HomeMy WebLinkAbout138 Pinefield DrCITY OF SANFORD PERMIT APPLICATION a' 7 'F'1 (e•l. .
Permit # -
Job Address: .1
Description of Work:
Historic District:
Value of
Date: °" ZS
Permit Type: Building --,/— Electrical Mechanical Plumbing Fire SprinklerhMarm Pool
Electrical: New Service — # of AMPS Addition/Alteration (Mange 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: Residential Commercial Industrial Total Square Footage: 02 4 O D
Construction Type: _ 2 # of Stories: # of Dwelling Units: Flood Zone: —X— (FEMA form required for other than X)
Parcel #:
Owners Name & Address:
39 P;,,eL. A
Contractor Name & Address:
Phone & Fax:
Bonding Company:
Address:
Mortgage Lender:
Address:
Attach Proof of Ownership & Legal Description)
a771 Phone: 1167- 3aa' F(va5
State License Number.
Contact Person: Phone:
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 separatePermitmustbesecuredforELECTRICALWORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, andAIRCONDITIONERS, etc.
OWNER'S AFFIDAVIT: I certify that all of the foregoing information is actuate 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 PAYINGTWICEFORIMPROVEMENTSTOYOURPROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR ANATTORNEYBEFORERECORDINGYOURNOTICEOFCOMMENCEMENT.
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 there may be additional permits required from other govemmental entities such as water management districts, state agencies, or federal agencies.
Acceptance of permit is V on that I will Doti the owner of the property of the requirements of Florida Lien Law, FS 713.
r2lashqeNofOwner/Agent W6o:.
Signature
Signature of Contractor/Agent
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Contractor/Agent's Name a•
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A Date
Date
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gent ,s Personally Known to Me or Contractor/Agent is _ Personally Known to Me or APuceroddID13ZrOH • *.
F; Produced I D APPLICATION
APPROVED BY: Bldg:-- ( Zoning: Initial &
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Conditions: Initial &
Date) Utilities:
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CITY OF SANFORD BUILDING DIVISION
OWNER/BUILDER 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 for a 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,
ordinances, building codes, and zoning regulations.
1, M i el F • 1 rl t "el ( , do hereby state that I am qualified and capable of performing the
requested construction involved with the permit application filed
I will assume full responsibility as an Owner/Builder Contractor, and will personally supervise all work
allowed by law on the permitted structure.
if A 4" A as/o i
Owner/Builder Signature Date
Owner is Personaliv Known to Me or has
Produced ID 2, 7 YI 2 i763 0
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A• U. S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT
SETTLEMENT STATEMENT
Kampf Title & Guaranty Corporation
200 West First Street
Sanford, Florida 32771
407-322-9484 fax:407-330-5062
C NOTE: This form is a to give you a statement ojacnral settlement c uunu
o.c. -repaid outside the closing. They are shown here for informational or
DANIEL R. MITCHELL and KIMBERLY MITC
D. Bon er: 'va Court
B. TYPE OF LOAN
I. FHA 2. FMHA 3. Z CONY. UNINS.
4. []VA 5. CONV.INS.
Q. nw Number: 7. Lom Number:
58238 1043007188
8. Mongap Ina. Cue No.:
paid to and by the settlement agent are shown. marked
Sanford Flonda 32771
MARONDA HOMES, INC. OF FLORIDA
E. Seller: 1101 North Keller Road, Suite # F
Orlando Florida 32810
GATEWAY FUNDING DIVERSIFIED MORTGAGE SERVICES, L.P. F. Lender. 300 Welsh Road, Bldg 5
Horsham Penns lvania 19044
138 Pinefield Drive
G. Property: Sanford, Seminole County, Florida 32771
H. Settlement Agent: Lot 19 CELERY LAKES PHASE 1 Book 62 Page 75 and 76 inclusive Seminole Coun Florida
KAMPF TITLE AND GUARANTY CORPORATION
Place of Settlement: 200 West First Street Sanford Florida 32771 SEMINOLE Count1. Settlement Date: February 25, 2004
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.
102.
Contract Sales Price
Personal Property
136 700.00 401. Contract Sales Price 136 700.00
103. Settlement Charges to Borrower line 1400 6,658.51
402.
403.
Personal Property
Ad ustments for Items Paid by Seller in Advance: Ad'ustments for Items Paid by Seller in Advance: 106. City / Town Taxes 406. City / Town Taxes107. - Count / Parish Taxes 407. Count / Parish Taxes108. Assessments 408. Assessments109.
120.
Survey
Gross Amount Due from Borrower:
200.00
143 58.51
409.
420.
Survey
Gross Amount Due to Seller:
200.00
136 900.00
200. Amounts Paid by or in Behalf of Borrower: 500. Reductions in Amount Due to Seller: 201.
202.
De osit / Earnest Money
Principal Amount of New Loan
5 000.00 501. Excess Deposit see instructions 5,000.00
203. Existin Loan(s)503.
104 200,00 502, Settlement Charges to Seller Line 1400
Existing Loan(s)
264. Lender Credit 1,093.60 504. Record PRM to KAMPF TITLE AND
205. GUARANTY CORPORATION 6.00
505. Record Term N/C to Clerk of the Circuit Court 10.50
206. 506. Home Warranty to BONDED BUILDERS
20 HOME WARRANTY ASSN 75.19
208. 507, Courier Fees 28.00
Adjustments for Items Unpaid by Seller: I
508. 2003 Real Estate Property Taxes March
Ad ustments for Items Unpaid by Seller:
225.52
210. Ci / Town Taxes 1510. City / Town Taxes
211 County / Parish Taxes Jan 1, 2004 thru Feb 24,
2004 33.89 511. County / Parish Taxes Jan 1, 2004 thru Feb 24,
212. Assessments 512.
2004
Assessments
33.89
220. 'Total Paid b / for Borrower: 110 27.49 520. Total Reductions in Amount Due Seller: 5 79.10
300. Cash at Settlement from / to Borrower: 600. Cash at Settlement to / from Seller: 301.
302.
Gross Amount due from Borrower line 120 143 558.51 601. Gross Amount due to Seller line 420 136 900.00LessAmountPaidb /for Borrower line 220 110 327.49 602. Less Reductions Amount due Seller line 520 5,379.10
303. Cash From Borrower: 33,231.02 603. Cash To Seller: 131,520.90
PLAT OF BOUNDARY SURVEY
for
MARONDA HOMES
Legal Description
LOT 19, CELERY LAKES PHASE 1, according to the Plat thereof as recorded in Plat Book 62, Pages 75
and 76, of the Public Records of Seminole County, Florida.
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102.35'
44.33' 5' DRAINAGE ESM'T
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Z STORY
CONC SLIC./STUCCO
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5 DRAINAGE ESM'T
102.49'
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SCALE: 1 "= 20'
0 -SET IRON &
CAP (#3382)
SURVEY NOTES:
1) The street address of the above -described property is 138 PINEFIELD DRIVE.
2) The above -described property lies in a Flood Zone X per FIRM 12117C 0065E dated APRIL 1995.
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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
Standards set forth by the Florida Board of Land Surveyors pursuant to Section 427.027 of the Florida Statutes.
rw_v1J1uN3: C1 /%/ CERTIFIED CORRECT TO:
UO3 0 FOR FOU ATIO : 7 OCT. 20JI I ,
REVlSCD FOR FINAL SURVEY 23 JAW200a
K TNE, SURVEYING, INC. DANIEL R. & KIMBERLY L. MITCHELL
R. BLAIR KITNER - P.L.S. NO. 3382 GATEWAY FUNDING
CHICAGO TITLE INSURANCE COMPANY
Post Cffice Box 823, Sanford, Fl. 32772- 0823 KAMPF TITLE b GUARANTY CORPORATION
407) 322-2000 ADNORAM TITLE COMPANY, INC.
PROJECT NO: 03 - (074 SURVEY DATE: 2 OCT. 2003