HomeMy WebLinkAbout120 Lakeside CirCITY OF SANFORD PERMIT APPLICATION
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Permit No.: Date:
Permit Type: Building Electrical Mechanical Plumbing Fire Alarm/Sprinkler
,D�scripWor-k: PC)U > C, --F CNG b f� tr--Aj IClV L G N "4�`/� Y4
Additional Information for Electrical & Plumbing Permits
Addition/Alteration _Change of Service Temporary Pole _New AND Service (# of AMPS )
Addition/Alteration New Construction (One Closet Plus
PlumbinQ/Commercial: Number of Fixtures
Number of Water & Sewer Drainage Lines.
Occupancy Type: _Residential Commercial _ Industrial
Type.of Construction: Flood Zone:
Parcel No.:
Contractor/Address/Phone:
_ Additional)
Number of Gas Lines
Total Sq Ftg: Value of Work: S ��
r,
Number of Stories: Number of Dwelling Units:
'ontact Person: Phone & Fax Number:
Itle holder Of other than Owner):
nding Company:
ortgage-Lender:
(Attach Proof of Ownership & Legal Description)
State License Number:
Phone No.:
Aldess:
Fax No.
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 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: 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
watermanagement districts, state agencies, or federal agencies.
is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713.
C'
G3
of Owner/Agent
F&0,t t Nc(o
ani'g
er/Agent's Nture of Not
eof Florida Date
4P0.Y P�e4
FLORENCE k DE GRAVE
MY COMMISSION # DD 164260
*
EXPIRES: November 12,2006
`rlp\�c
'rFOF F`O
Bonded Thru Budget Notary Services
Owner/Agent is
Personally Known to Me or
)OProduced ID
APPLICATION APPROVED BY:
Special Conditions:
Signature of Contractor/Agent Date
Print Contractor/Agent's Name
Signature of Notary -State of Florida Date
Contractor/Agent is
Produced ID
Personally Known to Me or
Date: LY&
CITY OF SANFORD BUILDING DIVISION
OWNER/W(JILDER 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 presui.x,c that
you built or substantially improved it for sale or lease, which is a violation of this exemption. You rja ia.y
not hire an unlicensed person to act as your contractor or to supervise people working on your
is your responsibility to make sure that people employed by you have licenses required by state law grid
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.
I,C)2�.�' I �Gt do hereby state that I am qualified and capable of performing the
requested construction mvolved 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.
_ Y17 , a4s No
� wne,rB.ui.lder_ .igna_ tures s �—Date
e'Z�q ;mc
P�Ow Builder--N•a•••e-------
2 m
Cn
� �
L� Cn
Signart're of Notary—State of Florida Date ,� v
figm
Own _ Personally, Known to Me or has `
rodliced ID
Legal Description
! 37, HIDDEN LAKE III - UNIT VII, according to the plat thereof,
recorded in Plat Book 38, Page(s) 79 & 80, of the Public Records of
rinole County, FL.
nunity number: 120294 Panel: 0045
r. E F.I.R.M. Date: 411711995 Flood Zone: X & AE (39)
of field work: 312312003 Completion Date: 312812003
Certified to:
Florencio Amedor; Cindy Amedor; Brokers Title; American Pioneer
Title Insurance Company; Countrywide Home Loans, Inc., its'
successors and/or assigns.
CURVE TABLE M
CURV£ RADIUS LENGTH DELTA CHORD CHORD BEARING
C-1 105.00' 60.12' 32-48 27" 59.30' S57-32'55 "E
C-2 55.00 15.70' 16-21'28 15.65' N63-35 06"W
CURVE TABLE P
CURVE RADIUS LENGTH DELTA CHORD CHORD BEAR/NG
C-1 105.00' 60.40' .32-5722 59.56' —_---
C-2 55.00' 15.64' 16-17'49" 15.59' -----
� 9't
M)
LOT 36 113 40'N7 9 14 4 E (P)
113 37PN7
a-
__ 6,t
r, 1. R. 1/1
- _ LOT 38
<� ONE STORY
RES# 120
LQ
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��:� „>• _ _ " res., �': � 1.....
Y ix
J :ate $ o
It
a
F. 1. R. 1/2' \
No .30.68'
�• .
4.00' 43.14'
2.30. w
4,500,
330' ' 4.10' g 16.30'
1._5 25.20' /
579 17�44„W t� U
173.22 579 17 44
173.38
CAS
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25.00•
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O P.R.C.
F, /. R. 1/2"
Property Address:
120 Lakeside Circle
Sanford, FL 32773
LEGEND
Wood Fence
CATV
W.M.
Cable Riser
Water Meter
M.H.
N.T.S.
Manhole
Not to Scale
GENERAL NOTES Survey number: SL 16732
-x-x-
F.N
Wire Fence
Found Nail
TEL.
Telephone Facilities
O.R.
Official Records
I. Legal description provided by others.
`i` ..
®
Covered Area
O.R.B.
Official Records Book
2. The lands shown hereon were not ahm—ted fur easemeno w
•
Property Corner
B.R.
Bearing Reference
P.C.P.
Permanent Control Point
nut .s'huwn on the plat.
, .... 1.is.,...+-.. ,
R.
Iv1
Record
Field Measured
CH
Chord
P.R.M.
Perm. Reference Monument
3. Undergrouml poniuns of Guting,, W-6,00ns .,:h.. P..:•..
4. Wall ties are to the face of the wall.
CL
Clear
RAD
Radial
PG.
Page
5. Only visible encroachments located.
ENCR
Encroachment
N.R.
Non Radial
PVMT.
Pavement
6. No identification found on property corners uole.s noted
CL
Centerline
A/C
Air Conditioner
P.B.
Plat Book
7. Dimensions shown are plat and measured unless otherw ire noted.
if based upon N.G.V.D. 1929 unless otherwuc noted
O
Concrete
B.M.
Benchmark
P.O.B.
Point of Beginning
8. Elevations shown are
9.Adjoimng lot are within the same block. unless otherwise noted
PL
Property Line
C.
Calculated
P.O.C.
Point of Commencement
10. This is an AS -BUILT SURVEY unless otherwise noted.
C. M.
Concrete Monument
ZIlIIL
Block Wall
P.O.L.
Point of Line
I I. Not valid unless sealed with the signing surveyors embossed cal.
F 1. R.
Found Iron Rod
D
Central Angle/Delta
P.C.
Point of Curvature
12. Float zone determinations are provided asa courtesy only, a Jure derived train the n.
F.LP
Found Iron Pipe
D.B.
Deed Book
P.R.C.
Point of Reverse Curvature
ources available to the surveyor. This uon should he retied upon for llo,w
R/W
Right of Way
D.
Description or Deed
P.T.
Point of Tangency
insurance purl es, and may differ m slur anon pnn 1 by others
N&D
Nail & Disk
D.H.
Drill Hole
R.
R.O.E.
Radius (Radial)
Roof Overhang Easement
13. L.B. 7132
I hrnhv c ofi $hot rhi.r snmry it a u "I'd I "I" 1 rpt enw un .•f o s'urve` pr'o'p,
D.E.
Drainage Easement
D/W
Drive wa y
in, do,"rion.
U.E.
Utility Easement
ESMT
Easement
S.I.R.
Set Iron Rod & Cap
FD.
Found
EL
Elevation
S/W
Sidewalk–
P.
Plat
F.F.
Finished Floor
T.O.B.
Top of Bank
X.Iph tiwerAbn
i.VA=*
Asphalt
F.C.M.
Found Concrete Monument
TYP.
Typical
Swerdlotf & Long Suneping. In,
O.H.U.
Overhead Utilities
F.P.K.
Found Parker -Katon Nail
W.C.
Witness Comer
365 Way ont Coun. Suite 109. Lake Mary. Fl- '
P. P.
Power Pole
L
Length
10.05
Existing Elevation
Voice 407.688.7631 F;,v-til' f>x� _60,274(
TX
Transformer
L.A.E.
Limited Access Easement
E.O.W.
Edge of Water
A. Settlement Statement
U.S. Department of Housing
IU1. onto ""'OWN I VUE TO SELLER
102._ Persons Q
103_Settl m nt -h�rog .. 903.
• _105. ..
405:-,-
J 06
05:JOG Uyltomt_taxes paidlZy_591IcLin_advance
120.GROSS AMOUNT DUE FROM BORROWER ' 138,124.48 420.GROSS AMOUNT DUE TO SELLER
200.AMOUNTS PAID BY Olt IN BEHALF OF BORROWER 135,074.42
SOO.REDUCTIONS IN AMOUNT DUE TO SELLER
ZS?J.J21:pczSll4Lt<�tIlest money -_ 501. Excess d c
2022nnlBn(s) 502d�ttlement char
Mllxi51l.Og1 n(s) talcet EsSto seller(line 1400)
W4.13AP AssistedSrant _%U2_41 504.Pavofng loan(q) taken s
fof fire
t'mortQa¢e loan _1(],054.83-
1
N(Ijustments for items unpaid by seller
210. Itvll�v _taxes to
Adjustments for items unpaid by se
219. to
220 -TOTAL AMOUN'T'S PAID
and Urban Development
519'
it
B, Type of Loan
OMB No. 2502-0265
LZI FHA 2.O FmHA 3.0 Conv. Unins 6. File Number 7. --Loan Number 8. Mortgage Insurance Case Number
4!] VA 5.0 Cony.
Ins. L-0207 2631'5598-
C. NOTE: This form is furnished to give you a statement of actual settlement costs. Amounts paid to and by the settlement agent arc shown.
Items marked "(p.o.c.)" were paid outside the closing; they are shown here for informational
D. NAME OF BORROWER:
purposes and are not included in the totals.
FLORENCIO AMADOR
ADDRESS OF BORROWER:
E. NAME OF SELLER:
120 LAKESIDE CIRCLE, SANFORD, FLORIDA 32773
AMOUNT DUE SELLER
YVETTE MARIE STEPHENSON, DVa YVETTE BRYANT
ADDRESS OF SELLER:
F. NAME OF LENDER:
COUNTRYWIDE fIOME LOANS, INC.
ADDRESS OF LENDER:
G. PROPERTY
1815 WEST STATE ROAD, SR 434, LONGWOOD, FLORIDA 32750
LOCATION:
120 LAKESIDE CIRCLE, SANFORD, FLORIDA 32773
line 4
BROKERS TITLE OF LONGWOOD II, LLC
11. SETTLEMENT AGENT:
LEE , 1TE
2 du i ns.'n a unt due
..'
°?WIN7ER PARK699
FL 32789'
PLACE OF SETTLEM ENT:
::. •
IU1. onto ""'OWN I VUE TO SELLER
102._ Persons Q
103_Settl m nt -h�rog .. 903.
• _105. ..
405:-,-
J 06
05:JOG Uyltomt_taxes paidlZy_591IcLin_advance
120.GROSS AMOUNT DUE FROM BORROWER ' 138,124.48 420.GROSS AMOUNT DUE TO SELLER
200.AMOUNTS PAID BY Olt IN BEHALF OF BORROWER 135,074.42
SOO.REDUCTIONS IN AMOUNT DUE TO SELLER
ZS?J.J21:pczSll4Lt<�tIlest money -_ 501. Excess d c
2022nnlBn(s) 502d�ttlement char
Mllxi51l.Og1 n(s) talcet EsSto seller(line 1400)
W4.13AP AssistedSrant _%U2_41 504.Pavofng loan(q) taken s
fof fire
t'mortQa¢e loan _1(],054.83-
1
N(Ijustments for items unpaid by seller
210. Itvll�v _taxes to
Adjustments for items unpaid by se
219. to
220 -TOTAL AMOUN'T'S PAID
519'
to
to
BY OR IN BEIiALF OF BORROWER
138,624.48
520.TOTAL REDUCTIONS IN
300 -CASH AT SETTLEMENT FROM/TO BORROWER
AMOUNT DUE SELLER
120,365.31
301.Gross amount dufrom borrower line 120
160 -CASH AT SETTLEMENT TO/FROM
SELLER
02.Less /f r 6011 wer lin 220
1 124.4
138 G24.48
601.Gross amount due to seller
line 4
1 074.42
fc
. BORROWER.::
f
�
2 du i ns.'n a unt due
..'
ef.,. !" ?
s303.CAS1To
120 365.31
::. •
500.00
603.CASH To O From_
... SELLER --O•
14,709.11
'ACF. I
01000 F)II sy,lem,, Inc, (863) •Ja-ssss
1 (3-86) RIESPA,
I IB 4305.2