HomeMy WebLinkAbout311 S Park Ave (2)771
Permit #
Job Address:
Description of Work:
Historic District:
CITY OF SANFORD PERMIT APPLICATION
Date: 1- Zl.' O 4-
A-o e
Zoning: Value of Work: $ 00
Permit Type: Building Electrical Mechanical Plumbing '1 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: Residential Commercial industrial Total Square Footage:
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than x)
Parcel #: (Attach Proof of Ownership & Legal Description)
Owners Name & Address: TQ rlrl!^ R Cir1 SOtY1
21 T' 'r 'r l r OJ led Phone: 3 31-1 —IOC(]
Contractor Name& Address: vie i e S nrl C-I G Y le— knC 410 NO(d-h
L L-2
l .,
3 21 50 State License Number: C -rC O 5 Le 5(9 3
Phone & Fax: 'ry 1' 331 ' C055 f7' 40- 1— 331 C320erson: 6 St re z V t• lA ftpne:
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. 1 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, HEATERS, TANKS, and
AIR CONDITIONERS, etc.
OWNER'S AFFIDAVIT: 1 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
this county, and there may be additional permits required from other govemmental entities s
Acceptance of permit is verification that 1 will notify the owner of the property of the
Signature of Owner/Agent Date
Print Owner/Agent's Name
Signature of Notary -State of Florida Date
Owner/Agent is _ Personally Known to Me or
Produced ID
may
3.
of
Signature of Contrdctor/Agent Date/
Cha les 'Y) CIG r k- 7
Print Contractor/Agent's Name
Signature of Notary -State of Florida Date
h Desiree Vitucu
My Commission DD043695
dFf Nlpires July 22.2005Contractor/Agent is = Persona K}i it to a or
Produced lD R V
APPLICATION APPROVED BY: Bldg: 1 Zoning: N Utilities: FD:
initial & e) (initial & Date) (Initial & Date) (Initial & Date)
Special Conditions:
Hi tTir•ic
Low ood
Florida
lam[
2003 2004
9. ol
775 V. X/ c Q", tf, XV ,Y2950
OCCUPATIONAL LICENSE
410 NORTH ST
For The Occupation
CONTRACTOR/OVER 30 EMP
CHARLES M. CLARK, INC.
R04 o2
z• oo SFAT" z
o
O.L. 04-05425
STATE#
CG C015367
LICENSE FEE $ 200. 00
ADMINISTRATIVE FEE $ 10. 00
TRANSFER FEE $ , 00
PENALTY % $ .00
COUNTY TAX $ 45.00
410 NORTH ST #162 a '•••••'N 1°
LONGWOOD FL 32750
y''n10 *Lr"``°a
TO AL$
J K 7 rruuees g[ CITY CLER `
UG v-E"MU+BE CDIvS 46&R LY DISPLAYED AT BUSINESS LOLCfJI0AAR - A
AC# Q 512`4 O STATE OF FLORIDA
DEPARTMENTOF BUSINESS AND PROFESSIONAL REGULATION
CONSTRUCTION , INDUSTRY LICENSING BOARD • > • SEQ#L02080100666
I -`I;. , Y .'t, y.• ',rRyr. 1. 14 K' { fJ ^\., . ` _
j . •
G .
Y., ,
J
X. PLUMBING-.: CONTRACTOR
r
Named below I3 :.CERTIFIED: s jai _r= =
Uader`'tlie provisions "of Chapters 4:89 FS. , "j.t -e
Expiration date: AUG •31, 2004z' A
f (
YY .fir t. ' 4t• •t r t ,n i >i 1 S
J,
y: h•.
t
L •.r. CLARR
CHARLES MARTIN JR ; - /.' sJ o
f
CHARLES,.`
M CLARK' "INC r;; x; %': = ''< " ... s , 1 `': " "rk 2350
WESTMINSTER TERRACE 45 ' • = j ;:. • ' OVIEDO
FL 32765 ea
t.$ f
i y 1 • f-_ Y+ +• j ^ .. i._'•`` ! 'pin -, ';„r.c -4i •, - >h BUSH '
RIM*`BINRLEY-§EYER+ GOVERNOR
DISPLAY AS REQUIRED BY LAW SECRETARY r
NAME z
ADDR.
47
Permit No.
State of Florida
County of Seminole
NOTICE OF COMMENCEMENT
Tax Folio No.
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.
1. Desc tion o prcWerty: (legal description of the property and street address if available)
as
2. General description of improvement:
MARYANNE MORSE, CLERK OF CIRCUIT COURT
3. Owner information , SEMINOLE COUNTY
a. Name and address <17NKA .16.,X In BK 05178 F06 1433
b. Interest in property RECORDED Faile.71P.M Wmm MR
c. Name and address of fee simple titleholder (if other than Owner) RE.C.01WINS FEES S."
REWRDED BY t McKinley
C
Contractor
a. Name and address "L 10 aw all,
b. Phone number 6 -AD Fax number oj_ ,33 6L7
5. Surety
a. Name and address
b. Phone number _
c. Amount of bond
Lender
a. Name and address
Fax number
b. Phone number . Fax number
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as
provided by Section 713.13(1)(a)7., Florida Statutes:
a. Name and address
b. Phone number
8. In addition to himself or herself, Owner designates
Fax number
of
to receive a copy of the Lienor's Notice as provided in Section
7l 3.13(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)
Signature of Owner
Sworn to (or affirmed) and subscribed before me this I day of ,a r-y , 20 , by
Sc M
Personally Known OR Produced Identification
Type of Identification Produced IZSZS 01 5 1 ` . UMFIEO ,
o,i:rP Melissa Dun1c]in ` p1ARYANNEtMORSE
Commission #0163723 K OF CIRCUR COURT
Expires: Dec 20, 2005 FLORIDA
Signature o Notary Pu ic, State of F rida '•,?oFn,, Bonded Thru
Atlantic Bonding Co., InchCommissionExpires: g
i•AN 27
Jan 26 04 10:54a Kim Ransom 407 366-6249 P.2
A,- ' 9ttlement Statement D"MWaM of
aid UrMn DeveloproeM OMB No. 2502-0265
IL Typeof Loan
1.0 FHA 2.0 FfnHA 3.13Corw. Unlns.
4.0 VA 5.0 Corn. Ire.
File Number
044)03
7. Loan Number 9, Mortgage Insurance Caen Number
C. Now. This torn b fumbled to gNe you a st MwroV of actual simlemem cols. Amounts paid ID and by the tet9amwA agent we shown. Items
marked '(p.o.c r were peld outside the Bosh M they am shown Mrs for intorrrra*m purposes and we not 6rduded ti the stab.
D. Name and Address of Borrows
Om A. Ransom
Tamara A Rersom
311 South Park Ave
Sardord, FL 32771
E. Name ad Address of Soft
Market Value OroW, Ire.
1017 Ho"ll Harbor Drlvs
Casselbery , FL /32707
J J 4 rr c ncelr 3 l o
F. Name end Address of Lender
G. Property Location
311 South Park Ave
Serdord, FL 32771
J. SUMMARY OF BORROWERS TRANSACTION: _
H. Settbmerrt Agent
Merry G. Reld, III - AMmey at Law
Place of Settemsd
1120 W. Fleet SWK Suke B
Sardord, Flodde 32T7/
1. Setlkmed Date
0110901
K. SUMMARY OF SELLER'S TRANSACTION:
100. GROSS AMOUNT DUE FROM BORROWER 400. GROSS AMOUNT DUE TO SELLER
101. Contract We* prbe 133,000.00 401. Conaact sales ice
402. Personal - -
133.000.
102. Personal property
103. Settlement charges to borower 1400 2MOO 403.
104. 404.
105. 405.
Adkmbnwft to Remo peld by seller In AdPialmoft for Items OW WW In Wow"
10a ab000m texas to 400. CIWWM hose to
107. courft teas to 407. CAwly texas to
108. Sold waste to 408. Solid waste to
109. 409.
110. 410.
111. 4f 1.
112. 412.
120. GROSS AMOUNT DUE FROM BORROWER IWAS.00 420. GROSS AMOUNT DUE TO SELLER 133 000.00
200. AMOUNTS PAID BY OR IN KHALF OF BORROWER 500. REDUCTIONS IN AMOUNT TO SELLER
201. Deposit or wmw mcM 5,0WQ0 501. Excess Deposit we kstructl"
202 amount of raw loan SM. Settlement chwgn to seller Pine 1400 11 502.37
203, E)Wrig loan Won suMod to 03. Ions fakery to
204, 504. Payoff of first mcrtpW loan
205. 505. Payoff of eswid morlow ben
206. Credit To Buyer 3 000.00 606. Credit To Byler 3.000.00
207. 507.
208. 508.
2D9. No,
AdpiefteM for items urptild by sells Adjusbinnte for Item unpold by sells
210. ChyApwn texas to 510. /town taw to
211. County taxes to 511. county tow to
21Z Sea Waft to S12. Sold Waste te
213, Taxes 111104ID lAW4 27.85 513. Tom IMM4 to 1/9104 27.85
214. 614.
216. SM
216. 51&
217. 517.
2M 518.
219, 519,
220. TOTAL PAID BY / FOR BORROWER 9,027,65 520. TOTAL REDUCTION AMOUNT DUE SELLER 14e5M.22
300. CASH AT SETTLEMENT FROM OR TO BORROWER MO. CASH AT SETTLEMENT TO OR FROM SELLER
301. Grow amount due from borrower Piro 120) 133ZMgo 801. Gross amount due to sailer on 4M) 133 000.00
WZ Use emoures pW byft borrows Pw 220 9 .95 802. Less red x*w amount due to seller rns SM 14 530.22
303. CASH FROM BORROWER 12510,15 W3, CASH TO SELLER 11 469.78
N TIE EVBRAN6.PRORIITION OFINETAxES eNECEaaMY WHENTIE TAX BUS FOR 7004 AF5N4lWMdAere, YlOTnE$AOTONANDLE 6AID PW4VMTMN MWEENTWASIMVES., REE\ Nn
wo QMOv, p OWNe TN A.
01.W2004
at I M AM RESPA HB 4305.2 - REV. HUD1 Oft)
Jan 26 04 10:54a Kim Ransom 407 366-6249 P.3
U.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENTWITLEIHSTATWW
File Nurlbw: 04.003 PAID FROM PAID FROM
L zTTTLEMENT CHARGES: FUNRDSAT133000.oD ® e.00 = 7.tie0.00 FUND AS7
70V TOTAL SALES/BROKEFtS COMMISSION bDNC o11 i SETTLEMENT SETTLEMENT
DNblon of commoslOn Pw 70D as fotlovre:
701. S 7.9W.00 _to Barham Fwre113 Assoftee
702. S 7,900.00
703. Cemmisslorl paid at SeRlwrlwll
Toe. P.O.C.
6W. ITEMS PAYABLE IN CONNECTION WITH LOAN
aut. Loan inaWn Fee %
802. Loan Dlsaount
803. AWn9WFes tiD
804. Cman RWad10
WS, L.wtdsrs InsPe080n Fee
808. Mtg. Ine. Fee
i Fee toa07.
80&
808.
810.
ell.
812.
813.
814.
815.
900. ITEMS REQUIRED BV LENDER TO BE PAID IN ADVANCE
901. Intwest *- to
9O Irwumnce Premium w
9W. Hazard Insurance Premiumym. to
904.
905.
IWO. RESERVES DEPOSITED WITH LENDER FOR _
no. ®S Imo.
loot. Hazard Irwlrrarlce
1002 M0rWM kwumnce m Q$
mo. @$ 1003. tal
mo. ®i / mo.
1004. lanes
1005. Annual Assessments rM QeIS / ma
1008. Mo. ! mo.
tDD7. Mo' O / r110.
1008. Amewte RMM2 for HazesWFlood Ins, /Ouw Taxes Ins d Amww1 Asewsnlenls
1100. TITLE CHARGES 175.00175.00
1101. Setdenrsrrl or ckxft See to G. III
1102. AbsuW or title saarah to 1
75. 00
1103. Tit* exeminobw1 W HIM G RQK 111
125.00
1104, Tide Y101Yaroe bldw to
1105. DowmeM to
1100. Coubr Fees to
1107. AnniWs leas to
Woudw above Item No:
1108. T18e ineumnte _ _ to G. Reid 111
740.00
above item No:
1109. Lenders coverwe
1110. Owners coweav 133 000.00 - 740.00
1111. In( 8.1 IN Hwy 0. Reid HI
20'00
1112, Tax Search Hwry G. Reld III
20.00
1113. FgkxGovvP5V,HandI. Ham O. Reld III 20.00
1200. GOVERNMENT RECORDING AND TRANSFER CHARGES
1201. Rees lees Dead $ 8.00 S : Releases $ 10.50 BA0 10.50
1202. Deed t =
931.00
12D3. Stale Dead S 1.00 : S
1204. ' to TaxIman
I W5.
1300. ADDITIONAL SETTLEMENT CHARGES
1301. 6 tD
1302. Peat kapecam to
13M Wire Fee
26.00
125.00
1304. Previous Torre SearchesFiddly NaWnal Tltlle
1 300.
1305. 2003 Taxes Vs Semhhob Tex rjoartm
1308.
1307.
1309,
14eo_ TOTAL SETTLEMENT CHARGESnes (eron fines 103 and 502, SeCUora J and 1q Z28.00 11,502.37 IAnY
arwe. be mW m wsowl w ors b di I
Aels esndly. wslsaw/0w hxrD•1 Bslerrrnd elrrrnea b Ye Osst d sM WK I Is srus tr
Imlelrl0mldl wlh-wosMWscwa 1eaewlerd \ A
snsew mrMra.
Rwdwe Tw
Ia1G Mlwsw4 srm ilbw pwe " riaOwaaft-IYti s bOO ArWMOb wIw 1TY w unwna Mwhr
a. IMld.jv, AOoew1 a L- aws WMNela:
xlssodwsb .Or Uasd el6rm c^>Nw.mwwm""I'row Per"r OP°^wWmOnr.wbpl.arlrt. Fw Oebiww: TM 10 V.5. Cods ewewi
1001 srd 8.0w 010. Ot-Oe-
2004 aI t l;22 AM RESPA. HB
4305.2 - REV. HUDi P/80