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112 Golfside Cir; 17-3009; WATER HEATERt a CITY OF SANFORD ING & FIRE . PERMIT APPLICATION Application No: / t) - 300 Documented Construction Value: $ M51 g,/ / Job Address: 112 Golfside Cir Historic District: Yes No Parcel ID: 04-20-30-513-0000-0450 Residential X Commercial Type of Work: New Addition Alteration Repair 0 Demo Change of Use Move Description of Work: Remove and replace electric water heater Plan Review Contact Person: Rhonda Ke Phone: 386-775-0909 Fax: 386-774-0048 Email: Property Owner Information Name ysm-G'eu KeW, Ric, (- c'-S Phone: Title: rkelley@fgplumbi Street: i / A q'0/74i3O -t.- Resident of property? Ij City, State Zip: 4 Sc.,4V '-C/, Contractor Information Name virst uuainy riumt)ing Street: 746 N. Volusia Avenue City, State Zip: Orange City, FL 32763 Name: Street: City, St, Zip: Bonding Company: Address: Phone: 386-775-0909 Fax: 386-774-0048 com State License No.: CFC050566 Architect/Engineer Information Phone: Fax: E-mail: Mortgage Lender: Address: WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. 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. FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 51" Edition (2014) Florida Building Code Revised: June 30,2015 Permit Application 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, state agencies, or federal agencies. Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida Lien Late, FS 713. The City of Sanford requires payment of a plan review fee at the time of permit submittal. A copy of the executed contract is required in order to calculate a plan review charge and will be considered the estimated construction value of the job at the time of submittal. The actual construction value will be figured based on the current ICC Valuation Table in effect at the time the permit is issued, in accordance with local ordinance. Should calculated charges figured off the executed contract exceed the actual construction value, credit will be applied to your permit fees when the permit is issued. 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. Signature of Owner/Agent Print Owner/Agent's Name Date Signature of Notary -State of Florida Date Owner/Agent is Personally Known to Me or Produced ID Type of ID s OCT 81 2617 Signature of Contractor/Agent Gary W. Evers Print Contractor/Agent's Name Date 3 :l 2012 SANDRA M. L1 USIER MY COMMISSION # FF 099402 EXPIRES: July 2, 201B Bonded Thru Notary Public Undetwtfters Contractor/Agent is X Personally Known to Me or Produced 1D Type of ID BELOW IS FOR OFFICE USE ONLY Permits Required: Building Electrical Mechanical Plumbing Gas Roof Construction Type: Occupancy Use: Flood Zone: _ Total Sq Ft of Bldg: Min. Occupancy Load: New Construction: Electric - # of Amps Fire Sprinkler Permit: Yes No # of Heads APPROVALS: ZONING: ENGINEERING: COMMENTS: UTILITIES: FIRE: of Stories: Plumbing - # of Fixtures Fire Alarm Permit: Yes No WASTE WATER: BUILDING: Revised: June 30, 2015 Permit Application Techn Date Scheduled: j EAST. VOLUSIA (386) 76d-2226 WEST VOLUSIA (386) 775-0909 Caw- 11229177A-nfUR MELBOURNE (321) 253-3939 ORLANDO & ON CALL SERVICE GAS I ] WARRANTY AREAS NAME: DATE: I o 6 ADDRESS: 1 t3. .. G-x7{ '. : , rfk PHONE: Lf v CITY: LC,vr-'A ZIP: s i JOB LOCATION: n,rZ. PO # QUANTITY DESCRIPTION EACH TOTAL r s f (, ov r 1 ACCEPTED TOTAL l 1 o a LICENSED & INSURED #CF-0050566 746 N. VOLUSIA AVENUE • ORANGE CITY, FLORIDA 32763 1 112% PER MONTH ((10% PER ANNUM) ON BALANCE OVER 30 DAYS REV 5/2 7 SEMINOLE COUNTY MULTI%URISDICTIONAL LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, winter Springs Date: 10/31 /17 I hereby name and appoint: Rhonda Kelley an agent of: First Quality Plumbing Name of Company) to be my lawful attorney -in -fact to act for me to apply for, receipt for, sign for and do all things necessary to this appointment for (check only one option): All permits and applications submitted by this contractor. Or The specific permit and application for work located at: 112 Golfside Cir Street Address) Expiration Date for This Limited Power of Attorney: License Holder Name: Gary W. Evers State License Number: CFC050566 Signature of License Holder: -,7—., STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me thisi Lday of O C 9 0 P--,( 20 \1 by _n, n X \K\ , LyQ xR who is Pirsonally known to me or 0 who has produced as identification and who did (did not) take an oath. Signature of Notary SANDRAM. LAUSIER MY COMMISSION#FF09W2 EXPIRES:July2,2018 J— o- Nt h GC I Print or type Notary name Notary Public - State of C/ - Commission No.-- My Commission Expires: American Land Title Association ALTA Settlement Statement - Combined Adopted 05-01-2015 FileNo./Escrow No.: FA17-493 Print Date & Tlme:9/28/2017 @ 2:25 PM Officer/Escrow Officer: Berry J. Walker, Jr. Settlement Location: 225 South Westmonte Drive, Suite 2040 Altamonte Springs, Florida 32714 Walker & Tudhope, P.A. 225 South Westmonte Drive, Suite 2040 Altamonte Springs, Florida 32714 Property Address: 112 Golfside Circle, Sanford, Florida 32773 Buyer: Kevin Andre Harris and Sophia L. Gomes-Harris, husband and wife Seller: JSM Group Inc., a Florida corporation as Trustee for Trust H15-2995, a Florida land trust Lender: Bank of England Mortgage Settlement Date: 9/29/2017 Disbursement Date: 9/29/2017 Additional dates per state requirements: z - Seller Description Borrower/Buyer Debit Credit Debit Credit Financial 270,000.00 Sales Price of Property 270,000.00 Deposit including earnest money 3,000.00 Loan Amount 216,000.00 Lender Credit 1,130.00 3,100.00 Seiler Credit 3,100.00 Title - Insurance Seller Credit 1,425.00 1,425.00 Title - Insurance Seller Credit Prorations/Adjustments 82.41 HOA Dues from 9/29/2017 to 12/31/2017 82.41 2,980.33 County Taxes from 1/1/2017 to 9/28/2017 2,980.33 Loan Charges to Bank of England Mortgage Underwriting Fees 895.00 Prepaid Interest ( $21.75 per day from 9/29/2017 to 10/1/2017) to Bank of England Mortgage 43.50 Other Loan Charges Appraisal Fee to Broad Street Valuations, Inc. (POC by Borrower: 460.00) 5D.00 Impounds Homeowner's Insurance 244.74 Property Taxes 669.02 Aggregate AdJustment 497.67 Copyright 2015 American Land Title Association. Pagel of 3 File M FA17-493 All rights reserved. American Land Title Association ALTA Settlement Statement - Combined Adopted 05-01-2015 Title Charges & Escrow / Settlement Charges 375.00 Title - Closing Fee to Walker & Tudhope, P.A. 375.00 Title - Endorsement 5.1 to First American Title Insurance Company 25.00 Title - Endorsement 8.1 to First American Title Insurance Company 25.00 Title - Endorsement FL Form 9.to First American Title Insurance Company 167.50 Title - Lender's Coverage Premium to First American Title Insurance Company 1,155.00 185,00 Title - Title Search to First American Title Insurance Company Title - Owner's Coverage Premium (Optional) to First American Title Insurance Company 520.00 Commisslon 6,750.00 Real Estate Commission (Buyer) to Orlando Urban Realty, LLC 6,750.00 Real Estate Commission (Seller) to Sand Dollar Realty Group Transaction Fee to Orlando Urban Realty LLC d/b/a Keller Williams Classic Realty V 299.00 Government Recording & Transfer Charges Recording Fees to Clerk of the Circuit Court 130.50 1,890.00 Transfer Taxes - Deed State to Clerk of the Circuit Court Transfer Taxes - Intangible Tax to Clerk of the Circuit Court 432.00 Transfer Taxes - Mortgage State to Clerk of the Circuit Court 756.00 Miscellaneous 2,106.26 2016 Real Estate Taxes to Seminole County Tax Collector 100.00 HOA Estoppel to Mayfair Club HOA, Inc. 235.00 Municipal Lien Certificate Fee to PropLogix Homeowner's Insurance Premium to Florida Specialty Insurance 979.00 Property Taxes to Seminole County Tax Collector 4,014.00 Survey Fee to Swerdloff & Perry 250,00 Seller Description Borrower/Buyer Debit Credlt Debit I Credit 25,896,59 1 $270,082.41 Subtotals 280,615.00 1 $227,635.33 Due From Borrower 52,979.67 244,185.82 Due To Seller Copyright 2015 American Land Title Association. Page 2 of 3 File V: FA17-493 All rights reserved. American Land Title Association ALTA Settlement Statement - Combined Adopted 05-01-2015 Acknowledgement We/I have carefully reviewed the ALTA Settlement Statement and find it to be a true and accurate statement of all receipts and disbursements made on my account or by me in this transaction and further certify that I have received a copy of the ALTA Settlement Statement. We/I authorize Walker & Tudhope, P.A. to cause the funds to be disbursed In accordance with this statement. Borrower: Kevin Andre Harris Borrower: Sophia L. Gomes-Harris Seller: JSM Group Inc., a Florida corporation as Trustee for Trust fl15-2995 Samson Munshi, President I have reviewed the Closing Disclosure, the settlement statement, the lender's closing instructions and any and all other forms relative to the escrow funds, Including any disclosure of the Florida title insurance premiums being paid, and I agree to disburse the escrow funds in accordance with the terms of this transaction and Florida law. Escrow Officer Copyright 2015 American Land Title Association. Page 3 of 3 File M FA17-493 All rights reserved. TSXNFORD FIRE OEPARTMENT PERMIT NO. ISSUE DA CONTRACTOR: 6 JOB ADDRESS: TYPE OF WORK: Building & Fire Prevention Division Residential Permit Card b1" Post this permit in a conspicuous location outside Approved plans must be posted with permit for inspection Leave all work uncovered until inspected and approved Permit expires 6 months from date of issue or last approved inspection PROTECT FROM WEATHER BUILDING INSPECTION TYPE APPROVED RFJECTED INS'PP_CTOR ELECTRICAL INSPECTION TYPE APPROVED REJECTED INSPECTOR FOOTER INSPECTION ELECTRIC UNDERGROUND STEMWALL FOOTER/SLAB STEEL BOND FORMBOARD SURVEY T.U.G. / PRE POWER SLAB / MONO -SLAB ELECTRIC ROUGH LINTEL / TIE BEAM ELECTRIC FINAL SHEATHING - ROOF MECHANICAL INSPECTION TYPE APPROVED REJECTED INSPECTORSHEATHING - WALLS FRAME MECHANICAL ROUGH 4INSULATIONROUGHINMECHANICALFINAL DRYWALL/SHEETROCK PLUMBING INSPECTION TYPE APPROVED REJECTED INSPECTORLATHINSPECTION FINAL STUCCO/SIDING UNDERGROUND ROUGH FIREWALL SCREW TUB SET FIREWALL FINAL SEWER INSULATION FINAL PLUMBING FINAL FINAL SFR GAS INSPECTIONS INSPECTION 7YPE APPROVED REJECTED INSPECTORROOF INSPECTION TYPE APPROVED REJECTED INSPECTOR GAS UNDERGROUND PIPE ROOF DRY -IN GAS ROUGH -IN FINAL ROOF GAS FINAL MISCELLANEOUS / FINAL INSPECTIONS INSPECTION TYPE APPROVED REJECTED INSPECTOR INSPECTION TYPE APPROVED REJECTED INSPECTOR FINAL DEMO FINAL DOOR FINAL SOLAR PANELS FINAL WINDOW FINAL POOL SCREEN FINAL SCREEN ROOM FINAL UTILITY BUILDING FINAL BUILDING OTHER MOBILE HOME TIE -DOWN MOBILE HOME FINAL WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. 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, STATE AGENCIES OR FEDERAL AGENCIES FBC 105.3.3 REVISED: 4-17 Inspection Line: 407.792.6069 or 855.541.2112 TO SCHEDULE AN INSPECTION: Dial 407.792.6069 or 855.541.2112 Provide the items requested during the message The type of inspection requested must be scheduled under the appropriate permit type Follow the prompts To Schedule Fire Inspections: Please call 407.562.2786 *** PLEASE NOTE: Inspections scheduled by 5:00 p.m. will be conducted the next business day. If you experience difficulty, please call 407.688.5150 Monday - Thursday 7:30 am - 5:30 pm for assistance. AUTOMATED INSPECTION SYSTEM CODES BUILDING ELECTRICAL FOOTER 104 ELECTRIC UNDERGROUND 211 STEMWALL 102 FOOTER / SLAB STEEL BOND 221 FORMBOARD SURVEY 147 T.U.G. 216 SLAB / MONO -SLAB 103 PRE POWER FINAL 218 LINTEL / TIE BEAM 105 ELECTRIC ROUGH 212 SHEATHING - ROOF 106 ELECTRIC FINAL 213 SHEATHING - WALLS 115 MECHANICAL FRAME 109 MECHANICAL ROUGH 409 INSULATION ROUGH -IN 110 MECHANICAL FINAL 410 PLUMBINGDRYWALL / SHEETROCK 131 LATH INSPECTION 132 UNDERGROUND ROUGH 322 FINAL STUCCO / SIDING 130 TUB SET 312 FIREWALL SCREW 120 SEWER 311 FIREWALL FINAL 143 PLUMBING FINAL 313 GASINSULATIONFINAL113 FINAL SFR 138 GAS PIPING UNDERGROUND GAS ROUGH -IN 328 314ROOF ROOF DRY -IN 116 GAS FINAL 315 FINAL ROOF III FINAL DEMO FINAL SOLAR PANELS FINAL POOL SCREEN FINAL UTILITY BUILDING MOBILE HOME TIE -DOWN Miscellaneous Notes: MISCELLANEOUS / FINAL INSPECTIONS 126 FINAL DOOR 136 134 FINAL WINDOW 137 139 FINAL SCREEN STRUCTURE 127 124 FINAL BUILDING - OTHER 112 145 MOBILE HOME BUILDING FINAL 146 REVISED: 4-17 Inspection Line: 407.792.6069 or 855.541.2112 FIRE INSPECTIONS CITY OF SANFORD 407.562.2786 BUILDING & FIRE PREVENTION BUILDING INSPECTIONS 300 N PARK AVE 855.541.2112 SANFORD FL 32771 DRIVEWAYS -SIDEWALK 407.688.5080 Page 2 Application Number . . . . . 17-00003009 Date 11/01/17 Property Address . . . . . . 112 GOLFSIDE CIR Parcel Number . . 04.20.30.513-0000-0450 Application description . . . PLUMBING PERMIT Subdivision Name . . . . . . Property Zoning . . . . . . . PUD Permit . . . . . . PLUMBING PERMIT-ALTER/ADD/FIX Additional desc . . Phone Access Code 1010669 Permit pin number 1010669 Required Inspections Phone Insp Seq Insp# Code Description Initials Date 1000 313 PL05 PLUMBING FINAL / /