWNERIBUILDER AFFIDAVIT CONSTRUCTION CONTRACTING Owners of property when acting as their own contractor and providing direct, onsite supervision themselves of all work not performed by licensed contractors, when building or improving farm outbuildings or one -family or two-family residences on such property for the occupancy or use of such owners and not offered for sale or lease, or building or improving commercial buildings, at a cost not to exceed $25,000, on such property for the occupancy or use of such owners and not offered for sale or lease. In an action brought under this part, proof of sale or lease, or offering for sale or lease, of any such structure by the owner -builder within 1 year after completion of same creates a presumption that the construction was undertaken for purposes of sale or lease. This subsection does not exempt any person who is employed by or has a contract with such owner and who acts in the capacity of a contractor. The owner may not delegate the owner's responsibility to directly supervise all work to any other person unless that person is registered or certified under this part and the work being performed is within the scope of that person's license. For the purposes of this subsection, the term "owners of property" includes the owner of a mobile home situated on a leased lot. To qualify for exemption under this subsection, an owner must personally appear -and sign the building permit application. State law requires construction to be done by licensed contractors. You have applied fora permit under an exemption to that law. The exemption allows you, as the owner of your property, to act as your own contractor with certain restrictions even though you do not have a license. You must provide direct, onsite supervision of the construction yourself. You may build or improve a one -family or two-family residence or a farm outbuilding. You may also build -or improve a commercial building, provided your costs do not exceed $25,000. The building or residence must be .for your own use or occupancy. It may not be built or substantially improved for sale or lease. If you sell or lease a building you have built or substantially improved yourself within 1 year after the construction is complete, the law will presume that you built or substantially improved it for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person to act as your contractor or to supervise people working on your building. 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. You may not delegate the responsibility for supervising work to a licensed contractor who is not licensed to perform the work being done. Any person working on your building who is not licensed must work under your direct supervision and must be employed by you, which means that you must deduct F.I.C.A. and withholding tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinr:ld ing codees, and zoning regulations. I, L - / - ! j , do hereby state that I am qualified and capable of performing the requested construction involved with the pernut application filed. I will assume full responsibility as an Owner/Builder Contractor, and will personally supervise all work allofv* td by law on the permitted structure. ldeer Siignatt/ureDate r/ Builder ame PrintOwneSignature Owner is Produced ID