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Home My WebLink About1109 E 4 St (2)Permit # V� � Job Address: 109 E Description of Work: Ga 5 K5 K Historic District: CITY OF SANFORD PERMIT APPLICATION , Zoning: Value of Work: S 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: Residential X Commercial Industrial Total Square Footage: Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than x) Parcel #: 30— 10) — 3 1 5 116 — C) I C)C) — b ,4t� n (Attaeb Proof of Ownership & Legal Description) Owners Name & Address: Contractor Name & Address: gawbd1L Phone,• Bonding Company: Address: Mortgage Lender: Address: Arcbitect/Eagiaeer: 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. 1 understand that a separate p;rmit 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 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 permits required from other governmental entities such as water management districts, sate agencies, or federal agencies. Acceptance of permit is verification that I will notify the owner of the property of the Signature of ON•ner/Agent Date Print Owner/Agent's Name Signature of Notary -State of Florida Date Owner/Agent is _ Personally Known to Me or Produced ID APPLICATION APPROVED BY: Bldg: (Initial & Date) Special Conditions: Zoning: a t,1 II. Law, FS 1 . o x//7/03 rtnnt t,ontractoringenys ry l.0 \ h l rwa ) 1�� StgnaFl ev a� 1 Date EXPIRES: %Oftel stn rr�� re fi°"dsd Tt" Bad7K Contractor/Agent is Personally Known to Me or 'jO Produced ID �L- (initial & Date) Utilities: FD: (Initial & Date) (Initial & Date) A. §a-T.EMENT STATEMENT United States Department ori-lousing and Urban Development OMB No. 2502-0265 B. Type of Loan Loan Number 402 Personal property Mortgage Ins. Case Number File Number Conventional Uninsured 0000920267 104 0102LM67OLT C. Note: This fora► is furnished to give you a statement of actual settlement costs. Amounts paid to and by the scttlwnent agent are shown. Items marled "p.o.c." were paid outside of closing, they are shown 1►ei•e for informntional purposes and are not included in the totals. D. Nance and Address of Borrower: F. Name and Address of Seller: 'GGORGE.RICCIARDI Adjustments for items paid by seller in advance 106 City/town taxes / / to* / / 'D.A LANDIS, TRUSTEC OF THE WIKERSHAM FAMILY TRUST, 1109 E 411H STR CET 4185 W LAKE MARY BLVD. #118 SANFORD, FL 32771 407 County taxes / / to / / LAKE MARY, FL 32746 TIN: F. Nance and Address of Lender: G. Properly Location: NEW CENTURY MORTGAGE CORP. 109 l 1.09 E 4TH•STREETr 5340 W. KENNEDY BLVD. SUITE 215 SANFORD, FL 32.771 TAMPA, FL 33609 410 iP,rol� Id: 30:19-31-516-0100-01501 H. Settleinent Agent / Place of Settlement: I. Settlenieut Date: Laurie Jean Taylor 112 . Accu Title Agency _ Closing: 'May 28, 200341 283 Crane's Roost. Blvd Gross Amount Due To Seller Disbursement: May 28, 2003 Altamonte Springs, FL 32701 TIN: 500 Reductions in amount due to seller 501 Excess deposit (see instructions) 202 Principal amount of new loan(s) J. Summary of Borrower's Transaction 100 Gross amount due from borrower 101 Contract sales price K. Summary of Seller's Transaction 400 Gross amount clue to seller 401 Contract sales price 102 Personal property 402 Personal property 103 Settlement charges to borrower.[ 1400) 403 104 404 105 405 Adjustments for items paid by seller in advance 106 City/town taxes / / to* / / Adjustments for items paid by seller in advance 406 City/town taxes / / to / / 107 County taxes / / to / / 407 County taxes / / to / / 108 Assessments / / to / / 408 Assessments / / to / / 109 409 110 410 111 411 112 412 120 Gross Amount Due From borrower420 Gross Amount Due To Seller 200 Amounts paid by or on behalf of borrower 201 Deposit or earnest money j�l, 500 Reductions in amount due to seller 501 Excess deposit (see instructions) 202 Principal amount of new loan(s) 502 Settlement charges to seller [1400] 203 Existing loan(s) taken subject to 503 Existing loan(s) taken subject to 204 504 Payoff of first mortgage WELLS FARGO 205 505 Payoff of second mortgage 206 506 Deposit retained by 207 507 (Deposit disbursed: ) 208 508 { 209 Mortgage in favor of seller 509 Mortgage in favor of seller I Adjustments for iters unpaid by seller 210 City/town taxes / / to / / Adjustments for items unpaid by seller 510 City/town taxes / / to 909,38/365 days 211 County taxes 01/01/2003 to 05/28/2003 909.33/365 days 511 County taxes 01/01/2003 to 05/28/2003 212 Assessments / / to / / 512 Assessments / / to 213 513 214 514 215 515 216 516 217 517 111897 . -- 114; Ili.:I.'.. �� ! . ' . OU Of C-ICL5 ?I umb W I Tn c . to be inyey J' r in fact W act for me and apply to yOLE, D+ S�-rovrj a DI UMYJ I V101 peamh for work to be perfozmed at a location descn'bed as: Section Township Range Lot Block I I na 'r: C44 P4rP Subdivision (Addim of Job) and to sign my name and do all things nay to this appoh meat. [MII �'�Ti =2 1 .ri ri..iri�i Ca dmctW) Acknowledged: Salam t4 and m*scz*W befi xe me this Day of 3u. -n,--1- AD. NoUsy Pubhc, Stave of Fyoadda ................... _..1TESWEARY = _.: Imirsion # DD0134673 (SMI) E)VIres 7/21/2008 Bonded throughIt S Ine. My commission Expires: 1- O :.a....... FPA....... c 10-12 CJTVNFORD'DF SA JUN 2 6 2003 RECEIVED