HomeMy WebLinkAbout115 Rabun CtCITY OF SANFORD PERMIT APPLICATION
^� �
Permit # :03- `1 3 lip-" i Date: 4-1t-03
Job Address: G+ sai for I
Description of Work: &e 11dou W l-Y,h, A C w S ✓L .S Y S
o►-aD
Historic District: Zoning: Value of Work: $ 3 la 0 -
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 Commercial Industrial Total Square Footage: Z /*0
Construction Type: 11L # of Stories: / # of Dwelling Units: Flood Zone: (FEMA form required for other than X)
Parcel #:
Owners Name & Address:
(Attach Proof of Ownership & Legal Description)
Phone: V077 L f f- C
Contractor Name & Address: OL/or-0-1 5-0 k / n B,1 S7 S )3 t / iCn S 4 C f-
.ep/f� 3 1-7 l Z State License Number: C r r 0 3 6 7S O
Phone & Fax: y O 7 g Sf L / SG Contact Person: Phone:
Bonding Company:
Address:
Mortgage
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. 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: 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 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 water managergent districts, state agencies, or federal agencies.
kcce oce oWrmit is verification At 1 will notilx the owner of the property
—A &L
Inature of Owner/Agent
ate
+ O
= y -2
_' U'QO
Z m t Owner/Agent's e
EZ
51z o3
i 8 natur otary-State of Florida
Date
•�
er/Agent is P rs n t e or
~fj Produced ID
J
WON
APPLICATION APPROVED BY: Bldg: "Zoning:,
(Initial Date)
Special Conditions:
-1 of Florida LiV Law, FS 713.
uur ontrac r/Agent . Date..,.,
1 t
Contractor/Agent's Name
cure ofNia to o To a e
X02'°I. N WI. JOHNSO
I�I ���• MY COMMISSION # CC 921808
EXPII ES: March 25,'i,
_Prod-uced•I D f I- J= L Z�P
Utilities: FD:
(Initial & Date) (Initial & Date)
- 4•o; o4z •o
(Initial & Date)
This Inst ument Prepared By:
'Name' t•�, To kr n a�
Address:{ -
'a 7!
Permit No.
STATE OF
COUNTY OF
MMNE I� CLERK OF CIRp1IT COURT
SEMBK 04869 PG 11.662
CLERKx S R 20031031'0
RECORDED 06/18/2M 1014747 MN
RECORBINB FEES 6.00
RECOADED BY M Noldon
NOTICE OF COMMENCEMENT
TIIE UNDERSI0NED herby gives notice that improvement will be made to certain real
property, and in accordance with Chapter 713. Florida Statues, the following
information is provided in this Notice of Commencement.
1. Description of property: (legal description of property. &nd street address if
S4�va`lable) •
V,
fi / d -K4 G
2. General description of improvement:
3. Owner information _
a. Name and address: i �� c C k
//S Xg4un Cf r� rc
b. Interest in property:
GwK��
c. Name and address of fee simple titleholder (if other than owner):
61 4. Contractor: (name and address) W-9 r -n
1 S-7 S ,Bz sus C '4'70o
5. Surety
a. Name and address:
b. Amount of bond E
6. Lender: (name and address)
3 z 7 / ;t, 4,- CERTIFIED COPY
MARYANNE MORSE
�. CLERK OF CIRCUIT COURT
SEMINOLE COUNTY. FLORIDA
pier t TY f. URK
JUN 18 2003
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: (name and address)
8. In addition to himself, Owner designates the following person(s) to receive
a copy of the Lienor s•Notice as provided in Section 713.130 )(b).Florida
Statutes: (name and address)
9. Expiration date of notice of commencement (the expiration date is 1 year from
the date of recording unless a different date is specified)
E� �!� Svc 6�•e��ckL
(Signature of Owner) (Print Owner's Name)
Owner's Address:
The foregoing instrument was acknowledged before me this1-121_1 by
who is personally known to
who me/ produced 4 U
GSA
-as identification and who did no take an oath.
State of Fl a County of �ii�-+�/� Commission IY U 033
Notary) MY Commission Expires MND
[Not�M Public, State of Florida
m. expires Aug. 14, 2005
All Information Must Be Typed or i Ny. DD 033760
to Comply With Recording Req
V9,Z
I A. U.S.DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT
B.TYPE OF LOAN
1. 1 )FHA 2. 1 IFMHA 3. 1 ICONV. LININS.
4. 1 IVA 5. 1 ICONV. INS. IXICash (6)
6. FILE NUMBER,
03522347
T. LOAN NUMBER:
8. MTG. INS. CASE NO.:
C. NOTE : I his form is furnished to give you a statement of actual settlement costa. Amounts paid to and by the settlement agent are shown. Items marked
("p.o.c.') were paid outside the closing: they are shown here for information purposes and are not included in the totals.
D. NAME OF BORROWERr EDITH PRECKL, FRANK PRECKL
ADDRESS:
E. NAME OF SELLER: MADELEINE H. MOORE
ADDRESS:
SELLER TIN:
F. NAME OF LENDER:
ADDRESS:
G. PROPERTY LOCATIONS Lot 31 SANDRA SOUTH
115 RABUN COURT SANFORD FL 32773
H. SETTLEMENT AGENT: UNIVERSAL LAND TITLE, INC. CLOSER: Amy Rabinovitz PHONE NUMBER: (407) 324-9766
ADDRESS: 100 COLONIAL CENTER PKAT 0120
LAKE MART FL 32746 SETTLEMENT AGENT TINS 59-2630287
PLACE OF SETTLEMENT: UNIVERSAL LAND TITLE, INC.
ADDRESS: 100 COLONIAL CENTER PKWY N120
LAKE MARY FL 32746
PHONE NUMBER: (407) 324-9766
I.SETTLEMENT DATE
Closing date: 05/30/03
Proration date: 05/30/03
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 92 500.00
401. Contract sales price 92 500.00
102. Personal property
402. Personal property
103. Settlement charges to borrower ine 1400) 543.50
403.
104.
404.
105.
405.
Adjustments fur items paid by seller in advance:
Adjustments for items paid for seller in advance:
106. Cit /town taxes to
406. Ci /town taxes to
107. County taxes to
407. County taxes to
108. Assessmems to
408. Assessment to
109.
409.
110.
410.
lll.
411.
112.
412.
120. GROSS AMOUNT DUE FROM BORROWER:
93 043.50
420. GROSS AMOUNT DUE TO SELLER
92 500.00
200. AMOUNTS PAID BY OR IN BEHALF OF BORROWER:
500. REDUCTIONS IN AMOUNT DUE TO SELLER
201. Deposit or cantcst njoncy 1,000.00
501. Excess d osd see instructions
202. Princi pal amount of new loans)
502. Settlement charges to seller ine 1400 8,084.38
203. Existing luan(s) taken subject to 503. Existing loan(a) taken subject to
204. 504.P3offoffmat moM1 a tNOaMORTGAGE CORPORATIO 66 599.17
205. 505. Payoff of second mortgage loan
206. SELLER CREDIT 500.00 506. SELLER CREDIT. 500.00
207. 507.
208. 508.
209. 509.
Adjustments for items unpaid by seller: Ad'ualmenta for items unpaid by seller:
210. Cit /town taxes to 510. Cit /town taxes to
211. County taxes 01/01/03 to 05/30/03 282.79 511. County taxes 01/01/03 to 05/30/03 282.79
212. Assessments to 512. Assessments to
213. 513.
214. 514.
215. 515.
216, 516.
217. 517.
218. 519.
219. 519.
220, TOTAL PAID ItY/FOR BORROWER: 520. TOTAL REDUCTION IN AMOUNT:
1 782.79 75,466.34
300. CASA AT SETTLEMENT FROM/TO BORROWER: 600. CASH AT SETTLEMENT TO/FROM SET IER:
301. Gross amount duc from borrower ire 120 93 043.50 601. Gross amount due to Belle line 420 92 500.00
302. Less atttuutns paid by/for borrower line 220 1,782.79 602. Less total reductions in amount due sellc ine 520 75 466.34
303. CASH Ix FRONII 1 TOI BORROWER: 603. CASH IX TO] I FROMI SELLER:
91 260.71 17 033.66
File03522347
F L. SETTLEMENT CHARGES
700. TOTAL SALES/BROKER'S COMMISION Based on S 92,500.000
6.50 6,012.50
PAID FROM
BORROWER'S
FUNDS
AT SETTLEMENT
PAID FROM
SELLER'S
FUNDS
AT SETTLEMENT
Division of Commission (line 700) as follows:
701.$3 237,50 to CENTURY 21 A.A. CARNES
INC.
702.$2,775.00 to COLDWELL BANKER REAL ESTATE
703. Commission paid at settlement
6,012.50
704. REGULATORY COMPLIANCE/PROCESSING to CENTURY 21 A.A. CARNES/COLDWELL BANKER
195.00
195.00
800. ITEMS PAYABLE 1N CONNECTION WITH LOAN.
801. Loan Ori inatioo fee %
802. Loan Discount %
803. Appraisal I'ce to
804. Credit Re ton to
805. Lender's instectiun fee to
806. Mortgage Insurance application fee to
807. Assumption Fcc to
808. ' to
809. to
810. to
811. to
812. to
900. ITEMS RL-QUIRLD BY LENDER TO BE PAID IN ADVANCE.
901. ]merest from to *$
/day
902. Mortgage insurance premium for mo. to
903. Hazard insurance premium for yrs. to
'
9D4. yr3. to
905.
1000. RESERVES DEPOSITED WITH LENDER
1001. Hazard lnsurancc mo.0$
per mo.
1002. Mortgage insurance mo.0$
per mo.
1003. City propuny taxes mo.Q$
per mo.
1004. Count trotcn taxes mo.Q$
permo.
IDOS. Annual asscssmmnts (Main.) mo.®S
per mo.
1006, mo.a$
per mo.
1007, mo.a$
per mo.
1008. mo.®S
per mo.
1100. TITLE Cl IARGI:S:
1101. Settlement or closing fee to UNIVERSAL LAND TITLE
INC.
95.00
95.00
1102. Abstract or title search to UNIVERSAL LAND TITLE'
INC.
95.00
1103. Title examination to CENTURY TITLE AGENCY
95.00
1104. Title insurance binder to
1105. DOCUmcm preparation to
1106. Notary Ice to
1107. Auorttc 's Ice to to
(includes above items No.:
1108. Title insur:mce to CENTURY TITLE AGENCY
531.88
(includes abo%e items No.: )
1109. Lcudcr's covcra ge S
1110. OWIlUr',S cuvera ge 92 500.00 $ 531.88
1111. to
1112. to
1113. to
1114. COURIER/FED EX/MESSENGER to UNIVERSAL LAND TITLE
INC.
37.50
37.50
1200. GOVL'R,MENT RECORDING AND TRANSFER CHARGES
1201. Recording fees: Deed $ 6.00 Mrt$ Rel. $
6.00
1202. Cit /county tax/stamps: Deed $ Mrtg S k
1203. Stoic mx/slam s: Dad $ 647.50 Mrtg S
647.50
1204. to
1205. to
1206. to
1300. ADDITIONAL SETTLEMENT CHARGES
1301. Survcy to SWEROLOFF 8 LONG
210.00
1302. Pcst instcction to
1303. HOME WARRANTY to OLD REPUBLIC
375.00
1304. to
1305. to
1400. TOTA1. SE fTLEMENT CHARGES (entered on lines 103, Section I and 502, Section IQ
543.50
8,084.39
CERTIFICATION: 1 have carefully reviewed the HUD -1 Settlement Statement and to the beat of my knowledge and belief, it is a true ano accurate statement or au
receip and Jishuncutcns made on m lint or me in this transaction. 1 further certify that, have ¢ ived a copy of HUD-�ement Cement.
Borrowers el Sellers
The HUD -1 Scnlcmcnt Staten hich 1 have p aredis a e and accurate account of this transaction. 1 have caused or wtll cause the funds to be disbursed in
accordance wnh this stata•nte t.
Settlement Agcw Date
WARNING: h is a crime t , towingly make false statements to the United States on this or any other similar form. Penalties upon conviction can include a fine and
imprisonment. For details scc: Title 18: U.S. Code Section 1001 and Section 1010.