103 Shire Ct 03-2948 FenceS
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CTT]'fuF SANFORD'PERMIT APPLICATION
Permit #: y.
G:.: Date:
Job Address: (7 3 S H-trac CT S A'J 1-0210 Fl. 3 27 :7 3
Description of Work: U PC,-( Nauc
Historic District: Zoning: Value of Work: $ CO
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 Cale. 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 #: `
1 n (
Attach Proof of Ownership & Legal Description)
Owners Name &1Address: dYlo`4"C \ . ('j E(.(kJU E (L
p1JS1+L0r T_ SPIN Fo20
a (.. 1Z-4 Phone:_ you-4-3ZZ- [3R -
Contractor Name & Address:
Phone & Fax:
Bonding Company:
Address:
Mortgage Lender:
Address:
Architect/Engineer:
Address:
State License Number:
Contact Person: Phone:
Phone:
Fax:
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 water management districts, state agencies, or federal agencies.
Acceptance of permit is verification that 'I'll otify the owner of the propof the requirements of Florida Lien Law, FS 713. q/'
ZdZ; 3 - Signature
of Own Agent Date Signature of Contractor/Agent rinnOwner/
Agent's Nam / Print Contractor. Agent's Name Stgt
4-eudf1lota6LYM d'&ffgbtf Date MY
COMMISSION t D 164280 EXPIRES:
November 12, 2006 r
rF F F oF
Bonded Thru Budget Notary Services O
ner/agent is P na Iv Known to Me or Produced
t k)"
APPLICATIONAPPROVEDBY: Bld Zoning: nitt
Special
Conditions: Signature
of Notary -State of Florida Contractor/
Agent is Produced
ID _ Utilities:
initial &
Date) Date
Date
Personally
Known to Me or FD:
Initial &
Date) (Initial & Date)
CITY OF SANFORD BUILDING DIVISION
OWNER/BUILDER 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 dgect,
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 presume that
you built or substantially improved it for sale or lease, which is a violation of this exemption. You may
not hire an unlicensed person to act as your contractor or to supervise people working on your building. It
is your responsibility to make sure that people employed by you have licenses required by state law and
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.
1, , do hereby state that I am qualified and capable of performing the
requested construction involved 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.
J. 9 L- _ ZG ZQO 3
Owner/Builde Siggnature D to
Print Owner/Builder Name
atu ojaW-GQ 1 1W80 Date
EXPIRES: November 12, 2006
s r F
Bonded Thru Budget Notary Services
Owner is Pcsonally Known to Me or has Produced
ID _
f
A. Settlement Statement
U.S. Department of Housing
and Urban Development
OMB No. 2502-0265 (Page I
I. ® FHA 2. o FmHA 3. Conv Unins 6. File Number 7. Loan Number 8. Mortgage Ins Case Number
4. o VA 5. o Conv Ins. 030694-S FH9139207165
C. Note: This form is furnished to give you a statement of actual settlement costs. Amounts paid to and by the settlement agent are shown. Items marked
o.c.)" were paid outside the closing; theyare shown here for informational purposes and are not included in the totals.
D. Name and Address of Borrower E. Name, Address, and Tax ID Number of Seller F. Name and Address of Lender
TIMOTHY A BELINGER AND CINDY D.R. HORTON, INC., A DELAWARE CORP. CH MORTGAGE COMPANY, I, LTD
BELINGER, HUSBAND AND WIFE 6250 HAZELTINE NATIONAL DRIVE, STE 102 12554 RIATA VISTA CIRCLE, FIRST FLOOR
1173 AUTUNIN BROOK CHICLE ORLANDO, FL 32822 AUSTIN, TX 78727
LONGWOOD, FL 32750 Tax Ill # 75-2386963
G. Property Location (Complete address, including legal descriptiob, if necessary) H. Settlement Agent Name, Address and Tax IL) Number
DRH Title Company of Florida - Orlando
BAKERS CROSSING PHS II, Lot 27, Seminole County
925 S. Semoran Blvd
Suite 104
103 SHINE COURT Winter Park, FL 32792 Tax ID: 75-2657983
SANFORD, FL 32773
Place of Settlement I. Settlement Date
DRII Title Company 9/15/03
925 S. Semoran Boulevard
Suite 104
J. Summary of Borrower's Transaction K. Summary of Seller's Transaction
Ann i'-- A nl..,.,,r I'%- to RPIIPr
tuu. cross Amount cue uuul -1
101. Contract Sales Price 160,312.00 401. Contract Sales Price 160,312.OU
102. Personal Property 402. Personal Property
103. Settlement Charges to borrower 6,425.62 403.
104,
404,
105.
405.
arliuctmPntc Inr 11emS Da1(I DV sever in aUVU11-
t1 U1 U lllll'IIIJ IUI Ila%I.w t, w.0 .. . .•• •••__
106. City property taxes thru . 406. City property taxes thru
107. County property taxes thru 407. County property taxes lhru
108. Annual assessments thru 408. Annual assessments thru
109. School property taxes thru 409. School property taxes thru
110. MUD taxes thru 410. MUD taxes u
Ill. Cushion thru 411. Cushion thr
112.
412.
113.
413.
114.
414.
115.
415.
116.
416.
120. Gross Amount Due From Borrower 166,737.62 420. Gross Amount Due to Seller 160,312.00
enn n ,l„art n. 1„ anlnonr nue to Seller
201). Amounts ralD Dy ur Ill ncuull -1 „..
4,500.00 501. Earnest money held by seller 4,500.00
201. Deposit or earnest money
202. Principal amount of new loan(s) 157,219.00 502. Settlement Charges to Seller (line 1400) 13,280.36
203. Existing loan(s) taken subject to 503. Existing Loan(s) Taken Subject [o
204. Commitment fee 504. Payoff of first mortgage loan
205. Nehemiah
4,809.00 505. Payoff of second mortgage loan
506. Charity Contribution 50.00
206.
207.
507.
208.
508.
209. 1 1509.
Adjustments for items unpaid by
210. City property taxes thru
211. County property taxes 01/01/03 thru 09/15/0 212.
Annual assessments thru 213.
School property taxes thru seller
Adjustments for Items unpalu Uy scllcl 510.
City property taxes thru 3
154 28 511. County property taxes 01/01/03 thru 09/15/03 512.
Annual assessments thru 513.
School property taxes thru 51.
4.-MUD-taxes, thru
u C r 1 L - J V V • J I a p. e
PLAT OF SURVEY
OL`+CWPIION; (A FURN6)HF.D)
1.07 27, BAKERS CROSSING PI IASF 7,
AS RECORDED IN PLAT UOOK 62, PACI '.S 97-99. Uh THE r1U8I.IC RECORDS OF ,EMINO(.( COON IY, Fl ORIDA
NOTE:
THE FINISHED FLOOR ELEVATION OF THIS
STRUCTURE MEETS OR EXCEEDS THE
THE REOUIREMENTS SET FORTH IN THE
CITY OF SANFORD CODE CHAPTER 61 SEC- 6-7(A).
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NOTF:
CI IYI'I1-*ILD "1'O AND FOR1-HE IJ,
XC111SIVF, I ISE OF: URJ1
Tr11Y. COMPANY OF FLORIDA. W. 11DELITY
NATIONAL TrME INSURANCE CO. OF PI:NNSYI.VANIA TIM0111Y
A. BALINGF.R AND CINDY BF.I,INOER CH
MORTGAGE COMPANY, L LTD. TRACT "
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ALL L)IRl,.0 IION.'; AN() (:MJ ANC[S HAVE RFf
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NCIES HAVI. ULEN NO1LO ON IIIL UNVLY,
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PROPERTY CORNFRS SHOWN HFRFON WrRE f'
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IH1
SUI%VLYOI( IIA'.i NOI ALISIRACILU IIQ. LAND
SIIOWN IIL.IkON 1014 LAkMLNI`;, RIC:Ilf Or WAY,
I(I.';II(ICIION'; UI HLCOI(D WHICH MAY AFFEC'
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NO UNOLNUC OIJNU IMPHOVI.M(N)1; IIAV(- rITrN LOCA
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VALID MTIIOUT TIIE SIGNATURC ANO T11F 0141GINAL
I(AH;LO SI.AI Of A (.1 ORIOA IICrNSrf) 111lV(
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HAVI' FXAMINI-O Illf f-I.R.M. C.OMMUNHY PANLL NU
121.1289 0045 E UATCD 4/17105 AND rrx)Nn IIIL.
SUUJUI PRUI'LkIY APPCAR TA LIE IN 7nNr X. ARIA
UUIUDL IUU YEAR FLOOD. rlrvAwNS &-
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V, CERTS : 09/ 12J03 APPROVT.
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